EFFECT OF VIBRATION STIMULUS ON SPASTICITY IN POST STROKE HEMIPLEGIC PATIENTS

2021 ◽  
pp. 27-29
Author(s):  
Sharma Satish ◽  
Sharma Jitendra ◽  
Garg Sudhir
Keyword(s):  
Lower Limb ◽  
Quadriceps Muscle ◽  
Control Group ◽  
Physical Treatment ◽  
Exact Test ◽  
Post Stroke ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Ashworth Scale ◽  
Better Than

Physical treatment such as vibration has been proposed as possible non-pharmacological way to control spasticity. The aim of the study was 1) can a selective vibration of the lower limb Dorsiexors of foot and quadriceps, reduce the spasticity of the plantar exors and hamstrings muscle; 2) is vibrations association with physiotherapy better than physiotherapy alone in reducing spasticity. This was a Pre Post study design wherein all the patients were taken from OPD in Govt. Medical College & Hospital, Sector 32 Chandigarh, India. Atotal of Sixty post stroke hemiplegic patients were taken for the study. Method. (VIB + PT) group A received physiotherapy plus vibration by means of a hand held vibrator applied over the belly of the Dorsiexors of leg and belly of Quadriceps muscle of the spastic side (contact surface 2 cm2; frequency 100 Hz; amplitude 2 mm; mean pressure 250 mBar). Control group B received conventional physiotherapy treatment alone. Both groups had 45 minutes of physiotherapy including Bobath therapy, muscle lengthening stretching exercises for 5 days a week for 2 weeks.Main Outcome Measure was Spasticity measurement by Modied Ashworth scale for both the groups before starting treatment and after the end of 2 weeks. Results: Fisher's exact test showed a statistically non signicant improvements in the (VIB + PT) group (p≥0.05) compared to in the (PT) group after 2 weeks of treatment for the Modied Ashworth scale. AlthoughStuart Maxwell Test showed that there was a statistically signicant difference within Group A i.e. Vibration plus Conventional physiotherapy with (p≤0.05) Conclusion. 1) 100 Hz vibration applied to the Dorsiexors of foot and Quadriceps muscle of a spastic lower limb in association with physiotherapy is able to reduce the spasticity of the exor agonist i.e. plantar exors and hamstrings 2) this association is not better than physiotherapy alone in controlling spasticity. Clinical Rehabilitation Impact :100 Hz antagonist muscle vibration, a non-pharmacological treatment, can help physiotherapy to reduce exors spasticity in the rehabilitation of lower limb spasticity.

Effects of robot-(Morning Walk®) assisted gait training for patients after stroke: a randomized controlled trial

2018 ◽  
Vol 33 (3) ◽  
pp. 516-523 ◽  
Author(s):  
JaYoung Kim ◽  
Dae Yul Kim ◽  
Min Ho Chun ◽  
Seong Woo Kim ◽  
Ha Ra Jeon ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Lower Limb ◽  
Controlled Trial ◽  
Gait Training ◽  
Berg Balance Scale ◽  
Control Group ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Scale Scores ◽  
Conventional Physiotherapy

Objective: To investigate the effects of Morning Walk®–assisted gait training for patients with stroke. Design: Prospective randomized controlled trial. Setting: Three hospital rehabilitation departments (two tertiary and one secondary). Patients: We enrolled 58 patients with hemiparesis following a first-time stroke within the preceding year and with Functional Ambulation Category scores ⩾2. Intervention: The patients were randomly assigned to one of two treatment groups: 30 minutes of training with Morning Walk®, a lower limb rehabilitation robot, plus 1 hour of conventional physiotherapy (Morning Walk® group; n = 28); or 1.5 hour of conventional physiotherapy (control group; n = 30). All received treatment five times per week for three weeks. Main outcome measurements: The primary outcomes were walking ability, assessed using the Functional Ambulation Category scale, and lower limb function, assessed using the Motricity Index-Lower. Secondary outcomes included the 10 Meter Walk Test, Modified Barthel Index, Rivermead Mobility Index, and Berg Balance Scale scores. Results: A total of 10 patients were lost to follow-up, leaving a cohort of 48 for the final analyses. After training, all outcome measures significantly improved in both groups. In Motricity Index-Lower of the affected limb, the Morning Walk® group (∆mean ± SD; 19.68 ± 14.06) showed greater improvement ( p = .034) than the control group (∆mean ± SD; 11.70 ± 10.65). And Berg Balance Scale scores improved more ( p = .047) in the Morning Walk® group (∆mean ± SD; 14.36 ± 9.01) than the control group (∆mean ± SD; 9.65 ± 8.14). Conclusion: Compared with conventional physiotherapy alone, our results suggest that voluntary strength and balance of stroke patients with hemiparesis might be improved with Morning Walk®–assisted gait training combined with conventional physiotherapy.

