scholarly journals Physical Therapy for Gait, Balance, and Cognition in Individuals with Cognitive Impairment: A Retrospective Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Jason Longhurst ◽  
Jason Phan ◽  
Elbert Chen ◽  
Steven Jackson ◽  
Merrill R. Landers
Keyword(s):  
Cognitive Impairment ◽  
Physical Therapy ◽  
Retrospective Analysis ◽  
Treatment Strategy ◽  
Lewy Bodies ◽  
Primary Treatment ◽  
Balance Performance ◽  
Group Methods ◽  
Before And After ◽  
The Mean

Objectives. The purpose of this study was to determine if a pragmatic physical therapy (PT) program was associated with improved cognition, gait, and balance in individuals with cognitive impairment. This study investigated these associations for individuals with Alzheimer disease (AD), vascular dementia (VaD), dementia with Lewy bodies (DLB), and mild cognitive impairment (MCI) in order to better characterize outcomes to PT for each diagnostic group. Methods. Data before and after one month of physical therapy were extracted from patient records (67 with AD, 34 with VaD, 35 with DLB, and 37 with MCI). The mean number of PT sessions over a month was 3.4 (±1.8). Outcomes covered the domains of gait, balance, and cognition with multiple outcomes used to measure different constructs within the balance and gait domains. Results. All groups showed improvements in balance and at least one gait outcome measure. Those with MCI improved in every measure of gait and balance performance. Lastly, cognition as measured by Montreal Cognitive Assessment improved in individuals in the AD, VaD, and MCI groups. Conclusion. While this retrospective analysis is not appropriate for causal inference, results of one month of physical therapy were associated with decreases in gait, balance, and cognitive impairment in individuals with AD, VaD, DLB<, and MCI. Clinical Implications. While physical therapy is not typically a primary treatment strategy for individuals with cognitive impairment, the results of this study are consistent with the literature that demonstrates improvement from physical therapy for other neurodegenerative diseases. Further clinical and research exploration for physical therapy as a primary treatment strategy in these populations is warranted.

scholarly journals Analysis of Physical Therapy in Psoriasis

2019 ◽  
Vol 61 (2) ◽  
pp. 87-94
Author(s):  
Włodzisław Kuliński ◽  
Barbara Zielińska
Keyword(s):  
Physical Therapy ◽  
Hydrogen Sulphide ◽  
Skin Diseases ◽  
Objective Assessment ◽  
Skin Lesions ◽  
Hospital Treatment ◽  
Puva Therapy ◽  
Before And After ◽  
Common Skin ◽  
The Mean

Introduction: Psoriasis is one of the most common skin diseases. It is a chronic and recurrent disorder that constitutes both a clinical and a social problem. Psoriasis can be effectively treated with comprehensive balneophysiotherapy (sulphide/hydrogen sulphide baths, PUVA therapy, cryotherapy). Aim: To analyse physical therapy in patients with psoriasis treated at a thermal resort. Material and Methods: The study was conducted at the “Jasna” thermal resort in Solec-Zdrój. The patients underwent balneophysiotherapy in the form of sulphide/hydrogen sulphide baths, PUVA therapy, and cryotherapy. The study group consisted of 40 subjects (28 females and 12 males) with psoriasis. The mean age was 43 years (range: 21 to 65 years). Subjective (a 21-item questionnaire) and objective assessment of the patients’ status was performed both before and after a series of physical therapy procedures. Results: After 3 weeks of treatment, the patients’ physical status was remarkably improved; skin lesions, pain, and burning resolved. The mental status of the subjects was improved as well. The results confirm that physical therapy is highly effective in psoriatic patients. Conclusions: The procedures performed at the thermal resort had a beneficial influence on the subjects’ health. Remarkable improvements were found using both subjective and objective methods of assessment. Thermal hospital treatment is an optimal form of management in psoriatic patients.

scholarly journals Effectiveness of treatment of patients affected by trochanter major enthesitis

2012 ◽  
Vol 2 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Eldad Kaljić ◽  
Namik Trtak ◽  
Bakir Katana ◽  
Muris Pecar
Keyword(s):  
Physical Therapy ◽  
Functional Status ◽  
Retrospective Analysis ◽  
Treatment Success ◽  
Bed Rest ◽  
Research Results ◽  
Trochanter Major ◽  
Different Ages ◽  
The Mean ◽  
Treatment Abandonment

