Introduction. To investigate the influence of Myofascial Trigger Points (MTrPs) release combined with shockwave therapy on pain and functions of the upper extremity with shoulder hand syndrome (SHS) in stroke patients with diabetic neuropathy. Methods. Two groups of thirty stroke patients, divided equally into, the study group: which received MTrPs release with shockwave therapy and conventional physical therapy program, while the control group: received the conventional physical therapy program. All the patients were evaluated pre-and post-intervention by the severity score of the Complex Regional Pain Syndrome (CRPS), Motor Evaluation Scale Upper Extremity Stroke Patients (MESUPES), the figure of eight test for hand swelling, and the Visual Analogue Scale for pain (VAS-P). Results. highly significant improvement of affected upper extremity functions, with a significant reduction of SHS symptoms, swelling, and pain of the study group compared to the control group (p < 0.05), also there was a negative significant correlation between MESUPES- all-out score and VAS-P. Conclusions. The combination of both MTrPs release with shockwave therapy had a significant improvement effect on upper extremity function and a significant reduction of both SHS symptoms and pain in stroke patients with diabetic neuropathy, which leads to improvement in stroke patients' functional rehabilitation.
{"title":"Effect of myofascial trigger points release with shockwave therapy on shoulder hand syndrome in stroke patients","authors":"L. Mahmoud, Shahesta Osama, Lamis Osama","doi":"10.5114/pq.2023.112272","DOIUrl":"https://doi.org/10.5114/pq.2023.112272","url":null,"abstract":"Introduction. To investigate the influence of Myofascial Trigger Points (MTrPs) release combined with shockwave therapy on pain and functions of the upper extremity with shoulder hand syndrome (SHS) in stroke patients with diabetic neuropathy. Methods. Two groups of thirty stroke patients, divided equally into, the study group: which received MTrPs release with shockwave therapy and conventional physical therapy program, while the control group: received the conventional physical therapy program. All the patients were evaluated pre-and post-intervention by the severity score of the Complex Regional Pain Syndrome (CRPS), Motor Evaluation Scale Upper Extremity Stroke Patients (MESUPES), the figure of eight test for hand swelling, and the Visual Analogue Scale for pain (VAS-P). Results. highly significant improvement of affected upper extremity functions, with a significant reduction of SHS symptoms, swelling, and pain of the study group compared to the control group (p < 0.05), also there was a negative significant correlation between MESUPES- all-out score and VAS-P. Conclusions. The combination of both MTrPs release with shockwave therapy had a significant improvement effect on upper extremity function and a significant reduction of both SHS symptoms and pain in stroke patients with diabetic neuropathy, which leads to improvement in stroke patients' functional rehabilitation.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70521699","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}
{"title":"A survey of exercise beliefs among people with Parkinson’s disease in Malaysia","authors":"Alfonsa Ying, R. Vasanthi","doi":"10.5114/pq.2021.103556","DOIUrl":"https://doi.org/10.5114/pq.2021.103556","url":null,"abstract":"","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70517638","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}
{"title":"Efficacy of inspiratory muscle training on inspiratory muscles strength, functional capacity, and quality of life in patients with interstitial lung disease. A single non-controlled clinical study","authors":"Fatma Aboelmagd M, S. Moawd","doi":"10.5114/pq.2021.108671","DOIUrl":"https://doi.org/10.5114/pq.2021.108671","url":null,"abstract":"","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70519979","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}
Akram Maher, Amal M. Abd El Baky, Mohamed T. Ellabban
Introduction. Restoring hand function is an important determinant of the quality of life in victims of burns. The purpose of the study was to determine the changes in the functional outcome when applying a flexion static progressive splint on the meta- carpophalangeal joints of the contracted fingers after a burn injury. Methods. This study included 60 patients referred to the hand therapy clinic 6 months after the injury. They presented with a burn on the dorsal portion of the hand with limited flexion range of motion in the metacarpophalangeal joints. The participants were randomly assigned to 2 groups (30 patients each). Group A (splint group) were treated with custom-made static progressive flexion splints. Additionally, they received physical therapy and medical treatment throughout the study period (8 weeks). Group B (control group) received physical therapy and medical treatment only. The burned hand was evaluated before and after treatment by measuring the metacarpophalangeal passive range of motion, determining grip strength, and employing the Jebsen-Taylor hand function test to assess the overall hand function. Results. A statistically significant increase in all variables occurred in both groups after the intervention, with a higher increase in group A. in groups A and B, the p-values of passive range of motion were 0.001 and 0.784, of grip strength 0.023 and 0.608, and of Jebsen-Taylor hand function test 0.048 and 0.411, respectively. Conclusions. Static progressive splint coupled with physical therapy can optimally improve hand function in patients with restricted metacarpophalangeal flexion passive range of motion after burn injuries.
