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Walking velocity and modified rivermead mobility index as discriminatory measures for functional ambulation classification of chronic stroke patients. 步行速度和改良的河床移动指数作为慢性脑卒中患者功能行走分类的判别指标。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-12-01 Epub Date: 2019-05-21 DOI: 10.1142/S1013702519500112
Ji Young Lim, Seung Heon An, Dae-Sung Park
<p><strong>Background: </strong>The cut-off values of walking velocity and classification of functional mobility both have a role in clinical settings for assessing the walking function of stroke patients and setting rehabilitation goals and treatment plans.</p><p><strong>Objective: </strong>The present study investigated whether the cut-off values of the modified Rivermead Mobility Index (mRMI) and walking velocity accurately differentiated the walking ability of stroke patients according to the modified Functional Ambulation Category (mFAC).</p><p><strong>Methods: </strong>Eighty two chronic stroke patients were included in the study. The comfortable/maximum walking velocities and mRMI were used to measure the mobility outcomes of these patients. To compare the walking velocities and mRMI scores for each mFAC point, one-way analysis of variance and the post-hoc test using Scheffe's method were performed. The patients were categorized according to gait ability into either <math><mstyle><mtext>mFAC</mtext></mstyle> <mo>=</mo> <mstyle><mtext>VII</mtext></mstyle> </math> or mFAC <math><mo>≤</mo></math> VI group. The cut-off values for mRMI and walking velocities were calculated using a receiver-operating characteristic curve. The odds ratios of logistic regression analysis (Wald Forward) were analyzed to examine whether the cut-off values of walking velocity and mRMI can be utilized to differentiate functional walking levels.</p><p><strong>Results: </strong>Except for mFACs III and IV, maximum walking velocity differed between mFAC IV and mFAC V <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn> <mo>)</mo></math> , between mFAC V and mFAC VI <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn> <mo>)</mo></math> , and between mFAC VI and mFAC VII <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> . The cut-off value of mRMI is <math><mo>></mo> <mn>26</mn> <mo>.</mo> <mn>5</mn></math> and the area under the curve is 0.87, respectively; the cut-off value for comfortable walking velocity is <math><mo>></mo> <mn>0</mn> <mo>.</mo> <mn>77</mn></math> m/s and the area under the curve is 0.92, respectively; also, the cut-off value for maximum walking velocity is <math><mo>></mo> <mn>0</mn> <mo>.</mo> <mn>92</mn></math> m/s and the area under the curve is 0.97, respectively. In the logistic regression analysis, the maximum walking velocity <math><mo>(</mo> <mo>></mo> <mn>0</mn> <mo>.</mo> <mn>92</mn></math> m/s, <math><mstyle><mtext>OR</mtext></mstyle> <mo>=</mo> <mn>22</mn> <mo>.</mo> <mn>027</mn> <mo>)</mo></math> and mRMI <math><mo>(</mo> <mo>></mo> <mn>26</mn> <mo>.</mo> <mn>5</mn></math> scores, <math><mstyle><mtext>OR</mtext></mstyle> <mo>=</mo> <mn>10</mn> <mo>.</mo> <mn>283</mn> <mo>)</mo></math> are able to distinguish <math><mstyle><mtext>mFAC</mtext></mstyle> <mo>=</mo> <mstyle><mtext>VII</mtext></mstyle> </math> from mFAC <math><mo>≤</mo></math> VI.</p><p><strong>C
背景:行走速度的临界值和功能活动能力的分类在临床环境中对于评估脑卒中患者的行走功能、制定康复目标和治疗计划都有一定的作用。目的:探讨改良的Rivermead Mobility Index (mRMI)和步行速度的截断值是否能根据改良的功能步行分类(mFAC)准确区分脑卒中患者的步行能力。方法:82例慢性脑卒中患者纳入研究。使用舒适/最大步行速度和mRMI来测量这些患者的活动结果。为了比较每个mFAC点的行走速度和mRMI评分，采用单向方差分析和事后检验，采用Scheffe's方法。根据步态能力将患者分为mFAC = VII组和mFAC≤VI组。mRMI和步行速度的截止值使用接收器-操作特征曲线计算。分析logistic回归分析(Wald Forward)的比值比，以检验步行速度和mRMI的截止值是否可以用来区分功能性步行水平。结果:除mFAC III型和mFAC IV型外，mFAC IV型和mFAC V型最大步行速度差异显著(p < 0.05)。mFAC V和mFAC VI之间的差异(p < 0.01)。mFAC VI和mFAC VII之间的差异(p < 0.05)。05 ） ． mRMI的临界值> 26。5，曲线下面积分别为0.87;舒适行走速度的临界值> 0。77 m/s，曲线下面积0.92;最大步行速度的截止值也> 0。92 m/s，曲线下面积为0.97。在logistic回归分析中，最大步行速度(> 0。92 m/s, OR = 22。027)和mRMI(> 26)。5分，OR = 10。结论:建议将最大步行速度和mRMI截断值作为评估慢性脑卒中患者康复期间步行水平的有效指标。
