Study regarding the importance of preoperative physical therapy in functional recoveryafter meniscectomy

SPORT AND SOCIETY ◽

10.36836/2020/1/5 ◽

2020 ◽

pp. 1-10

Author(s):

Sergiu Solomon-Partac

Keyword(s):

Physical Therapy ◽

Muscle Strength ◽

Functional Recovery ◽

Knee Injury ◽

Joint Mobility ◽

Preoperative Period ◽

Meniscal Lesions ◽

Group 5 ◽

Recovery Program ◽

Meniscus Injuries

The aim of this study is to highlight the role that physical therapy plays in the preoperative period in terms of functional recovery of patients with meniscus injuries that require surgery, this being related to regaining muscle strength and regaining joint mobility, an important aspect being reflected in the functional re-education and gait re-education. The study was conducted on a group of 20 subjects, consisting of 10 men and 10 women, divided in 2 groups, each group consisted in 5 men and 5 women, aged between 32 and 46 years. They suffered a knee injury that resulted in meniscal lesions, receiving the recommendation of surgery, as well as the recommendation to follow both preoperatively and postoperatively recovery program. Only 10 patients of 20 (1st group-5 men and 5 women) followed a preoperative kinetic program. The results highlight the benefits of practicing preoperative physical therapy in patients with meniscectomy.

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Ultrasonic evaluation of muscle functional recovery following free functioning gracilis transfer, a preliminary study

European Journal of Medical Research ◽

10.1186/s40001-020-00473-8 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Yi Hou ◽

Jiantao Yang ◽

Bengang Qin ◽

Liqiang Gu ◽

Jia Zheng

Keyword(s):

Muscle Strength ◽

Functional Recovery ◽

Linear Regression Analysis ◽

Gracilis Muscle ◽

Ultrasound Measurement ◽

Multivariate Linear Regression Analysis ◽

Joint Mobility ◽

Post Transplant ◽

Rest State ◽

Contraction Ratio

Abstract Background Ultrasonic measurement has not been utilized to assess the functional recovery of transplanted muscle. This study aimed to investigate the feasibility of using B-ultrasound measurement to assess muscle recovery following free functioning gracilis transfer. Methods From January 2009 to January 2014, 35 patients receiving free functioning gracilis transfer to treat total brachial plexus injury were enrolled. B-ultrasound was adopted to determine the cross-sectional area (CSA) of transplanted gracilis muscle at rest and contraction state. The ratio of pre- to post-transplant CSA value at rest state was defined as muscle bulk ratio (MBR). The ratio of CSA value at contraction state to rest state was defined as contraction ratio (CR). Results Patients with muscle strength M ≥ 4 had significantly higher CR1 (post-transplant), CR2 (pre-transplant), and range of motion (ROM, joint mobility) than those with muscle strength M < 4. The CR1 > CR2 group had significantly higher CR1, muscle strength, and ROM than the CR1 ≤ CR2 group. The MBR > 1 group had significantly higher muscle strength than the MBR ≤ 1 group. CR1 value was highly correlated with muscle strength and with ROM. CR2 value was moderately correlated with muscle strength and ROM. Multivariate linear regression analysis showed that a higher CR1/CR2 value was associated with a higher muscle strength and joint mobility. The CR1 > CR2 group had better muscle strength and ROM than the CR1 ≤ CR2 groups. Conclusion B-ultrasound measurement can quantitatively reflect muscle strength following gracilis transfer, and CR value could be a potential indicator for functional recovery of the transplanted gracilis muscle. Level of Evidence: Prognostic studies, Level II.

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Ultrasonic Evaluation of Muscle Recovery Following Free Functioning Gracilis Transfer, A Preliminary Study

10.21203/rs.3.rs-83171/v1 ◽

2020 ◽

Author(s):

Yi Hou ◽

Jiantao Yang ◽

Bengang Qin ◽

Liqiang Gu ◽

Jia Zheng

Keyword(s):

