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Circumferential pressure treatment reduces post-stroke spasticity: a pilot randomized controlled trial 环向压治疗减少脑卒中后痉挛:一项随机对照试验
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102165
M. Patiño-Segura, Odair Bacca, Esperanza Herrera
Introduction. Circumferential pressure is used to promote the inhibition of the spastic muscle. The purpose of this study was to evaluate the immediate effect of circumferential pressure applied by Johnstone pressure splint on the tonus level, reflex excitability, and electromyographic activity of plantar flexor and dorsiflexor muscles in post-stroke patients. Methods. An experimental single-blinded study with random allocation of patients to a control group (conventional inhibition techniques) or experimental group (conventional inhibition techniques along with circumferential pressure) was performed. All patients received one 25-minute therapeutic session. The muscle tonus according to the Modified Ashworth Scale, soleus H-reflex, and electromyographic signals during the sit-to-stand movement of plantar flexor-dorsiflexor muscles were evaluated before and after treatment. Results. overall, 30 stroke survivors (20 men, 10 women; age: 60.3 ± 5.7 years; evolution time: 27.8 ± 14.7 months) were studied. The muscle tone decreased in both groups, but the experimental group exhibited a greater reduction. The experimental group presented a significant increase in the H-wave duration and maximal H/maximal M wave ratio of the H-reflex as compared with the control group. No significant difference was observed in muscular electrical activity. Conclusions. one session of combined therapy contributes to a reduction in the tone of plantar flexor muscles and the reflex activity, without altering the muscle activity.
介绍。环向压力用于促进痉挛肌肉的抑制。本研究的目的是评估约翰斯通压力夹板施加环向压力对脑卒中后患者足底屈肌和背屈肌张力水平、反射兴奋性和肌电图活动的直接影响。方法。进行了一项实验性单盲研究,将患者随机分配到对照组(常规抑制技术)或实验组(常规抑制技术加环向压力)。所有患者均接受一次25分钟的治疗。根据改良Ashworth量表评估肌肉张力、比目鱼h反射和治疗前后足底屈-背屈肌坐立运动时的肌电信号。结果。总的来说,30名中风幸存者(20名男性,10名女性;年龄:60.3±5.7岁;进化时间:27.8±14.7个月)。两组的肌肉张力都有所下降,但实验组的下降幅度更大。与对照组相比,实验组H波持续时间和最大H波/最大M波比值显著增加。肌肉电活动无显著差异。结论。一个疗程的联合治疗有助于降低足底屈肌的张力和反射活动,而不改变肌肉活动。
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引用次数: 0
Effect of electromyography biofeedback training of the abdominal muscles on bladder function in paraplegic spinal cord injury patients 腹肌肌电生物反馈训练对截瘫脊髓损伤患者膀胱功能的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102167
M. Gamal, Neveen Abd El Latif, E. Samir, F. Ameen, D. Amin
Introduction. To investigate the efficacy of biofeedback abdominal muscles training on the bladder control and the quality of life in paraplegic patients. Methods. overall, 60 male and female paraplegic patients aged 20–40 years were randomly divided into 2 groups. The patients in the study group were treated with abdominal muscles biofeedback strength training, and the control group received pelvic floor biofeedback strength training 2 times per week. The subjects in both groups were evaluated before and after the treatment by (1) measuring post-void urine residual volume, (2) overactive bladder questionnaire, the Arabic version. Results. There was a significant difference between the 2 groups. in the study group, the urine residual volume decreased to the normal range and the quality of life questionnaire score decreased, which showed good improvement. in the control group, there was no significant difference, with minimal changes: the urine residual volume was still high and the quality of life questionnaire score remained high. Conclusions. Abdominal muscles biofeedback training must be a main point in the bladder rehabilitation program for paraplegic patients as it decreases the urine residual volume and optimizes quality of life.
