Effects of proprioceptive neuromuscular facilitation stretching and deep-breathing exercises on upper extremity lymphedema in stroke patients

Abstract Background Many therapeutic interventions are performed by physiotherapists to improve upper extremity function and/or activities of daily living (ADL) in stroke patients. Mirror therapy (MT) is a simple technique that can be self-administered by the patients with intact cognition following patient education by a skilled physiotherapist. However, the effectiveness of self-administered MT in post-stroke patients in upper extremity function remains unclear. Therefore, the objective of this study is to examine the effectiveness of MT in improving upper extremity function and recovery in acute stroke patients. Methods This study is a single-center, prospective, randomized, open-label, controlled trial with blinded outcome evaluation (PROBE design), in which a total of 36 eligible acute stroke patients will be randomly assigned to control (n=18) and experimental group (n=18). Participants in the control group will receive regular rehabilitation interventions whereas participants in the experimental group will receive MT education in addition to their regular interventions for 4 weeks. Study outcome The primary outcome measure will be upper extremity function that will be measured using the Fugl-Meyer Assessment scale and the Wolf Motor Function Test. The secondary outcome measure will be behaviors related to ADL as estimated using the Modified Barthel Index. Outcome measures will be assessed at baseline and at 4 weeks post-rehabilitation intervention/MT. Results A two-way repeated analysis of variance (ANOVA) with time and group effects will be used to analyze between-group differences. The level of significance will be set at P < 0.05. Conclusion The results of the study will provide critical information to include self-administered MT as an adjuvant to regular interventions and may facilitate recovery of the upper extremity function of stroke patients. Trial registration ClinicalTrials.gov NCT04542772. Registered on 9 September 2020. Protocol version: Final 1.0.

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Assessment of the Effects of Rehabilitation on Balance Impairment in Patients After Ischemic Stroke According to Selected Tests and Scales

Polish Hyperbaric Research ◽

10.1515/phr-2015-0011 ◽

2015 ◽

Vol 51 (2) ◽

pp. 55-63 ◽

Cited By ~ 1

Author(s):

Magdalena Jaworska ◽

Tomasz Tuzim ◽

Małgorzata Starczyńska ◽

Magdalena Wilk-Frańczuk ◽

Agnieszka Pedrycz

Keyword(s):

Test Group ◽

Berg Balance Scale ◽

Modern Medicine ◽

Cerebral Stroke ◽

Stroke Patients ◽

Timed Up And Go ◽

Balance Test ◽

Raising Awareness ◽

Proprioceptive Neuromuscular Facilitation ◽

Age Range

Abstract Cerebral stroke is one of the most important issues for modern medicine. Despite the fact that numerous activities have been undertaken for the purpose of raising awareness and significance of prevention, this condition still remains one of the main reasons behind disability. The objective of the work was to assess the effects of the type of therapy, age and period from the incident occurrence, on the progress of rehabilitation of imbalance and body stability observed in a group of researched patients, on the basis of results obtained according to the Berg Balance Scale, tandem balance test, Kwolek’s loading symmetry index and Timed Up and Go test. The test group comprised of 55 post-stroke patients. The group consisted of 29 women (52.73%) and 26 men (47.27%). The average age of the subjects was 61.02 years (age range between 33-85 years). A number of the patients were subjected to rehabilitation with the use of classic kinesitherapy, whereas the remaining group underwent rehabilitation based on the proprioceptive neuromuscular facilitation method (PNF).

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Are Incentive Spirometry, Intermittent Positive Pressure Breathing, and Deep Breathing Exercises Effective in the Prevention of Postoperative Pulmonary Complications After Upper Abdominal Surgery? A Systematic Overview and Meta-analysis

Physical Therapy ◽

10.1093/ptj/74.1.3 ◽

1994 ◽

Vol 74 (1) ◽

pp. 3-10 ◽

Cited By ~ 118

Author(s):

Jackie A Thomas ◽

John M McIntosh

Keyword(s):

Abdominal Surgery ◽

Meta Analysis ◽

Pulmonary Complications ◽

Positive Pressure ◽

Deep Breathing ◽

Postoperative Pulmonary Complications ◽

Breathing Exercises ◽

Upper Abdominal ◽

Intermittent Positive Pressure Breathing ◽

Incentive Spirometry

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Abstract 2580: How Frequent Is Impaired Arm And Hand Function After First Occasion Of Stroke? An Unselected Population From A Stroke Unit With A Geographical Catchment.

