scholarly journals Effect of Cognitive Behavioral Therapy on Functional Outcomes in Patients with Stroke

2020 ◽  
Vol 11 (2) ◽  
pp. 2725-2730
Author(s):  
Abdul Allim Abdel Fattah Atteya ◽  
Ehab Shaker ◽  
Moataz Mohamed Talaat Elsemary ◽  
Hossam Mohammed Alsaid ◽  
Youssef Mohamed Elbalawy
Keyword(s):  
Physical Therapy ◽  
Upper Extremity ◽  
Functional Outcomes ◽  
Behavioral Therapy ◽  
Total Duration ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Behavioral Training ◽  
Therapy Program ◽  
Physical Therapy Program

Upper extremity impairment is a common motor deϑicit after a stroke, and 30– 60% of stroke sufferers have disability and inability to use their affected upper extremity in their daily lives. Stroke survivors with cognitive dysfunctions are most likely to be dependent in activities of daily living. Further deterioration is possible as a result of limitation in activities. Psychiatric problems are also common among stroke survivors. This may delay recovery process and further impair cognitive function due to adaptations to unhealthy lifestyles or noncompliance to rehabilitation. Cognitive behavioral training (CBT) increase blood supply to 20% of different brain areas, and facilitation of internancial neurons activity. Cognitive behavioral training (CBT) act as Incentive therapy focuses on active participation, self-esteem, motivational features such as score keeping, and competition. The ultimate objective of physiotherapy is for patients to return to full independence and their former occupations.The purpose of this study was to investigate the effect of cognitive behavioral training on functional outcomes in stroke patients.Forty stroke patients from both sexes participated in this study 20 patients for each group. Random distribution for patients to 2 groups; Group (A) exposed cognitive behavioral therapy for 60 min and selected physical therapy program for 30 min, every other day for 24 sessions, total duration of session (90 min). Control group (B) received the same selected physical therapy program for 60 min, every other day for 24 sessions total duration of session (60 min). Changing in affected upper extremity motor impairment were measured (Dash scale, Wolf scale and Jammar hand dynamometer). The result of our study was improvement of motor functions were signiϑicantly greater in the study group than the control group (p=0.0001).

scholarly journals Changes in the mobility of obese people under the influence of a physical therapy program

2019 ◽  
Vol 5 (3) ◽  
pp. 9 ◽  
Author(s):  
M.G. Aravitska
Keyword(s):  
Physical Therapy ◽  
Rehabilitation Program ◽  
Control Group ◽  
Functional Movement Screen ◽  
Obese Patients ◽  
Functional Movement ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
One Year ◽  
High Level

<p><strong>Objective:</strong> to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.</p><p><strong>Materials and methods</strong>. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.</p><p><strong>Results.</strong> During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p &lt;0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p&gt; 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p &lt;0.05).</p><p><strong>Conclusions: </strong>Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.</p>

scholarly journals Physical therapy for young men having vertebrogenic lumbosacral pain

2019 ◽  
Vol 5 (4) ◽  
pp. 57
Author(s):  
I.A. Sasko ◽  
O.V. Beziazychna ◽  
S.V. Manucharian
Keyword(s):  
Physical Therapy ◽  
Young Men ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Therapy Program ◽  
Biological Studies ◽  
Spine Mobility ◽  
Motor Mode ◽  
Physical Therapy Program ◽  
And Control

<p><strong>Objective:</strong> to develop and experimentally explain physical therapy methods for vertebrogenic lumbosacral pain.</p><p><strong>Material and methods:</strong> 20 young men having vertebrogenic lumbosacral pain took part in the experiment at training motor mode, they were divided into two groups – experimental and control one, containing 10 people each. Men in experimental group had physical therapy according to original program, men from the control group – did it according to common recommendation of the Ministry of Health of Ukraine. Pedagogical and medico-biological studies have been carried out since October 2019 up to December 2019. Physical therapy courses in both experimental and control group lasted for two months. Clinical methods (medical history, visual examination), assessment according to Visual Analogue Scale of pain (VAS), lumbar spine mobility investigation, life quality evaluation according to Oswes  try Disability Index questionnaire.</p><p><strong>Results:</strong> The presented efficiency of physical therapy program for training motor mode using the exercises on Redcord Suspension System: dynamic exercises to improve spine mobility, static exercises to strengthen and improve core and lower extremity muscles endurance, exercises using slings to improve proprioception; therapeutic massage according to Yefimenko methods: massage of lumbosacral region of spine, glutes, favorable number of procedures – is 15-20 ones; instrumental physiotherapy methods: ultrasound (1.2 – 1.4 W-cm<sup>2</sup>), double-pole interference (25-27 mA), Trabert’s current (7-8-12 mA).</p><p><strong>Conclusions</strong>: In the course of study undertaken we have made a conclusion that physical therapy program developed and introduced at the premises of Kinezio Medical Center of Physical Rehabilitation and Sport Medicine in Kharkov for young men having vertebrogenic lumbosacral pain allowed advancing efficiency of medical rehabilitation, is accessible for all specialized rehabilitation facilities and appears worthy of practical application.</p>

