Comparison of Gluteal Muscle Strengthening versus Conventional Isometrics in Pain Management of Piriformis Syndrome

2021 ◽  
Vol 15 (11) ◽  
pp. 2963-2965
Author(s):  
Haroon Raza ◽  
Hafiz Rana Muhammad Arslan ◽  
Ambreen Iqbal ◽  
Muhammad Faizan Hamid ◽  
Asna Waseem ◽  
...  
Keyword(s):  
Analogue Scale ◽  
Manual Muscle Testing ◽  
Control Group ◽  
Piriformis Syndrome ◽  
Analog Scale ◽  
Gluteal Muscle ◽  
Muscle Strengthening ◽  
Muscle Testing ◽  
Lateral Rotation ◽  
Experimental Group

Aim: To analyze the effectiveness of gluteal muscles strengthening in piriformis syndrome. Study design: Experimental study Place and duration of study: Department of Physiotherapy, Mayo Hospital, Lahore from 1st February 2019 to 31st July 2019. Methodology: Fifty patients presenting with piriformis syndrome were enrolled. They were divided in two groups. Control group received piriformis stretching, ultrasound and conventional isometrics. Experimental group received piriformis stretching, ultrasound and a gluteal strengthening program. The baseline parameters were assessed using the Visual Analogue Scale (VAS) and Manual Muscle Testing (MMT). Patients were treated for 40 minutes 3 times a week for 4weeks. Results: Reduction in intensity of pain as well as improvement in ROM was seen in both groups. There was significant improvement in lateral rotation of hip in experimental group, and as piriformis is also a lateral rotator of hip joint, hence improvement in range of lateral rotation shows that a gluteal strengthening program has significant in increasing ROM of joint. There was significant improvement in MMT grade of gluteal muscles comparatively in the experimental group. Conclusion: Experimental group showed improvements in decreasing pain and improvements in strength, with a significant improvement in lateral rotation shows that gluteal strengthening program can be used to treat pts with piriformis syndrome. Key words: Manual Muscle Testing, Visual analog scale

scholarly journals Integration of focal vibration and intra-articular oxygen–ozone therapy in rehabilitation of painful knee osteoarthritis

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098670
Author(s):  
Teresa Paolucci ◽  
Francesco Agostini ◽  
Andrea Bernetti ◽  
Marco Paoloni ◽  
Massimiliano Mangone ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Knee Injury ◽  
Medical Research Council ◽  
Group Analysis ◽  
Manual Muscle Testing ◽  
Ozone Therapy ◽  
Analog Scale ◽  
Daily Life Activities ◽  
Muscle Testing ◽  
End Of Treatment

Objective To examine the pain-reducing effects of intra-articular oxygen–ozone (O2O3) injections and mechanical focal vibration (mFV) versus O2O3 injections alone in patients with knee osteoarthritis. Methods Patients with chronic pain (>6 weeks) due to knee osteoarthritis (II–III on the Kellgren–Lawrence scale) were consecutively enrolled and divided into two groups: O2O3 (n = 25) and O2O3-mFV (n = 24). The visual analog scale (VAS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Medical Research Council (MRC) Manual Muscle Testing scale were administered at baseline (before treatment), after 3 weeks of treatment, and 1 month after the end of treatment. Patients received three once-weekly intra-articular injections of O2O3 into the knee (20 mL O3, 20 μg/mL). The O2O3-mFV group also underwent nine sessions of mFV (three sessions per week). Results The VAS score, KOOS, and MRC score were significantly better in the O2O3-mFV than O2O3 group. The within-group analysis showed that all scores improved over time compared with baseline and were maintained even 1 month after treatment. No adverse events occurred. Conclusion An integrated rehabilitation protocol involving O2O3 injections and mFV for 3 weeks reduces pain, increases autonomy in daily life activities, and strengthens the quadriceps femoris.

scholarly journals Effect of Isometric and Isotonic Exercise Program on Increased Strength of Quardriceps Muscles in Osteoarthritis Patients in Singgasana Rama Physiotherapy Clinic Blitar

2021 ◽  
Vol 5 (1) ◽  
pp. 42-48
Author(s):  
Irwan Syahputra ◽  
Nurwijayanti Nurwijayanti
Keyword(s):  
Muscle Strength ◽  
Exercise Program ◽  
Quadriceps Strength ◽  
Manual Muscle Testing ◽  
Moderate Intensity ◽  
Rank Test ◽  
Control Group ◽  
Isometric Training ◽  
Muscle Testing ◽  
Isotonic Exercise

