Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.566
Antonio Maestro Fernández, I. P. Muñiz, N. García, Guillermo Gutiérrez, Enrique Sanchez-Munoz, Carmen Toyos Munarriz
The practice of sports is and has been the cause of numerous injuries in various studies. The evidence that costs amounted to AUD 265 million over a seven-year study in young people and adults. Particularly notable is the substantial impact on professional sport, where losses over two seasons of the English football league have been estimated at GBP 74.7 million. The impact on the well-being and health of the people affected is even more notable in light of the fact that injury may make it impossible to engage in the activity itself or, for professional athletes, causes missed training sessions and competitions.
{"title":"Lower Limb Injuries in Sport","authors":"Antonio Maestro Fernández, I. P. Muñiz, N. García, Guillermo Gutiérrez, Enrique Sanchez-Munoz, Carmen Toyos Munarriz","doi":"10.35248/2329-9096.20.08.566","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.566","url":null,"abstract":"The practice of sports is and has been the cause of numerous injuries in various studies. The evidence that costs amounted to AUD 265 million over a seven-year study in young people and adults. Particularly notable is the substantial impact on professional sport, where losses over two seasons of the English football league have been estimated at GBP 74.7 million. The impact on the well-being and health of the people affected is even more notable in light of the fact that injury may make it impossible to engage in the activity itself or, for professional athletes, causes missed training sessions and competitions.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"38 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75500756","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.S2.005
P. Alikesh
Ataxia refers to the collection of neurological diseases which affect the movement. Patients who suffer with ataxia face problems with balance, swallowing as well as speech related problems etc. There could be severe affect to cerebellum due to ataxia. Ataxia can occur in any aged people. Nearly 1, 50,000 people are affected by ataxia in the United States according to a study. Cerebellum is a small region of brain which controls the movements and ataxia will become severe if any damage occurs to cerebellum. There are many reasons behind the occurrence of ataxia one of such cause is due to chronic degeneration, acute infection etc.
{"title":"A Preliminary Overview on Ataxia: A Neurological Disease","authors":"P. Alikesh","doi":"10.35248/2329-9096.20.S2.005","DOIUrl":"https://doi.org/10.35248/2329-9096.20.S2.005","url":null,"abstract":"Ataxia refers to the collection of neurological diseases which affect the movement. Patients who suffer with ataxia face problems with balance, swallowing as well as speech related problems etc. There could be severe affect to cerebellum due to ataxia. Ataxia can occur in any aged people. Nearly 1, 50,000 people are affected by ataxia in the United States according to a study. Cerebellum is a small region of brain which controls the movements and ataxia will become severe if any damage occurs to cerebellum. There are many reasons behind the occurrence of ataxia one of such cause is due to chronic degeneration, acute infection etc.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"1 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":"88998683","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.541
Naglaa A. Hussein, Emam F. Mohamed, Ehab M Elzawawy
Objective: To analyze of shape, amplitude of CMAP of both median and ulnar in normal population and to analyze the anatomical innervations of small muscles of hand in normal cadavers. Design: Cross sectional study. Settings: outpatient settings and department of anatomy at Alexandria University. Participants: 300 normal adults (82 males and 218 females) and 30 normal adult cadavers. Main outcome measures: Motor conduction study of both median and ulnar nerves for the included normal subjects. Surface recording of CMAP from thenar and hypothenar muscles respectively with analysis of the shape of the waveform and amplitude. The nerve supply of both thenar and hypothenar muscles were dissected for the included normal cadavers. The main nerve trunk (median or ulnar), the number of branches, their sizes and their sites of entering into the muscles were recorded. Results: The mean age of the studied population was 37.86 ± 8.83 (age range 19-69). The mean amplitude of the median nerve was significantly higher than that of the ulnar nerve (11.785 ± 5.0, 10.45 ± 2.96 respectively, p=0.0001). The mean distal latency of median nerve was significantly higher than that of ulnar nerve (3.38 ± 0.41 and 2.698 ± 0.40 respectively, p=0.0001). The median nerve had mostly dome shaped CMAP rather than double peaked CMAP with significant difference (p=0.0001), while the shape of CMAP of the ulnar nerve was more frequently double peaked rather than dome shaped with significant difference (p=0.0001). The mean distal latency of the median nerve was significantly longer in those with dome shaped CMAP rather than those with double peak CMAP (p=0.002). Similarly, the mean distal latency of the ulnar nerve was significantly longer in those with dome shaped CMAP compared with those with double peak CMAP (p=0.0001). There were no statistical significant differences between the amplitude of dome shaped CMAP and the double peaked CMAP in either the median or the ulnar nerve. The anatomical results showed that abductor pollicis brevis supplied by the median nerve in 90% of specimens, and by both nerves in 10%. The abductor digiti minimi brevis supplied by the deep branch of the ulnar nerve in 90% and by superficial branch of the ulnar nerve in 10%. There was a connection between the median and ulnar nerves in 50% of specimens. Conclusion: The configuration of the CMAP of the median nerve is mostly dome, whereas that of the ulnar is mostly double peaked. Variability in the pattern of innervations of the small muscle of the hand could be a possible etiological factor.
