scholarly journals Effect of using adaptive seating equipment on grasping and visual motor integration in children with hemiparetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Ahmed Mahrous Elsayed ◽  
Elham Elsayed Salem ◽  
Sahar Mohamed Nour Eldin ◽  
Mai Elsayed Abbass

Abstract Background Adaptive seating is commonly used as an intervention method to enhance postural control. The aim of this study is to investigate the effect of using therapy ball as a seat alternative to using typical chair on grasping and visual motor integration in the children with hemiparetic cerebral palsy. For this aim, thirty children with hemiparetic cerebral palsy from both sexes were included in this study. The children ages ranged from 3 to 6 years old. The degree of spasticity was 1 to 1+ according to modified Ashworth scale. The children were able to sit independently and follow instructions. Children were randomly assigned into two groups (experimental group and control group). Each child was evaluated before and after 3 successive months of selected occupational therapy exercises program. All the children of both groups received the same selected occupational therapy exercises program, but the children in the experimental group performed the exercises while sitting on therapy ball, and the children in the control group performed the exercises while sitting on typical chair. Results There was a significant improvement in the measured variables for both groups after treatment. The post-treatment results of the two groups of grasping and visual motor integration for age equivalent scores revealed significant difference (p=0.008 and p=0.011 respectively) in favor of the experimental group. Conclusions Therapy ball could be used as a seat alternative to using typical chair to facilitate visual motor integration and grasping in the children with hemiparetic cerebral palsy.

Author(s):  
Syed Imran ◽  
Moosabba MS ◽  
Alphonsa Ancheril

Background: The diagnosis and the treatment for cancer are significant stressors for the patients. It can affect physical as well as psychological well-being. Variations in salivary amylase indicate physiological responses to the stressful experience during chemotherapy. Music therapy is witnessed to decrease psychosocial distress in the oncology setting. Listening to music can positively benefit neurophysiologic and emotional responses as well as promote relaxation, especially beneficial for cancer patients undergoing painful and anxiety-inducing chemotherapy. It is, therefore nurses, who are so familiar with this environment, not only to be aware of this anxiety-producing process but to cope with it and to alleviate it for the patient as much as possible. Objective: The objective of the study was to determine the salivary amylase levels in patients undergoing chemotherapy before and after listening to preferred music. Design: Quasi-experimental repeated measure design. Setting; Experimental and control group were recruited from two oncology units of selected multispecialty hospitals. Participants: Purposive sampling techniques were used to select the study participants. Patients of age group eighteen and above, undergoing first time chemotherapy treatment and the chemotherapy infusion lasts for minimum of 3 hours duration was the inclusion criteria whereas Patients who were unable to listen to music due to hearing problems, those who were with head and neck cancer, diabetes, hypertension, and thyroid problems were excluded from the study. 168 eligible participants were recruited among which 8 were unable to continue. Methods: Saliva was collected from both the study groups before and after the chemotherapy administration. The patient preferred instrumental music intervention was administered for the duration of 3 hours during chemotherapy with the help of mp3 player and musical pillow in the experimental group where the control group had a routine oncology unit care and they were rested on a bed during the chemotherapy administration. The post-tests were done on day 3 and day 5. Results: Significant changes in mean salivary amylase were observed in the experimental group compared to the control group (p˂0.05). Repeated measure ANOVA also showed a significant difference (p˂0.05) in the experimental group at different time points of observation. There was a significant association between the baseline amylase level and stage of cancer in both the experimental and control group (p˂0.05). Conclusion: Music was effective in patients undergoing chemotherapy in terms of reduction in salivary amylase level.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zahra Mandegari Bamakan ◽  
Khadijeh Nasiriani ◽  
Farzan Madadizadeh ◽  
Fatemeh Keshmiri