介绍。目的探讨生物反馈腹肌训练对截瘫患者膀胱控制及生活质量的影响。方法。60例20 ~ 40岁的男性和女性截瘫患者随机分为两组。研究组患者采用腹肌生物反馈力量训练,对照组患者采用盆底生物反馈力量训练,每周2次。两组患者在治疗前后分别采用(1)空后尿残留量测定,(2)膀胱过动问卷(阿拉伯语)进行评估。结果。两组间有显著性差异。研究组残尿量降至正常范围,生活质量问卷得分下降,均有较好的改善。对照组无显著性差异,变化很小,尿残留量仍较高,生活质量问卷得分仍较高。结论。腹肌生物反馈训练必须是截瘫患者膀胱康复计划的重点,因为它可以减少尿残留量并优化生活质量。
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引用次数: 0
Effect of backward walking training on foot posture and balance in flat foot adults 后向步行训练对平足成人足部姿势和平衡的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108668
M. Saleh, D. Elimy, Amal H. M. Ibrahim, Ashraf N. Moharam
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引用次数: 0
Influence of sensory integration training on sensory motor functions in patients with thalamic syndrome 感觉统合训练对丘脑综合征患者感觉运动功能的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108675
A. Wadee, Hanan Hosny M. Battesha
Introduction. Thalamic stroke causes impairment in sensory motor functions; these changes in perception lead to pain and deteriorate postural stability. The goal of this study was to investigate the influence of sensory integration training on pain and posture stability in patients with thalamic syndrome. Methods. overall, 30 patients of both sexes, aged 45–65 years, diagnosed with a thalamic stroke were randomly allocated into 2 groups. The control group received selected sensory training of the conventional physical therapy program and the study group received sensory integration training with the Biodex Balance System beside the conventional physical therapy program. Results. The intra-group comparisons with MANoVA revealed statistically insignificant differences in pain, as well as overall, anteroposterior (forward and backward), and mediolateral (right and left) limits of stability after the treatment in the control group (p-value of 0.180, 0.301, 0.792, 0.247, 0.381, and 0.847, respectively). in the study group, there was a statistically significant decrease in pain and improvement in overall, anteroposterior (forward and backward), and mediolateral (right and left) limits of stability after the treatment (p-value of 0.01 for pain and 0.000 for each of the 5 limit of stability variables, respectively). The inter-group comparisons showed statistically significant differences in favour of the study group (p = 0.000). Conclusions. Adding the sensory integration training program was effective to decrease pain and improve posture stability in patients with thalamic syndrome.
介绍。丘脑中风导致感觉运动功能受损;这些知觉上的改变会导致疼痛和姿势稳定性的恶化。本研究的目的是探讨感觉统合训练对丘脑综合征患者疼痛和姿势稳定性的影响。方法。总的来说,30名年龄在45-65岁之间的丘脑卒中患者被随机分为两组。对照组在常规物理治疗方案的基础上进行选择性的感觉训练,研究组在常规物理治疗方案的基础上进行Biodex Balance系统的感觉统合训练。结果。组内方差分析显示,对照组治疗后疼痛及整体、前后位(前后位)、中外侧(左右位)稳定极限差异均无统计学意义(p值分别为0.180、0.301、0.792、0.247、0.381、0.847)。在研究组中,治疗后疼痛减轻,整体、前后位(前后位)和中外侧(左右位)稳定性极限均有统计学意义的改善(疼痛的p值为0.01,稳定性变量5个极限的p值分别为0.000)。组间比较显示研究组优势有统计学意义(p = 0.000)。结论。增加感觉统合训练计划可有效减轻丘脑综合征患者的疼痛和改善姿势稳定性。
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引用次数: 0
Factors influencing stress urinary incontinence in elite female athletes 优秀女运动员压力性尿失禁的影响因素
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108678
J. Opara, T. Socha, Anna Poświata
Introduction. Practising high-impact sports, especially on a competitive level, has been identified nowadays as one of the risk factors of stress urinary incontinence (SUi). The purpose of our study was to verify the effect of selected factors, like age, parity, the intensity of trainings, achieved sports level, type of discipline, or the duration of sports experience, on SUi symptoms in a group of elite female athletes. Methods. The study involved 112 elite women athletes: 55 practising running and 57 practising cross-country skiing. A combined questionnaire, which included Urogenital distress inventory, incontinence impact Questionnaire, King’s Health Questionnaire, and own career development questionnaire, was used as a research tool. Results. The prevalence of SUi in the studied female elite athletes was high (62.5%). No statistically significant differences regarding SUi symptoms were found between the group of skiers and the group of runners. A relationship between SUi occurrence and childbirth, but not age, was observed. A statistically significant relationship was revealed between the duration of sports practice and SUi occurrence (higher occurrence in the less experienced group). However, SUi occurrence did not correlate with the achieved sports level. A higher subjective assessment of the trainings intensity was correlated with a higher occurrence of SUi symptoms. Conclusions. The occurrence of SUi in female runners and skiers depends on a history of giving birth, length of practising sports, and training intensity; it does not depend on age or the sports class.