Introduction: Enthesitis of the trochanter major is characterized by pain and often by limping when walking, then pain, tension, swelling, increased warmth and redness in the area of trochanter, and hip weaknessespecially when performing exercises with resistance. Research goals: Determine the effectiveness of treatment of major trochanter enthesitis, and analyze the representation of it in patients of both gender, different ages and professions.Methods: Retrospective analysis of data from the clinic "Praxis" in the period from 01.01.2001. to 31.12.2011. year because of the major trochanter enthesitis 30 patients were treated. Criteria for inclusion in the study were those people with symptoms and diagnosis of of the trochanter major enthesitis who have accessed treatment, while the criteria for exclusion were inadequate diagnosis, treatment abandonment and lack ofpatient data. The process of therapy included the evaluation of the functional status of patients graded 0-5, then conducted physical therapy that included: bed rest, manual massage and local instillation of depot corticosteroids, and assessment of treatment success ranging from 0 to 5.Research results: The mean score for condition of respondents was 3.27 before therapy, while after treatment it was 4.33. The mean score for status of respondents was 3.13 before treatment, and after therapy itwas 4.33.Conslusion: Based on these data we can conclude that treatment in the clinic "Praxis" leads to the improvement in patients suffering from the enthesitis of trochanter major.

Management of Cystic Craniopharyngiomas with Phosphorus-32 Intracavitary Irradiation

Neurosurgery ◽  
2004 ◽  
Vol 54 (4) ◽  
pp. 813-822 ◽  
Author(s):  
Toshinori Hasegawa ◽  
Douglas Kondziolka ◽  
Costas G. Hadjipanayis ◽  
L. Dade Lunsford
Keyword(s):  
Visual Function ◽  
Survival Rates ◽  
Primary Treatment ◽  
Tumor Control ◽  
Actuarial Survival ◽  
Intracavitary Irradiation ◽  
Cyst Volume ◽  
Before And After ◽  
The Mean ◽  
Visual Testing

Abstract OBJECTIVE The efficacy of stereotactic intracavitary irradiation with phosphorus-32 (32P) for patients with cystic craniopharyngiomas was assessed on the basis of patient survival, tumor control, and visual and endocrinological function before and after treatment. Limited data are available regarding long-term outcomes. METHODS Forty-nine patients were treated with stereotactic 32P intracavitary irradiation. Of these, 25 had had no prior treatment as the primary treatment, and 24 were treated for residual or recurrent tumor cysts. At the time of 32P intracavitary irradiation, 34 of the patients were adults, and 15 were children younger than 16 years of age. The mean cyst volume was 13 ml. The radiation dose varied from 189 to 250 Gy to the cyst wall during five half-lives of the isotope (mean, 224 Gy). The mean follow-up periods were 7 years after diagnosis and 4 years after 32P treatment. RESULTS The actuarial survival rates were 90% at 5 years after the diagnosis and 80% at 10 years. The actuarial tumor cyst control rates were 76% at 5 years and 70% at 10 years after the diagnosis. After treatment, 9 (23%) of 40 patients who underwent preoperative and postoperative visual testing were found to have delayed worsening in visual function, 6 as a result of tumor progression and 3 attributed to irradiation. Nineteen patients (48%) had improved visual function. Of 17 patients who had normal preoperative pituitary function or stalk effect, 12 (71%) had preserved and 5 (29%) had worsened visual function. No complications other than visual or endocrinological deterioration occurred in these patients. CONCLUSION For patients with cystic craniopharyngiomas, 32P intracavitary irradiation proved effective, with a low risk of complications, for the control of tumor cysts but not of solid tumor components.

Effects of bariatric surgery on serum uric acid in people with obesity with or without hyperuricaemia and gout: a retrospective analysis

Rheumatology ◽  
2021 ◽  
Author(s):  
Jine Lu ◽  
Zhiyao Bai ◽  
Yunqing Chen ◽  
Yingxu Li ◽  
Min Tang ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Body Weight ◽  
Uric Acid ◽  
Retrospective Analysis ◽  
Serum Uric Acid ◽  
Weight Reduction ◽  
The Body ◽  
Before And After ◽  
Hospital Patients ◽  
The Mean

