scholarly journals Effect of Sit-to-Stand Training Combined with Taping on Spasticity, Strength, Gait Speed and Quality of Life in Patients with Stroke: A Randomized Controlled Trial

Life ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 511
Author(s):  
Tae-sung In ◽  
Jin-hwa Jung ◽  
Kyoung-sim Jung ◽  
Hwi-young Cho
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Gait Speed ◽  
Walking Speed ◽  
Controlled Trial ◽  
Muscle Stiffness ◽  
Stroke Patients ◽  
Sit To Stand ◽  
Quality Of Life Scale

Background and Objectives: Spasticity is one of the factors that make it more difficult to control posture in stroke patients. Taping has been used to manage muscle stiffness in various musculoskeletal disorders. Recently, it has been used to decrease spasticity in stroke patients, but the effect of taping combined with therapeutic exercise is still unclear. The purpose of the present study was to determine whether the sit-to-stand (STS) training combined with taping improves the ankle spasticity, muscle strength, gait speed, and quality of life in stroke patients. Material and Methods: The study recruited 40 stroke patients, who were randomly divided into two groups: the taping and STS training (TSTS) group (n = 20) and the STS group (n = 20). The subjects in the TSTS group underwent STS training with Kinesio taping on the tibialis anterior, calf and ankle joint, whereas the subjects in the STS group underwent only STS training. All participants underwent 30 sessions of STS training (30 minutes, 5 days per week for 6 weeks). The present study evaluated the spasticity of ankle plantar flexors by the mean of the composite spasticity score; the muscle strength and gait speed were evaluated using the handheld dynamometer and the 10-meter walk test, respectively, and the quality of life was assessed using the stroke-specific quality of life scale. Result: The TSTS group and the STS group showed significant improvements in spasticity, muscle strength, walking speed, and quality of life after the intervention (p < 0.05). The level of improvement in the TSTS group was significantly higher in spasticity, muscle strength, and walking speed compared to the STS group (p < 0.05). Conclusions: The present study demonstrated that STS training is effective for decreasing spasticity in stroke patients and suggested that additional taping intervention further improved this effect. In addition, improvement of muscle strength and gait function was observed with a significant decrease of ankle spasticity.

scholarly journals A Randomized Controlled Trial to Study the Effectiveness of Interactive, Virtual Tele-Physiotherapy for Improving Motor Function and Quality of Life in Stroke Patients: A Study Protocol

2021 ◽  
pp. 187-193
Author(s):  
Vandana Gudhe ◽  
Moh´d Irshad Qureshi ◽  
Rakesh Krishna Kovela
Keyword(s):  
Quality Of Life ◽  
Motor Function ◽  
Study Protocol ◽  
Controlled Trial ◽  
Functional Independence ◽  
Stroke Patients ◽  
Quality Of Life Scale ◽  
Group A ◽  
Group B

Introduction: Telephysiotherapy (TPT) is provision of physiotherapy services using telecommunication technology such as audio call or video call to facilitate the physiotherapy management of patients within their own homes. In the absence of which the patients may have to discontinue physiotherapy treatment that may result into poor motor outcomes leading to deterioration of the quality of life (QoL). Methodology: This is a study protocol designed to study the effectiveness of TPT intervention in Stroke patients. The objective is to study whether TPT is effective for Stroke Rehabilitation in improving motor function and quality of life. An exercise protocol will be administered to patients suffering from mild to moderate stroke those grading less than or equal to 4 on a Modified Rankin Scale (mRS=<4). A total 40 patients will be recruited in the study, divided into 2 groups –Group A and Group B, where Group A will receive the exercise therapy through Tele Physiotherapy & Group B will receive Out-Patient-Based (OPD-based) Physiotherapy. Participants of both the groups will be called to the OPD at the baseline and at the end of 6 weeks intervention. The patients shall be assessed at the baseline and at the end of intervention using Fugl-Meyer Assessment (FMA), Dynamic Gait Index (DGI), Functional Independence Measure (FIM) and Stroke Specific Quality Of Life scale (SS-QOL) to evaluate their motor function, gait, functional status and quality of life respectively. Ethical Considerations: Approval from the Institutional Ethics committee of the institute is obtained. Participation in study will be voluntary and only the patients willing to give the written informed consent will be recruited for the study. Results: The results of the study will be published and disseminated in peer-reviewed journals.

