scholarly journals Effect of Physical Therapy and Electrostimulation, Applying them Together and Separately, on Hand Function in Women with Rheumatoid Arthritis

2019 ◽  
Vol 2 (15) ◽  
Author(s):  
Knar Mirzoyan ◽  
Inesa Rimdeikienė
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Hand Function ◽  
The Body ◽  
Hand Grip ◽  
Rheumatoid Arthritis Disease ◽  
And Gender ◽  
Motion Assessment

Research background. Rheumatoid arthritis (RA) is an insidious disease that manifests in different age and gender. This disease affects not only the joints, but also other structures of the body. The symptoms are pain, decreased range of motion, muscle strength and others. Physical therapy and muscle electro stimulation procedures in the rheumatoid arthritis treatment are a very important part of the non-pharmacological treatment. Regular exercise helps a person to maintain and improve their functional ability, quality of life. The aim of the research was to establish the effect of physical therapy and electrostimulation, applying them together and separately, on hand function in women with rheumatoid arthritis.Methods. The study involved 15 women with rheumatoid arthritis, disease duration was until ten years. Participants randomly were divided in two groups – the frst group (n = 7) and the second group (n = 8). The frst group patients received physical therapy and muscle electro stimulation separately, and the second group – physical therapy with muscle electro stimulation at the same time. We assessed pain intensity, flexion of both wrists and extension range of motion, hand grip strength and hand function status. Results. Evaluated indicators in both groups signifcantly improved. Comparing two groups with each other, statistically signifcant difference was found in left wrist bending range of motion assessment. Conclusion. Physiotherapy and electrostimulation, applying them together and separately, are equally effective improving hand function in women with rheumatoid arthritis.Keywords: Rheumatoid arthritis, range of motion, muscle strength, hand functional status, physical therapy.

scholarly journals The Effect of Kinesiotaping on Hand Function in Patients with Rheumatoid Arthritis

2019 ◽  
Vol 1 (14) ◽  
Author(s):  
Vilija Žebrauskaitė ◽  
Inesa Rimdeikienė ◽  
Gintarė Ušeckienė
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Functional Status ◽  
Grip Strength ◽  
Research Group ◽  
Hand Function ◽  
Control Group ◽  
Left Wrist ◽  
Hand Grip

Research background. Physical therapy is one of the main methods of rehabilitation in order to maintain and improve hand function for patients with rheumatoid arthritis. It is supposed that kinesiotaping method can be successfully used in patients with RA during the physical therapy to improve hand function. The aim of the research was to evaluate the effect of kinesiotaping on hand function in patients with Rheumatoid Arthritis. Methods. The study involved 22 subjects (100% women) who had Rheumatoid Arthritis. Subjects were randomly divided into two groups: the research group consisted of 10 individuals, they received kinesiotaping and exercise program, and the control group consisted of 12 individuals, only exercise was applied to them. The study lasted for 2 months, the procedures were performed three times a week. Range of motion of the wrist was measured using the goniometry method, the handgrip strength was assessed using a dynamometer. Modifed Keitel Function test and Modifed Arthritis Impact Measurement Scale (AIMS II) were used to evaluate hand function. Results. Range of motion of the wrist after physical therapy increased in both groups, but in the research group the right and the left wrist flexion and the left wrist extension were signifcantly higher than in the control group (p < 0.05). The hand grip strength after physical therapy signifcantly increased in the control and in the research groups (p < 0.05), but in the research group, it was significantly higher than in the control group (p < 0.05 ). Hand functional status assessed by using a modifed Keitel index improved in both groups (p < 0.05) was significantly better in the research group (p < 0.05). The hand function assessed by the Arthritis Impact Measure Scale signifcantly improved in both groups (p < 0.05), but no signifcant difference between the groups was observed (p > 0.05). Conclusion. Kinesiotaping in conjunction with physical therapy is more effective method than just physical therapy in order to increase the range of motion of the wrist, the hand grip strength and hand functional status of patients with RA.Keywords: rheumatoid arthritis, physical therapy, kinesiotaping.

Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

2020 ◽  
Author(s):  
Joo Yeol Jung ◽  
Pong Sub Youn ◽  
Dong Hoon Kim
Keyword(s):  
Electrical Stimulation ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Chronic Stroke ◽  
Mirror Therapy ◽  
Extremity Function ◽  
Upper Extremity Function

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

Evaluation of the Impact of the Whole-body Cryotherapy Treatment on the Functional Condition of the Knee Joints in Patients with Rheumatoid Arthritis

2021 ◽  
Vol 63 (2) ◽  
pp. 93-98
Author(s):  
Agnieszka Przedborska ◽  
Mateusz Szymczak ◽  
Małgorzata Kilon ◽  
Łukasz Kikowski ◽  
Jan Raczkowski
Keyword(s):  
Rheumatoid Arthritis ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Functional State ◽  
Functional Condition ◽  
Knee Joints ◽  
Whole Body ◽  
Gait Function ◽  
Whole Body Cryotherapy ◽  
The Impact

Introduction: Rheumatoid arthritis (RA) is a chronic disease that leads to disability of patients. The use of the whole-body cryotherapy treatment for RA patients provides analgesic and anti-inflammatory effects and improves their efficiency. Aim: Assessment of the effect of the whole-body cryotherapy treatment on the functional state of knee joints for patients with RA. Material and Method: The study was conducted on a group of 30 RA patients, who underwent a series of 10 whole-body cryotherapy treatment. The effectiveness and efficiency of the applied therapy was assessed on the basis of: the VAS scale, the Laitinen scale, the assessment of the range of motion, muscle strength with the MicroFet dynamometer and the Up and Go test. Results: As a result of the applied whole-body cryotherapy treatment, a reduction in the intensity of pain, measured with the VAS scale and the Laitinen scale, and a reduction in the duration of morning stiffness by about 55% were found. There was an increase in the range of motion and muscle strength. The time needed to perform the Up and Go test was reduced by 17%. Conclusions: The whole-body cryotherapy treatment is an effective analgesic method of physiotherapy for patients with RA. It provides an improvement in the functional state, increases the range of motion, muscle strength and improves the gait function.

scholarly journals The Impact of Musical Training on Hand Biomechanics in String Musicians

Hand ◽  
2018 ◽  
Vol 14 (6) ◽  
pp. 823-829 ◽  
Author(s):  
Stacey L. Gorniak ◽  
Evan D. Collins ◽  
Kimberly Goldie Staines ◽  
Forrest A. Brooks ◽  
Ricardo V. Young
Keyword(s):  
Muscle Strength ◽  
Force Control ◽  
Musical Training ◽  
Hand Function ◽  
The Body ◽  
Cortical Reorganization ◽  
Fine Motor ◽  
Professional Musicians ◽  
Hand Biomechanics ◽  
The Impact

Background: The effects of musical training on the body in professional musicians remain an understudied area, particularly in reference to understanding and managing orthopedic/neuromuscular deviations and injuries in this population. The purpose of this study was to evaluate hand/finger fine motor function in musicians via physical examination as well as laboratory-based evaluations. Methods: Thirteen healthy noninjured young elite string musicians participated in this study. Performance of musicians was compared with healthy age-matched, sex-matched, and handedness-matched nonmusician controls. Results: Musicians exhibited decreased intrinsic muscle strength compared with controls; however, no change in extrinsic muscle strength was found between groups. No between-group differences in overall force control were found; however, Group × Hand (right vs left) interactions were found in force control. Conclusions: These data suggest that musicians are a unique population with respect to: (1) fine motor control of the hand; and (2) exhibit changes in differential hand use. This suggests cortical reorganization of string musicians, such that this population should be studied separately from typical healthy controls with respect to hand function.

Literature Review : Pengaruh Latihan Rom (Range Of Motion) Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke

2021 ◽  
Vol 1 ◽  
pp. 1407-1413
Author(s):  
Dwi Haryati ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Blood Vessel ◽  
Range Of Motion ◽  
Scientific Paper ◽  
The Body ◽  
Before And After ◽  
Motion Exercise ◽  
The Mean ◽  
The Brain

