scholarly journals Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial

2019 ◽  
Vol 39 (01) ◽  
pp. 25-33 ◽  
Author(s):  
Anood I Faqih ◽  
Nilima Bedekar ◽  
Ashok Shyam ◽  
Parag Sancheti
Keyword(s):  
Range Of Motion ◽  
Controlled Trial ◽  
Elbow Fracture ◽  
Elbow Stiffness ◽  
Rehabilitation Protocol ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group 2 ◽  
And Function ◽  
Group 1

Background: Elbow is a very functional joint. Elbow stiffness is a significant cause of disability hampering the function of the upper extremity as a whole. Muscle Energy Techniques (METs) are relatively pain-free techniques used in clinical practice for restricted range of motion (ROM). Objective: To study the effects of MET on pain, ROM and function given early in the rehabilitation in post-surgical elbow stiffness. Methods: An RCT was conducted on 30 patients post elbow fracture fixation. Group 1 was given MET immediately post removal of immobilization while Group 2 received MET 1 week later along with the rehabilitation protocol. Pain (Visual Analogue Scale), ROM (goniometry) and function (Disability of Arm, Shoulder and Hand questionnaire) were assessed pre and post 3 weeks. Results: Group 1 showed greater improvement than Group 2, mean flexion and extension change between groups being [Formula: see text], 95%CI(5.9,17.4) and [Formula: see text], 95%CI(4.4,12.7), respectively. VAS and DASH scores improved better in Group 1, mean change being [Formula: see text], 95%CI(0.6,1.8) and [Formula: see text], 95%CI(13.5,22.8) for VAS and DASH scores, respectively. Conclusion: MET can be used as an adjunct to the rehabilitation protocol to treat elbow stiffness and can be given safely in the early stages of post elbow fracture rehabilitation managed surgically with open reduction and rigid internal fixation.

scholarly journals THE COMPARISON OF MUSCLE ENERGY TECHNIQUE AND INFRARED INTERVENTION WITH CONTRACT-RELAX STRETCHING AND INFRARED IN IMPROVING RANGE OF MOTION NECK JOINT ON ONLINE GAME PLAYERS WITH MYOFASCIAL PAIN SINDROME UPPER TRAPEZIUS MUSCLE IN DENPASAR

2018 ◽  
Vol 6 (3) ◽  
pp. 17
Author(s):  
Made Aditya Prawira Arthawan ◽  
Nila Wahyuni ◽  
I Gusti Ayu Artini
Keyword(s):  
Range Of Motion ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Online Game ◽  
Upper Trapezius ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group 2 ◽  
Group 1

ABSTRACT               Pain is most commonly caused by myofascial pain syndrome, myofascial pain syndrome pain can affect the flexibility of the joints that will cause a decrease range of motion neck joint. The purpose of this study was to determine the comparison between muscle energy technique and infrared with contract relax stretching and infrared in increasing the range of motion neck joint on online game players with myofascial pain syndrome upper trapezius muscle in Denpasar. This research is an experimental research with pre and post test design group control design. The sample is an online game player of 22 people divided into two groups. Group 1 was given intervention of muscle energy technique and infrared, while group 2 was given contract relax stretching and infrared intervention. Result of hypothesis test with paired t-test, group 1 got difference average 6,36 ± 0,62 (p = 0,000) while group 2 got difference mean 5,00 ± 0,357 (p = 0,000). Differential test of improvement after group 1 and group 2 treatment using independent sample t-test showed that group 1 increase was higher than group 2 and this result was significantly different p = 0,019 (p <0,05) Keywords:  Range of motion neck joint, myofascial pain syndrome, contract relax stretching, infrared

THE COMPARISON OF INTERVENTION OF ULTRASOUND AND MUSCLE ENERGY TECHNIQUE WITH ULTRASOUND AND MCKENZIE EXERCISE INTERVENTION ON INCREASING FUNCTIONAL ABILITY IN NON-SPECIFIC LOW BACK PAIN

