Proprioceptive Neuromuscular Facilitation Protocol for Thumb Osteoarthritis: A Pilot Study

Hand ◽  
2021 ◽  
pp. 155894472199078
Author(s):  
Raquel Cantero-Tellez ◽  
Nancy Naughton ◽  
Lori A. Algar ◽  
Ivan Medina-Porqueres ◽  
Leire Cruz-Gambero ◽  
...  
Keyword(s):  
Training Program ◽  
Effect Size ◽  
Standard Treatment ◽  
Pinch Strength ◽  
Control Group ◽  
Significant Difference ◽  
Proprioceptive Training ◽  
Thumb Carpometacarpal ◽  
Experimental Group ◽  
Cmc Joint

Background Osteoarthritis (OA) of the thumb carpometacarpal (CMC) joint often presents with joint instability and proprioceptive deficits. Proprioception has been found to play an important role in the rehabilitative process. The purpose of this study was to evaluate the effectiveness of a proprioceptive training program on pain and function in individuals with early-stage thumb Carpometacarpal joint OA. Methods A double-blind experimental trial using a 2-group pretest/posttest design was used in this pilot study. Participants had a diagnosis of grade I and II thumb CMC joint OA in their dominant hand and a pain rating of >4/10 on Visual Analogue Scale. Participants received either standard treatment (control group) or standard treatment plus a proprioceptive training program (experimental group). Outcome measures were lateral pinch strength, pain intensity during activities, and proprioceptive response via joint position sense (JPS) testing. Results Twelve individuals (average age of 66.25 years) participated. Both groups had a statistically significant decrease in pain and increase in lateral pinch strength, all occurring with a large effect size but no statistically significant difference between groups. The experimental group experienced a large effect size for JPS testing, whereas the control group experienced a trivial effect size, and there was a statistically significant difference between groups for JPS testing. Conclusions Individuals who completed the proprioceptive training program in this study had an improvement in proprioceptive functioning. This program shows potential for routine inclusion in hand therapy for thumb CMC joint OA; however, additional high-level studies with larger sample sizes are required.

scholarly journals The Effects of the TPACK-P Educational Program on Teachers’ TPACK: Programming as a Technological Tool

2018 ◽  
Vol 7 (3.34) ◽  
pp. 636
Author(s):  
Seong Won Kim ◽  
Youngjun Lee
Keyword(s):  
Statistical Analysis ◽  
Training Program ◽  
Content Knowledge ◽  
Educational Program ◽  
Control Group ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Technological Tool ◽  
Experimental Group

Background/Objectives: This study examined the effects of introducing programming as a technological tool for teachers’ Technological Pedagogical Content Knowledge (TPACK) development.Methods/Statistical Analysis: Thirty-two teachers were divided into two groups, completing different types of TPACK educational programs. The control group’s TPACK training program was based on information and communication technology (ICT), while that of the experimental group was based on programming. To verify the effectiveness of the TPACK training program, tests were administered before and after the educational program. A statistical analysis of questionnaire results also investigated changes resulting from TPACK.Findings: Both the control and experimental groups showed statistically significant improvements in the post-test compared with the pre-test. However, in the detailed areas of TPACK by group, the improvements in the two groups differed. Unlike the control group, the experimental group showed a statistically significant improvement in the knowledge related to technology. This result illustrated that programming is effective in solving the problem of integrating technology into the classroom. In contrast, there was no significant difference in the post-test, as this was applied in the short term. However, programming has been shown to affect Technological Pedagogical Knowledge (TPK), Technological Content Knowledge (TCK), and TPACK. In summary, the results showed that a TPACK educational program based on programming is effective for teachers’ TPACK development. Keywords: TPACK, In-service teacher, Programming, TPACK-P, Educational program

scholarly journals INVESTIGATION OF THE EFFECT OF 8 WEEKS CORE TRAINING PROGRAM ON FREE SHOOTING AND VERTICAL JUMP PERFORMANCE IN BASKETBALL PLAYERS AGED 16-18

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Vesile Şahiner ◽  
Feyzullah Koca
Keyword(s):  
Training Program ◽  
Vertical Jump ◽  
Control Group ◽  
Basketball Players ◽  
Jump Performance ◽  
Mean Values ◽  
Free Throw ◽  
Significant Difference ◽  
Core Training ◽  
Experimental Group

