Smartphone addiction and its impact on musculoskeletal pain in neck, shoulder, elbow, and hand among college going students: a cross-sectional studySpringer Science and Business Media LLC - Tập 27 - Trang 1-8 - 2022
Sohel Ahmed, Arushi Mishra, Rahemun Akter, Md. Hasanuzzaman Shah, Asima Akter Sadia
Prolonged physical exposure during smartphone usage results in poor posture causing pain in neck, shoulder, elbow, and hands. So, our aim was to investigate the effect of smartphone addiction on musculoskeletal pain. This cross-sectional study was carried out by a random sampling method from recognized institute in Bangladesh and India. Three hundred twenty-six participants, including male and female, aged between 18 and 30 years participated in this study. Candidates were requested to fill-up a performa containing demographics, Smartphone addiction scale-short form (SAS-SF), Shoulder pain and disability index (SPADI), Neck disability index (NDI), Oxford elbow score (OEC), and Cornell Hand Discomfort Questionnaire (CHDQ). The mean age were 22.58 ± 3.19 years, weight 60 ± 11.30 kg, height 162.83 ± 9.74 cm, and body mass index (BMI) of the participants were 22.69 ± 4.36 kg/m2. 43.3% participants reported neck pain, 42.9% shoulder pain, and 27.9% reported pain on their elbow while prolonged smartphone use. There was major difference in NDI (p = 0.047), SPDI (p = 0.005), OES (p = 0.002), and CHDQ (p = < 0.001) among Bangladeshi and Indian population. The SAS has a significant association with NDI; p < 0.001, SPDI; p < 0.001, OES; p < 0.001, and CHDQ; p < 0.001. Smartphone addiction negatively impacted and positively related with the musculoskeletal pain in neck, shoulder, elbow, and hand. Care should be given towards the proper use of smartphone and increase public awareness regarding the negative consequences of this serious issue.
Do dietary habits affect the premenstrual syndrome severity among a cohort of Egyptian females? A cross-sectional studySpringer Science and Business Media LLC - Tập 28 - Trang 1-8 - 2023
Nisreen A. Helmy, Dalia M. Kamel, Amir A. Gabr, Mai M. A. Shehata
Premenstrual syndrome (PMS) is considered a common recurring emotional as well as physical disorder which has an effect on the women’s quality of life. Results of previous studies about the relationship between PMS and food intake are contradicted. The purpose of this study was to investigate the relationship between the PMS and food consumption in menstrual females. The study was carried out in the Outpatient Physiotherapy Department Clinic in Cairo University, Giza, Egypt. The study was carried out from October 2021 to March 2022. One-hundred participants that were having PMS enrolled into this study (n = 100) with a mean age of 27.1 ± 4.98 and a mean BMI of 26.4 ± 4.5. The PMS scale was used to assess the degree of PMS, and a food frequency questionnaire (FFQ) was applied to evaluate the food consumption. A total of 16% of females had mild PMS, 60% had moderate, and 24% had severe PMS. There was a significant relationship between PMS severity and specific food consumption as consumption of tubers as well as fish and seafood (p = 0.03 & p = 0.008, respectively). There was a significant inverse correlation between PMS severity and the fish and seafood consumption, while there was no significant correlation between the PMS severity and tuber consumption. However, there was no significant relationship between PMS and grains, dairy products, caffeine intake, fat intake, sweets, vegetables, fruits, seasonings, and pickles. The present study suggested that severity of PMS might be affected by specific dietary habits. Therefore, further studies are needed to investigate the relationship between PMS and amount of food consumption.
