scholarly journals Physical therapy for young men having vertebrogenic lumbosacral pain

2019 ◽  
Vol 5 (4) ◽  
pp. 57
Author(s):  
I.A. Sasko ◽  
O.V. Beziazychna ◽  
S.V. Manucharian
Keyword(s):  
Physical Therapy ◽  
Young Men ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Therapy Program ◽  
Biological Studies ◽  
Spine Mobility ◽  
Motor Mode ◽  
Physical Therapy Program ◽  
And Control

<p><strong>Objective:</strong> to develop and experimentally explain physical therapy methods for vertebrogenic lumbosacral pain.</p><p><strong>Material and methods:</strong> 20 young men having vertebrogenic lumbosacral pain took part in the experiment at training motor mode, they were divided into two groups – experimental and control one, containing 10 people each. Men in experimental group had physical therapy according to original program, men from the control group – did it according to common recommendation of the Ministry of Health of Ukraine. Pedagogical and medico-biological studies have been carried out since October 2019 up to December 2019. Physical therapy courses in both experimental and control group lasted for two months. Clinical methods (medical history, visual examination), assessment according to Visual Analogue Scale of pain (VAS), lumbar spine mobility investigation, life quality evaluation according to Oswes  try Disability Index questionnaire.</p><p><strong>Results:</strong> The presented efficiency of physical therapy program for training motor mode using the exercises on Redcord Suspension System: dynamic exercises to improve spine mobility, static exercises to strengthen and improve core and lower extremity muscles endurance, exercises using slings to improve proprioception; therapeutic massage according to Yefimenko methods: massage of lumbosacral region of spine, glutes, favorable number of procedures – is 15-20 ones; instrumental physiotherapy methods: ultrasound (1.2 – 1.4 W-cm<sup>2</sup>), double-pole interference (25-27 mA), Trabert’s current (7-8-12 mA).</p><p><strong>Conclusions</strong>: In the course of study undertaken we have made a conclusion that physical therapy program developed and introduced at the premises of Kinezio Medical Center of Physical Rehabilitation and Sport Medicine in Kharkov for young men having vertebrogenic lumbosacral pain allowed advancing efficiency of medical rehabilitation, is accessible for all specialized rehabilitation facilities and appears worthy of practical application.</p>

scholarly journals Physical therapy of middle-aged women after the hip joint replacement

2019 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
O.V. Bezyazychna ◽  
S.V. Manucharyan ◽  
L.V. Dugina
Keyword(s):  
Physical Therapy ◽  
Hip Joint ◽  
Joint Replacement ◽  
Training Period ◽  
Control Group ◽  
Middle Aged ◽  
Hip Joint Replacement ◽  
Therapy Program ◽  
Biological Studies ◽  
Physical Therapy Program

<p><strong>The purpose of the work</strong>: development and experimental substantiation of a physical therapy program for middle-aged women after the hip joint replacement.</p><p><strong>Material and methods</strong><em>. </em>22 middle-aged women after hip joint replacement (the non-cement form of fixation of the prosthesis components) during the training period took part in the experiment; they were divided into two groups, experimental and control one, 11 people in each. Women in the experimental group underwent physical therapy measures according to the author's program, and women of the control group underwent it according to the physical therapy program for individuals after the hip joint replacement.</p><p>Pedagogical and medico-biological studies were conducted for 3 months. Primary and repeated study involved clinical methods (history collection, physical examination); assessment of the quality of life, as well as medical and pedagogical observations in the process of remedial gymnastics and mathematical statistics methods.</p><p><strong>Results</strong><em>.</em> We present the program of physical therapy using remedial gymnastics based on step-down exercises with visual control and exercises with an elastic band on a healthy leg for balance training; therapeutic massage; physiotherapy according to conventional methods, namely: electromyostimulation; laser therapy.</p><p><strong>Conclusion</strong><em>.</em> In the course of the study conducted, we came to the conclusion that the program of physical therapy for middle-aged women after hip joint replacement in the training period, developed and implemented in the Utility Non-Profit Enterprise of Kharkiv Oblast Council "Oblast Clinical Hospital" has allowed to increase the efficacy of rehabilitation; it is available to all specialized rehabilitation centers, and deserves a wide-scale implementation into practice.</p>

scholarly journals Changes in the mobility of obese people under the influence of a physical therapy program