Abstract Objectives Weight reduction may reduce serum uric acid (SUA). This study aimed to examine the changes of SUA before and after bariatric surgery in patients with obesity with or without hyperuricaemia and gout. Methods This is a retrospective analysis of 147 routinely collected data on hospital patients with obesity who underwent bariatric surgery. The body weight and SUA were measured at baseline and after surgery at 1–7 days, 1, 3, 6 and 12 months. Results The mean (95% CI) weight reduction of 147 patients was 30.7 (28.7, 32.7) kg 1 year after surgery (P &lt; 0.001). SUA decreased rapidly from 419.0 (400.1, 437.8) µmol/l at baseline to 308.4 (289.6, 327.2) µmol/l at 1–7 days, flared up to 444.8 (423.9, 465.6) µmol/l at 1 month, then decreased again to 383.8 (361.5, 406.1) µmol/l at 3 months, 348.9 (326.3, 371.5) µmol/l at 6 months and 327.9 (305.3, 350.5) µmol/l at 12 months (P &lt; 0.001). Similar trends but more rapid reductions were observed in 55 hyperuricaemia patients and 25 gout patients. All 25 gout patients had an elevated SUA above the therapeutic target (≥360µmmol/l) at baseline, but in 10 patients it was reduced below this target at 12 months. The mean reduction (95% CI) of SUA in all patients and gout patients was 84.3 (63.1–105.4) and 163.6 (103.9, 223.3) µmmol/l, respectively. Conclusion Bariatric surgery significantly reduces body weight and SUA for obese patients with hyperuricaemia and gout. Gout may be considered as an indicator for this surgical treatment in people with severe obesity.

scholarly journals Decision Making for Physical Therapy Service Delivery in Schools: A Nationwide Survey of Pediatric Physical Therapists

2004 ◽  
Vol 84 (10) ◽  
pp. 919-933 ◽  
Author(s):  
Marcia K Kaminker ◽  
Lisa A Chiarello ◽  
Margaret E O'Neil ◽  
Carol Gildenberg Dichter
Keyword(s):  
Decision Making ◽  
Cognitive Impairment ◽  
Physical Therapy ◽  
Service Delivery ◽  
Physical Therapists ◽  
Nationwide Survey ◽  
School Based ◽  
The Mean ◽  
Survey Responses ◽  
Therapy Service

Background and Purpose. A nationwide survey was conducted to explore decision making among school-based physical therapists and to examine recommendations regarding the models, contexts, frequency, and intensity of physical therapy service delivery. Factors that the therapists considered important in making clinical decisions also were examined. Subjects and Methods. A survey instrument using a clinical case format was sent to all members of the American Physical Therapy Association's Section on Pediatrics who identified themselves as school-based therapists (N=1,154); 626 respondents, from all 50 states, completed the survey. Four case descriptions were presented in the survey: 2 preschool girls with developmental delay (1 with and 1 without cognitive impairment) and a boy with cerebral palsy (at 6 and 12 years of age). Results. Individual direct services were recommended by 52% to 55% of the respondents for both 4-year-old girls and for the boy at 12 years of age; 92% of the respondents recommended them for the boy at 6 years of age. The most prevalent choice (48%-73%) for the context of service delivery (location or environment) was a combination of integrated and isolated contexts. For those respondents who selected direct services (individual or group, or both), the mean recommended monthly frequency for the boy at 6 years of age (5.8) was more than twice that for the boy at 12 years of age (2.4). The mean suggested direct frequency for the girl with cognitive impairment (4.5) was greater than that for the girl without cognitive impairment (4). The students' functional levels were considered very to extremely important in decision making by 87% to 90% of the respondents. Discussion and Conclusion. Survey responses were relatively consistent with current literature regarding school practice and principles of motor learning. Recommendations varied for each case, regarding the models, contexts, frequency, and intensity of physical therapy service delivery.

scholarly journals EFFICIENCY OF BREATHING EXERCISES USED IN PHYSICAL THERAPY FOR 6–12-YEAR-OLD ASTHMATIC CHILDREN’S RESPIRATORY FUNCTION

2016 ◽  
Vol 4 (103) ◽  
pp. 19-23
Author(s):  
Vytautas Karuža ◽  
Eglė Lendraitienė
Keyword(s):  
Physical Therapy ◽  
Respiratory Function ◽  
Respiratory Arrest ◽  
Abdominal Muscle ◽  
Muscle Endurance ◽  
Exhaled Breath ◽  
Test Results ◽  
Breathing Exercises ◽  
Before And After ◽  
The Mean

