A Randomized Controlled Trial to Study the Effectiveness of Interactive, Virtual Tele-Physiotherapy for Improving Motor Function and Quality of Life in Stroke Patients: A Study Protocol

Introduction: Telephysiotherapy (TPT) is provision of physiotherapy services using telecommunication technology such as audio call or video call to facilitate the physiotherapy management of patients within their own homes. In the absence of which the patients may have to discontinue physiotherapy treatment that may result into poor motor outcomes leading to deterioration of the quality of life (QoL). Methodology: This is a study protocol designed to study the effectiveness of TPT intervention in Stroke patients. The objective is to study whether TPT is effective for Stroke Rehabilitation in improving motor function and quality of life. An exercise protocol will be administered to patients suffering from mild to moderate stroke those grading less than or equal to 4 on a Modified Rankin Scale (mRS=<4). A total 40 patients will be recruited in the study, divided into 2 groups –Group A and Group B, where Group A will receive the exercise therapy through Tele Physiotherapy & Group B will receive Out-Patient-Based (OPD-based) Physiotherapy. Participants of both the groups will be called to the OPD at the baseline and at the end of 6 weeks intervention. The patients shall be assessed at the baseline and at the end of intervention using Fugl-Meyer Assessment (FMA), Dynamic Gait Index (DGI), Functional Independence Measure (FIM) and Stroke Specific Quality Of Life scale (SS-QOL) to evaluate their motor function, gait, functional status and quality of life respectively. Ethical Considerations: Approval from the Institutional Ethics committee of the institute is obtained. Participation in study will be voluntary and only the patients willing to give the written informed consent will be recruited for the study. Results: The results of the study will be published and disseminated in peer-reviewed journals.

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Comparison of Post-Operative Quality of Life between Vaginal Hysterectomy and Abdominal Hysterectomy

10.53350/pjmhs211571801 ◽

2021 ◽

Vol 15 (7) ◽

pp. 1801-1803

Author(s):

Nazia Sajjad ◽

Sara Qadir ◽

Rukhsana Kasi ◽

Tayyaba Rasheed ◽

Fozia Unar ◽

...

Keyword(s):

Quality Of Life ◽

Vaginal Hysterectomy ◽

Controlled Trial ◽

Abdominal Hysterectomy ◽

Study Group ◽

Randomized Controlled ◽

Group A ◽

Group B ◽

Satisfactory Quality

Objectives: To compare the frequency of satisfactory quality of life between vaginal hysterectomy and abdominal hysterectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Obstetrics and Gynecology, Niazi Medical & Dental College, Sargodha from 1st April 2020 to 31st December 2020. Methodology: Ninety patients were comprised and they were divided in two groups; group A (vaginal hysterectomy) and Group B (abdominal hysterectomy) were performed. Hysterectomies (vaginal or abdominal) were performed by consultant gynecologist having experience at having least 5 years). Results: Mean age of the patients was 49.82±3.207 years, mean age of the patients of group A was 49.82±3.193 years and mean age of the patients of group B was 49.82±3.256 years. Satisfactory quality of life was noted in 38 (84.44%) patients of study group A and 29 (64.44%) patients of study group B. Statistically significant (P = 0.051) difference between the frequency of satisfactory quality of life between the both groups was noted. Conclusion: Results of this study reveals that post hysterectomy quality of life found more satisfactory in vaginal hysterectomy group as compared to abdominal hysterectomy group. Insignificant association of post hysterectomy quality of life with age group, marital status, parity and socio-economical status was found. Findings of this study also revealed that post hysterectomy satisfactory quality of life is not associated with education of the patients. Key words: Hysterectomy, Quality of life, abdomen, vagina, WHO, Uterus

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Effect of Sit-to-Stand Training Combined with Taping on Spasticity, Strength, Gait Speed and Quality of Life in Patients with Stroke: A Randomized Controlled Trial

Life ◽

10.3390/life11060511 ◽

2021 ◽

Vol 11 (6) ◽

pp. 511

Author(s):

