physiotherapy intervention
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2021 ◽  
Vol 1 ◽  
pp. 1486-1493
Author(s):  
Fikri Haykal ◽  
Sigit Prasojo ◽  
I Isytiaroh

AbstractStroke is a neurological disorder which is has become the main factor in causing movement and body function disorder ini adults. The Problem occur freqentely in the patient in the balence disoreders ini accrying out activities and stiffness in the estremities. One of the physiotherapy apptoaches in by applying bobath method in impove the static balance. It aims to analyze the effect of bobath method exercise therapy on static balance in stroke patients from many articles. in this study the writer had scarched some articels via  PubMed adn  Google Scholar articles according to inclusion and exclusion criteria which are then reviewed. From that analyzed articles. It got the mean value pre intervenstion and after it. the average value in the treatment group before the intervention was given was 14.403 and after being given the intervention was 16.593, the obtained velue was 0.007. These results show the intervention bobath method can improve the ability of static balance in stroke patients. The method in proven can improve standing balance in stroke patients. So that it is highly recomended to implement this method as the physiotherapy intervention expesially in stroke patient based on the cometence.Keywords: Stroke; bobath method; static balance AbstrakStroke adalah gangguan neurologis yang menjadi faktor paling utama penyebab gangguan gerak dan fungsi tubuh pada orang dewasa. Permasalahan pada pasien stroke antara lain adanya gangguan keseimbangan dalam melakukan aktifitas dan kekakuan dalam ektremitas. Salah satu pendekatan fisioterapi untuk meningkatkan keseimbangan statis adalah metode bobath. Study ini bertujuan untuk menganalisa pengaruh terapi latihan metode bobath terhadap keseimbangan statis pada pasien stroke berdasarkan dari berbagai artikel. Pencarian artikel melalui PubMed dan Google Scholar Articles untuk menemukan artikel sesuai kriteria inklusi dan eksklusi yang kemudian dilakukan review. Dari hasil artikel yang dianalisa nilai mean sebelum diberikan intervensi didapatkan rata – rata 14.403 dan sesudah diberikan intervensi sebesar 16,593. Hasil p velue sebesar 0,007. Hasil tersebut menunjukan bahwa intervensi metode bobath  dapat meningkatkan kemampuan keseimbangan statis pada pasien stroke. Metode bobath dapat meningkatkan keseimbangan berdiri pada pasien stroke. Metode bobath dapat digunakan sebagai intervensi fisioterapi khususnya pasien stroke sesuai dengan kompetensi.Kata kunci: Stroke; metode bobath; keseimbangan statis


2021 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Yusuff Tunde Gbonjubola ◽  
Daha Garba Muhammad ◽  
Adekolurejo Tobi Elisha

Cerebral palsy (CP) is a non-progressive developmental movement and posture disorder that occurs during fetal or infant development. It results from an insult to the developing brain before birth, during delivery, or after birth. CP is regarded as the leading cause of childhood disability in all parts of the world. The hallmark of CP is a motor disability, thus, physiotherapy has long been central to the clinical management of children with this disorders. Physiotherapy intervention in the management of this condition focuses on function, movement, and optimizing the child’s potential. Some of the approaches used are neurodevelopmental technique, neuromuscular electrical stimulation, exercise therapy, hydrotherapy, body weight support tread mill training, sensory integration training, and constraints induced therapy. Although, physiotherapy is generally recommended by all members of the health-care team. However, the effectiveness of physiotherapy is inconsistent. The objective of this review was to summarize the proven effectiveness of the most commonly used physiotherapy intervention in the management of children with CP.


2021 ◽  
Vol 10 (4) ◽  
pp. 778
Author(s):  
Rajkumar Krishnan Vasanthi ◽  
Lee Cai Ling ◽  
Yughdtheswari Muniandy

Digital health intervention (DHI) can solve the patient's problem, such as geographical inaccessibility, delayed provision of care, low-level adherence to clinical protocols, and financial burden. DHI does not necessary to work as a substitution for a functioning health system but helps strengthen its function. Therefore, this study aimed to determine the awareness, perception, and acceptability of digital physiotherapy intervention (DPI) among Malaysian physiotherapists. A total of 209 practicing physiotherapists representing all the regions in Malaysia participated in this online self-reported questionnaire, including demographics profile, continuous professional development, awareness, perception and acceptability of DPI. Analyzed the collected data to determine the knowledge of DPI by using descriptive statistical methods. A 75.1% of the Malaysian physiotherapist aware of digital physiotherapy intervention, 69.38% perceived it reduces the cost for face to face, reduce the time for traveling 47.85%, improve adherence to exercises 42.58%, 78% of them agree with the DPI and 75.1% of them accepted to recommend the digital tools to their patient. Malaysian physiotherapists are aware, agree and recommend the digital physiotherapy intervention to their treatment plan. However, it should still raise awareness about digital physiotherapy intervention to lead them to the future. Developing new digital tools, utilization, and overcoming the various healthcare institutions' low acceptability considering the cost, conventional interventions, and time-consuming should be strategized in Malaysia.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1542
Author(s):  
Zoe Mass Kokolevich ◽  
Erik Biros ◽  
Oren Tirosh ◽  
Jacqueline Elise Reznik

