scholarly journals COMPARISON OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION AND NEUROMUSCULAR RE-EDUCATION WITH CONVENTIONAL TREATMENT AND HOME BASED EXERCISE PLAN ALONG WITH FACIAL NERVE STIMULATION FOR REDUCING FACIAL DISABILITY IN PATIENTS WITH BELL’S PALSY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Hanisha Goyal ◽  
Shyamal Koley
Keyword(s):  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Post Intervention ◽  
Galvanic Stimulation ◽  
Home Based ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Group A ◽  
Facial Nerve Stimulation ◽  
Group B ◽  
Intervention Condition

The purpose of the present study was to compare the proprioceptive neuromuscular facilitation and neuromuscular re-education with conventional treatment and home based exercise plan along with facial nerve stimulation for reducing facial disability in patients with Bell’s Palsy. In the present study, purposively selected 20 patients (both male and female) with Bell’s palsy with age group 20-70 years were considered. Further, the patients were allocated equally into two treatment groups. In Group-A, patients were treated with Proprioceptive Neuromuscular Facilitation (PNF) and Neuromuscular Re-Education (NRE) along with interrupted galvanic stimulation, facial massage and home based exercises. In Group-B, patients received the treatment of interrupted galvanic stimulation and manual facial massage along with home based facial exercises program in front of mirror. The outcome measures included Facial Disability Index-Physical Function (FDI-PF), Facial Disability Index-Social Function (FDI-SF), Synkinesis Assessment Questionnaire (SAQ) and Sunnybrook Facial Grading Scale (SFGS). In results. it was found that in pre-intervention condition, no significant differences were noted in FDI-PF, FDI-SF, SAQ and SFGS between these two groups. However, significant differences (p<0.001) were observed in FDI-PF, FDI-SF and SFGS in post intervention condition between the patients treated in Group-A and Group-B. Statistically significant increase (p<0.001) was found in FDI-PF and SFGS and significant decrease (p<0.013-0.001) was found in FDI-SF and SAQ between pre- and post-intervention in Group-A. Statistically significant decrease (p<0.003-0.001) was found in FDI-PF, FDI-SF, SAQ and SFGS between pre- and post-intervention in patients treated in Group-B. From the findings of the study it could be concluded the treatment protocol comprised of PNF and NRE along with interrupted galvanic stimulation, facial massage and home based exercises was more effective than only interrupted galvanic stimulation, facial massage and home based exercises in improving facial symmetry and reducing facial disability in patients with Bell’s palsy. Keywords: Proprioceptive neuromuscular technique, Neuromuscular re-education technique, Interrupted galvanic stimulation, Facial massage, Home based exercises, Bell’s palsy, Facial disability, Synkinesis.

scholarly journals Effect of Vertebral Pressure Technique and Intercostal Stretch Technique on Respiratory Rate, Tidal Volume, SpO2 and Heart Rate among Organophosphorus Poisoning Patients: An Experimental Study

2021 ◽  
Vol 11 (7) ◽  
pp. 265-271
Author(s):  
Abhinav Salve ◽  
Sachin Maghade ◽  
Sneha Katke
Keyword(s):  
Heart Rate ◽  
Tidal Volume ◽  
Respiratory Rate ◽  
Mechanical Ventilator ◽  
Post Intervention ◽  
Significant Difference ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Organophosphorus Poisoning ◽  
Group A ◽  
Group B