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The comfortable/maximum walking velocities and mRMI were used to measure the mobility outcomes of these patients. To compare the walking velocities and mRMI scores for each mFAC point, one-way analysis of variance and the post-hoc test using Scheffe's method were performed. The patients were categorized according to gait ability into either &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;mFAC&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mstyle&gt;&lt;mtext&gt;VII&lt;/mtext&gt;&lt;/mstyle&gt; &lt;/math&gt; or mFAC &lt;math&gt;&lt;mo&gt;≤&lt;/mo&gt;&lt;/math&gt; VI group. The cut-off values for mRMI and walking velocities were calculated using a receiver-operating characteristic curve. The odds ratios of logistic regression analysis (Wald Forward) were analyzed to examine whether the cut-off values of walking velocity and mRMI can be utilized to differentiate functional walking levels.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Except for mFACs III and IV, maximum walking velocity differed between mFAC IV and mFAC V &lt;math&gt;&lt;mo&gt;(&lt;/mo&gt; &lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/math&gt; , between mFAC V and mFAC VI &lt;math&gt;&lt;mo&gt;(&lt;/mo&gt; &lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;001&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/math&gt; , and between mFAC VI and mFAC VII &lt;math&gt;&lt;mo&gt;(&lt;/mo&gt; &lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;05&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/math&gt; . The cut-off value of mRMI is &lt;math&gt;&lt;mo&gt;&gt;&lt;/mo&gt; &lt;mn&gt;26&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;5&lt;/mn&gt;&lt;/math&gt; and the area under the curve is 0.87, respectively; the cut-off value for comfortable walking velocity is &lt;math&gt;&lt;mo&gt;&gt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;77&lt;/mn&gt;&lt;/math&gt; m/s and the area under the curve is 0.92, respectively; also, the cut-off value for maximum walking velocity is &lt;math&gt;&lt;mo&gt;&gt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;92&lt;/mn&gt;&lt;/math&gt; m/s and the area under the curve is 0.97, respectively. In the logistic regression analysis, the maximum walking velocity &lt;math&gt;&lt;mo&gt;(&lt;/mo&gt; &lt;mo&gt;&gt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;92&lt;/mn&gt;&lt;/math&gt; m/s, &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;OR&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;22&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;027&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/math&gt; and mRMI &lt;math&gt;&lt;mo&gt;(&lt;/mo&gt; &lt;mo&gt;&gt;&lt;/mo&gt; &lt;mn&gt;26&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;5&lt;/mn&gt;&lt;/math&gt; scores, &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;OR&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;10&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;283&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/math&gt; are able to distinguish &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;mFAC&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mstyle&gt;&lt;mtext&gt;VII&lt;/mtext&gt;&lt;/mstyle&gt; &lt;/math&gt; from mFAC &lt;math&gt;&lt;mo&gt;≤&lt;/mo&gt;&lt;/math&gt; VI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;C","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 2","pages":"125-132"},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Immediate effects of a novel walking assist device with auxiliary illuminator on patients after acute strokes. 一种新型辅助照明行走辅助装置对急性中风患者的即时效果。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-12-01 Epub Date: 2019-05-29 DOI: 10.1142/S1013702519500100
Wan-Yun Huang, Sheng-Hui Tuan, Min-Hui Li, Xin-Yu Liu, Pei-Te Hsu

