scholarly journals Fibromyalgia: is there association between balance and pain? a pilot study

2014 ◽  
Vol 21 (1) ◽  
pp. 27-33
Author(s):  
Adriana de Sousa do Espírito Santo ◽  
Pamela Cristina Mango ◽  
Ana Assumpção ◽  
Juliana Ferreira Sauer ◽  
Amélia Pasqual Marques

Studies of balance and risk factors for falling typically focus on the elderly population or on individuals with musculoskeletal pain. Although fibromyalgia is associated with intrinsic factors that predispose to falls (pain, depression, fatigue), few studies have researched balance and falls in this syndrome. The aim of this study was to verify the association between balance, balance self-efficacy and pain in women with and without fibromyalgia, and verify the association between Berg Balance Scale and Activities-specific Balance Confidence Scale (ABC Scale). The sample consisted of 48 women aged between 40 and 59 years, divided into two groups: Fibromyalgia group (n=22) and Control group (n=26) with asymptomatic people. Balance was assessed by Berg Balance Scale, balance self-efficacy by the ABC Scale and pain by the visual analog scale. Mean scores for pain, Berg and ABC Scale were 5.4 cm (SD 2.6), 55 (interquartile range 54-56), and 54.6 (SD 26.6) respectively for Fibromyalgia group, and 0 cm, 56 (interquartile range 55-56), and 89.4 (SD 14.4) respectively for Control group. Statistically significant differences were found in balance on comparing both groups (p=0.000 for Berg Balance Scale and 0.009 for ABC Scale) with lower values for Fibromyalgia group. In Fibromyalgia group, pain was negatively correlated with balance (r=-0.48, p=0.020) and balance self-efficacy (rs=-0.56, p=0.006). Correlation between Berg Balance Scale and ABC Scale was found only in the Fibromyalgia group (rs =0.55, p=0.007). There are associations between poor balance and pain, and poor balance and decreased balance self-efficacy in women with fibromyalgia. There is an association between scales in the Fibromyalgia group.

JKEP ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 81-95
Author(s):  
Pudjiati Pudjiati ◽  
Rosidawati Rosidawati ◽  
Mia Fatma Ekasari

Education is  an effort to give informations which is expected to improve client’s self efficacy that is able to change client’s behavior to relieve joint pain faster. Furthermore, education that will be given to relieve joint pain and mobilization is warm compress and gymnastic for elderly. This research uses quasi-experiment with control group design as a method. This research intervenes gymnastic and warm compress for elderly. The sample of this research itself is the elderly who have mild to moderate joint pain through strategic sampling, purposive sampling and the sample size will use two different means test formula (Lemeshow, Holmer, Klar & L Wanga, 2009).  The sample in this research consists of two group, i.e., intervention group which has 40 people and control group which has 40 people. This research uses self-efficacy questionnaire for the elderly in relieving pain and improving mobilization. The result of this research uses bivariate hypothesis test that shows education of gymnastic for elderly and warm compress is more to affect the self-efficacy of the pain and mobilization.


Robotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 101
Author(s):  
Lara A. Thompson ◽  
Mehdi Badache ◽  
Joao Augusto Renno Brusamolin ◽  
Marzieh Savadkoohi ◽  
Jelani Guise ◽  
...  

For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.7 ± 6.7 years old) were trained while donning a harness from a distinctive NaviGAITor robotic system. A control group of 11 healthy participants (68.7 ± 5.0 years old) underwent the same training but without the robotic system. Training included 6 weeks of standing and walking tasks while modifying: (1) sensory information (i.e., with and without vision (eyes-open/closed), with more and fewer support surface cues (hard or foam surfaces)) and (2) base-of-support (wide, tandem and single-leg standing exercises). Prior to and post-training, balance ability and balance confidence were assessed via the balance error scoring system (BESS) and the Activities specific Balance Confidence (ABC) scale, respectively. Encouragingly, results showed that balance ability improved (i.e., BESS errors significantly decreased), particularly in the nBWS group, across nearly all test conditions. This result serves as an indication that robotic training has an impact on improving balance for healthy aging individuals.


2021 ◽  
Vol 12 ◽  
pp. 215145932110291
Author(s):  
Atsuko Satoh ◽  
Yukoh Kudoh ◽  
Sangun Lee ◽  
Masumi Saitoh ◽  
Miwa Miura ◽  
...  

Introduction: To evaluate fall-prevention rehabilitative slippers for use by self-caring, independent older adults. Materials and Methods: This assessor-blinded, randomized, and controlled 1-year study included 59 self-caring, independent participants (49 women) who attended day services. The mean age of participants was 84.0 ± 5.3 years. Participants were randomly selected from 8 nursing homes. We tested slippers top-weighted with a lead bead (200, 300, or 400 g). Intervention group participants walked while wearing the slippers for 10-20 min, 1-3 days/week at the day service center. Fall risk was measured using the Berg Balance Scale and the Tinetti Performance-Oriented Mobility Assessment (POMA) before and at 3-month intervals after the intervention/control phase. Results: After 12 months, the intervention group demonstrated significant improvement. Berg Balance and POMA compared to the control group ( p < .05 p < .01, respectively). Mobility scores improved significantly for both measurements in the intervention group before and after ( p < .01), but the control group had significantly lower scores. Discussion: Overall, falls decreased in the intervention group from 10 to 7, and control group falls increased from 9 to 16 ( p = .02). No adverse events related to the intervention were reported. Conclusions: Rehabilitation training slippers may reduce falls in older adults.


