scholarly journals DYNAMIC OF UPPER LIMB SENSORIMOTOR RECOVERY ASSESSED ON THE FUGL-MEYER SCALE IN POST-STROKE PATIENTS WITH NEGLECT SYNDROME RECEIVING COMBINED PHYSICAL THERAPY AND ERGOTHERAPY

2021 ◽  
Vol 74 (4) ◽  
pp. 849-855
Author(s):  
Yurii M. Dido ◽  
Olena A. Dulo
Keyword(s):  
Physical Therapy ◽  
Upper Limb ◽  
Intervention Program ◽  
Right Hemisphere ◽  
Balance Training ◽  
Clinical History ◽  
Fine Motor ◽  
Control Group ◽  
Neglect Syndrome ◽  
Sensorimotor Recovery

The aim: To assess the effect of the modified combined program of physical therapy and ergotherapy on the indicators of upper limb recovery in the patients with the left unilateral neglect. Materials and methods: The study involved 58 patients diagnosed with the right hemisphere stroke followed by neglect syndrome. Patients were randomly divided into main group (MG) and control group (CG) according to the ratio of 1:1. Physical therapy of CG patients included proprioceptive neuromuscular facilitation (PNF), balance training, ergotherapeutic intervention, and exercises improving fine motor skills. Specially developed intervention program of MG patients took into account patient’s individual capabilities and needs. It included PNF, balance training and upright posture correction, constraint-induced movement therapy, dual task activities, stimulation of the affected side in daily activities, targeted therapy. The length of intervention comprised 3 months in both groups. Results: According to the results of the primary examination, the groups had no differences in demographic variables, clinical history (NIHSS scale, the Glasgow Coma Scale and Albert’s Test) and Fugl-Meyer assessment of upper limb sensorimotor recovery. Statistical analysis of the final scores of the Fugl-Meyer scale confirmed that MG had statistical advantages in all measured items of the motor function domain, as well as in a number of proprioceptive sensitivity indicators. Conclusions: The obtained results confirm better efficacy of the modified program of physical therapy and ergotherapy, received by MG patients.

scholarly journals Preliminary Study on the Effect of an Early Physical Therapy Intervention after Sentinel Lymph Node Biopsy: A Multicenter Non-Randomized Controlled Trial

2021 ◽  
Vol 18 (3) ◽  
pp. 1275
Author(s):  
María Jesús Muñoz-Fernández ◽  
Esther M. Medrano-Sánchez ◽  
Beatriz Ostos-Díaz ◽  
Rocío Martín-Valero ◽  
Carmen Suárez-Serrano ◽  
...  
Keyword(s):  
Lymph Node ◽  
Physical Therapy ◽  
Sentinel Lymph Node ◽  
Sentinel Lymph Node Biopsy ◽  
Usual Care ◽  
Upper Limb ◽  
Lymph Node Biopsy ◽  
Control Group ◽  
Node Biopsy ◽  
Early Physical Therapy

Selective sentinel lymph node biopsy (SLNB) represents a minimally invasive surgery in patients with breast cancer. The purpose of this study was to explore the possible effect of an early physiotherapy intervention for the recovery of the upper limb and the surgical scars after SLNB in comparison with usual care. A total of 40 patients were enrolled in either the control group (n = 20) or the experimental group (n = 20). The intervention group performed an early physiotherapy program based on functional exercises, scar manual therapy, and educational tips. The control group received usual care. Shoulder range of motion (ROM), grip strength, upper limb pain and disability (SPADI), scar recovery (POSAS), myofascial adhesions (MAP-BC), quality of life (EORTCQLA-BR-23) and the presence of axillary web syndrome (AWS) and lymphoedema were assessed at baseline and immediately after intervention. A follow-up period of 6 months was performed for lymphoedema surveillance. Between groups significant differences in favor of the intervention were found for ROM (r = 0.43), grip strength (r = 0.32), SPADI (d = 0.45), POSAS (d = 1.28), MAP-BC (d = 1.82) and EORTCQLQ-BR 23 general function subscale (d = 0.37) (p < 0.05 for all variables). Our results suggest that an early physical therapy program seems to be more effective than usual care in women after SLNB. However, results should be interpreted with caution and future randomized trial with a larger sample size is needed.

scholarly journals Efectos de la meditación sobre el estrés académico en estudiantes de Licenciatura en Fisioterapia