An App-Based Cognitive Behavioral Therapy Program for Cancer Patients with Sleep Problems: A Pilot Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Kyong-Mee Chung ◽  
Yung Jae Suh ◽  
Siyung Chin ◽  
Eun-Seung Yu ◽  
Hyun Jeong Lee ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Patients ◽  
Attentional Bias ◽  
Relaxation Training ◽  
Sleep Problems ◽  
Behavioral Therapy ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Therapy Program

UNSTRUCTURED Objective: To develop and evaluate an app-based cognitive behavioral therapy program for cancer patients with sleep problems. Method: Sixty participants who met the inclusion criteria were randomly assigned to the app-based cognitive behavioral therapy program (HARUToday Sleep) (N = 15), an app-based attentional control program (HARUCard Sleep) (N = 15), or a waitlist control group (N = 15). HARUToday Sleep consists of 48 sessions separated into five zones (psycho-education, behavioral activation, relaxation training, cognitive restructuring, and problem solving). Each participant was required to complete one 10- to 15-minute session per day on weekdays for 10 weeks. In the HARUCard Sleep, participants received one card per day, which provided information about cancer, hobbies, and activities. Participants were evaluated before and after the completion of the program using self-report questionnaires and a dot-probe computer task that measured attentional bias. Results: The intensity of sleep problems decreased significantly after the intervention for the HARUToday Sleep group compared to the other two groups, whereas there were no significant changes in the quality of life score and the attentional bias scores of the patients. Conclusion: The HARUToday Sleep app may be an effective intervention for reducing sleep problems in cancer patients.

scholarly journals Physical therapy of middle-aged women after the hip joint replacement

2019 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
O.V. Bezyazychna ◽  
S.V. Manucharyan ◽  
L.V. Dugina
Keyword(s):  
Physical Therapy ◽  
Hip Joint ◽  
Joint Replacement ◽  
Training Period ◽  
Control Group ◽  
Middle Aged ◽  
Hip Joint Replacement ◽  
Therapy Program ◽  
Biological Studies ◽  
Physical Therapy Program

<p><strong>The purpose of the work</strong>: development and experimental substantiation of a physical therapy program for middle-aged women after the hip joint replacement.</p><p><strong>Material and methods</strong><em>. </em>22 middle-aged women after hip joint replacement (the non-cement form of fixation of the prosthesis components) during the training period took part in the experiment; they were divided into two groups, experimental and control one, 11 people in each. Women in the experimental group underwent physical therapy measures according to the author's program, and women of the control group underwent it according to the physical therapy program for individuals after the hip joint replacement.</p><p>Pedagogical and medico-biological studies were conducted for 3 months. Primary and repeated study involved clinical methods (history collection, physical examination); assessment of the quality of life, as well as medical and pedagogical observations in the process of remedial gymnastics and mathematical statistics methods.</p><p><strong>Results</strong><em>.</em> We present the program of physical therapy using remedial gymnastics based on step-down exercises with visual control and exercises with an elastic band on a healthy leg for balance training; therapeutic massage; physiotherapy according to conventional methods, namely: electromyostimulation; laser therapy.</p><p><strong>Conclusion</strong><em>.</em> In the course of the study conducted, we came to the conclusion that the program of physical therapy for middle-aged women after hip joint replacement in the training period, developed and implemented in the Utility Non-Profit Enterprise of Kharkiv Oblast Council "Oblast Clinical Hospital" has allowed to increase the efficacy of rehabilitation; it is available to all specialized rehabilitation centers, and deserves a wide-scale implementation into practice.</p>

scholarly journals Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

2013 ◽  
Vol 26 (3) ◽  
pp. 503-513 ◽  
Author(s):  
Mariana Chaves Aveiro ◽  
Patricia Driusso ◽  
Julia Gianjoppe dos Santos ◽  
Viviane Dassi Kiyoto ◽  
Jorge Oishi
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Elderly Women ◽  
Exercise Group ◽  
Community Dwelling ◽  
Control Group ◽  
Reliable Change ◽  
Therapy Program ◽  
Physical Therapy Program

