scholarly journals Effectiveness of Intradialytic Stretching Exercises on Muscle Cramps among Patients Undergoing Haemodialysis in a Selected Tertiary Care Hospital Kancheepuram District, Tamil Nadu, India

Author(s):  
K. Anbu ◽  
A. Rathiga

Background: Chronic kidney disease is the vital and non-communicable disease epidemic that affects the world population including India. Muscle cramps are a common complication of haemodialysis treatments and they often result in the early termination of the session, it is an important priority to provide timely intervention to improve their muscle cramps of haemodialysis patients. Materials and Methods: The aim of the study is to evaluate the effectiveness of intradialytic stretching exercises on muscle cramps among patients on haemodialysis. Time series quasi experimental design was conducted in dialysis unit of Chettinad Super Specialty Hospital, Kelambakkam at Chengalpet District, Tamil Nadu, India.Total sample of 138 belong to 30 to 60 years were selected with the use of purposive sampling technique as per the statistical calculation and equally allocated to control 69 samples and to Study group 69.  The structured questionnaire are demographic, Clinical variables & Modified cramps questionnaire chart was used to assess the effectiveness of intradialytic stretching exercises on level of muscle cramps. Results: The study findings concluded that in pre test 41(59.4 %) of the patients in study group and 38(55.1 %) of the patients in control group had mild muscle cramps whereas in post test 4(5.8 %) of the patients in study group had severe muscle cramps and 16 (23.2 %) of the patients in control group had severe muscle cramps. While comparing the post test mean value of control group 2.652±0.854 the study group mean value was 2.101±0.769 was significantly reduced with‘t’ value of 10.185 at p ≤ 0.000. Therefore the Research hypothesis H1 was retained. Hence there was no significant association between the test scores on intensity of muscle cramps among patients undergoing haemodialysis with selected demographic and clinical variables of group 2 (study) at P ≤ 0.000 level. Therefore the Research hypothesis H2 was rejected.The majority finding of the study results that in pre test 32 (46.4 %) of the patients were in mild muscle cramps in post test 1.More than half of the patients 30 (43.5 %) of moderate muscle cramps in post test 2. And majority 40 (58 %) of the patients in moderate muscle cramps in post test 3.The effect of intradialytic stretching exercises in reducing the level of muscle cramps during haemodialysis. Conclusion: Intradialytic stretching exercises is an effective method which can be used as a preventive therapy in the treatment of muscle cramps.

2021 ◽  
Vol 7 ◽  
pp. 237796082199351
Author(s):  
Ponnu Kangeswari ◽  
Kamala Murali ◽  
Judie Arulappan

Introduction Osteoarthritis (OA) is one of the emerging health issues in Asian countries in elderly population. Knee osteoarthritis (KOA) is a major age related public health issue characterized by progressive loss of articular cartilage resulting in pain, functional impairment, disability and diminished quality of life. The aim of this study was to assess the effectiveness of Isometric exercise and counseling on level of pain among patients with KOA. Methods Quantitative research approach and a quasi-experimental pretest-posttest control group research design was utilized. The study was conducted at MIOT hospital and Devadoss Hospital, Madurai, Tamil Nadu, India. Data was collected from a total of 200 patients with KOA, 100 in the study and 100 in the control group. These patients were clinically diagnosed to have Grade I, II and III KOA. The demographic variables and clinical profile were recorded for both groups. The self-administered WOMAC questionnaire was used to assess the level of pain of KOA patients. Post-test assessment was carried out on Day 15, Day 30, Day 60 and Day 90. The data was analyzed using SPSS windows 16. Results The comparison of level of pain between the study and control group has showed a remarkable reduction in level of pain among patients with KOA in the study group. The post-test level of pain in the study group was 14.9% (13.3% -16.5% with 95% CI) and was 2.1% (1.2% -3.0% with 95% CI) in the control group. It showed that the reduction in the level of pain was higher in the study group than the control group. Conclusion The study found that a 12-week Isometric exercise and counseling program has significantly reduced pain, stiffness and improved physical function. Therefore, the Isometric exercise and counselling should be adopted as a routine care in the hospitals treating patients with KOA.


