scholarly journals COMPARING THE EFFECT OF CONVENTIONAL PHYSIOTHERAPY AND RADIAL SHOCKWAVE THERAPY IN PATIENTS WITH CAPSULITIS ADHESIVE ON SHOULDER JOINT

2020 ◽  
Vol 2 (11(80)) ◽  
pp. 4-7
Author(s):  
R. Madzharova ◽  
E. Simeonov

Purpose: Capsulitis adhesive is a degenerative disease of soft tissues around the shoulder joint. Characterized by pain and limited movements in the shoulder joint. It has always been considered important because of the impact on the quality-of-life and long period of illness. Therefore, the use of noninvasive and safe techniques that can speed up the healing process of the disease is important. The aim of the follow-up the effect on pain and range of motion (ROM) after conventional physiotherapy versus radial shockwave therapy (RSWT) in the same patients with Capsulitis adhesive. Method: 10 patients ware treated for 2 months with a conventional physiotherapy without improvement and followed 6 weeks treatment with RSWT. Visual analogy scale (VAS) used for pain assessment, goniometry for the ROM and Neer test, Upper limb Activity of daily living (ADL) to objectitize the patient state before and after both therapies. Results: The patient's condition has not improved after conventional therapy. The treatment with RSWT provides a significant reduction of pain, increase ROM in the shoulder joint and improve ADL for the upper limb. Conclusions: Usage of RSWT alone is much better option compared to the conventional physiotherapy in patients with Capsulitis adhesive.

2016 ◽  
Vol 29 (2) ◽  
pp. 287-293 ◽  
Author(s):  
Dreyzialle Vila Nova Mota ◽  
André Luís Ferreira de Meireles ◽  
Marcelo Tavares Viana ◽  
Rita de Cássia de Albuquerque Almeida

Abstract Introduction: Individuals with stroke sequelae present changes in the postural alignment and muscle strength associated with hemiplegia or hemiparesis. Mirror therapy is a technique that aims to improve the motor function of the paretic limb. Objective: The aim of this study was to evaluate the effect of mirror therapy, associated with conventional physiotherapy, for range of motion (ROM), degree of spasticity of the affected upper limb, and the level of independence in the activities of daily living (ADL) of chronic patients after stroke. Methods: This was a quasi-experimental (before and after) study. The study included ten stroke survivors undertaking physiotherapy and presenting with upper limb paresis. The following gauges were used for the present study: goniometry, the Modified Ashworth Scale, Fugl-Meyer and Barthel Index. Fifteen sessions were performed, each lasting 30 minutes, consisting of stretching of the flexor and extensor muscles of the wrist and elbow, pronators and supinators, followed by mirror therapy with gradual functional exercises. Results: Improvement was observed in all aspects studied, however with significant differences for ROM wrist extension (p = 0.04) and forearm supination (p = 0.03) Conclusion: It can be concluded that mirror therapy contributed to the participants' good performance in the aspects studied, mainly in relation to ROM of the affected upper limb.


Author(s):  
Shivani S. Lalwani ◽  
G. D. Vishnu Vardhan ◽  
Ashish Bele

Background: Stroke is a sudden neurological explosion resulting from poor blood flow perfusion to the brain. Stroke prevalence rates in India are expected to range from eighty-four to two hundred sixty-two strokes every 100,000 persons in remote regions and from three hundred thirty-four to four hundred twenty-four strokes every 100,000 persons in metropolitan areas. It causes brain cells to die abruptly due to inadequate oxygen and is a neurological condition characterized by blood flow blockage. Aim & Objective: to examine the impact of TENS (Transcutaneous Electrical Nerve Stimulation), EMS (Electrical Muscle Stimulation), and ROM (Range of Motion) exercises on upper-limb functioning in hemi paretic stroke victims. Methods: The current study subjects (n=39) would be stroke survivors. Patients will be divided into three groups: group A will receive TENS, group B will receive EMS, and group C will get ROM exercises. The protocol will cover 2 weeks of treatment. We will assess upper limb functioning, activities of everyday living (ADLs), and mental condition at frequent intervals. By using the MHQ (Michigan Hand Outcomes Questionnaire), Hand Grip Strength (HGS), Brunnstrom Hand Function Recovery stages. Results: The successful completion of this study will provide evidence on the best treatment strategy for stroke patients to improve their upper extremity motor function using individual TENS, EMS, or ROM exercises. Conclusion: This study will be beneficial to treat Stroke patients with upper limb dysfunction by treating by TENS modality which might be an option for EMS treatment.


