Efficacy of Physiotherapy in Reducing Back Pain and Improve Joint Mobility in Older Women

2019 ◽  
Vol 21 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Dorota Cichoń ◽  
Zofia Ignasiak ◽  
Jarosław Fugiel ◽  
Katarzyna Kochan ◽  
Tomasz Ignasiak
Keyword(s):  
Back Pain ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Functional Mobility ◽  
Relaxation Techniques ◽  
Elderly Persons ◽  
Lower Body ◽  
Background Pain ◽  
The Right

Background. Pain of the spine and large appendicular joints may limit the functional mobility of elderly persons and affect their biological fitness. This paper assesses the effects of comprehensive physical therapy in women with lumbar and cervical pain and compares flexibility in the upper and lower body and the range of motion in selected joints. Material and methods. Thirty-three women aged 60–75 years completed a 6-week intervention involving group gymnastics to prevent back pain, relaxation techniques, classic massage, transcutaneous electrical nerve stimulation, and ultrasound therapy to the lumbosacral and cervicothoracic regions. Patient outcomes were assessed by measuring upper and lower body flexibility, upper and lower extremity joint and spinal ROM, and self-reported back pain using a Visual Analogue Scale. Differences in means between successive measurements were calculated with a Student t test for dependent groups, while differences in the range of motion in the joints of the right and left limbs were calculated with the NIR test. Results. The physical therapy significantly improved flexibility of the upper and lower body by increasing the range of motion in selected joints of the limbs and the spine. On completion of the intervention, the intensity of back pain was reduced by 2.9 points in the VAS scale. Conclusions. 1. The results confirm high efficacy of comprehensive physical therapy. 2. Elderly persons willingly at­tend exercise sessions combined with physical therapy procedures, as elimination of pain and improved functional efficacy facilitates self-care, thus significantly improving the quality of their lives.

scholarly journals SAT-381 Adjunct Benefit of Aquatic Therapy in Juvenile Hypophosphatasia Initiated in an Adult

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Abdul Mannan Khan ◽  
James Lightell ◽  
Corey Majors
Keyword(s):  
Alkaline Phosphatase ◽  
Lumbar Spine ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Weight Bearing ◽  
Standing Balance ◽  
Home Exercise ◽  
Aquatic Therapy ◽  
History Of ◽  
The Right

Abstract Background: This is a case of improvement in visual analog scale pain rating and objective functional capacity in juvenile hypophosphatasia (HPP) following treatment with asfotase alfa and adjunct physical therapy (PT) performed in an aquatic environment. Clinical Case: A 45-year-old female with a history of psoriatic arthritis and osteoarthritis was referred for low serum alkaline phosphatase (ALKP) (<10 U/L). Her history of eight fractures over the preceding 25 years including bilateral femur nonunion repaired with rods eight years prior to presentation led to a diagnosis of juvenile HPP, and asfostase alfa was ordered. She is ambulatory only with a rolling walker from a deficit in dynamic standing balance and chronic pain. Referrals were made for both PT and pain management for these symptoms. The initial PT evaluation established reasonable goals to include the performance of in-home exercise, increase strength and range of motion, decrease pain, improve standing balance, and progress from walker to cane. Aquatic therapy was chosen in order to reduce patient’s effective weight. The right hip complex, lumbar spine, and left leg were chosen as areas of focus based on pain reports. A four-week follow-up evaluation by the therapist reported patient had been performing at home exercises. Pain scale reports of the lumbar spine, right hip, and left leg were within the moderate range and near or meeting the patient’s self-reported least pain experienced. Goniometric measurements of the right hip showed range of motion improvements averaging 9%. The lumbar spine’s range of motion increased an average of 18%. Discussion: HPP is capable of creating severe disability, and its rarity has led to a dearth of investigation into appropriate treatment. Recommendations have been made previously for PT in children and infants presenting with juvenile or infantile HPP; this case suggests these recommendations are applicable to adults as well. The mechanisms of these improvements remain unclear; however, evidence exists that weight-bearing exercise may result in increased levels of bone-specific isoforms of ALKP. This endogenous path to increased serum ALKP may play a role in potentiating the effects of asfostase alfa. 1. Shapiro JR, Lewiecki EM. Hypophosphatasia in Adults: Clinical Assessment and Treatment Considerations. Journal of Bone and Mineral Research 2017;32(10):1977–1980. 2. Phillips D, Case LE, Griffin D, Hamilton K, Lara SL, Leiro B, Monfreda J, Westlake E, Kishnani PS. Physical therapy management of infants and children with hypophosphatasia. Molecular Genetics and Metabolism 2016;119(1–2):14–19. 3. Rudberg A, Magnusson P, Larsson L, Joborn H. Serum Isoforms of Bone Alkaline Phosphatase Increase During Physical Exercise in Women. Calcified Tissue International 2000;66(5):342–347.