The purpose of the research was to investigatethe effect of activity-based games on the academic achievement of graduate-level pupils in social sciences.An experimental research design with a pre-and post-test control group was used in this study. As pre-test and post-test, MCQ achievement tests containing 70 items were used as research methods for data collecting. The initial stage in this initiative was to collect data on what inspires children to learn. Both groups took a pre-test, and the results were tallied.The project's second phase was to study the effects of variousactivities on academic achievement. Both groups were given an MCQ performance test. The T-test was used to analyze the data. The findings of this study demonstrated that, compared to the control group, mostpupils'marks improved in the experimental group. The mean value showedthat experimental group participants scored 18.77on the post-test, while control group students scored 16.21. According to a post-lesson poll, most students regarded activity-based games to be more engaging than lecture-based instruction.


2017 ◽  
Vol 1 ◽  
pp. 54
Author(s):  
Arita Destianingsih ◽  
Ari Satria

The aim of this study was to know the effectiveness of the use of alphabet cards game as interesting tool to explain vocabularies and it make it easier to remember their meanings. This study belongs to the quasi experimental research and presents pre-test, post test and to investigate the effect of using alphabet cards game on vocabulary mastery of commercial business administration students. The participants were the students from commercial business administration students at the third semester (N=54) of State Polytechnic Bengkalis and divided into two groups. Both groups were taught vocabulary, however, the experimental group students who are exposed to alphabet cards game and the controlled group students who received conventional method. Pre-test and post-test were given to both experimental group students and controlled group students. The score of the vocabulary tests were compared through independent sample t-test. The mean value of pre-test of experimental class was 61.35, while the control class was 52.23. After learning using alphabet card games in experimental class the mean value obtained in post-test was 78.85, while in control class was 59.04.  The improved of learning outcomes can be seen from the level of significance was 0.000 and it was lower than t test 0.000<0.05.  It means that the hypothesis null is not accepted. Therefore, it can be concluded that the score of the students in learning vocabulary between the experimental group and control group was significantly different. The experimental group students who learned vocabulary using alphabet cards game had increased their vocabulary mastery.


Author(s):  
Mohammed Abdul Rahman ◽  
Raghunatha Rao D ◽  
Vasantha L

The present study is aimed to study and analyze the true and pseudo Cholinesterase levels in the subjects exposed to pesticides during short term by intentional or accidental intake and long term exposure due to their occupation were studied at Department of Biochemistry, SVS medical college and hospital mahbubnagar district. Whole blood cholinesterase levels and Pseudo cholinesterase levels were estimated. 150 people were taken as controls who had no medical illness and a total number of 300 cases of pesticide poisoning were selected, aged between 20 to 55 years, which consist of 150 acute poisoning and 150 chronic poisoning subjects in Mahbubnagar district, were taken as case study, the detailed case history and the type of organophosphorus pesticide taken were recorded. Mean and standard deviation (S.D) of all variables were calculated and compared with those of controls. Statistical significance was assessed and P-value <0.05 were considered significant.           During acute poisoning the mean value of Whole blood cholinesterase/True cholinesterase (U / L) in acute poisoning cases on first day was 1.267± 0.612 on 3th day was 1.651±0.647, on 7th day was 2.221±0.684 and at the end of 6 months was 3.970±0.404.The difference between the study group and control group (4.0 ± 0.39) was found to be statistically significant in1st, 3rd, 7th day but not significant at the end of 6 months. The mean value of serum cholinesterase/pseudo cholinesterase (U/L) in acute poisoning cases on first day was 2213.05 ± 1749.81, on 3th day was 2862.3 ± 2025.6, on 7th day was 4008.4 ± 2355.9 and at the end of 6 months was 7708.34 ± 880.72.The difference between the study group and control group (7991.97 ± 1276.5) was found to be statistically significant in1st, 3rd, 7th day but not significant at the end of 6 months. During chronic poisoning (exposure) the mean value of Whole blood cholinesterase (U/L) in controls is 4.0 ± 0.39 as compared to 3.019 ± 0.848 in cases of chronic poisoning. The difference between the study group and control group was found to be statistically significant. The mean value of serum cholinesterase/pseudo cholinesterase (U/L) in controls was 7991.97 ± 1276.5 as compared to 6214 ± 1189 in cases of chronic poisoning. The difference between the study group and control group was found to be statistically significant.


