Task-oriented training and exer-gaming for improving mobility after stroke: a randomized trial

2020 ◽  
pp. 1-12
Author(s):  
Arshad Nawaz Malik ◽  
Tahir Masood
Keyword(s):  
Virtual Reality ◽  
Training Group ◽  
Virtual Reality Training ◽  
Timed Up And Go ◽  
Balance Test ◽  
Group A ◽  
Group B ◽  
Dynamic Gait Index ◽  
Task Oriented ◽  
Dynamic Gait

Abstract Objective: To evaluate the effects of task-oriented training and to compare it with virtual reality training on the mobility, physical performance and balance in stroke patients. Method: The randomised controlled trial was conducted from January 2016 to March 2017 at the Physical Rehabilitation Department of Pakistan Railways General Hospital, Rawalpindi, Pakistan, and comprised patients 40-70 years with stroke history of at least 3 months who had the ability to stand unaided. The subjects were randomised into virtual reality training group A and task-oriented training group B. Task oriented training was provided for 3 days per week over 8 weeks to both groups with each session lasting 40-45 minutes, while additional 15-20 minutes of exer-gaming was provided only to group A. Fugl-Meyer Assessment-Lower Extremity, Berg Balance Test, Timed Up and Go Test and Dynamic Gait Index were used for assessment which was done at baseline, and at 2, 4, 6 and 8 weeks of training. Data was analysed using SPSS 21. Results: Of the 52 subjects, there were 26(50%) in each of the two groups. The overall sample had 36(69.2%) males and 16(30.7%) females. Group A showed significant difference in Fugl-Meyer Assessment-Lower Extremity and Berg Balance Test scores at 04 weeks of training compared to group B (p<0.05). Timed Up and Go Test significantly improved in group A at 6 weeks (p<0.05). Both groups showed significant improvement in Dynamic Gait Index after 8 weeks of training (p>0.05). Continuous....

scholarly journals Efficacy of task-oriented training vs proprioceptive neuromuscular facilitation on mobility and balance in spastic cerebral palsy

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 297-300
Author(s):  
V. Rajalaxmi ◽  
P Swetha ◽  
R.N.V. Deepthi ◽  
Raja Sathya ◽  
S Omana ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Balance Control ◽  
Spastic Cerebral Palsy ◽  
Timed Up And Go ◽  
Significant Difference ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Post Test ◽  
Group A ◽  
Group B ◽  
Task Oriented

Introduction and Aim:One of the most significant and common clinical finding in a majority of children with (CP)is difficulty in walking and exhibiting poor balance control which results in poor gait and reaching movements as maintenance of stability is critical. There are numerous approaches, protocols and treatment strategies to improve balance and gait control. The aim of this study was to compare the effects of task- oriented training and proprioceptive neuromuscular facilitation exercises (PNF)on mobility and balance in spastic cerebral palsy.   Methodology: This was a comparative study design with pre-post type 20 samples were selected based on the inclusion criteria and were divided into two groups. Group A received task-oriented training and group B proprioceptive neuromuscular facilitation and Pre & post measurements were done using paediatric balance scale and timed up and go test.   Results:On comparing the post-test values of group A and group B both the group showed significant difference with the pre-test, on comparing the post-test values of group A and group B, group A showed better significance than group B.   Conclusion: The present study concluded that there seems to be evidence that task-oriented training is more beneficial in training program for increasing the mobility and balance in spastic cerebral palsy comparing to proprioceptive neuromuscular facilitation.  

Examining the test-retest reliability and construct validity of the Six-Spot Step Test in older adults with self-reported balance problems

2021 ◽  
pp. 026921552110102
Author(s):  
John Brincks ◽  
Jacob Callesen
Keyword(s):  
Older Adults ◽  
Construct Validity ◽  
Correlation Coefficient ◽  
Step Test ◽  
Timed Up And Go ◽  
Balance Test ◽  
Test Retest Reliability ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Balance Problems

