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Effect of trunk belt on function in children with diplegia
Springer Science and Business Media LLC - Tập 21 - Trang 68-73 - 2016
Trunk control can offer many solutions for posture and movement. The purpose of this study was to determine the effect of using modified trunk belt on sitting and standing in diplegic children. Thirty diplegic cerebral palsy children from both sexes participated. Their ages ranged from 3 to 6 years. They were divided randomly into two groups: control and study. The control group received a designed physical therapy program, and the study group received a designed physical therapy program in addition to proprioceptive training using a modified trunk belt. The sitting and standing domains were evaluated using the Gross Motor Function Measure for both groups before and after 3 successive months of treatment. The Wilcoxon test revealed that the gross motor function of children from both groups improved significantly after 3 months of treatment in both the sitting and standing domains. The Mann–Whitney test revealed that children in the study group showed a significantly greater improvement in both domains compared with the control group. Proprioceptive training using trunk belt with physical therapy program could be used as an effective method for improving gross motor function of both sitting and standing in children with diplegia.
Effect of ovulation on postural sway in association with sex hormone variation across the menstrual cycle in college students: an observational study
Springer Science and Business Media LLC - Tập 28 - Trang 1-7 - 2023
Poor balance associated with increased postural sway is a risk factor for the high incidence of injuries found during specific menstrual cycle phases. This fact led to the hypothesis that female reproductive hormones affect soft tissue and neuromuscular function, reducing postural balance and resulting in a high injury prevalence among female college students. So, the current study aimed to identify the influence of ovulation in association with sex hormone variation across the menstrual cycle on postural sway in college students.
Forty female college students were enrolled in this study. They were recruited among physical therapy students at Deraya University, New Minya, Egypt. They were aged from 17 to 22 years. They were allocated to a single group. Progesterone and estradiol blood levels were measured to detect the timing of the follicular and luteal phases, and a urine luteinizing hormone (LH) strip test was used to determine when ovulation occurred. The dynamic postural sway index was assessed by using the Biodex Balance system. All measurements were taken on the early follicular (1st–3rd) day, the ovulatory (11th–13th) day, and the mid-luteal phase (21st–23rd) day from the onset of menstruation. Statistical analysis showed that the anteroposterior, mediolateral, and overall sway index increased significantly during the ovulatory phase compared to the earlier follicular and mid-luteal menstrual cycle phases in female college students (P < 0.05). There was no significant variance between the early follicular and mid-luteal phases (P > 0.05). It can be concluded that increased female sex hormones during ovulation affect postural sway, which may disturb balance and increase the risk of injuries in college students.
Thái độ và niềm tin đối với đau lưng dưới (LBP) trong số các nhà vật lý trị liệu tại Tây Ban Nha Dịch bởi AI Tóm tắt
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Springer Science and Business Media LLC - - 2022
Mục tiêu của nghiên cứu này là để điều tra thái độ và niềm tin của các nhà vật lý trị liệu Tây Ban Nha đối với việc chẩn đoán và quản lý đau lưng dưới (LBP). Một nghiên cứu mô tả, cắt ngang đã được tiến hành theo hướng dẫn STROBE từ ngày 18 tháng 12 năm 2021 đến tháng 5 năm 2022. Một cuộc khảo sát trực tuyến đã được phát triển dựa trên Thang đo Thái độ và Niềm tin về Đau cho Vật lý trị liệu (PABS-PT), một công cụ tự quản lý đã được kiểm chứng và đáng tin cậy được phát triển để đánh giá sức mạnh của hai định hướng điều trị khả thi của các nhà vật lý trị liệu đối với chẩn đoán và quản lý LBP. Những người trả lời được chọn thông qua kỹ thuật lấy mẫu thuận tiện không xác suất, và các tiêu chí lựa chọn là (1) các nhà vật lý trị liệu đang hành nghề không bị hạn chế về giới tính và thời gian công tác, (2) các nhà vật lý trị liệu đã làm việc cả trong môi trường công cộng và tư nhân, và (3) các nhà vật lý trị liệu đã được đăng ký chính thức không bị hạn chế về địa điểm hành nghề tại Tây Ban Nha. Dữ liệu khảo sát đã được thu thập và phân tích bằng phần mềm thống kê SPSS Statistic 28 (IBM®).
Tổng cộng ba trăm tám mươi một bảng câu hỏi đã được đưa vào phân tích (F;
Phần lớn các nhà vật lý trị liệu tại Tây Ban Nha có kiến thức cập nhật về mô hình sinh học - tâm lý - xã hội trong việc chăm sóc cơn đau. Tuy nhiên, về thái độ và niềm tin đối với LBP, vẫn còn những nội dung và hành vi dựa trên các mô hình bảo vệ cột sống không thuận lợi cho việc quản lý cơn đau chủ động.
