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Navicular Position in Plantar Fasciitis: A Cross Sectional Study 足底筋膜炎的舟舟位:横断面研究
Pub Date : 2021-03-30 DOI: 10.37506/IJPOT.V15I2.14510
Leah Mohandas, Sudeep M J Pais
Background: The foot is a complex structure with multiple functions like weight bearing, propulsion andshock absorption. Plantar fasciitis is an important public health disorder and most of the population mayhave such a presentation at some point in their lifetime. Abnormal weight-bearing, standing for prolongedperiods can cause excessive loading on the plantar fascia causing heel pain. Navicular positions may havean impact on the fascia hence this study intended on assessing the navicular position in subjects with plantarfasciitis.Methods: Written informed consent was taken from all subjects. 49 subjects were recruited for the study ofwhich 46 were females and 3 were males. The navicular height was measured using a goniometer.Descriptivestatistics were used for calculation of percentage values.Conclusion: Our study concluded that subjects with plantar fasciitis did not have a navicular drop. Majorityof the participants had a high arch. Future studies should include larger sample size and also considerrecruiting all genders equally for optimal results.
背景:足部是一个复杂的结构,具有承重、推进、减震等多种功能。足底筋膜炎是一种重要的公共健康疾病,大多数人在一生中的某个时候可能会有这样的表现。不正常的负重,长时间站立会导致足底筋膜负荷过大,引起足跟疼痛。舟状位可能对筋膜有影响,因此本研究旨在评估足底筋膜炎患者的舟状位。方法:所有受试者均获得书面知情同意书。研究招募了49名受试者,其中46名女性,3名男性。舟骨高度用测角仪测量。描述性统计用于计算百分比值。结论:我们的研究得出足底筋膜炎患者没有舟状下垂。大多数参与者的弓高。未来的研究应该包括更大的样本量,并考虑平等招募所有性别以获得最佳结果。
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引用次数: 0
Assesment of Neck Pain Causes and Its Intensity among the Students of Department of Eastern Medicine, University of Balochistan, Quetta, Pakistan 巴基斯坦奎达俾路支省大学东方医学系学生颈部疼痛原因及强度评估
Pub Date : 2021-03-30 DOI: 10.37506/IJPOT.V15I2.14517
Aadil Ali, N. Haq, Amjad I Hussain, Muhammad Rafique, Muhammad Ishaque M.R, Piriha Abbasi, Taufiq Ahmad
Background: In musculoskeletal disorders the neck pain is the fourth common disorder. Annually it affectshuge numbers of patients specially the working males, who are more likely to get affected by neck pain.Among the students the intensity was found dependent mainly on the affected area and gender.Methods: A cross sectional study was conducted among the Eastern medicine students of city campus,university of Balochistan, Quetta, Pakistan from June to August 2018. A self-constructed proforma was usedamong 284 participants and Spss version 23 was used.Results: The majority (n=229, 80.6%) belongs to age group of 18 to 23 years and ( n=149,50.4%) weremale. In the involvement of side (unilateral/ bilateral) were significantly associated with the higher intensityof neck pain (p=0.05).Conclusion: The study summarized that the male participants who were suffering from bilateral neck painwere experiencing severe pain and were facing hindrances during their regular personal care. They shouldkeep themselves aware regarding their neck heath.
