Effectiveness of lower limb rehabilitation protocol using mobile health on quality of life, functional strength and functional capacity among knee osteoarthritis patients who were overweight and obese: A randomized controlled trial

Mapping Intimacies ◽

10.1101/2022.01.05.21268595 ◽

2022 ◽

Author(s):

Muhammad Tariq Rafiq ◽

Mohamad Shariff A Hamid ◽

Eliza Hafiz

Keyword(s):

Quality Of Life ◽

Mobile Health ◽

Functional Capacity ◽

Lower Limb ◽

Rehabilitation Protocol ◽

Daily Care ◽

Strengthening Exercises ◽

Limb Rehabilitation ◽

Lower Limb Rehabilitation

Objective: This study aimed to investigate the effectiveness of the lower limb rehabilitation protocol (LLRP) using mobile health (mHealth) on quality of life (QoL), functional strength, and functional capacity among knee OA patients who were overweight and obese. Materials and Methods: In the current trial, 114 patients were recruited and randomized into either the rehabilitation group with mobile health (RGw-mHealth) receiving reminders by using mHealth to carry on the strengthening exercises of LLRP and instructions of daily care (IDC), the rehabilitation group without mobile health (RGwo-mHealth) following the strengthening exercises of LLRP and instructions of daily care (IDC) and control group (CG) only following the IDC for duration of 12-weeks. The reminders for using mHealth were provided two times a day for three days a week. Primary outcome measures were QoL assessed by the Western Ontario and McMaster Universities Osteoarthritis Index summary score, and functional strength by Five-Repetition Sit-To-Stand Test. Secondary outcome measure was functional capacity assessed by the Gait Speed Test. The assessments of QoL, functional strength, and functional capacity were taken at baseline and posttest after 12-weeks of intervention. Results: After 12 weeks of intervention, patients in all three groups had statistically signiﬁcant improvement in QoL within groups (p < 0.05). Furthermore, patients in the RGw-mHealth and RGwo-mHealth had statistically significant improvement in functional strength and walking gait speed within groups (p < 0.05). The pairwise between-group comparisons (Bonferroni post hoc test) of the mean changes in QoL, functional strength, and functional capacity at posttest assessments revealed that patients in the RGw-mHealth had statistically significant greater mean change in QoL, functional strength and functional capacity relative to both the RGwo-mHealth and CG (p < 0.001). Conclusion: Improvement in QoL, functional strength, and functional capacity was larger among patients in the RGw-mHealth compared with the RGwo-mHealth or CG. Keywords: Osteoarthritis, knee, overweight, rehabilitation. mobile health.

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Rehabilitation protocol with or without mobile health in overweight and obese knee osteoarthritis patients - a pilot study

Balneo Research Journal ◽

10.12680/balneo.2019.306 ◽

2019 ◽

Vol 10 (Vol 10 No. 4) ◽

pp. 580-584

Author(s):

Muhammad Tariq RAFIQ ◽

Mohamad Shariff A HAMID ◽

Eliza HAFIZ ◽

Sakib AMIN

Keyword(s):

Pilot Study ◽

Knee Osteoarthritis ◽

Mobile Health ◽

Lower Limb ◽

Intervention Group ◽

Text Messages ◽

Rehabilitation Protocol ◽

Knee Oa ◽

Limb Rehabilitation ◽

Lower Limb Rehabilitation

Knee osteoarthritis (OA) is a degenerative and weight bearing joint disease that resulted from wear and tear of articular cartilage. It is more common in the overweight and obese knee OA patients. The objectives of pilot study were to assess the feasibility, acceptability and challenges of study design, study setting and tools of lower limb rehabilitation protocol among the knee OA patients who are overweight and obese. Twelve overweight and obese knee OA patients attending a Teaching Bay in the Pakistan were enrolled in the study and completed 6 training sessions over 2 weeks. The participants were divided randomly into Intervention Group with Mobile Health (IGW-mH), Intervention Group without Mobile Health (IGWO-mH) and the Control Group (CG). Both intervention groups were provided fifteen days of lower limb rehabilitation protocol but the CG did not. Two text messages per day for three days a week were sent to IGW-mH as a reminder to carry on their training session and instructions of daily care. All participants of intervention groups showed willingness to randomization and adherence to training sessions. The results indicated that eligibility criteria, recruitment rate and randomization procedures were feasible and there were no adverse events from training sessions. The participants demanded Urdu translation and pictures of lower limb rehabilitation protocol. Key words: mobile health technology, overweight, knee, osteoarthritis,