Tae-sung In ◽

Jin-hwa Jung ◽

Kyoung-sim Jung ◽

Hwi-young Cho

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Gait Speed ◽

Walking Speed ◽

Controlled Trial ◽

Muscle Stiffness ◽

Stroke Patients ◽

Sit To Stand ◽

Quality Of Life Scale

Background and Objectives: Spasticity is one of the factors that make it more difficult to control posture in stroke patients. Taping has been used to manage muscle stiffness in various musculoskeletal disorders. Recently, it has been used to decrease spasticity in stroke patients, but the effect of taping combined with therapeutic exercise is still unclear. The purpose of the present study was to determine whether the sit-to-stand (STS) training combined with taping improves the ankle spasticity, muscle strength, gait speed, and quality of life in stroke patients. Material and Methods: The study recruited 40 stroke patients, who were randomly divided into two groups: the taping and STS training (TSTS) group (n = 20) and the STS group (n = 20). The subjects in the TSTS group underwent STS training with Kinesio taping on the tibialis anterior, calf and ankle joint, whereas the subjects in the STS group underwent only STS training. All participants underwent 30 sessions of STS training (30 minutes, 5 days per week for 6 weeks). The present study evaluated the spasticity of ankle plantar flexors by the mean of the composite spasticity score; the muscle strength and gait speed were evaluated using the handheld dynamometer and the 10-meter walk test, respectively, and the quality of life was assessed using the stroke-specific quality of life scale. Result: The TSTS group and the STS group showed significant improvements in spasticity, muscle strength, walking speed, and quality of life after the intervention (p < 0.05). The level of improvement in the TSTS group was significantly higher in spasticity, muscle strength, and walking speed compared to the STS group (p < 0.05). Conclusions: The present study demonstrated that STS training is effective for decreasing spasticity in stroke patients and suggested that additional taping intervention further improved this effect. In addition, improvement of muscle strength and gait function was observed with a significant decrease of ankle spasticity.

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Effects of core muscle stability on low back pain and quality of life in post- menopausal women: A comparative study.

Journal of the Pakistan Medical Association ◽

10.47391/jpma.151 ◽

2020 ◽

pp. 1-11

Author(s):

Sumaira Kanwal ◽

Irum Yaqoob ◽

Syed Shakil-Ur-Rehman ◽

Misbah Ghous ◽

Javeria Ghazal ◽

...

Keyword(s):

Quality Of Life ◽

Oswestry Disability Index ◽

Core Stability ◽

Manual Muscle Testing ◽

Muscle Testing ◽

Quality Of Life Scale ◽

Group A ◽

Post Menopausal ◽

Group B

Abstract Objective: To determine the effects of core stability exercises on backache and quality of life of postmenopausal women. Method: The comparative study was conducted at the Department of Physical Therapy, Margalla General Hospital, Rawalpindi, Pakistan, from February to June 2018, and comprised post-menopausal woman aged 40-60 years having backache who were randomly divided into experimental group A and control group B. Group A underwent core stability exercises along with traditional therapy, while group B had traditional low backache physical therapy. Each participant was treated three days a week for 12 weeks. The outcome was assessed using the manual muscle testing numerical pain rating scale, Oswestry disability index and Utian quality of life scale at baseline, week 6 and week 12. Data was analysed using SPSS 21. Results: Of the 35 subjects initially enrolled, 24(68.5%) completed the study. Of them, 14(58.3%) cases were in group A and 10(41.6%) controls in group B. The overall mean age was 54.54±5.13 years, mean menopause duration was 99.79±50.02 months, and mean duration of backache complaint was 23.95±14.85 months. Differences in outcome were significant between the groups for flexion and extension manual muscle testing and Utian quality of life scale (p<0.05) and non-significant for numerical pain rating scaleand Oswestry disability index (p>0.05). Conclusion: Core stability exercises were found to have the ability to reduce pain, disabilitym and to improve strength and quality of life. Key Words: Backache, Core stability exercises, Post-menopause, Oswestry disability index, Utian Quality of life.

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Effects of exergames training on postural balance in patients who had a chronic stroke: study protocol for a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-038593 ◽

2020 ◽

Vol 10 (11) ◽

pp. e038593

Author(s):

Nathalia Priscilla Oliveira Silva Bessa ◽

Bartolomeu Fagundes de Lima Filho ◽

Candice Simões Pimenta de Medeiros ◽

Tatiana Souza Ribeiro ◽

Tânia Fernandes Campos ◽

...

