Effects of Fresnel prism glasses on balance and gait in stroke patients with hemiplegia: A randomized controlled trial pilot study

2020 ◽  
Vol 28 (6) ◽  
pp. 625-633
Author(s):  
Sun-Young Ha ◽  
Yun-Hee Sung

BACKGROUND: Fresnel prism shifts the field of view and converts object position in space, but its effect on stroke patients without unilateral neglect has not been examined. OBJECTIVE: We aimed to investigate the effect of Fresnel prism glasses on balance and gait in stroke patients with hemiplegia. METHODS: This study included 17 stroke patients with hemiplegia without unilateral neglect. Balance and gait training were applied in the control group (n= 9), and Fresnel prism glasses were applied with balance and gait training in the experimental group (n= 8). In all groups, interventions were done for 30 min/day for 5 times/week for 4 weeks. Motor-free visual perception test for visual perception (MVPT), Berg Balance Scale (BBS), and functional reach test (FRT) for dynamic balance ability, and gait were performed. Measurements were done before and after interventions. RESULTS: MVPT showed no significant difference between the groups (p> 0.05). A significant increase in BBS and FRT results was found before and after interventions in the experimental group (p< 0.05). Gait variables showed significant difference in the experimental group (p< 0.05). CONCLUSION: Fresnel prism glasses may effectively improve dynamic balance and gait functions by shifting body weight to the affected side of stroke patients with hemiplegia without vision loss.

2021 ◽  
Vol 17 (6) ◽  
pp. 410-417
Author(s):  
Eun-Ju Song ◽  
Eun-Jung Lee ◽  
Hae-Yeon Kwon

The purpose of this study was to investigate the static and dynamic balance and body activities after administering a trunk stability exercise program using a sling for children with spastic cerebral palsy of Gross Motor Function Classification System (GMFCS) levels III–IV. This study was conducted based on a quasi-experimental study design. Six of the study participants were assigned to the control group and six were assigned to the experimental group using simple random sampling. Both groups underwent a double-blind clinical trial study in which exercise therapy was performed for 40 min twice a week for 8 weeks. The experimental group underwent the sling exercise program and the control group underwent neuro-developmental treatment. The results showed that static and dynamic balance were significantly different before and after intervention in both the experimental and control groups (P<0.05), and there was also a statistically significant difference between the two groups (P<0.05). Gross motor function and activities of daily life showed significant improvement before and after intervention in the experimental group (P<0.05), but there was no statistically significant difference in the control group (P<0.05). There was a statistically significant difference between the two groups (P<0.05). Therefore, the sling exercise program can be used as an effective treatment for improving balance and physical activity in children with cerebral palsy of GMFCS levels III–IV who have difficulty walking. In addition, such exercise will have a positive impact on the independence of such children and help them to participate in social activities.


Author(s):  
Andy Chien ◽  
Fei-Chun Chang ◽  
Nai-Hsin Meng ◽  
Pei-Yu Yang ◽  
Ching Huang ◽  
...  

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.


2019 ◽  
Vol 16 (3) ◽  
pp. 807-814
Author(s):  
Hilal Kılınç ◽  
Hacı Bayram Temur ◽  
Hacalet Mollaoğulları

