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To Find out Depression Rate in Common Clinical Condition 了解常见病患者的抑郁率
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16498
Minal Dhairya Bhavsar, Yuvrajsinh K Padheriya
Background and Purpose: Depression is a biological based mental illness that can have lastingemotional and physical effects. It frequently goes unrecognized in primary care, but screening has beenshown to increase detection and can lead to improved outcomes when linked to adequate treatment. TheHamilton Rating Scale for Depression has been commonly used for the assessment of depression inclinical practice. A finding of the depression following Stroke, COPD, Neck pain, Back pain and OAknee indirectly affect prognosis of the rehabilitation which is documented in many literatures but howmuch it is affected in particular disease is still controversy. So keeping this in the view the objectiveof the study is to find out depression rate in clinical condition of Stroke, COPD, Neck pain, Back painand OA knee.Method: Thirty patients of subacute and chronic conditions (>3 months of duration) of COPD, Stroke,Back pain, Neck Pain and OA knee in each group were included for the study. The Hamilton Ratingscale for Depression was taken and the patient was categorized as mild, moderate and severe.Result & Conclusion: Prevalence of depression was higher in COPD (21.23 ± 8.21(SD)) and Stroke(19.53± 7.54 (SD)) patients compared to other clinical condition whereas severely depressed patientswere found in COPD and Back pain (19.53± 7.54 (SD)) groups.
背景与目的:抑郁症是一种基于生物学的精神疾病,它会对情绪和身体产生持久的影响。它经常在初级保健中被忽视,但筛查已被证明可以提高检测率,并且如果与适当的治疗相结合,可以改善结果。汉密尔顿抑郁症评定量表已被广泛用于抑郁症临床实践的评估。卒中、慢性阻塞性肺病、颈痛、背痛和OAknee后的抑郁间接影响康复预后,这一发现在许多文献中都有记载,但对特定疾病的影响程度仍存在争议。因此,考虑到这一点,本研究的目的是了解中风、慢性阻塞性肺病、颈痛、背痛和OA膝关节的临床抑郁率。方法:选取慢性阻塞性肺病、脑卒中、腰痛、颈痛、OA膝关节患者各30例(病程>3个月)作为研究对象。采用汉密尔顿抑郁量表(Hamilton Ratingscale for Depression),将患者分为轻度、中度和重度。结果与结论:COPD组(21.23±8.21(SD))和卒中组(19.53±7.54 (SD))抑郁发生率高于其他临床疾病组(19.53±7.54 (SD)), COPD组(19.53±7.54 (SD))抑郁发生率高于其他临床疾病组(19.53±7.54 (SD))。
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引用次数: 0
Screening of Stroke Patients Using Performance Oriented Mobility Assessment (POMA) Scale 用性能导向活动能力评估量表筛选脑卒中患者
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16492
H. Parikh, Bansi Kalariya, Hemali Kachhadiya
Background: The rapid growth of the elderly population has resulted in a corresponding rise in thenumber of elderly individuals who experience disability during their lifetimes.Objective: The purpose of this study was to test the usefulness of four established clinical measures ofbalance, gait, and subjective perceptions of fear of falling as screening methods for referring communityindividuals living in residential care for detailed physical therapy evaluation and possible intervention.Methods: 50 elderly individuals living in two residential care for the elderly were tested on clinicalmeasures of balance and mobility. Their performance on these measures was compared with a physicaltherapist’s brief evaluation of disability and appropriateness for more detailed evaluation. The usefulnessof these tools as screening methods was determined by calculating validating levels using the physicaltherapist’s evaluation as a standard.Results: Thus, it can be analysed thatthe p < 0.0001 was kept as a highly significant reference value.Conclusion: This study concludes that screening for balance and gait in elderly stroke patients witha combination of components which mainly measures the balance and gait using the performanceoriented mobility assessment (POMA) scale gives the highest validity for the screening of strokepatients compared to the other scales.