Background: Many patients after acute stage of stroke are present with abnormal gait pattern due to weakness or hypertonicity of the affected limbs. Facilitation of normal gait is a primary goal of rehabilitation on these patients.

Objective: We aimed to investigate whether walking assist device with auxiliary illuminator (quad-cane with laser) providing visual feedback during ambulation could improve parameters of gait cycle immediately among patients with subacute and chronic stroke.

Methods: This was a cross-sectional study and 30 participants (male 23, female 7, group 1) with mean age 60 . 20 ± 11 . 12 years were recruited. Among them, 22 used ankle-foot orthosis [(AFO), group 2] and 8 did not use AFO (group 3) at usual walking. All the participants walked along a strait corridor with even surface for 20 m without and with using a quad-cane with laser, respectively. A gait analyzer (Reha-Watch1 system) was used to measure the changes of the parameters of gait cycle, including stride length, cadence, gait speed, stance phase, swing phase, duration of single support and double support, the angle between toes and the ground at the time of toe-off (the toe-off angle) and the angle between calcaneus and the ground at the time of heel-strike (the heel-strike angle), before and with the use of a quad-cane with laser.

Results: The increase in the heel-strike angle reached a significant difference in groups 1 2, and 3 ( p = 0 . 02 ,< 0 . 01 , and = 0 . 05 , respectively). However, the stride length, the gait speed, the cadence, percentage of the stance phase, swing phase, single-support phase, and double-support phase in a gait cycle, and the toe-off angle showed no significant change with the use of quad-cane with laser.

Conclusion: Patients after acute stroke had an immediate and significant increase in the heel-stroke angle by using a quad-cane with laser during ambulation, which might help the patients to reduce knee hyperextension moment and lessen the pressure of heel at loading phase.

背景:卒中急性期后，许多患者由于四肢无力或高张力而出现步态异常。促进正常步态是这些患者康复的主要目标。目的:探讨在亚急性和慢性脑卒中患者行走过程中，辅助照明装置(激光辅助拐杖)提供视觉反馈是否能立即改善患者的步态周期参数。方法:这是一项横断面研究，30名参与者(男性23人，女性7人，第一组)，平均年龄60岁。20±11。12年被招募。其中22例使用踝足矫形器[(AFO)， 2组]，8例正常行走时不使用AFO(3组)。所有参与者分别在没有激光手杖和使用激光手杖的情况下沿着平坦的海峡走廊行走20米。采用步态分析仪(rehai - watch1系统)测量步态周期参数的变化，包括步长、步速、步态速度、站立相位、摆动相位、单支撑和双支撑持续时间、脱趾时脚趾与地面的夹角(脱趾角)、跟踵与地面的夹角(跟踵夹角)、激光四手杖使用前和使用后。结果:1、2、3组足跟角的增加差异有统计学意义(p = 0.05)。(2,0)和= 0。分别为0.05)。然而，步长、步态速度、步频、站立阶段、摇摆阶段、单支撑阶段和双支撑阶段在一个步态周期中的百分比以及脚趾脱落角度在激光四手杖的使用中没有显著变化。结论:急性脑卒中患者在行走时使用激光四手杖可立即显著提高患者的足跟角，有助于患者减轻膝关节过伸力矩，减轻负重期足跟压力。
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引用次数: 2
Athletes' expectations about physiotherapy in sports injury rehabilitation in greater Accra region. 大阿克拉地区运动员对运动损伤康复中物理治疗的期望
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-12-01 Epub Date: 2019-05-07 DOI: 10.1142/S1013702519500094
Jonathan Quartey, Selorm Afidemenyo, Samuel Koranteng Kwakye

Background: Physiotherapists play a key role in sports injury rehabilitation within the sports healthcare team. A strong athlete-physiotherapist relationship is necessary for effective treatment and shaping of athletes' expectations of injury rehabilitation. Hence, it is necessary to factor the injured athletes' expectations in structuring a rehabilitation program.

