Gait speed and functional performance in elderly women with knee osteoarthritis

2021 ◽  
Vol 34 ◽  
Author(s):  
Rayanne Crislaynne Silva Oliveira ◽  
Ana Vitória Morais Inocêncio ◽  
Lívia Shirahige ◽  
Marco Aurelio Benedetti Rodrigues ◽  
Cinthia Rodrigues Vasconcelos ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Gait Speed ◽  
Elderly Women ◽  
Functional Performance ◽  
International Classification Of Functioning ◽  
Control Group ◽  
Functional Activities ◽  
Skeletal Muscle Dysfunction ◽  
And Control

Abstract Introduction: Knee osteoarthritis is a degenerative and inflammatory disease that causes skeletal muscle dysfunction and induces limitation of functional activities, such as gait. Objective: To assess the relationship between gait speed and functional performance in elderly women with knee osteoarthritis. Methods: 38 elderly women were divided into two groups: knee osteoarthritis group (KOAG) (n = 24, 68 ± 4.42) and control group (CG) (n = 14, 66.35 ± 3.54). Gait speed data was assessed through Qualisys system and functional performance through a checklist of the International Classification of Functioning, Disability and Health (ICF). Results: Comparing with CG (p < 0.05), KOAG patients had lower gait speed (p = 0.004) and worse functional performance in d4500 (walking short distances), d4501 (walking long distances), d4502 (walking on different surfaces), and d4503 (walking around obstacles) ICF categories. By associating gait speed and functional performance in KOAG, significant differences were found in the d4500 (p = 0.019) and d4501 (p = 0.035) categories, but none for either the d4502 (p = 0.511) or d4503 (p = 0.076) categories. Gait speed was negatively correlated with d4500 (rho = -0.585, p = 0.003), d4501 (rho= -0.552, p = 0.005), and d4502 (rho = -0,548, p = 0,006). Conclusion: Gait speed is related to functional performance in elderly women with knee osteoarthritis for the activities of walking short distances, walking long distances, and walking on different surfaces. However, it seems that gait speed is not related to walking around obstacles.

Perceived and actual arm performance in multiple sclerosis: relationship with clinical tests according to hand dominance

2013 ◽  
Vol 19 (10) ◽  
pp. 1341-1348 ◽  
Author(s):  
Ilse Lamers ◽  
Lore Kerkhofs ◽  
Joke Raats ◽  
Daphne Kos ◽  
Bart Van Wijmeersch ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Handgrip Strength ◽  
Real Life ◽  
Activity Level ◽  
International Classification Of Functioning ◽  
Fine Motor ◽  
Control Group ◽  
Hand Dominance ◽  
Clinical Tests

Background: The real-life relevance of frequently applied clinical arm tests is not well known in multiple sclerosis (MS). Objective: This study aimed to determine the relation between real-life arm performance and clinical tests in MS. Methods: Thirty wheelchair-bound MS patients and 30 healthy controls were included. Actual and perceived real-life arm performance was measured by using accelerometry and a self-reported measure (Motor Activity Log). Clinical tests on ‘body functions & structures’ (JAMAR handgrip strength, Motricity Index (MI), Fugl Meyer (FM)) and ‘activity’ level (Nine Hole Peg Test (NHPT), Action Research Arm test) of the International Classification of Functioning were conducted. Statistical analyses were performed separately for current dominant and non-dominant arm. Results: For all outcome measures, MS patients scored with both arms significantly lower than the control group. Higher correlations between actual arm performance and clinical tests were found for the non-dominant arm (0.63–0.80). The FM (55%) was a good predictor of actual arm performance, while the MI (46%) and NHPT (55%) were good predictors of perceived arm performance. Conclusions: Real-life arm performance is decreased in wheelchair-bound MS patients and can be best predicted by measures on ‘body functions & structures’ level and fine motor control. Hand dominance influenced the magnitude of relationships.

scholarly journals Electrophysiological characteristics and anatomical differentiation of epileptic and non-epileptic myoclonus

