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"Comparative Effect of Modified Constraint Induced Movement Therapy, Proprioceptive Training and Task-Oriented Training on Functions of Upper Extremity among Stroke Patients" 改良约束诱导运动疗法、本体感觉训练和任务导向训练对脑卒中患者上肢功能的影响比较
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1326
Jibi Paul, T. Yamini, Sathya P, G. Rajalakshmi
Background: Stroke causes a variety of impairments that compromise the quality of life. Constraint Induced Movement Therapy (CIMT) is a technique used in rehabilitation medicine to treat individuals with decreased upper extremity functions. The study compares the effectiveness of modified constraint-induced movement therapy (mCIMT), proprioceptive training, and task-oriented training on upper extremity functions among stroke patients. Methods: This study was an experimental study of pre and post-type. The study was carried out in ACS Medical College and Hospital, Chennai. Sixty male and female samples from the stroke population were selected and allocated to three groups by random sampling method. Group A, B & C were allocated with twenty samples in each group. The study duration was six months with an intervention duration of 30 minutes per day/alternate days of a week for four weeks. The FMA-UE and Motor Activity Log assessed upper extremity function and pain as the main outcome measures. Dependent t-tests were used to find out the effects within the group. ANOVA was used to compare the effectiveness between the groups. Results: Comparative study between Groups A, Group B, Group C showed a significant difference in the effectiveness of Motor Function, Sensory Function, ROM, Joint Pain, Muscle use, and Quality of Movement with a P value of 0.0001 on functions of upper extremity among stroke patients. Conclusion: The study concluded that modified constraint-induced movement therapy got more improvement than proprioceptive and task-oriented training on upper extremity functions among stroke patients.
背景:中风会导致各种损害,从而影响生活质量。约束诱导运动疗法(CIMT)是康复医学中用于治疗上肢功能减退的一种技术。本研究比较了改良约束诱导运动疗法(mCIMT)、本体感觉训练和任务导向训练对脑卒中患者上肢功能的影响。方法:采用前后型实验研究。该研究在金奈ACS医学院和医院进行。从脑卒中人群中选取60例男性和女性样本,采用随机抽样方法分为三组。A、B、C组每组20个样本。研究时间为6个月,干预时间为每天30分钟/每周隔天,持续4周。FMA-UE和运动活动日志评估上肢功能和疼痛作为主要结局指标。使用相关t检验来找出组内的影响。采用方差分析比较两组间的疗效。结果:A组、B组、C组脑卒中患者在运动功能、感觉功能、ROM、关节疼痛、肌肉使用、运动质量等方面的疗效比较,差异均有统计学意义,P值为0.0001。结论:改良约束运动疗法对脑卒中患者上肢功能的改善效果优于本体感觉训练和任务导向训练。
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引用次数: 0
"Effects of Electrohydraulic Therapy of Shock Waves on Pain and Lymphedema Measurement Post-Radical Mastectomy" 电液冲击波疗法对乳房根治术后疼痛和淋巴水肿测量的影响
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1324
Ahmed Mamdouh Abd Al-Kader, Manar Mohamed, Sara Abdelmohsen, M. Elbedewy, Marwa Mahmoud Mahfouz Mahmoud, Kamal Eldin S. Mohamed
Background: Lymphedema post-mastectomy remains a challenging problem. This study aimed to investigate the efficacy of shock wave electrohydraulic treatment (ESWT) for patients with pain and lymphedema. Methods: Thirty patients (30 women) with pain & lymphedema post-radical mastectomy were evaluated to participate in this Clinical trial. They were recruited from the Minia Cancer Institute-Minia University and Deraya University outpatient clinics. Their ages varied between the ages of 40 and 50 years. They were divided into two groups. Group (1) 'Group of studies': 15 patients seeking ESWT in addition to conventional medical care. Group (2) 'Control group': 15 people seeking conventional medical care only. Patients of the study group (1) were treated with a number of impulses, at least 500 shocks at E2 at 4Hz (equivalent to 0.11mJ/mm square energy). Treatment sessions were delivered twice weekly for six treatments (3 weeks). The assessment used a Visual analogue scale (VAS) for pain and arm circumference midway between the shoulder and elbow for lymphedema measurement. Results: showed that (ESWT) on pain and lymphedema measurement post-radical mastectomy effectively decreased pain as evidenced by the highly significant decreases in the visual analogue scale. These results revealed a substantial VAS reduction (P<0.0001). Effects of the ESWT on lymphedema measurement via the arm circumference measurement at the point where the shoulder and the elbow meet post-radical mastectomy were investigated. These results revealed a notable reduction in the mean value of the arm circumference measurement (ACM) (P<0.0001). Conclusion: The significant reductions in VAS and assessment of the ACM arm range show that the ESWT, in addition to conventional therapy, significantly impacted upper limb structural components following radical mastectomy.
