scholarly journals Evaluation of effect of home cervical traction on patients with cervical spondylotic radiculopathy

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 65-68
Author(s):  
Abul Khair Ahmad Zaman ◽  
Md Abdus Shakoor ◽  
Md Moyeenuzzaman ◽  
Muhammad Alamgir Mandal ◽  
HN Mashuk Rahman

Background: Patients with cervical spondylotic radiculopathy is more responding by application of cervical traction with NSAIDs, exercise and ADL than treating with NSAIDs, exercise and ADL.Objectives: Study is to know the effect of home cervical traction on patients with cervical spondylotic radiculopathy.Materials & Methods: A randomized controlled trial was conducted in the department of physical medicine and rehabilitation, BSMMU during the period of 3-9-2012 to 2-9-2013 to find out the effect of home cervical traction on patient with cervical spondylotic radiculopathy.Results: A total of 120 patients with cervical spondylotic radiculopathy attended the department. Sixty patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar, other 60 patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar with home cervical traction. The patients were treated for 6 weeks. There was marked improvement in both groups after treatment. But there was significant difference regarding improvement in treatment with home cervical traction (p=0.432).Conclusion: So, it can be concluded that the home cervical traction is effective in cervical spondylotic radiculopathy. Male and female ratio was 1.9:.6. In respect of occupation the maximum patient was housewife (27.5%) followed by businessman (25. 8%). Highest number of patients is in the 41-50 years age group.KYAMC Journal Vol. 9, No.-2, July 2018, Page 65-68

2020 ◽  
Vol 46 (2) ◽  
pp. 128-133
Author(s):  
MA Shakoor ◽  
Md Ali Emran ◽  
Abul Khair Ahmed Zaman ◽  
Md Moyeenuzzaman

Background: Cervical spondylosis is the results of disc degeneration with associated osteophytosis. Cervical traction is widely used to treat neck disorders. Rehabilitation treatment like cervical traction along with other measures at home may play an important role to reduce symptoms of the patients with cervical spondylosis. Objective: A randomised clinical trial was conducted among 125 patients having cervical spondylosis to find out the effects of manual continuous home cervical traction. Methods: The patients were selected on the basis specific selection criteria. They were subdivided into two groups. In Group-A (manual continuous home cervical traction group), 61 patients were treated with exercise, cervical collar, neck support, manual continuous home cervical traction, NSAID, warm moist compression and instruction in posture. In Group-B (conventional treatment receiving group), 64 patients were treated with exercise, cervical collar, neck support, warm moist compression, NSAID and instruction in posture. Results: Among the subjects there were 68 (54.4 %) male and 57 (45.6 %) female.  The mean age of the subjects was 45.94 ± 11.65 years.  There was marked improvement of symptoms of the patients of Group-A in response to treatment for 6 weeks (p < 0.007). It indicates that manual home cervical traction was found effective to reduce the sign and symptoms of cervical spondylosis. There was improvement after treatment in Group-B also (p < 0.01). It indicates that conventional treatment was also found effective. In comparison, there was no significant difference between two groups (p < 0.36, 95% CI= ‐0.56 to 1.51) found after first week. But there was significant improvement in Group-A than Group-B after six weeks of treatment (p < 0.003, 95% CI= -2.40 to -0.51). Conclusion: It may be concluded that manual continuous home cervical traction is beneficial for the patients with cervical spondylosis. Bangladesh Med Res Counc Bull 2020; 46(2): 128-133


2012 ◽  
Vol 27 (10) ◽  
pp. 727-731 ◽  
Author(s):  
Wei Zheng ◽  
Chunpu Zhang ◽  
Dapeng Hou ◽  
Chunguang Cao

PURPOSE: To compare curative effect of different treatments for hypertensive cerebral hemorrhage of 25 to 35ml. METHODS: In this study, 595 cases were enrolled and grouped regarding treatments including conservative treatment, evacuation with microinvasive craniopuncture technique within 6h and 6-48h after the attack. RESULTS: After follow up for three months after the attack, the assessment based on the Activity of Daily Living (ADL) indicated no significant difference among conservative treatment and surgical interventions (p>0.05). However, surgical interventions showed advantages of shorter hospitalization, quick removal of hematoma and obvious reduction of cost. CONCLUSION: The microinvasive craniopuncture technique to drain the hematoma within 6-48h may be a good way in treating hypertensive hemorrhage of basal ganglia region.