The aim of this study is to investigate the effects of the core training program applied for 8 weeks to basketball players aged 16-18 on free throw and vertical jump performance. 22 male basketball players (11 experimental group, 11 control group) aged 16-18 participated in the study voluntarily. While core training was applied to the basketball players in the experimental group, 2 days a week for 8 weeks, together with the basketball training, the basketball players in the control group only continued their routine basketball training. Free throw and vertical jump performance tests were applied to the subjects before applying the 8-week core training program (pre-test) and after the 8-week core training (post-test). Statistically significant difference was found between pretest and posttest in terms of experimental group free throw test values (p<0.05) Statistically significant difference was found between the pretest and posttest values of the control group in terms of free throw test values (p<0.05). When the experimental group and control group free throw pretest and posttest were compared, no statistical significance was found (p>0.05). A statistically significant difference was found between the pretest and posttest in terms of vertical jump test values of the experimental group and the control group (p<0.05). However, the development in the experimental group was higher than in the control group. There was no statistically significant difference between the free throw test difference mean values of the experimental group and the control group (p>0.05). A statistically significant difference was found between the vertical jump test difference mean values of the experimental group and the control group (p<0.05). As a result, it can be said that 8-week core training has positive effects on the development of vertical jump performance on basketball players, but no effect on free throw performance. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0870/a.php" alt="Hit counter" /></p>

scholarly journals The effect of mother value training program to the social skill levels of the 5-6 years old children

2014 ◽  
Vol 4 (4) ◽  
pp. 103-116
Author(s):  
Seviye Neslitürk ◽  
Mehmet Engin Deniz
Keyword(s):  
Social Skills ◽  
Training Program ◽  
Experimental Research ◽  
Social Skill ◽  
Self Control ◽  
Control Group ◽  
Skill Levels ◽  
The Social ◽  
Significant Difference ◽  
Experimental Group

This research is planned on the purpose of investigation the effect of Mother Value Training Program (ADEP), which is provided to the mothers of children who attend kindergarten, to the social skills level of 5-6 years old children. In the study, pretest-posttest and experimental research design including the control and experimental groups was used; there were 24 children in each group. The Mother Value Training Program (ADEP) is applied to the mothers of children in the experimental group during 9-weeks. There are 18 sessions and the duration of each is 120 -150 minutes. For the collection of data, Social Skills Improvement System "SSİS" Parent Form was used.  As a result of the analyses, a significant difference was not observed in the control group. However, significantly increasing effect in the social skills related to the communication, cooperation, self-expression, responsibility, empathy, acting together with the group and self-control was observed in the experimental group children. In addition, as a result of the screening test, this effect was also observed in other social skills other than communication.

scholarly journals Investigating the Effect of an Online Self-Care Training Program on Perceived Stress in COVID-19 Patients

2022 ◽  
Author(s):  
Arash Marzban ◽  
Zahra Farsi ◽  
Effat Afaghi ◽  
Mehdi Rezaei ◽  
Mohsen Moradi
Keyword(s):  
Training Program ◽  
Perceived Stress ◽  
Self Care ◽  
Control Group ◽  
Instructional Videos ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Care Training ◽  
The Mean ◽  
Experimental Group

Abstract Background: The coronavirus disease 2019 (COVID-19) caused many adverse effects, including increased stress in patients. The present study aimed to determine the effect of an online self-care training program on perceived stress in COVID-19 patients.Methods: This quasi-experimental study was fulfilled by recruiting 132 COVID-19 patients, referred to two hospitals in Isfahan, Iran, from February 20 to August 22, 2021. These patients were selected using the convenience sampling method, and were then randomized into experimental (n=63) and control (n=63) groups. The online self-care training program was subsequently presented to the patients in the experimental group, during six sessions of 30 minutes for two weeks. E-learning and educational content introduced through lectures, multimedia, and instructional videos using web platforms. Then, daily follow-up sessions continued until one month after the intervention. The data were collected administering an individual characteristic form and the Perceived Stress Scale (PSS) at three stages before, immediately, and one month after the intervention.Results: The mean scores of perceived stress before, immediately, and one month after the intervention in the experimental group were respectively 30.51±6.31, 24.59±4.66, and 26.57±3.82, and they were 29.78±4.81, 29.4±4.57, and 29.11±4.73 in that order in the control group. Moreover, no significant difference was observed between both groups at the pre-intervention stage (p=0.467), while the mean scores of perceived stress in the experimental group were lower compared with those in the control group immediately (p<0.001) and one month after the intervention (p=0.001). The mean scores of perceived stress in the experimental group before, immediately, and one month after the intervention had also changed in a significant manner (p<0.001), whereas there was no significant variation in the control group in this respect (p=0.298).Conclusions: The online self-care training program led to a reduction in perceived stress in COVID-19 patients. It is thus recommended to implement this cheap, safe, and efficient method to relieve perceived stress in such cases.