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Impact of Lower Limb Fractures on the Quality of Life

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0013.1078 ◽

2019 ◽

Vol 21 (1) ◽

pp. 33-40

Author(s):

Marilia de Andrade Fonseca ◽

Amanda Gilvani Cordeiro Matias ◽

Maria de Lourdes de Freitas Gomes ◽

Marcos Almeida Matos

Keyword(s):

Quality Of Life ◽

Functional Capacity ◽

Lower Limb ◽

Lower Limbs ◽

Prolonged Treatment ◽

Level Of Education ◽

Lower Limb Fractures ◽

Limb Fractures ◽

Emotional Impairment

Background. Lower limb fractures are associated with severe disability, prolonged treatment and recovery time, and account for the greatest number of surgical procedures. Studies focusing on the health related quality of life (HRQOL) of patients who sustained lower limb fractures at a productive age are still scarce. The aim of the present study was to assess the HRQOL of individuals who sustained lower limb fractures at two time points: during the acute trauma period (hospitalization) and after six months. Materials and methods. A prospective observational longitudinal study was conducted including a total of 121 patients aged 18 years or older with fractures in the lower limbs evaluated based on clinical and sociodemographic variables and using the HRQOL questionnaire SF-36. The data were collected from referral trauma hospitals in two stages: during hospitalization (in-hospital period) and from the same individuals six months after the first interview. Results. At six months following the trauma, significant differences were found for the domains of functional capacity (from 2.77±7.82 to 51.11±28.43), pain (47.51±35.51 to 74.29±21.63), and emotional impairment (57.01±47.62 to 91.22±22.92) in the study period. However, no improvement was observed in the domains of physical limitations and social aspects. There was significant association for the domain “Pain” with age, level of education, and rehabilitation; the domain “Emotional impairment” was associated with treatment within 10 hours, level of education, and immediate osteosynthesis. At six months, only functional capacity exhibited significant associations with the level of education and rehabilitation. Conclusion. Lower limb fractures have a negative impact on the HRQOL that persists for at least six months after the traumatic event and is reflected in the psychosocial, physical and emotional burden imposed by the trauma.

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Short-Term Effects of Strengthening Exercises of Lower Limb Rehabilitation Protocol on Pain, Stiffness, Physical Function and Body Mass Index among Knee Osteoarthritis Participants Who Were Overweight or Obese: A Clinical Trial

10.1101/2021.11.20.21266300 ◽

2021 ◽

Author(s):

Muhammad Tariq Rafiq ◽

Mohamad Shariff Abdul Hamid ◽

Eliza Hafiz

Keyword(s):

Physical Function ◽

Knee Pain ◽

Exercise Adherence ◽

Short Term ◽

Rehabilitation Protocol ◽

Knee Oa ◽

Strengthening Exercises ◽

Limb Rehabilitation ◽

Lower Limb Rehabilitation ◽

Short Term Effects

Background. Osteoarthritis (OA) of the knee is defined as a progressive disease of the synovial joints and is characterized by wear and tear of cartilage and underlying bone. This study aimed to determine the short-term effects of the lower limb rehabilitation protocol (LLRP) on pain, stiffness, physical function, and body mass index (BMI) among knee OA participants who were overweight or obese. Methodology. Single blinded randomized controlled trial of one-month duration was conducted at Rehmatul-Lil-Alameen Postgraduate Institute, Lahore, Pakistan. Fifty overweight or obese participants with knee OA were randomly divided into two groups by a computer-generated number. Participants in the Rehabilitation Protocol Group (RPG) were provided with leaflets explaining the strengthening exercises of the LLRP and instruction of daily care (IDC), while the participants in the Control Group (CG) were provided with leaflets explaining IDC only for a duration of four weeks. The primary outcome measures were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness and physical function. The secondary outcome measures were BMI, exercise adherence, and patients satisfaction by the numeric rating scale ranging from 0 to 10. Paired Samples t-test was used to analyze the differences within groups from baseline to post-test evaluations. The analysis of variance was used to analyze the difference of BMI, knee pain, stiffness, and physical function between the groups. Results. Participants in the RPG and CG reported a statistically significant reduction in knee pain, and stiffness (p ≤ 0.05) within group. The reduction in the scores of knee pain was higher in participants of the RPG than the CG (p = 0.001). Additionally, participants in the RPG reported greater satisfaction (p = 0.001), higher self-reported exercise adherence (p = 0.010) and coordinator-reported exercise adherence (p = 0.046) compared to the participants in the CG. Conclusion. Short-term effects of the LLRP appear to reduce knee pain and stiffness only, but not physical function and BMI.

