scholarly journals Multimodal Physical Therapy Approach on Depression, Anxiety, Stress and Quality of Life in Subject with Home Quarantine for COVID-19 Pandemic Attack- A Case Study From India

2020 ◽  
Author(s):  
Ramesh Patra ◽  
Biswajit Kanungo
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Sleep Disturbances ◽  
Emotional Health ◽  
Short Form ◽  
Emotional Wellbeing ◽  
Depression Anxiety Stress Scale

Abstract Purpose: The main purpose of our study was to evaluate the effectiveness of multidisciplinary physiotherapy approach on depression, anxiety, stress and quality of life during lockdown periods for the COVID-19 pandemic attack. Method: The patient was 56 years female complaining with restlessness and sleep disturbances at night in an outpatient department, Jalandhar Physiotherapy, India. She was a known case of hypertension and grade-2 bilateral knee osteoarthritis. Her level of depression, anxiety and stress was evaluated through DASS-21 (Depression Anxiety Stress Scale) questionnaire. Short Form of health related questionnaire (SF-36) was used for the assessment of quality of life. Emotional liberation breathing technique and multimodal physical therapy approaches were used to treat the patient for 2 weeks of periods 3 sessions per week. Results: After four weeks of follow up the patient was presented with significant improvement in all the parameters depression, anxiety, stress and quality of life (physical functioning, role of limitation-physical health, role of limitation-emotional health, energy, emotional wellbeing, Body pain and general health). These outcomes were reduced the use of analgesics and sedative drugs. Conclusion: Therefore, the outcomes of this case study concluded that multidimensional therapeutic approach is a beneficial approach to manage depression, anxiety, quality of life, and sleep quality.

scholarly journals The Role of Gender in the Transition to Driving Cessation in Persons With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 302-303
Author(s):  
Stephanie Yamin ◽  
Roxana Manoiu ◽  
Gary Naglie ◽  
Sarah Sanford ◽  
Elaine Stasiulis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Emotional Responses ◽  
Life Transition ◽  
Emotional Wellbeing ◽  
Driving Cessation ◽  
Significant Life ◽  
Ability To Drive

Abstract Driving often provides a sense of independence, quality of life and emotional wellbeing. For older adults living with dementia, driving cessation eventually becomes inevitable. Driving cessation has been shown to negatively impact older adults’ mobility and, consequently, quality of life. Caregivers of persons with dementia (PWD) who have ceased driving are also impacted as they often become responsible for meeting the mobility needs of PWD and they provide emotional support in respect to this significant life transition. To date, there is little information on the role of gender in the transition to driving cessation in PWD. The purpose of this study was to examine the role that gender plays among drivers and ex-drivers with dementia from the perspectives of PWD, their caregivers, and healthcare practitioners. Secondary thematic analyses were conducted from a pre-existing sample of persons with dementia (N=10), family caregivers (N=13), and healthcare practitioners (N=6) who participated in interviews and focus groups about their experiences around driving cessation in the context of dementia. Data analyses involved an inductive thematic technique that allowed for generating themes. The main themes identified gender differences as a significant factor in: (1) difficulty accepting driving cessation (2) driving as it is tied to identity, (3) emotional responses to driving cessation, (4) driving as part of the caregiving role. The findings suggest that there is a need for tailored interventions for men and women who lose their ability to drive, in addressing their unique emotional responses and in supporting them through this important life transition.

