scholarly journals Upper Limb Aerobic Training versus Chest Physical Therapy in Asthmatic Children Rehabilitation

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Physical Therapy ◽  
Therapy Group ◽  
Forced Expiratory Volume ◽  
Treatment Results ◽  
Asthmatic Children ◽  
Arm Ergometry ◽  
Significant Impairment ◽  
Pre Treatment ◽  
Group B ◽  
Chest Physical Therapy

With asthma, children have a significant impairment in ventilatory functions which lead to impairment in functional capacity and developing lung infections. The purpose of this study was to evaluate the effect of treadmill training versus arm ergometry on ventilatory functions in children with asthma. Children for 16 weeks of training - 40 asthmatic children of both sexes participated in this study. They were classified randomly into 2 groups of equal number. (Group A) 20 children received chest physical therapy, (Group B) 20 children received arm ergometry training. Discovery diagnostic spirometer was used to measure the ventilatory functions. Forced Vital Capacity (FVC), Forced Expiratory Volume (FEV1), Maximum voluntary ventilation (MVV) and Peak Expiratory Flow Rate (PEFR). The pre-treatment results showed that there were no significant differences in all measured parameters among both groups, The post-treatment results revealed that there was a significant improvement in both groups of the patient’s ventilatory function “FVC, FEV1 and PEFR”

COMPARISON BETWEEN KINESIO TAPING AND PHYSIOTHERAPY IN THE TREATMENT OF de QUERVAIN'S DISEASE

2013 ◽  
Vol 16 (04) ◽  
pp. 1350019 ◽  
Author(s):  
Keynoosh Homayouni ◽  
Leila Zeynali ◽  
Elaheh Mianehsaz
Keyword(s):  
Physical Therapy ◽  
Therapy Group ◽  
Treatment Results ◽  
Electrical Nerve Stimulation ◽  
De Quervain’S Disease ◽  
Kinesio Taping ◽  
Randomized Clinical Study ◽  
End Of Treatment ◽  
Before And After ◽  
Group 3

Purpose: The purpose of this study was to compare the effects of a therapeutic Kinesio taping (KT) and physical therapy (PT) modalities for the treatment of de Quervain's disease. Methods: In this prospective randomized clinical study, 30 patients were enrolled into the KT group, and 30 other patients were enrolled into the physical therapy group. In the KT group, 3 pieces of Kinesio tapes were used 4 times weekly, and in the PT group 10 min paraffin bath, 5 min ultrasound (US) under water, transcutaneous electrical nerve stimulation (TENS), and a friction massage were applied every 3 days for 10 sessions. Pain severity and the presence of swelling were assessed in all patients before and after the course of 1-month treatment. Results: The overall success rate was 80% in the KT group and 30% in the PT group. In the KT group, the baseline visual analog scale (VAS) was 58 and at the end of treatment it changed into 13. In the PT group, these figures were 56 and 38. Swelling was improved in 17 people (73%) and 5 people (19%) in the KT and PT groups, respectively. Conclusion: Results revealed that patients with de Quervain's disease respond more favorably to KT rather than PT.

Possible Beneficial Effect of Chest Physical Therapy in Hospitalized Asthmatic Children

2003 ◽  
Vol 16 (4) ◽  
pp. 295-303 ◽  
Author(s):  
Rujipat Samransamruajkit ◽  
Terry W. Chin ◽  
Anchalee Yuengsrigul ◽  
Tom Newton ◽  
Eliezer Nussbaum
Keyword(s):  
Physical Therapy ◽  
Beneficial Effect ◽  
Asthmatic Children ◽  
Chest Physical Therapy

Effects of a Program of Hospital-Supervised Chest Physical therapy on Lung Function Tests in Children with Chronic Respiratory Disease: 1-Year Follow-up

2007 ◽  
Vol 20 (4) ◽  
pp. 841-845 ◽  
Author(s):  
L. Indinnimeo ◽  
G. Tancredi ◽  
M. Barreto ◽  
G. De Castro ◽  
A.M. Zicari ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Lung Function ◽  
Chronic Respiratory Disease ◽  
Forced Expiratory Volume ◽  
Pulmonary Diseases ◽  
Control Group ◽  
Chronic Pulmonary Diseases ◽  
One Year ◽  
The One ◽  
Chest Physical Therapy