Abstract Background The knowledge and attitude of health care providers are important and influential factors in providing care services to the elderly and need to be considered during the training course. Simulation in geriatric nursing education can be an opportunity for learners to experience the restrictions of the elderly. The present study was conducted to determine the effect of training through simulation on the attitude and knowledge of nursing students in elderly care. Methods This study was quasi-experimental with two experimental and control groups of pre and post-test, which was conducted on 70 nursing students of the 5th semester (two groups of 35 people). For the experimental group, the elderly simulation suit was worn for two hours, which was designed by the researcher and created sensory, physical, and motor restrictions similar to the elderly for students. Before and after the study, Kogan’s attitudes toward older people scale and Palmore’s “facts on aging quiz” were completed by students. The data were analyzed using an independent t-test and paired t-test using SPSS version 16 software. Results The mean scores of students’ knowledge in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). But the mean scores of knowledge in the experimental group before and after the intervention was (9.2 ± 2.6) and (15.3 ± 3.5), respectively, and in the control group before and after the intervention was (10.4 ± 2.9) and (11.3 ± 2.6), respectively, which had a statistically significant difference (p = 0.0001). The mean scores of students’ attitudes in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). The mean scores of attitude in the experimental group before and after the intervention was (114.69 ± 8.4) and (157.31 ± 10.7), respectively and in the control group before and after the intervention was (113.34 ± 13.6) and (108.5 ± 16.6), respectively, which was significantly different (p = 0.0001). Conclusions Based on the findings, the experience of aging restrictions through simulation has improved the knowledge and attitude of nursing students towards the elderly. Nursing education requires the growth of attitudinal skills, individuals’ beliefs, and creating empathy among them, so creating simulation opportunities can assist nursing students in the educational processes.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yasin Ahmadi ◽  
Jahangir Rezaei ◽  
Mansour Rezaei ◽  
Alireza Khatony

Background. One of the most common surgical complications is nausea. Regarding the contradictory findings on the effect of aromatherapy with peppermint on the severity of nausea, in the present study, we aimed at comparing the effect of aromatherapy with 10% and 30% peppermint essential oils on the severity of nausea in surgical patients. Methods. This single-blind randomized controlled trial was conducted at the surgical ward of Imam Reza Hospital in Kermanshah, Iran. A total of 120 patients undergoing abdominal surgery were randomly divided into three groups of 10% peppermint, 30% peppermint, and control (40 patients in each group) using a random number table. In each of the intervention groups, 0.2 ml of 10% and 30% peppermint essential oil was inhaled. In the control group, the same amount of distilled water colored with green food coloring was inhaled. The severity of nausea was measured by nausea visual analog scale (NVAS) before and 10 minutes after the intervention. Results. In the 10% peppermint group, the mean severity of nausea before the intervention was 52.3 ± 13.7 out of 100, which reduced to 40.5 ± 13.5 after the intervention (p<0.001). In the 30% peppermint group, the mean severity scores of nausea before and after the intervention were 60.2 ± 15.0 and 39.7 ± 12.4, respectively (p<0.001). In the control group, the mean severity scores of nausea before and after the intervention was not statistically significant. There was no significant difference between the two intervention groups in terms of the mean severity of nausea after the intervention. Conclusions. It can be concluded that 10% and 30% peppermint essential oils are equally effective on the severity of nausea.


2018 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Xianbing Hou ◽  
Haizhang Wang ◽  
Yanzhen Huo ◽  
Hui Zhao

Objective: To observe the clinical effect of "heterozygous treatment" intervening the damp-heat constitution. Method: 106 cases with damp-heat constitution were randomly divided into the observation group and control group, 53 cases for each group. Lianpu drink was given to the two groups, and the observation group was treated with scraping, acupuncture, cupping, constitution care and popularization of constitution science for "heterozygous treatment" based on the control group. 70 days later, "constitution classification and determination table of traditional Chinese medicine" was used to determine, and statistics was applied to analyze the change of the symptoms of the two groups before and after the intervention. Results: in the observation group, compared to before the intervention, symptoms like dirty and oily complexion, yellow greasy tongue, bitter taste, dullness and scanty dark urine were significantly improved (P < 0.05), and improvement of the above symptoms was greater than the control group (P < 0.05) .Conclusion: There is no significant difference between the two groups (P > 0.05). Conclusion: the "heterozygous treatment" method can significantly improve the clinical symptoms of people with damp-heat constitution, with a better role in regulating.


