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 ◽  
...  

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.

Author(s):  
Roxana Steliana Miclaus ◽  
Nadinne Roman ◽  
Ramona Henter ◽  
Silviu Caloian

More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group (n = 31) received VR therapy and MT, while the control group (n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength (p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups (p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion (p < 0.05, Cohen’s d 0.693), muscle strength (p < 0.05, Cohen’s d 0.924), lower extremity functionality (p < 0.05, Cohen’s d 0.984) and postural balance (p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.


Author(s):  
Brij Bhushan Singh ◽  
Shubi Mirja ◽  
Samiya Husain

The purpose of this study was to investigate the effects of yogic practices on cardio-vascular efficiency. Material and methods: Total Forty (40) subject’s boys/girls were selected as the sample of the study through the random sampling and their age ranged between 20 to 25 years from the Department of Physical Education, Aligarh Muslim University, Aligarh. The subjects were divided into two groups comprising 20 subjects in each group, namely group “A” (the experimental group) performs yogic practices (Asanas, Pranayamas and Kriyas) and group “B” (the control group) served as control. Statistical technique: for the assessment of the cardiovascular efficiency through Harvard step test pre and post-test was conducted and t-test was applied for the analysis. Result: revealed that there exist a significant difference between group A and group B, at .05 level of significance. On the basis of the pre and post-test among experimental and control group, experimental group found better than the control group on cardiovascular efficiency and significant result were found in this study.


2020 ◽  
Vol 14 (03) ◽  
pp. 124-127
Author(s):  
Somia Iqbal ◽  
Noman Sadiq ◽  
Saad Siddiqui ◽  
Hira Iqbal

Background: Obesity is a prevailing metabolic disorder that affects the functioning of the male reproductive system. Excessive adipose tissue enhances reactive oxygen species generation and is linked with male infertility. Spinach has demonstrated antioxidant effects. The present study was conducted to determine the antioxidant effects of spinach on sperm parameters in obese Sprague Dawley rats. Subjects and methods: This randomized control study was conducted at the animal house of the National Institute of Health Islamabad, Islamic International Medical College, Cosmesurge International Hospital, Rawalpindi, and Apollo lab, Islamabad, Pakistan from April 2016 to March 2017. Forty male Sprague Dawley rats having an age of 8 weeks and weight 160-200g were tagged from number 1 to 40. Every third rat was randomly allocated to control Group A (n=13) and remaining into the Experimental group (n=27). Rats of control Group A was given a standard diet while a high-fat diet was given to Experimental group rats to induce obesity for the duration of six weeks. Weight (g) was measured weekly and obesity was confirmed when rats attain more than 20% weight when compared with that of rats of control Group A. Then, after obesity induction, the experimental group was alienated into the obesity control group (Group B) and spinach treated group (Group C). For sample, rats of Group A and Group B were sacrificed, and the cauda epididymis of each rat was placed in a Petri dish containing normal saline and cut into pieces to allow the release of sperm and then sperm parameters (sperms concentration, motility, and morphology) were recorded under the microscope. Then, spinach (5% hot water extract) along with the persistence of fat diet was administered to Group C for 4 weeks and finally, sperm parameters were measured in this group. Results: Sperm concentration/ml, motility (%), and normal morphology (%) of Group B rats were significantly decreased as compared to Group A rats. However, sperm concentration/ml, motility (%), and normal morphology (%) of Group C (spinach treated group) rats was significantly increased (p<0.001) as compared to Group B (obesity control group) rats after administering spinach. Conclusion: The addition of Spinach in a normal diet regimen restores normal sperm morphology, improves sperm motility and concentration.


2021 ◽  
Vol 11 (3) ◽  
pp. 474-481
Author(s):  
Jung-Ho Lee

Purpose: This study investigated the effects of modified mirror therapy and taping therapy for providing feedback on upper extremity function, activity, and daily activities of stroke patients. Methods: This study was conducted with 20 stroke patients and randomly assigned 10 subjects to the experimental group and 10 to the control group. In the experimental group, after proprioceptive neuromuscular stimulation treatment, the mirror therapy program was implemented. In the control group, upper extremity taping was performed before proprioceptive neuromuscular facilitation treatment. In this study, a prior evaluation using JTT, FIM, and MAL was performed before intervention to evaluate the patient's function and daily life behavior. Post-tests were performed after the last treatment. Results: In the paired-sample T-test used for within-group comparison of JTTs, FIM, and MAL, there was a significant difference between pre- and post-test for all groups. But there was no statistically significant difference between experimental group 1 and experimental group 2 in an independent t-test conducted to compare the effect sizes of treatments. Conclusion: In other words, by applying mirror therapy and taping therapy that can increase proprioceptive sensation and feedback information in stroke patients, upper extremity function and daily activities can be increased.


