scholarly journals The effect of surface electromyography biofeedback on the activity of extensor and dorsiflexor muscles in elderly adults: a randomized trial

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Ana Belén Gámez ◽  
Juan José Hernandez Morante ◽  
José Luis Martínez Gil ◽  
Francisco Esparza ◽  
Carlos Manuel Martínez
Keyword(s):  
Elderly Patients ◽  
Surface Electromyography ◽  
Barthel Index ◽  
Intervention Group ◽  
Elderly Subjects ◽  
Emg Activity ◽  
Control Group ◽  
Muscular Disorders ◽  
Conventional Physiotherapy ◽  
Dorsal Flexion

Abstract Surface electromyography-biofeedback (sEMG-B) is a technique employed for the rehabilitation of patients with neurological pathologies, such as stroke-derived hemiplegia; however, little is known about its effectiveness in the rehabilitation of the extension and flexion of several muscular groups in elderly patients after a stroke. Therefore, this research was focused on determining the effectiveness of sEMG-B in the muscles responsible for the extension of the hand and the dorsiflexion of the foot in post-stroke elderly subjects. Forty subjects with stroke-derived hemiplegia were randomly divided into intervention or control groups. The intervention consisted of 12 sEMG-B sessions. The control group underwent 12 weeks (24 sessions) of conventional physiotherapy. Muscle activity test and functionality (Barthel index) were determined. Attending to the results obtained, the intervention group showed a higher increase in the average EMG activity of the extensor muscle of the hand and in the dorsal flexion of the foot than the control group (p < 0.001 in both cases), which was associated with an increase in the patients’ Barthel index score (p = 0.006); In addition, Fugl-Meyer test revealed higher effectiveness in the lower limb (p = 0.007). Thus, the sEMG-B seems to be more effective than conventional physiotherapy, and the use of this technology may be essential for improving muscular disorders in elderly patients with physical disabilities resulting from a stroke.

The Effect of Cognitive Remediation Therapy on Social Skills in Institutionalized Elderly Patients with Schizophrenia

2017 ◽  
Vol 12 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Yadollah Abolfathi Momtaz ◽  
Seyedeh Ameneh Motalebi ◽  
Shahnaz Boosepasi
Keyword(s):  
Social Skills ◽  
Elderly Patients ◽  
Behavioral Problems ◽  
Psychiatric Patients ◽  
Intervention Group ◽  
Cognitive Remediation ◽  
Control Group ◽  
Cognitive Remediation Therapy ◽  
Chi Square ◽  
Institutionalized Elderly

Background: There are limited scientific investigations on cognitive remediation in elderly patients with schizophrenia. The present study was aimed to examine the efficacy of cognitive remediation therapy on social skills in institutionalized elderly patients with schizophrenia. Methods: The study employed a randomized clinical trial. A total of 60 institutionalized elderly patients with schizophrenia from Razi Psychiatric Hospital, Tehran were selected and randomly allocated into two equal groups (control and intervention). The intervention group attended to cognitive remediation therapy for 8 weeks. The Evaluation of Living Skills Scale for psychiatric patients was used for data collection. The Chi Square, independent and paired t-tests using SPSS, version 22, were employed to analyze the data. Results: The mean age of 60 elderly patients participated in the study was 65.25 &#177; 4.19 years. No significant differences were found between two groups at baseline. However, independent t-tests showed significant differences between the intervention and the control group in social skills after implementation of intervention. Additionally, the results of paired t-tests revealed significant improvements in intervention group on communication skills (t=5.50, p<0.001), behavioral problems with others (t=5.44, p<0.001), and self-care (t=4.70, p<0.001). No significant differences were observed from pretest to post test in control group. Conclusion: The results of the present study may support the efficacy of cognitive remediation therapy on social skills of elderly patients with schizophrenia.

scholarly journals Isolated Core Training Improves Sprint Performance in National-Level Junior Swimmers

2015 ◽  
Vol 10 (2) ◽  
pp. 204-210 ◽  
Author(s):  
Matthew Weston ◽  
Angela E. Hibbs ◽  
Kevin G. Thompson ◽  
Iain R. Spears
Keyword(s):  
Beneficial Effect ◽  
National Level ◽  
Intervention Group ◽  
Voluntary Contraction ◽  
Emg Activity ◽  
Control Group ◽  
Front Crawl ◽  
Swim Performance ◽  
The Core ◽  
Core Training