The Effects of Recombinant Human Granulocyte–Macrophage Colony-Stimulating Factor Gel on Third-Degree Frostbite Wounds in Northeastern China: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Xiu-Hang Zhang ◽  
Chang-Lei Cui ◽  
Hao-Yue Zhu ◽  
Jian Wang ◽  
Yan Xue ◽  
...  
Keyword(s):  
Bacterial Culture ◽  
Controlled Trial ◽  
Healing Time ◽  
Control Group ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Exact Test ◽  
Positive Effects ◽  
Positive Bacterial Culture ◽  
Better Than

Abstract The aim of the study was to investigate the effects of the rhGM-CSF gel on third-degree frostbite wounds. Sixty-two patients who had suffered third-degree frostbite on their hand or foot (91 wounds in total) were selected using a convenience sampling method and randomly allocated to two groups: the rhGM-CSF group(31patients,45 frostbite wounds) received the rhGM-CSF gel when wound dressing change daily; however, the control group (31patients, 46 frostbite wounds) received aloe glue. The wound healing time, the score of inflammation about the wound and the positive bacterial culture of wound secretions were used to measure outcomes, respectively. Data were analyzed using SPSS (25.0), Student’s t test or Mann–Whitney U test and chi-square test or Fisher exact test were selected, as appropriate. The healing time of the rhGM-CSF group was (12.2 ± 5.0) days, which was significantly shorter than that of the control group (15.5 ± 4.7) days (P < .0001). The rhGM-CSF group’s wound inflammation scores on the 7th and 14th day of treatment were (0.96 ± 0.21) and (1.88 ± 0.29), respectively, which were better than those of the control group (1.12 ± 0.24) and (1.38 ± 0.15) (both P < .0001). The positive bacterial culture of wound secretions in the rhGM-CSF group was also better than that in the control group on the 3rd, 7th, and 14th day after treatment (P = .027, .004, .030, respectively). According to the results, using rhGM-CSF gel considerably increases the speed of frostbite wounds healing, and have an effect on protecting third-degree frostbite wounds regarding the positive effects. Trial Registration: This trial was registered in the Chinese Clinical Trial Register, ChiCTR1900021299.

FOREARM BAND VERSUS ELBOW TAPING: AS A MANAGEMENT OF LATERAL EPICONDYLITIS

2013 ◽  
Vol 16 (01) ◽  
pp. 1350003 ◽  
Author(s):  
Shaji John Kachanathu ◽  
Smriti Miglani ◽  
Deepak Grover ◽  
Abdul R Zakaria
Keyword(s):  
Grip Strength ◽  
Total Duration ◽  
Lateral Epicondylitis ◽  
Functional Independence ◽  
Functional Improvement ◽  
Control Group ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Group B ◽  
Taping Technique

Purpose: There are several treatments available for the management of lateral epicondylitis, but there is a dearth of clinical trials compared to the efficacy of a forearm band over supportive elbow taping technique as an adjunct measure in the management of lateral epicondylitis. Materials and Methods: Totally 45 subjects with the mean age of 30±5 years diagnosed with lateral epicondylitis participated in the study based upon inclusion and exclusion criteria. Subjects were randomly allocated to three groups (n = 15 in each); Group-A (forearm band), Group-B (elbow taping) and Group-C (control), provided with a forearm band, supportive elbow taping technique and as a control group, respectively, although all groups received the conventional physiotherapy in addition to these adjunct measures. The outcome measurements included pain-free grip strength and functional improvement, assessed by using hand-held dynamometer and patient-rated forearm evaluation questionnaire (PRFEQ), respectively. Total duration of study was four weeks. Results: Although all the groups showed improvement with respect to increase in the pain-free grip strength and enhancement of functional independence, however, Group-A has shown the maximum improvement followed by Group-B which in turn proved to be more effective than conventional physiotherapy alone. Conclusion: The application of the forearm band produced a significant increase in the grip strength and function as compared to the elbow taping and control groups. The study implies the potential use of a forearm band in the future in addition to the conventional therapy in the management of patients with lateral epicondylitis.