Predictors of ambulatory recovery and walking proficiency in community-dwelling stroke survivors: a cross-sectional studySpringer Science and Business Media LLC - Tập 27 - Trang 1-11 - 2022
Jibrin Sammani Usman, Caleb Ademola Omuwa Gbiri, Olajide Ayinla Olawale
Although the major goal of rehabilitation is to return a stroke survivor (SSv) to as close to their pre-stroke functioning, limitation in ambulatory recovery and walking proficiency is the major impediment. Despite the importance of walking to the outcomes in stroke, factors predicting its recovery remain unclear. This study therefore was aimed at exploring the predictors of ambulatory recovery and walking proficiency in community-dwelling SSv. This study involved 164 (83females) SSv from four tertiary health institutions in Nigeria. Ambulatory level and status was assessed using Functional Ambulatory Classification, motor function using the Fugl-Myer Assessment scale (lower limb), and ambulatory/waking endurance using the 6-min walk test. Ambulatory capability was assessed using the Lower Extremity Functional Scale, ambulatory self-confidence using the Ambulatory Self-Confidence Questionnaire, and functional ambulatory profile using the Modified Emory Functional Ambulation Profile. Mobility was assessed using the Modified Rivermead Mobility Index, functional mobility using Time Up and Go, balance using the Berg Balance Scale, and cognitive function using the modified Mini-Mental State Examination. Spatial indexes were assessed using the Footprint method and temporal variables using a stopwatch and gait speed on a 10-m walkway. Data was analyzed using multiple regression analysis at p ≤ 0.05. Participants (mean age = 54.3±11.36 years) have had stroke for 12.9 ± 17.39 months and spent 9.82 ± 13.19 months in hospital admissions. More (65.2%) had ischemic stroke with 54.3% of them having left hemispheric stroke. The predictors of ambulatory onset in SSv were stroke duration and length of stay in hospital admission contributing 40.3% (β = 0.403) and 17.6% (β = 0.176) respectively to the variance. Mobility (β = 0.249, p < 0.001), gait speed (β = 0.185, p = 0.012), paretic double-limb support time (β = 0.155, p = 0.03), balance (β = 0.334, p < 0.001), and cognition (β = 0.155, p = 0.01) were predictors of ambulatory self-confidence contributing 59.5% to the variance. Balance (β = 0.363, p < 0.001) and mobility (β = 0.155, p = 0.015) were predictors of ambulatory capability contributing 52.9% to the variance. Balance (β = −0.489, p < 0.001), paretic double-limb support time (β = 0.223, p = 0.003), gait speed (β = −0.181, p = 0.022), and paretic swing phase duration (β = 0.177, p = 0.01) were predictors of functional ambulatory profile (p < 0.05) contributing 52.9% to the variance. Gait speed (β = −0.648, p < 0.001) and step length (β = −0.157, p = 0.003) were predictors of walking endurance contributing 76.5% to the variance. Ambulatory recovery and walking proficiency depend on the interplay among duration of stroke and length of hospitalization on the one hand and balance performance, cognitive function, and the spatiotemporal integrity of the affected limb on the other hand.
Efficacy of TheraTogs orthotic undergarment on modulation of spinal geometry in children with diplegic cerebral palsySpringer Science and Business Media LLC - Tập 26 - Trang 1-8 - 2021
Ehab Mohamed Abd El Kafy, Shamekh Mohamed El-Shamy
The use of TheraTogs orthotic undergarments has been suggested to improve the ability to stabilize the posture, to correct or prevent deformities, to improve functionality, and to enable the user a more appropriate functional pattern. The aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on modulation of spinal geometry in children with diplegic cerebral palsy. Forty children with diplegic cerebral palsy, with ages ranging from 6 to 9 years, were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Spinal geometry was measured at baseline and after 3 months of intervention using the Formetric system. Children in both groups showed significant improvements in the spinal geometry (P < 0.05), with significantly greater improvements in the experimental group than the control group. The post-treatment mean values of lateral deviation (mm), pelvic tilt (mm), trunk imbalance (mm), and surface rotation (mm) were 5.45, 6.35, 8.8, and 3.65 and 8, 8.9, 11.2, and 5.9 for the experimental and control group, respectively. TheraTogs orthotic undergarment may be a useful tool for improving spinal geometry in children with diplegic cerebral palsy. This study was registered in the
ClinicalTrial.gov
PRS (
NCT04271618
).