Muscle Strength ◽

Functional Recovery ◽

Gracilis Muscle ◽

Ultrasound Measurement ◽

Multivariate Linear Regression Analysis ◽

Joint Mobility ◽

Muscle Recovery ◽

Post Transplant ◽

Rest State ◽

Contraction Ratio

Abstract Background: Ultrasonic measurement has not been utilized to assess functional recovery of transplanted muscle. This study aimed to investigate the feasibility of B-ultrasound measurement for evaluation of muscle recovery following free functioning gracilis transfer.Methods: From January 2009 to January 2014, 35 patients receiving free functioning gracilis transfer due to total brachial plexus injury were enrolled. B-ultrasound was utilized to measure the cross-sectional area (CSA) of transplanted gracilis muscle at rest and contraction state. The ratio of pre- to post-transplant CSA value at rest state was defined as muscle bulk ratio (MBR). The ratio of CSA value at the contraction state to that at rest state was defined as contraction ratio (CR). Results: Patients with muscle strength M≥4 had significantly higher CR1 (post-transplant), CR2 (pre-transplant), and range of motion (ROM, joint mobility) than those with muscle strength M＜4. The CR1>CR2 group had significantly higher CR1, muscle strength, and ROM than the CR1≤CR2 group. The MBR>1 group had significantly higher muscle strength than the MBR≤1 group. CR1 value was highly correlated with muscle strength and with ROM. CR2 value was moderately correlated with muscle strength and ROM. Multivariate linear regression analysis showed that higher CR1/CR2 value was associated with higher muscle strength and higher joint mobility. The CR1>CR2 group had better muscle strength and ROM than the CR1≤CR2 groups.Conclusion: B-ultrasound measurement can quantitatively reflect muscle strength following gracilis transfer, and CR but not MBR value could be a potential indicator for functional recovery of the transplanted gracilis muscle.Level of Evidence: Prognostic studies, Level II.

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The Role of Facilitation Techniques in Gonarthrosis Recovery

GYMNASIUM ◽

10.29081/gsjesh.2017.18.2.06 ◽

2017 ◽

Vol XVIII (2) ◽

pp. 83

Author(s):

Gabriela Ochiană

Keyword(s):

Shock Wave ◽

Muscle Strength ◽

Physical Exercise ◽

Joint Mobility ◽

Shock Wave Therapy ◽

Group A ◽

Group B ◽

Recovery Program ◽

Facilitation Techniques

Numerous studies on people with gonarthrosis refer only to electrotherapy, shock-wave therapy, radon baths, and classical physical exercise; very few studies recall only the role of facilitating techniques in restoring functional knee parameters. This study was conducted on a total of 12 subjects diagnosed with gonarthrosis divided into 2 groups, group A followed a classical recovery program and group B a program consisting of facilitation techniques for a period of 6 months with a frequency of 3 sessions per week. The results obtained confirm the hypothesis that the parameters tested: pain, joint mobility, muscle strength and stability were noticeably improved in group B those who used FNP techniques compared to group A and the duration of the session was only 35 minutes at group B, compared to 55 minutes group A.

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Surface Electromyography Biofeedback Training to Address Muscle Inhibition as an Adjunct to Postoperative Knee Rehabilitation

Biofeedback ◽

10.5298/1081-5937-38.2.56 ◽

2010 ◽

Vol 38 (2) ◽

pp. 56-63 ◽

Cited By ~ 2

Author(s):

Randy Neblett ◽

Yoheli Perez

Keyword(s):

Chronic Pain ◽

Physical Therapy ◽

Muscle Strength ◽

Surface Electromyography ◽

Knee Injury ◽

Biofeedback Training ◽

Normal Muscle ◽

Knee Rehabilitation ◽

Muscle Inhibition ◽

Postoperative Knee

Abstract Following a knee injury and surgery, pain-related and fear-related muscle inhibition can interfere with rehabilitation and may contribute to the development of chronic pain. Surface electromyography biofeedback can help patients identify and overcome muscle inhibition during physical therapy exercises, so that normal muscle strength and range of motion can be regained.

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Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020583 ◽

2021 ◽

Vol 18 (2) ◽

pp. 583

Author(s):

Reem M. Alwhaibi ◽

Noha F. Mahmoud ◽

Mye A. Basheer ◽

Hoda M. Zakaria ◽

Mahmoud Y. Elzanaty ◽

...