2018 ◽  
Vol 6 (2) ◽  
pp. 55
Author(s):  
Ari Wibawa ◽  
Ni Wayan Tianing ◽  
Gede Parta Kinandana ◽  
Ni Komang AYu Juniantari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Pain Disability ◽  
Muscle Energy Technique ◽  
Functional Pain ◽  
Disability Questionnaire ◽  
Muscle Energy ◽  
Group 2 ◽  
Group 1

This study aims to compare ultrasound interventions and muscle energy techniques more effective than ultrasound and McKenzie exercise in improving functional ability in non-specific low back pain cases. The test used is a modified oswestry low back pain disability questionnaire to measure functional pain. Using experimental design with pre-test and post-test group design involved a sample of 32 people divided into 2 groups. Group 1 with ultrasound treatment and muscle energy technique and group 2 with ultrasound treatment and Mckenzie exercise. Hypothesis test results using the independent sample t-test obtained results p = 0,000 with a mean difference in group 1 22,85 (SB 4,348) while group 2 obtained a mean difference of 12,86 (SB 2,797). These results showed that there was a significant difference in the reduction of significant non-specific LBP functional pain between the treatment groups of the muscle energy technique and the McKenzie exercise treatment group.Keywords: non-specific low back pain, modified oswestry low back pain, disability questionnaire, ultrasound, muscle energy technique, mckenzie exercise

scholarly journals THE INTERVENTION INFRARED AND MUSCLE ENERGY TECHNIQUE AS WELL AS INFRARED AND PASSIVE STRETCHING TO DECREASE FUNCTIONAL PAINFUL OF LOW BACK PAIN MYOGENIC CONDITION

2018 ◽  
Vol 6 (3) ◽  
pp. 25
Author(s):  
Ni Putu Oktaryani Darma Ayu ◽  
Ni Luh Nopi Andayani ◽  
Susy Purnawati
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
T Test ◽  
Low Back ◽  
Passive Stretching ◽  
Muscle Energy Technique ◽  
Keywords Low Back Pain ◽  
Muscle Energy ◽  
Group 2 ◽  
Group 1

  ABSTRACT   The objective of the study was to find out which one is better between the interventions infrared and muscle energy technique within interventions infrared and passive stretching through the degradation of functional painful of low back pain myogenic condition. The research design that was an experimental research which was designed with pre-test and post-test group design. The sample of the study were 20 persons divided into two groups. Group 1 was given an intervention of infrared and muscle energy technique. Group 2 was given an intervention of infrared and passive stretching. Test Results hypothesis by paired sample t-test showed for group 1 was obtained a result which was p=0,000 with the vary average 4,595±3,658. For group 2 was obtained a result which was p=0,000 with the vary average 5,770±4,332. The result of the study showed a degradation pain which had a significantly in each group. For the average test, the vary between the group 1 and group 2 which used independent sample t-test were found p=0,621 (p>0,05). Based on the results of statistical tests, intervention of infrared and muscle energy technique as well as infrared and passive stretching through degradation of functional painful of low back pain myogenic condition. Keywords: Low back pain, low back pain myogenic, infrared, muscle energy technique, passive stretching, ODI.

The Effects of Muscle Energy Technique on Cervical Range of Motion

1994 ◽  
Vol 2 (4) ◽  
pp. 149-155 ◽  
Author(s):  
Ronald Schenk ◽  
Kimberly Adelman ◽  
John Rousselle
Keyword(s):  
Range Of Motion ◽  
Cervical Range Of Motion ◽  
Muscle Energy Technique ◽  
Muscle Energy

scholarly journals Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
E. Fahmy ◽  
H. Shaker ◽  
W. Ragab ◽  
H. Helmy ◽  
M. Gaber
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Functional Disability ◽  
Exercise Program ◽  
Low Back ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group B ◽  
Lumbar Range Of Motion

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.

scholarly journals Antiphospholipid antibodies, genetic thrombophilia and fetal growth retardation

2022 ◽  
Vol 15 (6) ◽  
pp. 695-704
Author(s):  
E. A. Orudzhova
Keyword(s):  
Pregnant Women ◽  
Fetal Growth ◽  
Growth Retardation ◽  
Antiphospholipid Antibodies ◽  
Controlled Trial ◽  
Factor V Leiden ◽  
Control Group ◽  
Fetal Growth Retardation ◽  
Group 2 ◽  
Group 1