{"title":"Analysis of Compound Muscle Action Potential of Median and Ulnar Nerves: Possible Anatomical Correlation","authors":"Naglaa A. Hussein, Emam F. Mohamed, Ehab M Elzawawy","doi":"10.35248/2329-9096.20.08.541","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.541","url":null,"abstract":"Objective: To analyze of shape, amplitude of CMAP of both median and ulnar in normal population and to analyze the anatomical innervations of small muscles of hand in normal cadavers. Design: Cross sectional study. Settings: outpatient settings and department of anatomy at Alexandria University. Participants: 300 normal adults (82 males and 218 females) and 30 normal adult cadavers. Main outcome measures: Motor conduction study of both median and ulnar nerves for the included normal subjects. Surface recording of CMAP from thenar and hypothenar muscles respectively with analysis of the shape of the waveform and amplitude. The nerve supply of both thenar and hypothenar muscles were dissected for the included normal cadavers. The main nerve trunk (median or ulnar), the number of branches, their sizes and their sites of entering into the muscles were recorded. Results: The mean age of the studied population was 37.86 ± 8.83 (age range 19-69). The mean amplitude of the median nerve was significantly higher than that of the ulnar nerve (11.785 ± 5.0, 10.45 ± 2.96 respectively, p=0.0001). The mean distal latency of median nerve was significantly higher than that of ulnar nerve (3.38 ± 0.41 and 2.698 ± 0.40 respectively, p=0.0001). The median nerve had mostly dome shaped CMAP rather than double peaked CMAP with significant difference (p=0.0001), while the shape of CMAP of the ulnar nerve was more frequently double peaked rather than dome shaped with significant difference (p=0.0001). The mean distal latency of the median nerve was significantly longer in those with dome shaped CMAP rather than those with double peak CMAP (p=0.002). Similarly, the mean distal latency of the ulnar nerve was significantly longer in those with dome shaped CMAP compared with those with double peak CMAP (p=0.0001). There were no statistical significant differences between the amplitude of dome shaped CMAP and the double peaked CMAP in either the median or the ulnar nerve. The anatomical results showed that abductor pollicis brevis supplied by the median nerve in 90% of specimens, and by both nerves in 10%. The abductor digiti minimi brevis supplied by the deep branch of the ulnar nerve in 90% and by superficial branch of the ulnar nerve in 10%. There was a connection between the median and ulnar nerves in 50% of specimens. Conclusion: The configuration of the CMAP of the median nerve is mostly dome, whereas that of the ulnar is mostly double peaked. Variability in the pattern of innervations of the small muscle of the hand could be a possible etiological factor.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"11 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90385301","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.21.8.572
Ambreen Shahzad, Khalid Aziz, S. Ali, M. Fahim, Sajid Khan
Background/Purpose: Novice long distance runners may contribute to develop common lower limb injuries related to running. Strengthening hip or knee alone does not appear to prevent these injuries. Correction of running mechanics along with proper plan of regime for strengthening of lower limb is needed. The purpose of the current study was to investigate the effects of 6 weeks dynamic strength training to prevent lower limb injuries among novice long distance runners. Methods: This was an experimental study including novice runners (n=30, 18-60 years old, <2 years running experience) to evaluate the effects of dynamic strength training program specially designed under the supervision of expert physiotherapists to minimize lower limb injuries and pain. Participants were engaged in a 6-week extensive training program, three times per week using guided program comprising of various forms of exercises to strengthen their lower limb for prevention of common running injuries. Pre and Post “Knee Outcome Survey (KOS)” was measured to evaluate outcome. Results: Knee Outcome Survey Activities of Daily Living Scale (ADLS) pre training mean score was found to be 24.29 ± 5.9 whereas post training effects was 39.19 ± 2.45 with significant p-value of 0.000. In ADLS of KOS Pain variable outcome measure asked symptom that affects activity moderately the responses were 36.7% in pre whereas 0% after training. Weakness was responded mostly affecting activity moderately in 30% patients while after training it was reduced to 0%. Conclusion: A six-week dynamic strength training program may help to reduce lower limb injuries among novice long distance runners under the supervision of skilled physical therapist.