2017 ◽  
Vol 13 (19) ◽  
pp. 97
Author(s):  
Nancy Elizet Gutiérrez Gómez ◽  
Josué Mauricio Becerra Cabrera ◽  
Miguel Ángel Martínez Camacho ◽  
María Carlota García Gutiérrez
Keyword(s):  
College Students ◽  
Physical Therapy ◽  
Intervention Program ◽  
Academic Stress ◽  
Control Group ◽  
Physical Therapy Students ◽  
Science Center ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Experimental Group

Introduction: Stress is one of the most common psychological disorders. In Mexico, a study of academic stress in college students found that a high percentage of students had experienced intense anxiety (73.4%). Research on physical therapy students at the Riphah Rehabilitation Science Center show that the prevalence of perceived stress is 88%.Meditation programs in college students had resulted beneficial for the management of stress, depression and anxiety. Objective: To determine the effects of meditation on academic stress in first semester students of the degree in physiotherapy of the Autonomous University of Querétaro. Methodology: Quasi-experimental study. Participants: Thirty-six firstsemester students of the physiotherapy degree from the Autonomous University of Querétaro, a control group of 17 students and 19 in the experimental group. The experimental group was intervened for 8 weeks with guided meditation sessions with duration of 20 to 25 minutes from Monday to Friday. Both control and experimental groups were evaluated through the Academic Stress Inventory before and after the intervention program. Results: There is a significant reduction in stress levels using meditation in the experimental group (p = 0.0002). For the control group, no significant difference was found in stress p = 0.093. Conclusion: An 8-week meditation program has healthy effects on the academic stress of undergraduate physical therapy students.

Effect of augmented biofeedback for improvement of range of motion and upper extremity functionality in obstetric brachial plexus injury: a randomised control trial

2020 ◽  
Vol 27 (3) ◽  
pp. 1-11
Author(s):  
Reham Saeed Alsakhawi ◽  
Azza Mohamed Atya
Keyword(s):  
Physical Therapy ◽  
Brachial Plexus ◽  
Range Of Motion ◽  
Upper Limb ◽  
Brachial Plexus Injury ◽  
Control Group ◽  
Functional Activities ◽  
Obstetric Brachial Plexus ◽  
Therapy Programme ◽  
Obstetric Brachial Plexus Injury

Background/Aims The loss of mobility and functional activities of the upper limb are the main longstanding complications of obstetric brachial plexus injury. The aim of this study was to investigate the effect of the augmented biofeedback system in conjunction with traditional physical therapy on the range of motion and functional activities in children with obstetric brachial plexus injury. Methods A total of 45 children aged from 6 to 10 years with obstetric brachial plexus injury were assigned into two groups. The control group received a traditional physical therapy programme, and the study group received the same programme with augmented biofeedback for 6 weeks. The main outcome parameters were the upper limb active range of motion, Mallet scale and Active Movement scale. Results The children in the study group showed greater significant improvement in all measured parameters compared with those in the control group. Conclusions Adding augmented biofeedback to the physical therapy programme provided greater improvement in upper limb mobility and functional activities for children with obstetric brachial plexus injury children.

scholarly journals Intervenção psicomotora para estímulo do desenvolvimento motor de escolares de 8 a 10 anos

2017 ◽  
Vol 19 (2) ◽  
pp. 150
Author(s):  
Adriano Zanardi da Silva ◽  
Fernando Lucas Hara Pereira ◽  
Guilherme Mincewicz ◽  
Luize Bueno de Araujo ◽  
Ana Tereza Bittencourt Guimarães ◽  
...  
Keyword(s):  
Physical Education ◽  
Motor Development ◽  
School Environment ◽  
Intervention Program ◽  
Fine Motor ◽  
Control Group ◽  
Social Transformations ◽  
The Public ◽  
The Family ◽  
The Moment