Background: Osteoarthritis is a disease of the joints that can cause disability and is progressive in the joints which cause changes in the water content, proteoglycin content, and collagen in the joints. One of the ways to improve functional ability in osteoarthritis cases is to use isotonic and isometric training exercise. Pain is a clinical symptom of knee osteoarthritis, limiting movement due to pain over time will cause rehabilitation problems such as impaired flexibility and stability, reduction of muscle mass (atrophy). Mild and moderate intensity quadriceps strength training is effective at achieving optimal muscle strength and function without causing significant muscle damage. Destination: The purpose of this study was to analyze the effect of isotonic and isometric exercises on muscle strength. Research methods: This study uses a pre-experimental research type using "One Group Pre - test and Post - Test". This research has carried out the first observation (pretest) so that researchers can test the changes that occur after the treatment, and the control group. Result: with the Wilcoxon signed rank test test the isometric and isotonic groups had p = 0.000 while the control group had a significance value of p = 1,000; and the 3 groups test has different values, namely: isotonic exercise has a value of 27.67; isometric; 28.60; and control 12.73. The conclusion that can be concluded that the value of isometric training has the highest value, namely 28.60 which means it is the most effective exercise to increase the value of Manual Muscle Testing. Conclusion: There is an effect of giving isometric and isotonic exercises in strengthening the quadriceps muscles.

Use of Music Intervention for Reducing Anxiety and Promoting Satisfaction in First-Time Filipino Fathers

2014 ◽  
Vol 10 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Leodoro J. Labrague ◽  
Denise M. McEnroe-Petitte
Keyword(s):  
Visual Analogue Scale ◽  
Trait Anxiety ◽  
Analogue Scale ◽  
Lower State ◽  
Control Group ◽  
Music Intervention ◽  
State Trait Anxiety Inventory ◽  
Paternal Anxiety ◽  
First Time ◽  
Experimental Group

Childbirth is an anxiety-provoking event in a man’s life. Therefore, strategies to decrease paternal anxiety during childbirth are necessary. This study determined the effects of music and satisfaction of first-time Filipino fathers during childbirth. In the study, a prospective quasi-experimental design was utilized. Ninety-eight purposive samples of first-time fathers were included in the study, 50 were allocated in the experimental group (music group) and 48 in the control group (nonmusic group) during the months of August to October 2013. Paternal anxiety and satisfaction were measured using the State Trait Anxiety Inventory and the Visual Analogue Scale for Satisfaction, respectively. Results revealed that the first-time fathers in the experimental group had lower State Trait Anxiety Inventory scores ( p < .05) and higher Visual Analogue Scale for Satisfaction scores ( p < .05) than those in the control group. Findings of the study provide substantial evidence to support the use of music in reducing anxiety and promoting satisfaction among first-time fathers during childbirth.

scholarly journals PENGARUH RANGE OF MOTION (ROM) TERHADAP PENINGKATAN KEKUATAN OTOT PADA PASIEN STROKE DI RUANG PERAWATAN RSUD POLEWALI MANDAR

2019 ◽  
Vol 10 (2) ◽  
pp. 114-128
Author(s):  
Muh Syikir
Keyword(s):  
Range Of Motion ◽  
Manual Muscle Testing ◽  
Control Group ◽  
Paired Sample ◽  
Muscle Testing ◽  
Sample Test ◽  
Quasi Experiment