背景:在肌肉骨骼疾病中,颈部疼痛是第四大常见疾病。每年都有大量的患者受到影响,尤其是工作男性,他们更容易受到颈部疼痛的影响。在学生中,发现强度主要依赖于受影响的区域和性别。方法:对2018年6 - 8月巴基斯坦奎达俾路支省大学城市校区东医学生进行横断面研究。284名被试采用自编形式表,使用Spss 23。结果:18 ~ 23岁年龄组占多数(n=229, 80.6%),女性占多数(n= 149,50.4%)。受累侧(单侧/双侧)与颈痛的高强度显著相关(p=0.05)。结论:研究总结了双侧颈部疼痛的男性参与者经历了严重的疼痛,并且在日常个人护理中遇到了障碍。他们应该注意自己的颈部健康。
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引用次数: 2
Relationship Between Hand Grip Strength, Cognition, And Hand Dexterity In Older Adults: A Pilot Study 老年人握力、认知和手灵巧的关系:一项初步研究
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13358
P. Roshan, N. SricharanK, A. M. M. Mussamil
Background and Objective: In older adults most important two factor is cognition and hand motorfunctions, most noticeable in requiring much skill in fine motor activities. The normal process of aginginvolves declines in cognitive and sensorimotor functions that affect performance of activities of dailyliving. Dexterity measures help to detects early decline of hand function and it is necessary to quantifymanual dexterity of older adults not only design for work but also for the product and system daily activitiesby older adults. Force control is necessary for grip because most daily object required acquired force formovement not maximum force. While using large grip forces can lead to changes in the aging neuromotorsystem other than impaired tactile afferent functioning. Some older adults may produce less stable isometricforces with hand and arm muscles because of peripheral reorganization of their muscles. There is greaterconnection between hand grip strength and cognition, the deterioration of cognitive function is a high risk ofAD. Therefore, handgrip strength considers as an early marker of cognitive decline and incident dementia.Objective is to find relationship between hand grip strength, cognition, and hand dexterity in older adults.Methodology: 16 subjects were recruited on the basis of selection criteria. Subjects evaluated cognition,grip strength, and hand dexterity using outcome measures are MoCA, hand held dynamometer, and 9-holepeg test respectively.Results: Karl Pearson correlation were used for the statistical analysis. The result showed that moderatecorrelation between cognition and grip strength for right and left side with p value 0.031 and r value 0.540,and p = 0.40 and r = 0.517 respectively and weak correlation between cognition and hand dexterity for bothright and left with p value 0.162 and r = -.367 and p = .180, r= -.353 respectively.Conclusion: the study shows moderate association between cognition and grip strength and weak correlationbetween cognition and hand dexterity for both right and left side.
背景与目的:老年人最重要的两个因素是认知和手部运动功能,最明显的是对精细运动活动的要求很高。正常的衰老过程包括认知和感觉运动功能的下降,从而影响日常生活活动的表现。灵活度测量有助于早期发现手功能衰退,对老年人的手灵活度进行量化是必要的,不仅是为老年人的工作设计,而且是为老年人的产品和系统日常活动设计。力的控制是必要的抓地力,因为大多数日常物品需要获得的力量来移动,而不是最大的力量。而使用大的握力会导致老化的神经运动系统的变化,而不是触觉传入功能受损。一些老年人由于周围肌肉的重组,手部和手臂肌肉可能产生不太稳定的等距力。握力与认知有较大的相关性,认知功能的恶化是ad的高危因素。因此,握力被认为是认知能力下降和痴呆的早期标志。目的是寻找老年人握力、认知和手灵巧之间的关系。方法:根据选择标准招募16名受试者。受试者分别使用MoCA、手持式测力仪和9洞柱测试来评估认知、握力和手灵巧度。结果:采用Karl Pearson相关进行统计分析。结果表明,认知与左右侧握力之间存在中度相关,p值为0.031,r值为0.540,p = 0.40, r = 0.517;认知与左右侧手灵巧之间存在弱相关,p值为0.162,r = -。p =。180,r= -。分别为353。结论:研究显示左右侧认知与握力之间存在中度相关,与手灵巧之间存在弱相关。
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引用次数: 0
Comparative Study to Find out the Effectiveness of Core Strengthening Training (Pilates) versus Plyometric training to Promote Dynamic Balance and Agility in Elite Indian Badminton Players 核心强化训练(普拉提)与增强式训练对提高印度羽毛球精英运动员动态平衡和敏捷性有效性的比较研究
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13353
Morzia Khatoon, S. Thiyagarajan
