Effectiveness of incorporating the biofeedback technique — video reconstruction into comprehensive rehabilitation programs for elderly patients

2020 ◽  
pp. 6-15
Author(s):  
Elizaveta Koneva ◽  
Tatiyana Shapovalenko ◽  
Konstantin Lyadov ◽  
Anna Mikhailova ◽  
Natalia Korchazhkina ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Dynamic Balance ◽  
Balance Training ◽  
Rehabilitation Program ◽  
Control Group ◽  
Rehabilitation Programs ◽  
Group A ◽  
Comprehensive Rehabilitation ◽  
Effective Use ◽  
Video Reconstruction

Objective: to conduct a comparative analysis of the effectiveness of hardware balance training in elderly patients in order to improve coordination, postural control and improve mobility. The study included 40 participants, over the age of 70 years. All patients were divided into 2 groups: patients in the control group received a standard rehabilitation program: classes in therapeutic gymnastics with an instructor of exercise therapy, massage. In addition to routine methods, patients of the main comparison group underwent training on the CMill dynamic balance training hardware device. The duration of the rehabilitation course was 10 days. As a result of the study, in patients of the main group, compared with the control control group, a significant improvement was noted in 21 out of 33 analyzed podometric indicators of the dynamic walking stereotype. The results of the effective use of the apparatus balance training method indicate the prospect of including this technology in the rehabilitation programs of elderly patients to improve the dynamic stereotype and increase stability while walking.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Effects of virtual reality exergame on psychophysiological and postural disorders in elderly patients

2021 ◽  
Author(s):  
AE Khizhnikova ◽  
AS Klochkov ◽  
AA Fuks ◽  
AM Kotov-Smolenskiy ◽  
NA Suponeva ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Elderly Patients ◽  
Vascular Disease ◽  
Balance Control ◽  
Balance Training ◽  
Medical Problem ◽  
Rehabilitation Program ◽  
Advanced Age ◽  
Balance Impairment ◽  
Underlying Causes

Balance impairment at advanced age is a serious medical problem that often has significant implications and affects the quality of the patient’s life. Among the underlying causes are overall slowness of motor response and vestibular syndrome. Virtual reality exergames, including reaction and balance training, hold promise for managing balance dysfunction. The aim of this study was to investigate the effects of a combination rehabilitation program containing elements of virtual reality exergame on the postural and psychophysiological parameters of elderly patients with small vascular disease The study was conducted in 24 patients with small vascular disease (median age: 66 years). All patients underwent a virtual reality rehabilitation program. Psychophysiological, postural and clinical evaluations were performed at baseline and after the program was completed. Balance function measured on the Berg scale improved significantly and was 53 [52; 55] after the training program vs 50 [45; 54] at baseline (p < 0.05). The strategy of balance control also changed: the Romberg ratio was 266 [199.5; 478.5] before rehabilitation and 221 [149.25; 404] after the program was completed (p < 0.05). The most pronounced changes in the measured psychophysiological parameters occurred in the simple audiomotor reaction, which improved from 210 [174.25; 245.5] at baseline to 180.5 [170.5; 208] after rehabilitation (p < 0.05). Thus, the combination balance and reaction virtual reality training is an effective rehabilitation method for advanced-age patients with balance impairment.

scholarly journals Balance Training with Electromyogram-Triggered Functional Electrical Stimulation in the Rehabilitation of Stroke Patients

2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee
Keyword(s):  
Muscle Activation ◽  
Dynamic Balance ◽  
Balance Training ◽  
Control Group ◽  
Static Balance ◽  
Stroke Patients ◽  
Ankle Muscle ◽  
Balance Ability ◽  
Leg Muscle ◽  
Experimental Group

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.

THE AMELIORATION OF BEHAVIORAL DISTURBANCES IN TBI PATIENTS WITH CHRONIC FRONTAL SYNDROME AFTER TREATMENT IN DIFFERENT REHABILITATION PROGRAMS

2019 ◽  
Vol 17 (3) ◽  
pp. 245-260
Author(s):  
Maria Pąchalska ◽  
Jolanta Góral-Półrola ◽  
Andrzej Mirski ◽  
Celestyna Grzywniak ◽  
Maria Łuckoś ◽  
...  
Keyword(s):  
Social Skills ◽  
Behavioral Disorders ◽  
Cognitive Deficits ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program ◽  
Post Injury ◽  
Neuropsychological Rehabilitation ◽  
Comprehensive Program ◽  
Rehabilitation Programs ◽  
Group A