Objective: The aim of this study was to determine athletes' expectations about physiotherapy in sports injury rehabilitation.

Methods: We performed a cross-sectional survey in which data was collected using the expectation about athletic training (EAAT) questionnaire from 120 recruited athletes of different sporting disciplines. Percentages, means and standard deviations of the expectation scores were computed. Associations between socio-demographic characteristics and athletes' expectations of physiotherapy in sports injury rehabilitation were analyzed with the chi-square test. Differences between the athletes' expectations of physiotherapy and demographic characteristics were also analyzed with Kruskal-Wallis and Mann-Whitney tests.

Results: The study revealed that there was no significant difference ( p > 0 . 05 ) between gender, injury type, physiotherapy experience and mental skills experience and the athletes' expectations. There was a significant difference ( p < 0 . 05 ) between competition level and athletes' expectations.

Conclusion: It was concluded that athletes in the Greater Accra Region have high expectations of physiotherapy in injury rehabilitation; thus sports physiotherapists would need to enhance their communication with athletes which may also help them better understand the risks, benefits, timeline and rehabilitation approach.

背景:物理治疗师在运动医疗团队的运动损伤康复中发挥着关键作用。一个强大的运动员-物理治疗师的关系是必要的有效治疗和塑造运动员损伤康复的期望。因此，有必要在制定康复计划时考虑受伤运动员的期望。目的:了解运动员在运动损伤康复过程中对物理治疗的期望。方法:采用运动训练期望问卷(EAAT)对120名入选运动员进行横断面调查。计算期望分数的百分比、平均值和标准差。采用卡方检验分析社会人口学特征与运动员对运动损伤康复中物理治疗期望之间的关系。采用Kruskal-Wallis检验和Mann-Whitney检验分析运动员对物理治疗期望与人口学特征之间的差异。结果:两组间无显著性差异(p > 0.05)。05)性别、损伤类型、物理治疗经历和心理技能经历与运动员期望之间存在差异。差异有统计学意义(p < 0.05)。05)竞技水平与运动员期望之间的关系。结论:大阿克拉地区运动员对损伤康复的物理治疗期望较高;因此，运动物理治疗师需要加强与运动员的沟通，这也可以帮助他们更好地了解风险，收益，时间表和康复方法。
{"title":"Athletes' expectations about physiotherapy in sports injury rehabilitation in greater Accra region.","authors":"Jonathan Quartey,&nbsp;Selorm Afidemenyo,&nbsp;Samuel Koranteng Kwakye","doi":"10.1142/S1013702519500094","DOIUrl":"https://doi.org/10.1142/S1013702519500094","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapists play a key role in sports injury rehabilitation within the sports healthcare team. A strong athlete-physiotherapist relationship is necessary for effective treatment and shaping of athletes' expectations of injury rehabilitation. Hence, it is necessary to factor the injured athletes' expectations in structuring a rehabilitation program.</p><p><strong>Objective: </strong>The aim of this study was to determine athletes' expectations about physiotherapy in sports injury rehabilitation.</p><p><strong>Methods: </strong>We performed a cross-sectional survey in which data was collected using the expectation about athletic training (EAAT) questionnaire from 120 recruited athletes of different sporting disciplines. Percentages, means and standard deviations of the expectation scores were computed. Associations between socio-demographic characteristics and athletes' expectations of physiotherapy in sports injury rehabilitation were analyzed with the chi-square test. Differences between the athletes' expectations of physiotherapy and demographic characteristics were also analyzed with Kruskal-Wallis and Mann-Whitney tests.</p><p><strong>Results: </strong>The study revealed that there was no significant difference <math><mo>(</mo> <mi>p</mi> <mo>></mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> between gender, injury type, physiotherapy experience and mental skills experience and the athletes' expectations. There was a significant difference <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> between competition level and athletes' expectations.</p><p><strong>Conclusion: </strong>It was concluded that athletes in the Greater Accra Region have high expectations of physiotherapy in injury rehabilitation; thus sports physiotherapists would need to enhance their communication with athletes which may also help them better understand the risks, benefits, timeline and rehabilitation approach.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 2","pages":"101-114"},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Electrotherapy on tattoo is to be concerned. 纹身上的电疗是值得关注的。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-12-01 Epub Date: 2019-06-28 DOI: 10.1142/S1013702519200014
Chi Ngai Lo