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mohammad Abu-Hegazy ◽  
Azza Elmoungi ◽  
Eman Eltantawi ◽  
Ahmed Esmael
Keyword(s):  
Evoked Potential ◽  
Electrophysiological Study ◽  
Juvenile Myoclonic Epilepsy ◽  
Myoclonic Epilepsy ◽  
Somatosensory Evoked Potential ◽  
Control Group ◽  
Anatomical Classification ◽  
Significant Difference ◽  
And Control

Abstract Background Electrophysiological techniques have been used for discriminating myoclonus from other hyperkinetic movement disorders and for classifying the myoclonus subtype. This study was carried out on patients with different subtypes of myoclonus to determine the electrophysiological characteristics and the anatomical classification of myoclonus of different etiologies. This study included 20 patients with different subtypes of myoclonus compared with 30 control participants. Electrophysiological study was carried out for all patients by somatosensory evoked potential (SSEP) and electroencephalography (EEG) while the control group underwent SSEP. SSEP was evaluated in patients and control groups by stimulation of right and left median nerves. Results This study included 50 cases with myoclonus of different causes with mean age of 39.3 ± 15.7 and consisted of 23 males and 27 females. Twenty-nine (58%) of the patients were epileptics, while 21 (42%) were non-epileptics. Cases were classified anatomically into ten cases with cortical myoclonus (20%), 12 cases with subcortical myoclonus (24%), and 28 cases with cortical–subcortical myoclonus (56%). There was a significant difference regarding the presence of EEG findings in epileptic myoclonic and non-epileptic myoclonic groups (P = 0.005). Also, there were significant differences regarding P24 amplitude, N33 amplitude, P24–N33 peak-to-peak complex amplitude regarding all types of myoclonus. Primary myoclonic epilepsy (PME) demonstrated significant giant response, juvenile myoclonic epilepsy (JME) demonstrated no enhancement compared to controls, while secondary myoclonus demonstrated lower giant response compared to PME. Conclusion Somatosensory evoked potential and electroencephalography are important for the diagnosis and anatomical sub-classification of myoclonus and so may help in decision-making regarding to the subsequent management.

ASSESSMENT OF MORPHOFUNCTIONAL CHANGES IN ELDERLY WOMEN PERFORMING NORDIC WALKING EXERCISE

2017 ◽  
Vol 27 (80) ◽  
pp. 77-85
Author(s):  
Zofia Ignasiak ◽  
Alicja Nowak ◽  
Dorota Cichoń ◽  
Anna Sebastjan ◽  
Tomasz Ignasiak
Keyword(s):  
Physical Fitness ◽  
Elderly Women ◽  
Measurement Data ◽  
Positive Influence ◽  
Control Group ◽  
Mineral Density ◽  
Nordic Walking ◽  
Physically Active ◽  
Health Training ◽  
And Control

Aim: the purpose of the research was an assessment of increased physical activity influence on selected elements of elderly women biological condition. Basic procedures: the research material consisted of measurement data of 80 elderly women that were divided into two grups: active (n=31) which participated in a health training, and control (n=49). We measured: basic somaic features, BMI, WHR, BMD and functional physical fitness. Results: analysed parameters of bone mineral density were slightly better of the physically active women in comparison to the unactive women. During analysis of physical fitness tests, active achieved decidedly higher results, which indicates positive influence of the nordic walking health training on functional physical fitness of elderly women. Conclusions: Utilised health training was an optimal stimulus for the examined women – their functional physical fitness and BMD improved considerably. No similar changes were noted in the control group

Collaborative Home-Visit Program for Young Children With Motor Delays in Rural Taiwan: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 100 (6) ◽  
pp. 979-994
Author(s):  
Yu-Hsin Hsieh ◽  
Hua-Fang Liao ◽  
Suh-Fang Jeng ◽  
Mei-Hui Tseng ◽  
Veronica Schiariti ◽  
...  
Keyword(s):  
Rural Areas ◽  
Home Visits ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Control Group ◽  
Disability And Health ◽  
Family Centered ◽  
Experimental Group