背景:乳房切除术后淋巴水肿仍然是一个具有挑战性的问题。本研究旨在探讨冲击波电液治疗(ESWT)对疼痛伴淋巴水肿患者的疗效。方法:对30例乳房根治术后出现疼痛和淋巴水肿的患者(女性30例)进行临床评价。他们是从米尼亚癌症研究所-米尼亚大学和德拉亚大学门诊诊所招募的。他们的年龄从40岁到50岁不等。他们被分成两组。组(1)“研究组”:15名在常规医疗护理之外寻求ESWT的患者。组(2)“对照组”:仅寻求常规医疗的15人。研究组(1)的患者接受多次脉冲治疗,至少500次4Hz的E2电击(相当于0.11mJ/mm平方能量)。治疗每周2次,共6次(3周)。评估使用视觉模拟量表(VAS)测量疼痛,肩关节和肘关节之间的臂围测量淋巴水肿。结果显示,ESWT对乳房根治术后疼痛和淋巴水肿测量有效减轻疼痛,视觉模拟评分显著降低。这些结果显示VAS显著降低(P<0.0001)。研究了ESWT对乳房根治术后肩肘交接处臂围测量淋巴水肿的影响。这些结果显示臂围测量(ACM)的平均值显著降低(P<0.0001)。结论:VAS的显著降低和ACM臂范围的评估表明,除常规治疗外,ESWT对乳房根治术后上肢结构成分有显著影响。
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引用次数: 0
An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain 一项针对非特异性颈部疼痛患者匹配治疗的探索性实践导向先导研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1316
F. Maissan, J. Pool, H. Wittink, E. D. de Raaij, R. Ostelo, P. Westers, Marloes de Graaf, Glenn Kroon
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引用次数: 0
"Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies" 妇科恶性肿瘤治疗后下肢淋巴水肿的发病率
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1322
Raghava Krishna Sakkuru, N. Hulikal, Subramanian Bala Venkata, Madhavi Konetigari
{"title":"\"Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies\"","authors":"Raghava Krishna Sakkuru, N. Hulikal, Subramanian Bala Venkata, Madhavi Konetigari","doi":"10.15621/ijphy/2023/v10i2/1322","DOIUrl":"https://doi.org/10.15621/ijphy/2023/v10i2/1322","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"58 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75630687","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}
引用次数: 0
"Mc Gill Pain Questionnaire: A Cross-Cultural Adaptation Study in Chronic Neck Pain" mcgill疼痛问卷:慢性颈部疼痛的跨文化适应性研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1318
Riddhi Shroff, Twinkle Dabholakar
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引用次数: 1
"Accuracy of Medial Tibiofemoral Joint Space Palpation Among Second- Year Doctor of Physical Therapy Students Using Ultrasound Verification: An Observational Study" 物理治疗专业二年级学生用超声验证触诊胫骨股内侧关节间隙准确性的观察性研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1323
Nathan J. Savage, Kierra Bell-Linnear, Daniel Heston, Paul Smith, Kaitlyn Sparks, Lance Ward
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引用次数: 0
"Risk-Taking and Risk of Falls in Community-Dwelling Older Adults: A Scoping Review" 社区居住老年人的冒险行为和跌倒风险:一项范围审查
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1325
Diane Bégin, A. Morgan, Jocelyne Labonté, J. Richardson, Luciana G. Macedo, S. Wojkowski
Background: Risk-taking behaviors have emerged as a target for fall prevention. However, the risk-taking concepts are complex, and several approaches exist to identify risk-taking behaviors. In addition, studies of fall-related risk-taking behaviors have not yet been systematically evaluated. Methods: This scoping review was conducted in accordance with Joanna Briggs Institute’s methodology for scoping reviews. Six electronic databases were searched to identify studies published between 2000 and 2020. Studies were included in our review if they were conducted on community-dwelling older adults (≥ 65 years) and discussed fall-related risk-taking behaviors. Data extraction and analyses were completed using a table developed a priori by the research team. Results: Self-reported behaviors using qualitative methodology were the most common approach to identifying risk-taking behaviors in community-dwelling older adults. Generally, older adults are aware of their fall risk and tend to adopt behaviours to help mitigate it. However, older adults also described moments of deliberate risk-taking driven by the potential benefits of this behavior. Factors associated with risk-taking include an individual’s abilities, personal values, and physical and social environment. Conclusion: This review demonstrated that fall-related risk-taking behaviors are a highly individualized concept influenced by a number of factors. Therefore, future research should evaluate how risk appraisal, risk attitudes, and risk propensity predict fall-related risk-taking behaviors in community-dwelling older adults.