{"title":"Hand function response to static progressive splinting in post-burn finger contracture","authors":"Akram Maher, Amal M. Abd El Baky, Mohamed T. Ellabban","doi":"10.5114/pq.2021.108665","DOIUrl":"https://doi.org/10.5114/pq.2021.108665","url":null,"abstract":"Introduction. Restoring hand function is an important determinant of the quality of life in victims of burns. The purpose of the study was to determine the changes in the functional outcome when applying a flexion static progressive splint on the meta- carpophalangeal joints of the contracted fingers after a burn injury. Methods. This study included 60 patients referred to the hand therapy clinic 6 months after the injury. They presented with a burn on the dorsal portion of the hand with limited flexion range of motion in the metacarpophalangeal joints. The participants were randomly assigned to 2 groups (30 patients each). Group A (splint group) were treated with custom-made static progressive flexion splints. Additionally, they received physical therapy and medical treatment throughout the study period (8 weeks). Group B (control group) received physical therapy and medical treatment only. The burned hand was evaluated before and after treatment by measuring the metacarpophalangeal passive range of motion, determining grip strength, and employing the Jebsen-Taylor hand function test to assess the overall hand function. Results. A statistically significant increase in all variables occurred in both groups after the intervention, with a higher increase in group A. in groups A and B, the p-values of passive range of motion were 0.001 and 0.784, of grip strength 0.023 and 0.608, and of Jebsen-Taylor hand function test 0.048 and 0.411, respectively. Conclusions. Static progressive splint coupled with physical therapy can optimally improve hand function in patients with restricted metacarpophalangeal flexion passive range of motion after burn injuries.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70520050","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}
{"title":"Neuromuscular electrical stimulation and exercises effect on functional exercise performance and quality of life in cases of liver cirrhosis","authors":"Manal K. Youssef","doi":"10.5114/pq.2022.116445","DOIUrl":"https://doi.org/10.5114/pq.2022.116445","url":null,"abstract":"","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70520678","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}
{"title":"Impact of Virtual Reality Program on Upper Limb Function Post Stroke: a randomized controlled trial","authors":"Rasha Hegazy, A. Alkhateeb, A. Abdelmohsen","doi":"10.5114/pq.2021.111210","DOIUrl":"https://doi.org/10.5114/pq.2021.111210","url":null,"abstract":"","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70521027","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}
Introduction. The WHODAS 2.0 questionnaire is used internationally to assess disability. The goal was to perform a cross-cultural adaptation and validation of the Ukrainian version of WHODAS 2.0, and examine the tool’s efficacy, particularly for screening studies. Methods. The participants of the study were cadets ( n = 256, age – 18–21 years). This study used the Ukrainian versions of WHO Disability Assessment Schedule 2.0 (36 items, self-administered, WHODAS) and Medical Outcomes Study: 36-Item Short Form Survey (MOS SF-36). The WHODAS was translated according to the WHO protocol. The level of disability, quality of life, and complaints of injuries and pain during training were assessed. Results. Translation into Ukrainian of WHODAS was conducted. The overall score of the WHODAS questionnaire correlates with the values of the MOS SF-36 questionnaire scales. Numerous negative moderate or significant correlations were found between virtually all MOS SF-36 questionnaire scales and WHODAS domains. The strength and number of correlations in the study group were lower than in populations with significant health disorders. The level of vitality, fatigue and low efficiency were critical for the respondents. Conclusions. The Ukrainian version of the 36-item WHODAS questionnaire is easy to use and is suitable for use in the form of interviews to assess the health, functioning, and disability of the general population. This tool will contribute to the more effective clinical practice of clinical professionals, in particular in rehabilitation, and will enable the integration of research results related to the assessment of the level of disability at the national and international levels.