Purpose:To quantify the effects of a 12-wk isolated core-training program on 50-m front-crawl swim time and measures of core musculature functionally relevant to swimming.Methods:Twenty national-level junior swimmers (10 male and 10 female, 16 ± 1 y, 171 ± 5 cm, 63 ± 4 kg) participated in the study. Group allocation (intervention [n = 10], control [n = 10]) was based on 2 preexisting swim-training groups who were part of the same swimming club but trained in different groups. The intervention group completed the core training, incorporating exercises targeting the lumbopelvic complex and upper region extending to the scapula, 3 times/wk for 12 wk. While the training was performed in addition to the normal pool-based swimming program, the control group maintained their usual pool-based swimming program. The authors made probabilistic magnitude-based inferences about the effect of the core training on 50-m swim time and functionally relevant measures of core function.Results:Compared with the control group, the core-training intervention group had a possibly large beneficial effect on 50-m swim time (–2.0%; 90% confidence interval –3.8 to –0.2%). Moreover, it showed small to moderate improvements on a timed prone-bridge test (9.0%; 2.1–16.4%) and asymmetric straight-arm pull-down test (23.1%; 13.7–33.4%), and there were moderate to large increases in peak EMG activity of core musculature during isolated tests of maximal voluntary contraction.Conclusion:This is the first study to demonstrate a clear beneficial effect of isolated core training on 50-m front-crawl swim performance.

scholarly journals Effect of single follow-up home visit on readmission in a group of frail elderly patients – a Danish randomized clinical trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Maurice A. Lembeck ◽  
Lau C. Thygesen ◽  
Birgitte Dreyer Sørensen ◽  
Lisbeth Lumby Rasmussen ◽  
Ellen A. Holm
Keyword(s):  
Elderly Patients ◽  
Functional Status ◽  
Frail Elderly ◽  
Home Visit ◽  
Hospital Admissions ◽  
Discharge Planning ◽  
Intervention Group ◽  
Control Group ◽  
Secondary Outcomes

Abstract Background Unplanned hospital admissions are costly and prevention of these has been a focus for research for decades. With this study we aimed to determine whether discharge planning including a single follow-up home visit reduces readmission rate. The intervention is not representing a new method but contributes to the evidence concerning intensity of the intervention in this patient group. Methods This study was a centrally randomized single-center controlled trial comparing intervention to usual care with investigator-blinded outcome assessment. Patients above the age of 65 were discharged from a single Danish hospital during 2013–2014 serving a rural and low socioeconomic area. For intervention patients study and department nurses reviewed discharge planning the day before discharge. On the day of discharge, study nurses accompanied the patient to their home, where they met with the municipal nurse. Together with the patient they reviewed cognitive skills, medicine, nutrition, mobility, functional status, and future appointments in the health care sector and intervened if appropriate. Readmission at any hospital in Denmark within 8, 30, and 180 days after discharge is reported. Secondary outcomes were time to first readmission, number of readmissions, length of stay, and readmission with Ambulatory Care Sensitive Conditions, visits to general practitioners, municipal services, and mortality. Results One thousand forty-nine patients aged > 65 years discharged from medical, geriatric, emergency, surgical or orthopedic departments met inclusion criteria characteristic of frailty, e.g. low functional status, need of more personal help and multiple medications. Among 945 eligible patients, 544 were randomized. Seven patients died before discharge. 56% in the intervention group and 54% in the control group were readmitted (p = 0.71) and 23% from the intervention group and 22% from the control group died within 180 days. There were no significant differences between intervention and control groups concerning other secondary outcomes. Conclusions There was no effect of a single follow-up home visit on readmission in a group of frail elderly patients discharged from hospital. Trial registration https://clinicaltrials.gov (identifier NCT02318680), retrospectively registered December 11, 2014.

scholarly journals The impact of medication reviews conducted in primary care on hospital admissions and mortality - a randomized controlled trial

2019 ◽  
Author(s):  
Veronica Milos Nymberg ◽  
Cecilia Lenander ◽  
Beata Borgström Bolmsjö
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Usual Care ◽  
Frail Elderly ◽  
Hospital Admissions ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Medication Reviews ◽  
The Impact