Background: Respiratory PNF technique is a proprioceptive and tactile stimulus that alters the depth and rate of breathing. Intercostal stretch enhances the chest wall elevation and increase chest expansion and diaphragm excursion to improve intra-thoracic lung volume which contributes to improvement in flow rate percentage. Vertebral pressure is another respiratory PNF where there is increased epigastric abdominal excursion over T2-T4. Objective: To find out the effect of Vertebral pressure and Intercostal stretch technique on respiratory rate, tidal volume, SpO2 & heart rate among organophosphorus poisoning patients Method: Data was collected from 24 ICU patients who were on mechanical ventilator. Subjects were divided in two groups. Intercostal stretch technique was given to group A and vertebral pressure technique was given to group B, changes HR, RR, SpO2, tidal volume was noted and data analysis was done. Result: There was significant difference between pre intervention and post intervention readings for both the groups A and B at heart rate, respiratory rate, SpO2 and tidal volume related (p<0.001). It thus proved that respiratory stimulation improves TV, Decrease in RR and HR and increase in SpO2 for both groups. Conclusion: Proprioceptive Neuromuscular Facilitation techniques are effective in improving HR, RR, lung capacity and Oxygen saturation in patients with OP poisoning. There was significant difference between pre intervention and post intervention readings for both the groups A and B at heart rate, respiratory rate, SpO2 and tidal volume. Key words: Organophosphorus poisoning, Mechanical ventilator, intercostal stretch, Vertebral pressure, Respiratory PNF.

scholarly journals Effect of Infrared Radiation (IRR) on Patients with Bell’s Palsy

2017 ◽  
Vol 46 (1) ◽  
pp. 1-6
Author(s):  
Hashina Bilkish Banu ◽  
Sohely Rahman ◽  
Shahadat Hossain ◽  
Jebunnesa ◽  
Ehsanul Haque Khan ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Infrared Radiation ◽  
Bell’S Palsy ◽  
Combined Effect ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Early Recovery ◽  
Nerve Paralysis ◽  
Group A ◽  
Group B

This prospective study was conducted to determine the effect of Infrared Radiation on the patients presented with Bell’s palsy attended at the Department of Physical Medicine and Rehabilitation, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh from January 2012 to June 2012. By dividing in equal two groups ‘A’ and ‘B’ (30 patients in each group) a total of sixty (60) patients with Bell’s palsy were included in this study according to the selection criteria. Group- A patients were received Infrared Radiation (IRR) including Proprioceptive Neuromuscular Fascilitation (PNF) exercise, Drugs (Prednisolone & Acyclovir) and Counseling for their recovery, where Group- B didn’t receive IRR but received rest of management. In Group- A, 25(83.33%) patients recovered completely and among them 12 (40%) patients recovered early (within 2 months). In Group- B, 23(76.67%) patients recovered completely, among them 7 (23.33%) patient recovered early. The difference was statistically significant. The outcome of early recovery is better with the patients treated with combined effect of IRR, PNF exercise and drugs compared with combined effect of PNF, exercise & drugs. The patients who attended with facial nerve paralysis House-Brackmann (HB) Grade IV to VI during initial presentation have reduced chance of full recovery of facial nerve paralysis.Bangladesh Med J. 2017 Jan; 46 (1): 1-6

COMPARISON OF IMMEDIATE EFFECT ON APPLICATION OF REMOTE SELFMYOFASCIAL RELEASE ON POSTERIOR CHAIN FLEXIBILITY IN ASYMPTOMATIC YOUNG INDIVIDUALS

2021 ◽  
pp. 26-27
Author(s):  
Rishika Balani ◽  
Tanvi Patole
Keyword(s):  
Weight Bearing ◽  
Plantar Fascia ◽  
Knee Extension ◽  
Post Intervention ◽  
Chain Flexibility ◽  
Myofascial Release ◽  
Outcomes Measures ◽  
Group A ◽  
Group B ◽  
Plantar Fascia Release

Aim of study: The aim of the study was to compare the immediate effect on application of remote self- myofascial release on posterior chain exibility in asymptomatic young individuals. Material and Method: 44 subjects were assigned into two groups, Group (A) Plantar fascia release and Group (B) Suboccipital release. Outcomes measures used were Sit and reach test (SRT), Active knee extension test (AKE) and Weight bearing lunge test. Result: There was a signicant difference in SRT and AKE on left side between group A and B. Within the same group there was a signicant improvement in outcome measures post intervention. Conclusion: There was an immediate increase in exibility of the hamstrings, gastrocnemius-soleus muscles and lumbar spine ROM through remote self- myofascial release.