The ability to change direction and position of the body quickly and effectively while maintaining posturalstability and orientation are important in badminton sports. There is also harmony related to skill and planachievement during dynamic balance and agility. Purpose: The purpose of the study to ascertain the effectsof core strengthening training (Pilates) versus Plyometric training in promoting dynamic balance and agilityin elite Indian badminton players. Study design: Quasi experimental design. Methodology: 34 subjects whomet the inclusion and exclusion criteria were allotted to the study. General Assessment Proforma like AGE,HEIGHT, WEIGHT, LEVEL OF COMPETITION, HOURS OF PRACTICE, MEDICAL AND SURGICALHISTORY, AND LIMB LENGTH MEASUREMENTS (ASIS TO MEDIAL MALLEOLUS) are collectedfrom each players. The subjects were divided into two equal groups. Group A was given CST (Pilates) andGroup B Plyometric training. Outcome measures were taken before and after the program schedule of 2sessions alternately in 1 week for 6 week. Outcome measures: Star Excursion Balance Test (SEBT), CoreMuscle Endurance Test (CMET), Illinois Agility Test (IAT). Results:- In Group A (Pilates) and Group B(Plyometric), all data was expressed as mean ±SD and was statistically analyzed by using paired t-test andunpaired t-test to determine the statistical difference among the parameters at 0.05% level of significance.Statistical data of SEBT, CMET, and IAT in badminton players shows that, there was no significant differencebetween the groups, but both were individually effective with p<0.05 i.e 95% of significant. Conclusion:-Inthis study, we concluded that both the groups were equally effective in promoting dynamic balance, coreendurance and agility in elite Indian badminton players, no, one treatment program is proved to be superiorthan the other statistically.
在羽毛球运动中,快速有效地改变身体的方向和位置,同时保持姿势的稳定性和方向是很重要的。在动态平衡和敏捷性中,也有与技能和计划成就相关的和谐。目的:研究的目的是确定核心强化训练(普拉提)与增强训练在促进印度羽毛球精英运动员动态平衡和敏捷性方面的效果。研究设计:准实验设计。方法:34名符合纳入和排除标准的受试者被分配到研究中。一般评估的形式,如年龄,身高,体重,比赛水平,练习时间,医疗和手术史,肢体长度测量(ASIS到内踝)从每个球员收集。受试者被分成两组。A组给予CST(普拉提)训练,B组给予增强力训练。结果测量在2个疗程的计划前后交替进行,1周为6周。结果测量:星偏移平衡测试(SEBT),核心肌肉耐力测试(CMET),伊利诺伊敏捷性测试(IAT)。结果:A组(普拉提)和B组(增强运动)的所有数据均以mean±SD表示,采用配对t检验和非配对t检验进行统计学分析,各参数之间的统计学差异在0.05%的显著水平上。羽毛球运动员SEBT、CMET、IAT的统计数据显示,组间差异无统计学意义,但均单项有效,p<0.05,即95%显著。结论:在本研究中,我们得出结论,两组在促进印度优秀羽毛球运动员的动态平衡、核心耐力和敏捷性方面都是同样有效的,没有统计学上证明一组治疗方案优于另一组。
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引用次数: 1
The Effects of Core Stabilization Training Program on Endurance and Balance in Cricketers 核心稳定训练方案对板球运动员耐力和平衡的影响
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13344
A. Saharan, M. K. Mathur, Virendra Rajpurohit, Swati Sharma
Background and Purpose: Core stability 1 is seen as being pivotal for efficient biomechanical functionto maximize force generation and minimize joint loads in all types of activities ranging from running tothrowing. The purpose of the study is to evaluate the effectiveness of core stabilization training program onendurance and balance in cricketers. Materials and Methods: A total of 40 male cricketers of age group 15-25yrs were included in the study and randomly assigned into two groups, 20 in each group. Group A -controlgroup, who did not receive any training and Group B -core strengthening group, who received six weeks ofcore training. Before the start of the study and again after 6 weeks of training, 2 tests were used to measurecore endurance and balance- Sorensen back endurance test and Star Excursion Balance Test. Statisticalanalysis: Analyzed by calculating mean, standard deviation, and comparison within the groups by pairedt-test and between groups by unpaired t-test. Results: The results showed significant improvements in bothSorenson and Star excursion balance tests for the group undertaking the core training program (p <0.05).Conclusion: Core endurance measured using Sorensen also showed increase in trunk holding time after 6weeks of core exercise training, among the two tests Star excursion balance test improved more compare tocore endurance after 6 weeks of training.