Correlation between toe brachial index and walking ability in peripheral arterial disease with type 2 diabetes mellitusSpringer Science and Business Media LLC - Tập 28 Số 1 - Trang 1-6 - 2023
Arora, Esha, Yadav, Hrishikesh, Maiya, G. Arun, Devasia, Tom, Bhat, Ram, Kamath, Ganesh
The primary symptom of peripheral arterial disease (PAD) is intermittent claudication and the most common non-invasive diagnostic method is ankle brachial index. Peripheral arterial disease is usually accompanied by various other co-morbidities like type 2 diabetes mellitus, hypertension, and hypercholesterolemia. Literature suggests that when peripheral arterial disease is accompanied by type 2 diabetes mellitus, the ankle-brachial index can be falsely elevated due to medial calcification of the arteries. Therefore, an assessment of microcirculation using the toe brachial index is needed to diagnose PAD in these individuals. It has been well established that walking ability and ankle-brachial index are correlated in peripheral arterial disease. However, there is a dearth of literature on whether there is a correlation between toe brachial index (TBI) and walking ability. Therefore, the objective of the study is to find the correlation between toe brachial index and walking ability in type 2 diabetes mellitus with peripheral arterial disease. A total of 1485 participants were screened for the study, among which 133 met the inclusion criteria. Informed consent was obtained and the included participants were assessed for their demographic details. Toe brachial index was performed with the help of Doppler and 6-min walk test was performed to measure the claudication in the participants. In the present study of 133 participants, we found a strong positive correlation between toe brachial index and 6-min walk distance (r = 0.911 p value < 0.05). The walking ability is directly proportional to the TBI, i.e., the lesser the values of TBI, the lesser the walking distance covered in peripheral arterial disease with type 2 diabetes mellitus. The present study concludes that there is a strong positive correlation between toe brachial index and 6-min walk distance.
Plantar fasciopathy—looking beyond the obvious? A case reportSpringer Science and Business Media LLC - Tập 26 Số 1 - 2021
T. Singh, Parijat Kumar
Abstract
Background
The biggest challenge in treating this diagnosis is the lack of literature focusing on regional interdependence. The current literature suggests a narrow and localized approach targeting plantar fascia and ankle/foot complex. The literature available on conservative treatment focused on utilizing various inflammatory modalities such as injections and extracorporeal shockwave therapy. The surgical approach targets Baxter’s nerve decompression techniques and releases techniques to the gastrocnemius and plantar fascia. The article focuses on utilizing manual therapy techniques to the lumbosacral spine and plantar fascia. In addition, the neurodynamic flossing targeted lateral plantar nerve mobility.
Case presentation
The patient is a 54-year-old African American female seen for right heel pain at Texas’s outpatient orthopedic physical therapy clinic. The patient had the diagnosis of plantar fasciopathy with negative Windlass testing. The patient was provided manual therapy interventions to the lumbosacral spine and plantar fascia to improve weight-bearing patterns and overall functional outcomes.
Conclusion
The manual therapy interventions to the lumbosacral spine and plantar fascia and flossing techniques to the lateral plantar nerve improved symptoms of heel pain. The patient showed improved outcomes with this approach.
Efficacy of feedback respiratory training on respiratory muscle strength and quality of life in children with spastic cerebral palsy: Randomized controlled trialSpringer Science and Business Media LLC - Tập 22 - Trang 46-52 - 2017
Basant Hamdy El-Refaey, Gehan Mosaad Abd-El Maksoud, Olfat Ibrahim Ali
Respiratory muscle weakness and a low upper to lower chest diameter ratio are common respiratory dysfunction manifestations in children with cerebral palsy (CP), which negatively affect their quality of life. This study was conducted to investigate the effect of incentive spirometry (IS) training on these manifestations in those children. Totally, 30 children with spastic diplegic CP, aged between 6 and 12 years, were randomly assigned into two groups: the study group and the control group. Both groups received a traditional physical therapy program for 60 min. The study group received also IS training twice per session (15 min each). Children in both groups received 20 training sessions (five times/week for 4 weeks). Respiratory muscle strength, ratio of upper to lower chest wall, gross motor function, and health-related quality of life were assessed before and after training. After training, significant improvements of maximal inspiratory pressure, maximal expiratory pressure, and ratio of upper to lower chest wall were obtained in the study group (P=0.002, 0.002, 0.005, respectively), whereas nonsignificant changes were obtained in the control group (P=0.719, 1, 0.284, respectively). In addition, a significant difference was observed between both groups in maximal inspiratory pressure, maximal expiratory pressure, but in favor of study group (P=0.001, 0.001, respectively), whereas there was a nonsignificant difference in the ratio of upper to lower chest wall, gross motor function, and health-related quality of life (P=0.279, 0.527, 0.876, respectively). Feedback respiratory training improves respiratory muscle strength in spastic CP children.