scholarly journals A modification of the Ponseti method for clubfoot management: a prospective comparative study

2021 ◽  
pp. 1-10
Author(s):  
Reda Ali Sheta ◽  
Mohamed El-Sayed ◽  
Hisham Abdel-Ghani ◽  
Sameh Saber ◽  
Amani Salah Eldin Mohammed ◽  
...  
Keyword(s):  
Treatment Method ◽  
Ponseti Method ◽  
Level Of Evidence ◽  
Home Based ◽  
Multicentre Cohort Study ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B ◽  
Multicentre Cohort

Purpose We aimed to compare our parent-based exercise programem’s efficacy with the foot abduction brace (FAB) Ponseti manipulation as a retention programme. Methods We conducted this prospective multicentre cohort study between August 2009 and November 2019. The included children were allocated into one of two groups according to the retention protocol. The Pirani and Laaveg-Ponseti scores were used to assess the feet clinically and functionally. Radiological assessment was performed using standing anteroposterior and lateral radiographs of the feet. We assessed the parents’ satisfaction and adherence to the retention method. SPSS version 25 was used for the statistical analysis. Results A total of 1265 feet in 973 children were included. Group A included 637 feet managed with FAB, while group B included 628 feet managed with our retention programme. All patients were followed up to the age of four years. At the final follow-up, Pirani scores in group A participants were excellent, good and poor in 515, 90, and 32 feet, respectivel, while in group B the scores were excellent, good and poor in 471, 110 and 44 feet, respectively. The mean total score of Laaveg-Ponseti was 87.81 (sd 19.82) in group A and 90.55 (sd 20.71) in group B (p = 0.02). Group B participants showed higher satisfaction with the treatment method (p = 0.011) and more adherence to the treatment (p = 0.013). Conclusion The deformity’s recurrence related to the brace’s non-compliance in the Ponseti method might be reduced by substituting the brace with our home-based daily stretching exercises. Level of Evidence II

scholarly journals Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial (Preprint)

2020 ◽  
Author(s):  
Aya Sedky Adly ◽  
Mahmoud Sedky Adly ◽  
Afnan Sedky Adly
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Health Care System ◽  
Oxygen Therapy ◽  
Early Stage ◽  
Home Based ◽  
Group A ◽  
Group B

BACKGROUND With the growing stress on hospitals caused by the COVID-19 pandemic, the need for home-based solutions has become a necessity to support these overwhelmed hospitals. OBJECTIVE The goal of this study was to compare two nonpharmacological respiratory treatment methods for home-isolated COVID-19 patients using a newly developed telemanagement health care system. METHODS In this single-blinded randomized clinical trial, 60 patients with stage 1 pneumonia caused by SARS-CoV-2 infection were treated. Group A (n=30) received oxygen therapy with bilevel positive airway pressure (BiPAP) ventilation, and Group B (n=30) received osteopathic manipulative respiratory and physical therapy techniques. Arterial blood gases of PaO<sub>2</sub> and PaCO<sub>2</sub>, pH, vital signs (ie, temperature, respiratory rate, oxygen saturation, heart rate, and blood pressure), and chest computed tomography scans were used for follow-up and for assessment of the course and duration of recovery. RESULTS Analysis of the results showed a significant difference between the two groups (<i>P</i>&lt;.05), with Group A showing shorter recovery periods than Group B (mean 14.9, SD 1.7 days, and mean 23.9, SD 2.3 days, respectively). Significant differences were also observed between baseline and final readings in all of the outcome measures in both groups (<i>P</i>&lt;.05). Regarding posttreatment satisfaction with our proposed telemanagement health care system, positive responses were given by most of the patients in both groups. CONCLUSIONS It was found that home-based oxygen therapy with BiPAP can be a more effective prophylactic treatment approach than osteopathic manipulative respiratory and physical therapy techniques, as it can impede exacerbation of early-stage COVID-19 pneumonia. Telemanagement health care systems are promising methods to help in the pandemic-related shortage of hospital beds, as they showed reasonable effectiveness and reliability in the monitoring and management of patients with early-stage COVID-19 pneumonia. CLINICALTRIAL ClinicalTrials.gov NCT04368923; https://clinicaltrials.gov/ct2/show/NCT04368923

scholarly journals Adherence in elderly patients with NCDs: Which is the best, educational or social support? A comparative study in Ecuador