We evaluated the effectiveness of three different rehabilitation programs for chronic behavioral disorders in traumatic brain injury (TBI) patients with orbito-frontal damage (OFC), incurred from 13 to 15 years prior to enrollment. From among 547 adult patients with severe TBIs treated neurosurgically from 1999 to 2003, 60 were selected for the study, divided into three groups of 20, matched for age and sex. Each group received one of three different rehabilitation protocols. Group A received a comprehensive program with two components: (1) a 6-month early neuropsychological rehabilitation program targeting cognitive deficits, beginning immediately post-injury, and (2) the “Academy of Life” program, with weekly meetings aimed at reducing behavioral disorders in social transactions. Group B received only cognitive rehabilitation, while Group C received only the “Academy of Life” progam. The Frontal Behavioral Inventory (FBInv) was used to assess behavioral disorders at baseline and again after completion of the study. At baseline, all 60 patients still displayed all or most of the common behavioral symptoms characteristic of frontal syndrome. The improvement achieved by group A (the comprehensive program) was significantly better upon completion of the study than that shown by the patients in groups B (cognitive only) and C (social skills only). A comprehensive program of rehabilitation, which combines early neuropsychological rehabilitation of cognitive deficits with the “Academy of Life” program, aimed at improving social skills, proved to be more effective than either of these two components administered without the other

scholarly journals Long-Term Outcomes in Children with Acute Flaccid Myelitis

2021 ◽  
Author(s):  
Megan Henley ◽  
Lindie Hill ◽  
Sydney Inman ◽  
Molly King ◽  
Sam Lopez ◽  
...  
Keyword(s):  
Case Series ◽  
Rehabilitation Program ◽  
Fine Motor ◽  
Control Group ◽  
Long Term Outcomes ◽  
Functional Deficits ◽  
Acute Flaccid Myelitis ◽  
Group A ◽  
Study Designs

The purpose of our critically appraised topic is to combine the best evidence regarding the long-term outcomes in children with acute flaccid myelitis (AFM) regarding posture and movement, gross and fine motor control, and activities of daily living (ADL) performance. The final portfolio contains eight articles. The study designs of these articles include a retrospective cohort study, two retrospective non-randomized studies without a control group, a retrospective review, a nationwide follow-up questionnaire analysis study, a case report, a case series, and a multiple quantitative case study. All studies related directly to our evidence-based PICO question and were used to determine the best evidence of the long-term outcomes in children with AFM. Overall, our findings showed that functional improvements were seen in most i ndividuals, however, this varied from complete to incomplete recovery along with some persistent motor and functional deficits. Every case is different depending on when they were diagnosed, and how quickly they were able to implement a rehabilitation program into their everyday routine.

scholarly journals Efficiency of medical rehabilitation program in early aged children with cystic fibrosis

2020 ◽  
Vol 27 (2) ◽  
pp. 32-38
Author(s):  
V. S. Matveev ◽  
S. V. Matveev ◽  
A. A. Potapchuk ◽  
Iu. K. Uspenskaia
Keyword(s):  
Cystic Fibrosis ◽  
Motor Skills ◽  
Rehabilitation Program ◽  
Main Group ◽  
Physical Rehabilitation ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Efficiency Coefficient ◽  
Rehabilitation Programs ◽  
Quantity Of Children

Introduction. The problem is actual due to the increasing of cystic fibrosis children quantity: according to neonatal screening, there were 124 children with cystic fibrosis in 2018 (72.9 % from all identified cases for the reporting year). Medical rehabilitation is the main method of the pathogenetic therapy and prevention of cystic fibrosis exacerbation. The new strategy of medical procuring for patients with orphan diseases, which is necessary to develop expert methods for diagnostics of rehabilitation potency and objectify individual rehabilitation programs, gives particular relevance to the problem.The objective was the development of new rehabilitation programs for early aged children with cystic fibrosis, the search of efficiency assessment criteria.Methods and materials. Physical and motor growth, clinical and functional parameters were estimated in 79 early aged children of main and control groups.Results. It was proved that the weight index (absolute and relative), quantity of children with harmonic growth increased due to physical methods of rehabilitation while the quantity of children with acutely disharmonic growth reduced in main group. After applying the developed rehabilitation program, the formed motor skills amounted 83 — 92 % from age norm in the main group of children and 60 — 85 % in the control group. Normotonic reaction to physical activity after the physical rehabilitation program was registered in 73.2 % of the main group and 47.8 % of the control group. In dynamics, the rehabilitation efficiency coefficient amounted (1.68±0.10) in the control group of children and (1.97±0.14) (p<0.05) in the main group that could be corresponded as «improvement». That means the quality of clinical and laboratory shifts, dynamism of physical growth and development rate of motor skills is significantly higher in the main group of children.Conclusion. The possibility of physical rehabilitation use in different rehabilitation programs of early aged children with cystic fibrosis was justified. The rehabilitation efficiency coefficient, the rehabilitation potential were offered, the effectiveness of chosen rehabilitation programs was proved.   