AbstractStroke is an acute neurocological disease caused by blood vessel disorders in the brain that occur suddenly and can cause symptoms according to areas in the brain that occur suddenly and can cause symptoms of paralysis, difficulty speaking, numbness of one side of the body and other disorders. ROM (Range of Motion) exercise is the maximum number of movements performed by the joints under normal conditions where a person moves each joint according to normal movements either actively or passively.The purpose of this scientific paper is to determine the effect of giving Range Of Motion (ROM) on increasing muscle strength in stroke patients.There is a difference in the mean (mean) before giving Range Of Motion therapy is 2.65 and after giving Range Of Motion is 3.62, there is an effect of giving Range Of Motion (ROM) therapy. Most of the respondents were male with a partial presentation (70%) and (30%) female, the age of the respondent in this study was >56 years old. Prior to ROM therapy, the degree of muscle strength was categorized as 0 to degree 2 and after ROM therapy, the degree of muscle strength was categorized as grade 2 to degree 4. The conclusion was that there was an increase in muscle strength before and after Range Of Motion (ROM) therapy. ROM therapy is effective for increasing muscle strength in stroke patients.Keywords: Muscle Strength, Range Of Motion (ROM), Stroke AbstrakStroke merupakan suatu penyait neurokologis akut yang disebabkan oleh gangguan pembulu darah otak yang terjadi secara mendadak dan dapat menimbulkan gejala yang sesuai dengan daerah di otak yang terserang terjadi secara tiba-tiba dan dapat menimbulkan gejala kelumpuhan, kesulitan bicara,mati rasa sebelah badan dan gangguan lainnya. Latihan ROM (Range of Motion) adalah jumlah maksimum gerakan yang yang dilakukan oleh sendi dalam keadaan normal dimana seseorang menggerakan masing-masing persendiannya sesuai gerakan normal baik secara aktif ataupun pasif. Tujuan karya tulis ilmiah ini adalah untuk mengetahui pengaruh pemberian Range Of Motion (ROM) Terhadap peningkatan kekuatan otot pada pasien stroke.Terdapat perbedaan rata-rata (mean) sebelum pemberian terapi Range Of Motion adalah 2,65 dan sesudah pemberian Range Of Motion adalah 3,62, terdapat pengaruh pemberian terapi Range Of Motion (ROM). Responden terbanyak berjenis kelamin laki-laki dengan presentasi sebagian (70%) dan (30%) perempuan, umur respoden pada penelitian ini berusia >56 tahun. Sebelum dilakukan terapi ROM derajat kekuatan otot termasuk katagori 0 hingga derajat 2 dan sesudah dilakukan terapi ROM derajat kekuatan otot termasuk kategori derajat 2 hingga derajat 4. Simpulan terdapat peningkatan kekuatan otot sebelum dan sesudah dilakukan terapi Range Of Motion (ROM). Terapi ROM efektif untuk meningkatkan kekuatan otot pada pasien stroke. Kata kunci : Kekuatan Otot, Range Of Motion (ROM), Stroke

scholarly journals Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Aya Hamed Safar ◽  
Mohamed G. Zaki ◽  
Dina S. Al-Zifzaf ◽  
Rana A. El-Hilaly ◽  
Nouran Abaza
Keyword(s):  
Rheumatoid Arthritis ◽  
Grip Strength ◽  
Wrist Joint ◽  
Hand Function ◽  
Hand Grip Strength ◽  
Musculoskeletal Ultrasound ◽  
Ability Test ◽  
Metacarpophalangeal Joints ◽  
Flexor Tendons ◽  
Hand Grip

Abstract Background Musculoskeletal ultrasound can be now considered a complement to physical examination in rheumatoid arthritis. This study evaluates the role of musculoskeletal ultrasound in assessment of rheumatoid hand function and underlying functional defects and disabilities in order to find out a possibly better tool for assessment. Results Hand grip weakness was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.045), wrist joint synovitis (p = 0.009), flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.001), flexor pollicis longus tendon tenosynovitis (p = 0.013). Hand function impairment by grip ability test was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.009), wrist joint synovitis (p = 0.004), and flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.042). Multiple linear regression analysis showed that the most influencing factor affecting grip ability test and hand grip strength was ulnar 4 Flexor tendons tenosynovitis (P = 0.023, P = 0.037) respectively. Conclusions Joint synovitis and tenosynovitis that are detected by musculoskeletal ultrasound can be used as an assessment tool for hand function in rheumatoid arthritis, since they are associated with reduced hand grip strength and impaired hand ability.