Stroke ◽

10.1161/str.43.suppl_1.a2580 ◽

2012 ◽

Vol 43 (suppl_1) ◽

Author(s):

Katharina Stibrant Sunnerhagen ◽

Hanna C Persson

Keyword(s):

Upper Extremity ◽

Stroke Unit ◽

Catchment Area ◽

Hand Function ◽

Stroke Onset ◽

Stroke Patients ◽

Extremity Function ◽

Unselected Population ◽

Upper Extremity Function ◽

Impaired Motor Function

Introduction Reduced upper extremity function after stroke has previously been reported in 70-80% of patients with stroke in the acute stage and is one of the most common impairments after acute stroke impaired motor function, both in upper and lower extremity, influence the stroke unit care and planning of the rehabilitation, partly due to the economic costs. There is limited information in upper extremity function within the first days after a stroke. Prior studies include either both first and recurrent stroke or only one type of stroke. Objectives To investigate the frequency impaired arm and hand function in an unselected group of patients with first occasion of stroke. Method All patients at a stroke unit at Sahlgrenska University Hospital were assessed during 18 months. From the hospital records, the patients were identified, the patient charts were read and first stroke diagnosis was confirmed (by either imaging or clinical assessment). Impaired upper extremity function was defined in the following manner: assessed with the Modified Motor Assessment Scale (M-MAS UAS -95) by physiotherapist working at the stroke unit within 72 hours after stroke onset or if this was found in the patients chart, other standardized assessments of upper extremity function performed by the physical therapist, the occupational therapist or the physicians on the ward. Results During the study period 984 patients with first ever stroke (438 women 44.5%) were admitted to the stroke unit. A total of 213 patients were not at the stroke unit within 72 hours after onset and therefore excluded; 90 patients had unclear stroke onset time, 49 patients were located at another ward, 36 patients were in the intensive care unit, 25 in other hospitals in Sweden and 12 patients were hospitalized in another country. There were 771 patients over 18 years old at the stroke unit within 72 hours after stroke onset. Of these 56 patients (7.3%), were not living in the catchment area and therefore excluded. Of the 715 patients living in the geographical catchment area, 58, (8.1%) hade other upper extremity injury prior the stroke onset. Of the remaining first ever stroke patients (n=657), 311 patients (47.3%) hade impaired arm and hand function within 72 hours after stroke onset. Conclusion The frequency of impaired upper extremity function in this unselected population of first occasion of stroke is lower than previously reported. The Copenhagen stroke study noted 69 % impaired at admission and 43 % at one week. This indicates that today’s stroke patients present less frequent with impaired motor function in the upper extremity. However, they may have difficulties in functional activities which may influence content of rehabilitation process.

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A DEEP BREATHING EXERCISE MANAGEMENT IN ARCHERY TO MEMORIZING AL-QUR'AN TO STUDENT OF TAHFIDZ QUR'AN AT SMP AD-DHUHA JEMBER

International Journal of Islamic Medicine ◽

10.37275/ijim.v2i1.15 ◽

2021 ◽

Vol 2 (1) ◽

pp. 1-6

Author(s):

Akhmad Efrizal Amrullah ◽

Ridlo Hafidz Faqih ◽

Miftakhur Rohman ◽

Candra Aditya Hermansyah

Keyword(s):

Data Analysis ◽

Design Method ◽

Memory Capacity ◽

Rank Test ◽

P Value ◽

Deep Breathing ◽

Brain Oxygenation ◽

Breathing Exercises ◽

Quasi Experimental ◽

The Brain

Memorizing Al-Qur'an is an effort to maintain the purity of the Al-Qur'an. The Qur'an tahfidz program is one of the activities intended to prevent the Qur'an from changing and falsifying either partially or completely. As the name implies, this program is applied to tahfidz Qur'an student to memorize Al-Qur'an under the guidance of their teacher. Memorization ability is determined by memory capacity which indicates brain health, one of which is influenced by the supply of oxygen to the brain. One way to maintain brain oxygenation is the management of deep breathing exercises combined with archery. The purpose of this study was to determine the effect of deep breathing exercises management in archery to achievement of memorizing the Qur'an. This research was held at SMP Ad-Dhuha Jember with a quasi-experimental one group pretest-posttest design method and was conducted in April-June 2019. The type of sample used was a total sampling of 34 respondents. Data analysis used the Wilcoxon Signed-Rank Test. The results showed an increase in the achievement of memorizing Al-Qur'an among students of the tahfidz Qur'an after managing deep breathing exercises with archery. Data analysis with alpha (α) <0.05 indicates a p value of 0.000 so that Ho is rejected. Thus there is an effect of deep breathing exercises management in archery on the achievement of memorizing the Al-Qur'an. A strong memory is needed to keep memorizing Al-Qur'an. To help increase the memory capacity of the brain, it requires an adequate supply of oxygen. Deep breathing exercises management combined with archery can be a way to maintain brain oxygenation. This exercise focuses on fullfiling oxygen needs, which in the process of memorizing the brain's memory functions are widely used.