背景:老年人口的快速增长导致在其一生中经历残疾的老年人数量相应增加。目的:本研究的目的是测试四种既定的临床测量方法的有效性,这些方法包括平衡、步态和对跌倒恐惧的主观感知,作为转介社区居民的筛查方法,以进行详细的物理治疗评估和可能的干预。方法:对50名住在两所养老院的老年人进行了平衡和活动能力的临床测试。他们在这些措施上的表现与物理治疗师对残疾的简短评估和更详细评估的适当性进行了比较。这些工具作为筛选方法的有用性是通过使用物理治疗师的评估作为标准来计算验证水平来确定的。结果:因此,可以分析p < 0.0001作为高度显著的参考值。结论:本研究认为,与其他量表相比,以平衡和步态为主要测量指标的POMA量表对老年脑卒中患者平衡和步态的综合筛查效度最高。
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引用次数: 0
A Comparative Study on the Efficacy of Low Level Laser Therapy (LLLT) of Wavelength 905 NM and 808 NM in Management of Chronic Low Back Pain 波长905 NM与808 NM低强度激光治疗慢性腰痛的疗效比较研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16516
Subhas Rai, P. NihadK, B. RiyasBasheerK
Background: low back pain (LBP) is one of the most common musculoskeletal disorders whichare highly prevalent among the general population. Management of this disorder includes numerousinterventions which depend on severity of pain. Laser therapy is a non-invasive method to help reducemusculoskeletal disorders like chronic low back pain. This study aims to evaluate the efficacy of lowlevel laser therapy with wavelength 905 nm & 808 nm.Method: The participants received low level laser therapy with wavelength 905 nm & 808 nm once aday for 15 days. Stretching, strengthening and core exercise are also encouraged on the same days toimprove the lower back mobility and stability.Conclusion: The comparison of pain shows an average improvement of 3.20 ± 0.99 and 2.26 ± 0.44and disability shows an average improvement of 10.67 ± 5.48 and 10.22 ± 4.72 in 905 nm & 808 nmrespectively. The findings show that, after 15 treatment sessions, Laser therapy with 905 nm & 808 nmare effective for chronic low back pain. But 905 nm LLLT had a better clinical implication than 808nm LLLT.
背景:腰痛(LBP)是最常见的肌肉骨骼疾病之一,在普通人群中非常普遍。这种疾病的管理包括许多干预措施,这取决于疼痛的严重程度。激光治疗是一种非侵入性的方法,可以帮助减少肌肉骨骼疾病,如慢性腰痛。本研究旨在评价波长为905 nm和808 nm的低能级激光治疗的疗效。方法:接受波长905 nm和808 nm的低强度激光治疗,每天1次,连用15天。伸展、强化和核心运动也被鼓励在同一天进行,以提高下背部的灵活性和稳定性。结论:在905 nm和808 nm时,疼痛平均改善3.20±0.99和2.26±0.44,残疾平均改善10.67±5.48和10.22±4.72。研究结果表明,经过15次治疗,905 nm和808 nm的激光治疗对慢性腰痛有效。905 nm LLLT的临床意义优于808nm LLLT。
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引用次数: 0
Comparison of Single Task and Dual Task Balance Training on the Quality of Life of Elderly with Balance Impairment 单任务与双任务平衡训练对老年平衡障碍患者生活质量的影响
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16521
V. Chandran
Background: Aging is the decline in efficiency of various physiological processes which is continuesand irreversible. The age related changes affect maintenance of balance control in steady state balance,reactive balance and anticipatory balance. The purpose of the study was to find out the effectiveness ofsingle task and dual task balance training in improving the quality of life among elderly with impairedbalance.Objectives: To compare the effectiveness of single and dual task training in improving the quality oflife of elderly with balance impairment and to compare the single and dual task balance training inelderly with impaired balanceStudy Design: Pre-post experimental study designMethod Thirty-four elderly adults with impaired balance were assigned into two groups, one groupunderwent single task training and other dual task training of about 4 weeks. Baseline measurementwere taken pre and post training by using TUG, BBS and SF-36.Results: Dual task training was more effective in improving quality of life and balance in elder adultswith impaired balance than the single task training. The TUG scores showed improvement in both thegroups. The group which performed dual task training showed significant difference from pre to postmeasure that with mean 0.51(p=0.005). The single task training group showed an improvement of mean0.337(p=0.069). The SF-36 score showed significant improvement in both the groups except certaincomponents.Conclusion: Dual task training improves quality of life and balance in elderly adults with impairedbalance than single task training.