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Aquatic Exercise Training Outcomes on Functional Capacity, Quality of Life, and Lower Limb Lymphedema: Pilot Study

The Journal of Alternative and Complementary Medicine ◽

10.1089/acm.2018.0041 ◽

2018 ◽

Vol 24 (9-10) ◽

pp. 1007-1009 ◽

Cited By ~ 4

Author(s):

Andrée Dionne ◽

Serge Goulet ◽

Mario Leone ◽

Alain-Steve Comtois

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Exercise Training ◽

Functional Capacity ◽

Lower Limb ◽

Aquatic Exercise ◽

Training Outcomes

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Research on mechanical optimization methods of cable-driven lower limb rehabilitation robot

Robotica ◽

10.1017/s0263574721000448 ◽

2021 ◽

pp. 1-16

Author(s):

Yan-lin Wang ◽

Ke-yi Wang ◽

Yu-jia Chai ◽

Zong-jun Mo ◽

Kui-cheng Wang

Keyword(s):

Lower Limb ◽

Optimization Algorithms ◽

Optimization Methods ◽

Rehabilitation Robot ◽

Cable Tension ◽

Research Results ◽

Limb Rehabilitation ◽

Mechanical Optimization ◽

Lower Limb Rehabilitation

Abstract In order to improve the working performance of the lower limb rehabilitation robot and the safety of the trained object, the mechanical characteristics of a cable-driven lower limb rehabilitation robot (CDLR) are studied. The dynamic model of the designed CDLR was established. Four kinds of cable tension optimization algorithms were proposed to obtain a good rehabilitation training effect, and the quality of the feasible workspace of the CDLR was analyzed. Finally, a real-time evaluation index of the cable tension optimization algorithms was given to measure the calculation speed of the optimization algorithms. The numerical research results were provided to confirm the characteristics of the four kinds of the optimization algorithms. The research results provide a basis for the follow-up research on the safety and compliance control strategy of the CDLR system.

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Simple assessment of quality of life and lower limb functional capacity during cilostazol treatment – results of the SHort-tERm cIlostazol eFFicacy and quality of life (SHERIFF) study

VASA ◽

10.1024/0301-1526/a000845 ◽

2020 ◽

Vol 49 (3) ◽

pp. 235-242 ◽

Cited By ~ 1

Author(s):

Katalin Farkas ◽

Endre Kolossváry ◽

Zoltán Járai

Keyword(s):

Quality Of Life ◽

Clinical Practice ◽

Intermittent Claudication ◽

Functional Capacity ◽

Lower Limb ◽

Ankle Brachial Index ◽

Walking Distance ◽

Treatment Results ◽

Walking Capacity

Summary: Background: Symptomatic peripheral arterial disease (intermittent claudication) is a major cause of disability and mobility loss in older men and women and thus has a significant negative impact on the patients’ quality of life. Both surgical and endovascular revascularization procedures and noninvasive medical therapies, such as supervised training and drug treatment, can improve walking capacity. Cilostazol is the only drug having a class I (level of evidence A) recommendation for the treatment of intermittent claudication (IC). The aim of this study was to evaluate the effect of three-month cilostazol treatment on the health-related quality of life and on the lower limb functional capacity in patients with IC in the clinical practice. Patients and methods: The study was a multicenter, non-interventional trial, performed in Hungary in 2018. 812 PAD patients (Fontaine II stage, mean age: 67.17 years, male/female: 58.25/41.75 %) were enrolled, who received cilostazol (50 or 100 mg b.i.d.) for 3 months. 802 patients completed the study. Quality of life was evaluated with the EQ-5D-3L questionnaire functional capacity with the WELCH (Walking Estimated-Limitation Calculated by History) questionnaire. Pain-free and maximal walking distance, ankle-brachial index (ABI) were measured at baseline and after 3-month treatment. Results: Upon conclusion of the study, the EQ-5D-3L index improved (baseline: –0.46 ± 0.22, 3rd month: –0.26 ± 0.18; p < 0.0001) and there was a significant increase in the WELCH score as well (19 ± 14, 31 ± 18; respectively, p < 0.0001). Both pain-free and maximal walking distance improved significantly by 54.52 % (median: 53.85 %) and 42.5 % (median: 34.68 %); respectively (p < 0.001). Adverse events occurred in 10 patients, 1 patient stopped cilostazol treatment because of side effects. Conclusions: Three months cilostazol treatment significantly improved quality of life and lower limb functional capacity in patients with intermittent claudication. The WELCH questionnaire is a useful tool for the evaluation of intermittent claudication treatment in the clinical practice.