2019 ◽  
Vol 6 (2) ◽  
pp. 46-53
Author(s):  
Muthmainah Farida Hanif ◽  
Mury Ririanty ◽  
Iken Nafikadhini

AbstractSchool children become one of the most vulnerable groups to health problems due to environmental factors and poor lifestyles, so they need for a strong support from the environment in the formation of Clean and Healthy Behavior (PHBS) among school children. The methods and props used in health promotion need to be given careful attention, so that the material or ingredients can easily accepted, assimilated and absorbed by the target. The PHBS pocketbook in school is one of publication media of health promotion which had been through expert test and late published, but the PHBS pocketbook in school has not done effectiveness test to the target audiences. This study aimed to analyze the effectiveness of PHBS pocketbook in schools in improving knowledge, attitudes and intentions of PHBS in primary school children. This research was a real experimental study used Pretest Posttest design with control group conducted in SDN Krembangan Selatan 10, SDN Perak Barat 6 and SDN Kemayoran 1. The results of this study indicate that the value of knowledge, attitude and intention are better after the intervention had given to the experimental group A through the PHBS pocketbook in school and counseling, as well as experiment group B through the PHBS pocketbook in school, while the control group has the same value because no intervention was done. PHBS pocketbook media in those school proved able to increase knowledge, attitude and intention in clean and healthy life behavior in elementary school children.Keywords: pocketbook, Effectiveness, Behavior, PHBS, School


2021 ◽  
Vol 9 (2) ◽  
pp. 3774-3779
Author(s):  
Shradha Santosh Shah ◽  
◽  
Sandhya Wasnik ◽  

Aim: To evaluate the effect of Pilates exercise on the level of fatigue, cognition and knee proprioception in elderly population (60-80 years). Study design: experimental study; randomized control trial. Method: 40 subjects both male and female of age ranging from 60-80 years (66.578 ± 4.857 in group A and 69.4 ± 5.442 in group B) were assigned in to two groups. The objective of the study was explained, and the subjects were screened based on the inclusion and exclusion criteria. Pre-interventional and post-interventional data analysis was done for FSS, 6MWT, MoCA and KJPS error angle. Group A (Experimental group) received Pilates exercise. Group B (control group) received aerobic and strengthening exercises. Both the groups underwent exercises 3 times a week on alternate days for 6 weeks. Duration of exercise for both groups was 45-60 minutes. Results: Both the groups showed clinically and statistically significant improvement in FSS (p<0.0001 in both groups) 6MWT (p<0.0001 in both groups), MoCA (p<0.001 in both groups) and KJPS scores (p<0.0002 in group A and p<0.0001 in group B) at the end of 6 weeks of treatment. There was no significant difference between the groups for FSS (p=0.7226), 6MWT (p=0.813), MoCA (p=0.416) and KJPS (p=0.6213). Conclusion: A significant improvement were observed in both the groups; which concluded that both the groups are equally effective in improvement of FSS, 6MWT, MoCA and KJPS scores. KEY WORDS: Pilates exercise, elderly population, fatigue, cognition, knee proprioception.


2021 ◽  
Vol 15 (5) ◽  
pp. 1436-1440
Author(s):  
B. Ashraf ◽  
S. Ahmad ◽  
K. Ashraf ◽  
S. Kanwal ◽  
S. Ashraf ◽  
...  

Background: Lumbar Radiculopathy is characterized as radiating pain along with some sensory and motor deficits in lower back and hip into the leg. Manual therapy techniques like Spinal mobilization with leg movement and McKenzie Extension exercise seems to be effective in treating and managing the symptoms associated with Radiculopathy. Aim: To make comparison between effects of Spinal mobilization with leg Movement versus McKenzie Extension exercise to manage the Lumbar Radiculopathy. Methods: The present Randomized Control Trial included 60 patients of age 28-50 years with Lumbar radiculopathy were grouped into two by sealed envelope method; the first group (A) was Experimental Group, while the other group (B) was the control Group and were selected from City hospital Multan from February 2018 to June 2018. The study participants were requested to complete the protocol for 4 weeks (3 days per week, 30 repetitions in one session). All the subjects were examined before and after the tests, for pain intensity (NPRS), functional Mobility measured by MODI and range of motion by goniometry. Results: Results of the study showed significant decrease in pain intensity on NPRS (P< 0.05) and MODI Scoring (P<0.05) with noticeable improvement in Functions and range of motion measured by Goniometry. (Readings were taken at 1st session and at the end of the completion of the session). Pain was equally reduced in both groups while improvement in MODI scoring and Range of motion was more significant in experimental group (A) with respect to the control group (B). Conclusion: Study showed that both techniques SMWLW and McKenzie Extension Exercises were effective in improving the pain, decreasing the severity and MODI Scoring while SMWLM is more effective in improving range of motion. Keywords: Lumbar Radiculopathy, Spinal mobilization with leg movement, McKenzie Extension Exercises


1990 ◽  
Vol 127 (3) ◽  
pp. R5-R8 ◽  
Author(s):  
J. Martal ◽  
E. Degryse ◽  
G. Charpigny ◽  
N. Assal ◽  
P. Reinaud ◽  
...  

