Does Preoperative Balance Training Reduce Pain and Improve Joint Function in Patients After Total Knee Arthroplasty? A Randomized Controlled Trial

Abstract Background Part of patients undergoing TKA did not achieve the expected physiological function results. The purpose of this study was to investigate whether preoperative balance training can reduce pain and improve joint function after TKA.Methods 100 patients with knee osteoarthritis (OA) prepared for TKA, according to the inclusion and exclusion criteria, were randomly divided into balance training group (50 patients) and control group (50 patients). The main evaluation outcomes of the study included early functional milestones, ROM, WOMAC score, keen society score (KSS), KOOS score, and complications at 1 month (baseline) and 1 day before surgery, 6 weeks (main endpoint) and 52 weeks (1 year) after surgery.Results 4 patients lost to follow-up at 1 month before surgery, 96 received planned surgery and 86 underwent a complete postoperative evaluation. After TKA, many indicators of the two groups, including WOMAC score, KSS, KOOS score, were significantly improved compared with before surgery. At 52 weeks after TKA, no statistically significant difference between the balance training group and control group in attain early functional milestones, ROM, WOMAC score, KSS, KOOS score, and complications; however, at 6 weeks after surgery, balance training group had better early benefits in stopping all narcotics (P = 0.045), relieving pain (P = 0.037), improving function (P = 0.017) and quality of life (QOL) (P = 0.028).Conclusions Although there were no difference between preoperative balance training group and control group at the 52 weeks after surgery, however, preoperative balance training can relieve pain and improve function in the early stage (6 weeks), but adequately statistically powered trials are needed to confrm the accuracy of the study resultsTrial Registration ChiCTR2000032789.

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Effects of a physical self-care support program for patients with fibromyalgia: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-191820 ◽

2021 ◽

pp. 1-10

Author(s):

Suélem B. de Lorena ◽

Angela L.B.P. Duarte ◽

Markus Bredemeier ◽

Vanessa M. Fernandes ◽

Eduardo A.S. Pimentel ◽

...

Keyword(s):

Controlled Trial ◽

Fibromyalgia Impact Questionnaire ◽

Self Care ◽

Support Program ◽

Control Group ◽

Study Objective ◽

Study Results ◽

Significant Difference ◽

Stretching Exercises ◽

Care Support

BACKGROUND: The effects of stretching exercises in fibromyalgia (FM) deserves further study. OBJECTIVE: To evaluate the effectiveness of a Physical Self-Care Support Program (PSCSP), with emphasis on stretching exercises, in the treatment of FM. METHODS: Forty-five women with FM were randomized to the PSCSP (n= 23) or to a control group (n= 22). The PSCSP consisted of weekly 90-minute learning sessions over 10 weeks, providing instructions on wellness, postural techniques, and active stretching exercises to be done at home. The control group was monitored through 3 medical appointments over 10 weeks and included in a waiting list. The primary outcomes were the Fibromyalgia Impact Questionnaire (FIQ), the Visual Analogue Scale (VAS) for pain, and the Sit and Reach Test (SRT) at the end of the study. RESULTS: Nineteen and 21 patients completed the trial in PSCSP and control groups, respectively. After 10 weeks, the PSCSP group showed significantly better FIQ (difference between adjusted means, -13.64, 95% CI, -21.78 to -5.49, P= 0.002) and SRT scores (7.24 cm, 3.12 to 11.37, P= 0.001) than the CONTROL group, but no significant difference in pain VAS (-1.41, -3.04 to 0.22, P= 0.088). Analysis using multiple imputation (MI) and delta-adjusted MI for missing outcomes rendered similar results. CONCLUSIONS: A PSCSP emphasizing stretching exercises significantly improved FIQ and SRT scores, and may be a helpful therapy for FM.

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PENGARUH PELATIHAN 30 SECOND BOX DRILL DAN 60 SECOND BOX DRILL TERHADAP DAYA LEDAK OTOT TUNGKAI

Jurnal Ilmu Keolahragaan Undiksha ◽

10.23887/jiku.v7i1.4097 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Luh Mastia Andriani ◽

I Gst Lanang Agung Parwata ◽

Ni Luh Kadek Alit Arsani

Keyword(s):