背景和目的:核心稳定性1被认为是有效的生物力学功能的关键,在从跑步到投掷的所有类型的活动中,可以最大限度地产生力,最大限度地减少关节负荷。本研究的目的是评估核心稳定训练方案对板球运动员耐力和平衡的有效性。材料与方法:选取年龄在15 ~ 25岁的男子板球运动员40名,随机分为两组,每组20名。A组为对照组,不接受任何训练;B组为核心强化组,接受六周的核心训练。在研究开始前和训练6周后,使用2项测试来测量耐力和平衡- Sorensen背部耐力测试和Star偏移平衡测试。统计分析:通过计算平均值、标准差进行分析,组内采用配对检验,组间采用非配对t检验进行比较。结果:结果显示,接受核心训练的组在sorenson和Star偏移平衡测试中均有显著改善(p <0.05)。结论:Sorensen测量的核心耐力也显示出6周核心运动训练后躯干保持时间的增加,其中Star漂移平衡测试比6周训练后的核心耐力提高更多。
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引用次数: 0
Awareness of the Role of Physiotherapy in Temporomandibular Disorders amongst DentistsAwareness of the Role of Physiotherapy in Temporomandibular Disorders amongst Dentists 物理治疗在牙科颞下颌疾病中的作用的认识牙医对物理治疗在颞下颌疾病中的作用的认识
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13350
Manasi S. Desai, Urvisha Jain
Purpose: Temporomandibular joint disorder (TMD) is a complex disorder usually characterized by pain,crepitus and reduced movement which may be caused due to unbalanced activity, muscular spasm, oroveruse of the jaw muscles. Awareness among dentists in and around Mumbai and Navi-Mumbai about PT’srole for TMD treatment was found to be unknown. Therefore, the study aimed at finding out the awarenessof physiotherapy management of TMD amongst dentists.Method: This was a cross-sectional study including 100 dentists done over a period of 6 months. Thedata was collected from various private setups and hospitals in and around Mumbai and Navi-Mumbai. Aconsent form and a self-prepared validated questionnaire was used. The data was statistically analysed anddescriptive analysis was done with the help of pie charts and bar diagrams.Results: In our study 89% of the dentists considered physiotherapy as a treatment option for TMD. However,49% of the dentists refer people with TMD to physiotherapists. Fewer dentists were aware that physiotherapyhelps in improving strength and coordination of jaw muscles while greater number of dentists were awarethat physiotherapy also helps in pain relief, relaxation, minimization of stiffness and restoration of normalmobility and function.Conclusions: Although a large percentage of dentists that completed the survey were aware of the role of PTin treating people with TMD, the rate of referral was low. Therefore, there is a need to educate the dentistsabout the role of physiotherapy in treating people with TMD, to encourage them to refer people with TMDand thereby promote multidisciplinary rehabilitation of this complex disorder.