2019 ◽  
Author(s):  
Elizabeth Elena Aguirre Céspedes ◽  
Angela Faydé Alfonso Florido ◽  
Edgar León Segovia ◽  
Patricia Ortiz Solórzano ◽  
Sergio Minué Lorenzo ◽  
...  
Keyword(s):  
Family Support ◽  
Sociodemographic Factors ◽  
Noncommunicable Diseases ◽  
Educational Strategy ◽  
Adherence To Treatment ◽  
Post Intervention ◽  
Support Strategy ◽  
Significant Difference ◽  
Group A ◽  
Group B

Abstract Background: Adherence to treatment is one of the mainstays of non-communicable diseases adequate control. Non – adherence can affect several aspects to both the patient and the health system. For this reason, it is important to have intervention strategies available to prevent detachment and improve adherence to treatment. The objective of this study is to evaluate the effectiveness of the educational strategy compared with the social and family support for the improvement of adherence in patients with chronic noncommunicable diseases. Methods: A quasi-experimental study was conducted in 159 participants with diagnosis of arterial hypertension or/and diabetes mellitus type 2 plus polypharmacy. Participants were divided in two groups and strategies: Group A: educational (n = 79) and Group B social/family support (n = 80), follow up three months for each group. For group "A", informative group workshops were assigned; while for group "B" therapeutic agreements were established. Adherence to treatment pre- and post-intervention were evaluated using the four item Morisky Green Levine scale of public domain. At the end of the intervention period, an intra and intergroup analysis were performed and a Z test for difference in proportions was applied; the RR was used as a measure of association, and Chi2 as a measure of significance. Results: A total of 152 patients complete the intervention. In group A, pre-intervention non-adherence was 58.2%, post-intervention of 45.3% and final reduction of the failure was 12.9% (p<0,001). In group B, pre-intervention non-adherence was 55%, post-intervention 46.8%, and final reduction of adherence failure of 8.2%, (p> 0.05). Statistically significant difference was obtained between the decrease in the failure reached after the application of the educational strategy compared to social / family support strategy (p = 0.001). Conclusions: Educational strategy is more effective than social/family support strategy, to reduce the failure of therapeutic adherence. There was not association of sociodemographic factors and adherence to treatment.

scholarly journals Comparative study of efficacy of platelet rich plasma injection versus corticosteroid injection in conservative management of periarthritis shoulder

2021 ◽  
Vol 11 (2) ◽  
pp. 274-279
Author(s):  
Sambit Kumar Panda ◽  
Surai Soren ◽  
Ashok Kumar Nayak ◽  
Rabindra Nayak ◽  
Sabyasachi Swain
Keyword(s):  
Range Of Motion ◽  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Diabetes Patient ◽  
Chi Square ◽  
Home Based ◽  
Number Of Patients ◽  
Group A ◽  
Group B ◽  
Quick Dash