Vertical Jump ◽

Training Group ◽

T Test ◽

Control Group ◽

Control Groups ◽

Explosive Power ◽

Jump Test ◽

Significant Difference ◽

Leg Muscle ◽

And Control

Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan 30 second box drill dan 60 second box drill terhadap peningkatan daya ledak otot tungkai. Jenis penelitian ini adalah penelitian eksperimen semu (quasi) dengan rancangan the non-randomized pretest posttest control groups design. Subjek penelitian sebanyak 30 orang. Daya ledak otot tungkai diukur dengan vertical jump test dan data dianalisis dengan uji-t independent, uji anava satu jalur dan uji least significant difference (LSD) pada taraf signifikansi (α) 0,05 dengan bantuan SPSS 16,0. Berdasarkan hasil uji hipotesis antara gaint-score kelompok pelatihan 30 second box drill, 60 second box drill dan kelompok kontrol pada variable daya ledak otot tungkai, hasil analisis data menggunakan uji-t independent menunjukkan bahwa pelatihan 30 second box drill dan 30 second box drill berpengaruh terhadap peningkatan daya ledak otot tungkai dengan nilai signifikansi sebesar 0,000 dan 0,000 (SigKata Kunci : pelatihan 30 second box drill, pelatihan 60 seond box drill, daya ledak otot tungkai This study aimed to know the effect of 30 second box drill training and 60 second box drill training toward the increase of explosive power of leg muscle. This study is quasi experiment research with thenon-randomized pretest posttest control groups design. Subjects of this study were 30 people. The explosive power of leg muscle was measured by vertical jump test and analyzed by independent t-test, one lane anava test and test of least significant difference (LSD) in the significant standard (α) 0,05 by using SPSS 16,0. Based on the result of hypothesis between gaint-score on training group of 30 second box drill, 60 second box drill and control group on the variable of explosive power of leg muscle, result of analysis by using independent t-test showed that 30 second box drill training and 30 second box drill training influenced the explosion power of leg muscle in the significant value of 0,000 and 0,000 (Sigkeyword : 30 second box drill, 60 second box drill,explosive power

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Efficacy of a herbal toothpaste on patients with established gingivitis: a randomized controlled trial

Brazilian Oral Research ◽

10.1590/s1806-83242006000200015 ◽

2006 ◽

Vol 20 (2) ◽

pp. 172-177 ◽

Cited By ~ 26

Author(s):

Fabiana Ozaki ◽

Claudio Mendes Pannuti ◽

Ana Vitória Imbronito ◽

Wellington Pessotti ◽

Luciana Saraiva ◽

...

Keyword(s):

Adverse Reactions ◽

Controlled Trial ◽

Test Group ◽

Experimental Period ◽

Positive Control ◽

Control Group ◽

Control Groups ◽

Double Blind ◽

Significant Difference ◽

And Control

The aim of this randomised, double blind controlled trial was to verify the efficacy of a herbal dentifrice on the reduction of plaque and gingivitis. Forty eight volunteers with established gingivitis were randomly assigned to either a test group (herbal dentifrice) or positive control group (dentifrice with triclosan and fluoride). The dentifrices were distributed in plain white tubes by an independent pharmacy, which revealed the contents of each tube only after the experimental period. Plaque and gingivitis assessments were carried out on baseline and after 28 days of product use. All examinations were conducted by the same calibrated investigator. Subjects were instructed to brush their teeth three times daily using their assigned dentifrice for 28 days. There was a significant reduction in plaque levels in both the test and control groups. However, there was no significant difference between the groups. A significant reduction in gingivitis was observed in both groups, although there was no significant difference between them. No adverse reactions were reported. The authors concluded that both dentifrices were effective in reducing plaque and gingivitis in subjects with established gingivitis.

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Ganji Formulation for Patients with Hepatocellular Carcinoma Who Have Undergone Surgery: A Multicenter, Randomized, Double-Blind, Controlled Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2019/9492034 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Jing-Hao Zhang ◽

Chao Zheng ◽

Xiao-Jun Zhu ◽

Xin Zhang ◽

Zhi-Jun Hou ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Treatment Group ◽

Liver Resection ◽

Controlled Trial ◽

Disease Free Survival ◽

Control Group ◽

Double Blind ◽

Local Ablation ◽

Significant Difference ◽

And Control

Objective. To ascertain the efficacy and safety of Ganji Formulation (GF) for patients with Hepatocellular carcinoma (HCC) who had undergone surgery. Materials and Methods. A total of 262 HCC patients who had undergone liver resection, local ablation, or transcatheter arterial chemoembolization (TACE) were divided randomly into the treatment group and control group. The former was treated with GF and the later with placebo, both for 6 months. The primary endpoint was overall survival (OS). Second endpoints were disease-free survival (DFS) or time to disease progression (TTP). Results. OS of the treatment group was significantly longer than that of the control group (P < 0.05). Subgroup analysis showed that, for patients who received TACE, the TTP was significantly longer in the treatment group than in the control group (P < 0.05). However, for patients who underwent liver resection or local ablation, there was no significant difference in DFS between the two groups (P > 0.05). Conclusion. GF could improve postoperative cumulative survival and prolong the TTP. This clinical trial number is registered with ChiCTR-IOR-15007349.