背景:衰老是各种生理过程效率的持续和不可逆的下降。年龄相关的变化影响稳态平衡、反应性平衡和预期性平衡控制的维持。本研究旨在探讨单任务与双任务平衡训练对改善平衡性受损老年人生活质量的效果。目的:比较单任务训练和双任务训练对老年平衡障碍患者生活质量的改善效果,比较单任务训练和双任务训练对老年平衡障碍患者生活质量的影响。研究设计:实验前-后研究设计方法将34例老年平衡障碍患者分为两组,一组分别进行单任务训练和双任务训练,每组训练时间约为4周。训练前后采用TUG、BBS和SF-36量表进行基线测量。结果:双任务训练比单任务训练更能有效地改善平衡性障碍老年人的生活质量和平衡性。两组的TUG得分都有所提高。双任务训练组测量前后差异显著,均值为0.51(p=0.005)。单任务训练组改善的均值为0.337(p=0.069)。两组的SF-36评分均有显著改善,但某些部分除外。结论:双任务训练比单任务训练更能改善平衡性障碍老年人的生活质量和平衡性。
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引用次数: 0
Management of Faecal Incontinence by Pelvic Floor Muscle Exercise and Behavioral Trainning- A Case Study 盆底肌运动和行为训练治疗大便失禁的个案研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16503
Vinal Charpot, Minal Dhairya Bhavsar
Background: Fecal incontinence is the inability to control the release of bowel content. Also calledbowel incontinence, fecal incontinence ranges from an occasional leakage of stool while passing gasto a complete loss of bowel control. However, successful management of women diagnosed with fecalincontinence dependent on a proper assessment and a tailored made plan. This case study aims to showthe effectiveness of physiotherapy treatment in a 45-year-old patient diagnosed with fecal incontinence.Methods: The patient was taught the kegel exercise and provided with a behavioral training programme.Improvement was noted at the end of the 3 month of physiotherapy treatment plan and the patient nolonger had any involuntory leakage episodes.Conclusions: The case study shows the successful outcome of physiotherapy management in a patientwith fecal incontinence.