scholarly journals Assessment of anxiety and pain in patients with lumbosacral radiculopathy at the early stage of rehabilitation with various rehabilitation programs after microdiscectomy

2020 ◽  
Vol 48 (1) ◽  
pp. 13-21
Author(s):  
V. N. Blokhina ◽  
E. G. Melikyan
Keyword(s):  
Analogue Scale ◽  
Early Stage ◽  
Rehabilitation Program ◽  
Leg Pain ◽  
Lumbosacral Radiculopathy ◽  
Rehabilitation Programs ◽  
Russian Version ◽  
Comprehensive Rehabilitation ◽  
Anxiety Levels

Rationale: The role of the psychogenic component in chronic pain and delayed rehabilitation in patients with lumbosacral radiculopathy (LSR) has been extensively studied. However, there is a paucity of studies evaluating anxiety and pain in LSR patients early after microdiscectomy. Only a few studies have performed a differentiated assessment of state (SA) and trait (TA) anxiety. The effects of repetitive peripheral magnetic stimulation (rPMS) on the TA level in the Russian LSR patients have not been investigated. Aim: To assess changes in anxiety and pain over time in LSR patients with various rehabilitation programs at the early stage after microdiscectomy. Materials and methods: The study included 71 patients with LSR after microdiscectomy (mean age 46.8 ± 10.5 years). At Day 7 after surgery, the patients were randomized into two groups. The patients in the 1st group (n = 35) received a rPMS course in addition to conventional rehabilitation, whereas the patients in the 2nd group (n = 36) were rehabilitated only conventionally. Pain was assessed by a visual analogue scale (VAS), and anxiety levels by Spielberger StateTrait Anxiety Inventory (validated Russian version). Results: There was a significant decrease of SA and TA levels in the patients of both groups at Day 21 of rehabilitation, compared to those at Day 7 (p < 0.001). At Day 21, there was a significant inter-group difference (p = 0.036) in the leg pain VAS score and the TA frequency distribution (p = 0.042, Fisher test). Conclusion: Better improvement of pain and trait anxiety in the patients treated with rPMS indicates that it would be reasonable to include an rPMS course into the comprehensive rehabilitation program after microdiscectomy.

scholarly journals Functional Status After Pulmonary Rehabilitation as a Predictor of Weaning Success and Survival in Patients Requiring Prolonged Mechanical Ventilation

2021 ◽  
Vol 8 ◽  
Author(s):  
Li-Ta Keng ◽  
Sheng-Kai Liang ◽  
Chi-Ping Tseng ◽  
Yueh-Feng Wen ◽  
Ping-Hsien Tsou ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Overall Survival ◽  
Functional Status ◽  
Prolonged Mechanical Ventilation ◽  
Care Center ◽  
Ventilator Weaning ◽  
Rehabilitation Program ◽  
Hospital Survival ◽  
Rehabilitation Programs ◽  
Comprehensive Rehabilitation