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Probable antioxidant therapy of Saffron Crocin in patients with multiple sclerosis: A randomized controlled trial

Biomedicine ◽

10.51248/.v40i4.332 ◽

2021 ◽

Vol 40 (4) ◽

pp. 516-521

Author(s):

Sara Ami Ahmadi ◽

Azin Kazemi ◽

Mohammadmahdi Sabahi ◽

Shahab Razipour ◽

Arash Salehipour ◽

...

Keyword(s):

Oxidative Stress ◽

Multiple Sclerosis ◽

Controlled Trial ◽

Stress Factors ◽

Control Group ◽

Oxidative Damages ◽

Significant Difference ◽

Daily Dose ◽

Total Antioxidant ◽

And Control

Introduction and Aim: Multiple Multiple sclerosis (MS) is a complex neurological condition might emerge as a result ofcomplex combination of genetic risk factors with environmental triggers, including oxidative stress. in this study we aimed to evaluate the effects of oral Crocin on oxidative stress in patients with MS. Materials and Methods: Adjunct to standard treatment, the Crocin group (20 patients) received 30-mg/day (15 mg twice daily) dose of Crocin and placebo group (20 patients) received for 4 weeks. Saliva and urine samples were collected to determine the levels of total antioxidant capacity (TAC), catalase activity (CAT), total thiol groups (TTG), lipid peroxidation (LPO), were measured at baseline and the end of the study. Results: At baseline, there were no significant differences of LPO, TAC, CAT, and TTG of urine between the control and case groups. However, a significant difference was found after 4 weeks of Crocin-therapy in TTG,TAC and LPO (p<0.05) except in CAT activity (P>0.05). We found no deffrence in urinary TTG level and CAT activity in control group at the end of intervention (P>0.05), while TAC and LPO level were significantly different at the end of the study as compared with the beginning (P<0.05). Althugh, we found no significant difference in saliva LPO, TTG and TAC levels and the activity of CAT in case and control groups at first (p>0.05), Crocin administration have resulted in a significant increase in saliva TTG and TAC levels as well as CAT activity and markedly decrease in LPO level (p<0.05). Conclusion: According to the results of this study, Crocin can significantly reduce the several oxidative stress factors in MS patients and may contributes to attenuates the oxidative damages.

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The Effect of 8-Week Balance Training on the Agility, Strength, Balance Performance and Tennis Skills of 10-14 Year-Old Tennis Players

Journal of Educational Issues ◽

10.5296/jei.v6i2.17450 ◽

2020 ◽

Vol 6 (2) ◽

pp. 170

Author(s):

Esin Ergin ◽

Engin Arslan

Keyword(s):

Vertical Jump ◽

Balance Training ◽

Control Group ◽

Balance Performance ◽

Control Groups ◽

Tennis Players ◽

Significant Difference ◽

Tennis Skills ◽

And Control ◽

Experimental Group

The present study aimed to examine the effect of an 8-week balance training on the agility, strength, balance performance and tennis skills of tennis players aged 10-14. The study was participated by 19 tennis players (10 males and 9 females) playing in the EA Tennis Academy. The participants were selected randomly and divided into two groups as experimental group (9 players) and the control groups (10 players). Firstly, vertical jump, pro-agility, dynamic balance and ITN tennis skills tests were applied to all the participants. After all the test were completed, the experimental group were applied 8 weeks of balance and tennis training while the players in the control group continued tennis training only. The same tests were applied to the participants at the end of the 8 weeks. The findings of the study showed statistically significant improvement in the agility, balance index and tennis skills tests in the pre-test and post-tests of the experimental group (p = 0.034, p = 0.025, p = 0.003), whereas improvement was seen only in the tennis skills test of the control group (p = 0.000). In addition, no statistically significant difference was found in the vertical jump performance used to determine the explosive strength both in the experimental and control groups. As for the difference between groups, a significant difference was found only in the pro-agility post-tests of the experimental and control groups (p < 0.05). Based on these findings, it was revealed that balance training would improve agility and balance in 10-14 year-old children as well as contributing to their tennis skills. Therefore, it is considered that balance training should be included in training plans.