{"title":"Measuring health and disability of Ukrainian cadets – translation and cross-cultural adaptation of the WHODAS 2.0","authors":"K. Tymruk-Skoropad, Ostap Muzyka, Iu. O. Pavlova","doi":"10.5114/pq.2023.116343","DOIUrl":"https://doi.org/10.5114/pq.2023.116343","url":null,"abstract":"Introduction. The WHODAS 2.0 questionnaire is used internationally to assess disability. The goal was to perform a cross-cultural adaptation and validation of the Ukrainian version of WHODAS 2.0, and examine the tool’s efficacy, particularly for screening studies. Methods. The participants of the study were cadets ( n = 256, age – 18–21 years). This study used the Ukrainian versions of WHO Disability Assessment Schedule 2.0 (36 items, self-administered, WHODAS) and Medical Outcomes Study: 36-Item Short Form Survey (MOS SF-36). The WHODAS was translated according to the WHO protocol. The level of disability, quality of life, and complaints of injuries and pain during training were assessed. Results. Translation into Ukrainian of WHODAS was conducted. The overall score of the WHODAS questionnaire correlates with the values of the MOS SF-36 questionnaire scales. Numerous negative moderate or significant correlations were found between virtually all MOS SF-36 questionnaire scales and WHODAS domains. The strength and number of correlations in the study group were lower than in populations with significant health disorders. The level of vitality, fatigue and low efficiency were critical for the respondents. Conclusions. The Ukrainian version of the 36-item WHODAS questionnaire is easy to use and is suitable for use in the form of interviews to assess the health, functioning, and disability of the general population. This tool will contribute to the more effective clinical practice of clinical professionals, in particular in rehabilitation, and will enable the integration of research results related to the assessment of the level of disability at the national and international levels.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70522460","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}
Introduction. Shoulder dysfunction is one of the most important upper extremity problems that limit the quality of life of individuals. Munich Shoulder Questionnaire (MSQ) is a self-assessment tool that allows an easy follow-up and evaluation for clinicians. The aim of this study was to describe the process applied to translate MSQ into Turkish and to test its validity and reliability. Methods. The questionnaire involves socio-demographic data, as well as objective and subjective items for shoulder dysfunction. The study investigated 180 patients with shoulder dysfunction. Cronbach’s alpha was used to assess internal consistency. Test-retest reliability was evaluated by the intra-class correlation coefficient. Pearson’s correlation coefficient served to examine the convergent validity. The SPSS 23.0 software was used for the statistical analysis. Results. The patients’ average age equalled 44.3 ± 11.6 years. in most cases (76.7%), the diagnosis was shoulder impingement syndrome. The Cronbach’s alpha coefficients of the MSQ objective and subjective sections were 0.73 and 0.96, respectively. The MSQ total score was positively correlated with the disabilities of the Arm, Shoulder and Hand questionnaire total score (r = 0.70; p < 0.01) and the Shoulder Pain and disability index total score (r = 0.65; p < 0.01). Conclusions. The Turkish version of MSQ is a valid, reliable, and responsive instrument for evaluating shoulder dysfunctions. in addition, MSQ-Turkish is satisfactory for evaluating shoulder dysfunctions and its use is recommended to follow up conservative, manipulative, and surgical treatments.