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.

scholarly journals Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Mohamed Ali Elshafey ◽  
Adel Abd-Elaziem ◽  
Rana Elmarzouki Gouda
Keyword(s):  
Physical Therapy ◽  
Control Group ◽  
Study Group ◽  
Therapy Program ◽  
Passive Stretching ◽  
Gait Parameters ◽  
Before And After ◽  
Physical Therapy Program ◽  
Control Study ◽  
Stretching Exercises

Objective.Studying the effect of the functional stretching exercise in diplegic children.Design.Children were randomly assigned into two matched groups.Setting.Outpatient Clinic of the Faculty of Physical Therapy, Cairo University.Participants.Thirty ambulant spastic diplegic children, ranging in age from five to eight years, participated in this study.Interventions.The control group received physical therapy program with traditional passive stretching exercises. The study group received physical therapy program with functional stretching exercises. The treatment was performed for two hours per session, three times weekly for three successive months.Main Outcome Measure(s).H∖M ratio, popliteal angle, and gait parameters were evaluated for both groups before and after treatment.Results.There was significant improvement in all the measuring variables for both groups in favor of study group. H∖M ratio was reduced, popliteal angle was increased, and gait was improved.Conclusion(s).Functional stretching exercises were effectively used in rehabilitation of spastic diplegic children; it reduced H∖M ratio, increased popliteal angle, and improved gait.

scholarly journals Effect of cough assist device on blood gasses and period of mechanical ventilator for pneumonic children with general hypotonia

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Raheel Sanad ◽  
Shimaa Mohamed Refaat ◽  
Faten Hassan Abdelazeim ◽  
Bassant Meligy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Therapy ◽  
Post Treatment ◽  
Control Group ◽  
Study Group ◽  
Mechanical Ventilator ◽  
Assist Device ◽  
Therapy Program ◽  
Physical Therapy Program

Abstract Background Cough assist devices play an important role with patients in the intensive care unit (ICU), particularly those with neuromuscular diseases which had abnormal muscle tone. It was previously thought to be the main technique for improving cough efficacy, which aids in weaning from mechanical ventilation and improves patient outcomes. So, we selected randomly the odd numbers from Abo El-Reesh hospital records, and 30 children of both sexes with pneumonia were selected, aged from 6 months to 3 years, who were selected from intensive care unit: fifteen children were the control group, who received the selected physical therapy program (postural drainage, percussion and resist diaphragm), and another fifteen children were the study group, who received previous physical therapy program, which was selected, and cough assist device. Results This study revealed the effect of cough assist device on blood gasses and the period of mechanical ventilator on children with pneumonia and general hypotonia. There was a significant decrease in pH, PaCO2, and HCO3 post treatment compared with that pretreatment in the study and control groups (p < 0.05). The percentage of decrease in pH, PaCO2, and HCO3 in study group A were 0.4, 38.26, and 30.28% respectively while that in the control group were 0.4, 32.56, and 25.48% for pH, PaCO2, and HCO3 respectively. There was a significant increase in PaO2 post treatment compared with that pretreatment in the study and control groups (p < 0.001). The percentage of increase in PaO2 in the study group was 32.13% and that in control group was 30.09%. There was no significant difference in pH, PaCO2, and HCO3 between both groups pre-treatment (p ˃ 0.05). Also, there was no significant difference between groups post treatment (p ˃ 0.05). The median (IQR) period of mechanical ventilation in the study group was 5 (7, 4) days while that in control group was 8 (18, 5) days. There was a significant decrease in period of mechanical ventilator of the study group compared with that of control group (p = 0.03). Conclusion The cough assist device and physical therapy program were selected for children in the intensive care unit which have the same effect on arterial blood gasses as they optimize pH, PO2, PCO2, and HCO3, but the cough assist device helps in accelerating weaning of mechanical ventilator so as decrease the period of mechanical ventilator.

scholarly journals THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM ON THE UPPER LIMB FUNCTIONING INDICATORS IN ELDERLY ADULTS WITH SARCOPENIA AND EXTRAPYRAMIDAL DISORDERS IN THE POST-IMMOBILIZATION PERIOD AFTER THE DISTAL RADIUS METAPHYSEAL FRACTURE