Bu çalışma 8-10 yaş arası erkek çocuklarda yüzme egzersiz ve bosu çalışmalarının dinamik dengeye etkisini incelemek amacıyla yapıldı. Yaşları ortalaması 8,9333±,78492 yıl olan 30 katılımcı veli ve antrenörlerinden gönüllü katılımları ile ilgili aydınlanmış̧ onamları alınarak çalışmaya dahil edildi. Bunların 20' si egzersiz grubu diğer 10'u da kontrol grubudur. Egzersiz grubunun en az 1 yıl yüzme eğitimi almış olmalarına ve haftada 3 gün düzenli olarak yüzme antrenmanı yapıyor olmalarına dikkat edildi. Egzersiz grubu rastgele yöntemle 2 gruba ayrıldı. Birinci gruba yüzme ve bosu çalışmaları, ikinci gruba ise sadece yüzme egzersizleri yaptırıldı. Bu çalışma 10 hafta süreyle uygulandı. Katılımcıların antropometrik ölçümler ile dinamik denge ölçümleri planlanan antrenman programı öncesi ve sonrası olmak üzere iki defa alındı. Çalışma Van Olimpik yüzme havuzunda uygulandı. Verilerin analizinde SPSS 21 paket programı kullanıldı.  Analizler sonucunda yüzme eğitimi alan grubun A (Anterior), PM (Posteromedial) ve PL (Posterolateral) ön test - son test ölçüm  değerleri arasında anlamlı (p<0,01) fark olduğu saptandı. Yine yüzme ve bosu eğitimi alan grubun PM ve PL ön test - son test ölçüm  değerleri arasında anlamlı (p<0,01) fark olduğu belirlendi. Seçilmiş değişkenlerin ön test- son test ölçüm değerleri arasındaki farkların gruplar arasında anlamlı (p<0,05)  bir farklılığın olmadığı görüldü.   ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet This study was carried out to investigate the effect of swimming exercise and bosu studies on dynamic equilibrium in 8-10 years old boys. They were included in the study by taking their enlightened consent about their voluntary participation from 30 participants parents and coaches with an average age of 8,9333 ±, 78492 years. 20 of them were exercise group and 10 of them were control group. The exercise group had at least 1 year of swimming training and swimming training 3 days a week was paid attention to be doing regularly. The exercise group was randomly divided into two groups. The first group had swimming and bosu exercises and the second group had only swimming exercises. This study was performed for 10 weeks. The participants' anthropometric measurements and dynamic balance measurements were taken twice before and after the planned training program. The work was carried out at the Olympic swimming pool in Van. SPSS 21 package program was used to analyze the data. As a result of the analyzes, it was found that there was a significant difference (p<0.01) between the A (Anterior), PM (Poateromedial) and PL (Poaterolateral) pre-test and post-test measurements of the swimming group. It was determined that there was a significant difference (p <0.01) between the PM and PL pretest - posttest measurements of the group receiving swimming and bosu training. There was no significant difference (p <0.05) between the pre-test and post-test values ​​of the selected variables.


Author(s):  
Maryam Hammad Abdallah Al-mousah

The study aimed to reveal the effect of a strategy based on the communicative approach in reading comprehension for tenth grade students in Jordan. To achieve the aims of the study, a test was designed to measure reading comprehension skills, and its validity and reliability were confirmed, The semi-experimental design was adopted, as the experimental group consisting of (25) students was studied according to the strategy based on the communicative approach, and the control group consisting of (25) students was studied in the usual way, The test was applied to the two groups before and after the experiment, The results of the ANCOVA analysis showed that there was a statistically significant difference at (α≤05,0) between the two groups due to the strategy based on the continuous approach in improving reading comprehension, and for the benefit of the experimental group. The study recommended employing a communicative approach in teaching the Arabic language topic, and conducting other similar studies in different educational stages and with new changes.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Jianyong Gao ◽  
Yi Zhao ◽  
Tinglan Sun ◽  
Weike Liu ◽  
Zhenguo Wang

Objective: To compare the therapeutic effects of acupotomy trinity lysis and traditional acupotomy on cervical spondylotic myelopathy. Methods: A total of 205 patients with cervical spondylotic myelopathy of liver and kidney deficiency syndrome were randomly divided into the experimental group (105 cases) and the control group (100 cases). The experimental group was relaxed with acupotomy in three positions: Heaven (tian), Human (ren) and Earth (di). Traditional acupotomy was used to relax Ashi acupoints of the affected vertebra in the control group. One treatment was conducted in one week, and the duration of one course of treatment was three weeks. The VAS, JOA score and NDI index were observed after treatment.  Results: Before and after treatment, the total treatment efficiency of the treatment group was 95.23%, and that of the control group was 80.00%, there was significant difference between the two groups, P<0.05; Before operation, there was no significant difference in JOA score, NDI index score, and VAS score between the treatment group and the control group (P>0.05); there was no significant difference after 1 week (P>0.05), but there were significant differences between the two groups 2 weeks and 3 weeks after operation (P<0.05). Conclusion: Acupotomy trinity lysis is a safe, effective and economical treatment for cervical spondylotic myelopathy.


2021 ◽  
Vol 15 (7) ◽  
pp. 2180-2184
Author(s):  
Mehmet Murat Beyaz ◽  
Gökçe Oktay

The aim of this study is to examine the effects of 6-week Zumba exercises on flexibility, leg strength, back strength and muscular endurance parameters in women aged 25-45. The research group consists of a total of (n=20) women, (n=10) in the experimental group and (n=10) in the control group, between the ages of 25-45 living in Istanbul. The participants in the experimental group were given 60 minutes of Zumba exercises 3 days a week for 6 weeks, and sit-reach, 1-minute sit-up and strength test measurements were made to the participants before and after the exercise program. Participants in the control group were not included in any exercise program. As a result of the analysis, it was determined that there was a statistically significant difference between the participants' flexibility, leg strength, back strength and muscular endurance values between the pre-test and post-test within the group (p< 0.05). In addition, there was no significant difference between the pre-test and post-test values between the groups (p< 0.05). In conclusion; It was determined that zumba exercises applied to the experimental group did not have a significant effect on flexibility, muscular endurance and back strength. In the leg strength parameter, the effect of zumba exercises applied to the experimental group on leg strength was found to be significant at a rate of 34%. In the light of these data, it was concluded that zumba exercises performed in sedentary women have a positive effect on lower extremity strength. Keywords: Zumba Fitness, Exercise, Women and Exercise


2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.