Keyword(s):

Physical Therapy ◽

Lower Extremity ◽

Functional Recovery ◽

Intervention Group ◽

Chronic Stroke ◽

Post Treatment ◽

Control Group ◽

Stroke Patients ◽

Significant Difference ◽

Group Post

Recovery of lower extremity (LE) function in chronic stroke patients is considered a barrier to community reintegration. An adequate training program is required to improve neural and functional performance of the affected LE in chronic stroke patients. The current study aimed to evaluate the effect of somatosensory rehabilitation on neural and functional recovery of LE in stroke patients. Thirty male and female patients were recruited and randomized to equal groups: control group (GI) and intervention group (GII). All patients were matched for age, duration of stroke, and degree of motor impairment of the affected LE. Both groups received standard program of physical therapy in addition to somatosensory rehabilitation for GII. The duration of treatment for both groups was eight consecutive weeks. Outcome measures used were Functional Independent Measure (FIM) and Quantitative Electroencephalography (QEEG), obtained pre- and post-treatment. A significant improvement was found in the FIM scores of the intervention group (GII), as compared to the control group (GI) (p < 0.001). Additionally, QEEG scores improved within the intervention group post-treatment. QEEG scores did not improve within the control group post-treatment, except for “Cz-AR”, compared to pretreatment, with no significant difference between groups. Adding somatosensory training to standard physical therapy program results in better improvement of neuromuscular control of LE function in chronic stroke patients.

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Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin ◽

10.1055/a-1210-2930 ◽

2020 ◽

Author(s):

Joo Yeol Jung ◽

Pong Sub Youn ◽

Dong Hoon Kim

Keyword(s):

Electrical Stimulation ◽

Physical Therapy ◽

Muscle Strength ◽

Range Of Motion ◽

Upper Extremity ◽

Functional Electrical Stimulation ◽

Chronic Stroke ◽

Mirror Therapy ◽

Extremity Function ◽

Upper Extremity Function

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

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Effects of whole-body vibration on quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic cerebral palsy: a randomized controlled study

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00023-1 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Rania G. Hegazy ◽

Amr Almaz Abdel-aziem ◽

Eman I. El Hadidy ◽

Yosra M. Ali

Keyword(s):

Cerebral Palsy ◽

Physical Therapy ◽

Muscle Strength ◽

Whole Body Vibration ◽

Whole Body ◽

Controlled Study ◽

Control Group ◽

Hamstring Muscle ◽

Post Intervention ◽

Body Vibration

Abstract Background Hemiplegic cerebral palsy (CP) enormously affects the quadriceps and hamstring muscles. It causes weakness in the affected lower-extremity muscles in addition to muscle imbalance and inadequate power production, especially in the ankle plantar-flexor and knee extensor muscles. It also causes anomalous delayed myoelectrical action of the medial hamstring. A whole-body vibration (WBV) exercise can diminish muscle spasticity and improve walking speed, muscle strength, and gross motor function without causing unfavorable impacts in adults suffering from CP. Thus, the aim of this study is to investigate the impacts of WBV training associated with conventional physical therapy on the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP. Results The post-intervention values of the quadriceps and hamstring muscle force, endurance, and power were significantly higher than the pre-intervention values for both groups (p = 0.001). The post-intervention values of the study group were significantly higher than the control group (quadriceps force, p = 0.015; hamstring force, p = 0.030; endurance, p = 0.025; power, p = 0.014). Conclusion The 8 weeks of WBV training that was added to traditional physical therapy was more successful in improving the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP when compared to traditional physical therapy alone.

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Implementation of a Strength Training Program for a 5-Year-Old Child With Poor Body Awareness and Developmental Coordination Disorder

Physical Therapy ◽

10.2522/ptj.20060170 ◽

2007 ◽

Vol 87 (4) ◽

pp. 455-467 ◽

Cited By ~ 21

Author(s):

Linda B Kaufman ◽

Denise L Schilling

Keyword(s):

Physical Therapy ◽

Muscle Strength ◽

Strength Training ◽

Training Program ◽

Motor Function ◽

Developmental Coordination Disorder ◽

Poor Performance ◽

Body Awareness ◽

Position Sense ◽

Coordination Disorder

Background and Purpose This case report describes how a strength (muscle force-generating capacity) training program was associated with changes in muscle strength, motor function, and proprioceptive position sense in a young child with poor body awareness and a diagnosis of developmental coordination disorder. Case Description Assessment of a prekindergarten child referred for physical therapy because of behaviors compatible with poor body awareness revealed muscle weakness, poor performance on the Bruininks-Oseretsky Test of Motor Proficiency, and poor proprioception. Physical therapy testing done when the child was 5 years of age contributed to a pediatrician-assigned diagnosis of developmental coordination disorder. A 12-week strength training program was initiated. Outcomes Improvements were noted in muscle strength, gross motor function, and proprioception. Discussion Research indicates that muscles provide information about joint position. Evidence suggests that muscle strength gains seen in children are the result of neuromuscular learning and neural adaptations; therefore, a structured strength training program may have contributed to proprioceptive changes in this child.

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