To investigate whether a hospital-supervised program of chest physical therapy improves lung function in children with chronic pulmonary diseases, twenty-four children (4 with Kartageners syndrome, 12 with common variable immunodeficiency, and 8 with primary ciliary dyskinesia) average age 11.2±3.2 years, were randomly assigned to a one-month hospital-supervised program of chest physical therapy (13 patients) or to a control group (11 patients) that continued unsupervised chest physical therapy at home. Lung function was assessed before the program, and one and twelve months after. At the one-month assessment, thoracic gas volume was significantly lower in the supervised group than in the controls. At the one-year assessment, forced expiratory volume in one second was significantly higher in the supervised group than in controls. A supervised program of chest physical therapy significantly improved lung function in children with chronic pulmonary diseases.

Randomized trial of medical compression stockings versus two-layer short-stretch bandaging in the management of venous leg ulcers

Phlebologie ◽  
2009 ◽  
Vol 38 (04) ◽  
pp. 157-163 ◽  
Author(s):  
A. Franek ◽  
L. Brzezinska-Wcislo ◽  
E. Blaszczak ◽  
A. Polak ◽  
J. Taradaj
Keyword(s):  
Drug Therapy ◽  
Randomized Clinical Trials ◽  
Therapy Group ◽  
Long Term Results ◽  
Leg Ulcers ◽  
Compression Stockings ◽  
Venous Leg Ulcers ◽  
Group A ◽  
Group B ◽  
Medical Compression Stockings

SummaryA prospective randomized clinical trial was undertaken to compare a medical compression stockings with two-layer short-stretch bandaging in the management of venous leg ulcers. Study endpoints were number of completely healed wounds and the clinical parameters predicting the outcome. Patients, methods: Eighty patients with venous leg ulcers were included in this study, and ultimately allocated into two comparative groups. Group A consisted of 40 patients (25 women, 15 men). They were treated with the compression stockings (25–32 mmHg) and drug therapy. Group B consisted of 40 patients (22 women, 18 men). They were treated with the short-stretch bandages (30–40 mmHg) and drug therapy, administered identically as in group A. Results: Within two months the 15/40 (37.50%) patients in group A and 5/40 (12.50%) in group B were healed completely (p = 0.01). For patients with isolated superficial reflux, the healing rates at two months were 45.45% (10/22 healed) in group A and 18.18% (4/22 healed) in group B (p = 0.01). For patients with superficial plus deep reflux, the healing rates were 27.77% (5/18 healed) in group A and 5.55% (1/18 healed) in group B (p = 0.002). Comparison of relative change of the total surface area (61.55% in group A vs. 23.66% in group B), length (41.67% in group A vs. 27.99% in group B), width (46.16% in group A vs. 29.33% in group B), and volume (82.03% in group A vs. 40.01% in group B) demonstrated difference (p = 0.002 in all comparisons) in favour of group A. Conclusion: The medical compression stockings are extremely useful therapy in enhancement of venous leg ulcer healing (both for patients with superficial and for patients who had superficial plus deep reflux). Bandages are less effective (especially for patients with superficial plus deep reflux, where the efficiency compared to the stockings of applied compression appeared dramatically low). These findings require confirmation in other randomized clinical trials with long term results.

THE ROLE OF MANUAL THERAPY IN THE TREATMENT OF CHRONIC CERVICAL PAINS

2020 ◽  
pp. 1-4
Author(s):  
George-Sebastian Iacob ◽  
Constantin Munteanu
Keyword(s):  
Manual Therapy ◽  
Therapy Group ◽  
Neck Disability Index ◽  
Initial Assessment ◽  
Visual Analogue Pain Scale ◽  
Rehabilitation Protocol ◽  
Visual Analogue Pain ◽  
Therapeutic Exercises ◽  
Group A ◽  
Group B