Abstract Background Caregiver engagement and collaborative team early childhood intervention (ECI) services are international trends; however, relevant evidence of collaborative home-visiting ECI in rural areas is as yet undetermined. Objective The study aimed to investigate the effectiveness of a collaborative ECI program in a rural area of Taiwan. Design The study was a pilot randomized control led trial. Methods Children aged 6 to 33 months experiencing motor delays and their caregivers were enrolled in Taitung, Taiwan. Using stratified randomization, 24 participants were allocated to either experimental or control groups, and both received 5 home visits within 3 months. The experimental group received ECI services based on the International Classification of Functioning, Disability and Health framework and family-centered approaches. The control group received regular home visits by local social workers. Child outcomes included Pediatric Evaluation of Disability Inventory Chinese Version and Peabody Developmental Motor Scale, 2nd edition. Family outcomes included the Disability-Adapted Infant–Toddler version of Home Observation for Measurement, and Chinese versions of the Knowledge of Infant Development Inventory and Parental Stress Index-Short Form. A tester blinded to the study conducted assessments at baseline, postintervention, and 3-month follow-up. Two-way mixed analysis of variance was used with α = .05 (2-tailed). Results The experimental group improved scores on the Disability-Adapted Infant–Toddler version of Home Observation for Measurement significantly more than the control group with an effect size of 0.64 at follow-up. In other outcomes, both groups showed no significant differences. The follow-up rate was 69%, and adherence to the ECI program was acceptable. Limitations A limitation of the study was the heterogeneity of the sample. Conclusions This pilot study revealed possible effectiveness in implementing collaborative ECI programs based on family-centered approaches and the International Classification of Functioning, Disability and Health in rural areas. Larger field studies are needed to confirm our findings.

scholarly journals Effect of Kinesiotaping on Quality of Life of Knee Osteoarthritis Patients

2020 ◽  
Vol 8 (02) ◽  
pp. 21-32
Author(s):  
Aditya Paramitha ◽  
Rahmi Isma
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Bodily Pain ◽  
Intervention Group ◽  
Control Group ◽  
Pulley System ◽  
Sf 36 ◽  
Grade Ii ◽  
And Control

Introduction: Knee osteoarthritis (OA) causes pain which limits functional activity and quality of life. Quadriceps femoris muscle strengthening with weight-pulley system is effective in improving functional activity. Kinesiotaping is known in reducing pain thus improving activity and quality of life. This study was to determine the effect of kinesiotaping in addition to weight-pulley system exercise on quality oflife in grade II and III knee OA patients. Methods: Participants were randomly assigned to intervention group (n=13) and control group (n=14). All participants were treated with weight-pulley system exercise for nine sessions meanwhile participants in intervention group received additional kinesiotaping. Pre- and post-intervention quality of life were evaluated using Medical Outcome Study Short Form-36 (SF-36). Results: There were differences in total score of SF-36, bodily pain, general health, vitality, and role emotional between intervention and control group; (90.53±8.23, 76.98±11.88; p=0.002), (83.75±16.86,67.31±17.3; p=0.022), (88.57±10.27, 72.69±12.18; p=<0.001), (93.93±7.64, 80.77±10.18; p=0.002) and (92.86±14.18, 74.37±24.17; p=0.027), respectively. Conclusion: Application of kinesiotaping in addition to weight-pulley system exercise improved quality of, particularly in bodily pain, general health, vitality and role emotional in grade II and III knee OApatients.

scholarly journals Effects of low intensity pulsed ultrasound to reduce the effusion volumes and pain with knee osteoarthritis: a randomized controlled trial

2018 ◽  
Vol 5 (1) ◽  
pp. 77
Author(s):  
P. Shanmuga Raju ◽  
Chokkarapu Ramu ◽  
N. S. Harshavardhan ◽  
K. Rajender ◽  
G. Sachin
Keyword(s):  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Controlled Trial ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Pulsed Ultrasound ◽  
Low Intensity Pulsed Ultrasound ◽  
Low Intensity ◽  
Randomized Controlled ◽  
And Control