目的:颞下颌关节紊乱(Temporomandibular joint disorder, TMD)是一种复杂的疾病,通常以疼痛、肌痉挛和运动减少为特征,这可能是由于活动不平衡、肌肉痉挛或过度使用颌骨肌肉引起的。在孟买及其周边地区和新孟买,牙医对PT在TMD治疗中的作用的认识是未知的。因此,本研究旨在了解牙医对TMD物理治疗管理的认识。方法:这是一项横断面研究,包括100名牙医在6个月内完成。这些数据是从孟买和新孟买及其周边的各种私人机构和医院收集的。使用同意表和自行准备的有效问卷。对数据进行统计分析,并借助饼图和条形图进行描述性分析。结果:在我们的研究中,89%的牙医认为物理治疗是治疗TMD的一种选择。然而,49%的牙医会将患有TMD的病人转介给物理治疗师。很少有牙医意识到物理疗法有助于提高下颌肌肉的力量和协调性,而更多的牙医意识到物理疗法也有助于缓解疼痛、放松、最小化僵硬和恢复正常的活动和功能。结论:虽然完成调查的大部分牙医都知道PTin治疗TMD的作用,但转诊率很低。因此,有必要教育牙医理疗在治疗TMD患者中的作用,鼓励他们转诊TMD患者,从而促进这种复杂疾病的多学科康复。
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引用次数: 0
Effectiveness of Therapeutic protocol for Physiotherapy Management of Adhesive Capsulitis 物理治疗方案对粘连性囊炎的疗效观察
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13354
Navjyot Trivedi, M. Ladani
Background: Adhesive Capsulitis idiopathic painful restriction of Shoulder movement results in globalrestriction of the glenohumeral joint. It is affecting 2% to 3% of the general population and affects manyfunctional activities like combing, lifting, pushing and pulling. Although Physiotherapy is often the firstline of management, there are various treatments has found its effectiveness but yet to date its protocolof treatment has not been established. So, it is necessary to find effectiveness of specific Physiotherapytreatment protocol for Adhesive Capsulitis. The aim of this study was to find effectiveness of TherapeuticProtocol for Physiotherapy management of Adhesive Capsulitis.Materials and Method: Experimental trial of 30 patients, diagnosed with primary Adhesive Capsulitisselected and divided into two groups. One group was given a Therapeutic Protocol based on review ofliterature and the other group was treated with Conventional Physiotherapy treatment for 4 Weeks. Preand post treatment measurement of ROM, and SPADI Index were taken and statistical analysis was done.The two treatment strategies were compared, Group A showed better improvement in Abduction, IRROM and Functional Score (SPADI) as compare to Group B which was treated with Conventional regularPhysiotherapy Treatment. Improvement in Flexion, Extension and ER ROM was relatively less.Conclusion: Therapeutic Protocol proved effective for management of Adhesive Capsulitis.
背景:粘连性肩关节囊炎特发性疼痛性肩关节活动受限导致肩关节整体受限。它影响了2%到3%的普通人群,并影响了许多功能性活动,如梳理、举起、推和拉。虽然物理治疗往往是第一线的管理,有各种治疗方法已经发现其有效性,但迄今为止,其治疗方案尚未建立。因此,有必要寻找治疗粘连性囊炎的特异性物理治疗方案。本研究的目的是发现物理治疗方案对粘连性囊炎的有效性。材料与方法:选取确诊为原发性粘连性囊炎的患者30例,分为两组。一组采用文献复习的治疗方案,另一组采用常规物理治疗,疗程4周。治疗前后测量ROM、SPADI指数,并进行统计学分析。比较两种治疗策略,A组在外展、IRROM和功能评分(SPADI)方面均优于B组,B组采用常规物理治疗。屈曲、伸展和ER ROM的改善相对较少。结论:治疗方案是治疗粘连性囊炎的有效方法。
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引用次数: 0
Effects of 90/90 Bridge with Ball and Balloon Exercise on Lung Volumes and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease 90/90桥配合球囊运动对慢性阻塞性肺疾病患者肺容量和生活质量的影响
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13363
Y. Narayana, Kiran Prakash Pappala, P. Thulasi
Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world and itis estimated to be the 3rd leading cause of death by 2020. Diaphragmatic dysfunction is one of the majorclinical finding in chronic obstructive pulmonary disease patients which alters the respiratory function andquality of life. Therefore, the objective is to investigate the impact of 90/90 bridge with ball and balloonexercise on lung volumes and quality of life in patients with chronic obstructive pulmonary disease.Method: A total 38 patients were taken, 30 of them met criteria and were divided into two groups usingrandomized sampling technique, 15 in experimental group i.e., 90/90 bridge with ball and balloon exerciseand 15 in control group i.e., diaphragmatic breathing. There was a single dropout in experimental group. Theintervention given for 6 weeks, 5 days in a week, one session for a day i.e., 30 minutes. Both outcomes i.e.,Forced expiratory volume in 1second and St. George Respiratory Questionnaire values were taken beforeand after intervention in this study.Results: The findings suggest that both experimental and control group showed statistically significantimprovement in both outcome measures. Statistically experimental group showed more significant thancontrol group.Conclusion: The study showed that 90/90 bridge with ball and balloon exercise is effective in improvingthe lung volumes in patients with chronic obstructive pulmonary disease, which leads to improvement inquality of life.
