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Effect of myofascial trigger points release with shockwave therapy on shoulder hand syndrome in stroke patients 冲击波疗法释放肌筋膜触发点对脑卒中患者肩手综合征的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2023.112272
L. Mahmoud, Shahesta Osama, Lamis Osama
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.
介绍。探讨肌筋膜触发点(MTrPs)释放联合冲击波治疗对脑卒中合并糖尿病神经病变患者肩手综合征(SHS)上肢疼痛及功能的影响。方法。两组30例脑卒中患者,平均分为,研究组:接受MTrPs释放配合冲击波治疗和常规物理治疗方案,对照组:接受常规物理治疗方案。采用复杂局部疼痛综合征(CRPS)严重程度评分、上肢卒中患者运动评定量表(MESUPES)、手部肿胀8字图测试、疼痛视觉模拟量表(VAS-P)对患者进行干预前后评价。结果。与对照组相比,研究组患者的SHS症状、肿胀、疼痛均明显减轻(p < 0.05),且MESUPES-总分与VAS-P评分呈显著负相关。结论。MTrPs释放联合冲击波治疗对卒中合并糖尿病神经病变患者的上肢功能有明显改善,SHS症状和疼痛均有明显减轻,从而改善卒中患者的功能康复。
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引用次数: 0
A survey of exercise beliefs among people with Parkinson’s disease in Malaysia 马来西亚帕金森病患者的运动信念调查
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.103556
Alfonsa Ying, R. Vasanthi
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引用次数: 0
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 吸气肌训练对间质性肺疾病患者吸气肌力量、功能能力和生活质量的影响一项单独的非对照临床研究
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108671
Fatma Aboelmagd M, S. Moawd
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引用次数: 0
Hand function response to static progressive splinting in post-burn finger contracture 静态渐进式夹板治疗烧伤后手指挛缩的手功能反应
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108665
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.
介绍。手部功能的恢复是烧伤患者生活质量的重要决定因素。本研究的目的是确定在烧伤后收缩手指的腕指关节上应用屈曲静态渐进式夹板时功能结果的变化。方法。本研究包括60例外伤后6个月到手部治疗诊所就诊的患者。他们表现为手部背侧烧伤,掌指关节屈曲活动范围有限。受试者随机分为两组(每组30例)。A组(夹板组)采用定制的静态渐进式屈曲夹板治疗。此外,在整个研究期间(8周),他们接受了物理治疗和药物治疗。B组(对照组)仅接受物理治疗和药物治疗。治疗前后通过测量掌指关节被动活动度、测定握力和采用Jebsen-Taylor手功能测试评估烧伤手的整体手功能来评估烧伤手。结果。干预后两组各变量均有统计学意义的升高,其中A组升高幅度较大,A组和B组被动活动度p值分别为0.001和0.784,握力p值分别为0.023和0.608,捷成-泰勒手功能检验p值分别为0.048和0.411。结论。静态渐进式夹板配合物理治疗可最佳改善烧伤后掌指关节屈曲被动活动受限患者的手部功能。
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引用次数: 0
Neuromuscular electrical stimulation and exercises effect on functional exercise performance and quality of life in cases of liver cirrhosis 神经肌肉电刺激和运动对肝硬化患者功能运动表现和生活质量的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2022.116445
Manal K. Youssef
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引用次数: 0
Impact of Virtual Reality Program on Upper Limb Function Post Stroke: a randomized controlled trial 虚拟现实程序对中风后上肢功能的影响:一项随机对照试验
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.111210
Rasha Hegazy, A. Alkhateeb, A. Abdelmohsen
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引用次数: 0
Measuring health and disability of Ukrainian cadets – translation and cross-cultural adaptation of the WHODAS 2.0 测量乌克兰学员的健康和残疾——WHODAS 2.0的翻译和跨文化适应
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2023.116343
K. Tymruk-Skoropad, Ostap Muzyka, Iu. O. Pavlova
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.