Background. The aim of the study was to assess the efficiency of breathing exercises for 6–12- year-old asthmatic children’s respiratory function. Methods. The study involved 15 children, 9 boys (60%) and 6 girls (40%). The average age of all subjects was 9.07 ± 1.94 years. Boys’ average age was 8.89 ± 1.90 years, and that of the girls – 8.33 ± 2.16 years. All subjects participated in physical therapy were breathing exercises were applied for four weeks, 30–45 minutes per day. Moreover, before and after treatment with breathing exercises they had Stange and Henci tests (samples of breathing); breathing muscle strength test with pneumotonometer and abdominal muscle endurance test. Results. After four weeks of physical therapy, the mean respiratory arrest inhalation statistically significantly increased by 11.16%, (p < .05). Exhaled breath with hold was 19.17% of the average change, but this change was not statistically significant (p > .05); inspiration pressure changed by 27.30% on average (p < .05); static abdominal muscle endurance significantly increased from 26.33 to 36.13%; right side muscle static endurance significantly increased by 31.78% and left side static muscle endurance changed by 19.43%. Conclusion. Breathing exercises applied for four weeks for children aged 6–12 years, suffering from bronchial asthma, are useful for increasing respiratory arrest aspiration, inspiration and expiratory pressure, and the abdomen, trunk muscle endurance, but they do not result in any changes in respiratory arrest exhaled.

scholarly journals A profile of dementia patients in a Serbian sample - experience from the center for dementia and memory disorders

2020 ◽  
Vol 77 (3) ◽  
pp. 271-281
Author(s):  
Biljana Salak-Djokic ◽  
Tanja Stojkovic ◽  
Gorana Mandic-Stojmenovic ◽  
Elka Stefanova
Keyword(s):  
Cognitive Impairment ◽  
Lewy Bodies ◽  
Diagnostic Procedures ◽  
Vascular Pathology ◽  
Memory Disorders ◽  
Mental Test Score ◽  
Dementia Patients ◽  
Neurology Clinic ◽  
Average Education ◽  
The Mean

Background/Aim. In accordance with modern trends of organizing specialized service dealing with dementia, the first memory clinic in Serbia ? Center for memory disorders and dementia was established in 2008 in Belgrade at Neurology Clinic ? Clinical Center of Serbia (CCS) as a university-affiliated outpatient clinic for subjects with cognitive impairment and dementia. The aim of this report was to outline the frequency of diagnosis, sociodemographic and medical characteristics of patients referring to the Center for memory disorders and dementia. Methods. The sample consisted of patients registered between 2008 and 2016 who underwent comprehensive and specialized diagnostic procedures in the Center. Results. A total of 3,873 visits were made for 2,198 patients, 39.6% of which proceed to annually follow-up visits. The majority of the sample (65.3%) was women. The mean age was 69.8 ? 12.1 years (range 29?89 years) and the average education level was 12.1 ? 3.3 years. Of this total number, at the moment of the first visit, 44.4% of the patients were fulfill criteria for Mild cognitive impairment (MCI), 28.2% had dementia due to Alzheimer?s disease (AD), 7.8% had dementia secondary to a vascular pathology (VaD), 7.3% had frontotemporal dementia (FTD), 0.6% had dementia with Lewy bodies (DLB), and 1.7% had dementia due to Parkinson's disease (PDD). The mean Mini Mental test score in the whole sample was 22.6 ? 6.8 points. Conclusion. The data collected through the activity of the Center enabled an insight into the demographic and medical characteristics of patients, as well as planning further activities in the health care system. The systemic introduction of more standardized diagnostic practices, establishing and networking of similar centers will improve the accuracy and rate of dementia diagnosis in the Serbian population.

scholarly journals The Effect of Frenotomy on the Tongue Length, Motion, and Speech According to Age

2021 ◽  
Vol 64 (2) ◽  
pp. 98-102
Author(s):  
Ju Eun Kim ◽  
Bo Ram Keum ◽  
Sung Won Li ◽  
Sung Min Park ◽  
Bin Kwon ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Speech Therapy ◽  
Age Groups ◽  
Primary Treatment ◽  
Lateral Movement ◽  
Surgery Timing ◽  
Articulation Disorders ◽  
The Mean ◽  
Tongue Length ◽  
Tongue Mobility

Background and Objectives Ankyloglossia often results in articulation disorders, which depends on age, articulation ability, and mobility of the tongue. A primary treatment strategy includes surgery and/or speech therapy. This study aimed to evaluate the changes of the tongue length, tongue mobility, and percentage of consonants correct (PCC) after frenotomy. We investigated the optimal surgery timing for ankyloglossia.Subjects and Method A total of 136 patients underwent frenotomy for the tongue tie between January 2016 and December 2019. There were 90 males and 46 females, with the mean age of 5.23, which ranged from 2 to 10 years. The length of the tongue was measured for all patients during the operation preoperatively and postoperatively. The mobility of the tongue and PCC were performed preoperatively and 1 month after surgery by two speech therapists. Patients were divided according to age into three groups: 2-3 years, 4-5 years, and over 6 years old.Results The mean tongue length of all age groups was significantly elongated after surgery (<i>p</i><0.05). After frenotomy, the mobility of tongue, including horizontal protrusion, protrusion with upward pointing, circumlocution, and lateral movement, was improved. Also, PCCs of all age groups were significantly improved after surgery (<i>p</i><0.05).Conclusion Frenotomy can be an effective procedure for children with ankyloglossia in all age groups. After frenotomy, length of the tongue, mobility of the tongue and PCC were significantly improved.