Abstract Background Drug-related problems among the elderly population are common and increasing. Multi-professional medication reviews (MR) have arisen as a method to optimize drug therapy for frail elderly patients. Research has not yet been able to show conclusive evidence of the effect of MRs on mortality or hospital admissions. Aim The aim of this study was to assess the impact of MRs’ on hospital admissions and mortality after six and 12 months in a frail population of 369 patients in primary care in a randomized controlled study. Methods Patients were blindly randomized to an intervention group (receiving MRs) and a control group (receiving usual care). Descriptive data on mortality and hospital admissions at six and 12 months were collected. Survival analysis was performed for time to death and time to the first hospital admission within 12 months. Results Of the total number of 369 included patients, 182 were randomized to the intervention group and 187 to the control group. Most of the patients (75%) were females and lived in nursing homes. At six months, 50 patients of the baseline population (27%) in the control group had been admitted to hospital at least once, compared to 40 patients (21%) in the intervention group. At 12 months, the percentage had increased to 70 (37%) in the control group compared to 53 (29%) in the intervention group. Compared to usual care, we found that MRs reduced the risk of hospital admissions within 12 months by 36% (HR = 0.64, 95% CI 0.45-0.90), but found no difference on mortality (HR = 1.12, 95% CI 0.78-1.61) between the groups. Conclusion We suggest that MRs should be recommended in the care of frail elderly patients with expected benefits on hospital admissions.

scholarly journals A randomized controlled trial of resistance and balance exercise for sarcopenic patients aged 80–99 years

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yuxiang Liang ◽  
Renjie Wang ◽  
Jiaojiao Jiang ◽  
Lingling Tan ◽  
Ming Yang
Keyword(s):  
Randomized Controlled Trial ◽  
Resistance Exercise ◽  
Barthel Index ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Control Group ◽  
Randomized Controlled ◽  
Balance Exercise ◽  
Group 12

Abstract We compared a mixed exercise program (i.e., balance exercise plus resistance exercise) with resistance exercise in a single-blind, randomized controlled trial in a post-acute care unit. In total, 60 sarcopenic patients were randomly assigned to an intervention group (12-week mixed exercise) and a control group (12-week resistance exercise). The primary outcomes were the change of the Barthel Index and the number of fallers. The intervention group showed a mean increase of 9.5 points on the Barthel Index (95% confidence interval (CI) 3.9–15.1), while the control group showed a mean increase of 6.3 points (95% CI 2.3–10.4). The mixed exercise program provided a significant benefit over resistance exercise (adjusted mean difference of the change of Barthel Index: 6.8 points; 95% CI 1.4–12.1). The number of fallers was 13.3% and 23.3% in the intervention and control groups, respectively, but the difference was not significant (risk ratio (RR) 0.89, 95% CI 0.69–1.13, p = 0.506). In conclusion, compared with resistance exercise, the mixed exercise program appears to further improve the activities of daily living and physical performance in our study population. Under the monitoring of experienced physiotherapists, both exercise programs are feasible and safe for this population.

scholarly journals Receptive music interventions improve apathy and depression in elderly patients with dementia

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Massimiliano Massaia ◽  
Alessandro Reano ◽  
Chiara Luppi ◽  
Francesca Santagata ◽  
Margherita Marchetti ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Caregiver Burden ◽  
Treatment Effect ◽  
Group Treatment ◽  
Cognitive Skills ◽  
Psychological Symptoms ◽  
Poor Quality ◽  
Elderly Subjects ◽  
Control Group ◽  
Music Intervention

Individuals with dementia and their families often experience poor quality of life due to patient’s behavioral and psychological symptoms. Increasing evidence has mounted on the potential role of music in improving social, emotional and cognitive skills. In the present study we aim to investigate whether a receptive music intervention might reduce apathy and depression in elderly patients with Alzheimer’s disease (AD) or vascular dementia (VaD) and improve their caregivers’ burden. Among patients attending to a Memory Clinic, we have enrolled 48 AD or VaD elderly subjects. They were divided into two groups on the basis of family agreement to musictherapy. The experimental group (n=15) was asked to listen to a 80-minute audio CD, for at least 15 minutes per day, at least once a week, for three months. The overall sample was evaluated at baseline, at week 4 and at week 12 through the Mini Mental State Examination (MMSE), the Cornel- Brown Scale QoL in Dementia (CBSQoLD) and the Apathy Evaluation Scale (AES); caregiver stress was assessed using the Caregiver Burden Inventory (CBI). Apathy and depression were significantly improved among patients treated with music interventions compared to control group (treatment effect =43.667; P<0.001 and treatment effect =61.238; P<0.001 respectively). Caregiver burden was significantly reduced after three months of receptive music approach (treatment effect =15.759; P<0.001). The results of this study are consistent with the efficacy of receptive music interventions on improving apathy and depression in AD or VaD elderly patients and lowering associated caregiver’s burden.