Comparison of kinesio taping and cold therapy in patients with total knee arthroplasty: A randomized controlled trial

2021 ◽  
pp. 026921552110491
Author(s):  
Ertugrul Yuksel ◽  
Bayram Unver ◽  
Vasfi Karatosun
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Therapy Group ◽  
Controlled Trial ◽  
Control Group ◽  
Functional Level ◽  
Kinesio Taping ◽  
Cold Therapy

Objective To investigate the effects of kinesio taping and cold therapy on pain, edema, range of motion, muscle strength, functional level and quality of life in patients with total knee arthroplasty. Design Randomised controlled trial. Setting A university hospital. Subjects One-hundred patients were included. Intervention Patients were allocated into three groups; control group, kinesio group and cold therapy group. The control group received a standard rehabilitation program. Kinesio taping group received two fan-shaped kinesio taping bands and cold therapy group received cold packs in addition to the standard rehabilitation program. Main measures The outcome measures were pain, edema, range of motion, muscle strength, functional level and quality of life. Participants were assessed at preoperative, discharge and postoperative third month. Results The groups were similar at preoperative. A significant difference was determined in terms of pain in kinesio taping group compared to the control group at the discharge. Cold therapy was efficient in reducing postoperative swelling but kinesio taping had no significant effects on swelling control. There was no difference between the groups in terms of range of motion, muscle strength, functional level and quality of life. The groups were similar in all parameters at the postoperative third month measurements. Conclusion Fan-shaped kinesio taping is an effective technique in terms of postoperative pain relief. Cold therapy is an effective method in terms of edema control. Kinesio taping and cold therapy has no specific beneficial effect on functional level, muscle strength and quality of life compared to control group.

scholarly journals Elastic-band resistance exercise or vibration treatment in combination with hydroxymethylbutyrate (HMB) supplement for management of sarcopenia in older people: a study protocol for a single-blinded randomised controlled trial in Hong Kong

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034921 ◽  
Author(s):  
Simon Kwoon-Ho Chow ◽  
Yu-Ning Chim ◽  
Keith Yu-Kin Cheng ◽  
Chung-Yan Ho ◽  
Wing-Tung Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomised Controlled Trial ◽  
Muscle Strength ◽  
Older People ◽  
Controlled Trial ◽  
Elastic Band ◽  
Vibration Treatment ◽  
Time Points ◽  
Randomised Controlled

IntroductionSarcopenia is a geriatric syndrome characterised by progressive loss of skeletal muscle mass and function with risks of adverse outcomes and becomes more prevalent due to ageing population. Elastic-band exercise, vibration treatment and hydroxymethylbutyrate (HMB) supplementation were previously proven to have positive effects on the control of sarcopenia. The purpose of this study is to evaluate the effectiveness of elastic-band exercise or vibration treatment with HMB supplementation in managing sarcopenia. Our findings will provide a safe and efficient strategy to mitigate the progression of sarcopenia in older people and contribute to higher quality of life as well as improved long-term health outcomes of elderly people.Methods and analysisIn this single-blinded, randomised controlled trial (RCT), subjects will be screened for sarcopenia based on the Asian Working Group for Sarcopenia (AWGS) definition and 144 sarcopenic subjects aged 65 or above will be recruited. This RCT will have three groups evaluated at two time points to measure changes over 3 months—the control and the groups with combined HMB supplement and elastic-band resistance exercise or vibration treatment. Changes in muscle strength in lower extremity will be the primary outcome. Muscle strength in the upper extremity, gait speed, muscle mass (based on AWGS definition), functional performance in terms of balancing ability and time-up-and-go test and quality of life will be taken as secondary outcomes. In addition, each participant’s daily activity will be monitored by a wrist-worn activity tracker. Repeated-measures analysis of variance will be performed to compare within-subject changes between control and treatment groups at two time points of pretreatments and post-treatments.Ethics and disseminationThe procedures have been approved by the Joint CUHK-NTEC Clinical Research Management Office (Ref. CREC 2018.602) and conformed to the Declaration of Helsinki. Results will be disseminated through peer-reviewed publications, conferences and workshops.Trial registration numberNCT04028206.