2017 ◽  
Vol 14 (4) ◽  
pp. 3950 ◽  
Author(s):  
Ahmet Gönener ◽  
Utku Gönener ◽  
Ozan Yılmaz ◽  
Tuğçe Horoz ◽  
Deniz Demirci

The aim of this study is to investigate 8 weeks Thera-Band trainings' effects on male swimmers' 100 m freestyle swimming performance.The study group is created by 20 (n = 20) licenced male athletes that had trained at least 3 days in a week and have been active in swimming sport at least 3 years in Gebze Genclerbirligi Swimming Club 20 (n = 20). Athletes were divided into experiment group (n = 10) and control group (n = 10) randomly. Training programme was applied to the study group for 55-60 minutes for 3 days on alternate days and times when the club does not have swimming training. 12 different Thera-Band trainings were applied for 40-45 mins and each set was 15 minutes.Mann-Whitney U test was used to analyze differences between groups and Wilcoxon signed rank test was applied for analyzing the differences of intra-groups. SPSS 21.0 Statistics package software was used for statistical analyzes. The results show that there are no significantly differences between experimental group's and control group's post test results. (p>0.05). Statistically significant differences are found as a result of intra-group comparison of the experimental group's pre-test and post-test results (p<0.05).Depending on the results obtained after reviewing the literature, it can be concluded that Thera-Band training is effective on the performance improvement of swimmers aged 13-15 years.


2021 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Muhammad Aulia U H ◽  
Iswinarno Doso Saputro ◽  
Magda Rosalina Hutagalung

Background: The incidence of burns in Indonesia progressively increases with the increase in its population and industries. From January to September 2000, 158 patients were treated in the burn unit of Dr Soetomo Hospital with a mortality rate reaching 5,8%. Burns have a direct effect in causing both local and systemic changes in the body, not occurring in other injuries. In severe burns, a hypermetabolic state can occur, which increases cardiac workload and causes muscle atrophy and other morbidities. The purpose of this study is to examine the effect of propranolol on the hypermetabolic state in severely burned patients by measuring various clinical & laboratory parameters.Methods : This is an experimental study using pre and post test control group design with the objective of assessing the treatment outcome with oral propranolol given in 15 consecutive days for burn patients involving 25%- 60% TBSA. Measurements were taken three times, on day 0, 7 and 14.Results : Obtained 16 samples divided into 2 groups. In the treatment group, there was a significant decrease in CRP levels on days 0, 7 and 14 (p <0.05). The Mid Arm Circumference variable did not obtain a significant decreasing on days 0, 7 and 14. The albumin level studied showed a significant decreasing on day 0 & 7 days with a value of p = 0.045. From the comparison between the two groups, there were significant differences in CRP levels on days 0 & 14, with the mean value of the treatment group -5.12 + 2.88 and the mean value of the control group 2.86 + 7.37, and the value of p = 0.019.Conclusions: This study successfully proved that the administration of propranolol can overcome the effects of hypermetabolism which is characterized by decreasing in CRP levels.


Author(s):  
Prashant Thote ◽  
Gowri S

The aim of the present study is to investigate the effect of experiential learning activity in deep conceptual understanding of science in comparison with conventional teaching model. In the present experiment quasi experimental and post-test research design is implemented. Totally 80 students participate in the study: 40 girls and 40 boys. The sample is categorized into two: study and the control group. Each group consists of 40 students: 20 boys and 20 girls. The study group is taught “Gases Law” by using experiential learning activities and the control is taught by using the conventional method. Data is collected by using a questionnaire and it consists of 20 multiple choice questions. The collected data is analyzed by using descriptive statistics. The examination of the data illustrates that there is no noteworthy difference in the mean score between the study group and the control group. Independent ‘t-test’ is applied to compare the student’s achievement in post-test. The mean score of the study group, who are exposed to the experiential learning activities, in Science Achievement post-test is 17.35. It is higher than that of (t=6.65; p&gt;0.01) the learners in the control group. The mean of the control group is 14.45. Therefore, it is concluded that the experiential learning activities as a teaching model enhances the deep conceptual understanding of science.