scholarly journals The Efficacy of the Comprehensive Assessment and Multi-Disciplinary Management of Geriatric and Frail Patients: The Study Protocol of a Multi-Center, Randomized, Parallel Controlled Trial (MDT-F)

2020 ◽  
Author(s):  
Simin Yao ◽  
Peipei Zheng ◽  
Liwei Ji ◽  
Zhao Ma ◽  
Lijuan Wang ◽  
...  
Keyword(s):  
Patient Education ◽  
Elderly Patients ◽  
Drug Evaluation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Nutritional Intervention ◽  
Control Group ◽  
Clinical Frailty Scale ◽  
Nutrition Risk ◽  
Frailty Status

Abstract Background: A comprehensive geriatric assessment (CGA) of elderly patients is useful for detecting the patients' vulnerabilities. Exercise and early rehabilitation, nutritional intervention, traditional Chinese medicine (TCM), standardized medication guidance and patient education can, separately, improve and even reverse the physical frailty status. However, the effect of combining a CGA and multi-disciplinary management on frailty in elderly patients remains unclear. The present study assessed the effects of a CGA and multi-disciplinary management on elderly patients with frailty in China.Methods: In this study, 320 inpatients with frailty ≥70 years old will be randomly divided into an intervention group and a control group. The intervention group will be given routine management, a CGA and multi-disciplinary management involving rehabilitation exercise, diet adjustment, multi-drug evaluation, acupoint massage in TCM and patient education for 12 months, and the control group will be followed up with routine management for basic diseases. The primary outcomes are the Fried phenotype and short physical performance battery (SPPB). The secondary outcomes are the clinical frailty scale (CFS), non-elective hospital readmission, basic activities of daily living (BADL), 5­level european quality of life 5 dimensions index (EQ-5D), nutrition risk screening-2002 (NRS-2002), medical insurance expenses, fall events and all-cause mortality. In addition, a cost-effectiveness study will be carried out. Discussion: This paper outlines the protocol for a randomized, single-blind, parallel multi-center clinical study. This protocol, if beneficial, will demonstrate the interaction of various intervention strategies, will help improve elderly frailty patients, and will be useful for clinicians, nurses, policymakers, public health authorities and the general population.Trial registration: Chinese Clinical Trials Register, ChiCTR1900022623. Registered on 19 April 2019, http://www.chictr.org.cn/showproj.aspx?proj=38141.

scholarly journals Comparison of subtalar mobilization with conventional physiotherapy treatment for the management of planter fasciitis

2021 ◽  
pp. 1-12
Author(s):  
Muhammad Kashif ◽  
Abdulaziz Aoudh Albalwi ◽  
Ahmed Abdullah Alharbi ◽  
Humaira Iram ◽  
Nosheen Manzoor
Keyword(s):  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Care Hospital ◽  
Control Groups ◽  
Physiotherapy Treatment ◽  
Clinical Trial Registry ◽  
The Mean ◽  
Conventional Physiotherapy ◽  
And Control

Objective: To compare the effectiveness of subtalar mobilization with movement (Mulligan technique) with conventional physiotherapy treatment for the management of planter fasciitis. Material and Methods: A single blinded randomized trial was conducted at the Prime Care Hospital, Faisalabad, Pakistan from January 2017 to August 2017. Sixty Participants were divided into intervention and control groups through a computerized random numbers. Intervention group was treated with subtalar mobilization with movement (Mulligan technique), and control group was given conventional physiotherapy for three-weeks. SPSS 20 was used for data analysis.   Results: The mean age of the participants in the intervention group was 32.40 ± 8.02 years and the control group 32.59 ± 7.00 years. The mean BMI in intervention and control groups was 25.35 and 25.67, respectively. The result of our study showed that there were significant differences (P-value <0.05) between the VAS values before and after the intervention in the 3rd week between the intervention and the control group. Moreover, the intervention group showed more reduction in disability (p=0.03) compared to the control group.   Conclusion: Our study concluded both methods to demonstrate benefits. However, Subtalar mobilization with movement (Mulligan technique) plus rigid tapping reduced pain and disability more effectively than conventional physiotherapy plus rigid tapping in patients with planter fasciitis. All protocols for this clinical study were registered with WHO recognized Clinical Trial Registry, with the registration number RCT20200221046567N2.  Key Words: Heel pain, plantar fasciitis, physiotherapy, mobilization, mulligan technique, taping.

