scholarly journals The Combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics on Dyspnea Among COPD Patients

2020 ◽  
Vol 5 (1) ◽  
pp. 87
Author(s):  
Ulfa Nur Rohmah ◽  
Muhammad Amin ◽  
Makhfudli Makhfudli
Keyword(s):  
Upper Limb ◽  
Respiratory Muscle ◽  
Intervention Group ◽  
Rank Test ◽  
Control Group ◽  
Muscle Stretch ◽  
A Value ◽  
Copd Patients ◽  
Before And After ◽  
Limb Exercise

Introduction: Dyspnea becomes important to treat Chronic Obstructive Pulmonary Disease (COPD) patients that had an impact on the limitations of daily activities. The purpose of this study was to determine the effects of Upper Limb Exercise and  Respiratory Muscle Stretch Gymnastics combination on dyspnea among COPD patients. Methods: The design of this study was a quasi-experiment. The population was patients who diagnose COPD by spirometry in Surabaya City and Bangil Regency. The total sample was 56 respondents divided into 28 in the intervention group, and 28 in the control group used consecutive sampling. The independent variables were the combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics. The dependent variable was dyspnea. Data were collected using the mMRC Dyspnea Scale. Interventions were given three times a week for a month.  Wilcoxon Sign Rank Test to analyzed before and after and Mann Whitney Test to determine between the intervention group and the control group. Results: The result showed that the intervention group was significant differences between dyspnea before and after the intervention with a value of 0.001 (p <0.05), but the control group was not with a value of 0.160 (p>0.05). There were differences in dyspnea values between the intervention group and the control group with a value of 0.004 (p <0.05). Conclusions: the combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics has been shown to reduces dyspnea with COPD patients so that patients can perform as complement pharmacological therapy.

scholarly journals Pilot Study Efektifitas Media Video Animasi Terhadap Tingkat Depresi Pasien Kanker Serviks Diagnosa Awal

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Dwi Fitriyanti ◽  
Mardiyono Mardiyono ◽  
Yuriz Bakhtiar
Keyword(s):  
Cervical Cancer ◽  
Pilot Study ◽  
Intervention Group ◽  
Initial Diagnosis ◽  
Rank Test ◽  
Control Group ◽  
The World ◽  
Before And After ◽  
Wilcoxon Sign Rank ◽  
Depression Level

Cervical cancer is the cancer that most often attacks women after breastcancer throughout the world. Around the world every two minutes or everyhour a woman dies from cervical cancer. Every patient newly diagnosed withcervical cancer needs to know information about cervical cancer that canaffect the patient's psychological changes in the form of depression. Thepurpose of this study was to determine the effectiveness of education withanimation media to reduce the depression level of cervical cancer patientswith early diagnosis. The method of this research is a pilot study(preliminary study) or testing the feasibility of animation video media on thelevel of depression. Respondent samples in the animated video media trialincluded 10 intervention samples and 10 control samples. The results of theanimation video media research are feasible to be used in subsequent studiesin cervical cancer patients with an initial diagnosis of depression. Dataanalysis using the Wilcoxon Sign Rank Test showed that there was asignificant difference in the level of depression before and after being giveneducation using the animation video media in the intervention group with avalue of p = 0.005 while in the control group with a value p = 0.102. Theconclusion of this study is that the animation video media is feasible to beused in subsequent studies and can effectively be given to cervical cancerpatients with an initial diagnosis of depression.

scholarly journals Effects of cranial osteopathic techniques in the symptoms of benign positional paroxistic vertical

2020 ◽  
Vol 18 ◽  
pp. 1-5
Author(s):  
Otávio Augusto do Nascimento Oliveira ◽  
Laiana Sepúlveda de Andrade Mesquita ◽  
Maurício Rocha Mendes ◽  
Lílian Maria Magalhães Costa de Oliveira ◽  
Laís Cristina Almeida
Keyword(s):  
Statistical Analysis ◽  
Benign Paroxysmal Positional Vertigo ◽  
Intervention Group ◽  
Control Group ◽  
Common Cause ◽  
A Value ◽  
Positional Vertigo ◽  
Before And After ◽  
Temporal Bones ◽  
Paroxysmal Positional Vertigo

Background: The benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness among the population. The osteopathy is a practice of manual therapy which is guided by a holistic perspective of human being, the cranial osteopathy affirms that the respective bones of the cranium represent mobility. Objective: To investigate the effect of the cranial osteopathy techniques on the benign paroxysmal positional vertigo. Methods: The current study included 20 female subjects, each one of them with benign paroxysmal positional vertigo, distributed in two groups, an intervention group and a control group (placebo); in order to detect the BPPV, was applied the Dix-Hallpike test before and after the interventions. Three techniques of cranial osteopathy were used on the structures related to vestibule and to the temporal bones: mobilization of temporal bones, tensioning of cerebellar tentorium and mobilization of eyeball. All statistical analyzes were performed using the GraphPad Prism 6.0 software (GraphPad Software, CA).Results: Among the intervention group, 7 of 10 individuals were negative to the Dix-Hallpike test, whilst individuals of the control group remained positive to the test. In the statistical analysis verified that the intervention with osteopathic techniques had a significant effect in compared to the control group, with a value p=0.0261. Conclusion: The cranial osteopathy appears to be able of produce effects on the vestibular activity, whereas were able to reduce, in a significant means, the symptoms concerning to BPPV.

