scholarly journals Clinical observation of effects of ultrashort wave therapy combined with acupuncture and rehabilitation training in the treatment of patients with dysphagia after stroke

2019 ◽  
Vol 7 (3) ◽  
pp. 136-142 ◽  
Author(s):  
Weiwei Zhao ◽  
Chuanguang Ju ◽  
Daozhen Wang ◽  
Huifen Shen
Keyword(s):  
Treatment Group ◽  
Aspiration Pneumonia ◽  
Test Scores ◽  
Control Group ◽  
Rehabilitation Training ◽  
Water Drinking ◽  
Ultrashort Wave ◽  
Comprehensive Rehabilitation ◽  
Drinking Test ◽  
Water Drinking Test

Aim:The present study aimed to assess the clinical effects of ultrashort wave therapy combined with acupuncture and rehabilitation training on patients with dysphagia after stroke.Method:A total of 126 patients with stroke with dysphagia were randomly divided into an acupuncture group (control group: 63 patients) and a comprehensive rehabilitation training group (treatment group: 63 patients). The control group received rehabilitation training and acupuncture, whereas the treatment group received ultrashort wave therapy in addition to rehabilitation training and acupuncture (comprehensive rehabilitation training). The curative effect was evaluated using water-drinking test scores and swallowing quality of life scale (SWAL-QOL) scores before and after intervention. Additionally, the incidence of aspiration pneumonia was assessed in the two groups.Results:The water-drinking test scores in both groups were significantly better after 4 weeks of intervention than before intervention (P < 0.01); however, the improvement degree was significantly greater in the treatment group than in the control group (P < 0.01). The SWAL-QOL scores in both groups were significantly higher after intervention than before intervention (P < 0.05); however, the improvement degree was significantly greater in the treatment group than in the control group (P < 0.05). Moreover, the incidence of aspiration pneumonia was significantly lower in the treatment group than in the control group (P < 0.05).Conclusion:Comprehensive rehabilitation training can greatly improve dysphagia after stroke and can effectively reduce the incidence of aspiration pneumonia.

scholarly journals Short-Time Changes of Intraocular Pressure and Biomechanics of the Anterior Segment of the Eye during Water Drinking Test in Patients with XEN GelStent

2021 ◽  
Vol 11 (1) ◽  
pp. 175
Author(s):  
Joanna Przeździecka-Dołyk ◽  
Ewa Wałek ◽  
Agnieszka Jóźwik ◽  
Iwona Helemejko ◽  
Magdalena Asejczyk-Widlicka ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Anterior Segment ◽  
Outcome Evaluation ◽  
Control Group ◽  
Substantial Impact ◽  
Water Loading ◽  
Water Drinking ◽  
Compensation Mechanisms ◽  
Drinking Test ◽  
Water Drinking Test

Purpose: Little is known about short-term changes in intraocular pressure (IOP) following minimally invasive glaucoma surgeries, such as post-XEN GelStent implantation. Although the importance of corneal biomechanics in glaucoma diagnostics has been reported, little work has been conducted on postoperative description of changes when the structure of the anterior segment is altered. The aim of presented study was to evaluate the changes in the biomechanical parameters of the anterior segment of the post-XEN GelStent implantation eyes. Patients and Methods: This investigator-initiated, open-label, prospective, single-center study recruited patients. Patients with primary open-angle glaucoma (POAG) after XEN GelStent implantation versus matched POAG controls (considered as control group/CG) treated pharmacologically were screened. Water loading was conducted using 10 mL of water per kilogram of body weight for ≤5 min. Goldmann applanation tonometry (GAT), corneal hysteresis (CH), and corneal resistance factor (CRF) were performed before water loading and after every 15 min up to 1 h. Results: The water drinking test (WDT) was positive in 3.7% (1 out of 27) of patients in the post-XEN group compared with 22.7% (5 out of 22) of patients in the control group (CG; p < 0.05). Mean fluctuations in GAT during the WDT were higher in the CG group (3.6 ± 2.5 mmHg vs. 2.9 ± 1.3 mmHg, p < 0.001). CRF and CH changed significantly only in the post-XEN group. The mean peak of CH and CRF occurred at 15 and 30 min of the test in the post-XEN group (p = 0.001). Conclusion: WDT is important to assess the ability of compensation mechanisms to reduce fluctuations in IOP after water upload. The relationship between biomechanics of the anterior segment and glaucoma may have substantial impact on surgical outcome evaluation.