scholarly journals M51. EFFICACY OF “PRAGMACOM TRAINING” IN SCHIZOPHRENIA: A RCT ON A NOVEL PRAGMATIC INTERVENTION

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S153-S153
Author(s):  
Giulia Agostoni ◽  
Elisabetta Tonini ◽  
Mariachiara Buonocore ◽  
Margherita Bechi ◽  
Maria Paola Silvestri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Executive Functions ◽  
Controlled Trial ◽  
Effect Sizes ◽  
Daily Functioning ◽  
Control Group ◽  
Abstract Thinking ◽  
Metaphor Comprehension ◽  
Quality Of Life Scale

Abstract Background A pragmatic disruption is observed in several clinical conditions and especially in schizophrenia. It is estimated that over 75% of patients affected by schizophrenia present a pervasive and wide impairment of pragmatic abilities, encompassing both comprehension and production abilities, thus confirming the hypothesis of a wide Pragmatic Language Disorder in schizophrenia. More specifically, the comprehension of figurative languages, such as metaphors, idioms, and irony, is the most compromised domain in schizophrenia. Poor pragmatics has a relevant impact on daily functioning, by contributing to social isolation and lower quality of life. Only few pragmatic treatments have been developed and tested in schizophrenia, focusing only on specific pragmatic features and without using a Randomized Controlled Trial (RCT) design. This study aimed at investigating the efficacy of PragmaCom Training (PT), a novel 12-weeks intervention specifically developed to enhance pragmatics in schizophrenia. Methods 30 patients with schizophrenia, according to DSM 5, were randomly assigned to PT to an active control group (ACG). All patients were assessed for global pragmatics with the Assessment of Pragmatic Abilities and Cognitive Substrates test, APACS), metaphor comprehension (Physical and Mental Metaphors task, PMM), executive functions (Brief Assessment of Cognition in Schizophrenia, Tower of London score, BACS), abstract thinking (Positive and Negative Syndrome Scale for Schizophrenia, N5 score, PANSS), and daily functioning (Quality of Life Scale, QLS). To quantify the magnitude of changes after the PT, effect sizes were estimated using Cohen’s d (Cohen, 1988) for APACS, PMM, PANSS N5 Score, and QLS only in PT Group. The effect of PT in enhancing pragmatic abilities, the abstract thinking and daily functioning was tested between groups by means of several ANCOVA, entering post-training measures as dependent variables, measures at the baseline and executive functions as covariates, and treatment (PT vs ACG) as grouping variables. Results Patients treated with PT showed small to medium-large effect-sizes in global pragmatics (0.25), metaphors comprehension (0.72), functioning (0.23), and abstract thinking (-0.18). ANCOVAs revealed a significant effect of PT in enhancing global pragmatic abilities (F=5.4, p=.03), metaphor comprehension (F=8.94, p=.007) and abstract thinking (F=8.1, p=.01). No significant effect was found for functioning. Discussion This is the first study using a RCT design to test the efficacy of a pragmatic training. PT is a novel training specifically developed to target the pragmatic impairments that characterize schizophrenia. This study confirms the efficacy of PT in improving multiple domains, encompassing global pragmatics, the comprehension of figurative language, and abstract thinking in schizophrenia. Impact on functioning is also expected. However, in line with literature, it is likely to occur at later time points, since it requires the chance to apply the enhanced abilities in ecological contexts.