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Influence of long term stress exposure on somatisation symptoms outcome

Bosnian Journal of Basic Medical Sciences ◽

10.17305/bjbms.2004.3356 ◽

2004 ◽

Vol 4 (4) ◽

pp. 28-31

Author(s):

Sabaheta Hasić ◽

Emina Kiseljaković ◽

Radivoj Jadrić ◽

Belma Zečević ◽

Nešina Avdagić ◽

...

Keyword(s):

Chronic Stress ◽

Control Group ◽

Stress Exposure ◽

War Stress ◽

Control Subjects ◽

Study Results ◽

Significant Difference ◽

Student’S T ◽

And Control

Long term stress exposure results in somatisation symptoms appearance. Cardiovascular, respiratory, gastrointestinal and muscle-bone symptoms arise because of intensified activity of autonomic nervous system caused by chronic stress. The aim of the study was to examine the relationship between long term war stress exposure and appearance of somatisation. 40 students of health-care faculties in Sarajevo, of both sexes, were included in investigation and divided in two groups-somatisation and control. Somatisation group subjects (N=20) lived in B&H under war conditions, from 1992-1995. Control subjects (N=20) spent the same period outside B&H. For evaluation of somatisation symptoms we used SCL-90-R test. The obtained data were statistically evaluated using Student’s t-test and χ2 test. Confidence level was set at ρ < 0,05. Our results showed statistically significant difference in somatisation level between somatisation and control subjects group. Different intensity of appearance of certain symptoms in male and female was established. The score of somatisation dimension between somatisation and control group showed statistically significant level (p < 0,0001). Study results confirmed correlation of chronic stress exposure (living in war environment) and somatisation symptom appearance. Individual organic systems had various level of symptom expression. The influence of sex on intensity of individual symptoms of somatisation is possible.

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Facebook as a Novel Tool for Continuous Professional Education on Dementia: Pilot Randomized Controlled Trial

Journal of Medical Internet Research ◽

10.2196/16772 ◽

2020 ◽

Vol 22 (6) ◽

pp. e16772 ◽

Cited By ~ 4

Author(s):

Windy SY Chan ◽

Angela YM Leung

Keyword(s):

Professional Education ◽

Retention Rate ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Multiple Choice Questions ◽

Participant Engagement ◽

Significant Difference ◽

The Mean ◽

And Control

Background Social network sites (SNSs) are widely exploited in health education and communication by the general public, including patients with various conditions. Nevertheless, there is an absence of evidence evaluating SNSs in connecting health professionals for professional purposes. Objective This pilot randomized controlled trial was designed to evaluate the feasibility of an intervention aiming to investigate the effects of a continuous professional education program utilizing Facebook to obtain knowledge on dementia and care for patients with dementia. Methods Eighty health professionals from Hong Kong were recruited for participation in the study and randomized at a 1:1 ratio by a block randomization method to the intervention group (n=40) and control group (n=40). The intervention was an 8-week educational program developed to deliver updated knowledge on dementia care from a multidisciplinary perspective, either by Facebook (intervention group) or by email (control group) from October 2018 to January 2019. The primary outcomes were the effects of the intervention, measured by differences in the means of changes in pre- and postintervention scores of knowledge assessments from the 25-item Dementia Knowledge Assessment Scale (DKAS) and formative evaluation of 20 multiple choice questions. Other outcome measurements included participant compliance, participant engagement in Facebook, satisfaction, and self-perceived uses of Facebook for continuing professional education programs. Results Significantly more intervention group participants (n=35) completed the study than the control group (n=25) (P<.001). The overall retention rate was 75% (60/80). The mean of changes in scores in the intervention group were significant in all assessments (P<.001). A significant difference in the mean of changes in scores between the two groups was identified in the DKAS subscale Communication and Behavior (95% CI 0.4-3.3, P=.02). There was no significant difference in the total DKAS scores, scores of other DKAS subscales, and multiple choice questions. Participant compliance was significantly higher in the intervention group than in the control group (P<.001). The mean numbers of participants accessing the learning materials were 31.5 (SD 3.9) and 17.6 (SD 5.2) in the intervention and control group, respectively. Polls attracted the highest level of participant engagement, followed by videos. Intervention group participants scored significantly higher in favoring the use of Facebook for the continuing education program (P=.03). Overall, participants were satisfied with the interventions (mean score 4 of a total of 5, SD 0.6). Conclusions The significantly higher retention rate, together with the high levels of participant compliance and engagement, demonstrate that Facebook is a promising tool for professional education. Education delivered through Facebook was significantly more effective at improving participants’ knowledge of how people with dementia communicate and behave. Participants demonstrated positive attitudes toward utilizing Facebook for professional learning. These findings provide evidence for the feasibility of using Facebook as an intervention delivery tool in a manner that can be rolled out into practical settings.