scholarly journals Immediate Effects of Aquatic Therapy on Balance in Older Adults with Upper Limb Dysfunction: An Exploratory Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9434
Author(s):  
Maria Graça ◽  
José Alvarelhão ◽  
Rui Costa ◽  
Ricardo J. Fernandes ◽  
Andrea Ribeiro ◽  
...  
Keyword(s):  
Upper Limb ◽  
Repeated Measures ◽  
Intervention Group ◽  
Step Test ◽  
Control Group ◽  
Physiotherapy Session ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Before And After ◽  
Upper Limb Dysfunction

Background: Aquatic physiotherapy has been shown to be effective in developing balance, strength, and functional reach over time. When dealing with immediate effects, the literature has concentrated more on the body’s physiological response to the physical and mechanical properties of water during passive immersion. The purpose of this study was to evaluate the effects of a single 45-min active aquatic physiotherapy session on standing balance and strength, and its relationship with functional reach in persons 55 years and older with upper limb dysfunction. Methods: The intervention group (n = 12) was assessed before and after a single aquatic physiotherapy session, while the control group (n = 10) was evaluated before and after 45 min of sitting rest. Functional assessment was made using the visual analogue pain scale (points), step test (repetitions), functional reach test (cm), and global balance-standing test on a force platform (% time). A two-way repeated-measures ANOVA was applied (p < 0.05). Results: The intervention group showed non-significant improvements between measurement before and after the intervention: Pain: 6.2 ± 1.9 vs. 5.2 ± 2.3 cm, steps: 7.0 ± 2.0 vs. 7.4 ± 1.8 repetitions, reach: 9.1 ± 2.8 vs. 10.4 ± 3.8 cm, and balance: 61.7 ± 5.9 vs. 71.3 ± 18.2% time in balance on the platform. The control group showed fewer changes but had better baseline values. A comparison between groups with time showed no significant differences in these changes. Conclusions: No significant immediate effects were found for one session of aquatic physiotherapy applied to patients older than 55 years with upper limb dysfunction.

scholarly journals THE EFFECTIVITY OF ADDITION CHEST MOBILIZATION OR PURSED LIP BREATHING IN CONVENTIONAL THERAPY IN COPD PATIENTS

2021 ◽  
Vol 9 (2) ◽  
pp. 126
Author(s):  
Fidyatul Nazhira
Keyword(s):  
Conventional Therapy ◽  
Intervention Group ◽  
Rank Test ◽  
Control Group ◽  
P Value ◽  
Research Subjects ◽  
Control Group Design ◽  
Group I ◽  
Copd Patients ◽  
Group 3

Background:COPD is an accumulation of pulmonary pathologies that causes limited air flow, then breathlessness. Chest mobilization and pursed lip breathing (PLB) are physiotherapy management aimed at reducing pulmonary hyperinflation, thereby increasing FEV1 and improve breathlessness. The purpose of this study was to determine differences in the effectiveness of the addition of chest mobilization or PLB in conventional therapy to an increase in FEV1 and improve breathlessness in COPD patients at Lung Hospital dr. Ario Wirawan Salatiga. Research methods:This study is a true experiment with a pretest and posttest control group design research design. The research subjects numbered 30 people then divided into 3 groups. All groups were given treatment 3 times a week for 6 weeks. Group I received additional chest mobilization intervention, group II received additional PLB intervention and group 3 received hospital intervention (conventional). FEV1 was measured using spirometry and tightness was measured using a modified Borg scale. Results:Based on the results of the Wilcoxon sign rank test there was an increase in FEV1 and improve breathlessness with p>0.05 in group 1. In group 2 there was also an increase in FEV1 and improve breathlessness with p> 0.05. In group 3 there was an increase in FEV1 but there was no improve breathlessness. Different test results after the intervention on increasing FEV1 between groups based on the Kruskal-Wallis t-test obtained p> ??0.05. Different test for reduction of tightness after intervention between groups 1 and 2 using the Mann Whitney U test p value > 0.05. So there is no difference in the effect of adding chest mobilization interventions or PLB and conventional therapy. Conclusion:The addition of chest mobilization or PLB to conventional therapy is as good as conventional in increasing FEV 1 and improve breathlessness in COPD patients at Lung Hospital Dr. Ario Wirawan Salatiga. Keyword: COPD; Breathlessness; FEV 1; Chest Mobilization; Pursed Lip Breathing

scholarly journals Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jian-Rong Peng ◽  
Hung-Chi Su ◽  
Chia-Pin Lin ◽  
Chun-Chi Chen ◽  
Chi-Jen Chang ◽  
...  
Keyword(s):  
Social Media ◽  
Cardiac Catheterization ◽  
Readmission Rate ◽  
Intervention Group ◽  
Health Resources ◽  
Health Intervention ◽  
Rank Test ◽  
Control Group ◽  
Before And After ◽  
Artery Disease