2018 ◽  
Vol 7 (3.34) ◽  
pp. 636
Author(s):  
Seong Won Kim ◽  
Youngjun Lee

Background/Objectives: This study examined the effects of introducing programming as a technological tool for teachers’ Technological Pedagogical Content Knowledge (TPACK) development.Methods/Statistical Analysis: Thirty-two teachers were divided into two groups, completing different types of TPACK educational programs. The control group’s TPACK training program was based on information and communication technology (ICT), while that of the experimental group was based on programming. To verify the effectiveness of the TPACK training program, tests were administered before and after the educational program. A statistical analysis of questionnaire results also investigated changes resulting from TPACK.Findings: Both the control and experimental groups showed statistically significant improvements in the post-test compared with the pre-test. However, in the detailed areas of TPACK by group, the improvements in the two groups differed. Unlike the control group, the experimental group showed a statistically significant improvement in the knowledge related to technology. This result illustrated that programming is effective in solving the problem of integrating technology into the classroom. In contrast, there was no significant difference in the post-test, as this was applied in the short term. However, programming has been shown to affect Technological Pedagogical Knowledge (TPK), Technological Content Knowledge (TCK), and TPACK. In summary, the results showed that a TPACK educational program based on programming is effective for teachers’ TPACK development. Keywords: TPACK, In-service teacher, Programming, TPACK-P, Educational program


2016 ◽  
Vol 34 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Sio Leng Wong ◽  
Sok Man Leong ◽  
Cheng Man Chan ◽  
Sut Peng Kan ◽  
Hon Wai Benjamin Cheng

Background: Fan therapy is often suggested for relieving the symptom of dyspnea in patients with advanced cancer, but relevant literature among Asians is limited. Objective: Phase 2 clinical trial to assess the clinical feasibility and outcome of using an electric fan to alleviate the symptom of dyspnea in Chinese patients with advanced cancer. Methods: Thirty patients with advanced cancer having unresolved breathlessness were recruited from Hospice and Palliative Care Centre of Kiang Wu Hospital in Macau. Participants were randomly and equally allocated to the experimental group and the control group, respectively. Outcome Measures: Verbal numerical rating scale (NRS) of breathlessness, respiratory rate (RR), and saturation of peripheral oxygen (SpO2) was collected before and after the intervention. Results: T test was used to analyze the data collected. There was a significant difference in the NRS scores of the experimental group ( P < .01), indicating a significant reduction in the patients’ sensation of breathlessness after fan therapy, whereas no significant difference was found in the objective statistic results of RR and SpO2. No significant difference ( P > .05) was found in the control group for all the 3 variables before and after routine treatment. Conclusion: The results of the study suggested that fan therapy could be effective in alleviating dyspnea in Chinese patients with advanced cancer. It should be considered as one of the nonpharmacological treatment option. Future large-scale phase 3 clinical trials are warranted.


2021 ◽  
Vol 11 (3) ◽  
pp. 474-481
Author(s):  
Jung-Ho Lee

Purpose: This study investigated the effects of modified mirror therapy and taping therapy for providing feedback on upper extremity function, activity, and daily activities of stroke patients. Methods: This study was conducted with 20 stroke patients and randomly assigned 10 subjects to the experimental group and 10 to the control group. In the experimental group, after proprioceptive neuromuscular stimulation treatment, the mirror therapy program was implemented. In the control group, upper extremity taping was performed before proprioceptive neuromuscular facilitation treatment. In this study, a prior evaluation using JTT, FIM, and MAL was performed before intervention to evaluate the patient's function and daily life behavior. Post-tests were performed after the last treatment. Results: In the paired-sample T-test used for within-group comparison of JTTs, FIM, and MAL, there was a significant difference between pre- and post-test for all groups. But there was no statistically significant difference between experimental group 1 and experimental group 2 in an independent t-test conducted to compare the effect sizes of treatments. Conclusion: In other words, by applying mirror therapy and taping therapy that can increase proprioceptive sensation and feedback information in stroke patients, upper extremity function and daily activities can be increased.


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