2020 ◽  
Vol 14 (04) ◽  
pp. 558-565
Author(s):  
Francesca Ripari ◽  
Federica Filippone ◽  
Giulia Zumbo ◽  
Francesco Covello ◽  
Francesca Zara ◽  
...  

Abstract Objectives The aim of the study was to evaluate the coconut oil pulling efficacy as adjuvant in reducing plaque formation and in treating plaque-induced gingivitis. Materials and Methods A sample of 20 patients was divided into two groups: a study and a control group. In the study group, coconut oil, in form of mouthwash, was administered to a sample of patients affected by gingivitis, aged between 18 and 35. The protocol established a daily application of the product for 30 days, where clinical parameters for plaque formation and gingivitis—plaque index (PI), bleeding index (BI)—will be evaluated during the recalls on a specific periodontal chart. The control group did not associate a coadjuvant to the normal daily oral health procedures and the same clinical parameters were evaluated at t0 and after 30 days (t1). The data were statistically analyzed using Student’s t-test, establishing the significance level as p < 0.05. Results PI and BI decreased in both groups, with a more relevant and significant drop in the study group, from a mean value of PI of 58.0 to 19.3 and a mean value of BI of 33.5 to 5.0. In the control group, the values decreased, respectively, from 53.9 to 29.1 for PI, and from 33.5 to 16.2. Furthermore, no significant side effect was reported during coconut oil pulling therapy. Conclusions The collected data showed significant and promising improvements in reducing plaque formation and gingivitis. However, further researches have to be performed to have more consistent and statistically significant data on larger samples and to fully understand the mechanisms of action and effectiveness.


2019 ◽  
Vol 7 (3) ◽  
pp. 293
Author(s):  
Aprida Manurung ◽  
Budi Anna Keliat ◽  
Ira Erwina

Permasalahan kenakalan anak usia sekolah yang sering terjadi adalah bolos, melangar peraturan sekolah, merokok, tauran hingga bully. Hal ini disebabkan karena saat perkembangan konsep diri anak mengalami kerancuan identitas, hingga depersonalisasi. Untuk mencegah hal itu maka diperlukan suatu tindakan preventif, salah satunya dengan melakukan therapy supportif. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Therapy Supportif terhadap Konsep Diri dan perkembangan anak, dengan metode quasi eksperimental pre-post test with control group dan menggunakan kuesioner konsep diri. Sampel berjumlah 80, 40 Kelompok Intervensi dan 40 kontrol, mengunakan tehnik random sampling. Hasil penilitian  didapatkan ada pengaruh yang bermakna pada Therapy supporti terhadap perkembangan dan konsep diri, denga nilai rerata variabel perkembangan sebelum diberikan Therapy supportif pada kelompok intervensi 72,78 atau 77,45% dan nilai rerata setelah dilakukan therapy supportif  83 atau 88,32% dari nilai tersebut terjadi peningkatan perkembangan sebesar 10,22 (10,87%) yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap perkembangan anak, Sedangkan untuk nilai variabel konsep diri sebelum dilakukan terapi suportif pada kelompok intervensi 68,28 atau 72,63%, Setelah dilakukan Therapy Supportif  didapatkan nilai rerata 83,87 atau 89,22%, dari nilai tersebut dapat dianalisis bahwa terjadi peningkatan, sebesar 15,59 atau 22,84% yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap konsep diri anak Kata kunci: terapi supportif, konsep diri, anak sekolah dasar THE EFFECT OF THERAPY SUPPORTIVE SELF-CONCEPT AGAINSTCHILDREN'S CONCEPT OF BASIC SCHOOL ABSTRACTThe problem of delinquency in school-age children that often occurs is truancy, violating school rules, smoking, mixing, and bullying. This is because when the child's self-concept development experiences confusion in identity, to depersonalization. To prevent that, we need a preventive action, one of them is by doing supportive therapy. The purpose of this study was to determine the effect of Supportive Therapy on Self-Concept and child development, with a quasi-experimental method of pre-post test with control group and using a self-concept questionnaire. Samples amounted to 80, 40 intervention groups and 40 controls, using random sampling techniques. The results of the study, found that there is a significant relationship in supportive therapy to development and supportive therapy in self-concept, with the average value of the development variables before being given supportive therapy in the intervention group 72.78 or 77.45% and the mean value after supportive therapy 83 or 88.32% of the value there was an increase in development of 10.22 (10.87%) which means that Therappy Supportive has a significant influence on children's development, while for the value of self-concept variables before supportive therapy in the intervention group 68.28 or 72, 63%, after supportive therapy, the mean value is 83.87 or 89.22%. From this value, it can be analyzed that there is an increase of 15.59 or 22.84%, which means that therapeutic support has a significant influence on the child's self-concept Keywords: supportive therapy, self-concept, elementary school children