Role of Panchakarma in Amavata W.S.R. Systemic Lupus Erythmatosus A Case Study

2020 ◽  
Vol 8 (02) ◽  
Author(s):  
Dr Kailas Sonmankar
Keyword(s):  
Quality Of Life ◽  
Drug Resistance ◽  
Autoimmune Disorder ◽  
Systemic Lupus

Abstract: SLE an autoimmune disorder where mulitisystem is involved.Its management is done by analgesics and cortiocosteriods . Drug resistance ,increasing doses of haepatotoxic drugs and imunosupressants steroids are hazards of the management .Here the patient suffering from SLE  was unable to do her day today work. Panchakarma treatment is found very effective in this case to improve her quality of life and to live with her own.

scholarly journals 1129 Sex Dependent Effects on Sleep Architecture After Traumatic Brain Injury: Impact on Outcome

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A430-A430
Author(s):  
G S Griesbach ◽  
S E Robinson ◽  
S Howell
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Rem Sleep ◽  
Sleep Disturbances ◽  
Emotional Health ◽  
Verbal Learning ◽  
Sleep Architecture ◽  
Sleep Stages

Abstract Introduction Traumatic Brain Injury (TBI) is frequently associated with problems with sleep and diurnal somnolence. After determining if subjective somnolence was associated with sleep disturbances, we investigated if alterations in sleep architecture were associated with cognitive, social and emotional health in a sex dependent manner. For patients receiving positive airway pressure (PAP) treatment, we determined if lack of compliance contributed to cognitive and quality of life issues. Methods Adult TBI subjects (n=57) were assessed via overnight polysomnography. Mean age was 41 years and mean TBI chronicity was 2.5 years. Overall level of disability was determined by the Mayo Portland Inventory II. Sleep measures included slow wave sleep (SWS), REM latency, percent time in all sleep stages, apnea/hypopnea index, wake after sleep onset (WASO), and arousal index. Outcome measures were the California Verbal Learning Test (CVLT), Montreal Cognitive Assessment (MoCA), Trails A and B, Beck Depression Inventory, and Neuro-QoL. Results No sex effects for reporting somnolence were found. Besides being associated with increased subjective anxiety and stigma, somnolence was associated with increased arousals, decreases in SWS and higher incidence of REM AHI. WASO and number of arousals had a negative impact on the amount of SWS and sleep efficiency. Men spent significantly more time in REM sleep, which was correlated with higher scores on the MoCA and CVLT. Women showed more disability. Longer latencies to SWS were associated with increased CVLT performance. AHI was associated with increases in emotional/behavioral dyscontrol, fatigue and self-reported sleep disturbance. All effects were statistically significant. Conclusion Female TBI patients show significant impairments in REM sleep, which may impact learning and memory. Sleep disturbances were associated with poorer cognitive performance and may ultimately affect outcome, as indicated by lower scores on quality of life measures. Support Centre for Neuro Skills

scholarly journals Quality of Life in Carotid Atherosclerosis: The Role of Co-morbid Mood Disorders

2016 ◽  
Vol 12 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Maria Lecca ◽  
Luca Saba ◽  
Roberto Sanfilippo ◽  
Elisa Pintus ◽  
Michela Cadoni ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Central Nervous System ◽  
Nervous System ◽  
Mood Disorders ◽  
Carotid Atherosclerosis ◽  
Short Form ◽  
The Central Nervous System ◽  
Dsm Iv

Introduction/Objective: To study in severe carotid atherosclerosis (CA): the frequency of mood disorders (MD); the impairment of quality of life (QoL); the role of co-morbid MD in such impairment. Methods: Case-control study. Cases: consecutive in-patients with CA (stenosis ≥ 50%). Controls: subjects with no diagnosis of CA randomized from a database of a community survey. Psychiatric diagnosis according to DSM-IV made by clinicians and semi-structured interview, QoL measured by the Short Form Health Survey (SF-12). Results: This is the first study on comorbidity on CA disease and MD in which psychiatric diagnoses are conducted by clinicians according to DSM-IV diagnostic criteria. Major Depressive Disorder (MDD) (17.4% vs 2.72%, P <0.0001) but not Bipolar Disorders (BD) (4.3% vs 0.5%, P = 0.99) was higher in cases (N=46) than in controls (N= 184). SF-12 scores in cases were lower than in controls (30.56±8.12 vs 36.81±6:40; p <0.001) with QoL comparable to serious chronic diseases of the central nervous system. The burden of a concomitant MDD or BD amplifies QoL impairment. Conclusion: Comorbid MD aggravates the impairment of QoL in CA. Unlike autoimmune diseases or degenerative diseases of the Central Nervous System, CA shows a strong risk of MDD than BD.