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Effect of Twelve Sessions of Tai Chi Exercise on Static and Dynamic Balance in Young Girls

International Journal of Kinesiology and Sports Science ◽

10.7575/aiac.ijkss.v.8n.1p.26 ◽

2020 ◽

Vol 8 (1) ◽

pp. 26

Author(s):

Abdolhamid Daneshjoo ◽

Aida Tavakol ◽

Hassan Sadeghi

Keyword(s):

Tai Chi ◽

Dynamic Balance ◽

Training Group ◽

Repeated Measure ◽

Control Group ◽

Young Girls ◽

Balance System ◽

Significant Difference ◽

Tai Chi Exercise ◽

And Control

Background: Tai Chi is Chinese martial art strengthening the performance of individuals. Objectives: The purpose of present study is to determine the effect of a Tai Chi exercise period on static and dynamic balance of young girls. Methods: For the purpose of this research, 32 young girls were voluntarily selected and randomly divided into two groups: Tai Chi training group (21 subjects; mean ± SD; age 22.05±2.4 weight 53.67±6.3 kg, height 1.60±0.5 m) and control group (11 subjects; mean ± SD; age 23.37±0.9 weight 53.64±7.8 kg, height 1.62±0.4 m) players. Static and dynamic balance were measured using Biodex Balance System SD three days before and after a 12-session training period with similar conditions in terms of time and place (75 minutes each session). Results: Mixed repeated measure test showed a significant difference between pre and post-tests in open eye single-foot, closed eye single-foot, open eye two-foot, and closed eye two-foot stances (p=0.001). However, no significant difference was revealed in the control group (p>0.05). While there was better balance state in all stances of Tai Chi group, no significant difference was observed between the groups in this respect (p>0.05). Conclusions: The findings of this research indicated the effectiveness of Tai Chi exercises on static and dynamic balance of young girls. Although there was no significant difference in effect of exercise between training and control groups, mean percentage of changes in training group revealed the effectiveness of exercise in training group compared to control. Therefore, Tai Chi exercises can be recommended to treat and prevent injury due to poor balance. We suggested performing Tai Chi more than 12 session in order to enhance it influences.

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Effect of Foetal Movement Counting on Prenatal Attachment and Maternal Worries among Primigravidas- A Longitudinal Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/48870.15394 ◽

2021 ◽

Author(s):

Jignya Vinodbhai Asari ◽

Anjali Pushkar Tiwari

Keyword(s):

Longitudinal Study ◽

Control Group ◽

P Value ◽

Study Group ◽

Prenatal Attachment ◽

Study Results ◽

Significant Difference ◽

The Mean ◽

Foetal Movement ◽

And Control

Introduction: Pregnant woman experience various physical, emotional, and hormonal changes that may cause anxiety. The anxiety and worries can be decreased by sharing information about the developing child, like foetal body movement. Aim: To assess effect of Foetal Movement Counting (FMC) on prenatal attachment and maternal worries among primigravida mothers. Materials and Methods: A longitudinal study was carried out among primigravida mothers of selected Hospitals of Central Gujarat using proforma of Cranley’s maternal foetal attachment scale and Cambridge worry scale. The study was conducted from March 2019 to July 2020. Eighty participants were recruited by convenient sampling 40 in each study group and control group. The study group were provided with foetal movement chart and the participants were asked to record foetal movements for seven consecutive days, twice a day for 20 minutes. Post assessment of prenatal attachment and maternal worries was done using tools of data collection for both study and control group. Chi- square test was used to test the significance (p-value <0.05). Results: The study results revealed that in study group mean score for prenatal attachment was 79.43 at the start and improved to 101.25 (p-value <0.001) after seven days of FMC. In control group, the mean score for prenatal attachment did not show significant difference pre-test and post-test (74.20 vs 74.85, p-value=0.077). In study group, the mean Cambridge worry scale score was 36.55 which came down to 20.28 (p-value <0.001) after seven days, while in control group it was 41.38 at the beginning and 41.30 after seven days (p-value=0.998). Conclusion: Foetal Movement Counting was found to improve maternal foetal attachment and reduce maternal worries. FMC can be routinely and effectively promoted among the pregnant population to help them achieve a positive pregnancy experience and outcome.

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