{"title":"Effects of Dynamic Strength Training to Prevent Lower Limb Injuries Among Novice Long Distance Runners: An Experimental Study","authors":"Ambreen Shahzad, Khalid Aziz, S. Ali, M. Fahim, Sajid Khan","doi":"10.35248/2329-9096.21.8.572","DOIUrl":"https://doi.org/10.35248/2329-9096.21.8.572","url":null,"abstract":"Background/Purpose: Novice long distance runners may contribute to develop common lower limb injuries related to running. Strengthening hip or knee alone does not appear to prevent these injuries. Correction of running mechanics along with proper plan of regime for strengthening of lower limb is needed. The purpose of the current study was to investigate the effects of 6 weeks dynamic strength training to prevent lower limb injuries among novice long distance runners. Methods: This was an experimental study including novice runners (n=30, 18-60 years old, <2 years running experience) to evaluate the effects of dynamic strength training program specially designed under the supervision of expert physiotherapists to minimize lower limb injuries and pain. Participants were engaged in a 6-week extensive training program, three times per week using guided program comprising of various forms of exercises to strengthen their lower limb for prevention of common running injuries. Pre and Post “Knee Outcome Survey (KOS)” was measured to evaluate outcome. Results: Knee Outcome Survey Activities of Daily Living Scale (ADLS) pre training mean score was found to be 24.29 ± 5.9 whereas post training effects was 39.19 ± 2.45 with significant p-value of 0.000. In ADLS of KOS Pain variable outcome measure asked symptom that affects activity moderately the responses were 36.7% in pre whereas 0% after training. Weakness was responded mostly affecting activity moderately in 30% patients while after training it was reduced to 0%. Conclusion: A six-week dynamic strength training program may help to reduce lower limb injuries among novice long distance runners under the supervision of skilled physical therapist.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"1 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89834829","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.E124
E. Nesmith
International Journal of Physical Medicine & Rehabilitation is a bi-monthly, peer reviewed, Open access publication. It is a scientific, scholar journal for practitioners and rehabilitation researches in various medical and surgical specialties and rehabilitation disciplines. It aims to be an internationally leading journal which keeps physiatrists up-to-date by publishing clinically relevant and evidence-based research and review information on Physical Medicine and Rehabilitation.
{"title":"Importance of Physical Therapy in Individuals with Spinal Cord Injury and Analysis of Muscle Strength and Gait in Multiple Sclerosis, Knee Osteoarthritis in Older Patients","authors":"E. Nesmith","doi":"10.35248/2329-9096.20.08.E124","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.E124","url":null,"abstract":"International Journal of Physical Medicine & Rehabilitation is a bi-monthly, peer reviewed, Open access publication. It is a scientific, scholar journal for practitioners and rehabilitation researches in various medical and surgical specialties and rehabilitation disciplines. It aims to be an internationally leading journal which keeps physiatrists up-to-date by publishing clinically relevant and evidence-based research and review information on Physical Medicine and Rehabilitation.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"88 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83329451","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.S2.004
M. Jonas
{"title":"Preliminaries Concepts of Neurogenesis in Adults: A detailed Perception","authors":"M. Jonas","doi":"10.35248/2329-9096.20.S2.004","DOIUrl":"https://doi.org/10.35248/2329-9096.20.S2.004","url":null,"abstract":"","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"16 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":"76918582","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.535
Kenji Kotaki
COPD is significant reason of morbidity and mortality in both high and low economic nations. While impact of cigarette smoking is the most significant risk factor throughout the world which is to be eradicate. These open and indoor air pollutants can cause or exacerbate COPD In high economics countries, notable air contamination occasions give clear proof that introduction to elevated levels of open air toxins is related with expanded mortality and bleakness due to COPD.