scholarly journals EFFECTIVENESS OF METACOGNITION-BASED READING ENRICHMENT PROGRAM TO STUDENTS READING COMPREHENSION

2021 ◽  
Vol 9 (02) ◽  
pp. 111-135
Author(s):  
Leo Vigil M. Batuctoc
Keyword(s):  
Reading Comprehension ◽  
Effect Size ◽  
Practical Significance ◽  
Medium Effect ◽  
Control Group ◽  
Significant Difference ◽  
Comparison Groups ◽  
Enrichment Program ◽  
Experimental Group ◽  
D Value

The main focus of this study is to determine the effectiveness of the metacognition-based reading enrichment program to the students reading comprehension. The pretest-posttest non-equivalent control group design which falls under the quasi-experimental design was used. On the test of significant difference between the formative test mean scores of the experimental and comparison groups, it was found out that the formative tests had significant effect to the respondents reading comprehension. Moreover, based on the computed Cohens d value, the lessons have a small top medium effect size. It was revealed that there is a significant difference between the posttest mean scores of the experimental and comparison groups at 0.01 level of significance. Moreover, based on the computed Cohens d value of 0.98, the effect size of the metacognition-based reading enrichment program to the students reading comprehension based on the posttest is large. There is a significant difference between the formative test mean scores of the students in the comparison and experimental group under the metacognition-based reading enrichment program. Furthermore, Cohens effect size values suggested a small to medium practical significance. There is a significant difference between the posttest mean scores of the students in the comparison and experimental group under the metacognition-based reading enrichment program. Furthermore, Cohens effect size value (d=0.98) suggested a substantial effect of the metacognition-based reading enrichment program to the respondents reading comprehension. As for the recommendations, it was noted that there is a need for English teachers to integrate the instruction of metacognitive strategies, as it helps in improving students reading comprehension.

Thumb Carpometacarpal Arthroplasty with Dynamic Suspension Sling Using Extensor Carpi Radialis Tendon

2019 ◽  
Vol 24 (03) ◽  
pp. 353-358
Author(s):  
Takehiko Takagi ◽  
Yuka Kobayashi ◽  
Masahiko Watanabe
Keyword(s):  
Insertion Site ◽  
Dorsal Side ◽  
Pinch Strength ◽  
Reconstruction Method ◽  
Dash Score ◽  
Post Surgery ◽  
Significant Difference ◽  
Thumb Carpometacarpal ◽  
Extensor Carpi Radialis ◽  
Cmc Joint

Background: Despite various treatment methods, complications are reported with ligament reconstruction for thumb carpometacarpal (CMC) arthropathy, such as proximal migration, dorsal subluxation of the first metacarpal base, and hyperextension of the first CMC joint. The flexor carpi radialis (FCR) tendon is, in some cases, too thin to maintain suspension on the first metacarpophalangeal (MCP) joint. We used one-half of the extensor carpi radialis longus (ECRL) tendon instead of the FCR tendon, and compared this method with conventional reconstruction using the FCR tendon. Methods: The procedures were performed during 12 thumb CMC arthropathies. One-half of the ECRL tendon was passed and then wrapped around the intact FCR tendon several times for 6 cases (ECRL group). One-half of the FCR tendon was passed for 6 cases (FCR group). On radiography, we compared the thumb to index finger metacarpal angle (M1M2) and the first MCP angle (P1M1) between groups. Grip strength, pinch strength, and DASH score were also evaluated up to 2 years post-surgery. Results: In the ECRL group, M1M2 and P1M1 1 year post-surgery showed significant improvements compared to those before surgery; they showed no significant difference in the FCR group, although they achieved a peak at 3 months post-surgery in both groups. Both groups showed improvements in other parameters from 3 months to 1 year post-surgery. Conclusions: Postoperative progression of hyperextension of the first CMC joint was significantly reduced in the ECRL group. The ECRL tendon is thicker than the FCR tendon. In addition, the insertion site of the ECRL tendon is at the dorsal side of the second metacarpal, and the tendon can extend from the dorsal side to the volar side to stabilize the first metacarpal. Thumb CMC arthroplasty using one-half of the ECRL tendon is a useful reconstruction method.