scholarly journals Assessment of Sleep among Patients with Chronic Liver Disease: Association with Quality of Life

2021 ◽  
Vol 11 (12) ◽  
pp. 1387
Author(s):  
Oana-Mihaela Plotogea ◽  
Gina Gheorghe ◽  
Madalina Stan-Ilie ◽  
Gabriel Constantinescu ◽  
Nicolae Bacalbasa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Sleep Disturbances ◽  
Short Form ◽  
Chronic Liver ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Sf 36

The present study aims to assess the sleep characteristics and health-related quality of life (HRQOL) among patients with chronic liver diseases (CLDs), as well as the relationship between them. We conducted a prospective cross-sectional study, over a period of eight months, on patients with CLDs. Sleep was assessed by subjective tools (self-reported validated questionnaires), semi-objective methods (actigraphy), and HRQOL by using the 36-Item Short Form Survey (SF-36) and Chronic Liver Disease Questionnaire (CLDQ). The results indicated that 48.21% of patients with CLDs had a mean Pittsburgh Sleep Quality Index (PSQI) score higher than five, suggestive of poor sleep; 39.29% of patients had a mean Epworth Sleepiness Scale (ESS) score ≥11, indicative of daytime sleepiness. Actigraphy monitoring showed that patients with cirrhosis had significantly more delayed bedtime hours and get-up hours, more awakenings, and more reduced sleep efficacy when compared to pre-cirrhotics. The CLDQ and SF-36 questionnaire scores were significantly lower in cirrhotics compared to pre-cirrhotics within each domain. Moreover, we identified significant correlations between the variables from each questionnaire, referring to HRQOL and sleep parameters. In conclusion, sleep disturbances are commonly encountered among patients with CLDs and are associated with impaired HRQOL. This is the first study in Romania that assesses sleep by actigraphy in a cohort of patients with different stages of CLD.

scholarly journals Bidirectional relationship between sleep disturbances and stress: the role of coping and quality of life

2019 ◽  
Vol 51 (sup1) ◽  
pp. 191-191
Author(s):  
Jorge Cardoso ◽  
Telma Almeida ◽  
Catarina Ramos ◽  
Sara Sousa ◽  
José Brito
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Bidirectional Relationship

scholarly journals Management of Chronic Pain Using Acupuncture as a Standalone Treatment – A Case Study

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hamad AlKahtani ◽  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Case Report ◽  
Short Form ◽  
Single Case ◽  
Current Case ◽  
Positive Effects ◽  
Pain Medications

Chronic pain is a suffering which patients endure due to various injuries or condition and has a significant impact on the overall quality of life. Where traditional medicine fails to bring the desired results for the patient, use of acupuncture to manage chronic pain has been reported to have beneficial results. The current case report aims to report the positive effects of acupuncture in managing chronic pain through presentation of a single case. The patient had a four-week PT Program, seen twice a week for acupuncture (Bilateral BL 23BL25, GV4, GV 3, and bilateral LI4). The main outcome measures used were visual analogue scale, Short Form 36 Health Survey (SF-36) and Oswesrty Low Back Disability Questionnaire. At the end of treatment, the patient had significant reduction in pain and improved outcomes thus supporting the use of acupuncture for pain management in chronic pain patients. The current case report affirms that acupuncture is both safe and effective in managing chronic pain and quality of life. Bilateral BL23, BL25, GV4, GV 3, and LI4 points used in the current case study has proven to be helpful in helping patient come off long-term pain medications.