2020 ◽  
Vol 7 (1) ◽  
pp. 64-68
Author(s):  
Ramandhani Agustiawan ◽  
Robby Tjandra Kartadinata ◽  
Siti Hanan Darodjah ◽  
Noviolita Dwi Kusumawati ◽  
Hindun Zuhdiana

Latar Belakang : Kelemahan anggota gerak akibat stroke terjadi pada 70% populasi. Teknik yang sering digunakan untuk meningkatkan ketangkasan tangan dengan pemanasan dan latihan peregangan. Radial Shock Wave Therapy (RSWT) merupakan teknologi baru yang menggunakan sumber balistik untuk menghasilkan gelombang tekanan yang dapat mengurangi spastisitas yang mempengaruhi ketangkasan tangan. Tujuan : Menganalisis pengaruh penambahan RSWT terhadap ketangkasan tangan pada penderita stroke kronik yang mendapatkan terapi infrared dan latihan peregangan. Metode : Simple randomized control trial pre-post test design. Tiga puluh pasien stroke kronik dirandomisasi, lima belas orang dimasukkan ke dalam kelompok yang mendapatkan penambahan RSWT, terapi infrared dan latihan peregangan dan lima belas orang masuk kelompok kontrol diberikan terapi infrared dan latihan peregangan. Ketangkasan tangan diukur dengan nilai nine hole peg test (NHPT) pada sebelum dan 6 minggu setelah perlakuan. Analisis data dengan uji Wilcoxon, nilai p<0,05 merupakan nilai signifikan. Hasil : Tiga puluh pasien menyelesaikan penelitian dan tidak ada yang mengeluhkan efek samping. Tidak terdapat perbedaan bermakna rerata delta nilai NHPT pada kedua kelompok (p=0,307), namun rerata delta penurunan pada kelompok perlakuan cenderung lebih besar dibanding kelompok kontrol. Simpulan : Penambahan RSWT tidak berpengaruh terhadap ketangkasan tangan. Kata kunci : RSWT; stroke kronik; ketangkasan tangan.   Background : Limb weakness besause of stroke was happend 70% of the population. The technique that is often used to improve hand dexterity are with thermal therapy and stretching exercises. Radial Shock Wave Therapy (RSWT) is a new technology that uses ballistic sources to produce pressure waves that can reduce spasticity that affect hand dexterity.   Purpose : Analyze the effect of adding RSWT to hand dexterity in chronic stroke sufferers who received infrared therapy and stretching exercises. Methods : simple randomized control trial pre-post test design who thirty chronic stroke patients were randomized, fifteen patients into a group that received additional RSWT, infrared therapy and stretching exercises and fifteen patients into control group. Hand dexterity is measured by the mean of the nine hole peg test before and 6 weeks after the intervention. Results : Thirty patients completed the study without any significant side effects. There was no significant difference in the mean nine-hole peg test in the two groups (p = 0.307), but the mean decrease in the treatment group greater than the control group. Conclusion : the additional RSWT was not proven to affect hand dexterity. Keywords : RSWT; chronic stroke; hand dexterity.  


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