Objective: To evaluate the test-retest reliability and construct validity of the Six-Spot Step Test in older adults. Design: Cross-sectional study. Setting: Outpatient clinics. Subjects: Sixty-six adults aged ⩾65 years with self-reported balance problems. Main measure: The Six-Spot Step Test was completed twice on day 1. Three days later, the Six-Spot Step Test, the Timed “Up and Go” test, Dynamic Gait Index, the Mini-BESTest, and standing balance test were conducted. Reliability and validity were estimated using Bland-Altman statistics, minimal detectable change, Intraclass Correlation Coefficient (ICC), and Spearman’s rank correlation coefficient (ρ). Results: Participants had a mean (SD) age of 75.5 (6.6) years, a median ( Q1– Q3) Montreal Cognitive Assessment test score of 26 (24–27), and a median ( Q1– Q3) Falls Efficacy Scale International score of 22 (20–26). The study found within-day and between-day limits of agreements of ±15.7% and ±18.1%, respectively. The minimal detectable changes at the 95% level of confidence for within-day and between-day were 17.5% and 21.6%, and the ICCs were 0.96 (CI: 0.92–0.98) and 0.94 (CI: 0.86–0.97), respectively. A learning effect was observed between the first and second Six-Spot Step Test. Moderate to strong correlations were found between the Six-Spot Step Test and Mini-BESTest (ρ = −0.62), Dynamic Gait Index (ρ = −0.55), and the Timed “Up and Go” test (ρ = 0.79). Weak correlations were identified between the Six-Spot Step Test and static standing balance test (ρ < 0.38). Conclusion: The Six-Spot Step Test shows excellent relative consistency and moderate to high construct validity in older adults. A change of 21.6% is a true change in outcome.

Training-induced alterations of the in vivo force-velocity relationship of human muscle

1981 ◽  
Vol 51 (3) ◽  
pp. 750-754 ◽  
Author(s):  
V. J. Caiozzo ◽  
J. J. Perrine ◽  
V. R. Edgerton
Keyword(s):  
Training Group ◽  
Knee Extension ◽  
Knee Extensors ◽  
Velocity Relationship ◽  
Slow Velocity ◽  
Group A ◽  
Force Velocity ◽  
Group B ◽  
Relationship Of

Seventeen male and female subjects (ages 20–38 yr) were tested pre- and posttraining for maximal knee extension torque at seven specific velocities (0, 0.84, 1.68, 2.51, 3.35, 4.19, and 5.03 rad . s-1) with an isokinetic dynamometer. Maximal knee extension torques were recorded at a specific joint angle (0.52 rad below the horizontal plane) for all test speeds. Subjects were randomly assigned to one of three experimental groups: group A, control, n = 7; group B, training at 1.68 rad . s-1, n = 5; or group C, training at 4.19 rad . s-1, n = 5. Subjects trained the knee extensors by performing two sets of 10 single maximal voluntary efforts three times a week for 4 wk. Before training, each training group exhibited a leveling-off of muscular tension in the slow velocity-high force region of the in vivo force-velocity relationship. Training at 1.68 rad . s-1 resulted in significant (P less than 0.05) improvements at all velocities except for 5.03 rad . s-1 and markedly affected the leveling-off in the slow velocity-high force region. Training at 4.19 rad . s-1 did not affect the leveling-off phenomenon but brought about significant improvements (P less than 0.05) at velocities of 2.51, 3.35, and 4.19 rad . s-1. The changes seen in the leveling-off phenomenon suggest that training at 1.68 rad . s-1 might have brought about an enhancement of motoneuron activation.

scholarly journals Efeitos da prática mental associada à fisioterapia motora sobre a marcha e o risco de quedas na doença de Parkinson: estudo piloto

2019 ◽  
Vol 26 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Liliane Pereira da Silva ◽  
Matheus Pereira de Souza Duarte ◽  
Caroline de Cássia Batista de Souza ◽  
Carla Cabral dos Santos Accioly Lins ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
...  
Keyword(s):  
Timed Up And Go ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

RESUMO O objetivo deste estudo piloto, realizado em um hospital universitário de referência em Pernambuco, foi avaliar os efeitos da prática mental associada à fisioterapia motora sobre a marcha e o risco de queda em pessoas com doença de Parkinson. A amostra da pesquisa foi composta por 18 sujeitos, de ambos os sexos, com doença de Parkinson idiopática, divididos em grupo experimental (8 indivíduos) e controle (10 indivíduos). Ambos os grupos realizaram 15 sessões de 40 minutos de fisioterapia motora, duas vezes por semana. No grupo de intervenção, a fisioterapia foi associada a prática mental (15 minutos). Em relação às variáveis de desfecho primário, o tempo de execução do timed up and go e do teste de caminhada de 10 metros reduziu, mas a diferença não foi significativa. Em relação à velocidade, cadência e escore do dynamic gait index, houve aumento após a intervenção no grupo experimental, com diferença significativa (p=0,02). O número de passos foi mantido em ambos os grupos. Os resultados sugerem que a prática mental associada à fisioterapia motora reduz o risco de quedas em comparação com a fisioterapia motora aplicada isoladamente.