Hasil-hasil studi dibidang neurologimenyatakan bahwa  stroke merupakan penyebab kematian nomor satu diberbagai rumah sakit di tanah air (Batticaca, 2012). Menurut taksiran WHO, sebanyak 20,5juta jiwa di dunia sudah terjangkit stroke tahun 2015. Dari jumlah tersebut 5,5 jutajiwa telah meninggal dunia.Sebesar80%pasienstroke mengalami kelemahan pada salah satu sisi tubuhnya/hemiparese(Ariani,  2012). Kelemahantanganmaupunkakipada pasien stroke akanmempengaruhikontraksiotot, sehingga salah satuprogram rehabilitasi  yang   dapat  diberikan  pada pasien strokeyaitumobilisasipersendian dengan latihan range of motion (Potter and Perry, 2010).Tujuan Penelitian ini adalah untuk menganalisis pengaruh ROM terhadap peningkatan fungsikekuatan  otot pada pasien stroke  di Ruang Perawatan RSUDPolewali Mandar. Metode Penelitian, yang digunakan adalah metode Quasi Experiment dengan menggunakan rancangan eksperimen Equivalent group (randomized pretest-posttest with control group). Penelitian ini mengambil sampel 10 psien stroke dengan hemiparases 5 kelompok intervensi dan 5 kelompok kontrol, yang mana tekhnik pengambilan sampel secara tehnik accidental sampling yaitu peneliti mengumpulkan data dari subyek yang ditemuinya saat itu dan dalam jumlah secukupnya, dimana Alat Ukur yang digunakan ialah Lembar Observasi dengan Manual Muscle Testing (MMT). Yang mana dianalisis menggunakanuji paired sample test berpasangan dengan tingkat signifikansi  α = 0,05. Hasil Penelitian, uji statistik didapatkan bahwa kelompok intervensi (P = 0,000) mempunyai pengaruh pemberian ROM dalam peningkatan kekuatan otot dan kelompok kontrol (P = 0,178) tidak mempunyai pengaruh. Berdasarkan hasil penelitian menunjukkan dengan pemberian latihan ROM, akan mempengaruhi kekuatan otot pada pasien stroke dengan hemiparases. Sehingga sangat di harapkan agar tenaga kesehatan khususnya perawat dapat lebih intensif memebrikan ROM pada pasien stroke dengan hemiparases

scholarly journals Comparison of the efficacy of oral oxycodone and oral codeine in the treatment of post-craniotomy pain – a randomized, double-blind trial

2019 ◽  
Author(s):  
Rui Min Lee ◽  
Beatrice Chin Ling Lim ◽  
Chin Ted Chong ◽  
Mandy Pei-Pei Lim
Keyword(s):  
Side Effects ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Similar Efficacy ◽  
Control Group ◽  
Double Blind Trial ◽  
Double Blind ◽  
Scale Scores ◽  
Double Blinded ◽  
Experimental Group

Abstract Background Post-craniotomy pain has been reported to be moderate to severe. Management of post-craniotomy pain is often inadequate, yet limited by the side effects of opioids. We aim to find out the efficacy of oral oxycodone as compared to oral codeine for the treatment of post-craniotomy pain in our institution.Methods A randomized, double blinded controlled trial was used to evaluate the efficacy of oral oxycodone versus oral codeine. 40 patients were randomized to the control group of codeine (n = 20) or the experimental group receiving oxycodone (n = 20) in addition to regular oral paracetamol for both groups of patients.Results There was no difference in the visual analogue scale scores at 24 hours (2.78 versus 1.85, p = 0.11) or side effects in the oxycodone group compared with the codeine group.Conclusions Oral oxycodone had similar efficacy as oral codeine in the management of post-craniotomy pain.

scholarly journals Pilates as an effective means for developing physical qualities of Agricultural University students

2020 ◽  
Vol 26 ◽  
pp. 00015
Author(s):  
Olga Druzhinina ◽  
Natalya Vershinina ◽  
Lada Mart’yanova ◽  
Roman Zhujkov ◽  
Oleg Kosenovich
Keyword(s):  
Physical Education ◽  
University Students ◽  
Effective Means ◽  
Health Indicators ◽  
Control Group ◽  
Complex Load ◽  
Muscle Strengthening ◽  
Pilates Method ◽  
Muscle Groups ◽  
Experimental Group

The Pilates method was developed about 100 years ago. It is popular among students. This method combines low-impact, health-improving and muscle-strengthening exercises for backbone and muscles strengthening. It may be said that Pilates provides complex load for all muscle groups. In physical education classes at Agricultural University, aerobics and Pilates means are wildly used. In this article, the results of the experimental method, based on the usage of Pilates means among Agricultural University students, are given. The students doing aerobics were divided into 2 groups (control group and experimental group). During the academic year, the students of the experimental group were doing Pilates. The lecturers of Physical Education Department at Izhevsk State Agricultural Academy were monitoring state of health and physical conditions of the students. Finally, positive results were received. The effectiveness of the experimental Pilates method was proven, as physical and mental conditions of the students were improved. And some of the health indicators were increased.