Keyword(s):

Quality Of Life ◽

Postural Balance ◽

Controlled Trial ◽

Functional Independence ◽

Chronic Stroke ◽

Cortical Activation ◽

Control Group ◽

Quality Of Life Scale ◽

Functional Reach Test

IntroductionExergames training, as an additional therapy to standard care, has been widely used for motor recovery after patients who had a stroke, and it is a valuable and positive tool in the rehabilitation of this population. This study describes a single-blind randomised clinical trial that will aim to investigate the effects of exergames training on postural balance in patients with chronic stroke.Methods and analysisForty-two individuals with chronic stroke (>6 months), aged 20–75 years, will be randomised into two groups: the experimental group, which will be subjected to an exergames protocol, and control group, which will undergo a kinesiotherapy protocol. Both protocols are based on postural balance. The intervention will consist of 40-minute sessions two times per week for 10 consecutive weeks. The volunteers will be evaluated before the treatment, at the end of the interventions and 8 weeks thereafter. The primary outcome will be postural balance (Berg Balance Scale, Functional Reach Test, Timed Up and Go test and Centre of Pressure variables) and secondary outcomes will include gait (6 m timed walk and Kinovea Software), cortical activation patterns (electroencephalography Emotiv EPOC), functional independence (Functional Independence Measure), quality of life (Stroke-Specific Quality of Life Scale) and motivation (Intrinsic Motivation Inventory).Ethics and disseminationThis protocol was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (number 3.434.350). The results of the study will be disseminated to participants through social networks and will be submitted to a peer-reviewed journal and scientific meetings.Trial registration numberBrazilian Registry of Clinical Trials (RBR-78v9hx).

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Effectiveness of custom-made foot orthoses in patients with rheumatoid arthritis: a randomized controlled trial

Clinical Rehabilitation ◽

10.1177/0269215518819118 ◽

2018 ◽

Vol 33 (4) ◽

pp. 661-669 ◽

Cited By ~ 6

Author(s):

María Reina-Bueno ◽

María del Carmen Vázquez-Bautista ◽

Sergio Pérez-García ◽

Carolina Rosende-Bautista ◽

Antonia Sáez-Díaz ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Controlled Trial ◽

Foot Orthoses ◽

Foot Pain ◽

Randomized Controlled ◽

Custom Made ◽

Group A ◽

Group B

Objective: To determine the effect of custom-made foot orthoses versus placebo insoles on pain, disability, foot functionality, and quality of life. Design: Double-blinded randomized controlled trial. Setting: University Podiatric Clinical Area. Subjects: Patients with rheumatoid arthritis. Interventions: Patients were randomly assigned to either group A, which received custom-made foot orthoses, or group B, which received placebo, flat cushioning insoles, for three months. Main measures: The primary outcome was foot pain, measured by visual analog scale. Foot functionality, foot-related disability, and quality of life were measured using the Foot Function Index, the Manchester Foot Pain and Disability Index, and 12-Item Short Form Health Survey (SF-12) questionnaires, respectively, at the beginning and at days 30, 60, and 90. Results: A total of 53 patients, aged 59.21 ± 11.38 years, received either the custom-made foot orthoses ( N = 28) or the placebo ( N = 25). For the analysis of the data, only participants who had been measured at the four time points (0, 30, 60, and 90 days) were included. In group A, all variables showed statistically significant differences when comparing the initial and final measurements. Pain showed 6.61 ± 2.33 and 4.11 ± 2.66 in group A, at baseline and at 90 days, respectively, and Group B showed 6.16 ± 1.77 and 5.60 ± 2.71 at baseline and at 90 days, respectively. This was the only variable that showed statistically significant difference between groups ( P = 0.048). Conclusion: The custom-made foot orthoses significantly reduced the participants’ foot pain, although they did not have positive effects on disability, foot functionality, and quality of life compared with only cushioning.

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Effect of nursing intervention via a chatting tool on the rehabilitation of patients after Total hip Arthroplasty

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-019-1483-4 ◽

2019 ◽

Vol 14 (1) ◽

Author(s):

Jing Luo ◽

Xiaohua Dong ◽

Jing Hu

Keyword(s):