2019 ◽  
Vol 5 (3) ◽  
pp. 9 ◽  
Author(s):  
M.G. Aravitska
Keyword(s):  
Physical Therapy ◽  
Rehabilitation Program ◽  
Control Group ◽  
Functional Movement Screen ◽  
Obese Patients ◽  
Functional Movement ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
One Year ◽  
High Level

<p><strong>Objective:</strong> to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.</p><p><strong>Materials and methods</strong>. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.</p><p><strong>Results.</strong> During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p &lt;0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p&gt; 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p &lt;0.05).</p><p><strong>Conclusions: </strong>Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.</p>

scholarly journals Transcranial direct current stimulation (tDCS): its effect on improving dysphagia in stroke patients

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Salah Abd Elmonem Sawan ◽  
Abdelazim M. Reda ◽  
Ahmed Hosny Kamel ◽  
Mennat Allah Mohamed Ali
Keyword(s):  
Physical Therapy ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Stroke Patients ◽  
Direct Current Stimulation ◽  
Therapy Program ◽  
Group A ◽  
Physical Therapy Program ◽  
Group B ◽  
And Control

Abstract Background Transcranial direct current stimulation (tDCS) may have a potential for improving post-stroke dysphagia. Objective The purpose of this study was to examine the effect of tDCS on improving dysphagia in stroke patients. Patients and methods Forty stroke patients were divided randomly into two equal groups (the study (group A) and control groups (group B). Group A received a physical therapy program and active (tDCS), and group B received the same physical therapy program and sham (tDCS). The Dysphagia Outcome and Severity Scale (DOSS) and videofluoroscopy were performed in all patients before and after 2 weeks of the treatment program. Results Before treatment, there were no significant differences between the two groups for DOSS score or digital fluoroscopic findings. After treatment, there were significant differences between the study and control group for DOSS score and digital fluoroscopic findings. Conclusion Anodal tDCS is effective in improving dysphagia in stroke patients.

scholarly journals Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

2013 ◽  
Vol 26 (3) ◽  
pp. 503-513 ◽  
Author(s):  
Mariana Chaves Aveiro ◽  
Patricia Driusso ◽  
Julia Gianjoppe dos Santos ◽  
Viviane Dassi Kiyoto ◽  
Jorge Oishi
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Elderly Women ◽  
Exercise Group ◽  
Community Dwelling ◽  
Control Group ◽  
Reliable Change ◽  
Therapy Program ◽  
Physical Therapy Program

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.

scholarly journals Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Mohamed Ali Elshafey ◽  
Adel Abd-Elaziem ◽  
Rana Elmarzouki Gouda
Keyword(s):  
Physical Therapy ◽  
Control Group ◽  
Study Group ◽  
Therapy Program ◽  
Passive Stretching ◽  
Gait Parameters ◽  
Before And After ◽  
Physical Therapy Program ◽  
Control Study ◽  
Stretching Exercises

Objective.Studying the effect of the functional stretching exercise in diplegic children.Design.Children were randomly assigned into two matched groups.Setting.Outpatient Clinic of the Faculty of Physical Therapy, Cairo University.Participants.Thirty ambulant spastic diplegic children, ranging in age from five to eight years, participated in this study.Interventions.The control group received physical therapy program with traditional passive stretching exercises. The study group received physical therapy program with functional stretching exercises. The treatment was performed for two hours per session, three times weekly for three successive months.Main Outcome Measure(s).H∖M ratio, popliteal angle, and gait parameters were evaluated for both groups before and after treatment.Results.There was significant improvement in all the measuring variables for both groups in favor of study group. H∖M ratio was reduced, popliteal angle was increased, and gait was improved.Conclusion(s).Functional stretching exercises were effectively used in rehabilitation of spastic diplegic children; it reduced H∖M ratio, increased popliteal angle, and improved gait.