介绍。从事高强度运动,特别是竞技水平的运动,已被确定为压力性尿失禁(SUi)的危险因素之一。本研究的目的是验证年龄、胎次、训练强度、达到的运动水平、学科类型或运动经历持续时间等选定因素对一组优秀女运动员SUi症状的影响。方法。这项研究涉及112名优秀女运动员:55名练习跑步,57名练习越野滑雪。采用泌尿生殖窘迫问卷、尿失禁影响问卷、King 's健康问卷和自身职业发展问卷作为研究工具。结果。女性优秀运动员SUi患病率较高(62.5%)。滑雪者组和跑步者组在SUi症状方面没有统计学上的显著差异。观察到SUi的发生与分娩有关,而与年龄无关。体育锻炼的持续时间与SUi的发生有统计学意义的关系(经验较少的组发生率更高)。然而,SUi的发生与达到的运动水平无关。训练强度的主观评价越高,SUi症状的发生率越高。结论。女性跑步和滑雪运动员SUi的发生与生育史、运动时间和训练强度有关;它不取决于年龄或体育课程。
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引用次数: 0
Effect of acupuncture on tinnitus severity index in the elderly with non-pulsating tinnitus 针刺对老年非搏动性耳鸣耳鸣严重程度指数的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108662
Ali Mohamed Ali Ismail, Mahmoud Elsayed Aly, A. A. Abdelhalim Elfahl
Introduction. idiopathic subjective non-pulsating tinnitus (iSNPT) is a frustrating diagnosis to physicians owing to the limited effectiveness of traditional pharmacological approaches. This study aimed to investigate the effect of acupuncture on quality of life in elderly people with iSNPT. Methods. overall, 40 patients of both sexes with iSNPT lasting for > 3 consecutive months and aged 65 years participated in this study. They were assigned into the study and the control groups, 20 patients each. The study group received the prescribed medications in addition to manual acupuncture on the following acupoints: SJ 3, SJ 5, SJ 17, SJ 18, SJ 19, SJ 20, SJ 21, SJ 22, GB 2, GB 8, GB 20, Li 4, Ki 3, and ST 36, for 30 minutes, 3 times/week for 4 weeks, while the control group received their prescribed medications only. All participants in both groups were assessed with the visual analogue score of tinnitus loudness (VASTL) and tinnitus severity index (TSi). Results. No statistically significant changes were reported in VASTL or TSi in the control group, while in the study group, VASTL showed a high statistically significant decrease from 8.27 ± 1.45 to 3.20 ± 1.36 (p < 0.001) and TSi revealed a decrease from 44.30 ± 3.40 to 27.95 ± 4.18 (p < 0.001). Conclusions. Acupuncture is a good adjunctive complementary therapy to iSNPT in the elderly.