Analysis of eighty patients with periarthritis shoulder was done. Patients were thoroughly evaluated and were divided into two groups in a randomized trial. Forty patients were in group-A who received 3doses of injection of PRP (4ml) 2 weeks apart within a duration of 6weeks. Equal number of patients were in group-B. They received 2ml of Injection corticosteroid 2weeks apart within a duration of 6 weeks. All participants were advised to perform a home-based hot fomentation and 15min exercise therapy. One participant from group A and 2 from group B were lost to follow up. There were 35 male and 42 female who completed the study. Analysis of 77 subjects who completed the study was done. Participant were evaluated for range of motion of shoulder as main outcome measure. Visual Analogue Scale (VAS) and (Quick DASH) was used to measure pain and functions of the shoulder. The evaluation of Participants was done at 0,3,6 and 12 weeks. ANOVA test and Chi-square test, was repeatedly used to measure the differences.Participants who were given PRP injections showed significant improvements in active and passive range of shoulder motion as measured by VAS and Quick DASH over corticosteroid injection. This was also reflected statistically. No major adverse reactions were observed during 12 weeks of intervention.In our study, the injection of PRP showed marked improvement in the range of motion of shoulder over corticosteroid injection but it needs other study to be treatment of choice. It emerged as an option for treatment in diabetes patient and condition where steroid is contraindicated.

scholarly journals Home-based physical activity in breast cancer patients and cardiorespiratory fitness: during and/or after chemotherapy? A three-arm randomized controlled trial (APAC)

2020 ◽  
Author(s):  
Francois Vincent ◽  
Elise Deluche ◽  
Joelle Bonis ◽  
Sophie Leobon ◽  
Marie-Thérèse Antonini ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Cardiorespiratory Fitness ◽  
Controlled Trial ◽  
Categorical Variables ◽  
Randomized Controlled ◽  
Home Based ◽  
Group A ◽  
Group B

Abstract ObjectivesAdapted physical activity (APA) program is recommended for breast cancer care. However, their modalities have not been defined. The aim of this study was to determine the best time to begin APA. This randomized controlled trial evaluated at 12 months the effect of home-based APA performed during and/or after treatment on cardiorespiratory fitness. The primary endpoint was peak oxygen consumption (VO2peak) compared at 12 months (group A vs C and B vs C). Secondary endpoints included the 6-min walking test (6MWT), assessment of muscular strength, fatigue, quality of life, anxiety, and depression, and a questionnaire of PA levels. All tests were evaluated at baseline, 6 months, and 12 months.MethodA total of 94 patients with breast cancer were randomized to three different groups: group A, performing 6 months of APA during adjuvant care; group B, 6 months of APA after adjuvant care; and group C, 12 months of APA during and after specific care. The program combined one resistance session and two aerobic sessions per week. Analysis of variance was used for repeated measures, Student’s t-test or the Mann–Whitney U-test for continuous variables, and χ2 test for binary or categorical variables.Results A total of 81 participants were assessed at 6 months and 73 participants at 12 months. The majority of patients completed more than 85% of the exercise sessions. The baseline for VO2peak and secondary outcomes did not differ among the groups. VO2peak increased during the exercise period and decreased during the chemotherapy period without APA, but at 12 months no significant difference was observed. The same variations were observed in the 6MWT, with a significance at 6 months between A+C vs. B (p=0.04), but no difference among the groups at 12 months. In the three groups, no decrease in other studied parameters were noted, except at 6 months in group B without APA. ConclusionsHome-based APA in breast cancer survivors can decrease some of the negative side effects of cancer treatment and has a positive effect on physical function with no differences based on the timing of this program.TRIAL REGISTRATIONClinicalTrials.gouv.fr (NCT01795612). Registered 20 February 2013,https://clinicaltrials.gov/ct2/show/NCT01795612?term=APAC&draw=2&rank=3

scholarly journals Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial

10.2196/23446 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e23446
Author(s):  
Aya Sedky Adly ◽  
Mahmoud Sedky Adly ◽  
Afnan Sedky Adly
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Health Care System ◽  
Oxygen Therapy ◽  
Early Stage ◽  
Home Based ◽  
Group A ◽  
Group B