scholarly journals PHYSICAL THERAPY OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASES: SIGNIFICANCE, MEANS AND PRINCIPLES

2019 ◽  
Author(s):  
Valentyn Savchenko ◽  
Olena Polianychko ◽  
Olena Lakhtadyr ◽  
Anatolii Yeretyk ◽  
Iryna Bystra
Keyword(s):  
Physical Therapy ◽  
Physical Rehabilitation ◽  
Medical Rehabilitation ◽  
Chronic Obstructive ◽  
Early Application ◽  
Russian Scientific ◽  
Combined Application ◽  
Therapy Program ◽  
Optimal Rehabilitation ◽  
Physical Therapy Program

Physical rehabilitation, along with the pharmaceutical treatment, is one of the main components of the recovery and the maintenance of health of the patients with chronic obstructive pulmonary disease (COPD). The treatment and rehabilitation results of the physical therapy largely depend on the proper use of its means, requiring the knowledge of its principles. The aim of the study was to establish the means and principles of the physical therapy in COPD, the use of which allows achieving the optimal rehabilitation result. The objective – to establish the means and principles of the physical therapy in COPD, the use of which allows achieving the optimal rehabilitation result. Methods. Literature sources for the last 10 years, selected from the electronic databases of the Vernadsky National Library of Ukraine, Russian Scientific Electronic Library eLIBRARY.RU, Web of Science, PubMed, PEDro. Results. The existing principles of rehabilitation of pulmonologic patients, including those with the COPD were analyzed. The list of physical rehabilitation principles in COPD was formed: a common understanding of the pathogenesis and the clinical disease, influential mechanisms, the medical rehabilitation help effects of physical therapy means; the development and the implementation of an individualized physical therapy program taking into account the peculiarities of the disease of each patient; an early application of physical therapy means; phasing, continuity and sequence of the physical therapy; a complexity, composed and combined application of the physical therapy; an availability of the physical therapy in any conditions of its implementation; an integration of the physical therapy means into the multidisciplinary rehabilitation help; the knowledge of rehabilitation needs, encouragement and active participation of the patient; the focusing of the physical therapy means at the realization of self-care capabilities, a retrieval to a productive labour activity of the patient; involving family or close relatives of the patient to the performing of his or her physical therapy program. Conclusions. The principles of the rehabilitation of pulmonologic patients mentioned above are presented. The list of physical rehabilitation principles in COPD is suggested.

scholarly journals Effect of cough assist device on blood gasses and period of mechanical ventilator for pneumonic children with general hypotonia

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Raheel Sanad ◽  
Shimaa Mohamed Refaat ◽  
Faten Hassan Abdelazeim ◽  
Bassant Meligy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Therapy ◽  
Post Treatment ◽  
Control Group ◽  
Study Group ◽  
Mechanical Ventilator ◽  
Assist Device ◽  
Therapy Program ◽  
Physical Therapy Program