Evaluation of daily changes of Intraocular pressure in glaucomatous patients with modified diurnal tension curve versus water drinking test

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Eman Sayed Ahmed ◽  
Mohammed Adel Abdelshafik ◽  
Momen Mahmoud Hamdi ◽  
Noha Mohsen Mahmoud
Keyword(s):  
Intraocular Pressure ◽  
Open Angle Glaucoma ◽  
Control Group ◽  
Case Group ◽  
Provocative Test ◽  
Water Drinking ◽  
Drinking Test ◽  
The Mean ◽  
Tension Curve ◽  
Water Drinking Test

Abstract Background Glaucoma is a chronic optic neuropathy characterized by the excavation of the optic disc due to atrophy of the retinal ganglion cells. A progression of such atrophy leads to reduction of the visual field and eventually to the loss of sight at the end-stage of the disease, Glaucoma is the second leading cause of blindness worldwide Objectives To study the correlation between intraocular pressure (IOP) fluctuation during water drinking test (WDT) and the IOP fluctuation of modified diurnal tension curve (mDTC) in glaucomatous eyes Patients and Methods Fifty participants (24 males and 26 females) were recruited in this prospective study; forty participants with known Primary Open Angle Glaucoma and the other ten participants with non- glaucomatous healthy eyes which served as control. Patients attending the outpatient clinic at Al-Demerdash Hospital and Cairo Fatemic Hospital from October 2018 to March 2019 were prospectively recruited. Four IOP measurements were taken at 8:00 am, 12:00 pm, 4:00 pm and 8:00 pm which represented the mDTC, while WDT was represented by a single measurement of IOP before ingestion of one liter of water over five minutes, followed by three IOP measurements after ingestion of this amount of water at thirty minute intervals. Results Distribution of the studied participants as regards Age and sex: 50 participants were included in the this study. 40 presented the case group (20 males and 20 females) and the mean age of the case group was 54.7 years, 10 presented the control group(4 males and 6 females) and the mean age of the control group was 51.2years. 59% of participants had a peak IOP at 8:00 am, while 10% had a peak IOP at 12:00 pm, 6% at 4:00 pm and 25% of the participants had IOP peak at 8:00 pm during the mDTC. In the WDT, 96% of the participants had a peak IOP after 30 minutes of ingesting one liter of water, while 4% had a peak IOP after 60 minutes. None of the participants had IOP peak after 90 minutes of ingesting one liter of water.. The IOP fluctuations detected during the WDT were significantly correlated to fluctuations observed during the mDTC. Conclusion The data of this study suggested that WDT can be used as a useful provocative test for the detection of the diurnal IOP peaks and fluctuation observed in the glaucoma patients.

Effects of Electromyographic Biofeedback Therapy Combined with Comprehensive Rehabilitation Training on Lower Limb Motor Function in Patients with Stroke Recovery

2021 ◽  
Vol 11 (1) ◽  
pp. 40-46
Author(s):  
Xingping Yang ◽  
Zhao Gao ◽  
Yu Zhou ◽  
Zhuoming Chen ◽  
Yihua Shi ◽  
...  
Keyword(s):  
Treatment Group ◽  
Lower Limb ◽  
Emg Biofeedback ◽  
Lower Limbs ◽  
Stroke Recovery ◽  
Control Group ◽  
Biofeedback Therapy ◽  
Rehabilitation Training ◽  
Comprehensive Rehabilitation ◽  
Better Than

This article explores the effects of myoelectric biofeedback therapy association with rehabilitation training on LLMF in patients with stroke and hemiplegia. Sixty patients with stroke and hemiplegia were separated into the control group and the treatment group. The two groups were disposed neuromedicine drugs and rehabilitation training, while the treatment group also increased the training of the affected side's lower limb electromyography. The same therapist evaluated Fugl-Meyer score (FMA), M-B index (MBI), Berg Balance Scale (BBS), score before and 4 weeks after treatment, and performed statistical analysis. The results showed that the FMA scores, balance ability scores, daily living ability scores, and active range scores of the wrist and stepping joints of the upper and lower limbs after several weeks of treatment in the two groups were better than those in the group before treatment. The scores of the EMG biofeedback treatment group at several weeks were better than the control group of the same period, the difference was statistically significant. EMG Biofeedback Therapy Combined with Comprehensive Rehabilitation Training can effectively improve upper and lower extremity movement, balance function, daily life ability, dorsiflexion of the wrist and dorsiflexion of the step joints after stroke, and the effect is better than that of conventional rehabilitation therapy.