背景:慢性阻塞性肺疾病是世界上第四大死因,估计到2020年将成为第三大死因。膈肌功能障碍是慢性阻塞性肺疾病患者的主要临床表现之一,它改变了患者的呼吸功能和生活质量。因此,目的是研究90/90桥球和球囊运动对慢性阻塞性肺疾病患者肺容量和生活质量的影响。方法:选取38例患者,其中30例符合标准,采用随机抽样方法分为两组,实验组15例为90/90桥球球囊运动组,对照组15例为膈呼吸组。实验组有1例中途退学。干预为期6周,每周5天,每天1次,即30分钟。本研究在干预前后分别测量1秒用力呼气量和St. George呼吸问卷值。结果:实验组和对照组在两项指标上均有统计学上的显著改善。统计学上实验组显著高于对照组。结论:90/90桥配合球囊运动能有效改善慢性阻塞性肺疾病患者的肺容量,从而改善患者的生活质量。
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引用次数: 0
Rehabilitation outcomes in Acute Necrotizing Encephalopathy of Childhood – A Retrospective Study 儿童急性坏死性脑病的康复效果-回顾性研究
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13359
Suchitra Diwanmal, Mahantesh Biradi, R. Vanaki, B. Yelamali
Aims & Objectives: To assess the outcome of early physiotherapy and rehabilitation in children with AcuteNecrotizing Encephalopathy of Childhood (ANEC).Methods: Retrospective review of 10 infants & children with ANEC at Department of Paediatrics,S.N.Medical College & HSK Hospital, Bagalkot from January 2013 to December 2019. ANEC wassuspected based on clinical and radiological characteristics and diagnosis was made based on diagnosticcriteria proposed by Mizuguchi et al. Clinical and radiological (MRI brain characteristics) findings andresponse to standard therapy, early physiotherapy and rehabilitation were assessed in all cases. All caseswere followed for evaluation of neurodevelopmental outcome.Results: The age ranged from 6 months to 11 years (7 female, 3 male). All cases had precedent viralillnesses and had fever, coryza, diarrhoea. The initial neurological symptoms included altered sensorium(n=3), seizures and status epilepticus (n=7), focal neurological signs, gait disturbances (n=2) and diplopia(n=1). MRI brain revealed characteristic thalamus involvement with varied involvement of midbrain, pons,medulla (n=10). 9 out of 10 cases survived, responded to standard medical therapy , early physiotherapy andrehabilitation. 6 children had complete recovery with minimal disability in 3 cases.Conclusions: Early detection and appropriate treatment improves outcome in ANEC. Physiotherapy helpsin remarkable improvement in the regain of tone, reflexes and movements of limbs
目的:评价儿童急性坏死性脑病(ANEC)早期物理治疗和康复的效果。方法:回顾性分析我院儿科10例ANEC患儿的临床资料2013年1月至2019年12月,巴加尔科特医学院和HSK医院。根据临床和放射学特征怀疑ANEC,并根据Mizuguchi等人提出的诊断标准进行诊断。评估所有病例的临床和放射学(MRI脑特征)表现以及对标准治疗、早期物理治疗和康复的反应。随访所有病例以评估神经发育结果。结果:年龄6个月~ 11岁,女7例,男3例。所有病例均有病毒性疾病病史,有发热、鼻炎、腹泻等症状。最初的神经症状包括感觉改变(n=3)、癫痫发作和癫痫持续状态(n=7)、局灶性神经症状、步态障碍(n=2)和复视(n=1)。脑MRI显示特征性丘脑受累,中脑、脑桥、髓质受累不同(n=10)。10例患者中有9例存活,经标准药物治疗、早期物理治疗和康复治疗有效。其中3例患儿6例完全康复,残障最小。结论:早期发现和适当治疗可改善ANEC的预后。物理治疗在恢复张力、反射和肢体运动方面有显著的改善
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引用次数: 1
Effect of Transcranial Direct Current Stimulation on Balance and Stroke Specific Quality of Life In Stroke Patients 经颅直流电刺激对脑卒中患者平衡及脑卒中特异性生活质量的影响