scholarly journals Dietary Blueberry and Bifidobacteria Attenuate Nonalcoholic Fatty Liver Disease in Rats by Affecting SIRT1-Mediated Signaling Pathway

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Tingting Ren ◽  
Chao Huang ◽  
Mingliang Cheng
Keyword(s):  
Liver Disease ◽  
Fatty Liver ◽  
Signaling Pathway ◽  
Lipid Accumulation ◽  
Fatty Liver Disease ◽  
Control Group ◽  
Nonalcoholic Fatty Liver ◽  
Blueberry Juice ◽  
Group A ◽  
Better Than

NAFLD model rats were established and divided into NAFLD model (MG group), SIRT1 RNAi (SI group), blueberry juice (BJ group), blueberry juice + bifidobacteria (BJB group), blueberry juice + SIRT1 RNAi (BJSI group), and blueberry juice + bifidobacteria + SIRT1 RNAi groups (BJBSI group). A group with normal rats was a control group (CG). BJB group ameliorated NAFLD, which was better than BJ group (P<0.05). The lipid accumulation was lower in CG, BJ, and BJB groups than that in MG, SI, BJSI, and BJBSI groups (P<0.05). The levels of SIRT1 and PPAR-αwere higher in CG, BJ, and BJB groups than those in MG, SI, BJSI, and BJBSI groups (P<0.05). The levels of SREBP-1c were lower in CG, BJ, and BJB groups than those in MG, SI, BJSI, and BJBSI groups (P<0.05). The biochemical indexes SOD, GSH, and HDL-c were improved from CG to BJB group (P<0.05). Inversely, the levels of AST and ALT, TG, TC, LDL-c, and MDA were decreased from CG to BJB group (P<0.05). These changes enhance antioxidative capability and biochemical index of rats. Blueberry juice and bifidobacteria improve NAFLD by activating SIRTI-mediating signaling pathway.

scholarly journals EFEKTIVITAS STRATEGI PEMBERIAN UMPAN BALIK TERHADAP KINERJA PRAKTIKUM MAHASISWA D-3 JURUSAN TEKNIK ELEKTRONIKA

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Sapto Haryoko
Keyword(s):  
Performance Assessment ◽  
Delayed Feedback ◽  
T Test ◽  
Control Group ◽  
Immediate Feedback ◽  
Control Group Design ◽  
Treatment Groups ◽  
Group Design ◽  
Group A ◽  
Better Than

Abstract: Effectiveness of the Feedback Providing Strategies on the PracticumPerformance of the Students of the Diploma Three (D-3) of the ElectronicEngineering Department. This study aims to investigate the effectiveness of thefeedback providing strategies (immediate feedback and delayed feedback) onstudents’ performance in the Electronics lab course. This study was anexperiment employed a posttest-only control group design. The subjects werestudents of the Diploma Three (D-3) Program of the Electronic EngineeringDepartment of FT UNM, divided into two treatment groups. Group A,consisting of 20 students, received the treatment of the immediate feedback andGroup B, consisting of 19 students, received the treatment of delayed feedback.The data on the students’ mastery of lab materials were collected throughobservations using a performance assessment form. The data were analyzedusing the t-test. The results showed that the practicum performance of thestudents receiving immediate feedback was better than that of the studentsreceiving delayed feedback. Keywords: immediate feedback, delayed feedback, students’ practicum performance

scholarly journals Effectiveness of Radial Extracorporeal Shock Wave Therapy and Visual Feedback Balance Training on Lower Limb Post-Stroke Spasticity, Trunk Performance, and Balance: A Randomized Controlled Trial

2021 ◽  
Vol 11 (1) ◽  
pp. 147
Author(s):  
Emanuela Elena Mihai ◽  
Ilie Valentin Mihai ◽  
Mihai Berteanu
Keyword(s):  
Outcome Measures ◽  
Visual Feedback ◽  
Lower Limb ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Balance Training ◽  
Extracorporeal Shock Wave Therapy ◽  
Post Stroke ◽  
Extracorporeal Shock Wave ◽  
Conventional Physiotherapy