scholarly journals The Influence of functional training on biomotor skills in girl tennis players aged 10–12

2020 ◽  
Vol 12 (4) ◽  
pp. 33-45
Author(s):  
OKTAY ZIRHLI ◽  
NEVZAT DEMIRCI
Keyword(s):  
Training Program ◽  
Training Programs ◽  
Anaerobic Power ◽  
Control Group ◽  
Tennis Players ◽  
Functional Training ◽  
Significant Difference ◽  
Post Test ◽  
Experimental Group

Background: ‪The purpose of this study is to examine whether functional training has an impact on biomotor skills of 10–12-year-old girls. Material and methods: ‪The study involved 20 girls (10 controls and 10 subjects) – who had been playing tennis for at least 2 years. A routine tennis training program was applied to the control group of tennis players participating in the study: 4 days a week, 90 minutes a day for 8 weeks. A 2+2 training program (2 days routine and 2 days functional training) was applied to the experimental group of tennis players for 8 weeks, 4 days a week, 90 minutes a day. At the end of the training program, biomotor tests were conducted. Results: ‪There was not any significant differences when the pre-test and post-test values of the control group of tennis players who performed traditional tennis training were compared with their biomotor skills and Wingate anaerobic power (p> .05). When the pre-test and post-test values of the experimental group of tennis players with 8-week functional tennis training were compared with their biomotor skills and Wingate anaerobic power, a significant difference was found in all variables (p <0.01). Conclusions: ‪The obtained data shows that the "functional training" programs implemented together with "routine tennis training" can positively improve the biomotor characteristics of 10–12 year-old girl tennis players.

scholarly journals The Effect of Virtual Reality-Based Therapy on Improving Upper Limb Functions in Individuals With Stroke: A Randomized Control Trial

2021 ◽  
Vol 13 ◽  
Author(s):  
Ehab Mohamed Abd El-Kafy ◽  
Mansour Abdullah Alshehri ◽  
Amir Abdel-Raouf El-Fiky ◽  
Mohamad Abdelhamid Guermazi
Keyword(s):  
Virtual Reality ◽  
Training Program ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Control Group ◽  
Stroke Incidence ◽  
Functional Training ◽  
Significant Difference ◽  
And Control ◽  
Experimental Group

Background: Stroke is a common cause of motor disability. The recovery of upper limb after stroke is poor, with few stroke survivors regaining some functional use of the affected upper limb. This is further complicated by the fact that the prolonged rehabilitation is accompanied by multiple challenges in using and identifying meaningful and motivated treatment tasks that may be adapted and graded to facilitate the rehabilitation program. Virtual reality-based therapy is one of the most innovative approaches in rehabilitation technology and virtual reality systems can provide enhanced feedback to promote motor learning in individuals with neurological or musculoskeletal diseases.Purpose: This study investigated the effect of virtual reality-based therapy on improving upper limb functions in individuals with chronic stroke.Methods: Forty Saudi individuals with chronic stroke (6–24 months following stroke incidence) and degree of spasticity ranged between 1, 1 + and 2 according to Modified Ashworth Scale were included in this study. Participants were randomly assigned into two groups, experimental and control, with the experimental group undertaking a conventional 1-h functional training program, followed by another hour of virtual reality-based therapy using Armeo Spring equipment and the control group received 2 h of a conventional functional training program. The treatment program was conducted three times per week for three successive months. The change in the scores of Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT), WMFT-Time (time required to complete the test) and Hand Grip Strength (HGS) were recorded at baseline and after completion of the treatment. Parametric (paired and unpaired t-tests) non-parametric (Wilcoxon and Mann–Whitney tests) statistical tests were used to identify the differences within and between groups (experimental group and control group) and evaluation times (pre- and immediately post-treatment).Results: Both groups showed significant differences (all, P &lt; 0.05) in all measured variables after 3 months of the treatment. Individuals with stoke in the experimental group had a better improvement in ARAT (P &lt; 0.01), WMFT (P &lt; 0.01) and WMFT-Time (P &lt; 0.01) scores after completion of the treatment compared to the control group. No significant difference in HGS scores was detected between groups after completion of the treatment (P = 0.252).Conclusion: The use of combined treatment of virtual reality-based therapy and conventional functional training program is more effective for improving upper limb functions in individuals with chronic stroke than the use of the conventional program alone.