介绍。WHODAS 2.0问卷在国际上用于评估残疾。目的是对乌克兰版本的WHODAS 2.0进行跨文化改编和验证,并检查该工具的功效,特别是用于筛选研究。方法。该研究的参与者为军校学员(n = 256,年龄在18-21岁)。本研究使用乌克兰版本的WHO残疾评估表2.0(36项,自我管理,WHODAS)和医疗结果研究:36项简短表格调查(MOS SF-36)。WHODAS是根据WHO的议定书进行翻译的。评估残疾程度、生活质量以及训练期间受伤和疼痛的投诉情况。结果。将WHODAS翻译成乌克兰语。WHODAS问卷总分与MOS SF-36问卷量表值相关。在几乎所有的MOS SF-36问卷量表和WHODAS域之间发现了许多负的、中度的或显著的相关。在研究组中,相关性的强度和数量低于有严重健康障碍的人群。活力水平,疲劳和低效率是关键的受访者。结论。乌克兰版的WHODAS问卷共有36个项目,易于使用,适合以访谈的形式使用,以评估一般人口的健康、功能和残疾情况。这一工具将有助于临床专业人员更有效的临床实践,特别是在康复方面,并将使与国家和国际两级残疾水平评估有关的研究成果得以整合。
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引用次数: 0
Validation and reliability of the Munich Shoulder Questionnaire for Turkish patients with shoulder dysfunction 慕尼黑肩部问卷对土耳其肩部功能障碍患者的有效性和可靠性
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102161
D. Kocamaz, G. Ekici, E. Karabulut
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.
介绍。肩关节功能障碍是影响个体生活质量的最重要的上肢问题之一。慕尼黑肩部问卷(MSQ)是一种自我评估工具,可以为临床医生提供方便的随访和评估。本研究的目的是描述将MSQ翻译成土耳其语的过程,并测试其有效性和可靠性。方法。问卷包括社会人口统计数据,以及肩部功能障碍的客观和主观项目。该研究调查了180例肩部功能障碍患者。Cronbach’s alpha用于评估内部一致性。用类内相关系数评价重测信度。Pearson相关系数用于检验收敛效度。采用SPSS 23.0软件进行统计分析。结果。患者平均年龄44.3±11.6岁。大多数病例(76.7%)诊断为肩撞击综合征。主观部分和客观部分的Cronbach’s alpha系数分别为0.73和0.96。MSQ总分与臂肩手残疾总分呈正相关(r = 0.70;p < 0.01)、肩痛与失能指数总分(r = 0.65;P < 0.01)。结论。土耳其版的MSQ是评估肩部功能障碍的有效、可靠和反应灵敏的工具。此外,MSQ-Turkish在评估肩部功能障碍方面令人满意,建议在保守、手法和手术治疗后使用。
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引用次数: 0
New models of care integrating more autonomous roles for physiotherapists: a narrative review 整合物理治疗师更多自主角色的护理新模式:叙述性回顾
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.103561
A. Demont, Amélie Kechichian, T. Davergne, L. Woodhouse, A. Bourmaud, F. Desmeules
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引用次数: 0
The immediate effects of tissue flossing during active isolated stretching on hamstring flexibility in young healthy individuals 组织牙线在主动孤立拉伸期间对年轻健康个体腿筋柔韧性的直接影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108664
Thanawat Kitsuksan, Poramet Earde
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.
介绍组织牙线是越来越受欢迎的运动员为提高灵活性,在两个预适应和康复方案。然而,在拉伸干预期间缺乏这种压缩技术的证据。本研究的目的是确定组织牙线在主动孤立拉伸时对腘绳肌柔韧性的直接影响。方法在腘绳肌主动孤立拉伸干预期间,将16名年龄在18-25岁的低至中度运动的健康年轻男性随机分为组织牙线组和非组织牙线组。参与者通过做3组,每组10次重复来拉伸腿筋。传统的坐式伸直、靠背式坐式伸直、主动膝关节伸直和被动膝关节伸直试验分别在拉伸前后进行。结果伸展干预后,两组患者采用坐式屈伸和被动膝关节伸展试验均有统计学意义的改善(p < 0.05)。比较两种干预措施的效果,结果显示,使用牙线组的传统坐伸测试得分高于不使用牙线组(p < 0.05)。结论在腘绳肌主动孤立拉伸时,采用组织牙线作为压缩策略对传统的坐前伸试验有显著的影响,对腘绳肌整体柔韧性的影响优于或不逊于不使用牙线的拉伸。
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引用次数: 0
期刊
Physiotherapy Quarterly
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