Stroke remains one of the leading causes of disability in adults, and lower limb spasticity, affected stance, and balance impact everyday life and activities of such patients. Robotic therapy and assessment are becoming important tools to clinical evaluation for post-stroke rehabilitation. The aim of this study was to determine in a more objective manner the effects of visual feedback balance training through a balance trainer system and radial extracorporeal shock wave therapy (rESWT), along with conventional physiotherapy, on lower limb post-stroke spasticity, trunk control, and static and dynamic balance through clinical and stabilometric assessment. The study was designed as a randomized controlled trial. The experimental group underwent conventional physiotherapy, visual feedback balance training, and rESWT. The control group underwent conventional physiotherapy, visual feedback training and sham rESWT. The statistical analysis was performed using GraphPad Software and MATLAB. Primary clinical outcome measures were The Modified Ashworth Scale (MAS), passive range of motion (PROM), Visual Analogue Scale (VAS), and Clonus score. Secondary outcome measures were trunk performance, sensorimotor, and lower limb function. Stabilometric outcome measures were trunk control, static balance, and dynamic balance. Visual feedback training using the Prokin system and rESWT intervention, along with conventional physiotherapy, yielded statistically significant improvement both on clinical and stabilometric outcome measures, enhancing static and dynamic balance, trunk performance, sensorimotor outcome, and limb function and considerably diminishing lower limb spasticity, pain intensity, and clonus score in the experimental group.

scholarly journals Biomechanical Control of Paretic Lower Limb During Imposed Weight Transfer in Individuals Post-Stroke

2020 ◽  
Author(s):  
Hao-Yuan Hsiao ◽  
Vicki L Gray ◽  
James Borrelli ◽  
Mark W Rogers
Keyword(s):  
Lower Limb ◽  
Center Of Pressure ◽  
Weight Bearing ◽  
Center Of Mass ◽  
Step Test ◽  
Control Group ◽  
Post Stroke ◽  
Paretic Limb ◽  
Four Square ◽  
Weight Transfer

Abstract Background: stroke is a leading cause of disability with associated hemiparesis resulting in difficulty bearing and transferring weight on to the paretic limb. Difficulties in weight bearing and weight transfer may result in impaired mobility and balance, increased fall risk, and decreased community engagement. Despite considerable efforts aimed at improving weight transfer after stroke, impairments in its neuromotor and biomechanical control remain poorly understood. In the present study, a novel experimental paradigm was used to characterize differences in weight transfer biomechanics in individuals with chronic stroke versus able-bodied controls. Methods: fifteen participants with stroke and fifteen age-matched able-bodied controls participated in the study. Participants stood with one foot on each of two custom built platforms. One of the platforms dropped 4.3 cm vertically to induce lateral weight transfer and weight bearing. Paretic lower extremity joint kinematics, vertical ground reaction forces, and center of pressure velocity were measured. All participants completed the clinical Step Test and Four-Square Step Test. Results: reduced paretic ankle, knee, and hip joint angular displacement and velocity, delayed ankle and knee inter-joint timing, and altered center of pressure (COP) and center of mass control were exhibited in the stroke group compared to the control group. In addition, paretic COP velocity stabilization time during induced weight transfer predicted Four-Square Step Test scores in individuals post-stroke. Conclusions: the induced weight transfer approach identified stroke-related abnormalities in the control of weight transfer towards the paretic limb side compared to controls. Decreased joint flexion of the paretic ankle and knee, altered inter-joint timing, and altered COP and center of mass control appear to limit rapid lower limb loading ability. Future work will investigate the potential of improving functional weight transfer through induced weight transfer training exercise.

scholarly journals Relationship between Thyroid Hormone Levels and Crime Type: A Controlled Study in Prisoners

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Hasan Acar ◽  
Ayse Ulgen
Keyword(s):  
Thyroid Hormone ◽  
Thyroid Stimulating Hormone ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Chi Square ◽  
Exact Test ◽  
Hormone Levels ◽  
Male Volunteers ◽  
Group A