Background. The use of electronic health (e-health) resources is emerging as an alternative method to improve the secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the influence of an e-health application in holistic healthcare for patients with CAD. Methods. A quasiexperiment with nonequivalent groups design recruited outpatients with a high risk of CAD admitted for cardiac catheterization. They were divided into two groups. Before the procedure, the control group received traditional patient education, and the intervention group watched videos on Internet-based social media. EQ-5D and FACIT–Sp-12 questionnaires were used as outcome measures of interest, and they were administered before and after the procedure and at the first return visit to the outpatient clinic after discharge. The effect of each intervention was tested using a linear mixed effects model. In addition, the 90-day readmission rate was also studied. Results. A total of 300 patients were divided into intervention and control groups (150 patients in each group). The interaction effect of EQ-5D was not statistically significant; however, improvements in FACIT–Sp-12 were greater in the intervention group from baseline to before discharge (regression coefficient (B) = 1.70, p < 0.001 ) and from baseline to postdischarge first outpatient visit (B = 1.81, p < 0.001 ). Moreover, the 90-day readmission rate was significantly lower in the intervention group (14% vs. 18.7%; p = 0.016 , log-rank test). Conclusions. e-health intervention with easily accessible Internet-based social media is a promising model to meet the holistic needs of patients with CAD in the modern era.

scholarly journals The Effectiveness of Gymnastic Respiratory Muscle Stretch and Buteyko Breathing Exercise on Peak Expiratory Flows in Older Population

2020 ◽  
Vol 1 (1) ◽  
pp. 5-8
Author(s):  
Mahfud Hidayat ◽  
Ali Multazam
Keyword(s):  
Social Life ◽  
Respiratory Muscle ◽  
Respiratory Muscles ◽  
The Elderly ◽  
Rank Test ◽  
Control Group ◽  
Older Population ◽  
Breathing Exercise ◽  
Muscle Stretch ◽  
Breathing Exercises

Introduction: Elderly is a period of life characterized by changes in function and a decrease in social life so that result in changes in muscle tissue including the respiratory system. Respiratory function in older population will decrease due to age and caused many problems. The purpose of this study was to find out the combination of respiratory muscles stretch gymnastic with buteyko breathing exercises to increase the peak expiratory flow in the elderly. Methods: The study design is an analytical experimental method with quasi-experimental pre-test and post-test two groups design, the population in the study in Sumbersekar Village that met the inclusion criteria for three weeks. Sample in this study is 56 samples divided into experimental group and control group. Experiment group consisted of 30 samples and the control group consisted of 26 samples. Research data were analyzed by Wilcoxon Signed Rank Test. Results: The results of this study before and after intervention are p = 0,000 and H1 accept. The interpretation of this results is there is an effect of the combination of gymnastic respiratory muscle stretch with buteyko breathing exercises in older population. Conclusion: There is an effect of gymnastic respiratory muscle stretch with buteyko breathing exercise in older population.

scholarly journals Benefit of a pharmacist-led intervention for medication management of renal transplant patients: a controlled before-and-after study

2021 ◽  
Vol 12 ◽  
pp. 204062232110052
Author(s):  
Jeremy Chambord ◽  
Lionel Couzi ◽  
Pierre Merville ◽  
Karine Moreau ◽  
Fabien Xuereb ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Immunosuppressive Therapy ◽  
Medication Management ◽  
Intervention Group ◽  
Knowledge Score ◽  
Control Group ◽  
Patient Knowledge ◽  
Transplant Patients ◽  
Before And After ◽  
High Level

Aims: To assess the effect of a pharmacist-led intervention, using Barrows cards method, during the first year after renal transplantation, on patient knowledge about their treatment, medication adherence and exposure to treatment in a French cohort. Methods: We conducted a before-and-after comparative study between two groups of patients: those who benefited from a complementary pharmacist-led intervention [intervention group (IG), n = 44] versus those who did not [control group (CG), n = 48]. The pharmacist-led intervention consisted of a behavioral and educational interview at the first visit (visit 1). The intervention was assessed 4 months later at the second visit (visit 2), using the following endpoints: treatment knowledge, medication adherence [proportion of days covered (PDC) by immunosuppressive therapy] and tacrolimus exposure. Results: At visit 2, IG patients achieved a significantly higher knowledge score than CG patients (83.3% versus 72.2%, p = 0.001). We did not find any differences in treatment exposure or medication adherence; however, the intervention tended to reduce the proportion of non-adherent patients with low knowledge scores. Using the PDC by immunosuppressive therapy, we identified 10 non-adherent patients (10.9%) at visit 1 and six at visit 2. Conclusions: Our intervention showed a positive effect on patient knowledge about their treatment. However, our results did not show any improvement in overall medication adherence, which was likely to be because of the initially high level of adherence in our study population. Nevertheless, the intervention appears to have improved adherence in non-adherent patients with low knowledge scores.

