scholarly journals Intervensi Fisioterapi Yang Efektif Mengurangi Risiko Jatuh Lansia Dengan Vertigo, Dizziness, And Balance Disorder

2021 ◽  
Vol 2 (3) ◽  
pp. 117-132
Author(s):  
Estu Meilani ◽  
Andia Savitri Prabhandari Irham ◽  
Egik Yojana
Keyword(s):  
Daily Living ◽  
Tai Chi ◽  
Controlled Trial ◽  
Gait Training ◽  
Risk Of Bias ◽  
Bias Assessment ◽  
Randomized Controlled ◽  
Balance Disorder ◽  
Version 2.0 ◽  
Bahasa Indonesia

Latar belakang vertigo, dizziness, and balance disorder  (VDB) merupakan kumpulan keluhan yang banyak ditemui pada lansia, dan dapat meningkatkan risiko jatuh.  Kejadian jatuh berkaitan erat dengan vertigo dan pening, dimana hal tersebut dapat mempengaruhi activity daily living (ADL). Penulisan artikel ini bertujuan untuk mengetahui intervensi fisioterapi yang efektif mengurangi risiko jatuh pada populasi lansia dengan VDB.Metode systematic review dari studi berdesain randomized controlled trial. Kriteria inklusi yaitu artikel dengan: (1) lansia (usia ≥60 tahun) dengan VDB; (2) salah satu parameter pengukuran adalah keseimbangan atau risiko jatuh; (3) studi full-text yang dipublikasikan dalam Bahasa Indonesia atau Bahasa Inggris. Penggunaan artikel yang di inklusi menggunakan Risk of Bias Assessment version 2.0 yang dikembangkan oleh Cochrane.Hasil vestibular rehabilitation therapy (VRT) yang dikombinasikan dengan beberapa terapi rata-rata memiliki nilai yang signifikan (p0.005) dibanding dengan VRT tanpa kombinasi. Latihan keseimbangan + ES dan keseimbangan + biofeedback, menunjukkan nilai yang signifikan dari latihan keseimbangan + biofeedback (p = 0.003). Kombinasi latihan keseimbangan + gait training + anchor menunjukkan tidak ada perbedaan pada skor DHI dan Mini-BESTest. Tai Chi juga memiliki hasil 8 foot up to go test dan LOS yang signifikan.Kesimpulan VRT dengan atau tanpa kombinasi, latihan keseimbangan, dan Tai Chi memiliki efek yang baik untuk menurunkan risiko jatuh pada lansia.Kata kunci vertigo, pening, gangguan keseimbangan, lansia, risiko jatuh

scholarly journals A Systematic Literature Review of Dorsal Root Ganglion Neurostimulation for the Treatment of Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (8) ◽  
pp. 1581-1589 ◽  
Author(s):  
Timothy R Deer ◽  
Corey W Hunter ◽  
Pankaj Mehta ◽  
Dawood Sayed ◽  
Jay S Grider ◽  
...  
Keyword(s):  
Dorsal Root Ganglion ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Dorsal Root ◽  
Task Force ◽  
Controlled Trial ◽  
Risk Of Bias ◽  
Level Of Evidence ◽  
Bias Assessment ◽  
Randomized Controlled

Abstract Objective To conduct a systematic literature review of dorsal root ganglion (DRG) stimulation for pain. Design Grade the evidence for DRG stimulation. Methods An international, interdisciplinary work group conducted a literature search for DRG stimulation. Abstracts were reviewed to select studies for grading. General inclusion criteria were prospective trials (randomized controlled trials and observational studies) that were not part of a larger or previously reported group. Excluded studies were retrospective, too small, or existed only as abstracts. Studies were graded using the modified Interventional Pain Management Techniques–Quality Appraisal of Reliability and Risk of Bias Assessment, the Cochrane Collaborations Risk of Bias assessment, and the US Preventative Services Task Force level-of-evidence criteria. Results DRG stimulation has Level II evidence (moderate) based upon one high-quality pivotal randomized controlled trial and two lower-quality studies. Conclusions Moderate-level evidence supports DRG stimulation for treating chronic focal neuropathic pain and complex regional pain syndrome.

scholarly journals Meta-Analysis of Randomized Controlled Trials of the Effects of Tai Chi on Blood Pressure

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Xiaosheng Dong ◽  
Meng Ding ◽  
Xiangren Yi
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trials ◽  
Tai Chi ◽  
Diastolic Pressure ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Mean Difference ◽  
Controlled Trials ◽  
Bias Assessment ◽  
Randomized Controlled

