Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

Objective.Studying the effect of the functional stretching exercise in diplegic children.Design.Children were randomly assigned into two matched groups.Setting.Outpatient Clinic of the Faculty of Physical Therapy, Cairo University.Participants.Thirty ambulant spastic diplegic children, ranging in age from five to eight years, participated in this study.Interventions.The control group received physical therapy program with traditional passive stretching exercises. The study group received physical therapy program with functional stretching exercises. The treatment was performed for two hours per session, three times weekly for three successive months.Main Outcome Measure(s).H∖M ratio, popliteal angle, and gait parameters were evaluated for both groups before and after treatment.Results.There was significant improvement in all the measuring variables for both groups in favor of study group. H∖M ratio was reduced, popliteal angle was increased, and gait was improved.Conclusion(s).Functional stretching exercises were effectively used in rehabilitation of spastic diplegic children; it reduced H∖M ratio, increased popliteal angle, and improved gait.

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Efficacy of ankle kinesiotape on balance in children with spastic diplegia

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-020-00015-7 ◽

2020 ◽

Vol 25 (1) ◽

Author(s):

Samar Sami Ibrahim ◽

Emam Hassan EL-Negmy ◽

Amina Salem Hindawii ◽

Nahla M. Ibrahim

Keyword(s):

Physical Therapy ◽

Postural Stability ◽

Stability Index ◽

Control Group ◽

Spastic Diplegia ◽

Study Group ◽

Therapy Program ◽

Before And After ◽

Physical Therapy Program ◽

Ankle Dorsiflexor

Abstract Background Adequate and efficient standing postural balance is key for functional walking and handling abilities in children with spastic diplegia. This study was designed to evaluate the effect of kinesiotape applied on ankle dorsiflexor muscles on balance in children with spastic diplegia. Thirty children with spastic diplegia of both genders participated in the study: 16 boys and 14 girls between 4 and 10 years old. They were divided randomly and equally into two groups: a control group, in which children received the standard physical therapy program for children with diplegia; and the study group, who received the same physical therapy program as in the control group but after kinesiotape application over the ankle dorsiflexor muscles. Both groups received the treatment program for 1 h, three times per week, for three successive months. Postural stability was assessed through evaluation of three stability index (anteroposterior, mediolateral, and overall) for all children by the Biodex Balance System before and after treatment. Results Statistical analysis of results before and after treatment was performed by mixed MANOVA to compare effects both within and between groups on stability indexes, and post hoc tests were carried out for subsequent multiple comparison. The level of significance for all statistical tests was set at p < 0.05. Before treatment, there was no significant difference in the stability index between both groups (p > 0.05). Comparison between both groups post-treatment revealed a significant decrease in the measured variables of the study group compared with that of the control group (p < 0.05). Conclusion Adding ankle kinesiotaping over dorsiflexor muscles in conjunction with a balance and gait training exercise program for children with diplegia can enhance postural stability and decrease sway. This study suggests that it should be added to the treatment program for children with diplegia. Trial registration This study was registered retroactively. Identifier: NCT04243928

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Effect of cough assist device on blood gasses and period of mechanical ventilator for pneumonic children with general hypotonia

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00049-5 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Raheel Sanad ◽

Shimaa Mohamed Refaat ◽

Faten Hassan Abdelazeim ◽

Bassant Meligy

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Physical Therapy ◽

Post Treatment ◽

Control Group ◽

Study Group ◽

Mechanical Ventilator ◽

Assist Device ◽

Therapy Program ◽

Physical Therapy Program

Abstract Background Cough assist devices play an important role with patients in the intensive care unit (ICU), particularly those with neuromuscular diseases which had abnormal muscle tone. It was previously thought to be the main technique for improving cough efficacy, which aids in weaning from mechanical ventilation and improves patient outcomes. So, we selected randomly the odd numbers from Abo El-Reesh hospital records, and 30 children of both sexes with pneumonia were selected, aged from 6 months to 3 years, who were selected from intensive care unit: fifteen children were the control group, who received the selected physical therapy program (postural drainage, percussion and resist diaphragm), and another fifteen children were the study group, who received previous physical therapy program, which was selected, and cough assist device. Results This study revealed the effect of cough assist device on blood gasses and the period of mechanical ventilator on children with pneumonia and general hypotonia. There was a significant decrease in pH, PaCO2, and HCO3 post treatment compared with that pretreatment in the study and control groups (p < 0.05). The percentage of decrease in pH, PaCO2, and HCO3 in study group A were 0.4, 38.26, and 30.28% respectively while that in the control group were 0.4, 32.56, and 25.48% for pH, PaCO2, and HCO3 respectively. There was a significant increase in PaO2 post treatment compared with that pretreatment in the study and control groups (p < 0.001). The percentage of increase in PaO2 in the study group was 32.13% and that in control group was 30.09%. There was no significant difference in pH, PaCO2, and HCO3 between both groups pre-treatment (p ˃ 0.05). Also, there was no significant difference between groups post treatment (p ˃ 0.05). The median (IQR) period of mechanical ventilation in the study group was 5 (7, 4) days while that in control group was 8 (18, 5) days. There was a significant decrease in period of mechanical ventilator of the study group compared with that of control group (p = 0.03). Conclusion The cough assist device and physical therapy program were selected for children in the intensive care unit which have the same effect on arterial blood gasses as they optimize pH, PO2, PCO2, and HCO3, but the cough assist device helps in accelerating weaning of mechanical ventilator so as decrease the period of mechanical ventilator.