This case report study aims to identify the differences in the ground reaction forces (GRF) placed on the forefoot, hindfoot, and entire foot between the paretic and non-paretic legs in two stroke patients to identify potential targets for improved physiotherapy treatment. A digital gait analysis foot pressure insole was fitted inside the participants’ shoes to measure the percentage of body weight taken during the stance phase, and the vertical GRF of the two subjects are reported in this paper. Both patients presented noteworthy differences in gait parameters individually and between their paretic and non-paretic legs. The trend shows a decreased percentage of body weight on the paretic forefoot and hindfoot, although the percentage bodyweight placed on the entire foot remained similar in both feet. The gait patterns shown were highly individual and indicated that both legs were affected to some degree. These findings identify key motion targets for an improved physiotherapy treatment following a stroke, suggesting that physiotherapy treatment should be targeted and individually tailored and should include both extremities.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Leticia Vargas Almeida ◽  
Claudiane Arakaki Fukuchi ◽  
Tania Emi Sakanaka ◽  
Alberto Cliquet

AbstractLower limb amputation highly impacts the lives of individuals. The inability to walk due to difficulties in adapting to wearing prosthesis can potentially result in physical degeneration and comorbidity in this population. In this randomized clinical trial study, we investigated if a low-cost and easily implementable physiotherapy intervention was effective in improving gait performance and adaptation to lower limb prosthesis in individuals with an amputation. A total of 26 individuals participated in the study, 16 with lower limb amputation and 10 without amputation. Participants with amputation were further divided in intervention and control groups. The intervention group underwent a rehabilitation protocol aimed at strengthening muscles and improving prosthesis adaptation. Muscle strengthening targeted the hip segment, prioritizing the abdominal muscles, hip flexors, extensors, adductors and abductors, followed by cicatricial mobilization and weight-bearing on the stump for desensitization. Assessment and measures were performed across the kinetic and kinematic parameters of gait. In the comparison between pre-and post-intervention, a significant increase in gait speed (0.68—2.98, 95% CI, 1.83, effect size ES) and cadence (0.56—2.69, 95% CI, 1.63, ES) was found between groups and time points. Step (0.73—3.11, 95% CI, 1.92, ES) and stride length (0.62—2.84, 95% CI, 1.73) increased between pre- and post-intervention, while in the control group both variables remained smaller. The intervention group decreased stance phase as a percentage of gait cycle between pre- and post-intervention (− 1.33—0.62, 95% CI, − 36, ES), while it increased in the control group. Improvement in a combination of important gait parameters indicates that the intervention protocol promoted the adaptation to prosthesis and the functional independence of individuals with lower limb amputation. It is recommended that the participants continue receiving follow-up assessments and rehabilitation interventions.


2021 ◽  
Vol 8 ◽  
Author(s):  
Mohammad Ali ◽  
Zakir Uddin ◽  
Ahmed Hossain

Background: The prevalence of musculoskeletal disorders (MSD) and vitamin D insufficiency is high. Past research indicating vitamin D supplementation and physiotherapy are useful for the treatment of MSDs. However, to the best of our knowledge, the combined benefits of vitamin D and physiotherapy are not yet evaluated in MSD. We hypothesized that combined intervention of vitamin D supplementation and physiotherapy would be more effective in relieving the pain of MSD compared to only physiotherapy intervention.Objective: This study aimed to examine whether combined effect of vitamin D supplementation and physiotherapy was better than physiotherapy alone in reducing pain-related outcomes (e.g., pain severity, affective interference, and physical interference) in patients with MSD.Methods: A quasi-clinical experiment was conducted between May 2020 and April 2021. Vitamin D level in the blood was measured at the start of the study. Patients with vitamin D levels <20 ng/mL were assigned to the combined physiotherapy and vitamin D group. The physiotherapy group consisted of the patients with vitamin D levels more than 20 ng/mL. The Brief Pain Inventory scale was utilized to measure pain at baseline and after 12 weeks of interventions. We used the paired t-tests for unadjusted analysis. Further, a linear regression model was used to identify the combined effect of physiotherapy and vitamin D on reducing pain scores after adjusting potential confounders.Results: Combined intervention of vitamin D and physiotherapy showed significantly better results than only physiotherapy intervention in the reduction of three pain-related outcomes (p < 0.001). The multivariable analysis indicated that the combination of physiotherapy and vitamin D treatment reduced pain score by 1.126 (slope = −1.126, p = 0.035) compared to physiotherapy alone.Conclusion: Combined intervention (vitamin D with physiotherapy) had a better pain-relieving effect than physiotherapy alone. To confirm these findings, more research is needed with randomized control trials.Clinical Trial Registration: [http://ctri.nic.in/Clinicaltrials/advancesearchmain.php], identifier [CTRI/2020/04/024845].


2021 ◽  
Vol 10 (4) ◽  
pp. 3218-3220
Author(s):  
Rakesh Krishna Kovela

Guillain - Barré syndrome (GBS) is a rare neurological condition described as demyelination of the peripheral nervous system (PNS) as a result of an immune system attack. In about 70 percent of patients, it is characterized by acute paralysis, and when the respiratory system is involved, it could become more life threatening for the patient. A further complication due to peripheral nerve demyelination greatly decreases the functional capacity of the patient to perform everyday activities. The present case report is of a 58-year-old male admitted into the hospital with history of weakness and impaired motor skills. Physiotherapy intervention primarily focussed on strength and functional activities. The primary objective of this case study was to determine the reaction of the patient to physiotherapy for reinforcement and functional tasks. In terms of strength and also functional tasks, we would like to conclude that the patient's response in the initial stages of recovery was profoundly sound.


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