scholarly journals Home-based pulmonary rehabilitation in people with bronchiectasis, a randomised controlled trial

2021 ◽  
pp. 00021-2021
Author(s):  
Anderson José ◽  
Anne E. Holland ◽  
Jessyca P. R. Selman ◽  
Cristiane Oliveira de Camargo ◽  
Diogo Simões Fonseca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Pulmonary Rehabilitation ◽  
Controlled Trial ◽  
Quadriceps Muscle ◽  
Step Test ◽  
Control Group ◽  
Test Quality ◽  
Incremental Step

AimTo investigate the short- and long-term effects of Home-based Pulmonary Rehabilitation (HBPR) on functional capacity, quality of life, peripheral muscle strength, dyspnea and daily physical activity in people with bronchiectasis.MethodsRandomised controlled trial with 63 participants with bronchiectasis. The HBPR group performed three sessions per week for 8 weeks (aerobic exercise: step training for 20 min; resistance training: exercises for quadriceps, hamstrings, deltoids, and biceps brachii with elastic bands). The control group received recommendation to walk at moderate intensity, three times per week. A weekly phone call was conducted for all participants, and the HBPR group received a home visit every 15 days. The primary outcome was distance in the incremental shuttle walk test (ISWT). Secondary outcomes were time in the endurance shuttle walk test (ESWT), number of steps in the incremental step test, quality of life, quadriceps muscle strength and daily physical activity. Measures were taken before and after intervention and 6 months later.ResultsAfter the intervention, the HBPR group had increased the distance in ISWT compared with the control group with between-group difference: 87.9 m (95% CI 32.4 to 143.5). Between-group differences was found in ESWT, incremental step test, quality of life and quadriceps muscle strength in favor to HBPR group too. After 6 months, no differences were observed between the groups.ConclusionHBPR is an effective alternative for offering pulmonary rehabilitation for people with bronchiectasis. However, the program was not effective in maintaining the benefits after 6 months of follow-up.

scholarly journals Características de indivíduos com hemiparesia segundo a percepção sobre a dificuldade na subida de escadas

2015 ◽  
Vol 13 ◽  
pp. 269 ◽  
Author(s):  
Fernando Wendelstein Cano ◽  
Daniela Parizotto ◽  
Stella Maris Michaelsen
Keyword(s):  
Quality Of Life ◽  
Gait Speed ◽  
Motor Impairment ◽  
Stair Climbing ◽  
Self Perception ◽  
Timed Up And Go ◽  
Body Function ◽  
Quality Of Life Scale ◽  
Climbing Stairs

Introduction: climbing up and down stairs is entered directly into the Community ambulation and activities of daily living. In individuals with hemiparesis after stroke, this activity may be compromised due to deficits in components of body function and structures, activity and participation. Objective: To identify the characteristics of individuals with hemiparesis, according to the self-perception of difficulty climbing stairs and relate to components of body function and structures (BFS), activity and participation with the cadence of up / down stairs. Method: Twenty-five subjects (57.8±12.4 years) with chronic hemiparesis (57.8±42.7 months) were divided into two groups as perceived with and without difficulty climbing stairs by this particular question in the Stroke Specific Quality of Life Scale (SSQOL). In the BSF domain was rated lower limb motor impairment (Fugl-Meyer Scale), the activity domain, gait/mobility (gait speed, the Timed Up and Go-TUG) and balance (one-leg support and BERG) and participation domain the quality of life with SSQOL. Results: The group with self-perception without difficulty showed less motor impairment and higher levels of activity and participation. Strong correlations of the stair climbing cadence with the Fugl-Meyer Scale and TUG and between stair descent cadence with gait speed and TUG. Conclusion: Variables of body function andstructures , activity and participation are lower in the group with self-perceived difficulty in stair climbing and are correlated with the cadence of stair ascent and descent. 

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