Abstract Background Cough assist devices play an important role with patients in the intensive care unit (ICU), particularly those with neuromuscular diseases which had abnormal muscle tone. It was previously thought to be the main technique for improving cough efficacy, which aids in weaning from mechanical ventilation and improves patient outcomes. So, we selected randomly the odd numbers from Abo El-Reesh hospital records, and 30 children of both sexes with pneumonia were selected, aged from 6 months to 3 years, who were selected from intensive care unit: fifteen children were the control group, who received the selected physical therapy program (postural drainage, percussion and resist diaphragm), and another fifteen children were the study group, who received previous physical therapy program, which was selected, and cough assist device. Results This study revealed the effect of cough assist device on blood gasses and the period of mechanical ventilator on children with pneumonia and general hypotonia. There was a significant decrease in pH, PaCO2, and HCO3 post treatment compared with that pretreatment in the study and control groups (p < 0.05). The percentage of decrease in pH, PaCO2, and HCO3 in study group A were 0.4, 38.26, and 30.28% respectively while that in the control group were 0.4, 32.56, and 25.48% for pH, PaCO2, and HCO3 respectively. There was a significant increase in PaO2 post treatment compared with that pretreatment in the study and control groups (p < 0.001). The percentage of increase in PaO2 in the study group was 32.13% and that in control group was 30.09%. There was no significant difference in pH, PaCO2, and HCO3 between both groups pre-treatment (p ˃ 0.05). Also, there was no significant difference between groups post treatment (p ˃ 0.05). The median (IQR) period of mechanical ventilation in the study group was 5 (7, 4) days while that in control group was 8 (18, 5) days. There was a significant decrease in period of mechanical ventilator of the study group compared with that of control group (p = 0.03). Conclusion The cough assist device and physical therapy program were selected for children in the intensive care unit which have the same effect on arterial blood gasses as they optimize pH, PO2, PCO2, and HCO3, but the cough assist device helps in accelerating weaning of mechanical ventilator so as decrease the period of mechanical ventilator.

scholarly journals Effect of Cognitive Behavioral Therapy on Functional Outcomes in Patients with Stroke

2020 ◽  
Vol 11 (2) ◽  
pp. 2725-2730
Author(s):  
Abdul Allim Abdel Fattah Atteya ◽  
Ehab Shaker ◽  
Moataz Mohamed Talaat Elsemary ◽  
Hossam Mohammed Alsaid ◽  
Youssef Mohamed Elbalawy
Keyword(s):  
Physical Therapy ◽  
Upper Extremity ◽  
Functional Outcomes ◽  
Behavioral Therapy ◽  
Total Duration ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Behavioral Training ◽  
Therapy Program ◽  
Physical Therapy Program

Upper extremity impairment is a common motor deϑicit after a stroke, and 30– 60% of stroke sufferers have disability and inability to use their affected upper extremity in their daily lives. Stroke survivors with cognitive dysfunctions are most likely to be dependent in activities of daily living. Further deterioration is possible as a result of limitation in activities. Psychiatric problems are also common among stroke survivors. This may delay recovery process and further impair cognitive function due to adaptations to unhealthy lifestyles or noncompliance to rehabilitation. Cognitive behavioral training (CBT) increase blood supply to 20% of different brain areas, and facilitation of internancial neurons activity. Cognitive behavioral training (CBT) act as Incentive therapy focuses on active participation, self-esteem, motivational features such as score keeping, and competition. The ultimate objective of physiotherapy is for patients to return to full independence and their former occupations.The purpose of this study was to investigate the effect of cognitive behavioral training on functional outcomes in stroke patients.Forty stroke patients from both sexes participated in this study 20 patients for each group. Random distribution for patients to 2 groups; Group (A) exposed cognitive behavioral therapy for 60 min and selected physical therapy program for 30 min, every other day for 24 sessions, total duration of session (90 min). Control group (B) received the same selected physical therapy program for 60 min, every other day for 24 sessions total duration of session (60 min). Changing in affected upper extremity motor impairment were measured (Dash scale, Wolf scale and Jammar hand dynamometer). The result of our study was improvement of motor functions were signiϑicantly greater in the study group than the control group (p=0.0001).

Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: A randomized controlled trial

2021 ◽  
pp. 026921552110341
Author(s):  
Moussa A Sharaf ◽  
Soheir S Rezkallah ◽  
Khalid Z Fouda ◽  
Nevein MM Gharib
Keyword(s):  
Physical Therapy ◽  
Functional Disability ◽  
Controlled Trial ◽  
H Reflex ◽  
Study Group ◽  
Therapy Program ◽  
Reflex Latency ◽  
Postoperative Physical Therapy ◽  
Physical Therapy Program ◽  
And Control

Objective: To investigate whether adding neural mobilization to a standard postoperative physical therapy program could improve the outcomes of patients after lumbar laminectomy. Design: A single blinded randomized controlled trial. Setting: Outpatient setting. Participants: Sixty participants of both sexes who had undergone lumbar laminectomy. Interventions: Participants were allocated randomly to two groups; study and control groups. All patients received a standard postoperative physical therapy program. Those in the study group received additional neural mobilization in the form of straight leg raising and dorsiflexion with two-ended slider. Treatment was administered three times/week for six successive weeks. Outcome measures: Visual analog scale (VAS), Oswestry disability index (ODI), and H-reflex latency were measured pre and post-treatment. Results: The mean age of participants was 44.23 ± 4.64 and 45.3 ± 5.3 in study and control groups respectively ( P > 0.05). There were statistically significant differences in VAS, ODI, and H-reflex latency in favor of the study group ( P < 0.05). The mean ± SD for VAS, ODI, and H-reflex latency pre vs post treatment was 6.13 ± 1.22 vs 1.40 ± 0.77, 64.46 ± 4.05 vs 16.86 ± 2.55, and 32.07 ± 2.76 vs 27.46 ±1.79 in study group and 5.86 ± 1.07 vs 2.46 ± 0.73, 63.93 ± 3.91 vs 23.40 ± 2.93, and 31.76 ± 2.69 vs 29.4 ± 1.94 in control group, respectively. Conclusions: Neural mobilization combined with traditional physical therapy program achieved better improvement in pain, functional disability and H-reflex in patients who underwent decompressive laminectomy than traditional physical therapy program only.

Efficacy of high-intensity laser therapy on arthropathy of the hands in patients with systemic lupus erythematosus: a double-blinded, randomized controlled trial

2020 ◽  
Vol 34 (10) ◽  
pp. 1303-1312
Author(s):  
Nabil Mahmoud Abdel-Aal ◽  
Khadra Mohamed Ali ◽  
Hadaya Mosaad Eladl
Keyword(s):  
Physical Therapy ◽  
Lupus Erythematosus ◽  
Handgrip Strength ◽  
Control Group ◽  
Therapy Program ◽  
Joint Tenderness ◽  
High Intensity Laser ◽  
Physical Therapy Program ◽  
Double Blinded ◽  
Intensity Laser

Objective: To determine the efficacy of high-intensity laser therapy (HILT) on arthropathy of the hands in patients with systemic lupus erythematosus. Design: A double-blinded randomized, controlled study. Setting: Outpatient setting Participants: Fifty patients, 30–50-years-old, suffering from arthropathy of the hands were randomly assigned either into the experimental group, received HILT plus the routine physical therapy program or the control group, received sham HILT plus the same routine physical therapy program. Intervention: All treatment interventions were applied at a frequency of three sessions per week for eight weeks. Outcome measures: Handgrip strength, joints swelling counts, joints tenderness counts, visual analog scale (VAS) were measured before and after eight-weeks of interventions. Results: There were statistically significant differences in handgrip strength, joint swelling count, joint tenderness count and VAS in favor of the study group ( P < 0.05). After eight-weeks of intervention, the mean (SD) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 28.34 ± 8.3 kg, 4.4 ± 2.18, 5 ± 2.1, and 35.6 ± 13.87 mm in the study group, and 22.96 ± 8.76 kg, 7.36 ± 2.14, 9.08 ± 1.63, and 58.8 ± 10.54 mm in the control group, respectively. The MD (95%CI) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 5.38(0.53,10.23) kg, −2.96(−4.19, −1.73), −4.08(−5.15, −3.01), and −23.2(−30.2, −16.2) mm between groups, respectively. Conclusions: Adding HILT to the routine physical therapy program might be more effective than routine physical therapy program alone in improving handgrip strength, decreasing joint swelling counts, joint tenderness counts, and pain in patients with arthropathy of the hands.

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