scholarly journals Impact of Pilates on the Intensity of Pain in the Spine of Women of the First Mature age

2020 ◽  
Vol 20 (1) ◽  
pp. 12-17
Author(s):  
Vitalii Kashuba ◽  
Yuliia Tomilina ◽  
Nataliia Byshevets ◽  
Inna Khrypko ◽  
Olha Stepanenko ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Cervical Region ◽  
Control Group ◽  
Sports Club ◽  
Significant Difference ◽  
Thoracic And Lumbar Spine ◽  
Experimental Group ◽  
Different Parts

The purpose of the study is to determine the dynamics of pain intensity in different parts of the spine in women of the first mature age under the influence of pilates. Materials and methods. 64 women took part in research. The women were divided into two groups, each of which included 32 people. The study was carried out at the Sokol sports club and the Olimp fitness club in Kiev. We used the questionnaire “Visual analogue scale of pain”.  Results. We measured the level of pain in the cervical, thoracic and lumbar spine of women of the first mature age. It was found that only 4.69 % of women do not have pain. It was found that women of the first mature age the most often feel painin the cervical region. The women of the control group were engaged in a typical Pilates program. The women of the experimental group were engaged in the author’s program, a feature of which was the use of large equipment during classes. In addition, women who could not attend classes were offered the Pilates computer program. For the experiment, no statistically significant difference between the level of pain in different parts of the spine of women was established. After the experiment, a statistically significant decrease in the level of pain in the lumbar section of women in the experimental group was recorded compared with women in the control group.  Conclusions. The results indicate the effectiveness of large equipment to reduce the level of pain in the back of a woman.

Benefits of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia: a randomized controlled trial

2019 ◽  
Vol 34 (2) ◽  
pp. 242-251 ◽  
Author(s):  
Miguel Gómez-Hernández ◽  
Tomás Gallego-Izquierdo ◽  
Patricia Martínez-Merinero ◽  
Daniel Pecos-Martín ◽  
Alejandro Ferragut-Garcías ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Aerobic Exercise ◽  
Quality Index ◽  
Analogue Scale ◽  
Pittsburgh Sleep Quality Index ◽  
Fibromyalgia Impact Questionnaire ◽  
Exercise Programme ◽  
Moderate Intensity ◽  
Control Group ◽  
Experimental Group

Objective: To investigate the effects of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia. Design: Randomized controlled trial. Subjects: Sixty-four female patients who were diagnosed with fibromyalgia syndrome based on the American College of Rheumatology criteria were recruited (mean age: 54.27 ± 6.94 years). Interventions: The control group ( n = 32) underwent supervised moderate-intensity cycling (50%–70% of the age-predicted maximum heart rate) three times per week for 12 weeks. The experimental group ( n = 32) underwent the same exercise programme plus a stretching programme once per week for 12 weeks. Main measures: The main measures of this study were sleep quality assessed by the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale, the impact of fibromyalgia on quality of life assessed by the Fibromyalgia Impact Questionnaire, and pain perception assessed by the visual analogue scale at baseline, after 4 weeks, and after 12 weeks. Results: The experimental group experienced significant improvements at 4-week measure compared with control group: Pittsburgh Sleep Quality Index ( P < 0.001); Epworth Sleepiness Scale ( P = 0.002); Fibromyalgia Impact Questionnaire (0.93 ± 7.39, P < 0.001); and visual analogue scale (0.52 ± 0.05, P < 0.001). Also at 12-week measure, experimental group experienced significant improvements compared with control group: Pittsburgh Sleep Quality Index ( P < 0.001), Epworth Sleepiness Scale ( P < 0.001); Fibromyalgia Impact Questionnaire (1.15 ± 9.11, P < 0.001); and visual analogue scale (0.81 ± 0.62, P < 0.001). Conclusion: Adding stretching to a moderate-intensity aerobic exercise programme increased sleep quality, decreased the impact of fibromyalgia on the quality of life, and reduced pain compared with just a moderate-intensity aerobic exercise programme in our sample of women with fibromyalgia.

scholarly journals Effect of respiratory muscle strengthening with breathing exercises on Ventilatory functions, aerobic fitness and their association with performance in elite rowers