{"title":"Trends In The Prevalence Of COPD In Elderly Individuals In An Air-polluted City In Japan: A Cross-sectional Study","authors":"Kenji Kotaki","doi":"10.35248/2329-9096.20.08.535","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.535","url":null,"abstract":"COPD is significant reason of morbidity and mortality in both high and low economic nations. While impact of cigarette smoking is the most significant risk factor throughout the world which is to be eradicate. These open and indoor air pollutants can cause or exacerbate COPD In high economics countries, notable air contamination occasions give clear proof that introduction to elevated levels of open air toxins is related with expanded mortality and bleakness due to COPD.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"21 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":"73981775","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.565
Khalid Aziz, Ghousia Shahid, Abida Arif, M. Fahim, Rabia Khan
Objective: To compare the effectiveness of core stability exercises with and without Physioball in chronic low back pain and functional ability in young female students of a private medical college. Methodology: A quasi-experimental study with non-probability convenience sampling technique from March 2019 to January 2020 carried out at Bahria University College of Physical Therapy Karachi. Inclusion was female with history of chronic mechanical and postural backache for more than 12 weeks, age 18-22 years. Exclusion criteria were those on pain killer medications for backache or having pathological back ache. Participants were divided into two groups. Group A were given core stability exercises with Physioball, which include back extension hold, sit ups and forward backward and side rolls. Group B were given core stability exercises without Physioball (Floor Mat), including superman, beetles and bridging. Three sessions per week for 6 weeks once in a day followed by warm up and cool down exercises. Pre and Post assessments through Visual Analogue Scale and The Roland-Morris Low Back Pain and Disability Questionnaire Results: A total of 70 participants were included. Mean pre-assessment of group A was 4.70 ± 0.91 and postassessment was 0.96 ± 0.52 with significant p value of<0.0001. Group B pre-assessment mean score was 5.32 ± 1.52 and post-assessment mean score was 1.36 ± 0.87 with significant p value of <0.001. Group B participants showed improvement in trunk stability and balance control whereas group A observed better results. Conclusion: Core stability exercises with Physioball showed better pain management, trunk control and balance as compared with floor mat exercises.
{"title":"Effectiveness of Core Stability Exercises with and without Physioball on Chronic Low Back Ache in Young Females: A Quasi-Experimental Study","authors":"Khalid Aziz, Ghousia Shahid, Abida Arif, M. Fahim, Rabia Khan","doi":"10.35248/2329-9096.20.08.565","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.565","url":null,"abstract":"Objective: To compare the effectiveness of core stability exercises with and without Physioball in chronic low back pain and functional ability in young female students of a private medical college. Methodology: A quasi-experimental study with non-probability convenience sampling technique from March 2019 to January 2020 carried out at Bahria University College of Physical Therapy Karachi. Inclusion was female with history of chronic mechanical and postural backache for more than 12 weeks, age 18-22 years. Exclusion criteria were those on pain killer medications for backache or having pathological back ache. Participants were divided into two groups. Group A were given core stability exercises with Physioball, which include back extension hold, sit ups and forward backward and side rolls. Group B were given core stability exercises without Physioball (Floor Mat), including superman, beetles and bridging. Three sessions per week for 6 weeks once in a day followed by warm up and cool down exercises. Pre and Post assessments through Visual Analogue Scale and The Roland-Morris Low Back Pain and Disability Questionnaire Results: A total of 70 participants were included. Mean pre-assessment of group A was 4.70 ± 0.91 and postassessment was 0.96 ± 0.52 with significant p value of<0.0001. Group B pre-assessment mean score was 5.32 ± 1.52 and post-assessment mean score was 1.36 ± 0.87 with significant p value of <0.001. Group B participants showed improvement in trunk stability and balance control whereas group A observed better results. Conclusion: Core stability exercises with Physioball showed better pain management, trunk control and balance as compared with floor mat exercises.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"134 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83520942","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.550
Y. Sakai, Shuhei Yamamoto, T. Karasawa, Masaaki Sato, K. Nitta, Mayumi Okada, Shota Ikegami, H. Imamura, H. Horiuchi
Early rehabilitation methods, including postural changes and respiratory physical therapies, have been shown to prevent pulmonary complications; however, strategies to prevent pulmonary complications in sepsis patients remain poorly defined. This clinical study was to evaluated if early rehabilitation provided by specialized physical therapist in an emergency center could reduce respiratory complications in sepsis patients. We evaluated sepsis patients for demographic characteristics, the number of days until rehabilitation, and the incidence of pulmonary complications. Kaplan-Meier curves were constructed to analyze the incidence of pulmonary complications for the study sample stratified by specialized physical therapists. Cox regression analysis examined the relationship between early rehabilitation provided by specialized physical therapists and the incidence of pulmonary complications. The number of days until rehabilitation was significantly shortened after assigning a specialized physical therapist. Assigning specialized physical therapist was significantly associated with pulmonary complications for sepsis patients and, in the multivariable model, specialized physical therapists (hazard ratio=0.34; 95%confidence interval=0.16-0.74; p=0.006) and the number of days until rehabilitation (hazard ratio=1.12; 95% confidence interval=1.08-1.19; p=0.047) were significantly associated with pulmonary complications. Early rehabilitation decreased the incidence of pulmonary complications in sepsis patients. [University Hospital Medical Information Network Clinical Trials Registry, number UMIN000039793 (2020/3/12)].