The effect of a varied exercise program (VEP) on shoulder function and lymphedema (LE) in breast cancer survivors (BCs): A pilot study.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 82-82 ◽  
Author(s):  
Sophie Hanssens ◽  
Christel Fontaine ◽  
Lore Decoster ◽  
Denis C. C. Schallier ◽  
Rik Luyten ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Adjuvant Therapy ◽  
Range Of Motion ◽  
Upper Limb ◽  
External Rotation ◽  
Shoulder Function ◽  
Exercise Group ◽  
Secondary Outcome

82 Background: A common physical sequel after adjuvant therapy is a decrease in shoulder movement of the upper-limb of the affected side and the development of LE. Resistance exercise is known to be safe and does not increase the risk of LE. The objective of this study is to evaluate the effect of a VEP on shoulder range of motion and upper-limb LE after adjuvant therapy in BCs. Methods: 22 BCs treated with surgery and adjuvant therapy were randomly assigned to the VEP (n=12) or the control (n=10). The VEP aimed at improving aerobic endurance, joint mobility and muscle strength. The frequency of the VEP was 2 times a week, during 3 months, with a total of 30 sessions. Primary endpoints included the range shoulder motion and arm volumes of both arms. The secondary outcome was quality of life (QoL) as measured by the EORTC QLQ-C30. All outcome measures were assessed at baseline and after 3 months. Results: After ending the VEP, in the exercise group, the movements such as abduction (p=0.04), external rotation (p=0.02), extension (p=0.03) and flexion (p=0.01) of the affected arm increased significantly but there was no change for internal rotation (0.27). No significant changes in arm volume (p=0.06) were found after 3 months compared to baseline, whereas the quality of life did improve significantly (p=0.01). After 3 months the range of motion of the shoulder of the affected arm (sum of abduction, external rotation, extension and flexion) in the exercise group tended to be better although this was not significant (p=0.50). The arm volume difference between the two groups was not significant (p=0.10) but it was for the QoL (p=0.02). Conclusions: A VEP lead to significant specific improvements in arm mobility compared to baseline. These BCs also compared favourably to the control cohort, but this was not significant. The study confirms that exercising the ipsilateral arm and shoulder has no detrimental effect on LE and has a positive impact on the QoL. Standard guidelines concerning physical therapy to ameliorate shoulder function and LE are not available. Additional patients will be enrolled to develop standard recommendations for physical therapy to improve shoulder and limb function in BCs.

Effects of including core strengthening exercise as part of a comprehensive rehabilitation programmes on people with lower-limb amputation: a pilot study

2021 ◽  
Vol 28 (3) ◽  
pp. 1-10
Author(s):  
Sofía Mosteiro-Losada ◽  
Silvia Varela ◽  
Oscar García-García ◽  
Iván Martínez-Lemos ◽  
Carlos Ayán
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Range Of Motion ◽  
Lower Limb ◽  
Walking Speed ◽  
Exercise Programme ◽  
Functional Mobility ◽  
Lower Limb Amputation ◽  
Limb Amputation

Background/aims Exercise can be a useful rehabilitation approach for people with lower-limb amputation. However, there is a lack of research in this regard. The aim of this study was to analyse functional mobility, walking speed, range of motion and quality of life changes experienced by people with lower-limb amputation after taking part in a comprehensive exercise programme that included core strengthening exercises. Methods This was a pilot study including six individuals who carried out a comprehensive exercise programme, which was performed once a week for 5 months. During the first 2 weeks, the participants attended 1-hour sessions that focused on the execution of diaphragmatic breathing and body scheme exercises. From the fourth week until the end of the intervention, the sessions were much longer, and included a warm-up phase, two circuit training workouts for core strength and balance, and a final stretching routine. Results Significant improvements were found in the participants' functional mobility (P=0.007) and walking speed (P=0.001). The exercise intervention did not have a significant impact on the participants' range of motion and quality of life. Conclusions In a group of people with lower-limb amputation, the performance of a comprehensive exercise programme that included core strengthening, was found to be beneficial for functional mobility and walking speed, although no significant effect was observed for range of motion and quality of life measures.