Knowledge, awareness, and presence of cardiovascular risk factors among college staff of a Nigerian UniversitySpringer Science and Business Media LLC - Tập 28 - Trang 1-11 - 2023
Uchechukwu Martha Chukwuemeka, Favour Chidera Okoro, Uchenna Prosper Okonkwo, Ifeoma Adaigwe Amaechi, Anthony Chinedu Anakor, Ifeoma Uchenna Onwuakagba, Christiana Nkiru Okafor
Cardiovascular diseases (CVDs) are the leading cause of global morbidity often overlooked. Much of the population risk of CVD is attributable to modifiable risk factors, and the gaps in knowledge of cardiovascular risk factors (CRF) are barriers to the effective prevention and treatment of CVDs. To assess the knowledge, awareness, and CVD risk among the staff of the college of health science. A cross-sectional study of 70 academic and non-academic staff who consented were given questionnaires for cardiovascular risk factor (CRF) knowledge level, cardiovascular risk awareness (CRA), international physical activity questionnaire (IPAQ), and international stress management association questionnaire (ISMAQ). Selected anthropometric indices, blood pressure, and fasting blood sugar (FBG) were also measured. The mean knowledge level of CVDs was 23.21 ± 3.230, and the mean CRA was 42.61 ± 4.237. The study participants demonstrated moderate-to-high stress (48%), physical inactivity of 18.9%, overweight/obesity of 62.48%, abdominal obesity of 21.4%, hypertensive (systole and diastole) of 27.2%, hyperglycemic of 7.2%, and smokers of 7.2%. There was a significant relationship between the participants’ knowledge level and awareness of CVDs (p < 0.003) and knowledge of CRFs also increased with an increase in educational level. Participants > 40 years had a 3–9% risk of having a CVD event within 10 years. The knowledge and awareness of CRFs among the participants was high, and some exhibited risk factors. The staff of the university could improve their risk score by practicing health-promoting behaviors like increased physical activity, blood pressure control, and smoking cessation.
Có tồn tại những “huyền thoại” về đau lưng dưới trong nhóm thanh niên Ấn Độ đang theo học đại học có lịch sử đau lưng dưới? Một nghiên cứu cắt ngang Dịch bởi AI Springer Science and Business Media LLC - - 2021
Ammar Suhail, Sonal Slathia, Sarah Quais, David Poulter
Tóm tắtĐặt vấn đềĐau lưng dưới (LBP) là một vấn đề sức khỏe cộng đồng nổi bật gây ra tình trạng tàn tật trên toàn thế giới. Tỷ lệ mắc LBP đang gia tăng ở các quốc gia có thu nhập thấp đến trung bình. Ở Ấn Độ, tỷ lệ mắc LBP giữa dân số nông thôn và thành phố rất đa dạng, dao động từ 6,2 đến 92%. Đã có sự gia tăng đáng kể ở người trưởng thành trẻ tuổi mắc LBP, với một tỷ lệ chuyển đổi sang LBP mãn tính sau này trong cuộc sống. Những niềm tin liên quan đến bất kỳ rối loạn nào đều ảnh hưởng đến tiến trình, quản lý và nhu cầu thực hiện các nghiên cứu hình ảnh. Những niềm tin tiêu cực về LBP trong bất kỳ cộng đồng nào có thể dẫn đến sự căng thẳng tâm lý không cần thiết và gia tăng gánh nặng bệnh tật. Tập trung vào những niềm tin tiêu cực này đối với nhóm thanh niên có thể giúp hạn chế sự mãn tính và giảm bớt tình trạng tàn tật do nó gây ra. Nghiên cứu cắt ngang này đã khám phá sự tồn tại của những huyền thoại trong 516 thanh niên Ấn Độ đang theo học đại học tại Trường Đại học Lovely Professional.