{"title":"Early Rehabilitation Provided by Specialized Physical Therapist in an Emergency Center Reduces Pulmonary Complications in Patients with Sepsis: A Retrospective Cohort Study","authors":"Y. Sakai, Shuhei Yamamoto, T. Karasawa, Masaaki Sato, K. Nitta, Mayumi Okada, Shota Ikegami, H. Imamura, H. Horiuchi","doi":"10.35248/2329-9096.20.08.550","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.550","url":null,"abstract":"Early rehabilitation methods, including postural changes and respiratory physical therapies, have been shown to prevent pulmonary complications; however, strategies to prevent pulmonary complications in sepsis patients remain poorly defined. This clinical study was to evaluated if early rehabilitation provided by specialized physical therapist in an emergency center could reduce respiratory complications in sepsis patients. We evaluated sepsis patients for demographic characteristics, the number of days until rehabilitation, and the incidence of pulmonary complications. Kaplan-Meier curves were constructed to analyze the incidence of pulmonary complications for the study sample stratified by specialized physical therapists. Cox regression analysis examined the relationship between early rehabilitation provided by specialized physical therapists and the incidence of pulmonary complications. The number of days until rehabilitation was significantly shortened after assigning a specialized physical therapist. Assigning specialized physical therapist was significantly associated with pulmonary complications for sepsis patients and, in the multivariable model, specialized physical therapists (hazard ratio=0.34; 95%confidence interval=0.16-0.74; p=0.006) and the number of days until rehabilitation (hazard ratio=1.12; 95% confidence interval=1.08-1.19; p=0.047) were significantly associated with pulmonary complications. Early rehabilitation decreased the incidence of pulmonary complications in sepsis patients. [University Hospital Medical Information Network Clinical Trials Registry, number UMIN000039793 (2020/3/12)].","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"61 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85174164","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}
Pub Date : 2020-01-01DOI: 10.35248/2329-9096.20.08.567
Sangarun Dungkong
Objectives: Therapeutic exercise is one of the most commonly used non-pharmacological methods for treating knee osteoarthritis (OA). This study proposed to compare the effectiveness of quadricep exercise, home-based exercise program and home-based exercise program in combination with physical modalities. Method: Patients with primary knee OA had been selected to receive the treatment. They were randomly allocated into three groups: Quadriceps Exercise, Home Exercise Protocol and Home Exercise Protocol with Physical Modalities. The outcomes were measured regarding six-minute walk test (6MWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for pain, stiffness and function at baseline, six weeks and 12 weeks. Results: 123 patients were recruited to participate this study and randomly divided into three groups. The results show the progressive improvement of each group. The mean of 6MWT had no significant difference among the studied groups at 12 weeks. WOMAC scores of the groups were not significantly different. Conclusion: These three exercise protocols can be used for patients with osteoarthritis knee. The outcomes in terms of 6MWT and WOMAC scores were not significantly different. They were proved that the protocols allow to improve the patients’ physical performances within 12 weeks.
{"title":"The Effectiveness of Quadriceps Exercise, Home-Based Exercise Program and Home-Based Exercise Program in Combination with Physical Modalities for Treatment in Osteoarthritis Knee: A Randomized Control Study","authors":"Sangarun Dungkong","doi":"10.35248/2329-9096.20.08.567","DOIUrl":"https://doi.org/10.35248/2329-9096.20.08.567","url":null,"abstract":"Objectives: Therapeutic exercise is one of the most commonly used non-pharmacological methods for treating knee osteoarthritis (OA). This study proposed to compare the effectiveness of quadricep exercise, home-based exercise program and home-based exercise program in combination with physical modalities. Method: Patients with primary knee OA had been selected to receive the treatment. They were randomly allocated into three groups: Quadriceps Exercise, Home Exercise Protocol and Home Exercise Protocol with Physical Modalities. The outcomes were measured regarding six-minute walk test (6MWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for pain, stiffness and function at baseline, six weeks and 12 weeks. Results: 123 patients were recruited to participate this study and randomly divided into three groups. The results show the progressive improvement of each group. The mean of 6MWT had no significant difference among the studied groups at 12 weeks. WOMAC scores of the groups were not significantly different. Conclusion: These three exercise protocols can be used for patients with osteoarthritis knee. The outcomes in terms of 6MWT and WOMAC scores were not significantly different. They were proved that the protocols allow to improve the patients’ physical performances within 12 weeks.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"24 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84727149","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}
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