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n2p150 The human being does not have static development throughout life. From conception to death, there are physical, psychological, social transformations and modifications, being vulnerable to restrictions. Interventions seek to reduce the effects of these restrictions, as children and adolescents are influenced by impoverished motor experiences in the family and school environment. The aim of this study was to evaluate the effects of an intervention program on 8-10-year-old schoolchildren in the public school system of Matinhos/PR, Brazil. Ninety-one 8-10-year-old schoolchildren from the 3rd, 4th and 5th grades were evaluated by the Motor Development Scale (MDS). Fifty-four of them presented risk of delay. Of these, 27 who performed weekly physical education classes were randomized into Control Group (CG), and 27 (Experimental Group - EG) to a psychomotor intervention program twice a week for four weeks. After interventions, EG and CG were reassessed. In the analysis of the General Motor Quotient (GMQ), it was verified that in all grades, EG presented a significant increase compared to the moment of evaluation, which was not observed among children in the CG. There was a significant increase in the averages in the reevaluation of CG and GE, however, EG presented significant differences in the Fine Motor and Balance dimensions. Intervention improved GMQ, Fine Motor and Balance compared to traditional Physical Education class.

scholarly journals Use of Visual Feedback in Retraining Balance Following Acute Stroke

2000 ◽  
Vol 80 (9) ◽  
pp. 886-895 ◽  
Author(s):  
Catherine Walker ◽  
Brenda J Brouwer ◽  
Elsie G Culham
Keyword(s):  
Physical Therapy ◽  
Acute Stroke ◽  
Visual Feedback ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Therapy Group ◽  
Relative Effectiveness ◽  
Balance Training ◽  
Control Group ◽  
Balance Ability

Abstract Background and Purpose. Visual feedback related to weight distribution and center-of-pressure positioning has been shown to be effective in increasing stance symmetry following stroke, although it is not clear whether functional balance ability also improves. This study compared the relative effectiveness of visual feedback training of center-of-gravity (CoG) positioning with conventional physical therapy following acute stroke. Subjects. Forty-six people who had strokes within 80 days before the study, resulting in unilateral hemiparesis, and who were in need of balance retraining participated. Methods and Materials. Initially, subjects were randomly assigned to visual feedback or conventional physical therapy groups for balance retraining until 16 subjects per group were recruited. The next 14 subjects were assigned to a control group. All subjects received physical therapy and occupational therapy (regular therapy) 2 hours a day, and subjects in the 2 experimental groups received additional balance training 30 minutes a day until discharge. The visual feedback group received information about their CoG position as they shifted their weight during various activities. The conventional therapy group received verbal and tactile cues to encourage symmetrical stance and weight shifting. Static (postural sway) and activity-based measures of balance (Berg Balance Scale, gait speed, and the Timed “Up & Go” Test) were contrasted across the 3 groups at baseline, at discharge, and at 1 month following discharge using an analysis of variance for repeated measures. Results. All groups demonstrated marked improvement over time for all measures of balance ability, with the greatest improvements occurring in the period from baseline to discharge. No between-group differences were detected in any of the outcome measures. Conclusion and Discussion. Visual feedback or conventional balance training in addition to regular therapy affords no added benefit when offered in the early stages of rehabilitation following stroke.

scholarly journals The Effect of Progressive Dynamic Balance Training on Physical Function, The Ability to Balance and Quality of Life Among Elderly Women Who Underwent a Total Knee Arthroplasty: A Double-Blind Randomized Control Trial

2021 ◽  
Vol 18 (5) ◽  
pp. 2513
Author(s):  
Heon-Gyu Lee ◽  
Jungae An ◽  
Byoung-Hee Lee
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Physical Function ◽  
Dynamic Balance ◽  
Balance Training ◽  
Summary Score ◽  
Control Group ◽  
Sf 36 ◽  
Total Knee

Total knee arthroplasty (TKA) is used to treat end-stage osteoarthritis. However, this surgical procedure affects the mechanical receptor function and impairs the ability to balance. Dynamic balance training has been reported to improve stability and self-confidence and safely yield increased physical activity. This study aimed to investigate the effect of dynamic balance training on physical function, the ability to balance and quality of life among patients who underwent TKA. Thirty-eight participants were assigned to either the progressive dynamic balance training (PDBT) with physical therapy group (n = 19) or the control group (n = 19). The experimental group undertook a dynamic balance program with physical therapy for 30 minutes per day, five times per week for six weeks, while the control group undertook physical therapy only. A continuous passive motion exercise was performed for 20 minutes after training by both groups. The outcomes were evaluated using the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, pain pressure threshold (PPT), range of motion (ROM), Knee Outcome Survey-Activities of Daily Living (KOS-ADLS), Multifunction Force Measuring Plate, timed up and go (TUG) test and Short-Form Health Survey 36 (SF-36). Physical function (WOMAC Osteoarthritis Index, ROM and KOS-ADLS score) and the ability to balance (TUG test score, confidence ellipse area, path length and average velocity) significantly improved (p < 0.05) in the experimental group compared with the control group. In contrast, the physical component summary score for the SF-36 regarding quality of life significantly improved (p < 0.05); however, the mental component summary score for the SF-36 and PPT did not significantly differ between the groups. Therefore, we suggest that PDBT with physical therapy has positive effects on physical function, the ability to balance and quality of life among patients who underwent TKA.

