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The Effectiveness of Isometric Strengthening with Static Stretching vs. Static Stretching in Nonspecific Chronic Neck Pain 静态拉伸与静态拉伸在非特异性慢性颈部疼痛中的效果比较
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.555
Nazar Deen, Saeed Akhter, Sanjeela Abbas
Background: The objective was to compare the effectiveness of Isometric neck strengthening exercises with static stretching vs. static stretching alone in the management of nonspecific chronic neck pain. Materials and methods: This study was a randomized controlled trial. 52 patients with non-specific chronic neck pain were randomly assigned through simple random sampling technique, into experimental (group 1) received Isometric training with static stretching and control group (group 2) received Static stretching alone. While aerobic training was initiated by both groups prior their main interventions. Therapeutic session was 3 days per week for 1 month. Neck pain and Disability was assessed by using outcome measures, numeric pain rating scale (NPRS) and neck disability index (NDI). Treadmill machine, Stationary Cycle and Stop watch were used during treatment session. Results: Both groups showed improvements; the baseline mean NDI score was 34.46 ± 11.80 and the final session score was 23.26 ± 17.46 which was significantly (p<0.001) whilst the baseline mean NPRS score was 5.38 ± 1.60 and the final session mean score was 2.65 ± 1.59 which was significantly (p<0.001) in experimental group (Group 1). In control group (Group 2), the baseline mean NDI score was 30.88 ± 10.75 and the final session mean score was 28.44 ± 10.43 which was significantly (p=0.002) whilst the baseline mean NPRS score was 5.00 ± 1.64 and the final session mean score was 3.80 ± 1.87 which was significantly (p=0.001). Conclusion: Both treatment regimens are effective in the management of chronic nonspecific neck pain; however Isometric strengthening exercises training with static stretching appears more valuable as compared with Static stretching training alone.
背景:目的是比较静态拉伸和静态拉伸在治疗非特异性慢性颈部疼痛中的效果。材料与方法:本研究为随机对照试验。采用简单随机抽样的方法,将52例非特异性慢性颈部疼痛患者随机分为实验组(1组)进行静态拉伸等长训练,对照组(2组)单独进行静态拉伸。而有氧训练是两组在主要干预措施之前开始的。疗程为每周3天,持续1个月。采用结局指标、数字疼痛评定量表(NPRS)和颈部残疾指数(NDI)对颈部疼痛和残疾进行评估。治疗期间使用跑步机、固定脚踏车和秒表。结果:两组均有改善;实验组(1组)NDI评分基线平均为34.46±11.80分,末期评分23.26±17.46分,差异有统计学意义(p<0.001);实验组(1组)NPRS评分基线平均为5.38±1.60分,末期评分2.65±1.59分,差异有统计学意义(p<0.001)。NDI基线平均评分为30.88±10.75分,末期平均评分为28.44±10.43分,差异有统计学意义(p=0.002); NPRS基线平均评分为5.00±1.64分,末期平均评分为3.80±1.87分,差异有统计学意义(p=0.001)。结论:两种治疗方案均能有效治疗慢性非特异性颈部疼痛;然而,与单纯的静态拉伸训练相比,静力拉伸训练更有价值。
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引用次数: 0
Factors of Lower Limb Prosthesis and Orthosis User's Satisfaction in Amhara National Regional State Rehabilitation Center, Ethiopia: An Institution-Based Cross-Sectional Study 埃塞俄比亚阿姆哈拉国家区域康复中心下肢假体和矫形器使用者满意度的影响因素:一项基于机构的横断面研究
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.552
T. Kassa, Tamiru Dego, Jemal Suleyman, Endalkachew Dellie
Background: Prosthesis and orthosis are assistive devices used for different forms of cases. Lower limb prostheses and orthoses are very crucial to improve patient’s ability to walking, increased level of activity and participation to enhance their quality of life. However, there is limited knowledge of workplace variables that either satisfy or dissatisfy the prosthesis and orthosis users in the regional state, Ethiopia. Therefore, this study aimed to assess the satisfaction and associated factors among lower limb prosthesis and orthosis users in Amhara National Regional State Rehabilitation Center, Ethiopia. Methods: Institution based cross-sectional study was conducted from April 01 to May 30, 2019, at Amhara National Regional State Rehabilitation Center among lower limb prosthesis and orthosis users. Data were collected using a structured interviewer-administered questionnaire by the standardized assessment tool; Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0). The study included a total of 207 participants. Binary logistic regression analysis was performed. In the multivariable logistic regression analysis, p value < 0.05 and adjusted odds ratio (AOR) with 95% confidence interval (CI) were used to identify the associated factors. Results: The study revealed that 56.5% (95% CI: 49.9-63.3) of lower limb prosthesis and orthosis users were satisfied. Experiencing pain (AOR: 5.56, 95%CI: 2.68-11.52), living in the rural area (AOR: 3.52, 95%CI: 1.51-8.21), use of prosthesis and orthosis devices on an average less than 9 hours (AOR=0.30, 95% CI 0.11-0.80) and 9-12 hours in a day (AOR: 0.16, 95% CI: 0.07-0.38) were factors significantly associated with satisfaction. Conclusion: The magnitude of lower limb prosthesis and orthosis users’ satisfaction was found to be relatively low. Therefore, healthcare providers and managers of the rehabilitation center need to emphasize on status of the client’s device throughout patient care in the management of clients’ pain and use of devices on an average hour per day.