Author(s):  
Somu Kotoshiba ◽  
Noriaki Maeda ◽  
Masanori Morikawa ◽  
Mitsuhiro Yoshimi ◽  
Shogo Sakai ◽  
...  

BACKGROUND: Functional stability of the shoulder requires a balance of active forces, passive forces, and control subsystems of the joint complex. Although whole-body vibration enhances shoulder muscle function and proprioception, the impact of vibration on the sensorimotor control of the shoulder joint remains unclear. OBJECTIVE: To investigate the acute effect of vibratory stimuli on the sensorimotor control of the shoulder joint. METHODS: Fifteen male participants (age, 22.7 ± 2.3 years) were included and performed the exercise in a modified push-up position with partial weight-bearing on a vibration platform with and without vibratory stimuli. The vibration protocol included six sets lasting for 30 s each with a 30-s rest between sets. The main outcome measures included the upper limb static stability test, Upper Quarter Y Balance Test (UQYBT), and electromyography data of the upper limb. RESULTS: Vibratory stimuli resulted in an increased UQYBT score (all directions; P< 0.01) and infraspinatus, serratus anterior, and lower trapezius muscle activity (P< 0.05) between pre- and post-exercise versus the control condition. Stabilometric parameters showed no significant interaction between condition and time. CONCLUSIONS: Vibratory stimuli could maximize training benefits while limiting injury risk for athletes. Our findings could guide the development of rehabilitation programs for patients with shoulder instability.


2020 ◽  
Vol 87 (7-8) ◽  
pp. 58-62
Author(s):  
О. V. Lihonenko ◽  
О. V. Storozhenko ◽  
А. B. Zubakha ◽  
І. А. Shumeiko ◽  
І. О. Chorna

Objective. To study the impact of estrogens and liposomes on course of healing process in purulent wounds of soft tissues in experiment. Маterials and methods. Еxperimental investigation was done on 21 sheep. In the laboratory animals purulent-inflammatory process was simulated. Тhe laboratory animals were distributed into two groups: a control - 6 sheep and investigated - 15. All the animals obtained conventional therapy. In laboratory animals of the investigated group estrogens and liposomes were added to complex of the conventional treatment measures. The healing process course was controlled, using cytological, biochemical, planimetric and mathematic-statistical methods of investigation. Results. Application of combined estrogen-liposomal therapy in complex treatment of experimental purulent wound of soft tissues have enhanced the levels of оxyprolene, ribonucleic and deoxyribonucleic acids in the wound area, raised a value of estradiol/testosteronic index, accelerated the wound cleansing, the granulations creation and shortened the wound healing process by (2.12 ± 0.24) days. Conclusion. Including of estrogens and liposomes into the treatment complex for experimental purulent wound of soft tissues enhances cellular biosynthetic activity, activity of reparative processes in the wound area, accelerates the wound cleansing and the granulation creation, shortens the wound healing process and may be applied for improvement of the purulent wounds treatment in elderly and senile patients.


2018 ◽  
Vol 15 (142) ◽  
pp. 20180068 ◽  
Author(s):  
Lorenza Mattei ◽  
Francesca Di Puccio ◽  
Stefano Marchetti

Non-invasive methods for assessing fracture healing are crucial for biomedical engineers. An approach based on mechanical vibrations was tried out in the 1990s, but was soon abandoned due to insufficiently advanced technologies. The same approach is re-proposed in the present study in order to monitor the healing process of a lengthened femur with an external fixator. The pins screwed into the bone were exploited for the impact testing (IT) to excite the bone and capture its response. Transmission through the soft tissues was thus prevented, and the quality of the signals was improved. Impact tests were performed every three to four weeks for five months. Unfortunately, after seven weeks, some pins were removed due to infection, and thus, the system was modified. Two different configurations were considered: before and after pin removal. An additional configuration was examined in the last two sessions, when the fixator body was removed, while four pins were left in the femur. The evolution of the frequency response function and of the resonant frequencies of the system were analysed for the duration of the monitoring period. The IT results were compared to the indications provided by X-ray images. During the evolution of the callus from the soft phase to the woven bone, the resonant frequencies of the system were found to increase by approximately 2–3% per week. The largest increase (approx. 22%) was observed for the first resonant frequency. After formation of the woven bone, the vibratory response remained almost the same, suggesting that the healing assessment could be related to the relative variation in the resonant frequencies. The results presented support the application of the IT approach for fracture healing assessment.