{"title":"Validation and reliability of the Munich Shoulder Questionnaire for Turkish patients with shoulder dysfunction","authors":"D. Kocamaz, G. Ekici, E. Karabulut","doi":"10.5114/pq.2020.102161","DOIUrl":"https://doi.org/10.5114/pq.2020.102161","url":null,"abstract":"Introduction. Shoulder dysfunction is one of the most important upper extremity problems that limit the quality of life of individuals. Munich Shoulder Questionnaire (MSQ) is a self-assessment tool that allows an easy follow-up and evaluation for clinicians. The aim of this study was to describe the process applied to translate MSQ into Turkish and to test its validity and reliability. Methods. The questionnaire involves socio-demographic data, as well as objective and subjective items for shoulder dysfunction. The study investigated 180 patients with shoulder dysfunction. Cronbach’s alpha was used to assess internal consistency. Test-retest reliability was evaluated by the intra-class correlation coefficient. Pearson’s correlation coefficient served to examine the convergent validity. The SPSS 23.0 software was used for the statistical analysis. Results. The patients’ average age equalled 44.3 ± 11.6 years. in most cases (76.7%), the diagnosis was shoulder impingement syndrome. The Cronbach’s alpha coefficients of the MSQ objective and subjective sections were 0.73 and 0.96, respectively. The MSQ total score was positively correlated with the disabilities of the Arm, Shoulder and Hand questionnaire total score (r = 0.70; p < 0.01) and the Shoulder Pain and disability index total score (r = 0.65; p < 0.01). Conclusions. The Turkish version of MSQ is a valid, reliable, and responsive instrument for evaluating shoulder dysfunctions. in addition, MSQ-Turkish is satisfactory for evaluating shoulder dysfunctions and its use is recommended to follow up conservative, manipulative, and surgical treatments.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70515408","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}
A. Demont, Amélie Kechichian, T. Davergne, L. Woodhouse, A. Bourmaud, F. Desmeules
{"title":"New models of care integrating more autonomous roles for physiotherapists: a narrative review","authors":"A. Demont, Amélie Kechichian, T. Davergne, L. Woodhouse, A. Bourmaud, F. Desmeules","doi":"10.5114/pq.2021.103561","DOIUrl":"https://doi.org/10.5114/pq.2021.103561","url":null,"abstract":"","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70518193","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}
Introduction Tissue flossing is increasingly popular among sportspersons for enhanced flexibility in both prehabilitation and rehabilitation programs. Nevertheless, there is a lack of evidence about this compression technique during stretching intervention. The purpose of this study was to determine the immediate effects of tissue flossing during active isolated stretching on hamstring flexibility. Methods Overall, 16 healthy young male adults (aged 18–25 years) of low to moderate activity were randomly allocated to the tissue flossing or non-tissue flossing group during hamstring active isolated stretching intervention. The participants stretched the hamstring by performing 3 sets of 10 repetitions. Traditional sit-and-reach, back saver sit-and-reach, active knee extension, and passive knee extension tests were conducted before and instantly after stretching. Results After the stretching intervention, the results revealed that the back saver sit-and-reach and passive knee extension tests resulted in a statistically significant improvement in both groups (p < 0.05). On comparing the effects of these 2 interventions, the results indicated that the tissue flossing group had a statistically significantly higher score of the traditional sit-and-reach test than the non-tissue flossing group (p < 0.05). Conclusions The application of tissue flossing as a compression strategy during hamstring active isolated stretching has a significant effect on the traditional sit-and-reach test and tends to be better or not worse than stretching without flossing on overall hamstring flexibility.
{"title":"The immediate effects of tissue flossing during active isolated stretching on hamstring flexibility in young healthy individuals","authors":"Thanawat Kitsuksan, Poramet Earde","doi":"10.5114/pq.2021.108664","DOIUrl":"https://doi.org/10.5114/pq.2021.108664","url":null,"abstract":"Introduction Tissue flossing is increasingly popular among sportspersons for enhanced flexibility in both prehabilitation and rehabilitation programs. Nevertheless, there is a lack of evidence about this compression technique during stretching intervention. The purpose of this study was to determine the immediate effects of tissue flossing during active isolated stretching on hamstring flexibility. Methods Overall, 16 healthy young male adults (aged 18–25 years) of low to moderate activity were randomly allocated to the tissue flossing or non-tissue flossing group during hamstring active isolated stretching intervention. The participants stretched the hamstring by performing 3 sets of 10 repetitions. Traditional sit-and-reach, back saver sit-and-reach, active knee extension, and passive knee extension tests were conducted before and instantly after stretching. Results After the stretching intervention, the results revealed that the back saver sit-and-reach and passive knee extension tests resulted in a statistically significant improvement in both groups (p < 0.05). On comparing the effects of these 2 interventions, the results indicated that the tissue flossing group had a statistically significantly higher score of the traditional sit-and-reach test than the non-tissue flossing group (p < 0.05). Conclusions The application of tissue flossing as a compression strategy during hamstring active isolated stretching has a significant effect on the traditional sit-and-reach test and tends to be better or not worse than stretching without flossing on overall hamstring flexibility.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70519361","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}