背景:假肢和矫形器是用于不同形式病例的辅助装置。下肢假肢和矫形器对于改善患者的行走能力,增加活动水平和参与,提高他们的生活质量至关重要。然而,在区域国家埃塞俄比亚,对工作场所变量的了解有限,这些变量使假肢和矫形器用户满意或不满意。因此,本研究旨在评估埃塞俄比亚阿姆哈拉国家区域国家康复中心下肢假肢和矫形器使用者的满意度及其相关因素。方法:2019年4月1日至5月30日,在阿姆哈拉国家地区国家康复中心对下肢假肢和矫形器使用者进行基于机构的横断面研究。通过标准化评估工具使用结构化访谈者管理的问卷收集数据;魁北克辅助技术用户满意度评价(QUEST 2.0)。这项研究共包括207名参与者。进行二元logistic回归分析。在多变量logistic回归分析中,采用p值< 0.05,校正优势比(AOR) 95%可信区间(CI)确定相关因素。结果:研究显示56.5% (95% CI: 49.9 ~ 63.3)的下肢义肢和矫形器使用者满意。经历疼痛(AOR: 5.56, 95%CI: 2.68-11.52)、生活在农村(AOR: 3.52, 95%CI: 1.51-8.21)、每天使用义肢和矫形器平均少于9小时(AOR=0.30, 95%CI 0.11-0.80)和9-12小时(AOR: 0.16, 95%CI: 0.07-0.38)是影响满意度的因素。结论:下肢义肢矫形器使用者满意度较低。因此,康复中心的医疗保健提供者和管理人员需要在整个患者护理过程中,在管理患者的疼痛和每天平均一小时的设备使用情况时,强调患者设备的状态。
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引用次数: 0
The Effects of Mirror Therapy on Upper Limb after Stroke: A Mini-Review 镜像疗法对中风后上肢的影响:一个小型回顾
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.549
H. Y. Madhoun, Botao Tan, Lehua Yu
Stroke is one of the leading causes of disability and the improvement of upper limb function is one of the main challenges faced by them. Mirror therapy utilizes a table top mirror to create a reflection of one’s arm or hand, which used to help increase movement and decrease pain in limbs. The purpose of this current article is to review and collect the evidence for the effects of mirror therapy on upper limb impairment in patients with different stroke stages. Studies suggest that applied mirror therapy alone, or coupled with different methods such as electrical stimulation, can be helpful to improve motor recovery, motor performance, motor function, and activity of daily living.