2021 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Gadiza Raiznintha Permatasari ◽  
RA Meisy Andriana ◽  
I Putu Alit Pawana

Background: Functional activities mostly done in daily life such as jumping, walking, running, and stairs ascending-descending require dynamic stability of the knee. The knee joint dynamic stability is required to have effective and efficient functional activities and to avoid injury when performing them. It can be achieved by increasing muscle strength through strengthening exercises with the aim of balancing the agonist muscles (quadriceps femoris) and antagonist muscles (hamstring) using the agonist- antagonist paired set (APS) method.Aim: The aim of this study is to find out the effect of strengthening exercise using APS method, compared to traditional set (TS) method, on single-leg hop performance.Material and Methods: The subjects of this study were 14 untrained healthy men aged 18-40 years old divided into 2 intervention groups, APS group and TS group. The variable evaluated was the distance of single-leg hop (SLH).Results: The results of this study showed a significant increase in SLH distance in APS group (p=0.005) and TS group (p<0.001) with no significant difference between the two groups (p = 0.933).Conclusion: Quadriceps femoris and hamstring muscle strengthening exercises in both APS and TS methods increase SLH distance although there is no difference between them. The APS method has an advantage compared to the TS method in terms of a relatively shorter time with comparable results.


2019 ◽  
Vol 1 (4) ◽  
pp. 11
Author(s):  
Amal M. Mohamed ◽  
Eman T. Mohamed ◽  
Jehan A. R. Mohamed

Context: Aging is associated with the loss of muscle strength and difficulties in functional activities. Research evidence has identified that regular exercises in the elderly have been shown to enhance gait, balance, and muscle strength, leading to a reduction in seniors’ dependency. Aim: This study aimed to evaluate the effect of an exercise training program on muscle strength and activity of daily living among elderly people. Methods: A quasi-experimental research design used in the current study. A purposive sample of 92 male and female elder adults distributed in three geriatric homes collected through a period of one year. This study carried out at three geriatric homes in Minia city (Dar Omar Bn El-Khattab, Dar El- Qedesa Hena, and Dar El- Raee El-Saleh), Egypt. Three tools utilized in collecting the data; Structured Interview Questionnaire; Muscle Strength Scale for upper and lower limbs; Katz and Akpom Scale used to assess activities of daily living. Results: The current study findings revealed that the level of independence of elderly clients at the end of the program became (87.5%) compared to zero at the first observation. There was a highly statistically significant difference in muscle strength in upper limbs between first and tenth observation as (37.5%) have normal muscle strength compared to none at first observation. Also, a highly statistically significant difference in lower limb strength between the first and tenth observation that (58.75%) have normal muscle strength in the lower limb compared to none at first observation. Conclusions: The study findings concluded that the regular performance of exercises for an extended period enhances the performance of the daily living activity and strength body muscles, which improves general health. Recommendations: Active exercise training programs should be recommended by evaluating its effect on the quality of life for the elderly, particularly those at the elderly home.


2019 ◽  
Vol 3 (1) ◽  
pp. 72-77
Author(s):  
Rakhmad Rosadi ◽  
Sri Suraningsih Ika Wardojo ◽  
Risqi Dwi Rachmawati

Cairan sinovial yang sedikit di lutut dan mengakibatkan keausan pada sendi , jikadi biarkan akan menjadi osteoartrithis knee dan berakibat pada activity of daily living.Penatalaksanaan yang pernah di lakukan untuk peningkatan ADL akibat osteoartrithis kneeadalah retrowalking dan quadricep strengthening. Mekanisme dari retrowalking adalahmerubah gaya berjalan ke arah belakang yang menimbulkan efek adanya pengurangan gayatekanan pada cairan sinovial dan pergesekan pada tulang rawan, sedangkan quadricepstrengthening yaitu meningkatkan ADL dengan cara menguatkan otot-otot di sekitar lututkususnya m.quadricep. penelitian ini bertujuan untuk mengetahui perbandingan efektifitasretrowalking dan quadricep strengthening terhadap peningkatan ADL pada lansia yangterkena osteoatrithis knee di Puskesmas Kendal Kerep Kota Malang.Peneltian inimenggunakan desain quasy-experimental yaitu dengan melibatkan 31 responden dengnmenggunakan perposive sampling. Sampel di bagi 2 kelompok intervensi yaitu kelompokretrowalking (n= 15) dan quadricep strengthening (n=16). Data yang diperoleh di analisisdengan menggunakan uji independen t-test. Hasil analisi data uji independen t-test antararetrowalking dan quadricep strengthening , di peroleh nilai t = 0,845 adalah tidak ada bedapengaruh quadricep strengthening dan retrowalking terhadaap peningkatan ADL padapasien osteoartritis knee di Puskesmas Kendal Kerep Kota Malang. Retrowalking danquadricep strengthening mempunyai efek bagi pengurangan gejala pada osteoartrithis yangmengakibatkan perbaikan pada lutut dan mempermudah lansia untuk melakukan aktifitassehari-hari atau activity of dailu living (ADL).  