Background With the growing stress on hospitals caused by the COVID-19 pandemic, the need for home-based solutions has become a necessity to support these overwhelmed hospitals. Objective The goal of this study was to compare two nonpharmacological respiratory treatment methods for home-isolated COVID-19 patients using a newly developed telemanagement health care system. Methods In this single-blinded randomized clinical trial, 60 patients with stage 1 pneumonia caused by SARS-CoV-2 infection were treated. Group A (n=30) received oxygen therapy with bilevel positive airway pressure (BiPAP) ventilation, and Group B (n=30) received osteopathic manipulative respiratory and physical therapy techniques. Arterial blood gases of PaO2 and PaCO2, pH, vital signs (ie, temperature, respiratory rate, oxygen saturation, heart rate, and blood pressure), and chest computed tomography scans were used for follow-up and for assessment of the course and duration of recovery. Results Analysis of the results showed a significant difference between the two groups (P<.05), with Group A showing shorter recovery periods than Group B (mean 14.9, SD 1.7 days, and mean 23.9, SD 2.3 days, respectively). Significant differences were also observed between baseline and final readings in all of the outcome measures in both groups (P<.05). Regarding posttreatment satisfaction with our proposed telemanagement health care system, positive responses were given by most of the patients in both groups. Conclusions It was found that home-based oxygen therapy with BiPAP can be a more effective prophylactic treatment approach than osteopathic manipulative respiratory and physical therapy techniques, as it can impede exacerbation of early-stage COVID-19 pneumonia. Telemanagement health care systems are promising methods to help in the pandemic-related shortage of hospital beds, as they showed reasonable effectiveness and reliability in the monitoring and management of patients with early-stage COVID-19 pneumonia. Trial Registration ClinicalTrials.gov NCT04368923; https://clinicaltrials.gov/ct2/show/NCT04368923

scholarly journals A Mixed Method Study to Explore the Feasibility and Patient Satisfaction of Two Different Exercise Programs in Systemic Sclerosis Associated Microstomia

2020 ◽  
Author(s):  
Ellinor Sydow ◽  
Sabien Severi ◽  
Kristien Van der Elst ◽  
Patrick Verschueren ◽  
René Westhovens ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Systemic Sclerosis ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Exercise Programs ◽  
Post Intervention ◽  
Oral Aperture ◽  
The Face ◽  
Group A ◽  
Group B

Abstract BackgroundSystemic sclerosis (SSc) is a severe autoimmune disease often leading to fibrotic cutaneous involvement of the face. Reduced oral aperture is associated with impaired food intake, oral hygiene and secondary dental problems. Stretching and oral augmentation exercises can increase oral aperture but are often hampered by low adherence rates. The aim of this mixed method study was to explore feasibility, patient satisfaction and effectiveness of two exercise programs in SSc-associated microstomia.MethodsAdult patients (<18 years) suffering from systemic sclerosis (fulfilling the ACR/EULAR 2013 criteria) and microstomia (maximal oral aperture <40mm) were randomized to two groups. Group A exercised with a passive jaw motion device (Therabiteâ), and Group B performed mouth-stretching exercises. Patients were expected to exercise for 10 minutes, 3 times/day for 3 months, completed an exercise diary and were contacted 4 times by telephone. Patients were evaluated at baseline, 3 months (period without intervention), 6 months (after 3 months of intervention) and at 9 months (post-intervention visit). At month 6 semi-structured one‐to‐one interviews were conducted, recorded, transcribed verbatim and analyzed using Qualitative Analysis Guide of Leuven (QUAGOL).ResultsWe included 6 women and 3 men, median age 60 years (range 40-75) and median disease duration 8 years (range 3-22). At 6 months, all patients in group A (n=4) and 4 in group B (n=5) improved with a median of 9mm (range 2-10) and 7mm (range 4-11), respectively. The proportion of executed to the planned number of exercises ranged between 63.7% and 98,9% in group A and between 48.5% and 97,4% in group B. Maintenance of the increase in oral aperture was noted in patients that continued to exercise daily. All 9 patients attended the interview that revealed three themes: drivers, challenges and perceived improvement. ConclusionBoth interventions improve maximal oral aperture. The adherence to therapy was high but none of the patients considered it feasible to continue practicing 3 times/day. Future studies are needed in order to define feasible long-term exercise programs.

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