Sensors ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 1343
Author(s):  
Sebastian Fudickar ◽  
Jörn Kiselev ◽  
Christian Stolle ◽  
Thomas Frenken ◽  
Elisabeth Steinhagen-Thiessen ◽  
...  

This article covers the suitability to measure gait-parameters via a Laser Range Scanner (LRS) that was placed below a chair during the walking phase of the Timed Up&Go Test in a cohort of 92 older adults (mean age 73.5). The results of our study demonstrated a high concordance of gait measurements using a LRS in comparison to the reference GAITRite walkway. Most of aTUG’s gait parameters demonstrate a strong correlation coefficient with the GAITRite, indicating high measurement accuracy for the spatial gait parameters. Measurements of velocity had a correlation coefficient of 99%, which can be interpreted as an excellent measurement accuracy. Cadence showed a slightly lower correlation coefficient of 96%, which is still an exceptionally good result, while step length demonstrated a correlation coefficient of 98% per leg and stride length with an accuracy of 99% per leg. In addition to confirming the technical validation of the aTUG regarding its ability to measure gait parameters, we compared results from the GAITRite and the aTUG for several parameters (cadence, velocity, and step length) with results from the Berg Balance Scale (BBS) and the Activities-Specific Balance Confidence-(ABC)-Scale assessments. With confidence coefficients for BBS and velocity, cadence and step length ranging from 0.595 to 0.798 and for ABC ranging from 0.395 to 0.541, both scales demonstrated only a medium-sized correlation. Thus, we found an association of better walking ability (represented by the measured gait parameters) with better balance (BBC) and balance confidence (ABC) overall scores via linear regression. This results from the fact that the BBS incorporates both static and dynamic balance measures and thus, only partly reflects functional requirements for walking. For the ABC score, this effect was even more pronounced. As this is to our best knowledge the first evaluation of the association between gait parameters and these balance scores, we will further investigate this phenomenon and aim to integrate further measures into the aTUG to achieve an increased sensitivity for balance ability.


2015 ◽  
Vol 5 (2) ◽  
pp. 90
Author(s):  
Olievia Prabandini Mulyana ◽  
Wayan Sukmawati Puspitadewi

This research is aimed to determine the effectivity of training to increase self-efficacy towards career preference options in psychology. This is a quantitative research, in which experiment method is applied by using pretest-posttest control group design. The dependent variable is self-efficacy towards career preference options in psychology. Self efficacy towards career preference options in psychology is measured using self efficacy towards career preference options scale. The independent variable in this research is career planning training. The research subject are 40 persons groupped into experiment group and control group. Pre-test are given to both experiment and control group. next, the experiment group is given treatment of career planning training. The next step, post test is administered to experiment group and control group. The research is analized using anava repeated measure. Anava repeated measure resulted showing significant result. Thus, hyphothesis stating that there is effect of career planning training to self efficacy towards career preference options for psychology student of UNESA is accepted. Self efficacy towards career preference options for psychology increased after career planning training is given as treatment. Self efficacy towards career preference options for psychology in experiment group between pre-test and post-test is different.Abstrak: Penelitian ini bertujuan untuk mengetahui efektivitas pelatihan dalam meningkatkan efikasi diri terhadap pilihan bidang minat karir psikologi. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif. Penelitian ini menggunakan metode eksperimen dengan desain eksperimen yang digunakan adalah pretest-posttest control group design. Variabel tergantung pada penelitian ini adalah efikasi diri terhadap pilihan bidang minat karir psikologi. Kemampuan efikasi diri terhadap pilihan bidang minat karir psikologi diukur dengan skala efikasi diri terhadap pilihan bidang minat karir. Sedangkan variabel bebas dalam penelitian ini adalah pelatihan perencanaan karir. Subjek penelitian yang berjumlah 40 orang yang kemudian dikelompokkan ke dalam kelompok eksperimen dan kelompok kontrol. Pada kelompok eksperimen dan kelompok kontrol diberikan pre-test. Selanjutnya pada kelompok eksperimen dikenai perlakuan berupa pelatihan perencanaan karir. Tahapan berikutnya adalah pemberian posttest pada kelompok eksprimen dan kelompok kontrol. Analisis yang akan digunakan adalah anava amatan ulangan. Hasil anava amatan ulangan menunjukkan hasil yang signifikan. Dengan demikian, hipotesis yang menyatakan bahwa ada pengaruh pelatihan perencanaan karir terhadap efikasi diri terkait pilihan minat bidang karir psikologi pada mahasiswa psikologi UNESA, diterima. Efikasi diri terhadap pilihan minat bidang karir di Psikologi meningkat setelah diberikan pelatihan perencanaan karir.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 155
Author(s):  
Eka Mishbahatul Mar'ah Has ◽  
Amira Aulia ◽  
Tiyas Kusumaningrum ◽  
Ferry Efendi