Alternative prognosis of recovery assessment for the hemiparetic limb (APRAHL): a biomarker-free algorithm that predicts recovery potential for stroke patients
Springer Science and Business Media LLC - Tập 27 - Trang 1-10 - 2022
Stroke is a significant cause of disability, rendering patients with inability to perform activities of daily living due to lack of functional recovery. Precise prognosis in the early stage after stroke could enable realistic goal-setting and efficient resource allocation. Prediction algorithms have been tested and validated in the past, but they were using neurological biomarkers; thus, they were time-consuming, difficult to apply, expensive, and potentially harmful. The aim of this study was to create a new prediction algorithm that would not utilize any biomarkers. A total of 127 stroke patients prospectively enrolled at day 3 after their stroke (mean age: 71, males n: 84, females n: 43). First, a sum of shoulder abduction and finger extension (SAFE) Medical Research Council (MRC) score was graded at day 3. Secondly, a binarized response was marked by the Mobilization and Simulation of Neuromuscular Tissue (MaSoNT) concept’s basic application on the upper limb. Third, the National Institutes of Health Stroke Scale (NIHSS) score was assessed. All data from the patients were included in a Classification and Regression Tree analysis to predict upper limb function 3 months post-stroke according to the Action Research Arm Test score at week 12. The Classification And Regression Tree (CART) analysis was performed that combines three different scores in order to predict upper-limb recovery: the SAFE score, MaSoNT’s application response, and the NIHSS. The overall correct prediction of the new algorithm is 69% which is lower than previous algorithms, though not significantly. This study offers basic data to support the validity of the APRAHL algorithm. The new algorithm is faster and easier, but less accurate. Future studies are needed to create new algorithms that do not involve neurological biomarkers so that they will cost less and be easily applicable by health professionals.
The impact of conservative soft orthotic intervention with strapping on thoracic kyphotic posture and spinal mobility in children with cerebral palsy: a randomized control trial
Springer Science and Business Media LLC - Tập 27 - Trang 1-8 - 2022
This study mainly aimed to evaluate the influences of Thera Togs orthotic undergarment with its strapping system on dorsal kyphotic posture and spinal mobility in children with spastic diplegic cerebral palsy. The study also investigated the impact of the modulation of thoracic kyphosis on balance and risk of falls in these children. This study was a randomized control trial. Forty children with diplegic cerebral palsy, aged from 8 to 10 years were met the inclusion criteria and participated in this study. Only 38 children completed the study. The children in the control group received 2 h of conventional exercise protocol aiming for modulating thoracic kyphotic posture. The treatment program was conducted 3 times/week, for 12 successive weeks. Children in the study group wore TheraTogs orthoses with the strapping system for 8 h every day in combination with the conventional exercise program. For both groups, the primary outcome measures (thoracic kyphotic angle, and thoracic flexion and extension range of motion), and the secondary outcomes (the overall stability index of fall risk test, and the pediatric balance scale score) were recorded at baseline and after completion of the treatment. T test was used to compare the changes within-and between-groups in all measured variables, at baseline and immediately after 12 weeks of treatment. Children in the study group showed significant improvements in the scores of all primary and secondary measures post-treatment compared to the control group (P < 0.05). Conservative treatment composed of TheraTogs orthotic system with conventional exercise treatment is effective in modulating thoracic kyphosis and improving dorsal range of motion in children with spastic diplegic cerebral palsy. This improvement has a positive influence on postural balance performance and reduces the risk of fall in these children. The
ClinicalTrial.gov
PRS (NCT05063175). 30 September 2021—retrospectively registered,
https://clinicaltrials.gov/ct2/show/NCT05063175
Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
Springer Science and Business Media LLC - Tập 25 - Trang 1-7 - 2020
Nonspecific low back pain (LBP) in collegiate athletes is shown to be accompanied by poor core endurance. Consequently, trunk muscle stabilization exercises for lumbar instability are widely used. Virtual reality (VR) training can activate the cerebral cortex and enhance the cortex to control balance and improve motion function. The purpose of the study was to assess the effect of combined core stability exercises (CSE) and VR training in improving body balance and function in collegiate male athletes with nonspecific low back pain (LBP). The post-values of the experimental group were significantly higher than that of the control group for the dynamic balance in anterior (p = 0.031), posterolateral (p = 0.034), and posteromedial (p = 0.037) directions. Moreover, there was a significant difference in the post-values of both groups regarding reducing the Micheli Functional Scale in favor of the experimental group (p = 0.012). CSE training plus virtual reality is more effective than CSE training alone in improving total body balance and dysfunction level in collegiate male athletes with nonspecific LBP. It is recommended that clinicians consider CSE combined with VR to maximize the improvement in overall body balance when developing rehabilitation programs for collegiate athletes with nonspecific low back pain. Pan African Clinical Trial Registry,
PACTR201907749053096
. Retrospectively registered on 15 April 2019.
https://pactr.samrc.ac.za/Researcher/ManageTrials.aspx
The role of physiotherapy in the treatment of chronic trigger finger—a case report
Springer Science and Business Media LLC - Tập 28 - Trang 1-5 - 2023
Trigger finger (TF) is a common condition more prevalent in women in their 5th decade of life. This causes pain and stiffness which limits daily activities. Corticosteroid injections are the first line of conservative management failing which surgery is done. Physiotherapy has shown a vital role in the treatment of trigger finger. We reported a case of chronic trigger finger in a 75-year-old female with pain and stiffness. A 2 week of combined conventional and advanced physiotherapy approach was used. Pre- and post-test scores of pain and activity limitation were taken. Pain scores reduced from 6 to 0 measured by the Nottingham Pain Rating Scale (NPRS) scale and activity limitation measured by the patient-rated wrist evaluation (PRWE) scale reduced from 67.5 to 10.5%. Two advanced techniques A1 pulley and dry needling along with conventional physiotherapy are better than any technique alone in managing a chronic case of trigger finger.