ABSTRACT Ovine trophoblastin (oTP) is a natural interferon of the class-II interferon-α subfamily. Recombinant ovine trophoblastin (r.oTP), produced by genetic engineering, was purified by anion-exchange HPLC. The product exhibited a high degree of homogeneity (>98%), and similar immunological cross reaction and antiviral activity to natural oTP. Antiluteolytic activity of r.oTP was established by intrauterine injection in two groups of cyclic recipient ewes. Control group A included 10 ewes which received sterile BSA in saline twice daily for 8 days (from day 10-12 of oestrous cycle). Experimental group B included 17 ewes which received 80 μg (4 ewes), 170 μg (8 ewes) or 340 μg (5 ewes) r.oTP daily for 8 days. Maintenance of functional corpora lutea for 1 month or more was observed in 4 out of 5 ewes which received high doses of r.oTP. These results indicate that oTP alone extends luteal secretory activity.


2012 ◽  
Vol 3 (3) ◽  
pp. 137-142 ◽  
Author(s):  
Mandeep LNU ◽  
Pravin Kumar

ABSTRACT Objective To find out efficacy and benefits of early intervention of coma arousal therapy on coma patients after sustaining traumatic head injury. Materials and methods Thirty comatose patients with traumatic head injury were systematic randomly selected. Both experimental group and control group were having 15 patients each. Patients in experimental group were given coma arousal therapy while those in control group did not receive any coma arousal therapy. Glasgow coma scale (GCS) and coma recovery scale (CRS) were assessed before and after 1 and 2 weeks protocol. Results The independent t-test was used for between the group data analysis. Repeated measure ANOVA and post hoc paired t-test were used in within the group analysis. Group A, mean of GCS on 1st, 7th and 14th day of coma arousal therapy was 3.93 (±1.09), 6.33 (±1.04) and 8.46 (±0.91) respectively and for Group B was 3.93 (±1.27), 4.80 (±1.26) and 5.93 (±1.94) respectively, which showed significant improvement (p < 0.05). Group A, mean of CRS on 1st, 7th and 14th day of coma arousal therapy was 2.06 (±1.03), 4.86 (±1.24) and 9.66 (±1.83) respectively and for Group B was 2.33 (±1.11), 2.93 (±1.09) and 4.73 (±2.18) respectively, which showed significant improvement (p < 0.05). When compared between the groups, experimental group showed significant improvement. Conclusion This is concluded from the result of this study that coma arousal therapy is having significant effect on GCS and CRS in traumatic head injury patients when compared to the patients who did not receive coma arousal therapy. How to cite this article Mandeep, Kumar P. Effectiveness of Early Intervention of Coma Arousal Therapy in Traumatic Head Injury Patients. Int J Head and Neck Surg 2012;3(3): 137-142.


2018 ◽  
Vol 25 (07) ◽  
pp. 987-991
Author(s):  
Muhammad Yasir ◽  
Munir Ahmad ◽  
Liaqat Ali

Background: Coronary angiography is the most important and reliable test todiagnose coronary artery disease. Bed rest of few hours is advised after angiography to reducevascular complications but there is difference of opinion regarding duration of bed rest afterangiography. Objectives: To compare the frequency of vascular complications after 6 hoursof bed rest versus 3 hours of bed rest in patients undergoing femoral coronary angiography.Study Design: Experimental study. Place and Duration of Study: Angiography Department,Faisalabad Institute of Cardiology, Faisalabad from August, 2017 to January, 2018. Methods:A total of 100 patients were divided in two equal groups, group A (interventional group (n=50),3 hours rest) and group B (routine care (n=50), 6 hours rest). A 6 French sheath was insertedunder local anesthesia by seldinger technique in femoral artery. Coronary angiography wasdone using 6 F angiography catheters. At the end of procedure sheaths were immediatelyremoved and manual pressure was applied for 15 minutes. Puncture site was observed forhematoma formation or bleeding every 30 minutes for 2 hours in angiography ward, afterwardsthese observations were made every hour till time of discharge. Patients were called for checkupin outpatient department next day and after 1 week. Results: Out of 50 patients in group A therewere 35 (70%) male and 15 (30%) female and in group B out of 50 patients there were 40 (80%)male and 10 (20%) female patients. In group A mean age was (51.02 ±9.57) years while in groupB mean age was (51.50±10.19) years. There was no significant difference in patients betweenthe two groups regarding their age, gender, body mass index (BMI), coagulation profile and useof antiplatelets. There was no incidence of pre ambulation bleeding, small or large hematoma inboth groups. Post ambulation bleeding occurred in 1(2%) patient in experimental group (GroupA) and in 1 (2%) patient in the control group (Group B). Small hematoma occurred in 2 (4%)patients in experimental group (Group A) and in 1(2%) patient of control group (Group B).There was no incidence of post ambulation large hematoma in both groups. Conclusion: Shortbed rest of 3 hours after femoral angiography does not increase the frequency of puncture sitecomplications.


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