A well-balanced diet is one of the four pillars of diabetes self-management. Patient's culture strongly influences intake food. Diabetic dietary guidelines which fit with the patient's culture is expected to improve patient's self-efficacy and diet compliance. This study was aimed to analyze the effect of ethnic foods diet program in improving self-efficacy and diet compliance among Type-2 Diabetes Mellitus (T2DM) patients. This was quasy experiment research with pre and post-test control design. The population was 112 T2DM patients from Sasak Tribes, West Nusa Tenggara. Samples were 36 respondents, divided into intervention (18) and control (18) groups. The independent variable was the ethnic food diet (EFD) program, while the dependent variables were patient's self-efficacy and diet compliance. Data were collected using self-efficacy questionnaire and a 24-hour dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test. The result showed differences in self-efficacy between pre and post-test in the treatment group (p=0,001), but there were no differences in the control group. There were differences in diet compliance in the treatment group (p=0,001), but there were no differences in the control group. There were differences between treatment and control groups on self-efficacy (p=0,000) and diet compliance (p=0,000). Ethnic foods diet program can improve self-efficacy and diet compliance among T2DM patients because more comfortable and easier to be applied. Nurses can apply ethnic foods diet program as an intervention to promote healthy diet for T2DM patients.


2021 ◽  
Vol 3 (1) ◽  
pp. 12
Author(s):  
Sabah R. H. Ahmed ◽  
Safaa G. Salem ◽  
Nahed M. Saber ◽  
Reda T. A. Abou Elazab ◽  
Merfat M. Atia

the offspring in prenatal and postnatal periods and later life.  Lack of self-care is the most important reason for mortality in diabetic patients. Self-efficacy has a significant role in enhancing successful adherence to healthy behaviors, lifestyle modifications, and diabetes control among gestational diabetes pregnant women. Aim:  The current study aimed to evaluate the nursing intervention (NI) effectiveness on health locus of control (HELOC) and self-efficacy in women with gestational diabetes (GD). Methods: A quasi-experimental design (study and control group) was used. The researchers conducted this study at the Antenatal Outpatient Clinics of Shebin El-Kom Teaching Hospital, Menoufia Governorate, Egypt. A purposive sample of 120 women with GD was carefully chosen from the nominated setting and dispersed accidentally into two identical groups (study and control group). Three tools were used for collecting the study data: A structured self-administered questionnaire, the Multidimensional Health Locus of Control Scale-C Form, and the General Self-efficacy Scale. Results: There is a statistically significant difference between the intervention and control groups in their internal health locus of control (HELOC) scores after the intervention, with a mean difference of 4.70 at CI 95% for the intervention group p<0.001. A non-statistically significant difference was found between the intervention group and the control group in the external health locus of control (HELOC) mean scores before and after the intervention, although there was a significant difference between the change in both groups p=0.032. Also, there is a highly statistically significant difference between the intervention group and the control group in the self-efficacy scores after the intervention in the intervention group, where p<0.001 compared to a non-significant difference between them before the intervention group intervention (p=0.555). Conclusion: The study concluded that the women with GD who attended NI sessions obtained higher HELOC scores (internal and external) and higher self-efficacy scores than those who do not. Educational nursing intervention should become a fundamental part of the total management of gestational diabetes in antenatal outpatient clinics.


Author(s):  
Batol Ramazani ◽  
Foroogh Bakhtiari

Background: Moving away from family can cause psychological and emotional trauma for the elderly. Accordingly, the present study aimed to evaluate the effectiveness of spiritual therapy on loneliness feeling among the elderly in a nursing home in Isfahan. Methods: The method was quasi-experimental with a pretest-posttest design and a control group. The population of this study included all of the elderly in Sadeghieh nursing home in Isfahan in 2018. The sample of this study included 30 elderly people being selected by purposive sampling and then randomly included in the experimental and control groups (15 elderly people in each group). The experimental group received the therapeutic interventions related to spiritual therapy at eight sessions of 90 minutes every week for two months. Then, the subjects in both groups were re-tested. The used instruments included Russell’s loneliness questionnaire (1996). After collecting the questionnaires and extracting the raw data, the data analysis was conducted using descriptive statistics and analysis of covariance by SPSS23 statistical software at 0.05 error level. Results: spiritual therapy had a significant effect on loneliness among the elderly in the nursing home (p < 0.001). In this regard, this therapy could reduce loneliness among the elderly in the nursing home. The effect of spiritual therapy on loneliness among the elderly in the nursing home was 53%. Conclusion: Based on the research findings, spiritual therapy can reduce loneliness among the elderly by the techniques such as taking responsibility, assigning cases to God, strengthening the intention, and deleting negative thoughts.


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