Socio-demographic and clinical profile of pediatric patients with cerebral palsy in Gujarat, India
Springer Science and Business Media LLC - Tập 27 - Trang 1-9 - 2022
Cerebral palsy is a common childhood neurodevelopmental disorder. The estimated prevalence of cerebral palsy in India ranges from 2.1 to 3 per 1000 live births as per published literature. The present study was aimed to study socio-demographic and clinical profiles of cerebral palsy children in the Gujarat state of India. A total of 481 cerebral palsy children were included from various physiotherapy, rehabilitation, and neurological setups across Gujarat between May 2018 and April 2019. Information regarding gender, age, city of residence, family details, types of cerebral palsy, and gross motor function classification system was collected using a simple survey form designed for the study. The study showed that 67.57% of children were male and 32.22% were in the age group of 48–96 months. When classified 77.34% had a spastic type of cerebral palsy, out of which diplegic cerebral palsy was reported to be the most common (42.83%). When assessed for functional levels, most of the children were classified in gross motor function classification system levels 3 and 4 (76.30%). The findings of this study support the published data and emphasize the need for a robust and authentic official database of cerebral palsy in Gujarat and India to help in the estimation of the current disease burden and implementation policies for the prevention and management of cerebral palsy.
Chronic neck pain and respiratory dysfunction: a review paper
Springer Science and Business Media LLC - Tập 27 - Trang 1-11 - 2022
Neck pain is one of the most frequently reported musculoskeletal complaints among adults; its prevalence in the world is ranging from 16.7 to 75.1%. It can have an impact on a person’s physical, psychological, and social well-being. Along with pain, disability, muscle weakness, and alterations in the posture, neck pain patients are likely to develop affection of the respiratory function as reported in numerous studies. However, these patients are primarily managed with a musculoskeletal perspective with little or no emphasis to the changes observed in the respiratory system. There is a paucity of literature evaluating the need for respiratory rehabilitation in these patients. All relevant published literature related to respiratory dysfunction in patients with chronic neck pain were critically reviewed in this study. Patients having chronic neck pain were found to have alterations in respiratory function in terms of reduced lung volumes, reduced chest mobility, and decreased respiratory muscle strength. Various factors such as decreased cervical range of motion, decreased strength of deep neck flexors and extensors, forward head posture, and pain are known to cause these dysfunctions. Respiratory system intervention in the form of breathing re-education and respiratory exercises are significantly proven to improve treatment outcomes. There is limited literature relating to respiratory dysfunction and its management in neck pain patients. Incorporation of both respiratory and musculoskeletal assessments can enhance their treatment outcomes. Additionally, it can be suggested to consider intervention in the form of respiratory rehabilitation while strategizing treatment goals for these patients.
Combined effect of orthotic intervention and conventional exercise training on balance and gait performance in cerebral palsy: a randomized controlled trial
Springer Science and Business Media LLC - Tập 27 - Trang 1-7 - 2022
This study aimed to examine the combined effect of orthotic intervention and conventional therapeutic exercise training on balance and gait performance in children with cerebral palsy. This study was a randomized control trial. Forty children with dyskinetic cerebral palsy of both genders with ages ranged from 12 to 16 years were included. Participants in the control and study groups received a conventional therapeutic exercise training program for two 2 h ours per session. The treatment program was conducted three sessions per week, for twelve 12 successive weeks. Children in the study group additionally wore TheraTogs orthotic undergarment with the strapping system. Pediatric Balance Scale score and postural stability indices (overall, anteroposterior , and mediolateral) evaluated by the Biodex Balance System were assessed (in both groups) at baseline and after 12 weeks of treatment. The changes of step length, gait cycle time, cadence, and velocity were also measured by an electronic walkway. Children in the study group showed significant improvements in the scores of all the measured variables post-treatment compared to the control group (P < 0.05). The P -values for overall, anteroposterior and mediolateral postural stability indices were 0.011, 0.014, and 0.021, respectively. The P -values for Pediatric Balance Scale score, step length, gait cycle time, cadence, and velocity were 0.001, 0.023, 0.041, 0.011, and 0.013 respectively. Conventional therapeutic exercise training combined with orthotic intervention were more effective in improving balance and gait performance in children with dyskinetic cerebral palsy. The ClinicalTrial.gov PRS (
NCT04990193
). Registered 4 August 2021 - Retrospectively registered.
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