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Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial

JMIR Biomedical Engineering ◽

10.2196/18232 ◽

2020 ◽

Vol 5 (1) ◽

pp. e18232

Author(s):

Hanaa Mohsen ◽

Omnya Samy

Keyword(s):

Cerebral Palsy ◽

Physical Therapy ◽

Motor Function ◽

Gait Training ◽

Therapeutic Modality ◽

Control Group ◽

Study Group ◽

Sensory Stimuli ◽

Gait Parameters ◽

Before And After

Background Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory). Objective The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP). Methods A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program. Results A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05). Conclusions Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP. Trial Registration ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658

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Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial (Preprint)

10.2196/preprints.18232 ◽

2020 ◽

Author(s):

Hanaa Mohsen ◽

Omnya Samy

Keyword(s):

Cerebral Palsy ◽

Physical Therapy ◽

Motor Function ◽

Gait Training ◽

Therapeutic Modality ◽

Control Group ◽

Study Group ◽

Sensory Stimuli ◽

Gait Parameters ◽

Before And After

BACKGROUND Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory). OBJECTIVE The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP). METHODS A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program. RESULTS A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05). CONCLUSIONS Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP. CLINICALTRIAL ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658

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Changes in the mobility of obese people under the influence of a physical therapy program

Health, sport, rehabilitation ◽

10.34142/hsr.2019.05.03.01 ◽

2019 ◽

Vol 5 (3) ◽

pp. 9 ◽

Cited By ~ 1

Author(s):

M.G. Aravitska

Keyword(s):

Physical Therapy ◽

Rehabilitation Program ◽

Control Group ◽

Functional Movement Screen ◽

Obese Patients ◽

Functional Movement ◽

Therapy Program ◽

Physical Therapy Program ◽

One Year ◽

High Level

Objective: to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.Materials and methods. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.Results. During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p <0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p> 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p <0.05).Conclusions: Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.

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Physical therapy for young men having vertebrogenic lumbosacral pain

Health, sport, rehabilitation ◽

10.34142/hsr.2019.05.04.07 ◽

2019 ◽

Vol 5 (4) ◽

pp. 57

Author(s):

I.A. Sasko ◽

O.V. Beziazychna ◽

S.V. Manucharian

Keyword(s):

Physical Therapy ◽

Young Men ◽

Medical Rehabilitation ◽

Control Group ◽

Therapy Program ◽

Biological Studies ◽

Spine Mobility ◽

Motor Mode ◽

Physical Therapy Program ◽

And Control

Objective: to develop and experimentally explain physical therapy methods for vertebrogenic lumbosacral pain.Material and methods: 20 young men having vertebrogenic lumbosacral pain took part in the experiment at training motor mode, they were divided into two groups – experimental and control one, containing 10 people each. Men in experimental group had physical therapy according to original program, men from the control group – did it according to common recommendation of the Ministry of Health of Ukraine. Pedagogical and medico-biological studies have been carried out since October 2019 up to December 2019. Physical therapy courses in both experimental and control group lasted for two months. Clinical methods (medical history, visual examination), assessment according to Visual Analogue Scale of pain (VAS), lumbar spine mobility investigation, life quality evaluation according to Oswes try Disability Index questionnaire.Results: The presented efficiency of physical therapy program for training motor mode using the exercises on Redcord Suspension System: dynamic exercises to improve spine mobility, static exercises to strengthen and improve core and lower extremity muscles endurance, exercises using slings to improve proprioception; therapeutic massage according to Yefimenko methods: massage of lumbosacral region of spine, glutes, favorable number of procedures – is 15-20 ones; instrumental physiotherapy methods: ultrasound (1.2 – 1.4 W-cm2), double-pole interference (25-27 mA), Trabert’s current (7-8-12 mA).Conclusions: In the course of study undertaken we have made a conclusion that physical therapy program developed and introduced at the premises of Kinezio Medical Center of Physical Rehabilitation and Sport Medicine in Kharkov for young men having vertebrogenic lumbosacral pain allowed advancing efficiency of medical rehabilitation, is accessible for all specialized rehabilitation facilities and appears worthy of practical application.