scholarly journals The Effects of 8-Week Aerobic Training Program on Respiratory and Circulatory Parameters of Female Swimmers Between 12-14 Years Old

2018 ◽  
Vol 6 (12) ◽  
pp. 202 ◽  
Author(s):  
Meltem Kilicaslan Kalkan ◽  
Onder Daglioglu
Keyword(s):  
Blood Pressure ◽  
Training Program ◽  
Vital Capacity ◽  
Aerobic Training ◽  
T Test ◽  
Control Group ◽  
Respiratory Parameters ◽  
Significant Difference ◽  
Experimental Group ◽  
Group Comparisons

The purpose of this study is to investigate the effect of 8-week aerobic training program on respiratory and circulatory parameters in female swimmers between 12-14 years old. A total of 22 female swimmers, who were between 12-14 years old and joined to the national competitions in the province of Gaziantep, participated as volunteers. The subjects were randomly divided into two groups as experimental group (n=11, age:13.12±0.69) and control group (n=11, age:12.56±0.53). Aerobic training program was applied to the experimental group 3 days a week for 8 weeks. Both groups continued their regular swimming trainings. Resting heart rate (RHR), systolic blood pressure (SBP), diastolic blood pressure (DBP) measurements of the subjects were performed as circulatory parameters before and after training. These values were measured by Omron M6 Comfort device. Measurements of vital capacity (VC), forced vital capacity (FVC), forced expiratory volume (FEV1) and forced expiratory rate (FEV1/FVC) were performed as respiratory parameters. These values were measured by M.E.C. Pocket Spiro USB-100 instruments. For statistical analysis of data, Paired Sample t test was used for intra-group comparisons, and the Independent Sample t test was used for inter-group comparisons. The level of significance was determined as p<0.05. In the study we performed, the values of RHR, SBP, DBP, VC, FVC, FEV1 and FEV1/FVC were found to be significant after the aerobic training program applied to the experimental group (p<0.05). The circulatory parameters of the control group showed significance at p<0.05 level in RHR value. There was no significant difference between SBP and DBP values (p>0.05). The respiratory parameters of the control group were significant in FVC and FEV1 values (p<0.05). There was no significant difference between VC and FEV1/FVC values (p>0.05). As a result, it is thought that aerobic trainings have positive effects on respiratory and circulatory parameters in swimmers. It can be said that regular aerobic training improves respiratory and circulatory parameters.

scholarly journals The effectiveness of a parent-training program for promoting cognitive performance in preschool children

2017 ◽  
Vol 13 (3) ◽  
pp. 519-531
Author(s):  
Elahe Vahidi ◽  
Amir Aminyazdi ◽  
Hossein Kareshki
Keyword(s):  
Parent Training ◽  
Training Program ◽  
Cognitive Performance ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Parent Child Interactions ◽  
Significant Difference ◽  
Parent Training Program ◽  
Experimental Group ◽  
Parent Child

The study aims to evaluate the effectiveness of a parent training program for promoting cognitive performance of young children through enriching the parent-child interactions among mothers of preschool-aged children in Mashhad, Iran. A total of 29 couples of mothers and their children were assigned to an experimental group (n = 16 couples) and a control group (n = 13 couples). Mothers in the experimental group participated in 12 weekly sessions and were trained how to enrich their daily parent-child interactions as such. Children’s cognitive performance was assessed by three subscales of the Wechsler Preschool and Primary Scale of Intelligence (WPPSI). The results of the analysis of covariance (ANCOVA) indicated a significant difference between the experimental and control group. The findings support the effectiveness of the parent training program for enhancing cognitive performance in preschoolers.

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