scholarly journals The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial

2018 ◽  
Vol 6 (6) ◽  
pp. 1062-1066 ◽  
Author(s):  
Reza Ganji ◽  
Azadeh Pakniat ◽  
Mohammad Reza Armat ◽  
Mahbubeh Tabatabaeichehr ◽  
Hamed Mortazavi
Keyword(s):  
Elderly Patients ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Educational Program ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Control Groups ◽  
The Mean ◽  
And Control

BACKGROUND: Osteoarthritis is one of the chronic diseases that greatly affect the health and life quality of individuals.AIM: This study aimed to determine the effect of self-management educational program on the pain intensity of the elderly patients with knee osteoarthritis.METHODS: In a randomised clinical trial, a total of 82 elderly patients with knee osteoarthritis were randomly divided into intervention and control groups. The intervention group received six sessions of self-management group education, while the control group received only the routine care during this period. In both groups, patients’ pain intensity, with a visual analogue scale (VAS), were assessed before, immediately after and eight weeks after the start of the study.RESULTS: The mean pain intensity scores of the intervention and control groups were not significantly different before the intervention (P = 0.9), but after the intervention, the mean pain intensity score in the intervention group (3.61 ± 2.36) was significantly lower than that of the control group (4.93 ± 2.00), (P < 0.0001).CONCLUSION: Implementation of a self-management program for the patients with knee osteoarthritis is useful in reducing their pain intensity and can be used as one of the effective methods for their empowerment.

Does adding an integrated physical therapy and neuromuscular electrical stimulation therapy to standard rehabilitation improve functional outcome in elderly patients with pneumonia? A randomised controlled trial

2019 ◽  
Vol 33 (11) ◽  
pp. 1757-1766 ◽  
Author(s):  
Laura López-López ◽  
Irene Torres-Sánchez ◽  
Janet Rodríguez-Torres ◽  
Irene Cabrera-Martos ◽  
Araceli Ortiz-Rubio ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Physical Performance ◽  
Functional Performance ◽  
Controlled Trial ◽  
Intervention Group ◽  
Short Physical Performance Battery ◽  
University Hospital ◽  
Secondary Outcome ◽  
Control Group ◽  
Electrical Therapy

Objective: To compare the effects of an integrated programme of physical and electrical therapy to standard rehabilitation to improve physical and functional performance in elderly patients with pneumonia. Design: Randomized clinical trial. The study was registered in the ClinicalTrial.gov website (identifier: NCT02515565). Setting: University Hospital. Subjects: In total, 185 elderly patients with pneumonia were eligible for the study, of which 95 were finally randomized. Interventions: Patients were randomized to a control group which received the standard treatment or to an intervention group which received additionally an integrated programme of physical and electrical therapy. Main measures: Demographic and clinical information was acquired. Pulmonary function, length of hospital stay, handgrip strength, independence levels and comorbidities were assessed as descriptive outcomes. The main outcome measure was functional and physical performance, evaluated with the short physical performance battery. Secondary outcome measures were respiratory symptoms including dyspnoea, fatigue and cough. Results: Mean age of patients was 74.92 (11.03) years in the intervention group and 72.53 (9.24) years in the control group. Significant between groups differences ( P < 0.05) were found in short physical performance battery chair stand test (2.17 (0.97) vs. 0.58 (0.61)) and total score (5.91 (3.61) vs. 4.15 (3.15)). The intervention group showed better performance than the control group in both cases. Fatigue (32.04 (18.58) vs. 46.22 (8.90)) and cough (18.84 (2.47) vs. 17.40 (3.67)) showed higher improvement in the intervention group, and significant differences were observed between the groups. Conclusion: An integrated programme of physical and electrical therapy during hospitalization improves physical and functional performance in patients with pneumonia.

Sign in / Sign up

Export Citation Format

Share Document