Pub Date : 2021-01-26 DOI: 10.37506/IJPOT.V15I1.13335
Halisha Shah, Shilpa Khandare, Trupti Siddapur, Soumik Basu, T. Palekar
Introduction: Stroke is the leading cause of disability which requires rehabilitation. It is defined asobstruction or restriction of blood supply to the brain, usually because a blood vessel supplying brain is burstor blocked by a clot; causing damage to the cells of brain. This in turn may result in physical and/or mentaldisabilities. Upper limb functions are most commonly impaired following stroke; which also deterioratesactivities of daily living. tDCS is a novice approach which can improve upper limb function by modulatingcortical neuronal excitability.Objective: To investigate the effect of cathodal, anodal and sham tDCS on balance and stroke specificquality of life in stroke patients.Method: 30 stroke patients meeting inclusion criteria were randomly allocated into three groups. Group A,B and C received cathodal tDCS, anodal tDCS and sham tDCS respectively. The intensity of the current was2mA given for 20 minutes along with all the upper limb active and fine motor exercises. It was given for 12sessions in 3 weeks. Berg balance scale and stroke specific quality of life questionnaire was taken to assesslower limb function respectively. It was taken before and after the 3 weeks.Result: paired t test showed that the balance improved before and after treatment with cathodal (0.003)and anodal (0.000) tDCS and sham stimulation (0.917). and also for SSQOL cathodal and anodal showedimprovement in quality of life but sham stimulation showed no improvement. (0.173). Kruskal Wallis Testshowed significant difference in between the groups (p<0.05) which showed balance improved more inanodal tDCS than cathodal and sham. Also cathodal tDCS balance compared to sham tDCS. but in SSQOLthere was no significant improvement seen in all three groups.Conclusion: Both cathodal and anodal tDCS improve balance over sham tDCS. Improvement of balancewith anodal tDCS was better than cathodal tDCS. There was no change in SSOL.
中风是导致残疾的主要原因,需要康复治疗。它被定义为大脑血液供应的阻塞或限制,通常是因为供应大脑的血管被血栓堵塞;对大脑细胞造成损害的。这反过来可能导致身体和/或精神残疾。上肢功能最常在中风后受损;这也恶化了日常生活的活动。tDCS是一种通过调节皮层神经元兴奋性来改善上肢功能的新方法。目的:探讨阴极、阳极和假tDCS对脑卒中患者平衡和脑卒中特异性生活质量的影响。方法:30例符合入选标准的脑卒中患者随机分为3组。A组、B组、C组分别行正极tDCS、阳极tDCS和假性tDCS。电流强度为2ma,持续20分钟,同时进行所有上肢活动和精细运动练习。在3周内给药12次。采用Berg平衡量表和卒中特异性生活质量问卷分别评估肢体功能。它是在3周前后服用的。结果:配对t检验显示,tDCS正极刺激(0.003)、正极刺激(0.000)和假刺激(0.917)治疗前后平衡性均有改善。而对于SSQOL,阴极和阳极刺激显示生活质量的改善,而假刺激没有改善。(0.173)。Kruskal Wallis测试结果显示各组间差异有统计学意义(p<0.05),表明平衡对正极tDCS的改善作用强于正极和假手术。还有阴极tDCS平衡与假tDCS的比较。但在ssqol方面,三组均未见明显改善。结论:与假性tDCS相比,阴极和阳极tDCS均能改善平衡性。阳极tDCS对平衡的改善效果优于阴极tDCS。ssl无明显变化。
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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
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