Aim: to study the role of antiphospholipid antibodies (AРA) and genetic thrombophilia as a potential cause of the development or a component in the pathogenesis of early and late fetal growth retardation (FGR).Materials and Methods. There was conducted a prospective randomized controlled trial with 118 women enrolled. The main group consisted of 83 patients, whose pregnancy was complicated by FGR degrees II and III, stratified into two groups: group 1 – 36 pregnant women with early FGR, group 2 – 47 pregnant women with late FGR. Women were subdivided into subgroups according to the FGR severity. The control group consisted of 35 pregnant women with a physiological course of pregnancy. АРА were determined according to the Sydney antiphospholipid syndrome criteria by enzyme immunoassay (ELISA): against cardiolipin, β2 -glycoprotein 1, annexin V, prothrombin, etc. (IgG/IgM isotypes); lupus anticoagulant – by the three-stage method with Russell's viper venom; antithrombin III and protein C levels – by chromogenic method; prothrombin gene polymorphisms G20210A and factor V Leiden – by polymerase chain reaction; homocysteine level – by ELISA.Results. AРA circulation (medium and high titers), genetic thrombophilic defects and/or hyperhomocysteinemia were detected in 40 (48.2 %) patients with FGR, which was significantly higher than that in the control group (p < 0.05): in group 1 (41.7 % of women) AРA (30.6 %) and AРA with genetic thrombophilia or hyperhomocysteinemia (11.1 %) were revealed; in group 2 (51.1 % of women) AРA (21.3 %), AРA with hyperhomocysteinemia (4.3 %), genetic thrombophilia (25.5 %), and due to hyperhomocysteinemia (2.1 %) were found. No differences in prevalence of thrombophilia rate in patients were observed related to FGR severity, but a correlation between the FGR severity and AРA titers was found.Conclusion. Testing for the presence of AРA, genetic thrombophilia and hyperhomocysteinemia should be recommended for patients with FGR (including those with FGR in medical history), especially in the case of its early onset. It is recommended to determine the full AРA spectrum.

scholarly journals Treatment of Phalangeal Joint Stiffness Related to Proximal Phalangeal Bone Fractures: Therapeutic Effects on the Range of Motion and Finger Pain

2021 ◽  
Author(s):  
Dongkeun Jun ◽  
Minkyoung Jeong ◽  
Donghyeok Shin ◽  
Hyungon Choi ◽  
Jeenam Kim ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Bone Fractures ◽  
Joint Stiffness ◽  
Operative Procedures ◽  
Metacarpophalangeal Joints ◽  
Elastic Resistance ◽  
Group 2 ◽  
Phalangeal Bone ◽  
Swan Neck Deformity ◽  
Group 1

Purpose: Proximal phalangeal bone fractures with displacement are treated using operative procedures. These fractures can cause stiffness of the interphalangeal or metacarpophalangeal joints, which can be relieved using various operative and nonoperative techniques. This study analyzed the range of motion (ROM) and pain after a combination therapy to treat finger stiffness following proximal phalangeal fractures.Methods: Fifty-two patients who underwent operative procedures for proximal phalangeal fractures and showed finger stiffness from March 2015 to January 2021 were included in this retrospective study. The patients in group 1 (n=24) performed elastic resistance exercises, while those in group 2 (n=28) underwent conventional exercise. ROM and pain score were measured at 5, 8, and 12 weeks postoperatively. Furthermore, a patient with a swan-neck deformity and intractable stiffness was treated using partial translocation of the extensor apparatus, and the postoperative outcome is presented.Results: Group 1 showed a larger ROM and less pain than group 2 at 12 weeks postoperatively (p<0.05). Patients in both groups exhibited notable improvements with regard to ROM and pain during the study period (p<0.05). In addition, the swan-neck deformity accompanying hyperextension of the proximal interphalangeal joint was significantly relieved.Conclusion: Proximal phalangeal bone fractures can lead to stiffness of the interphalangeal and metacarpophalangeal joints. Joint stiffness was relieved using an elastic resistance exercise protocol in the early postoperative period. Intractable stiffness showing a fixed joint angle can be treated with thorough tenolysis and corrective surgery.