scholarly journals A influência das demandas atencionais no controle postural de hemiparéticos

2015 ◽  
Vol 23 (1) ◽  
pp. 62-67
Author(s):  
Viviane dos Santos Araújo ◽  
Erika Pedreira da Fonseca
Keyword(s):  
Timed Up And Go ◽  
Contrôle Postural ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Objetivo. Investigar os efeitos da dupla tarefa com demanda cogni­tiva sobre o controle postural de indivíduos hemiparéticos após Aci­dente Vascular Cerebral (AVC). Método. Participaram 18 indivíduos (52,28±13,8 anos) hemiparéticos crônicos, capazes de deambular com ou sem dispositivo para o auxilio da marcha. Foram utilizados os testes Timed Up and Go (TUG), foi solicitado que o individuo se levantasse de uma cadeira, caminhasse três metros, retornasse para a cadeira e sentasse, e o Dynamic Gait Index (DGI) onde os indivíduos realizaram oito tarefas que envolviam a marcha em diferentes contextos senso­riais, com e sem associação de demanda cognitiva, para avaliar o equi­líbrio. Resultados. Verificou-se que a demanda cognitiva influenciou nos resultados dos testes, no DGI apresentou uma redução na pontu­ação (-3,05) e no TUG um tempo maior (2,60) para a realização de ambos com uma demanda cognitiva. Porém não houve diferença na redução da pontuação no DGI ou no aumento do tempo do TUG, na dupla tarefa, quando comparado com gênero (p=0,860 e p=0,069), escolaridade (p=0,973 e p=0,571), tipo de AVC (p=0,408 e p=0,408), e hemisfério acometido (p=0,798 e p=0,101). Conclusão. A realiza­ção da dupla tarefa com inserção de uma demanda cognitiva influen­cia no controle postural de indivíduos hemiparéticos após AVC.

scholarly journals EFEITO DA TERAPIA COM REALIDADE VIRTUAL NO EQUILÍBRIO DINÂMICO DE INDIVÍDUOS PÓS-ACIDENTE VASCULAR ENCEFÁLICO

2019 ◽  
Vol 11 (3) ◽  
pp. 99-105
Author(s):  
Alice Haniuda Moliterno ◽  
Isabela Bortolim Frasson ◽  
Silas de Oliveira Damasceno ◽  
Caroline Nunes Gonzaga ◽  
Isabella Cristina Leoci ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Dynamic Balance ◽  
Balance Training ◽  
Moderate Correlation ◽  
Nintendo Wii ◽  
Significant Difference ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Therapy Sessions

The aim of this study was to analyze the effect of virtual reality-based (VR) therapy on balance training of patients after stroke. 10 hemiparetic participants received twelve individual physical therapy sessions using the VR therapeutic, through Nintendo Wii® Fit Plus and Wii Sports Resort™. The analysis revealed that the Dynamic Gait Index (DGI) instrument, responsible for evaluating the dynamic balance, obtained significant difference (p=0.0085) between the basal (17.30±3.59) and final (20.30±2.94) evaluation. The Penguin Slide game had no significance between the scores (p=0.918), but there was a moderate correlation between the DGI instrument (r=0.662; p=0.037). This study obtained favorable results related to dynamic balance and also suggests that VR therapy as in general influenced the improvement of dynamic balance in individuals with hemiparesis after stroke.

scholarly journals Effect of Oculus Guided Physical Therapy in Adjunct to Conventional Therapy in Frozen Shoulder Patients- A Research Protocol

2021 ◽  
pp. 218-223
Author(s):  
Shrutika Wankhade ◽  
Pratik Phansopkar ◽  
Neha Chitale
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Frozen Shoulder ◽  
Rehabilitation Programs ◽  
Group A ◽  
Group B ◽  
Post Assessment

Background: Frozen shoulder is a musculoskeletal ailment that causes pain and limits the range of motion of the shoulder joint. Traditional therapy, which includes mobilization, has traditionally been utilized to treat and rehab frozen shoulder patients. But, nowadays, virtual reality is also playing important role in rehabilitation programs. This study focuses on effectiveness of oculus guided physical therapy in adjunct to conventional therapy in frozen shoulder patients. Methods: 50 participants of age more than 40 years having frozen shoulder will be randomly selected and categorized in two groups: Group A (n=25) and Group B (n=25). The duration of study will be 6 months. The pre and post assessment form will be taken from both groups and data will be analysed with the help of outcome measures which includes Numerical Pain Rating Scale (NPRS), Range of motion, Shoulder Pain and Disability Index (SPADI). Discussion: According to a previous study on maternal brachial plexus injury, virtual reality treatment is more successful than traditional physiotherapy in rehabilitating childrens upper extremity functions.