Quality Of Life ◽

Health Survey ◽

Nursing Intervention ◽

Functional Independence ◽

Harris Hip Score ◽

Joint Function ◽

Sf 36 ◽

Group A ◽

Group B

Abstract Background Nursing intervention following discharge is a long-term rehabilitation process that is essential for improving hip joint function and quality of life in affected patients. This study aimed to assess the effect of nursing intervention via WeChat on the rehabilitation of patients after total hip arthroplasty (THA). Methods We conducted a retrospective analysis of 232 patients who underwent THA at our hospital from January 2013 to October 2015. Of the 232 patients, 114 received nursing intervention via telephone (Group A), and 118 received nursing intervention via WeChat (Group B). Furthermore, the Harris hip score and Short-Form 36 (SF-36) health survey score were used to evaluate hip joint function and quality of life in patients in the two groups at discharge and 1, 3 and 6 months following discharge. Moreover, the functional independence measure was applied to assess the recovery of joint function in the patients. Results No significant difference was observed in the Harris hip score and the SF-36 health survey score between the two groups at discharge and 1 month following discharge (p > 0.05). However, the Harris hip score and SF-36 health survey score were lower in group A than in group B at 3 and 6 months following discharge (p < 0.05). Furthermore, no obvious difference was observed in terms of functional independence between the two groups at discharge (p > 0.05). However, more individuals were completely independent in group B than in group A at 1, 3 and 6 months following discharge (p < 0.05). Conclusions Nursing intervention via WeChat can improve the effect of rehabilitation after THA and promote the recovery of joint function in patients.

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Comparison of the Efficacy of a Gabapentinoid with an Opioid Versus an Opioid Alone in Patients with Spinal Cord Stimulation

January 2018 - Pain Physician ◽

10.36076/ppj.2018.4.e429 ◽

2018 ◽

Vol 1 (21;1) ◽

pp. E429-E434

Author(s):

Jae Jun Lee

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Combination Therapy ◽

Pain Score ◽

Spinal Cord Stimulation ◽

Quality Of Life Scale ◽

Group A ◽

Group B ◽

Military Veteran

Background: Combination therapy with a gabapentinoid and an opioid improves the quality of life (QOL) of patients with chronic pain. However, the role of combination therapy in patients with spinal cord stimulation (SCS) has not been evaluated. Objective: Our primary objective was to evaluate the clinical outcomes of combination therapy consisting of a gabapentinoid and an opioid in patients undergoing SCS. Study Design: Retrospective evaluation. Setting: Veterans Health Service Medical Center, Seoul, Korea. Methods: We retrospectively reviewed 100 military veteran patients who underwent SCS implantation. Forty-eight of 100 patients had been maintained on SCS for 2 years. Patients were divided into 2 groups by analgesic type: group A (opioid only, n = 20) and group B (opioid + gabapentinoids, n = 28). Pre-implantation information included the numeric rating scale (NRS) pain score, quality of life scale (QOLS) score, and oral morphine equivalents (OMEs). Post-implantation data were obtained at 1, 6, 12, and 24 months. Results: Group B had higher QOLS scores at 1, 6, 12, and 24 months than those of group A (P < 0.05). There were no statistically significant differences in the NRS pain score or OMEs at 1, 6, 12, or 24 months between the 2 groups. Limitation: Retrospective design, relatively short follow up period (2 years). Conclusion: This study indicated that the addition of a gabapentinoid to an opioid is superior to an opioid alone in terms of QOL in military veteran patients with SCS for 2 years. Combination therapy consisting of a gabapentinoid added to an opioid can be a good modality to improve QOL in patients with SCS. Key words: Combination, drug therapy, gabapentin, multimodal analgesia, opioid, pain, pregabalin, spinal cord stimulation

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Similar effects of two modified constraint-induced therapy protocols on motor impairment, motor function and quality of life in patients with chronic stroke

Neurology International ◽

10.4081/ni.2015.5430 ◽

2015 ◽

Vol 7 (1) ◽

Cited By ~ 9

Author(s):

Wilma Costa Souza ◽

Adriana B. Conforto ◽

Marco Orsini ◽

Annette Stern ◽

Charles André

Keyword(s):