Joint mobilization and therapeutic exercises in the hands of patients with systemic sclerosis: A preliminary randomized controlled trial

2021 ◽  
pp. 026921552110387
Author(s):  
Letticia Cristina Santos Cardozo Roque ◽  
Angélica da Silva Tenório ◽  
Lígia Tomaz de Aquino ◽  
Renata dos Santos Ferreira ◽  
Angela Luzia Branco Pinto Duarte ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Therapy Group ◽  
Controlled Trial ◽  
Control Group ◽  
Joint Mobilization ◽  
Randomized Controlled ◽  
Therapeutic Exercises

Objective: To investigate the effectiveness of Maitland’s joint mobilization and therapeutic exercises on the functionality of the hands in patients with systemic sclerosis. Design: Randomized controlled trial. Setting: Tertiary university hospital. Subjects: Twenty-four patients diagnosed with systemic sclerosis according to ACR/EULAR 2013 criteria; age ⩾18 years and Cochin Hand Functional Scale (COCHIN) score ⩾10. They were randomized to physical therapy group ( n = 12) or control group ( n = 12). Interventions: The physical therapy group received joint mobilization and undertook therapeutic exercises, twice a week, for 12 weeks, and received a booklet with information about the disease. The control group only received the booklet about the disease. Main measures: The primary outcome measure was functionality of the hands (COCHIN). The secondary outcomes measures were disability (SHAQ), pain (visual analogic scale), range of motion (HAMIS and Delta finger-to-palm), grip strength (JAMAR dynamometer), and quality of life (SF12). Results: Twenty-two patients were female, with a mean age of 47.4 ± 11.1 years and 18 had limited cutaneous form. The physical therapy group showed a decrease of 11.33 points in the COCHIN in comparison with the control group ( P = 0.09). There was a significant increase in range of motion by HAMIS (3.00 ± 1.48 vs 5.42 ± 2.64, P = 0.008), reduction in pain VAS (3.42 ± 2.78 vs 7.75 ± 2.53, P < 0.001), and increase in the physical component of SF12 (38.51 ± 9.60 vs 32.65 ± 9.10, P = 0.038). Conclusion: Maitland’s joint mobilization and therapeutic exercises improved the functionality of the hands, reduced pain in the hands and wrists, increased range of motion, and improved quality of life in patients with systemic sclerosis.

scholarly journals Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Sensors ◽  
2020 ◽  
Vol 20 (9) ◽  
pp. 2482
Author(s):  
Roberto Cano-de-la-Cuerda ◽  
Lydia Vela-Desojo ◽  
Marcos Moreno-Verdú ◽  
María del Rosario Ferreira-Sánchez ◽  
Yolanda Macías-Macías ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Range Of Motion ◽  
Exploratory Study ◽  
Functional Mobility ◽  
Trunk Flexion ◽  
Flexion Extension ◽  
Flexion And Extension

Background: People with Parkinson’s disease (PD) present deficits of the active range of motion (ROM), prominently in their trunk. However, if these deficits are associated with axial rigidity, the functional mobility or health related quality of life (HRQoL), remains unknown. The aim of this paper is to study the relationship between axial ROM and axial rigidity, the functional mobility and HRQoL in patients with mild to moderate PD. Methods: An exploratory study was conducted. Non-probabilistic sampling of consecutive cases was used. Active trunk ROM was assessed by a universal goniometer. A Biodex System isokinetic dynamometer was used to measure the rigidity of the trunk. Functional mobility was determined by the Get Up and Go (GUG) test, and HRQoL was assessed with the PDQ-39 and EuroQol-5D questionnaires. Results: Thirty-six mild to moderate patients with PD were evaluated. Significant correlations were observed between trunk extensors rigidity and trunk flexion and extension ROM. Significant correlations were observed between trunk flexion, extension and rotation ROM and GUG. Moreover, significant correlations were observed between trunk ROM for flexion, extension and rotations (both sides) and PDQ-39 total score. However, these correlations were considered poor. Conclusions: Trunk ROM for flexion and extension movements, measured by a universal goniometer, were correlated with axial extensors rigidity, evaluated by a technological device at 30°/s and 45°/s, and functional mobility. Moreover, trunk ROM for trunk flexion, extension and rotations were correlated with HRQoL in patients with mild to moderate PD.