<p class="abstract"><strong>Background:</strong> The study aim was to determine the effect of low intensity pulsed ultrasound therapy to reduce the effusion volumes and pain in patients with Knee OA.</p><p class="abstract"><strong>Methods:</strong> This study design was randomized controlled trial. Total 50 patients diagnosed with Knee osteoarthritis were randomly assigned to two groups. Group I was using treatment of low intensity pulsed ultrasound therapy and group II was administered TENS with home exercise respectively. Treatments were 6 days per week and duration of 2 week. The amount of effusion volume will be measured via ultrasonograpy in knee.<strong></strong></p><p class="abstract"><strong>Results:</strong> The<strong> </strong>maximum number of cases are lying in age group &gt;60 years which is 28% and 40% in cases and control group respectively and age distribution in both the group is statistically not significant. The mean age of patients in cases and control group is 57.08±7.40 years and 58.04±9.93 years respectively.</p><p class="abstract"><strong>Conclusions:</strong> Low intensity pulsed ultrasound therapy significantly reduced the effusion volumes and pain in patients with knee osteoarthritis.</p>

scholarly journals The Effect of Eight Weeks of Hand-Selected Strength Exercises and the Cinnamon Supplementation on Inflammatory Biomarkers in Elderly Women with Osteoarthritis

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shayesteh Hassani ◽  
Sedigheh Hosseinpour Delavare ◽  
Hassan Safikhani
Keyword(s):  
Elderly Women ◽  
Inflammatory Biomarkers ◽  
Joint Disease ◽  
Control Group ◽  
Hand Osteoarthritis ◽  
Significance Level ◽  
Strength Exercises ◽  
Resistance Exercises ◽  
Before And After ◽  
And Control

Background: Osteoarthritis is the most common joint disease (arthropathy) and a cause of disability in aging ages. The prevalence rate of the osteoarthritis is different and is related to different indicators. Objectives: The purpose of the present study was to investigate the effect of eight weeks of hand-selected exercises and cinnamon supplementation on inflammatory biomarkers in elderly women with osteoarthritis. Methods: The participants of this study were 48 women with hand-osteoarthritis. They divided into four groups (strength exercises, cinnamon-honey supplementation, combinatory and control) randomly. The first group underwent the hand-selected strength exercises. The second group used the supplementations for 8 weeks. The third group also applied hand-selected exercises and supplements simultaneously. The fourth group also participated as a control group without any exercise or supplementation. Patients’ TNfα and IL6 levels were measured before and after applying the independent variables and were compared. The dependent t-test was used to compare between pre and posttest and the ANOVA test to compare TNfα and IL6 levels between the four groups. The significance level P ≤ 0.05 was considered. Results: The results showed that by applying variables, the strength exercises and cinnamon-honey supplementary as well as the combination of exercises and supplementary have had a positive effect on inflammatory biomarkers and in fact, 8 weeks of resistance exercises and using cinnamon-honey supplements in women with hand osteoarthritis have led to a decrease in IL 6 and TNfα levels. Conclusions: Therefore, it is recommended to use wrist resistance exercises with supplements (cinnamon and honey) to accelerate the recovery of the disease and improve the wrist inflammatory.

scholarly journals Impact of Pinch Strength Training along with Postural Education on Upper Extremity Functional Performance among Dentist

2021 ◽  
Vol 11 (5) ◽  
pp. 241-247
Author(s):  
Simulia Dhinju B ◽  
Paulraj M ◽  
Manjula Devi K
Keyword(s):  
Strength Training ◽  
Functional Performance ◽  
Pinch Strength ◽  
Control Group ◽  
Study Materials ◽  
Active Range Of Motion ◽  
Post Test ◽  
Group A ◽  
High Level ◽  
And Control

Background: Dentists are required to maintain a high level of precision during manual scaling, polishing and Flossing. As a result of sustained griping activity finger and wrist pain are more common among Dentists. Therefore the excess pinch force, leads to musculoskeletal disorders which in turn affects the functional ability. Study design: An Experimental study. Materials & Methods: The sum of 30 Dental professionals were selected under inclusion criteria into this study, ages between 20 to 35 years with decrease in pinch strength and functional abilities. Selected subjects were randomly allocated into two groups such as experimental group (Pinch strength training and conventional exercise) and control group (Conventional Exercises - Postural corrective exercises, active range of motion exercises, shoulder bracing and shoulder shrugging exercise, Ergonomics advices) were given. The outcome tools used are Modified Sphygmomanometer test and Disabilities of the Arm, Shoulder and Hand Questionnaires (DASH). The Statistical analysis of pre &post test values were analyzed using paired & unpaired ‘t’ test. Result: The result of this study shows that Group A using Pinch strength along with Postural Education were found to be effective over the control group, where only the postural education were done (p <0.0001). Conclusion: Therefore this study concludes that Pinch strength training along with Postural education were proven to be significant in improving Pinch strength and Functional performance among Dentist. Key words: DASH Questionnaires, Functional disabilities, Modified Sphygmomanometer test and Pinch strength training.