2020 ◽  
Author(s):  
Dilani Priyashanthi Perera ◽  
Anoja Ariyasinghe ◽  
Anula kariyawasam
Keyword(s):  
Aerobic Fitness ◽  
Exercise Program ◽  
Control Group ◽  
Muscle Strengthening ◽  
Breathing Exercises ◽  
Ventilatory Parameters ◽  
General Exercise ◽  
Elite Rowers ◽  
And Control ◽  
Experimental Group

Abstract ObjectiveRowing is one of the most physically demanding endurance sports requiring high levels of ventilation. The aim of this study was to investigate the effect of RMT on ventilatory parameters, aerobic fitness and rowing ergometer performance among 20 professional rowers (experimental (n = 11) and control (n = 9) aged 20–35 years in Sri Lanka.ResultsRowers in the experimental group were prescribed a RMT program comprising of breathing exercises while control group was prescribed a general exercise program for a 12 weeks. There were significant improvements in PIF, FVC, and VO2maxin the experimental group after 12-weeks (p < 0.05) while only VO2 max improved non-significantly in the control group (p > 0.05).Compared to the control, PIF improved significantly in the experimental group (p < 0.05). The rowers in the experimental group with higher PIF and VO2max performed better at 2000 m and 5000 m ergometer whereas in the control group, only VO2max was associated with better performance in 5000 m ergometer. This suggests that the RMT program had a significant effect in improving some ventilatory parameters and VO2max of the rowers resulting in better performance.Trial registration: Current Controlled Trials UMIN000040345, 08/05/2020. “Retrospectively registered”

scholarly journals Técnica infiltrativa del nervio mentoniano como alternativa para la anestesia de la primera molar decidua mandibular

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Rosa Baldeon-Gutierrez
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Control Group ◽  
Analog Scale ◽  
Anesthetic Effect ◽  
Palabras Clave ◽  
Mandibular Molar ◽  
And Control ◽  
Pulpal Anesthesia ◽  
Experimental Group

Objetivo: Comparar el efecto anestésico de la técnica infiltrativa del nervio mentoniano con la técnica troncular del dentario inferior en terapiapulpar de la primera molar primaria mandibular en odontopediatría. Metodología: La muestra estuvo conformada por 16 pacientes (11 niñosy 5 niñas) divididos en grupo de estudio (anestesia infiltrativa mentoniana) y grupo control (troncular dentario inferior) ambos con (n=8).Se empleó un diseño de investigación experimental basado en observación estructurada con la escala de Houpt modificada solo para llantoy movimiento y encuesta estructurada a partir de la escala analoga visual. Resultados: Los datos se analizaron mediante el paquete estadísticoSPSS versión 22, donde se observó que el grupo experimental tuvo un valor estadístico muy similar al grupo control reportando valores de p de 1.00. El 87.5% no manifestó dolor a la apertura y en la escala analoga visual un 62.5% no manifestó ninguna molestia. Conclusiones: Ambas técnicas resultaron conferir un buen efecto anestésico durante la apertura cameral, por lo que se puede confirmar que la técnica infiltrativa mentoniana es util para la anestesia pulpar solo de la primera molar primaria mandibular, tal como se reporta en otras investigaciones.  Palabras clave: Anestesia dental, pulpotomia, odontología pediátrica. Abstract Objective: To compare the anesthetic effect of infiltrative technique of mental nerve with the nerve block technique inferior alveolar nerve for pulp therapy of the first mandibular molar decidua in children. Material and Methods: The sample consisted of 16 patients (11 boys and 5 girls) divided into a study group (infiltrative mentonian anesthesia) and control group (alveolar nerve block) both with (n = 8). We used an experimental research design based on structured observation with the Houpt scale modified only for crying and movement and a structured survey based on the visual analogue scale. Results: Data were analyzed using the statistical package SPSS version 22, where it was observed that the experimental group had a statistical value very similar to the control group reporting p values of 1.00. 87.5% did not show pain at the opening and in the visual analog scale 62.5% did not show any discomfort. Conclusions: Both techniques were found to confer a good anesthetic effect during chamber opening, so it can be confirmed that the infiltrative mentonian technique is useful for pulpal anesthesia only of the primary primary mandibular molar, as reported in other studies. Keywords: dental anesthesia, infiltration, pulpotomies, pediatric dentristy.

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