Objectives. The purpose of this study was to investigate the influences of Tai Chi on blood pressure (BP) using the meta-analysis. Methods. This paper used 6 e-resource databases, and randomized controlled trials on the role of Tai Chi on blood pressure were retrieved. Besides, the meta-analysis was conducted according to the guidelines of the Moose-recommendations and applied with Review Manager 5.3, and the risk of bias assessment was performed with the Cochrane Collaboration’s tool. The inclusion, data extraction, and risk of bias assessment were independently finished by two researchers. Results. There are 24 trials meeting the criteria of inclusion and the results were reviewed. The meta-analysis indicates that, compared with no exercise, Tai Chi had the influence of lowering systolic blood pressure (mean difference = −6.07, 95%CI (−8.75, −3.39), P < 0.00001 ) and diastolic blood pressure (mean difference MD = −3.83, 95%CI (−4.97, −2.69), P < 0.00001 ). No significant discrepancies in all outcomes between Tai Chi and other aerobic exercises were discovered. Conclusion. Tai Chi can significantly reduce systolic and diastolic pressure than inactivity. However, Tai Chi does not show advantages in reducing blood pressure compared to other aerobic exercises. The trial is registered with CRD42020175306.

scholarly journals Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial

BMJ ◽  
2018 ◽  
pp. k851 ◽  
Author(s):  
Chenchen Wang ◽  
Christopher H Schmid ◽  
Roger A Fielding ◽  
William F Harvey ◽  
Kieran F Reid ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Aerobic Exercise ◽  
Comparative Effectiveness ◽  
Tai Chi ◽  
Controlled Trial ◽  
Randomized Controlled

The Effectiveness of Locomotor Therapy Using Robotic-assisted Gait Training in Subacute Stroke Patients: A Randomized Controlled Trial

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S99-S99 ◽  
Author(s):  
Zeev Meiner ◽  
Iris Fisher ◽  
Michal Katz-Leurer ◽  
Martin Neeb ◽  
Anna Sajin ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Gait Training ◽  
Stroke Patients ◽  
Robotic Assisted ◽  
Randomized Controlled ◽  
Subacute Stroke

scholarly journals Long-term Exercise After Pulmonary Rehabilitation (LEAP): Design and rationale of a randomized controlled trial of Tai Chi

2015 ◽  
Vol 45 ◽  
pp. 458-467 ◽  
Author(s):  
Marilyn L. Moy ◽  
Peter M. Wayne ◽  
Daniel Litrownik ◽  
Douglas Beach ◽  
Elizabeth S. Klings ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pulmonary Rehabilitation ◽  
Tai Chi ◽  
Controlled Trial ◽  
Randomized Controlled

Efficacy and Safety of Galantamine Hydrobromide in the Treatment of Mild to Moderate Dementia

2010 ◽  
Vol 2 ◽  
pp. CMT.S5884
Author(s):  
Mark Oremus ◽  
Pasqualina Santaguida ◽  
Parminder Raina
Keyword(s):  
Daily Living ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Disease Course ◽  
Efficacy And Safety ◽  
Screening Process ◽  
Global Function ◽  
Randomized Controlled ◽  
Moderate Dementia

We conducted a systematic review and meta analysis of randomized controlled trials of galantamine hydrobromide in the treatment of mild to moderate dementia. Following a literature search and screening process, we included 15 trials and five companion papers in the review. Moderate-quality evidence suggested galantamine-treated persons generally had better outcomes than placebo-treated persons after a maximum 6-month follow-up. Outcome domains included cognitive function, global function, behaviour and mood, and activities of daily living. The evidence requires careful interpretation because ‘better outcomes’ can mean less deterioration, rather than improvement, relative to placebo. Galantamine has not been shown to halt dementia progression nor reverse disease course. The most frequently reported harms were nausea, diarrhea, and dizziness. Reported rates of these harms were highly variable (range, 0%–40%); reporting was at high risk of bias because authors rarely specified the frequency or timing of harms assessment, nor did they report active methods of collecting harms.

scholarly journals Tai Chi Meditation Effects on Nuclear Factor-κB Signaling in Lonely Older Adults: A Randomized Controlled Trial

2014 ◽  
Vol 83 (5) ◽  
pp. 315-317 ◽  
Author(s):  
David S. Black ◽  
Michael R. Irwin ◽  
Richard Olmstead ◽  
Ellen Ji ◽  
Elizabeth Crabb Breen ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Tai Chi ◽  
Controlled Trial ◽  
Nuclear Factor ◽  
Randomized Controlled
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