Clinical Application of Scalp Cluster Needling Combined with Bobath Technique in Upper Limb Spastic Paralysis After Stroke of Vertebral Artery Type

2021 ◽  
Author(s):  
Aimin Gong ◽  
Mengjie Zeng ◽  
Zhiquan Wu
Keyword(s):  
Treatment Group ◽  
Acupuncture Therapy ◽  
Vertebral Artery ◽  
Upper Limb ◽  
Training Group ◽  
Control Group ◽  
Upper Limbs ◽  
Spastic Paralysis ◽  
Rehabilitation Training ◽  
The Difference

To observe the difference in clinical effects of scalp-point cluster acupuncture combined with rehabilitation training in treating spastic paralysis of upper limbs after stroke. Using a randomized controlled design, 96 patients with upper limb spastic paralysis after stroke were randomly divided into two groups: treatment group (scalp acupuncture plus rehabilitation training group 48 cases), control group (rehabilitation training group 48 cases). After 2 courses of treatment, it was judged by observing clinical efficacy evaluation, Ashworth classification, and Fugl-Meyer (FMA) score. The total effective rate was 91.7% in the treatment group and 68.7% in the control group; the difference between the two groups was statistically significant (P <0.05). Before treatment, the difference in Ashworth classification between the two groups was not statistically significant (P> 0.05); after treatment, the difference between the two groups was statistically significant (P <0.01). After treatment, the difference between the two groups was statistically significant (P＜0.05). The Fugl-Meyer (FMA) scores of the two groups of patients before treatment were comparable (P>0.05), and there were significant differences between the two groups after treatment (P <0.05). The difference of Fugl-Meyer (FMA) scores between the two groups was statistically significant (P < 0.01). Scalp cluster acupuncture therapy is more effective than traditional acupuncture therapy alone in treating vertebral artery type cervical spondylosis. Scalp cluster acupuncture combined with Bobath technique is effective in treating spastic paralysis of upper limbs after stroke, and it is worthy of clinical application.

scholarly journals Correlation between central corneal thickness and intraocular pressure peak and fluctuation during the water drinking test in glaucoma patients

Clinics ◽  
2010 ◽  
Vol 65 (10) ◽  
pp. 967-970 ◽  
Author(s):  
Rafael Lacerda Furlanetto ◽  
Antonio Carlos Facio Jr ◽  
Marcelo Hatanaka ◽  
Remo Susanna Junior
Keyword(s):  
Intraocular Pressure ◽  
Central Corneal Thickness ◽  
Corneal Thickness ◽  
Water Drinking ◽  
Pressure Peak ◽  
Drinking Test ◽  
Water Drinking Test

scholarly journals Correlation and agreement between the 24-hour diurnal tension curve, the water-drinking test, and the postural-change test in glaucoma patients

2017 ◽  
Vol 1 (3) ◽  
pp. 47-59
Author(s):  
Fauze A. Goncalves ◽  
Fernando Henrique R. Amorim ◽  
Camila S. Zangalli ◽  
Jose Paulo C. Vasconcellos ◽  
Vital P. Costa
Keyword(s):  
Open Angle Glaucoma ◽  
Strong Positive Correlation ◽  
Strong Correlations ◽  
Postural Change ◽  
Poor Agreement ◽  
Positive Correlation ◽  
Water Drinking ◽  
Drinking Test ◽  
Moderate Positive Correlation ◽  
Water Drinking Test