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Vestibular Rehabilitation Reduces Functional Disability

Otolaryngology ◽

10.1177/019459989210700505 ◽

1992 ◽

Vol 107 (5) ◽

pp. 638-643 ◽

Cited By ~ 50

Author(s):

Helen Cohen

Keyword(s):

Physical Therapy ◽

Functional Disability ◽

Self Care ◽

Vestibular Rehabilitation ◽

Vestibular Disorder ◽

Important Indicator ◽

Therapy Program ◽

Before And After ◽

Physical Therapy Program ◽

Success Of Treatment

Vertigo caused by vestibular disorder may be successfully treated with a physical therapy program of graded exercises to habituate the patient to the vertiginous stimulus and to increase the range of motion through which the patient can tolerate moving. Performance on daily self-care tasks is an important indicator of the patient's tolerance for head movement and the success of treatment. In this study, self-care skill in subjects with labyrinthine and brainstem lesions before and after receiving vestibular rehabilitation was examined. Subjects improved significantly after physical therapy, demonstrating greater independence in their abilities to care for themselves. These data provide further support for the value of vestibular rehabilitation procedures.

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Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20170009 ◽

2017 ◽

Vol 75 (3) ◽

pp. 160-166 ◽

Cited By ~ 1

Author(s):

Carolina Y. P. Aizawa ◽

Mariana P. Morales ◽

Carolina Lundberg ◽

Maria Clara D. Soares de Moura ◽

Fernando C. G. Pinto ◽

...

Keyword(s):

Physical Therapy ◽

Correlation Coefficients ◽

Functional Independence ◽

Wilcoxon Test ◽

Therapy Program ◽

Gross Motor Function Measure ◽

Proprioceptive Neuromuscular Facilitation ◽

Before And After ◽

Physical Therapy Program ◽

Reflex Stimulation

ABSTRACT We aimed to investigate whether infants with myelomeningocele would improve their motor ability and functional independence after ten sessions of physical therapy and compare the outcomes of conventional physical therapy (CPT) to a physical therapy program based on reflex stimulation (RPT). Twelve children were allocated to CPT (n = 6, age 18.3 months) or RPT (n = 6, age 18.2 months). The RPT involved proprioceptive neuromuscular facilitation. Children were assessed with the Gross Motor Function Measure and the Pediatric Evaluation of Disability Inventory before and after treatment. Mann-Whitney tests compared the improvement on the two scales of CPT versus RPT and the Wilcoxon test compared CPT to RPT (before vs. after treatment). Possible correlations between the two scales were tested with Spearman correlation coefficients. Both groups showed improvement on self-care and mobility domains of both scales. There were no differences between the groups, before, or after intervention. The CPT and RPT showed similar results after ten weeks of treatment.

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Physical therapy of middle-aged women after the hip joint replacement

Health, sport, rehabilitation ◽

10.34142/hsr.2019.05.02.01 ◽

2019 ◽

Vol 5 (2) ◽

pp. 9

Author(s):

O.V. Bezyazychna ◽

S.V. Manucharyan ◽

L.V. Dugina

Keyword(s):

Physical Therapy ◽

Hip Joint ◽

Joint Replacement ◽

Training Period ◽

Control Group ◽

Middle Aged ◽

Hip Joint Replacement ◽

Therapy Program ◽

Biological Studies ◽

Physical Therapy Program

The purpose of the work: development and experimental substantiation of a physical therapy program for middle-aged women after the hip joint replacement.Material and methods. 22 middle-aged women after hip joint replacement (the non-cement form of fixation of the prosthesis components) during the training period took part in the experiment; they were divided into two groups, experimental and control one, 11 people in each. Women in the experimental group underwent physical therapy measures according to the author's program, and women of the control group underwent it according to the physical therapy program for individuals after the hip joint replacement.Pedagogical and medico-biological studies were conducted for 3 months. Primary and repeated study involved clinical methods (history collection, physical examination); assessment of the quality of life, as well as medical and pedagogical observations in the process of remedial gymnastics and mathematical statistics methods.Results. We present the program of physical therapy using remedial gymnastics based on step-down exercises with visual control and exercises with an elastic band on a healthy leg for balance training; therapeutic massage; physiotherapy according to conventional methods, namely: electromyostimulation; laser therapy.Conclusion. In the course of the study conducted, we came to the conclusion that the program of physical therapy for middle-aged women after hip joint replacement in the training period, developed and implemented in the Utility Non-Profit Enterprise of Kharkiv Oblast Council "Oblast Clinical Hospital" has allowed to increase the efficacy of rehabilitation; it is available to all specialized rehabilitation centers, and deserves a wide-scale implementation into practice.

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Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

Fisioterapia em Movimento ◽

10.1590/s0103-51502013000300004 ◽

2013 ◽

Vol 26 (3) ◽

pp. 503-513 ◽

Cited By ~ 1

Author(s):

Mariana Chaves Aveiro ◽

Patricia Driusso ◽

Julia Gianjoppe dos Santos ◽

Viviane Dassi Kiyoto ◽

Jorge Oishi

Keyword(s):

Quality Of Life ◽

Physical Therapy ◽

Elderly Women ◽

Exercise Group ◽

Community Dwelling ◽

Control Group ◽

Reliable Change ◽

Therapy Program ◽

Physical Therapy Program

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.

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