scholarly journals Immersive Virtual Reality Reminiscence Reduces Anxiety in the Oldest-Old Without Causing Serious Side Effects: A Single-Center, Pilot, and Randomized Crossover Study

2021 ◽  
Vol 14 ◽  
Author(s):  
Kazuyuki Niki ◽  
Megumi Yahara ◽  
Michiya Inagaki ◽  
Nana Takahashi ◽  
Akira Watanabe ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Side Effects ◽  
Cognitive Decline ◽  
Crossover Study ◽  
Oldest Old ◽  
Japanese Version ◽  
Immersive Virtual Reality ◽  
Group A ◽  
Group B ◽  
Randomized Crossover Study

Background: Dementia is one the major problems of aging societies, and, novel and effective non-drug therapies are required as interventions in the oldest-old to prevent cognitive decline.Objective: This study aims to examine the efficacy and safety of reminiscence using immersive virtual reality (iVR reminiscence) focusing on anxiety that often appears with cognitive decline. The secondary objective is to reveal the preference for VR image types for reminiscence: live-action (LA) or computer graphics (CG).Methods: This was a pilot, open-label, and randomized crossover study which was conducted on January 2020 at a single nursing home. The subjects were randomly divided into two groups (A or B) in equal numbers, and they alternately viewed two types of VR images (LA and CG) themed on the mid- to late Showa era (A.D. 1955–1980) in Japan. In group A, the CG images were viewed first, and then the LA images were viewed (CG→ LA). In group B, the images were viewed in the opposite order (LA→ CG). Before VR viewing, subjects responded to Mini-Mental State Examination (MMSE) Japanese version and State-Trait Anxiety Inventory (STAI) Japanese version. After viewing the first and second VR, subjects responded to STAI and the numerical rating scale (NRS) for satisfaction and side effects (nausea, dizziness, headache, and tiredness).Results: Ten subjects participated in this study. The values of analyses are presented in the mean (SD). The age was 87.1 years (4.2), and the MMSE was 28.5 (1.8). The total STAI score before VR viewing was 36.1 (7.2), but it significantly decreased to 26.8 (4.9) after the first VR viewing (P = 0.0010), and further decreased to 23.4 (2.8) after the second VR viewing (P &lt; 0.001). The NRS score for satisfaction tended to be higher after viewing LA in group A (CG→ LA) (CG vs. LA; 7.0 (2.3) vs. 8.6 (1.5), P = 0.0993), while in group B (LA→ CG), the score after CG was slightly lower than that after LA. There were no serious side effects.Conclusions: This study suggests that iVR reminiscence can reduce anxiety in the oldest-old without causing serious side effects. Furthermore, the impacts might be better with LA images.

EFFECT OF HAMSTRING TIGHTNESS ON DYNAMIC BALANCE IN YOUNG FEMALES AGED 19-25 YEARS

2021 ◽  
pp. 14-16
Author(s):  
Harsha Khilnani ◽  
Priti Mehendale (PT)
Keyword(s):  
Dynamic Balance ◽  
Knee Extension ◽  
P Value ◽  
Normal Body Mass Index ◽  
Balance Test ◽  
Cross Sectional ◽  
Young Females ◽  
Group A ◽  
Star Excursion Balance Test ◽  
Group B

Aim of the study- To compare the dynamic balance in young females with normal Body Mass Index (B.M.I.) with and without hamstring tightness. Method- It was a cross-sectional, comparative study. 22 young females were included in the study. Hamstring tightness was assessed using the Active Knee Extension (AKE) Test and based on the values; subjects were divided into 2 groups- Group A (with tightness) and Group B (without tightness). Star Excursion Balance Test (SEBT) was used to assess the dynamic balance in subjects from both groups. The data was analysed results were compared using appropriate statistical tools. The study showed that st Result- ar excursion balance test values were more in the group without tightness (p-value <0.0012) as compared to the group with tightness. Dynamic balance as Conclusion- measured by star excursion balance test is better in subjects without hamstring tightness as compared to subjects with hamstring tightness.

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