Subjective Headache before and after Endoscopic Sinus Surgery

2006 ◽  
Vol 20 (3) ◽  
pp. 305-307 ◽  
Author(s):  
William H. Moretz ◽  
Stilianos E. Kountakis
Keyword(s):  
Retrospective Analysis ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyps ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Common Symptom ◽  
Analog Scale ◽  
Before And After ◽  
The Mean

Background The aim of this study was to show the effect of endoscopic sinus surgery on subjective headache scores in patients diagnosed with chronic rhinosinusitis (CRS) with or without nasal polyps. Methods We performed a retrospective analysis of prospectively collected data from 201 patients over a 2-year period. Headache and Sino-Nasal Outcomes Test (SNOT-20) mean scores were compared preoperatively and 2 years postoperatively on patients diagnosed with CRS with or without nasal polyps. Results Two hundred one patients underwent surgical management of CRS with or without nasal polyps over a 3-year period. One hundred four patients were men and 97 were women, with a mean age of 49 (range, 18–80 years) years. Polyps were present in 78 patients with CRS. The mean subjective headache score based on a 0–10 visual analog scale improved from 4.7 preoperatively to 0.8 2 years postoperatively (p < 0.0001). The mean headache score of 123 patients without polyps was larger compared with 78 patients with polyps (5.1 versus 4.1, respectively; p < 0.05). As previously reported, the mean overall preoperative and postoperative SNOT-20 scores were 28.7 and 6.7, respectively (p < 0.0001). Conclusion Headache is a common symptom with CRS, present in 73.6% of our patients undergoing functional endoscopic sinus surgery for CRS with or without nasal polyps. An overall decrease in mean headache scores was noted at 2-year follow-up.

scholarly journals The Immediate Effect of Kinesio Taping on the Balance Performance of Patients with Chronic Ankle Sprains: A Randomized Controlled Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rabeeh Hariri ◽  
Amir Bakhtiary ◽  
Majid Mirmohammadkhani
Keyword(s):  
Ankle Sprain ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Controlled Trial ◽  
Control Group ◽  
Ankle Sprains ◽  
Balance Performance ◽  
Kinesio Taping ◽  
Before And After ◽  
The Mean

Background: Lateral ankle sprain is a common injury resulting from a rapid supination moment that damages the lateral ligaments and cartilaginous surfaces and contributes to the deterioration of functional ankle stability and balance among individuals. Objectives: This study aimed to investigate the immediate effect of Kinesio Taping (KT) on the balance performance of patients with chronic ankle sprains. Methods: This randomized, single-blind, parallel-group study was performed using the allocation concealment method. Sixty individuals (27 males and 33 females) with a history of ankle sprain were recruited and randomly assigned to one of the experimental (KT; n = 30) or control (non-KT; n = 30) groups. The intervention continued for two consecutive days, including four assessment sessions before and after taping on the first day and before and after removing KT on the second day. The mean and standard deviation (SD) of the center of pressure (COP) displacement and the velocity and SD of COP displacement were measured in the ant-post and med-lat directions following inversion and anterior perturbations. For data analysis, analysis of variance (ANOVA) test was performed using SPSS software version 22. This study was registered in the Iranian Registry of Clinical Trials (IRCT2013110415262N1). Results: The results of repeated measures ANOVA revealed an increase in the mean changes of COP displacement, velocity of COP displacement, and SD of COP displacement in the med-lat direction during inversion perturbation immediately after KT (P = 0.031, P = 0.005, and P = 0.011, respectively) and 24 hours after KT (P = 0.019, P = 0.002, and P = 0.009, respectively), compared to the control group. Moreover, during anterior perturbation, a significant increase was observed in the SD of COP displacement immediately and 24 hours after applying KT in the med-lat direction, compared to the control group (P = 0.022 and P = 0.016, respectively). Conclusions: Our findings revealed that KT might not improve the COP sway during perturbation in individuals with ankle sprains.

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