介绍。由于传统药理学方法的有效性有限,特发性主观非脉动性耳鸣(iSNPT)是一个令人沮丧的医生诊断。本研究旨在探讨针刺对老年iSNPT患者生活质量的影响。方法。本研究共纳入40例年龄为65岁的iSNPT患者,男女均有,持续时间为30个月。他们被分为研究组和对照组,每组20名患者。研究组在针刺穴位sj3、sj5、sj17、sj18、sj19、sj20、sj21、sj22、gb2、gb8、gb20、Li 4、Ki 3、st36的基础上给予处方药物治疗,每次30分钟,每周3次,连续4周。对照组仅给予处方药物治疗。两组患者均采用耳鸣响度视觉模拟评分(VASTL)和耳鸣严重程度指数(TSi)进行评估。结果。对照组VASTL和TSi无统计学意义变化,而研究组VASTL从8.27±1.45降至3.20±1.36 (p < 0.001), TSi从44.30±3.40降至27.95±4.18 (p < 0.001),具有较高统计学意义。结论。针刺是老年iSNPT患者良好的辅助补充疗法。
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引用次数: 6
Reliability, validity, and reference norms of one-minute walk test in assessing cardiopulmonary functional capacity in healthy young adults: a pilot study 一分钟步行试验评估健康年轻人心肺功能的信度、效度和参考规范:一项初步研究
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108677
Yosore Eleyowo, V. Aranha
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引用次数: 0
Clinical prediction rule validity to identify individuals with recurrent low back pain 临床预测规则识别复发性腰痛个体的有效性
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102163
Peemongkon Wattananon, Sasithorn Kong-oun, Pimchanok Chuenpimonchankit, Piyawat Pattanu, Gunjanaporn Suksawanwit, Pattamaporn Sonjit, Wallika Prasertkul
Introduction. one set of clinical prediction rules (CPR) can be used clinically to identify patients with low back pain who are likely to benefit from motor control exercise. individuals with a history of recurrent low back pain during remission (rLBP) still have persisting impaired trunk neuromuscular control. Accordingly, CPR should detect these individuals with rLBP. This study aimed to determine the predictive validity of CPR to identify individuals with rLBP. Methods. overall, 30 subjects aged less than 40 years (22 subjects with rLBP and 8 subjects without a history of low back pain) were recruited. We used the following criteria as CPR: (1) presence of aberrant movement during active forward bend and (2) passive straight leg raising result greater than 91°. Kappa statistics and the chi-square test were used to determine predictive validity. diagnostic accuracy was also calculated. Results. Kappa demonstrated substantial agreement (kappa = 0.73), while the chi-square test showed significant association ( 2 = 16.28; p < 0.001) between positive CPR and rLBP. diagnostic accuracy demonstrated positive likelihood ratio of 3.82, while accuracy equalled 90%. Conclusions. our findings indicated the predictive validity of CPR to identify individuals with rLBP. The result from this study would help identify those predisposed to recurrent episodes of low back pain who would likely have a positive response to motor control exercise. passive straight leg raising
介绍。一套临床预测规则(CPR)可以在临床上用于识别可能从运动控制运动中获益的腰痛患者。个体复发性腰痛缓解期间(rLBP)仍有持续受损的躯干神经肌肉控制。因此,心肺复苏术应该检测出这些患有rLBP的个体。本研究旨在确定心肺复苏术对rLBP患者的预测有效性。方法。总共招募了30名年龄小于40岁的受试者(22名患有rLBP的受试者和8名没有腰痛史的受试者)。我们使用以下标准作为心肺复苏术:(1)主动前屈时出现异常运动;(2)被动直腿抬高结果大于91°。采用Kappa统计量和卡方检验确定预测效度。同时计算诊断准确率。结果。Kappa检验显示有显著的一致性(Kappa = 0.73),卡方检验显示有显著的相关性(2 = 16.28;p < 0.001)。诊断正确率为3.82,准确率为90%。结论。我们的研究结果表明,心肺复苏术对识别rLBP患者的预测有效性。这项研究的结果将有助于识别那些易患复发性腰痛的人,他们可能对运动控制运动有积极的反应。被动直腿抬高
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引用次数: 0
A comparison of the effect of knee muscle taping versus core muscle taping on balance, pain and functional performance in patients with patellofemoral pain syndrome 膝关节肌贴与核心肌贴对髌股疼痛综合征患者平衡、疼痛和功能表现的影响比较
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108670
Ebrahimian Maryam, Samani Mahbobeh, M. Farzaneh, K. Fatemeh, Naseri Zohreh
Introduction. Patellofemoral pain syndrome is one of the most common musculoskeletal disorders which mostly affect young females. A widespread treatment for this condition is muscle taping. This study aimed to compare the effect of knee muscle taping versus core muscle taping on balance, pain, and functional activity in patients with patellofemoral pain syndrome. Methods. overall, 26 females with patellofemoral pain syndrome were randomly divided into 2 groups: knee muscle taping group ( n = 13) and core muscle taping group ( n = 13). Pain, functional activity, and balance were measured before and 48 hours after the intervention by using the visual analogue scale, Functional index Questionnaire, and Y Balance Test and Functional Reach Test, respectively. Results. The within-group comparison showed a significant pain decrease and functional improvement in both groups. How- ever, balance improved significantly only in the core muscle taping group 48 hours after the intervention compared with baseline. The between-group comparison showed no significant difference in variables between the 2 groups at the assessed time points. Conclusions. Both the knee and core muscle taping treatment caused improvement in pain and functional level of patients with patellofemoral pain syndrome. Also, no superiority of either treatment was demonstrated.