Cervical back pain is one of the most important and common musculoskeletal disorders in medical recovery clinics and clinics. The main objective of the study was to highlight the effectiveness of an individualized therapeutic program adapted to the particularities of 22 subjects, which combines physical exercise with manual therapy. Subjects were randomly assigned to two equal groups. Group A - rehabilitation protocol consisting of therapeutic exercises (specific to the head, neck and upper limbs). Group B - rehabilitation protocol that included both therapeutic exercises and manual therapy (specific maneuvers of vertebral mobilization, massage, myofascial techniques, stretching and manipulations). The Visual Analogue Pain Scale (VAS) and the Neck Disability Index (NDI) were used to monitor the evolution of the research subjects, both of which have a specific applicability character to chronic pain. According to VAS (p <0.001), Group B showed mean values reduced to 2.2 ± 0.9 at week 12, compared to 7.3 ± 0.92, following the initial assessment. NDI values indicate better functional status after 12 weeks of treatment for both groups of subjects. NDI showed a beneficial decrease for Group B (13.2 ± 2.2 after 12 weeks, compared to 25.8 ± 2.3 in the first week). The mean results of VAS and NDI indicated a better evolution of symptoms in the case of the protocol that combined exercise and manual therapy (group B), but there were no statistically significant differences (compared to group A).

Reuse of Wastewaters in Agriculture by Means of Sprinkler Irrigation on a Farmland Area of 3000 ha – Large Scale Experience in Germany

1986 ◽  
Vol 18 (9) ◽  
pp. 163-173
Author(s):  
R. Boll ◽  
R. Kayser
Keyword(s):  
Large Scale ◽  
Treatment Process ◽  
Treatment Plant ◽  
Sprinkler Irrigation ◽  
Paper Briefly ◽  
Treatment Results ◽  
Sewage Farm ◽  
Western Germany ◽  
Pre Treatment ◽  
Main Components

The Braunschweig wastewater land treatment system as the largest in Western Germany serves a population of about 270.000 and has an annual flow of around 22 Mio m3. The whole treatment process consists of three main components : a pre-treatment plant as an activated sludge process, a sprinkler irrigation area of 3.000 ha of farmland and an old sewage farm of 200 ha with surface flooding. This paper briefly summarizes the experiences with management and operation of the system, the treatment results with reference to environmental impact, development of agriculture and some financial aspects.

An Efficacy and Safety Study of Remogliflozin in Obese Indian Type 2 Diabetes Mellitus Patients Who Were Inadequately Controlled on Insulin glargine plus other oral hypoglycemic agents

2020 ◽  
Vol 17 ◽  
Author(s):  
Anand Shankar
Keyword(s):  
Type 2 Diabetes ◽  
Insulin Glargine ◽  
Therapy Group ◽  
Insulin Dose ◽  
Blood Glucose Control ◽  
Hypoglycemic Agents ◽  
Oral Drug ◽  
Group A ◽  
Group B

Aim & Objective: The objective of this retrospective study was to investigate the efficacy of adding remogliflozin to current insulin glargine plus two oral drug i.e. metformin and teneligliptin therapy in poorly controlled Indian type 2 diabetes. Material and Methods: 173 study participants were initially selected from patient database who continued on their insulin glargine or received an increased dose of insulin glargine along with other OHA based therapy (Group A) and 187 were selected who had received remogliflozin (100 mg BD) (Group B) in addition to insulin glargine along with other OHA based therapy. Glycated haemoglobin (HbA1c), total daily insulin dose, body weight, and the number of hypoglycemic events were recorded at weeks 0, 12 and 24. Result: During the study, mean values of HbA1c, FBG and P2BG were significantly reduced in both groups. Insulin requirements decreased from 45.8 ± 16.7 IU/day to 38.5 ± 13.5 IU/day (P < 0.001) and at week 24 even further decreased to 29.5 ± 14.5 IU/Day . Twenty three patients in group B were able to cease insulin treatment altogether after 24 week treatment. It has been observed to attain tight blood glucose control we need to increase insulin dose in group A from 45.5 ± 16.5 IU/Day to 51.5 ± 14.5 at week 12 (P<0.01) and which further increased to 53.8 ± 12.8 IU/Day at week 24 (P<0.01). Adding remogliflozin showed significant effect on blood pressure (P < 0.001) and weight reduction (P < 0.001). It has been observed that 38% patients has achieves targeted HbA1c (≤7%) in group B where it was 22% in group A. Conclusion: Results demonstrate that in uncontrolled T2DM patients remogliflozin 100 mg BD can successfully lay a foundation for prolonged good glycemic control. Early addition of remogliflozin with insulin glargine plus OHAs may be an alternative compare to intensive up titration of insulin daily dose in people with uncontrolled T2DM. Clinical Trial Registration Number: A 2358