Infant Stimulation Curriculum for Infants With Cerebral Palsy: Effects on Infant Temperament, Parent-Infant Interaction, and Home Environment

PEDIATRICS ◽  
1990 ◽  
Vol 85 (3) ◽  
pp. 411-415
Author(s):  
Frederick B. Palmer ◽  
Bruce K. Shapiro ◽  
Marilee C. Allen ◽  
Barbara S. Mosher ◽  
Stacey A. Bilker ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Home Environment ◽  
Intervention Program ◽  
Test Group ◽  
Infant Temperament ◽  
Control Group ◽  
Spastic Diplegia ◽  
Systematic Effect ◽  
Contrast Group

To assess the effects of intervention in cerebral palsy, 48 infants 12 to 19 months of age, with mild to severe spastic diplegia, were randomly assigned to receive either 6 months of infant stimulation followed by 6 months of physical therapy (test group) or 12 months of neurodevelopmental physical therapy (contrast group). The infant stimulation protocol consisted of cognitive, motor, sensory, and language activities. Outcome was assessed after 12 months by using Carey Infant Temperament Questionnaire subscores (activity, rhythmicity, adaptability, approach, threshold, intensity, mood, distractibility, and persistence); Roth Mother-Child Relationship Evaluation subscores (acceptance, overprotection, overindulgence, rejection); and Home Observation for Measurement of the Environment subscores (maternal responsiveness, avoidance of restriction and punishment, organization of environment, play materials, maternal involvement, and variety of daily stimulation). Motor and cognitive outcomes suggesting advantage for the test group have been reported previously. After 12 months of intervention, mothers with infants in the contrast group showed a greater improvement in emotional and verbal responsiveness as measured by the Home Observation for Measurement of the Environment (mean score change in control group = 1.2, test group = 0.3 P &lt; .04). None of the 19 other measures differed significantly between treatment groups in change from baseline. This study demonstrates no short-term systematic effect on temperament, maternal-infant interaction, or home environment attributable to the inclusion of an infant stimulation curriculum in an intervention program for infants with spastic diplegia. It suggests that motor and cognitive advantages associated with infant stimulation are not mediated by measurable changes in the psychosocial variables studied.

Reducing the Social Stigma Associated with Obsessive Compulsive Disorder: A Controlled Trial of an Intervention Program in a Turkish Community Sample

2020 ◽  
Vol 20 (2) ◽  
pp. 101-120
Author(s):  
Ayça Aktaç Gürbüz ◽  
Orçun YORULMAZ ◽  
Gülşah DURNA
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Intervention Program ◽  
Controlled Trial ◽  
Community Sample ◽  
Case Vignette ◽  
Control Group ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Significant Difference ◽  
The Impact

Scientific research into the reduction of stigmatization, particularly related to specific problems such as Obsessive-Compulsive Disorder (OCD), is scarce. In the present study, we examine the impact of a video-based antistigma intervention program for OCD in a pretest-posttest control group research. After being randomly assigned to either an intervention (n= 101) or control group (n= 96), the participants reported their attitudes on a hypothetical case vignette before and after OCD vs. Multiple Sclerosis (MS) videos, and again six months later as a follow up assessment. The mixed design analyses for the group comparisons indicated that although there was no significant difference in the measures of the control group, the participants watching the anti-stigma OCD video, in which the focus was psychoeducation and interaction strategies, reported significantly lower scores on social distances and negative beliefs for the case vignettes they read, and this difference was maintained six months later. Then, the present results indicate the effectiveness of our anti-stigma intervention program for OCD. Interventions to reduce stigmatization can also be viewed as effective tools for changing the attitudes of people toward OCD, although further research and applications are needed related to specific disorders if a longlasting impact is to be achieved.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

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