Comparison of Two Different Applications of Proprioceptive Neuromuscular Facilitation Techniques to Increase Upper-Extremity Muscle Strength

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

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Determinants of High-Dose Insulin Usage and Upper Extremity Muscle Strength in Adult Patients With Type 2 Diabetes

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2020.10.003 ◽

2020 ◽

Author(s):

Eren Imre ◽

Tugce Apaydin ◽

Hatice Gizem Gunhan ◽

Dilek Gogas Yavuz

Keyword(s):

Type 2 Diabetes ◽

Muscle Strength ◽

Upper Extremity ◽

Adult Patients ◽

High Dose

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Elbow Joint Fatigue and Bench-Press Training

Journal of Athletic Training ◽

10.4085/1062-6050-49.1.05 ◽

2014 ◽

Vol 49 (3) ◽

pp. 317-321 ◽

Cited By ~ 1

Author(s):

Yen-Po Huang ◽

You-Li Chou ◽

Feng-Chun Chen ◽

Rong-Tyai Wang ◽

Ming-Jer Huang ◽

...

Keyword(s):

Muscle Strength ◽

Upper Extremity ◽

Athletic Training ◽

Cycle Time ◽

Elbow Joint ◽

Muscle Activation ◽

Bench Press ◽

Lateral Force ◽

Joint Force ◽

Muscle Strengthening

Context: Bench-press exercises are among the most common form of training exercise for the upper extremity because they yield a notable improvement in both muscle strength and muscle endurance. The literature contains various investigations into the effects of different bench-press positions on the degree of muscle activation. However, the effects of fatigue on the muscular performance and kinetics of the elbow joint are not understood fully. Objective: To investigate the effects of fatigue on the kinetics and myodynamic performance of the elbow joint in bench-press training. Design: Controlled laboratory study. Setting: Motion research laboratory. Patients or Other Participants: A total of 18 physically healthy male students (age = 19.6 ± 0.8 years, height = 168.7 ± 5.5 cm, mass = 69.6 ± 8.6 kg) participated in the investigation. All participants were right-hand dominant, and none had a history of upper extremity injuries or disorders. Intervention(s): Participants performed bench-press training until fatigued. Main Outcome Measure(s): Maximal possible number of repetitions, cycle time, myodynamic decline rate, elbow-joint force, and elbow-joint moment. Results: We observed a difference in cycle time in the initial (2.1 ± 0.42 seconds) and fatigue (2.58 ± 0.46 seconds) stages of the bench-press exercise (P = .04). As the participants fatigued, we observed an increase in the medial-lateral force (P = .03) and internal-external moment (P ≤ .04) acting on the elbow joint. Moreover, a reduction in the elbow muscle strength was observed in the elbow extension-flexion (P ≤ .003) and forearm supination-pronation (P ≤ .001) conditions. Conclusions: The results suggest that performing bench-press exercises to the point of fatigue increases elbow-joint loading and may further increase the risk of injury. Therefore, when clinicians design bench-press exercise regimens for general athletic training, muscle strengthening, or physical rehabilitation, they should control carefully the maximal number of repetitions.

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The correlation between fear of falling and upper extremity muscle strength

Saudi Medical Journal ◽

10.15537/smj.2021.42.4.20200674 ◽

2021 ◽

Vol 42 (4) ◽

pp. 411-418

Author(s):

Bulent Yardimci ◽

Melahat Akdeniz ◽

Tarik Demir

Keyword(s):

Muscle Strength ◽

Upper Extremity ◽

Fear Of Falling

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One-Handed Musicians—More Than a Gimmick

Medical Problems of Performing Artists ◽

10.21091/mppa.2012.4043 ◽

2012 ◽

Vol 27 (4) ◽

pp. 231-237 ◽

Cited By ~ 1

Author(s):

KH Woldendorp ◽

W van Gils

Keyword(s):

Healthcare Professional ◽

Muscle Strength ◽

Upper Extremity ◽

Physical Condition ◽

Interdisciplinary Approach ◽

The Other ◽

Other Hand ◽

The Many

There are many musicians with acquired limitations in making music, and there are many people with a disability who would like to play a music instrument in a modified way. There is discouragingly little information about this topic in literature. This article gives an overview of “making music in a modified way.” It focuses on the possibilities for musicians with one-handed functionality to overcome problems with regards to their physical condition, insufficient muscle strength, or missing parts of the upper extremity. Five categories of possibilities for the functional one-handed musicians are described: 1) one-hand reconstructed instruments, 2) one-hand compositions, 3) adaptations of the instrument for the other hand, 4) prostheses to make it possible to play with both hands/arms, and 5) other techniques which enable the use of the leg(s). The solutions described make clear that playing music in an adaptive way requires an interdisciplinary approach. The purpose of this article is to inform, and to inspire, the healthcare professional about the many possibilities for functional one-handed musicians.

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