背景:大便失禁是指无法控制肠道内容物的释放。大便失禁也被称为肠失禁,其范围从排便时偶尔漏便到完全失去肠道控制。然而,成功的管理妇女诊断大便失禁依赖于适当的评估和量身定制的计划。本病例研究的目的是显示物理治疗的有效性在45岁的患者诊断为大便失禁。方法:对患者进行凯格尔运动和行为训练。在3个月的物理治疗计划结束时发现改善,患者不再有任何不情愿的渗漏事件。结论:本病例研究显示了物理治疗对一例大便失禁患者的成功治疗效果。
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引用次数: 0
Comparitive Study of Effect of Moist Pack V/S Effect of Core Strengthening Exercises in Primary Dysmenorrhea for Three Consecutive Months 连续3个月核心强化运动湿包V/S效果对原发性痛经的比较研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16494
H. Parikh, Sana Mohamadhanif Khokhar, Sahistabanu Aiyyubmiya Kazi
Background: Primary dysmenorrhea is considered the most common gynaecologic disorder amongyoung females. Primary dysmenorrhea is defined as painful and difficult menstrual flow in the absenceof any pelvic disorders.Objective: The study was carried out to examine the effect of Heat application on relieving pain ofprimary dysmenorrhea, examine the effect of core strengthening exercises on relieving pain of primarydysmenorrhea, compare between heat application and core strengthening exercises on relieving pain ofprimary dysmenorrhea among young femalesMethodology: Subjects Included in the study were between 25_35 years with primary dysmenorrheaselected from female. Three tools were used in this study, tool one: interviewing questionnaire whichinclude; socio demographic data, menstrual history. Tool two; assessment of dysmenorrheal symptoms.Tool three; WALLID SCORE Scale. random sample was used to select the participants of the study,total sample was 50 females.Results: P-value of group 2 is less than P-value of group 1 , we conclude that dataset of group 2 is moresignificant, and it means that Core Strengthening exercises is more statistically significant to reducedegree of pain in dysmenorrhea.Conclusion: core strengthening exercises (Group 2) was effective in reducing pain of dysmenorrhea ascompared with moist pack application (Group 1) this clearly observed in reduction in the mean of painscoring in group 1 after 4 weeks, and reduction the mean of pain scoring in group 2 after 8 weeks butthe great improvement in pain scoring was observed in group 2 at the end of 12 weeks.
背景:原发性痛经被认为是年轻女性中最常见的妇科疾病。原发性痛经被定义为在没有任何盆腔疾病的情况下,月经疼痛和困难。目的:观察热敷对原发性痛经的缓解作用,观察核心强化运动对原发性痛经的缓解作用,比较热敷与核心强化运动对年轻女性原发性痛经的缓解作用。方法:研究对象年龄在25 ~ 35岁之间,为原发性痛经患者,选择女性。本研究使用了三种工具,工具一:访谈问卷,包括;社会人口统计数据,月经史。两个工具;评估痛经症状。三个工具;瓦利德评分量表。本研究采用随机抽样的方法,选取50名女性作为研究对象。结果:第2组的p值小于第1组的p值,我们认为第2组的数据集更显著,说明核心强化训练在减轻痛经疼痛程度方面更有统计学意义。结论:与湿敷组(1组)相比,核心强化训练组(2组)可有效减轻痛经疼痛,明显观察到1组疼痛评分在4周后降低,2组疼痛评分在8周后降低,但2组疼痛评分在12周后明显改善。
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引用次数: 0
Effect of Tilt Table Training on Balance among Subjects with Basal Ganglia Bleed: A Pilot Study 倾斜台训练对基底神经节出血受试者平衡的影响:一项初步研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16517
Surendra Kumar Rajbanshi, D. Joshi
Background: Basal ganglia bleed is a major cause of disability with 40% subjects suffering frommoderate to severe disability. Among different treatments, mobilization on a tilt-table and functionaltraining, which consisted of strengthening and stretching exercises of the limbs, postural control trainingin sitting and standing positions, therapist-guided techniques for facilitating normal movement, andsimple forward stepping might have effect on balance in subjects with Basal ganglia bleed.Objective: To see the effect of tilt table mobilization and functional training on balance in subjects withbasal ganglia bleed.Methodology: 10 subjects within age group of 18-65 years diagnosed with Basal ganglia bleed wereincluded in the study based on inclusion and exclusion criteria. After measuring the baseline data,subjects were given mobilization on tilt table and functional training 30 minutes per session 5 days aweek for 6 weeks. Pre and post measures of balance were assessed using dynamic gait index (DGI).Results: Mobilization on tilt table and functional training on balance in subjects with basal gangliableed showed statistically significant improvement in balance (p<0.05) on paired t test.Conclusion: Tilt table training can be beneficial for improving balance in subjects with basal gangliableed.