背景:冒险行为已成为预防跌倒的目标。然而,风险承担的概念是复杂的,并且存在几种方法来识别风险承担行为。此外,与跌倒相关的冒险行为的研究尚未得到系统的评估。方法:这个范围审查是按照乔安娜布里格斯研究所的范围审查方法进行的。研究人员检索了6个电子数据库,以确定2000年至2020年间发表的研究。如果研究对象为社区居住的老年人(≥65岁),并讨论了与跌倒相关的冒险行为,则纳入我们的综述。数据提取和分析是使用研究小组预先开发的表格完成的。结果:使用定性方法的自我报告行为是识别社区居住老年人冒险行为的最常见方法。一般来说,老年人意识到他们跌倒的风险,并倾向于采取有助于减轻风险的行为。然而,老年人也描述了在这种行为的潜在好处驱使下故意冒险的时刻。与冒险有关的因素包括个人能力、个人价值观、物质和社会环境。结论:本综述表明,与跌倒相关的冒险行为是一个高度个性化的概念,受许多因素的影响。因此,未来的研究应该评估风险评估、风险态度和风险倾向如何预测社区居住老年人跌倒相关的冒险行为。
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引用次数: 0
Preliminary Study About The Application Of Gravicorder For Weight-Shifting and-Bearing Exercise As a New Educational Device of Physiotherapists 重力仪作为物理治疗师新型教学器械应用的初步研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1321
S. Daikuya, Yumi Okayama, Masakazu Matsuoka
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引用次数: 0
Examination of The Applicability and Intensity of Nintendo Wiitm Exergaming For Children With Acute Lymphoblastic Leukemia: A Preliminary Study 任天堂wii游戏对急性淋巴细胞白血病儿童适用性和强度的初步研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1320
A. Shaheen, A. Masoud, M. F. Algabbani
{"title":"Examination of The Applicability and Intensity of Nintendo Wiitm Exergaming For Children With Acute Lymphoblastic Leukemia: A Preliminary Study","authors":"A. Shaheen, A. Masoud, M. F. Algabbani","doi":"10.15621/ijphy/2023/v10i2/1320","DOIUrl":"https://doi.org/10.15621/ijphy/2023/v10i2/1320","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86685446","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}
引用次数: 0
"Correlation of Self-Reported and Performance-Based Measures In Patients With Non-Traumatic Stiff Shoulder Pathologies: An Observational Study" 非外伤性肩周炎患者自我报告和基于表现的测量的相关性:一项观察性研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2023-06-09 DOI: 10.15621/ijphy/2023/v10i2/1319
A. Aggarwal, Manisha Rathi, Tanmaya Kapre, T. Palekar, Annette Tuscano, Radhika Tambe, Preeti Gazbare
Background: Self-reported measures represent patients' perspectives toward their disease, but their performance levels may vary. Performance-based measures mimic the patient's functional activity movement, which helps evaluate specific task components, including how the therapist approached the task. Both measures report the patient's functional level from the patient's or therapist's perspective. The study was done to determine the correlation between self-reported and performance-based measures outcomes in non-traumatic stiff shoulder pathologies. Method: Self-reported outcome measure scores were recorded using the Shoulder Pain And Disability Index (SPADI), Disabilities of Arm, Shoulder, and Hand (DASH), and Patient Specific Functional Scale (PSFS). Performance-based measures scores of the shoulder were given using function-related tests of the shoulder: 1) Hand to the neck, 2) Hand to scapula 3) Hand to the opposite scapula. Result: Inferential statistics were done using the Pearson correlation test, and the significance level was set at p<0.05. Pearson correlation test showed: 1) Weak statistically significant correlation between SPADI versus function-related test 1(r= 0.32), DASH versus Function-related test 1(r= 0.31), and function-related test 2(r= 0.31) and PSFS versus function-related test 1(r= 0.36). 2) Other correlations were Very Weak and non-significant. Conclusion: As the correlation between all three self-reported measures and each of the three function-related tests has become weak, there is a need to include both self-reported and performance-based measures in assessing patients with non-traumatic stiff shoulder pathologies.
背景:自我报告的测量方法代表了患者对疾病的看法,但他们的表现水平可能会有所不同。基于表现的测量模拟病人的功能性活动运动,这有助于评估具体的任务组成部分,包括治疗师如何处理任务。这两种测量方法都是从患者或治疗师的角度报告患者的功能水平。该研究的目的是确定非创伤性肩关节僵硬病理中自我报告和基于表现的测量结果之间的相关性。方法:采用肩痛和残疾指数(SPADI)、臂、肩和手残疾(DASH)和患者特定功能量表(PSFS)记录自我报告的结局测量评分。通过肩部的功能相关测试给出肩部的基于性能的测量得分:1)手到颈部,2)手到肩胛骨3)手到对面肩胛骨。结果:采用Pearson相关检验进行推理统计,显著性水平为p<0.05。Pearson相关检验显示:1)SPADI与功能相关检验1(r= 0.32)、DASH与功能相关检验1(r= 0.31)、功能相关检验2(r= 0.31)、PSFS与功能相关检验1(r= 0.36)的相关性较弱,统计学意义显著。2)其他相关性非常弱且不显著。结论:由于所有三种自我报告的测量方法与三种功能相关测试中的每一种之间的相关性已经变得很弱,因此在评估非创伤性肩周炎患者时,需要包括自我报告和基于表现的测量方法。
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International Journal of Physiotherapy
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