scholarly journals Aquatic physical therapy as a treatment modality in healthcare for non-institutionalized elderly persons: a systematic review

2011 ◽  
Vol 9 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Gisele da Silveira Sarmento ◽  
Andréa Sanchez Navarro Pegoraro ◽  
Renata Cereda Cordeiro
Keyword(s):  
Systematic Review ◽  
Physical Therapy ◽  
Methodological Quality ◽  
Physical Therapists ◽  
The Elderly ◽  
Elderly Persons ◽  
Eligibility Criteria ◽  
Institutionalized Elderly ◽  
Potential Applicability

ABSTRACT Objective: To review scientific literature pertaining to aquatic physical therapy in the elderly and institutionalized population. Methods: A qualitative systematic review of electronic databases MEDLINE and LILACS, with the topic index terms: “hydrotherapy,” “homes for the aged or residential facilities,” and “aged. In light of the lack of studies carried out on the institutionalized population, we opted for reviewing literature on the effectiveness of this modality of physical therapy treatment on the non-institutionalized elderly population in order to produce knowledge that can be critically analyzed according to its potential applicability for the institutionalized population. The methodological quality of the studies was assessed using the Delphi listing. Results: Of the 27 studies analyzed by their abstracts, 10 studies were excluded since they did not correspond to the eligibility criteria. We analyzed the subject characteristics of each study, as well as the quality of the methods (good methodological quality in 47% of the studies), the result measurements considered, the intervention strategies, the sites where they took place, and the professionals involved (76% by physical therapists). Conclusion: Although a large part of the studies demonstrated good results with aquatic physical therapy practice, none of them had been applied on long-stay institution for the elderly. Therefore, more studies are needed in this area for a model of assistance to long-stay institution for the elderly to be proposed.

The Influence of Laser Therapy and Magnetotherapy on the Function and Quality of Life Patients with Rheumatoid Artritis of Hand Joints

2020 ◽  
Vol 62 (3) ◽  
pp. 149-153
Author(s):  
Amanda Maria Kostro ◽  
Agnieszka Dakowicz ◽  
Diana Moskal-Jasińska ◽  
Anna Kuryliszyn-Moskal
Keyword(s):  
Quality Of Life ◽  
Magnetic Field ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Laser Therapy ◽  
Low Frequency ◽  
Hand Joints ◽  
Frequency Magnetic Field ◽  
Group A

Introduction: Rheumatoid arthritis is a chronic, inflammatory, systemic complex disease involving joints and periarticular tissues, leading to disability and premature death. The most common and earliest locations of the inflammatory process involves hands. In addition to pharmacotherapy, therapeutic management includes physiotherapy, psychotherapy and patient education. Among the physical therapy methods, the role of laser therapy and magnetotherapy in achieving analgesic effects and improving functions is emphasized. AIM: The aim of the study was to compare the impact of low frequency magnetic field and laser therapy on pain reduction, quality of life and function improvement as well as range of motion hands joints in patients with RA. Material and Methods: The study involved 30 outpatient in the Rehabilitation Clinic of the University Clinical Hospital in Bialystok. Among all patients they were selected into two groups in which they were applied accordingly in the first group a laser stimulation and in the second group a low frequency magnetic field. There were performed 10 treatments in each group with a Saturday - Sunday break. Before and after rehabilitation was conducted a physical and subjective examination, which used: pain examination (VAS scale, Laitinen questionnaire), examination of hand range of motion and functional evaluation according to questionnaires: bMHQ, DASH, AIMS-2. Results: After used of physical therapy in both groups the results were obtained that pain was decreased. Moreover, the magnetotherapy improved the range of motion as well as the quality of life and functionality of patients measured according to the questionnaires: Laitinen, Breif MHQ, DASH, AIMS-2 more favorably than laser therapy. Conclusions: Both treatment: laser therapy and magnetotherapy provide an analgesic effect in patients with RA. It has been shown that magnetotherapy is more effective in improving hand joints mobility and patient’s quality of live.

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