Kết quảTổng cộng 516 cá nhân đã tham gia vào nghiên cứu. Tuổi trung bình (SD) của người tham gia là 22,69 tuổi (2,417). Trong số đó, 47,5% (245) là nữ và 52,5% (271) là nam. Các phát hiện cho thấy một tỷ lệ cao trong nhóm thanh niên đang theo học đại học có những niềm tin sai lầm trong hầu hết mười lĩnh vực (huyền thoại) được khám phá. Những huyền thoại phổ biến nhất là “LBP do cơ ‘cốt lõi’ yếu kém và có một cơ cốt lõi mạnh mẽ có thể bảo vệ chống lại LBP trong tương lai” (81,2%) và “LBP do tư thế kém khi ngồi, đứng hoặc nâng” với 80,6% đồng ý với điều này.
Kết luậnNghiên cứu của chúng tôi cho thấy rằng các huyền thoại về đau lưng dưới rất phổ biến trong nhóm dân số được nghiên cứu. Các phát hiện gợi ý rằng cần phải phát triển các chương trình giáo dục cộng đồng để giải quyết những huyền thoại này, từ đó giảm bớt gánh nặng bệnh tật liên quan đến đau lưng.
#đau lưng dưới #huyền thoại #thanh niên Ấn Độ #giáo dục cộng đồng #chứng bệnh mãn tính
Hiệu quả của TheraTogs trục đối với mẫu đi lại ở trẻ em mắc chứng bại não kiểu vận động không kiểm soát: một thử nghiệm ngẫu nhiên có đối chứng Dịch bởi AI Springer Science and Business Media LLC - - 2021
Shamekh El-Shamy, Ehab Mohamed Abd El-Kafy
Tóm tắt
Đặt vấn đề
TheraTogs thúc đẩy cảm giác vị trí của trẻ em mắc chứng bại não và cải thiện độ căng cơ bất thường, sự cân bằng tư thế, sự cân bằng và đi lại. Do đó, mục tiêu của nghiên cứu này là điều tra hiệu quả của quần áo chỉnh hình TheraTogs đối với mẫu đi lại ở trẻ em mắc chứng bại não kiểu vận động không kiểm soát. Ba mươi trẻ em mắc chứng bại não kiểu vận động không kiểm soát đã được lựa chọn cho nghiên cứu kiểm soát ngẫu nhiên này. Họ đã được phân ngẫu nhiên vào (1) nhóm thử nghiệm nhận quần áo chỉnh hình TheraTogs (12 giờ/ngày, 3 ngày/tuần) cộng với vật lý trị liệu truyền thống trong 3 tháng liên tiếp và (2) nhóm đối chứng chỉ nhận chương trình vật lý trị liệu truyền thống trong cùng thời gian. Các tham số đi lại đã được đo lường tại thời điểm đầu và sau 3 tháng can thiệp bằng phương pháp phân tích chuyển động Pro-Reflex.
Kết quả
Các trẻ em trong cả hai nhóm đều cho thấy sự cải thiện đáng kể trong các tham số đi lại (P < 0.05), với sự cải thiện đáng kể hơn ở nhóm thử nghiệm so với nhóm đối chứng.
Kết luận
Việc sử dụng TheraTogs có thể có tác động tích cực để cải thiện mẫu đi lại ở trẻ em mắc chứng bại não kiểu vận động không kiểm soát.
Đăng ký thử nghiệm
Thử nghiệm này đã được đăng ký tại ClinicalTrial.gov PRS (NCT03037697).