scholarly journals Influence of magnetic field parameters on therapy outcomes in patients with rheumatoid arthritis – preliminary study

2016 ◽  
Vol 30 (2) ◽  
pp. 49-61
Author(s):  
Andrzej Kwolek ◽  
Jolanta Zwolińska ◽  
Monika Chojnacka ◽  
Mariusz Drużbicki
Keyword(s):  
Rheumatoid Arthritis ◽  
Magnetic Field ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Morning Stiffness ◽  
Pulsed Magnetic Field ◽  
Therapeutic Effects ◽  
Upper Limbs ◽  
Pulsed Field ◽  
Disability Level

Abstract Introduction: Magnetic field is used in therapies designed for patients with rheumatic disorders such as rheumatoid arthritis (RA). The question of selecting adequate treatment parameters to obtain optimal therapeutic effects still needs to be answered. The purpose of the study was to assess the influence of magnetic field, depending on its nature, on problems and dysfunctions experienced in upper limbs by patients with RA. Materials and methods: The study group included 14 patients with RA (10 females, 4 males), referred for magnetotherapy to be administered in selected areas of upper limbs. On average, the subjects were 57 years old, and the mean duration of the disorder was 13 years. Magnetotherapy was administered with the use of static or pulsed magnetic field. The patients were examined for the level of disorder, disability level (HAQ-20), severity and duration of morning stiffness, pain intensity (VAS scale), hand volume, swelling and functional capacity. The examinations were carried out before and after a series of ten magnetotherapy treatments. Results: All the patients reported decreased severity and shorter duration of morning stiffness, reduced level of pain and general disability. There was no statistically significant difference between the groups treated with static and pulsed magnetic field. Statistically significant differences between the groups treated with static and pulsed field were observed in reduced swelling, improved range of motion and muscle strength in the upper limb. The study revealed better effects of pulsed field therapy. Conclusions: When administered to areas within upper limbs in patients with RA, pulsed magnetic field produced better effects related to the reduction of swelling as well as improving range of motion and muscle strength in the relevant area of the body compared to static field. The findings did not confirm the relationship between the type of magnetic field and its therapeutic effectiveness in reducing pain, morning stiffness and disability level.

scholarly journals Comparison of impairment and restitution of hand function in a group of patients with total damage to the extensor pollicis longus and in a group of patients with damage to the flexor pollicis longus tendon after surgical treatment

2016 ◽  
Vol 20 (3) ◽  
pp. 5-12
Author(s):  
Jakub Szczechowicz ◽  
Krzysztof Jamka ◽  
Marek Pieniążek
Keyword(s):  
Surgical Treatment ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Hand Function ◽  
Functional Improvement ◽  
Study Group ◽  
Flexor Pollicis Longus ◽  
Extensor Pollicis Longus ◽  
Flexor Pollicis Longus Tendon ◽  
Total Damage

The thumb constitutes 40% of the whole hand function, and damage to the extensor pollicis longus (EPL) and/or the flexor pollicis longus (FPL) tendons of the thumb results in its significant limitation. The main factors contributing to damage of the EPL and/or FPL tendons are mechanical injuries - cuts and spontaneous ruptures. The aim of the study was to compare values of thumb and whole hand function loss and restoration as a result of the implemented physical therapy in patients with total damage to the EPL tendon with the values obtained by the study group 2 comprised of patients with damage to the FPL tendon. The study involved 25 patients of the Specialized Hand Therapy Center in Krakow. 15 of them had ruptured continuity of the EPL tendon (study group), and 10 suffered damage to the FPL tendons (control group). The study included measurements of active motion of the thumb and wrist and superficial sensation. On the basis of these tests, functional impairment was measured using the methodology according to Swanson. The study included assessment of muscle strength in terms of global and precision grips using a dynamometer. Statistically signifcant functional improvement was noted for the thumb and whole hand as well as muscle strength in both groups. The values of functional loss differed between the two groups. The indicators of functional improvement were greater in patients with damage to the EPL tendon. Functional physical therapy is an important factor determining the return of function in the thumb and whole hand after total damage to the EPL and FPL tendons. Szczechowicz J., Jamka K., Pieniążek M. Comparison of impairment and restitution of hand function in a group of patients with total damage to the extensor pollicis longus and in a group of patients with damage to the flexor pollicis longus tendon after surgical treatment. Med Rehabil 2016; 20(3): 5-12. DOI: 10.5604/01.3001.0009.5009

scholarly journals Predominant Bacterial Diversity in Rheumatoid Arthritis Rat After Treated with Caprine CSN1S2 Protein