2021 ◽  
Vol 17 (6) ◽  
pp. 410-417
Author(s):  
Eun-Ju Song ◽  
Eun-Jung Lee ◽  
Hae-Yeon Kwon

The purpose of this study was to investigate the static and dynamic balance and body activities after administering a trunk stability exercise program using a sling for children with spastic cerebral palsy of Gross Motor Function Classification System (GMFCS) levels III–IV. This study was conducted based on a quasi-experimental study design. Six of the study participants were assigned to the control group and six were assigned to the experimental group using simple random sampling. Both groups underwent a double-blind clinical trial study in which exercise therapy was performed for 40 min twice a week for 8 weeks. The experimental group underwent the sling exercise program and the control group underwent neuro-developmental treatment. The results showed that static and dynamic balance were significantly different before and after intervention in both the experimental and control groups (P<0.05), and there was also a statistically significant difference between the two groups (P<0.05). Gross motor function and activities of daily life showed significant improvement before and after intervention in the experimental group (P<0.05), but there was no statistically significant difference in the control group (P<0.05). There was a statistically significant difference between the two groups (P<0.05). Therefore, the sling exercise program can be used as an effective treatment for improving balance and physical activity in children with cerebral palsy of GMFCS levels III–IV who have difficulty walking. In addition, such exercise will have a positive impact on the independence of such children and help them to participate in social activities.


Author(s):  
Tri Winarsih ◽  
Wisjnu Martani

The prosocial behavior of preschool children hasn’t developed, so it is much needed to conduct some ways to develop the prosocial behavior. Storytelling using Wayang Kancil is one of the wealth of Indonesia Nation. It is expected to be an interesting media that can stimulate prosocial behavior of preschool children. The purpose of this study is to find whether story telling using Wayang Kancil can enhance the understanding of prosocial behavior for preschool children. This study uses quasi-experimental method, which involves two subject groups from two Kindergartens as experimental and control group. The implementation of storytelling using Wayang Kancil is delivered by storyteller. The knowledge measurement of prosocial behavior for subject is well conducted before and after the treatment. The measurement is conducted by giving stimulus like pictorial story to the subjects. After that, the subject’s answer is given score depends on scoring criteria. The analysis data uses Mann-Whitney U Test that shows the significant difference in understanding prosocialattitude between experimental and control groups (Z=-3,137; p=0,002 (p<0,01)). The understanding of prosocial behavior in experimental group is higher than the control group.     


2018 ◽  
Vol 226 (3) ◽  
pp. 229-248
Author(s):  
Lecturer: Majida Waheeb Irzooqi

   The aim of the study was to uncover the effectiveness of the inverted learning model in the achievement and performance of e-learning skills in the students of the department of machinery and equipment . The semi experimental approach design was used with before and after test measurement. The study sample consisted of students of the first stage of the equipment and equipment department of the Institute of training of trainers (70) students divided into two groups: experimental group (35) students were taught the subject of electricity and electronic cars. And a control group (35) students were taught with a traditional course. The tools of the study were applied before and after the two groups. The data were analyzed using the one-way contrast test and  Gohen Standard  equation  to  effective  size . The results of the study were statistically significant difference at (α = 0.05k) between the average of the experimental and control groups in the post application of both the achievement test and the skill performance observation card for the benefit of the experimental group.                                                                                                                            


2017 ◽  
Vol 70 (3) ◽  
pp. 468-474 ◽  
Author(s):  
Elen Ferraz Teston ◽  
Guilherme Oliveira de Arruda ◽  
Catarina Aparecida Sales ◽  
Deise Serafim ◽  
Sonia Silva Marcon

ABSTRACT Objective: to verify the effect of nursing appointment on cardiometabolic profile of people with Diabetes Mellitus type 2. Method: randomized controlled trial, developed with 134 individuals chosen for two groups: intervention and control. The intervention consisted of three nursing appointments alternated bimonthly, with two phone calls, over five months. The control group received usual care offered by the Health Unit. Data were collected through semi-structured interviews before and after the intervention, in addition to conducting laboratory tests. Results: after the intervention, a significant difference was shown in the amount of glycated hemoglobin (p = 0.006) and in the systolic blood pressure (p = 0.031), which were higher in the control group. Conclusion: besides being low-cost and easy to develop on the monitoring routine of people with diabetes, the intervention performed influenced positively the biochemical profile.