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The Effect of Pursed - Lip Breathing Exercise Vs Diaphragmatic Breathing in Stabilizing the Vitals after 6-MWT among Overweight Individuals

International Journal for Research in Applied Science and Engineering Technology ◽

10.22214/ijraset.2021.37317 ◽

2021 ◽

Vol 9 (VIII) ◽

pp. 299-308

Author(s):

Dr. Jaya Chandra

Keyword(s):

Carbon Dioxide ◽

Data Collection ◽

Null Hypothesis ◽

Deep Breathing ◽

Diaphragmatic Breathing ◽

Breathing Exercise ◽

Breathing Exercises ◽

Paired Samples ◽

The Individual ◽

Harmful Effects

When you exercise and your muscles work harder, your body uses more oxygen and produces more carbon dioxide. To cope with this extra demand, your breathing has to increase from about 15 times a minute (12 litres of air) when you are resting, up to about 40–60 times a minute (100 litres of air) during exercise. Your circulation also speeds up to take the oxygen to the muscles so that they can keep moving. Any kind of exertion causes some change in vitals. Some amount of fluctuation in vitals after any kind of exertion occurs in every individual and is considered to be normal. But if there is extreme fluctuation in vitals even after mild or moderate form of exertion, it indicates some kind of abnormality or an increased stress on cardiovascular or respiratory system and needs attention.In any case if the vitals fluctuate during any kind of exertion it needs to be stabilized so that its harmful effects can be avoided. For these breathing exercises have been proven to be very beneficial. There are several types of breathing exercises such as deep breathing, diaphragmatic breathing, pursed lip breathing, etc. The need for the study is to compare the effectiveness of Pursed-Lip Breathing & Diaphragmatic Breathing exercise instabilizing the vitals after 6 MWT in young individuals. The objective of this study is to measure the exertion level of the individual, to assess the effect of pursed lip and diaphragmatic breathing exercises on vitals after exertion and also the comparison of both techniques. In the present study we took 60 subjects from saaii college, Kanpur. Method of data collection is random and study design is comparative study with study duration of 4 weeks. Subjects were divided into two equal groups. The paired samples t-test shows significant changes observed i.e., null hypothesis is rejected and alternate hypothesis is accepted and we observed that significant improvement along with effectiveness of pursed lip breathing on stabilizing vitals in overweight individuals.

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Stroke Patients’ Acceptance of a Smart Garment for Supporting Upper Extremity Rehabilitation

IEEE Journal of Translational Engineering in Health and Medicine ◽

10.1109/jtehm.2018.2853549 ◽

2018 ◽

Vol 6 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Qi Wang ◽

Annick Timmermans ◽

Wei Chen ◽

Jie Jia ◽

Li Ding ◽

...

Keyword(s):

Upper Extremity ◽

Stroke Patients ◽

Upper Extremity Rehabilitation ◽

Patients Acceptance

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Predicting Hand Motor Recovery in Severe Stroke: The Role of Motor Evoked Potentials in Relation to Early Clinical Assessment

Neurorehabilitation and Neural Repair ◽

10.1177/1545968308317578 ◽

2008 ◽

Vol 23 (1) ◽

pp. 45-51 ◽

Cited By ~ 59

Author(s):

Annette A. van Kuijk ◽

Jaco W. Pasman ◽

Henk T. Hendricks ◽

Machiel J. Zwarts ◽

Alexander C. H. Geurts

Keyword(s):

Lower Extremity ◽

Evoked Potentials ◽

Upper Extremity ◽

Clinical Assessment ◽

Predictive Value ◽

Motor Evoked Potentials ◽

Motor Recovery ◽

Stroke Patients ◽

Abductor Digiti Minimi

Objective. The primary aim of this study was to compare the predictive value of motor evoked potentials (MEPs) and early clinical assessment with regard to long-term hand motor recovery in patients with profound hemiplegia after stroke. Methods. The sample was an inception cohort of 39 stroke patients with an acute, ischemic, supratentorial stroke and an initial upper-extremity paralysis admitted to an academic hospital. Hand motor function recovery was defined at 26 weeks poststroke as a Fugl–Meyer Motor Assessment (FMA) hand score >3 points. The following prognostic factors were compared at week 1 and week 3 poststroke: motor functions as assessed by the FMA upper-extremity and lower-extremity subscores, and the presence of an MEP in the abductor digiti minimi and biceps brachii muscle. Results. Both the presence of an abductor digiti minimi–MEP and any motor recovery in the FMA upper-extremity subscore showed a positive predictive value of 1.00 at weeks 1 and 3. The FMA lower-extremity subscore showed the best negative predictive value (0.90; 95% CI 0.78-1.00 at week 1 and 0.95; 95% CI 0.87-1.00 at week 3). Conclusions. In stroke patients with an initial paralysis of the upper extremity the presence or absence of an MEP has similar predictive value compared with early clinical assessment with regard to long-term hand motor recovery.

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