2021 ◽  
Vol 11 (2) ◽  
pp. 121-131
Author(s):  
Eko Suyanto ◽  
◽  
Fatchiyah Fatchiyah ◽  
◽  
Keyword(s):  
Rheumatoid Arthritis ◽  
Bacterial Diversity ◽  
Dna Sequences ◽  
Pathogenic Bacteria ◽  
Bacillus Coagulans ◽  
The Body ◽  
Bacterial Composition ◽  
Cultivable Bacteria ◽  
Rheumatoid Arthritis Disease ◽  
Systemic Inflammatory Disease

Rheumatoid arthritis (RA) is an autoimmune and systemic inflammatory disease that is affected to microbial abnormalities in the gut and altered the metabolism and immune system. Bioactive peptides have many functions in the body that related to health. This study aimed to investigate the effect of caprine CSN1S2 protein and to identify the predominant bacterial diversity in rheumatoid arthritis rats through fecal analysis based on PCR-DGGE and phylogenetic analysis. The animals were divided into 6 groups with 2 types of the rat model, namely control rats (untreated (C), treated with caprine CSN1S2 protein from milk (CM), and treated with caprine CSN1S2 protein from yogurt (CY)) and rheumatoid arthritis rats (rheumatoid arthritis (RA), treated with caprine CSN1S2 protein from milk (RAM), and treated with caprine CSN1S2 protein from yogurt (RAY). Predominant cultivable bacteria were obtained by direct culture and analyzed using PCR-DGGE with several specific primers. The DNA sequences were analyzed and aligned using bioinformatics software to construct the phylogenetic tree. The results showed that bacterial composition in all control groups was dominated by Lactobacillus group but in the rheumatoid arthritis rat (RA) group was dominated by Enterococcus group, particularly Enterococcus faecium and Enterococcus faecalis. Meanwhile, Bacillus coagulans dominated in rheumatoid arthritis rats after treated with caprine CSN1S2 protein. The caprine CSN1S2 protein has effects in rheumatoid arthritis rats with the emergence of predominant bacteria that can promote the growth of B. coagulans and it might be suppressed pathogenic bacteria in the development of rheumatoid arthritis disease.

scholarly journals To determine the effectiveness of physical therapy management among the toe walking children’s in Karachi Pakistan: An observational study

2021 ◽  
pp. 056-058
Author(s):  
Chughani Vikash ◽  
Sachdev Sonum ◽  
Lekhraj Shobha ◽  
Ali Aadil Ameer
Keyword(s):  
Physical Therapy ◽  
Range Of Motion ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Therapy Management ◽  
Medical College ◽  
National Medical ◽  
Scale Range ◽  
And Gender ◽  
Toe Walking

Objective: To evaluate the effectiveness of Physical Therapy Management among the toe walking children’s in Karachi Pakistan. Methodology: A cross sectional survey was conducted from June to October 2018 in Department of physiotherapy, Liaquat National medical college and hospital, Karachi, Pakistan. A self-fabricated questionnaire was used in 36 Toe walking children’s. The questionnaire consists of demographics (age and gender), evaluation of pain through visual analogue scale, range of motion through goniometer and cadence was measured .The statistical package for social sciences (SPSS) version 23 was used to interpret the data. Result: The majority (n=24, 66.6%) were belongs to age group of 8 to 12 years and (n=25, 69.4%) were male. Mostly (n=25, 69.4%) were clinically diagnosed cases of cerebral palsy. After checking the involvement it was found that (n=21, 58.3%) were suffering from bilateral toe walking and (n=22, 61.1%) were affected from the day of their birth. Conclusion: The study finalized that the Physical Therapy is effective in decreasing the pain, increasing the range of motion and improving the number of steps among the toe walking children’s.

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