The results of surgical treatment of the patients with a cochlear form of otosclerosis

2019 ◽  
Vol 18 (5) ◽  
pp. 46-53
Keyword(s):  
Surgical Treatment ◽  
Bone Conduction ◽  
Functional Results ◽  
Main Group ◽  
Differential Diagnostics ◽  
Control Group ◽  
Efficient Treatment ◽  
And Control

Despite the progress in otosurgery, the efficient treatment of patients with the cochlear form of otosclerosis (according to the classification of N.A. Preobrazhensky, 1962) remains an important task. The authors have developed and implemented an advanced stapedoplasty method, providing the improvement of hearing in this category of patients. and described the methods of differential diagnostics for selection of patients according to the developed method. The article describes in details the early and long-term functional results of surgical treatment of 60 patients with cochlear and mixed II forms of otosclerosis, divided into the main and control groups. The main group is represented by 30 patients who underwent a cartilage-on-vein stapedoplasty according to the improved method. The control group included 30 patients, in which 18 people underwent a cartilage-on-vein stapedoplasty according to the method developed by Lenin Prize winner V. F. Nikitina, and 12 people who underwent V. T. Palchun’s piston stapedoplasty. The results demonstrate a statistically significant improvement of bone conduction in the main group in average by 15–20 dB throughout the entire tone scale (except for high frequencies in some patients) and the complete closure of the bone-air interval with subsequent preservation of the results. Based on the obtained data, the authors present the expediency and perspectivity of implementation of the advanced stapedoplasty method.

scholarly journals Effects of a therapeutic exercises program associated with pompage technique on pain, balance and strength in elderly women with knee osteoarthritis

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 11-21
Author(s):  
Ihana Thaís Guerra de Oliveira Gondim ◽  
Amanda Bruto da Costa Torres ◽  
Amanda Telino Baudel de Lacerda ◽  
Danielle Queiroz Kühni Fernandes ◽  
Moisés Costa do Couto ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Postural Balance ◽  
Elderly Women ◽  
Intervention Group ◽  
Knee Extensor ◽  
Peak Torque ◽  
Control Group ◽  
Therapeutic Exercise ◽  
Therapeutic Exercises

Abstract Introduction: Knee Osteoarthritis (OA) affects mainly elderly, being characterized by arthralgia, stiffness and strength and balance deficits. Scientific evidence suggests beneficial effects of exercise therapy on these changes, but lacks detailed protocols. In addition, there were published studies on effects of therapeutic exercise associated with pompage that were not located. Objective: To investigate the effects of a therapeutic exercise program associated with pompage on pain, balance and muscle strength in elderly women with knee osteoarthritis. Methods: A randomized pilot clinical trial that included 22 women (60 - 80 years) diagnosed with knee OA, randomized and allocated by simple raffle into two groups: intervention and control. Intervention group (strengthening and balance exercises and knee pompage) performed two sessions per week for 12 weeks. The control group received educational lectures, they were evaluated before and after 12 weeks: arthralgia- subscale pain of the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire (WOMAC); postural stability- postural balance protocol by Biodex Balance SD and muscle strength- concentric peak torque of the knee extensor by isokinetic dynamometer. The Independent Student t test was used for intergroup analysis. Results: The intervention group compared with the control showed better results for the outcomes pain, balance and muscle strength after 12 weeks. However, the difference was statistically significant (p < 0.05) for levels of antero-posterior oscillation (DM -0.28, 95% CI -0.54 a -0.02; p = 0.035) and global oscillation (DM -0.36, 95% CI -0.68 a -0.04; p = 0.028). Conclusion: The intervention had a positive effect on postural balance in elderly women with knee osteoarthritis.

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