EFFECT OF PHYSICAL THERAPY ON WOMAC SCORES AND QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS

2006 ◽  
Vol 10 (01) ◽  
pp. 57-61 ◽  
Author(s):  
Fitnat Dinçer ◽  
Özlem Erol ◽  
Ayçe Atalay
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Physical Functioning ◽  
Short Form ◽  
Bodily Pain ◽  
Likert Scale ◽  
Numeric Scale

Objective: To assess effect of physical therapy including both physical agents and exercise on pain, physical functioning and quality of life in patients with knee osteoarthritis. Methods: Twenty-seven patients (25 female and two male) with knee osteoarthritis were included in the study. Besides sociodemographic variables, presence of chronic diseases, analgesic use, recreational activites were recorded. A standard knee examination was performed and anteroposterior and lateral knee radiographs were obtained. Pain was measured using visual analogue scale (VAS), numeric scale and Likert scale. Pain, stiffness and physical function was assessed using Likert-scaled version of the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). For quality of life evaluation Medical Outcomes Study Short Form 36 (SF-36) was utilized. Evaluations were done at baseline and 1 month after completion of physical therapy sessions. Results: Significant reduction of pain measurements namely VAS, numeric scale and Likert scale was observed as a result of physical treatment (p = 0.0001, p = 0.0001 and p = 0.001 respectively). In all 3 subscores of WOMAC (pain, stiffness and physical function) significant improvement was noted due to treatment (p = 0.0001, p = 0.012 and p = 0.0001 respectively). Similarly, physical functioning, role-physical, bodily pain and vitality and social functioning subscores demonstrated significant reductions after therapy. (p = 0.039, p = 0.001, p = 0.0001, p = 0.001 and p = 0.035 respectively). Conclusion: Physical therapy including both physical agents and exercise leads to signifcant improvements in pain, physical functioning and quality of life. This change was demonstrated by both generic and disease specific outcome measures.

A Study on the Clinical Effects of Physical Therapy and Acupuncture to Treat Spontaneous Frozen Shoulder

2006 ◽  
Vol 34 (05) ◽  
pp. 759-775 ◽  
Author(s):  
Tsochiang Ma ◽  
Mu-Jung Kao ◽  
I-hsin Lin ◽  
Yen-Lin Chiu ◽  
Chingwen Chien ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Western Medicine ◽  
Short Form ◽  
Frozen Shoulder ◽  
Pain Scale ◽  
Evidence Based ◽  
Clinical Effects ◽  
Short Form 36

The integration of traditional Chinese and Western medicine and their clinical effects have been widely evaluated. Many studies have shown that using a combination of these two remedies has resulted in better outcomes than using only one of them. Acupuncture is a traditional Chinese medical technique, which plays an important role in enforcing pain control, prevention and functional improvement. In 1979, the World Health Organization (WHO) journal introduced acupuncture as a remedy for 43 diseases, including frozen shoulder. This study aims to assess the therapeutic outcomes of combining acupuncture and physical therapy to treat frozen shoulder, and hopes to establish an evidence-based study of the integration of acupuncture and western medicine in the future. A total of 75 frozen shoulder patients treated in a medical center were recruited for the study between January 2002 and December 2002. The average age of these patients was 54.8 years. The average duration of the condition was 25.8 weeks before treatment. Of the 75 patients, 30 were treated by physical therapy, 30 by acupuncture and 15 by both remedies. Before the treatment began, all patients were evaluated by assessing static pain scale, motion pain scale, active and passive ROM (range of motion) and quality of life scale sheet SF-36 (Short Form-36). The outcome was evaluated by follow-up assessments conducted at the 2nd week and 4th week of treatment sessions. All patients showed improvement in quality of life (Short Form-36). Pain was controlled better by acupuncture while ROM improved following physical therapy. However, patients treated by both methods had the best outcome. The integration of acupuncture and physical therapy to treat frozen shoulder leads to a better outcome than using only one method. The author suggests that an evidence-based foundation of the integration of Chinese and Western medicine should be established in the future, to encourage the integration of Chinese and Western medicine.

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