2020 ◽  
Vol 5 (2) ◽  
pp. 2473011420S0001
Author(s):  
Chamnanni Rungprai ◽  
Yantarat Sripanich ◽  
Aekachai Jaroenarpornwatana

Category: Hindfoot; Other Introduction/Purpose: There remains a controversy for treatment of subtalar joint arthritis. Both open and arthroscopic techniques have been reported for successful treatment of subtalar arthritis; however, there is a little evidence to report prospective comparative outcomes between the two techniques. The purpose of this study was to compare clinical and functional outcomes including complications between the two techniques. Methods: A prospective, randomized collected data of 54 consecutive patients who were diagnosed with isolated subtalar joint arthritis and underwent either open (27 patients) or posterior arthroscopic (27 patients) subtalar arthrodesis between 2015 and 2019 in 2 institutions. A minimum follow-up to be included in the study was 12 months (mean, 24.2 months; range, 12 to 41 months). The primary outcome was union time. The secondary outcomes included visual analogue scale (VAS), Short Form-36 (SF-36), and FAAM, union rate, time to return to activity of daily living, sports, work, and complications. Pre- and post-operative SF-36, FAAM, and pain (Visual Analog Scale) were obtained and compared between the two groups using independent t-test and the same group with paired t-test. Results: There were 54 patients (42 male and 12 female) with mean age of 43.7 years (range, 21-68 years) and mean BMI of 25.7 kg/m2 (range, 18.3-33.6 kg/m2). Both techniques demonstrated significant improvement of post-operative functional outcomes (VAS, SF-36, and VAS (<em>p</em> < 0.001 all)) compared to pre-operative period; however, there was no significant difference between the two groups. The secondary outcomes between open and arthroscopic groups were time to return to activity of daily living (8.4 vs 10.8 weeks), works (10.6 vs 12.9 weeks), sports (24.9 vs 32.7 weeks), time to union using CT scan (9.4 vs 12.8 weeks), union rate (100% versus 96.3%), and complications included painful hardware (18.5% vs 22.2%), paresthesia (0 vs 7.4%), and no infection in both groups. Conclusion: Both open and arthroscopic techniques were demonstrated significant improvement in terms of functional outcomes as measured with the FAAM, SF-36, and VAS in patients with subtalar joint arthritis. Although there was no significant difference of short-term of functional outcomes measurement and complications, arthroscopic technique was better in term of fasten recovery time and time to union.


2020 ◽  
Vol 1 (2) ◽  
pp. 58-64
Author(s):  
Maria Srisuharny ◽  
Maria Diyah ◽  
Erni Yohani Mahtuti

Increasing one's age will be followed by various changes that will affect the physical and psychological conditions. The older is a person, the more his physical abilities will decline causing the elderly to become dependent on others, including in meeting their ADL needs. Activity of Daily Living (ADL) is a form of measuring one's ability to do ADL independently, which includes bathing, eating, toileting, continents, dressing, and moving. The purpose of this research is to know the differences in the level of Activity of Daily Living (ADL) between the active elderly and the elderly doesn't actively visits to the elderly posyandu in the Tunggulwulung Village of Lowokwaru District. This study used an observational method with a cross sectional approach. The sample in this study amounted to 50 respondents (25 active elderly and 25 inactive elderly). The technique in this study used a purposive quota sampling with analysis of the data using the Chi-Square test. From the research result is obtained ρ: 0,006 ; α: 0,05. Because ρ<α, Ho is rejected, meaning that there is a significant difference in the level of activity of daily living between the active elderly and the elderly doesn’t actively visits to the elderly posyandu. The results of this study are expected to provide motivation to the elderly that making visits to the elderly posyandu is a fom of activity to control, maintain, and improve the health to the elderly which is held once a month at the local posyandu.


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