背景:基底神经节出血是导致残疾的主要原因,40%的患者患有中度至重度残疾。在不同的治疗方法中,倾斜桌上的活动和功能训练,包括肢体的加强和伸展练习,坐姿和站姿的姿势控制训练,治疗师指导的促进正常运动的技术,简单的向前踏步可能对基底神经节出血患者的平衡有影响。目的:观察倾斜台活动和功能训练对基底神经节出血患者平衡能力的影响。方法:根据纳入和排除标准,在18-65岁年龄组中诊断为基底神经节出血的10例受试者被纳入研究。测量基线数据后,受试者在倾斜台上进行活动和功能训练,每次30分钟,每周5天,持续6周。使用动态步态指数(DGI)评估前后平衡测量。结果:经配对t检验,基底神经节变异性受试者在倾斜台活动和平衡功能训练后平衡性改善有统计学意义(p<0.05)。结论:倾斜台训练有助于改善基底神经节变性患者的平衡能力。
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引用次数: 0
To Study the Relationship Satisfaction and Degree of Loneliness in Romantic Relationships 恋爱关系中关系满意度与孤独程度的研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16511
S. Aziz, Ansab Chaudhary, N. Ali
Background: Romantic relationship satisfaction is defined as an interpersonal evaluation of thepositivity of feelings for one’s partner and attraction to the relationship. Relationship satisfaction ispositively related to life satisfaction and subjective well-being. The satisfaction and dissatisfactionin romantic relationship may contribute to different features such as loneliness, communication andcloseness in a relationship. So it is necessary for us to understand the prevalence of loneliness andcommunication in ones relationship and their level of satisfaction. The aim of the study is to assessthe level of satisfaction and dissatisfaction in romantic relationship and to find the degree of perceivedloneliness in romantic relationship.Methods: A total of 50 participants participated in the study, out of which 40% were male and 10% werefemale. Relationship Assessment Scale, Relationship Satisfaction Scale, UCLA Loneliness Scale wereused to assess the Relationship status, Relationship satisfaction and degree of Loneliness respectively.Findings of our study suggested that most of the participants had poor relationship status (80%); theywere extremely dissatisfied with their relationship (94%) and reported high degree of loneliness (68%).Conclusion: The study concluded that the poor is romantic relationship status the lonelier one will feel.Some of the common dissatisfying features in romantic relationships are worry about the relationship,worry about the future, a lack of time, conflict and stress, expectations and love from partner in therelationship doesn’t meet and these factors leads to feeling of loneliness. As an Occupational Therapistwe can intervene and plan out the strategies to decrease the level of loneliness and dissatisfaction inorder to improve the relationship.
背景:浪漫关系满意度被定义为对伴侣的积极感受和对这段关系的吸引力的人际评价。关系满意度与生活满意度和主观幸福感呈正相关。恋爱关系中的满意和不满意可能会产生不同的特征,如孤独、沟通和亲密关系。因此,我们有必要了解在一段关系中孤独和沟通的普遍程度以及他们的满意度。本研究的目的是评估恋爱关系中的满意度和不满意度,并找出恋爱关系中感知孤独的程度。方法:共50人参与研究,其中男性占40%,女性占10%。采用关系评估量表、关系满意度量表、UCLA孤独感量表分别评估关系状态、关系满意度和孤独感程度。我们的研究结果表明,大多数参与者的关系状况不佳(80%);他们对自己的关系极度不满(94%),并报告了高度的孤独感(68%)。结论:研究得出结论,恋爱状态差的人会感到孤独。在恋爱关系中,一些常见的不满意的特征是担心关系,担心未来,缺乏时间,冲突和压力,关系中伴侣的期望和爱不能满足,这些因素导致孤独感。作为一名职业治疗师,我们可以干预和规划策略,以减少孤独和不满的水平,以改善关系。
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引用次数: 2
Influence of Lower Urinary Tract Dysfunction on Functional Status among Ambulant Stroke Survivors: A Pilot Study 下尿路功能障碍对卒中幸存者功能状态的影响:一项初步研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16514
S. Se, Suresh Bv, Sushmitha As
Background: Stroke is one of the diseases affecting the nervous system which controls the lowerurinary tract. Lower urinary tract dysfunction is a broad term of subjective urinary tract symptomsand may vary according to the course of disease. The presence of Lower urinary tract dysfunction is anegative prognostic indicator for a variety of health and rehabilitation outcomes across the spectrumof care. This study was carried out to find whether severity of lower urinary tract dysfunction has aninfluence on functional status among ambulant stroke survivors.Methodology: 20 ambulant stroke survivors with the mean age of 68.55±8.02 were evaluated usingCore Lower Urinary Tract Symptom Score to assess the severity of lower urinary tract dysfunction andBarthel Index to assess the functional status.Conclusion: This pilot study found weak negative correlation (r=-0.26) between Core lower urinarytract symptom score and functional status; however it was found to be statistically non-significant(p>0.05).