Background: Comprehensive rehabilitation programs are recommended for patients with prolonged mechanical ventilation (PMV) to facilitate functional recovery and ventilator weaning, but whether the functional status after rehabilitation influences outcome has not been clearly evaluated. This study aimed to investigate the association between post-rehabilitation functional status and weaning and survival outcome in PMV patients.Methods: We retrospectively enrolled PMV patients admitted to the respiratory care center (RCC), a post-ICU weaning facility with protocolized rehabilitation program, from January 2016 through December 2017. Functional status was measured by the de Morton Mobility Index (DEMMI), with a cut-off value set at 20 points. The primary outcomes were the weaning status at RCC discharge and hospital survival. The secondary outcomes were overall survival and survival at 3 months after RCC discharge. We followed patients until 3 months after RCC discharge or death. Logistic and Cox regressions were performed to identify significant parameters associated with weaning success and survival.Results: In total, 320 patients were enrolled. The weaning success rate was 71.6%. The survival rate at RCC discharge, hospital discharge, and 3 months after RCC discharge was 89.1, 77.5, and 66.6%, respectively. Post-rehabilitation DEMMI ≥ 20 (odds ratio [OR], 3.514; 95% confidence interval [CI], 1.436–8.598; P = 0.006) was the most significantly associated with weaning success. The weaning success and higher post-rehabilitation DEMMI were the two most significant independent factors associated with both hospital survival (weaning success, OR, 12.272; 95% CI, 5.281–28.517; P &lt; 0.001; post-rehabilitation DEMMI ≥ 20, OR, 6.298; 95% CI, 1.302–30.477; P = 0.022) and survival at 3 months after RCC discharge (weaning success, OR, 38.788; 95% CI, 11.505–130.762; P &lt; 0.001; post-rehabilitation DEMMI ≥ 20, OR, 4.830; 95% CI, 1.072–21.756; P = 0.040). Post-rehabilitation DEMMI ≥ 20 remained significantly association with overall survival at 3 months after RCC discharge (hazard ratio, 0.237; 95% CI, 0.072–0.785; P = 0.018).Conclusions: Post-rehabilitation functional status of PMV patients was independently associated with weaning success, as well as hospital and 3-month overall survival after RCC discharge. Post-rehabilitation, but not pre-rehabilitation, functional status was a significant parameter associated with weaning success and survival in patients requiring PMV.

scholarly journals THE EFFECTIVENESS OF MIRROR THERAPY WITH REPETITIONS ON LOWER EXTREMITY MOTOR RECOVERY, BALANCE AND MOBILITY IN PATIENTS WITH STROKE

2021 ◽  
Vol 20 (2) ◽  
pp. 153-160
Author(s):  
Kritika Verma ◽  
◽  
Jaspreet Kaur ◽  
Manoj Malik ◽  
Neerja Thukral ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Motor Recovery ◽  
Control Group ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Group A ◽  
Comprehensive Rehabilitation ◽  
Group B ◽  
Experimental Group

Objective. To evaluate the effectiveness of mirror therapy using motor imagery training on lower extremity motor functioning, balance and mobility in the patients after stroke. Material and methods. A randomized, controlled trial (RCT). Rehabilitation institutes and hospitals. 56 patients with stroke were adventitiously assigned into two different groups i.e., “Group A” (experimental group) and “Group B” (control group). The mean age of Group-A was 50.67 ± 11.18 years and Group-B was 49.16 ± 10.28 years without volitional ankle dorsiflexion. The post-stroke patients under experimental group received the comprehensive rehabilitation therapy along with the MT for LE. Participants received MT near 30 minutes in a day,6 days a week and continued for up-to 6 weeks. Whereas, the post-stroke patients under control group received the placebo therapy along with comprehensive rehabilitation therapy. For motor recovery Brunnstrom stages were used, to assess spasticity the Modified Ashworth Scale was used, for functional ability the Functional Ambulation Category was used and balance was assessed by Berg Balance Scale. Results. The experimental group after intervention showed remarkable changes in FAC (mean difference = 0.79, 95% CI = 0.65-1.26, p = 0.000) and BBS (mean difference = 3.10, 95% CI = 3.21-4.88, p = 0.000) as contrasted to the control group. Conclusions. MT along with the conventional therapy is more effective to improve the balance, mobility and motor recovery as compared to only conventional rehabilitation therapy.

EFFECTIVENESS OF STANDING PILATES ON DYNAMIC BALANCE AND LOWER LIMB MUSCULAR ENDURANCE IN BADMINTON PLAYERS: AN EXPERIMENTAL STUDY

2021 ◽  
pp. 70-72
Author(s):  
Priyal Vora ◽  
Jahnvi Panwar
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Muscular Endurance ◽  
Balance Test ◽  
Group A ◽  
Group B ◽  
High Level ◽  
Experimental Group ◽  
Control Group Group

Badminton is a very challenging sport which demands high intensity, swift, precise and continuous movements that require a high level of dynamic balance and muscular endurance. Standing Pilates is a form of training developed to improve core strength, balance and endurance. Thirty badminton players between 18-25 years were included and divided into two groups. Experimental group (Group A) received standing Pilates and conventional training whereas control group (Group B) was given only conventional training. All players were assessed for dynamic balance and lower limb muscular endurance with Star Excursion Balance Test and Squat Test respectively. Student t-test was used in the analysis of the data collected for all variables at the beginning and at the end of 4 weeks. Comparing post SEBT and squat test values of Group A and Group B showed that standing Pilates has signicant effect on dynamic balance and lower limb muscular endurance in badminton players

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