Moxifloxacin Based Triple Therapy as Alternative to Standard Therapy in Helicobacter Pylori Eradication.

2020 ◽  
Vol 18 ◽  
Author(s):  
Mohammed Hussien Ahmed ◽  
Sherief Abd-Elsalam ◽  
Aya Mohammed Mahrous
Keyword(s):  
Helicobacter Pylori ◽  
Triple Therapy ◽  
Therapy Group ◽  
Low Cost ◽  
High Rate ◽  
Helicobacter Pylori Eradication ◽  
Treatment Regimens ◽  
Group A ◽  
H Pylori ◽  
Group B

Introduction: Helicobacter pylori eradication remains a problematic issue. We are in an urgent need for finding a treatment regimen that achieves eradication at a low cost and less side effect. Recent published results showing a high rate of resistance and with clarithromycin-based treatment regimens. The aim of the study was to compare moxifloxacin therapy and classic clarithromycin triple therapy in H. pylori eradication. Methods: This was a pilot study that enrolled 60 patients with helicobacter pylori associated gastritis. Diagnosis was done by assessment of H. pylori Ag in the stool. The patients were randomly assigned to receive either moxifloxacin based therapy (Group A), or clarithromycin based therapy (Group B) for two weeks. We stopped the treatment for another two weeks then reevaluation for cure was done. Results: 90 % of patients had negative H. pylori Ag in the stool after 2 weeks of stoppage of the treatment in group A versus 66.7 % in Group B. None of the patients in both groups had major side effects. Conclusion: Moxifloxacin-based therapy showed higher eradication power and less resistance when compared to clarithromycin triple therapy.

Assessment of factors affecting short-term pulmonary functions following cardiac surgery: A prospective observational study

2021 ◽  
pp. 021849232110100
Author(s):  
Neetika Katiyar ◽  
Sandeep Negi ◽  
Sunder Lal Negi ◽  
Goverdhan Dutt Puri ◽  
Shyam Kumar Singh Thingnam
Keyword(s):  
Cardiac Surgery ◽  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Pulmonary Complications ◽  
Operative Morbidity ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Significant Impairment

Background Pulmonary complications after cardiac surgery are very common and lead to an increased incidence of post-operative morbidity and mortality. Several factors, either modifiable or non-modifiable, may contribute to the associated unfavorable consequences related to pulmonary function. This study was aimed to investigate the degree of alteration and factors influencing pulmonary function (forced expiratory volume in one second (FEV1) and forced vital capacity), on third, fifth, and seventh post-operative days following cardiac surgery. Methods This study was executed in 71 patients who underwent on-pump cardiac surgery. Pulmonary function was assessed before surgery and on the third, fifth, and seventh post-operative days. Data including surgical details, information about risk factors, and assessment of pulmonary function were obtained. Results The FEV1 and forced vital capacity were significantly impaired on post-operative days 3, 5, and 7 compared to pre-operative values. The reduction in FEV1 was 41%, 29%, and 16% and in forced vital capacity was 42%, 29%, and 19% consecutively on post-operative days 3, 5, and 7. Multivariate analysis was done to detect the factors influencing post-operative FEV1 and forced vital capacity. Discussion This study observed a significant impairment in FEV1 and forced vital capacity, which did not completely recover by the seventh post-operative day. Different factors affecting post-operative FEV1 and forced vital capacity were pre-operative FEV1, age ≥60, less body surface area, lower pre-operative chest expansion at the axillary level, and having more duration of cardiopulmonary bypass during surgery. Presence of these factors enhances the chance of developing post-operative pulmonary complications.

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