Effects of Scapular Stability Exercise on Scapular Range of Motion, Muscle Strength and Electromyopraphic Activity in Baseball Players with Scapular Dyskinesis

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress.

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Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052654 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2654

Author(s):

Roxana Steliana Miclaus ◽

Nadinne Roman ◽

Ramona Henter ◽

Silviu Caloian

Keyword(s):

Virtual Reality ◽

Muscle Strength ◽

Lower Extremity ◽

Range Of Motion ◽

Control Group ◽

Mirror Therapy ◽

Cohen’S D ◽

Cohen's D ◽

Experimental Group ◽

Post Therapy

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.

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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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The effect of rehabilitation on range of motion and muscle strength in patients after surgical reconstruction of the anterior cruciate ligament

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2014.03.1021 ◽

2014 ◽

Vol 57 ◽

pp. e280

Author(s):

S. Kozomara

Keyword(s):

Anterior Cruciate Ligament ◽

Muscle Strength ◽

Range Of Motion ◽

Cruciate Ligament ◽

Surgical Reconstruction ◽

Anterior Cruciate

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Changes in Ankle Range of Motion and Muscle Strength in Habitual Wearers of High-Heeled Shoes

Foot & Ankle International ◽

10.1177/1071100712468562 ◽

2013 ◽

Vol 34 (3) ◽

pp. 414-419 ◽

Cited By ~ 8

Author(s):

Yushin Kim ◽

Jong-Min Lim ◽

BumChul Yoon

Keyword(s):

Muscle Strength ◽

Range Of Motion

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Acute Effects of Doorway Stretch on the Glenohumeral Rotational Range of Motion and Scapular Position in High-School Baseball Players

JSES International ◽

10.1016/j.jseint.2021.07.002 ◽

2021 ◽

Author(s):

Takashi Higuchi ◽

Yuichi Nakao ◽

Yasuaki Tanaka ◽

Masashi Sadakiyo ◽

Koki Hamada ◽

...

Keyword(s):

High School ◽

Range Of Motion ◽

Acute Effects ◽

Baseball Players

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Comparison of kinesio taping and cold therapy in patients with total knee arthroplasty: A randomized controlled trial

Clinical Rehabilitation ◽

10.1177/02692155211049152 ◽

2021 ◽

pp. 026921552110491

Author(s):

Ertugrul Yuksel ◽

Bayram Unver ◽

Vasfi Karatosun

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Range Of Motion ◽

Therapy Group ◽

Controlled Trial ◽

Control Group ◽

Functional Level ◽

Kinesio Taping ◽

Cold Therapy

Objective To investigate the effects of kinesio taping and cold therapy on pain, edema, range of motion, muscle strength, functional level and quality of life in patients with total knee arthroplasty. Design Randomised controlled trial. Setting A university hospital. Subjects One-hundred patients were included. Intervention Patients were allocated into three groups; control group, kinesio group and cold therapy group. The control group received a standard rehabilitation program. Kinesio taping group received two fan-shaped kinesio taping bands and cold therapy group received cold packs in addition to the standard rehabilitation program. Main measures The outcome measures were pain, edema, range of motion, muscle strength, functional level and quality of life. Participants were assessed at preoperative, discharge and postoperative third month. Results The groups were similar at preoperative. A significant difference was determined in terms of pain in kinesio taping group compared to the control group at the discharge. Cold therapy was efficient in reducing postoperative swelling but kinesio taping had no significant effects on swelling control. There was no difference between the groups in terms of range of motion, muscle strength, functional level and quality of life. The groups were similar in all parameters at the postoperative third month measurements. Conclusion Fan-shaped kinesio taping is an effective technique in terms of postoperative pain relief. Cold therapy is an effective method in terms of edema control. Kinesio taping and cold therapy has no specific beneficial effect on functional level, muscle strength and quality of life compared to control group.

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