中风是导致残疾的主要原因之一,上肢功能的改善是他们面临的主要挑战之一。镜子疗法利用桌面上的镜子来反射一个人的手臂或手,这有助于增加运动和减少四肢疼痛。本文的目的是回顾和收集镜像治疗对不同脑卒中分期患者上肢损伤的影响的证据。研究表明,单独应用镜像疗法,或结合其他方法,如电刺激,可以帮助改善运动恢复,运动表现,运动功能和日常生活活动。
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引用次数: 1
Effect of Resistance Training of Quadriceps Muscle in Patients with Knee Osteoarthritis: A Randomized Control Trial 股四头肌阻力训练对膝关节骨性关节炎患者的影响:一项随机对照试验
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.21.8.570
Abida Arif, M. Siddique, Ghousia Shahid, Rabia Khan, Muhammad Usman
Objective: To determine the effects of resistance training in quadriceps muscle in patients with knee osteoarthritis attending tertiary care hospital, Karachi. Materials and methods: This was a single blinded randomized control trial study with probability simple random sampling technique. Sampling was done in physiotherapy department of Al-Khidmat Hospital Korangi, Karachi from May to December 2018. The required sample size was found to be 74 (37 in experimental group and 37 in control group). Inclusion criteria for patients was age >45 years, moderate degree pain, ability to walk 20 to 30 meters, subject without any walking aid and chronic osteoarthritis of knee diagnosed on radiograph. Variables were observed using the Numerical Rating Scale (NRS), Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index, and a strength gauge device, respectively. All observations were taken at baseline and after a week. SPSS version 23.0 was used for data analysis. Results: A total of 74 patients were recruited in this study. There were two groups Experimental and Control 37 patients were taken in each group. Strengthening of quadriceps exercises was assessed at baseline 9.13 ± 1.39 and after a week 11.36 ± 1.22 with statistically significant P-value of 0.041 in experimental group. In control group there was no statistical (difference observed at baseline and after a week routine checkup. Conclusion: Quadriceps strengthening exercises have a positive impact found in patients with knee OA. Experimental group patients gradually showed improvement after exercises of one week with good physical health status.
目的:探讨在卡拉奇三级医院接受膝关节骨性关节炎患者股四头肌阻力训练的效果。材料与方法:采用概率简单随机抽样技术,采用单盲随机对照试验。2018年5月至12月在卡拉奇Korangi Al-Khidmat医院理疗科进行采样。所需样本量为74个(试验组37个,对照组37个)。患者入组标准为年龄0 ~ 45岁,疼痛程度中等,能行走20 ~ 30米,无助行器,x线片诊断为膝关节慢性骨性关节炎。变量分别采用数值评定量表(NRS)、西安大略大学和麦克马斯特大学骨关节炎指数(WOMAC)和强度测量装置进行观察。所有观察都是在基线和一周后进行的。采用SPSS 23.0版本进行数据分析。结果:本研究共招募74例患者。分为两组:实验组和对照组,每组37例。实验组股四头肌运动强度基线值为9.13±1.39,一周后为11.36±1.22,p值为0.041,差异有统计学意义。对照组在基线和一周常规检查后无统计学差异。结论:股四头肌强化训练对膝关节OA患者有积极影响。实验组患者经1周运动后逐渐好转,身体健康状况良好。
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引用次数: 0
Can We Rethink Cerebral Palsy Definition 我们能重新思考脑瘫的定义吗
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.559
A. Ferrari
Cerebral palsy (CP) is the most common cause of physical disability in childhood, someway representing the reverse side of neonatal mortality. CP affects more than 17 million people worldwide. In countries with advanced health systems, one child every 500-700 births is affected by CP approximately. The interpretation of CP nature, as it is still proposed internationally (starting from Mac Keith et al. 1956 to Rosenbaum 2007: Cerebral palsy describes a group of disorders of the development of movement and posture, causing activity limitation, which are attributed to non-progressive disturbances that occurred in the developing foetal or infant brain …) is no longer acceptable because defective for four important bias at least.
脑瘫(CP)是儿童时期身体残疾的最常见原因,在某种程度上代表了新生儿死亡率的另一面。全球有超过1700万人受到CP的影响。在卫生系统先进的国家,大约每500至700名新生儿中就有一名受到CP影响。国际上对CP性质的解释仍然被提出(从Mac Keith等人1956年到Rosenbaum 2007年:脑瘫描述了一组运动和姿势发育障碍,导致活动限制,这归因于胎儿或婴儿大脑发育中发生的非进行性干扰……)不再被接受,因为至少有四个重要的偏见是有缺陷的。
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引用次数: 0
A Commentary on the Significance of Machine Learning for Diagnosis of Parkinson's Disease 机器学习在帕金森病诊断中的意义述评
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.S2.001
M. Jonas
Parkinson's Disease (PD) is one of the well-known disorders which occur to the central nervous system of human being. PD often leads to affect the movements. It is a brain disorder which affects the humans in several ways such as shaking, unbalanced walking etc. According to NIH, 50% more men are affected by PD than women [1]. PD is commonly seen in people with age 60. PD occurs whenever the brain cells turn into condition of dead and the dead cells results in producing the chemical named "dopamine” in fewer amounts.