Aim: To investigate whether the water-drinking test (WDT) and the postural-change test (PCT) can predict the 24-hour diurnal tensional curve (DTC) intraocular pressure (IOP) peak and fluctuation by assessing the correlation and agreement between these three tests in medically treated primary open-angle glaucoma (POAG) patients.Methods: 18 POAG patients underwent the DTC, WDT and PCT. Pearson’s correlation coefficient and Bland-Altman plots were used to assess the correlation and agreement between the results, respectively.Results: Mean DTC IOP peak was 18.72 + 4.31 mmHg and mean DTC IOP fluctuation was 7.00 + 2.54 mmHg. The IOP peak was outside office hours in 50% of the subjects. We observed poor correlations between the DTC and WDT fluctuations and the DTC and PCT fluctuations (r=-0.125, P=0.619; r=0.349, P=0.155, respectively). There was a moderate positive correlation between the DTC and WDT peaks (r=0.493, P=0.03) and a strong positive correlation between the DTC and PCT peaks (r=0.722, P<0.001). However, Bland-Altman plots demonstrated poor agreement between the IOP peaks and fluctuations between the 3 tests. WDT and DTC IOP peaks differed by 2 mmHg or more in 56% of the measurements. PCT and DTC IOP peaks showed that 83% of the measurements had differences greater than 2 mmHg.Conclusions: Despite moderate to strong correlations between DCT and WDT peaks and DTC and PCT IOP peaks, the agreement was generally poor, suggesting that they should be used with caution to estimate peak IOP.

scholarly journals KESAN PENGGUNAAN PETA PEMIKIRAN TERHADAP PENGAJARAN PENULISAN KARANGAN MURID TAHUN LIMA

2021 ◽  
Author(s):  
NORLIZA ABDULLAH ◽  
ZULKIFLI OSMAN ◽  
ABDUL MUNIR ISMAIL
Keyword(s):  
Treatment Group ◽  
Social Science ◽  
Primary School ◽  
Test Scores ◽  
Control Group ◽  
Primary School Students ◽  
Thinking Maps ◽  
School Students ◽  
Essay Writing ◽  
Post Test

Kajian lalu menunjukkan kebolehan mengarang karangan dalam kalangan murid sekolah rendah adalah rendah. Oleh hal yang demikian, kajian ini dijalankan untuk mengkaji kesan penggunaan peta pemikiran terhadap tahap penulisan karangan Bahasa Melayu dalam kalangan murid tahun lima. Penyelidik menggunakan kaedah eksperimen kuasi melibatkan satu sampel kajian yang terdiri daripada 64 murid sekolah rendah yang dibahagikan sama rata kepada satu kumpulan perlakuan dan satu kumpulan kawalan. Para murid dalam kumpulan pertama menggunakan peta pemikiran dalam pengajaran karangan, sementara kumpulan kedua menggunakan kaedah tradisional. Ujian pra dan ujian pasca digunakan untuk mendapatkan data yang dianalisis dengan Statistical Package For Social Science (SPSS) versi 21. Bagi kumpulan perlakuan, analisis data menunjukkan skor pasca ujian min murid adalah lebih tinggi dari skor pra ujian min mereka, sekali gus menunjukkan mereka memperoleh peningkatan dalam penulisan karangan dari segi kandungan dan pengolahan idea. Dapatan yang sama juga menunjukkan skor pasca ujian min murid dalam kumpulan perlakuan adalah lebih tinggi dari min skor yang sama bagi mereka dalam kumpulan kawalan, sekali gus menunjukkan kumpulan perlakuan adalah lebih berprestasi daripada kumpulan kawalan. Dapatan kajian ini mempunyai implikasi dalam amalan pengajaran semasa. Guru mata pelajaran Bahasa Melayu boleh menggunakan peta pemikiran sebagai satu alat pengajaran bagi membantu murid sekolah rendah belajar menulis karangan dengan lebih berkesan.   Studies have shown that students’ essay writing abilities of primary school students are low. As such, this study was carried out to examine the extent of the effects of using thinking maps on the teaching of Malay language essay writing among Year Five students. In this study, the researchers used a quasi-experimental method involving a study sample consisting of 64 primary school students were divided equally into a treatment group and a control group. The former used thinking maps in essay writing learning, while the latter used a traditional method. A pre-test and a post-test were used to obtain the data, which were analyzed using Statistical Package for Social Science (SPSS) version 21. For the treatment group, the analysis of data showed students’ mean post-test scores were significantly higher than their mean pre-test scores, indicating they made significant improvements in essay writing in terms of content and ideation. The same analysis also showed students’ mean post-test scores in the treatment group were significantly higher than those of the control group, indicating the former outperformed the latter. These findings have a practical implication for the current teaching practice. Malay language teachers can use thinking maps as a teaching tool to help primary school students effectively learn to write essays.

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