2018 ◽  
Vol 10 (2) ◽  
pp. 179-184
Author(s):  
Renty Fetriani

Anxiety is the impact of hospitalization experienced by pre-school children who can disrupt the child's development and healing process. This study aims to determine the influence of play therapy tells the story of anxiety levels of preschoolers who undergo hospitalization. Experimental pre experimental method using a pretest-postest one group design. Sampling technique is accidental sampling with sample of 30 respondents. Paired Test with significance level 95% (α <0,05). The results showed that the level of anxiety level before the play therapy tells story 28.00 and after the play therapy tells story 21.77, p value = 0.001 (<0.05) means there is a difference in children before and after doing play storytelling therapy is 6.33. The conclusion that the play storytelling therapy should be an alternative to decreasing the level of anxiety in children who underwent hospitalization In Dr. Rsud. M.Yunus Bengkulu. It is hoped that other researchers will be able to examine other factors that affect children's anxiety, such as anxiety due to separation, loss, injury, and pain. The research can be done by multiplying the sample being studied and using the comparison group, and the way of random sampling to obtain maximum results


Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 4028
Author(s):  
Olga Olejnik ◽  
Anna Masek ◽  
Małgorzata Iwona Szynkowska-Jóźwik

In this publication, novel bio-based composites made of epoxidized natural rubber with 50 mol% of epoxidation (ENR-50) are presented. The obtained materials, partially cured with a totally environmentally friendly crosslinking system consisting of natural ingredients, including quercetin and silica, exhibit a self-healing ability resulting from the self-adhesion of ENR-50 and reversible physical forces between the curing agent and the matrix. The impact of natural components on the crosslinking effect in uncured ENR-50 matrix was analyzed based on rheometric measurements, mechanical tests and crosslinking density. The partially crosslinked samples were next cut into two separate pieces, which were instantly contacted together under a small manual press, left at room temperature for a few days for the healing process to occur and finally retested. The healing efficiency was estimated by measuring mechanical properties before and after the healing process and was also confirmed by photos taken using optical and scanning electron microscope (SEM). According to the results, a combination of silica and quercetin is a totally safe, natural and effective crosslinking system dedicated to epoxidized natural rubber. The novel composites containing ingredients safe for human beings exhibit promising self-healing properties with a healing efficiency of up to 45% without any external stimuli and stand a chance of becoming innovative biomedical materials.


Author(s):  
E. M. Timanin ◽  
N. S. Sydneva ◽  
A. A. Zakharova

Introduction. To date there is a lack of studies dedicated to the objectification of the palpation data obtained by a specialist during the osteopathic examination. The issue of the evidence of the results of osteopathic correction still remains important. Search for instrumental methods allowing to register and to measure various palpation phenomena and manifestations of somatic dysfunctions is very relevant for the development of osteopathy as a science. It is also very important to find objective characteristics of these methods.Goal of research — to study viscoelastic characteristics of the soft tissues of the lower legs by palpation and instrumental methods before and after osteopathic correction.Materials and methods. 22 volunteers (12 women and 10 men) aged 18–23 years without complaints of the musculoskeletal system were examined. Osteopathic diagnostics and measurement of the viscoelastic properties of muscles were carried out by the method of vibration viscoelastometry before and after osteopathic correction.Results. Correlation analysis by Spearman showed that the subjective assessment of an osteopath positively correlated with both elasticity (r=0,43, p<0,05) and viscosity of soft issues (r=0,29, p<0,05). For the gastrocnemius muscle, this pattern was even more pronounced — for elasticity r=0,51, p<0,05, for viscosity =0,34, p<0,05. After osteopathic correction no changes in the elasticity of the soft tissues were observed. The viscosity of the tissues reduced, but in the projection of the gastrocnemius muscle, these changes were not statistically significant (p=0,12), whereas in the projection of the soleus muscle statistically significant changes (p=0,034) were observed.Conclusion. Changes in the viscoelastic properties of tissues demonstrated that the effects of osteopathic correction with the use of myofascial mobilization techniques, articulation mobilization techniques, and lymphatic drainage techniques were not obvious. The elasticity of soft tissues of the lower legs did not change, while the viscosity decreased, especially in the projection of the soleus muscles. This effect of the osteopathic correction can be associated with the effect of thixotropy — the transformation of gel-like intercellular substance into sol. Thus, the research showed that vibration viscoelastometry can be used for the objectifi cation of the condition of soft tissues and of the effects of osteopathic correction.


2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.


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