帕金森病(PD)是一种众所周知的发生在人类中枢神经系统的疾病。PD常导致影响运动。它是一种大脑紊乱,会以多种方式影响人类,如颤抖、行走不平衡等。根据美国国立卫生研究院的数据,患帕金森病的男性比女性多50%。帕金森病常见于60岁以上的人群。每当脑细胞进入死亡状态,死亡细胞产生的化学物质“多巴胺”数量减少时,PD就会发生。
{"title":"A Commentary on the Significance of Machine Learning for Diagnosis of Parkinson's Disease","authors":"M. Jonas","doi":"10.35248/2329-9096.20.S2.001","DOIUrl":"https://doi.org/10.35248/2329-9096.20.S2.001","url":null,"abstract":"Parkinson's Disease (PD) is one of the well-known disorders which occur to the central nervous system of human being. PD often leads to affect the movements. It is a brain disorder which affects the humans in several ways such as shaking, unbalanced walking etc. According to NIH, 50% more men are affected by PD than women [1]. PD is commonly seen in people with age 60. PD occurs whenever the brain cells turn into condition of dead and the dead cells results in producing the chemical named \"dopamine” in fewer amounts.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"101 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83442673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Optokinetic Stimulation in The Virtual Reality Environment on WeightBearing Shift During Gait Movement in Healthy Subjects 虚拟现实环境下光动力刺激对健康受试者步态运动中负重转移的影响
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.537
Junya Komagata, A. Sugiura, Hiroshi Takamura, T. Kitama
Objective: This study aimed to determine whether optokinetic stimulation (OKS) in the virtual reality (VR) environment via a head - mounted display (HMD) could significantly shift weight bearing (shift of the center of pressure (CoP) position) during gait movement in healthy subjects. Patients with hemi - plegia after stroke exhibit postural instability with weight-bearing shift to the non - paretic side. This adversely affects activities of daily living, and increases the risk of falls during gait movement.Increasing the CoP on the paretic direction, and correcting the asymmetry are considered important for addressing the problems. Methods: The present study investigated the effect of OKS in a VR environment on posture balance, and assessed whether the stimulation could induce a stable shift of CoP during gait movement as well as during static standing. CoP during static standing, and the foot pressure during gait were measured to evaluate the weight-bearing balance. For OKS, a pattern of random dots was presented and was continuously moved in horizontal (HOKS) and torsional (TOKS) directions through an HMD. Results: Based on the overall results of CoP sway parameters in response to various OKS velocities in the balance test, OKS velocity of 40°/s was adopted for gait test. Both HOKS and TOKS induced a lateral deviation of the walking trajectory, a significant increase in stance period, and foot sole pressure on the stimulation side, which indicated lateral weight-bearing shift to the direction of OKS. Conclusion: The results indicate that OKS through HMD-VR can induce significant weight-bearing shift during gait movement as well as during static standing, suggesting that the approach can be applied to gait exercise training for the patients with hemiplegia as an effective tool with extensibilities.