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Short-Term Effects of Strengthening Exercises of the Lower Limb Rehabilitation Protocol on Pain, Stiffness, Physical Function, and Body Mass Index among Knee Osteoarthritis Participants Who Were Overweight or Obese: A Clinical Trial

The Scientific World JOURNAL ◽

10.1155/2021/6672274 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Muhammad Tariq Rafiq ◽

Mohamad Shariff A. Hamid ◽

Eliza Hafiz

Keyword(s):

Physical Function ◽

Knee Pain ◽

Exercise Adherence ◽

Short Term ◽

Rehabilitation Protocol ◽

Knee Oa ◽

Strengthening Exercises ◽

Limb Rehabilitation ◽

Lower Limb Rehabilitation ◽

Short Term Effects

Background. Osteoarthritis (OA) of the knee is defined as a progressive disease of the synovial joints and is characterized by wear and tear of the cartilage and underlying bone. This study aimed to determine the short-term effects of the lower limb rehabilitation protocol (LLRP) on pain, stiffness, physical function, and body mass index (BMI) among knee OA participants who were overweight or obese. Methodology. A single-blinded randomized controlled trial of one-month duration was conducted at Rehmatul-Lil-Alameen Postgraduate Institute, Lahore, Pakistan. Fifty overweight or obese participants with knee OA were randomly divided into two groups by a computer-generated number. Participants in the rehabilitation protocol group (RPG) were provided with leaflets explaining the strengthening exercises of the LLRP and instruction of daily care (IDC), while the participants in the control group (CG) were provided with leaflets explaining the IDC only for a duration of four weeks. The primary outcome measures were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and physical function. The secondary outcome measures were BMI, exercise adherence, and patients’ satisfaction assessed by using the numeric rating scale ranging from 0 to 10. The paired-sample t-test was used to analyze the differences within groups from baseline to posttest evaluations. The analysis of variance 2 × 2 factor was used to analyze the differences in BMI, knee pain, stiffness, and physical function between the groups. Results. Participants in the RPG and CG reported a statistically significant reduction in knee pain and stiffness ( p ≤ 0.05 ) within the group. The reduction in the scores of knee pain was higher in participants in the RPG than that in participants in the CG ( p = 0.001 ). Additionally, participants in the RPG reported greater satisfaction ( p = 0.001 ) and higher self-reported exercise adherence ( p = 0.010 ) and coordinator-reported exercise adherence ( p = 0.046 ) than the participants in the CG. Conclusion. Short-term effects of the LLRP appear to reduce knee pain and stiffness only, but not physical function and BMI.

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Glittre ADL test in eutrophic, overweight and obese elderly

Fisioterapia Brasil ◽

10.33233/fb.v21i1.3244 ◽

2020 ◽

Vol 21 (1) ◽

pp. 49

Author(s):

Augusto Baumhardt Guidoti ◽

Ângelo Pereira Cattani ◽

Cintia Laura De Araujo ◽

Fernanda Beatriz Costa Delacoste ◽

Guilherme Scotta Hentschke ◽

...

Keyword(s):

Quality Of Life ◽

Functional Capacity ◽

Elderly Women ◽

Handgrip Strength ◽

Exercise Intolerance ◽

World Health ◽

Chronic Obstructive ◽

Cross Sectional ◽

World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.

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