2020 ◽  
Vol 4 (14) ◽  
pp. 88-96
Author(s):  
Z.M. Ostapyak
Keyword(s):  
Action Research ◽  
Physical Therapy ◽  
Upper Extremity ◽  
Outpatient Rehabilitation ◽  
Elderly Adults ◽  
Extrapyramidal Disorders ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
Nine Hole Peg Test ◽  
Radial Bone

Aim: to evaluate the impact of a comprehensive program of physical therapy on the functioning of the upper extremity in the elderly adults with sarcopenia and extrapyramidal disorders (due to Parkinson's disease) in the postimmobilization period after fracture of the distal metaphysis of the radial bone. Material and methods. Twenty seven elderly people with sarcopenia and extrapyramidal disorders in the early post-immobilization period after fracture of the distal metaphysis of the radial bone were examined. They were divided into two groups: 1 (practiced according to the principles of outpatient rehabilitation with a predominance of preformed physical factors) and 2 (engaged in the developed physical therapy program, which was created in terms of patient-centered model of rehabilitation taking into account the specifics of each polymorbid condition with functional training, massage, kinesio taping, nutrition correction). The effectiveness of the program was evaluated by comparing the condition of healthy and injured hands according to the results of goniometry, wrist dynamometry, standard tests and questionnaires Nine-hole peg test, Action Research Arm Test, French Arm Test, ABILIHAND, DASH. Results. Subjects found significant dysfunction of the upper extremity in all domains of the International Classification of Functioning, as determined by goniometry of the radial-carpal joint, wrist dynamometry, functional tests Nine-hole peg test, Action Research Arm Test, French Research Arm Test, questionnaires and DASH. The developed pathogenetically substantiated complex program of physical therapy showed a statistically significantly better effect on the indicators of functional capabilities of the forearm and wrist compared to the general outpatient rehabilitation program for all studied indicators (p <0.05). Conclusion. Elderly patients with complex pathology need to compile pathogenetically substantiated physical therapy programs taking into account and correcting the specifics of each disease, which increases the overall effectiveness of rehabilitation.

Efficacy of high-intensity laser therapy on arthropathy of the hands in patients with systemic lupus erythematosus: a double-blinded, randomized controlled trial

2020 ◽  
Vol 34 (10) ◽  
pp. 1303-1312
Author(s):  
Nabil Mahmoud Abdel-Aal ◽  
Khadra Mohamed Ali ◽  
Hadaya Mosaad Eladl
Keyword(s):  
Physical Therapy ◽  
Lupus Erythematosus ◽  
Handgrip Strength ◽  
Control Group ◽  
Therapy Program ◽  
Joint Tenderness ◽  
High Intensity Laser ◽  
Physical Therapy Program ◽  
Double Blinded ◽  
Intensity Laser

Objective: To determine the efficacy of high-intensity laser therapy (HILT) on arthropathy of the hands in patients with systemic lupus erythematosus. Design: A double-blinded randomized, controlled study. Setting: Outpatient setting Participants: Fifty patients, 30–50-years-old, suffering from arthropathy of the hands were randomly assigned either into the experimental group, received HILT plus the routine physical therapy program or the control group, received sham HILT plus the same routine physical therapy program. Intervention: All treatment interventions were applied at a frequency of three sessions per week for eight weeks. Outcome measures: Handgrip strength, joints swelling counts, joints tenderness counts, visual analog scale (VAS) were measured before and after eight-weeks of interventions. Results: There were statistically significant differences in handgrip strength, joint swelling count, joint tenderness count and VAS in favor of the study group ( P < 0.05). After eight-weeks of intervention, the mean (SD) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 28.34 ± 8.3 kg, 4.4 ± 2.18, 5 ± 2.1, and 35.6 ± 13.87 mm in the study group, and 22.96 ± 8.76 kg, 7.36 ± 2.14, 9.08 ± 1.63, and 58.8 ± 10.54 mm in the control group, respectively. The MD (95%CI) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 5.38(0.53,10.23) kg, −2.96(−4.19, −1.73), −4.08(−5.15, −3.01), and −23.2(−30.2, −16.2) mm between groups, respectively. Conclusions: Adding HILT to the routine physical therapy program might be more effective than routine physical therapy program alone in improving handgrip strength, decreasing joint swelling counts, joint tenderness counts, and pain in patients with arthropathy of the hands.

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