scholarly journals LAPAROSCOPIC CHOLECYSTECTOMY;

2013 ◽  
Vol 20 (02) ◽  
pp. 313-318
Author(s):  
MOHAMMAD ADNAN NAZEER ◽  
HASAAN IMTIAZ ◽  
HARUN MAJID DAR ◽  
Zulfiqar Ali ◽  
Asma Samreen
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Controlled Trial ◽  
Early Laparoscopic Cholecystectomy ◽  
Delayed Cholecystectomy ◽  
Laparoscopic Cholecystectomy Group ◽  
Delayed Laparoscopic Cholecystectomy ◽  
Delayed Group ◽  
Group 2 ◽  
Group 1

Introduction: The role of laparoscopic cholecystectomy in treatment of acute cholecystitis is still controversial. Objective:The objective of this prospective randomized controlled trial was to evaluate the outcomes of early laparoscopic cholecystectomy foracute cholecystitis and to compare the results with delayed cholecystectomy. Setting: Sheikh Zayed Hospital, Lahore. Period: 1st Feb,2012 to 31st July 2012. Materials & Methods: 60 diagnosed patients of acute cholecystitis were randomly allocated to two groups,Group 1 underwent early laparoscopic cholecystectomy (Group 1, n = 30) and Group 2 to initial conservative treatment followed bydelayed laparoscopic cholecystectomy, 6 to 12 weeks later (Group 2 , n = 30). Results: The overall complication rate was 3.3% (01) inearly group and 16.7% (05) in the delayed group. There was no common bile duct injury in both groups. The complications includedwound infection and intraperitoneal collection. Conclusions: According to the results our study we concluded that early laparoscopiccholecystectomy can safely be carried out for acute cholecystitis as the complications for early laparoscopic cholecystectomy are lessas compared to delayed laparoscopic cholecystectomy. Early laparoscopic cholecystectomy has also an edge over delayed because ofsingle hospital stay.

scholarly journals Effect of vitamin D supplementation on growth parameters of children with vitamin D deficiency: a community based randomized controlled trial

2017 ◽  
Vol 4 (6) ◽  
pp. 2070
Author(s):  
Sagul R. Mugunthan ◽  
Yashwant K. Rao ◽  
Tanu Midha ◽  
Anurag Bajpai
Keyword(s):  
Vitamin D ◽  
Alkaline Phosphatase ◽  
Vitamin D Deficiency ◽  
Growth Parameters ◽  
Controlled Trial ◽  
Vitamin D Supplementation ◽  
Community Based ◽  
Randomized Controlled ◽  
Group 2 ◽  
Group 1

Background: Vitamin D deficiency remains the most common cause of rickets globally and is highly prevalent in developing countries including India. This study aimed to compare the efficacy of vitamin D and calcium together with calcium alone on growth parameters of children with vitamin D deficiency in community based setting.Methods: A randomized controlled trial was conducted in community based setting in Kanpur district. Multistage random sampling technique was used to select a total of 395 children between 2 years to 5 years from 5 villages of block Vidhunu. Of these, 138 children were randomized into two groups using balanced block randomization technique. Group 1 received vitamin D with calcium together and group 2 received calcium alone for a period of 12 months. Anthropometry, serum vitamin D, calcium, alkaline phosphatase levels were estimated at baseline and after 12 months. Data was analyzed using SPSS 20. Student’s t test was used to analyze the differences in growth and laboratory parameters in the two groups. Multiple linear regression analysis was used to assess the effect of various factors on the growth parameters.Results: Prevalence of vitamin D deficiency was 78.7%. Baseline characteristics of both groups were similar. After 12 months, group 1 demonstrated significantly greater improvement in weight SD score (21.4%) and height SD score (10.3%) and growth velocity (9.1 cm/year) compared to group 2 (14.3%, 7.8% and 6.9 cm/ year respectively). Also subjects in group 1 showed significantly greater improvement in serum levels of vitamin D, calcium and alkaline phosphatase than group 2.Conclusions: Vitamin D supplementation along with calcium improves the growth of children. Regular supplementation of all children with vitamin D can be considered as a policy for prevention of malnutrition. 

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