背景:中风是影响控制下尿路的神经系统的疾病之一。下尿路功能障碍是一个广义的主观尿路症状,可根据疾病的病程而变化。下尿路功能障碍的存在是各种健康和康复结果的负面预后指标。本研究旨在发现下尿路功能障碍的严重程度是否会影响门诊中风幸存者的功能状态。方法:对20例平均年龄68.55±8.02岁的中风患者进行评估,采用core下尿路症状评分评估下尿路功能障碍严重程度,barthel指数评估功能状态。结论:本初步研究发现Core下尿路症状评分与功能状态呈弱负相关(r=-0.26);但差异无统计学意义(p>0.05)。
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引用次数: 0
Association between Balance Confidence and Cognitive-Motor Interference in Stroke Patients – Pilot Study 脑卒中患者平衡信心与认知运动干扰的关系——初步研究
Pub Date : 2021-07-19 DOI: 10.37506/ijpot.v15i4.16509
P. Roshan, R. Rai, S. Sethulekshmi
Background: Functional community ambulation demands the ability to accomplish both mobility andcognitive tasks at the same time (dual-tasking). When gait and cognitive deficits are done concurrently,this is referred to as cognitive-motor interference. Some hypothesis says that Individuals with lowbalance confidence would have higher cognitive-motor interference, indicating a behavioral changeduring dual-task settings. The purpose of this study is to see if cognitive-motor interference is linked tostroke patients’ confidence in their balance.Methodology: The participants in this pilot trial were sub-acute and chronic community-dwelling strokesurvivors. The MFES questionnaire assessed balance confidence. Participants completed four 10-meterwalking trails to evaluate Cognitive-Motor Interference. Two of the walking trails were performedwithout any additional tasks, while the other two were completed with a concurrent cognitive challenge.Conclusion: A total of 30 people participated in this study, with a mean age of 64±7.7 years. Pearsoncorrelation discovered a statistically significant (p=<0.05) negative correlation (r=-0.202) betweenbalance confidence and CMI. This study found that balance confidence is not associated with cognitivemotor interference in stroke patients
背景:功能性社区活动需要同时完成活动和认知任务的能力(双任务)。当步态和认知缺陷同时发生时,这被称为认知运动干扰。一些假说认为,平衡性自信心低的人会有更高的认知运动干扰,这表明在双重任务环境下行为发生了变化。这项研究的目的是观察认知运动干扰是否与中风患者对平衡的信心有关。方法学:该试点试验的参与者是亚急性和慢性社区居住中风幸存者。MFES问卷评估平衡置信度。参与者完成了四条10米的步道,以评估认知运动干扰。其中两条步道在没有任何额外任务的情况下进行,而另外两条步道在同时进行认知挑战的情况下完成。结论:本研究共纳入30例患者,平均年龄64±7.7岁。pearson相关发现平衡置信度与CMI呈显著负相关(r=-0.202), p=<0.05。本研究发现,平衡自信与脑卒中患者的认知运动干扰无关
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引用次数: 0
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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
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