介绍。髌股疼痛综合征是最常见的肌肉骨骼疾病之一,主要影响年轻女性。这种情况的一种广泛的治疗方法是肌肉贴敷。本研究旨在比较膝肌贴敷与核心肌贴敷对髌骨股痛综合征患者平衡、疼痛和功能活动的影响。方法。将26例髌骨股痛综合征女性患者随机分为2组:膝肌贴装组(n = 13)和核心肌贴装组(n = 13)。采用视觉模拟量表、功能指数问卷、Y平衡测试和功能到达测试,分别在干预前和干预后48 h测量疼痛、功能活动和平衡。结果。组内比较显示两组患者疼痛明显减轻,功能明显改善。然而,在干预48小时后,与基线相比,只有核心肌贴敷组的平衡性有了显著改善。组间比较显示两组在评估时间点的变量无显著差异。结论。膝关节和核心肌带治疗均可改善髌股疼痛综合征患者的疼痛和功能水平。此外,两种治疗方法均无优越性。
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引用次数: 1
Motor-based priming: isokinetic outcomes of aerobic exercise in children with spastic diplegia 运动启动:痉挛性双瘫患儿有氧运动的等速结果
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108672
T. El-Saeed
Introduction. Priming is a behavioural change generated by preceding stimuli. Priming physical activities with aerobic exercise could improve performance and function. The study aimed to investigate the effect of aerobic exercise before a rehabilita- tion program on quadriceps peak torque in children with cerebral palsy of spastic diplegia. Methods. overall, 32 patients participated in this study; they were randomly assigned to 2 groups. Patients in the control group (A) engaged in a selected physical therapy program, while those in the experimental group (B) performed aerobic exercise by using a bicycle ergometer followed by application of the same selected physical therapy program as received by group A. The treatment programs were conducted 3 times per week for 12 successive weeks. Measurements obtained included concentric peak torque of quadriceps muscle at 30° as well as 90°. These measures were recorded 2 times: before and after the application of the treatment program. Results. There were statistically significant differences when comparing pre- and post-treatment mean values in each group. Also, there was a significant difference in favour of group B with regard to post-treatment mean values. Conclusions. in accordance with the applied procedures, aerobic exercise is effective in improving quadriceps peak torque in children with cerebral palsy of spastic diplegia when applied before a physical therapy rehabilitation program.
介绍。启动效应是由先前刺激产生的行为变化。以有氧运动为基础的体育活动可以提高运动表现和功能。本研究旨在探讨康复前有氧运动对脑瘫痉挛性双瘫患儿股四头肌峰值扭矩的影响。方法。总共有32名患者参与了这项研究;他们被随机分为两组。对照组(A)患者进行选定的物理治疗方案,实验组(B)患者使用自行车计力器进行有氧运动,然后应用与A组相同的选定的物理治疗方案。治疗方案每周进行3次,连续12周。测量结果包括股四头肌在30°和90°处的同心峰值扭矩。这些指标分别记录治疗方案实施前后2次。结果。各组治疗前后均值比较,差异有统计学意义。此外,在治疗后的平均值方面,B组有显著差异。结论。根据应用程序,在物理治疗康复计划之前进行有氧运动可以有效地改善脑瘫痉挛性双瘫儿童的股四头肌峰值扭矩。
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引用次数: 0
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Physiotherapy Quarterly
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