Various factors cause aggression, which can be related to imbalance of T3 and T4 hormones, which can act as neurotransmitters and are reported to be elevated during aggression. This indicates changes in the hypothalamic-pituitary-thyroid axis that cause long-term changes in aggressive behaviour, especially in criminals. Moreover, mental and behavioural disorders possibly occur in individuals with impairment in thyroid hormone balance. The main rationale for this study was to asses if high T3, high T4, and low TSH hormones may have an effect on aggression-related crime tendency. Furthermore, the study aimed to measure levels of thyroid hormones in prisoners and to examine relationships of the hormone levels with crime rates. Our study was conducted in Ankara Sincan Closed Prisons. The study group consisted of 208 male volunteers who were imprisoned and the control group included 82 male volunteers who were not imprisoned. Prisoners in the study group were divided into two groups: those who committed aggression-related crime (Group A, n = 96) and prisoners convicted of other crimes (Group B, n = 112). Pulse rates, T3, T4, and thyroid-stimulating hormone (TSH) levels, and theT3/T4 ratio were measured in these prisoners. Data were analysed using the Wilcoxon rank sum test and chi-square Fisher’s exact test to test for any statistically significant differences. Results showed that toxic goitre rates, T3 and T4 values, and pulse rates were significantly higher in Group A than in the control group. Significant increase in T3 and T4 levels and the presence of toxic goitre were associated with aggression-related crime. These examinations should be performed on prisoners in general, especially those convicted of violent crimes. Additional rehabilitation and research programs should also be developed for such patients.

Pelvic vein incompetence influences pain levels in patients with lower limb varicosity

2010 ◽  
Vol 25 (4) ◽  
pp. 179-183 ◽  
Author(s):  
G Asciutto ◽  
A Mumme ◽  
K C Asciutto ◽  
B Geier
Keyword(s):  
Pelvic Pain ◽  
Lower Limb ◽  
Standing Position ◽  
Leg Pain ◽  
Control Group ◽  
Pain Level ◽  
Pelvic Vein ◽  
Median Level ◽  
Group A ◽  
Group B

Purpose To detect the influence of pelvic vein incompetence (PVI) on pain levels in patients with varicosity of the lower limb. Materials and methods Women of child-bearing age with symptomatic primary or recurrent varicosity of the greater saphenous vein (GSV) were prospectively included in two groups depending on the presence or absence of phlebographic signs of PVI. Pain assessment was carried out with the help of a visual analogue scale (VAS). Results Forty women were included in the study. Nineteen of them had phlebographic evidence of PVI (group A), whereas 21 were included in the control group (group B). Patients of group A reported a higher median total pain level than patients of group B (group A median 62, range 25–100; group B median 32, range 0–100; P = 0.001). In group A, patients experienced a median level of pain of 67.2 at the lower limb in the standing position (range 40–100) versus a median of 50.3 (range 36–81) in patients of group B ( P = NS). The median level of leg pain in the sitting position was 41.2 (range 0–67) in patients of group A and 38.1 (range 0–46) in women of group B ( P = NS). Pelvic pain level in the standing position was higher ( P = NS) in patients of group A (median 72.2, range 50–91), than in women of group B (median 20.1, range 0–41). In patients of group A, statistically significant ( P = 0.0001) higher VAS scores for pelvic pain level in sitting (group = A median 67.2, range 59–71; group B median 18.1 range 0–35) were reported. Conclusions In a small population of patients with GSV varicosity, overall pain levels were significantly higher in a subgroup of patients with phlebographic signs of PVI. This finding suggests that the presence of PVI might influence the intensity of varicosity symptoms.

scholarly journals Early predictors and prevention for post-stroke epilepsy: changes in neurotransmitter levels

2016 ◽  
Vol 7 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Wen-Jing Xie ◽  
Ming Dong ◽  
Qun Liu ◽  
Hong-Mei Meng
Keyword(s):  
High Performance ◽  
Venous Blood ◽  
Acid Group ◽  
Control Group ◽  
Stroke Severity ◽  
Post Stroke ◽  
Early Predictors ◽  
Group A ◽  
Stroke Type ◽  
Cerebrovascular Insult

AbstractBackground: The purpose of this study was to identify predictors and preventative treatments for post-stroke epilepsy (PSE). Methodology: Eighty-four patients who had suffered a cerebrovascular insult (within 72 hours) were recruited and divided into two groups: an EP group (patients with seizures after stroke) and a NEP group (patients without seizures after stroke). The NEP group was then subdivided into three groups: a control group, a GABA (γ-aminobutiric acid) group (received GABA orally), and a CCB group (received calcium channel blocker nimodipine orally). Patient groups were compared by gender, age, past medical history, stroke type, number of lesions, and position and stroke severity (using Scandinavian stroke scale, SSS). Forearm venous blood was sampled, and high performance liquid chromatography (HPLC) was used to measure plasma levels of neurotransmitters and Ca

Sign in / Sign up

Export Citation Format

Share Document