2020 ◽  
Vol 12 (1) ◽  
pp. 93-102
Author(s):  
Fikri Tahta Nurul Fiqih ◽  
Annita Wahyuningtyas ◽  
Abid Abdi Aziz ◽  
Erni Agustina Setiyowati

Penelitian ini bertujuan untuk mengetahui efektivitas biblioterapi kelompok dalam menurunkan agresivitas pada siswa sekolah dasar. Penelitian ini menggunakan metode eksperimen dengan desain Pretest-Postest Control Group Desain. Sampel dipilih berdasarkan hasil seleksi menggunakan skala agresivitas. Penempatan kelompok eksperimen menggunakan randomisasi. Sebanyak 18 siswa sebagai kelompok eksperimen dan 18 siswa sebagai kelompok kontrol. Alat ukur yang digunakan untuk pretest dan post test adalah skala agresivitas yang terdiri dari 55 pernyataan. Biblioterapi dilaksanakan sebanyak 7 sesi dengan menggunakan naskah-naskah cerita yang telah mendapat penilaian kelayakan dari Psikolog. Hasil analisis data menggunakan uji F menghasilkan perbedaan agresivitas yang signifikan antara gainscore kelompok eksperimen dan kontrol. Selain itu terdapat perbedaan agresivitas yang signifikan pada kelompok eksperimen sebelum dan sesudah intervensi, sedangkan pada kelompok control tidak ada perbedaan agresivitas yang signifikan antara pretest dan post test. Dapat disimpulkan bahwa biblioterapi kelompok dapat menurunkan agresivitas siswa.  This study aims to determine the effectiveness of bibliotherapy in reducing aggressiveness in elementary students. This study used an experimental method with the pretest-posttest control group design. The sample is chosen based on the results of the selection using an aggressiveness scale. Placement of the experimental group using randomization. A total of 18 students as the experimental group and 18 students as a control group. The measuring instrument used for the pretest and post-test is an aggressiveness scale consisting of 55 statements. Bibliotherapy was carried out as many as seven sessions using story scripts that had received a feasibility assessment from a Psychologist. The results of data analysis using the F test produced a significant difference in aggressiveness between the gain score of the experimental and control groups. The results showed that there were substantial differences in aggressiveness in the experimental group before and after the intervention. Whereas, in the control group, there was no significant difference in aggressiveness between the pretest and post-test. It can be concluded that bibliotherapy effectively reduces student aggressiveness.


2020 ◽  
Vol 47 (2) ◽  
pp. 133-141
Author(s):  
Fatma A. Hegazy ◽  
Emad A. Aboelnasr ◽  
Yasser T. Salem

BACKGROUND: Gait deviations and spasticity are common impairments seen in children with cerebral palsy (CP) and may interfere with functional performance and effective walking pattern. Lidocaine iontophoresis is effective for reducing muscle spasticity in adults. PURPOSE: To investigate the effect of lidocaine epinephrine iontophoresis combined with exercises on gait and spasticity in children with spastic hemiplegic cerebral palsy (HCP). METHODS: Thirty children with spastic HCP aged 4–6 (5.20±0.32) years were randomly assigned to the experimental group (n = 15) and control group (n = 15). Children in both groups received one hour of exercises, three times a week for three months. Children in the experimental group received 2% lidocaine iontophoresis immediately before the exercises. The lidocaine iontophoresis was delivered for 20 minutes (1mA/min). Spatio-temporal gait parameters were assessed within one week before and after the intervention using 3D motion analysis. Surface electromyography was used to assess muscle tone using H/M ratio of the soleus muscle. ANOVA was used to investigate the differences between experimental and control groups. Statistical significance was set at P value less than 0.05. RESULTS: There was no difference between groups at baseline. Post-intervention, the experimental group showed significant improvements when compared to the control group for gait speed (p = 0.03), stride length (p = 0.04), cadence (p = 0.0001), cycle time (p = 0.0001), and H/M ratio (p = 0.02). CONCLUSION: Lidocaine iontophoresis combined with exercises was effective in improving gait spatiotemporal parameters and reducing spasticity in children with CP.


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