scholarly journals Toe Clearance Rehabilitative Slippers for Older Adults With Fall Risk: A Randomized Controlled Trial

2021 ◽  
Vol 12 ◽  
pp. 215145932110291
Author(s):  
Atsuko Satoh ◽  
Yukoh Kudoh ◽  
Sangun Lee ◽  
Masumi Saitoh ◽  
Miwa Miura ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Controlled Trial ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Control Group ◽  
Mobility Assessment ◽  
Before And After ◽  
Day Services ◽  
And Control

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.

The effectiveness of emotional freedom techniques (EFT) on depression of postmenopausal women: a randomized controlled trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Asieh Mehdipour ◽  
Parvin Abedi ◽  
Somayeh Ansari ◽  
Maryam Dastoorpoor
Keyword(s):  
Randomized Controlled Trial ◽  
Postmenopausal Women ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Moderate Depression ◽  
Before And After ◽  
The Mean ◽  
And Control

Abstract Objectives Postmenopausal women are at greater risk of depression. Depression may negatively affect the quality of life of women. An emotional freedom technique (EFT) is an evidence-based therapy combining cognitive and exposure components with acupressure. This study aimed to evaluate the effect of EFT on depression in postmenopausal women. Methods This was a randomized controlled trial in which 88 women with mild to moderate depression recruited from a menopausal clinic in Ahvaz, Iran, and randomly assigned into two groups of EFT (n=44) and control for sham therapy (n=44). Women in the EFT group received two sessions of training and asked to continue EFT for 8 weeks, one time per day. The Beck Depression Inventory (BDI2) completed by women before and after the intervention. The control group received training on sham acupressure points similar to the intervention group. Data collected using a demographic and BDI2. Women requested to complete the BDI2 before and after the intervention. The independent t-test, chi-square, and ANCOVA were used to analyze data. Results The mean depression score in the intervention group reduced from 20.93 ± 4.6 to 10.96 ± 4.38 in comparison to the control group that reduced from 19.18 ± 2.79 to 17.01 ± 6.05 after intervention (p=0.001). After the 8 week intervention, the frequency of moderate depression decreased from 56.8 to 9.35% in the intervention and from 50 to 29.5% in the control group. In total, 63.4 and 34.15% in the intervention and control groups were free of depression respectively after the intervention (p<0.001). Conclusions The results of this study showed that using EFT for 8 weeks could significantly reduce the mean score of depression in postmenopausal women. Using this method in public health centers for postmenopausal women is recommended.

Effects of an Off-Site Walking Program on Energy Expenditure, Serum Lipids, and Glucose Metabolism in Middle-Aged Women

2003 ◽  
Vol 4 (3) ◽  
pp. 181-192 ◽  
Author(s):  
Fumiko Furukawa ◽  
Keiko Kazuma ◽  
Masako Kawa ◽  
Mitsunori Miyashita ◽  
Kyohko Niiro ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Nurse Managers ◽  
Intervention Group ◽  
Density Lipoprotein ◽  
Control Group ◽  
Middle Aged ◽  
Walking Program ◽  
Before And After ◽  
The Mean ◽  
Blood Profiles

The present study aims to identify the effects of systematic walking on exercise energy expenditure (EEE) and blood profiles in middle-aged women. Fifty-two female nurse managers, aged 32 to 57 years (42.0 ± 6.2), were randomly assigned to an intervention group (IG) and a control group (CG) for a 12-week study of the walking program. EEE was measured using a microelectronic device. Blood profiles were assessed before and after the walking program. The mean EEE (kcal/kg/d) in the IG and CG was 4.73 ± 1.02 and 3.88 ± 0.81 ( P = 0.01), indicating an increase of 1.17 ± 0.98 and 0.46 ± 0.68 from baseline ( P = 0.01), respectively. The mean change in high-density lipoprotein cholesterol in the IG and CG was 1.8 ± 8.3 mg/dL and −2.9 ± 7.0 mg/dL ( P = 0.051); that in insulin was −4.5 ± 7.5 μU/dL and −0.6 ± 4.3 μU/dL ( P = 0.046), respectively. These results show that systematic walking increases EEE and improves blood profiles.

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