目的:研究通过头戴式显示器(HMD)在虚拟现实(VR)环境下的光动力刺激(OKS)是否能显著改变健康受试者步态运动中的负重(压力中心(CoP)位置的移动)。脑卒中后半瘫痪患者表现出姿势不稳定,负重向非麻痹侧转移。这对日常生活活动产生不利影响,并增加步态运动时跌倒的风险。提高双亲方向的CoP,纠正不对称性是解决问题的重要方法。方法:本研究考察了VR环境下OKS对姿态平衡的影响,并评估了该刺激是否能在步态运动和静态站立时诱导CoP的稳定移动。测量静站立时的CoP和步态时的足压力,评估负重平衡。对于OKS,呈现随机点的模式,并通过HMD在水平(HOKS)和扭转(TOKS)方向上连续移动。结果:基于平衡试验中CoP摇摆参数对不同OKS速度响应的总体结果,步态试验采用OKS速度为40°/s。HOKS和TOKS均引起行走轨迹侧向偏离,站立时间显著增加,刺激侧足底压力增大,表明侧向负重向OKS方向转移。结论:通过HMD-VR进行的OKS在步态运动和静止站立时均能引起明显的负重偏移,提示该方法可作为一种有效的可扩展性工具应用于偏瘫患者的步态运动训练。
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引用次数: 1
Consolidating psychological and complete boundaries in patients with COPD utilizing pneumonic recovery 利用肺康复巩固COPD患者的心理和完整界限
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.S1.002
Adhithi Kumar
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引用次数: 0
Physiotherapy Assessment to Identify the ‘5 Fs’: A Concept of Innovative Pelvic Floor Training 物理治疗评估以确定“5f”:创新骨盆底训练的概念
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.556
B. Berghmans
In the recommendations of the 6th International Consultation of Incontinence (ICI) [1] physiotherapy is considered a level 1, grade A, first-line treatment for the most prevalent kinds of urinary incontinence, stress-, urgency- and mixed urinary incontinence. When the attentive reader carefully looks at the ICI algorithms regarding initial management of urinary incontinence in women, he or she will find out that the medical diagnosis is actually no more than a ‘presumed diagnosis’ [2] . So, it might be that, based on such medical data, patients will be send for treatment to a physiotherapist with unclear health problems, underlying pathology and consequences [3]. Therefore, a physiotherapeutic assessment is essential to find out if, and to what extent, physiotherapy is helpful to deal with the consequences of the health problem urinary incontinence and what treatment components are warranted [3].
在第六届国际尿失禁会诊(ICI)[1]的建议中,物理治疗被认为是最常见的尿失禁类型,压力性、紧迫性和混合性尿失禁的1级a级一线治疗。当细心的读者仔细查看ICI算法关于女性尿失禁的初始管理时,他或她会发现医学诊断实际上只不过是一个“假定诊断”[2]。因此,根据这些医疗数据,患者可能会被送到不清楚健康问题、潜在病理和后果的物理治疗师那里进行治疗[3]。因此,物理治疗评估对于发现物理治疗是否以及在多大程度上有助于处理尿失禁健康问题的后果以及需要哪些治疗成分至关重要[3]。
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引用次数: 2
Chronic Fatigue Syndrome 慢性疲劳综合症
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.S1.003
Narender Singh
Weariness is a typical manifestation in the populace, and there are no symptomatic tests for CFS. It is along these lines an analysis of prohibition and the rundown of potential differential judgments is wide, from exhaustion related with proceeding with effort through to that related with clinical as well as mental ailment. Consequently, an exhaustive and thorough appraisal including a physical and psychological wellness assessment should be completed [1]. It is especially critical to satisfactorily survey the danger of self-destruction. As patients with CFS can discover long arrangements troublesome, consider giving rest breaks during appraisals.
疲劳是一种典型的表现在民众中,并没有症状测试的CFS。沿着这条线,对禁令的分析和潜在的差异判断的概述是广泛的,从与努力相关的疲惫到与临床和精神疾病相关的疲惫。因此,应完成包括身体和心理健康评估在内的详尽彻底的评估[1]。对自我毁灭的危险进行令人满意的调查尤其重要。由于慢性疲劳综合症患者可能会发现长时间的安排很麻烦,可以考虑在评估期间休息一下。
{"title":"Chronic Fatigue Syndrome","authors":"Narender Singh","doi":"10.35248/2329-9096.20.S1.003","DOIUrl":"https://doi.org/10.35248/2329-9096.20.S1.003","url":null,"abstract":"Weariness is a typical manifestation in the populace, and there are no symptomatic tests for CFS. It is along these lines an analysis of prohibition and the rundown of potential differential judgments is wide, from exhaustion related with proceeding with effort through to that related with clinical as well as mental ailment. Consequently, an exhaustive and thorough appraisal including a physical and psychological wellness assessment should be completed [1]. It is especially critical to satisfactorily survey the danger of self-destruction. As patients with CFS can discover long arrangements troublesome, consider giving rest breaks during appraisals.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"113 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73513468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Physical Medicine and Rehabilitation
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