Quality Of Life ◽

Motor Function ◽

Real World ◽

Controlled Trial ◽

Motor Impairment ◽

Chronic Stroke ◽

Quality Of Life Scale ◽

Life Scale ◽

Treatment Measures

Modified constraint-induced movement therapy (CIMT) protocols show motor function and real-world arm use improvement. Meanwhile it usually requires constant supervision by physiotherapists and is therefore more expensive than customary care. This study compared the preliminary efficacy of two modified CIMT protocols. A two-group randomized controlled trial with pre and post treatment measures and six months follow-up was conducted. Nineteen patients with chronic stroke received 10 treatment sessions distributed three to four times a week over 22 days. CIMT3h_direct group received 3 hours of CIMT supervised by a therapist (n=10) while CIMT1.5h_direct group had 1.5 hours of supervised CIMT+1.5 hours home exercises supervised by a caregiver (n=9). Outcome measures were the Fugl-Meyer Assessment, the Motor Activity Log, and the Stroke Specific Quality of Life Scale. The modified CIMT protocols were feasible and well tolerated. Improvements in motor function, real-world arm use and quality of life did not differ significantly between treated groups receiving either 3 or 1.5 hours mCIMT supervised by a therapist.

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Joint involvement influences quality of life in systemic lupus erythematosus patients

Lupus ◽

10.1177/0961203320979039 ◽

2020 ◽

pp. 096120332097903

Author(s):

Francesco Natalucci ◽

Fulvia Ceccarelli ◽

Enrica Cipriano ◽

Carlo Perricone ◽

Giulio Olivieri ◽

...

Keyword(s):

Quality Of Life ◽

Lupus Erythematosus ◽

Disease Duration ◽

Joint Involvement ◽

Systemic Lupus ◽

Median Disease Duration ◽

Group A ◽

Musculoskeletal Manifestations ◽

Group B

Introduction Joint involvement represents the major determinant in quality of life (QoL)in Systemic Lupus Erhytematosus (SLE) patients. However, QoLhas been generally evaluated by non-specific questionnaires. We evaluated the relationship between SLE musculoskeletal manifestations and QoL, assessed by LupusQoL. Methods Patients with joint involvement (group A) were compared with those without this feature (group B). Disease activity was assessed by SLEDAI-2k in the whole population, while DAS28 and swollen to tender ratio were applied to assess joint activity. LupusQoL was administered to all the patients. Results Group A included 110 patients [M/F 8/102; median age 49 years (IQR 13), median disease duration 156 months (IQR 216)], group B 58 [M/F 11/47; median age 40 years (IQR 15), median disease duration 84 months (IQR 108)].We found significanlty lower values in all the LupusQoL domains except for one (burden to others) in group A in comparison with group B. A significant correlation between DAS28 values and all the LupusQoL domains in group A was found; only three domains correlated with SLEDAI-2k. Conclusions SLE-related joint involvement significantly influences disease-specific QoL. DAS28 better correlated with LupusQoL domains in comparison with SLEDAI-2k, confirming the need for specific musculoskeletal activity indices.

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Immediate Effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Pain in Diabetic Patients with Periarthritis of Shoulder

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32758 ◽

2021 ◽

pp. 220-228

Author(s):

Kamya Somaiya ◽

G. D. Vishnu Vardhan ◽

Ashish Bele

Keyword(s):

Quality Of Life ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Diabetic Patients ◽

Tissue Degeneration ◽

Muscle Energy Technique ◽

Group A ◽

Muscle Energy ◽

Group B

Background: Periarthritis Shoulder, also known as adhesive capsulitis, is a condition that results in tissue degeneration, thickening of the joint capsule, and a narrowing of the glenoid cavity. Diabetes mellitus is linked to many debilitating musculoskeletal disorders of the hand and shoulder. Prevalence of adhesive capsulitis or frozen shoulder is estimated to be 11-30 percent in people with diabetes. Various interventions have already been used to prevent pain and improve quality of life. Both Muscle Energy Technique and Kalternborn Mobilization Technique are thought to have a pain-relieving effect. Aim & Objective: The study's aim is to compare the effects of both techniques on pain in diabetic patients. Methods/Design: In this study experimental study, the participants will be divided into two groups: Kalternborn Mobilization Technique Group (A) and Muscle Energy Technique Group (B) based on inclusion and exclusion criteria. Both interventions include 30-45 min session which will be carried out for duration of four days. Outcome will be Pain and Quality of Life and outcome measures will be evaluated at beginning and at the end of intervention period. Result: Successful Completion of trial of Muscle Energy Technique and Kalternborn Mobilisation Technique will provide evidence for best strategy targeting Pain and quality of life in diabetic patients with Periarthritis of Shoulder. Conclusion: The study will be concluded with the significant effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Periarthritis shoulder of diabetic patients.

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