Tattoo is a common social trend, and it is getting more popular nowadays. A projected 10% of the adult population in the wider Western world was reported to have at least one tattoo. Recently, these permanent cosmetics are getting medical professionals' curiosity about their chemical/ physical properties and their e®ect on the dermatologic health of patients. Tattoo colorants can be made of di®erent substances including metals such as titanium and aluminum, other materials such as carbon and metallic compounds like iron oxide and lead carbonate are also commonly used in tattoo inks. The common iron oxide-based pigments (usually black and brown) have been shown to be ferromagnetic, and they could react with an external magnetic ̄eld and become magnetized. Electrical stimulation and thermal agents are regularly used in physiotherapy for therapeutic purposes. Frequently used modalities such as transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) are interventions which are applied through patients' skin for physiotherapy treatments. As mentioned above, the ferromagnetic compounds of tattoo pigments can be magnetized while the metallic compounds can possibly induce electric currents. As a result, it is possible that if an electric current is applied on the tattooed skin, the surface temperature will increase unexpectedly and cause a burn. Furthermore, there are already case reports published that tattoo could potentially induce skin burn while taking magnetic resonance imaging (MRI) possibly due to the magnetic-induced electric current on the skin. There have been safety guidelines and contraindications for the application of electrophysical therapy (EPT) on patients. Several conditions such as pacemaker, tumor and pregnancy are well documented for whether they are safe to be included or excluded but not yet for the tattoo. Some latest safety guidelines of healthcare procedures have started to highlight the concern of tattoo. but not yet on EPT. Therefore, there is a necessity to discuss and investigate the safety practice of EPT on patients with tattoo.
{"title":"Electrotherapy on tattoo is to be concerned.","authors":"Chi Ngai Lo","doi":"10.1142/S1013702519200014","DOIUrl":"https://doi.org/10.1142/S1013702519200014","url":null,"abstract":"Tattoo is a common social trend, and it is getting more popular nowadays. A projected 10% of the adult population in the wider Western world was reported to have at least one tattoo. Recently, these permanent cosmetics are getting medical professionals' curiosity about their chemical/ physical properties and their e®ect on the dermatologic health of patients. Tattoo colorants can be made of di®erent substances including metals such as titanium and aluminum, other materials such as carbon and metallic compounds like iron oxide and lead carbonate are also commonly used in tattoo inks. The common iron oxide-based pigments (usually black and brown) have been shown to be ferromagnetic, and they could react with an external magnetic ̄eld and become magnetized. Electrical stimulation and thermal agents are regularly used in physiotherapy for therapeutic purposes. Frequently used modalities such as transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) are interventions which are applied through patients' skin for physiotherapy treatments. As mentioned above, the ferromagnetic compounds of tattoo pigments can be magnetized while the metallic compounds can possibly induce electric currents. As a result, it is possible that if an electric current is applied on the tattooed skin, the surface temperature will increase unexpectedly and cause a burn. Furthermore, there are already case reports published that tattoo could potentially induce skin burn while taking magnetic resonance imaging (MRI) possibly due to the magnetic-induced electric current on the skin. There have been safety guidelines and contraindications for the application of electrophysical therapy (EPT) on patients. Several conditions such as pacemaker, tumor and pregnancy are well documented for whether they are safe to be included or excluded but not yet for the tattoo. Some latest safety guidelines of healthcare procedures have started to highlight the concern of tattoo. but not yet on EPT. Therefore, there is a necessity to discuss and investigate the safety practice of EPT on patients with tattoo.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 2","pages":"89-90"},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519200014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of combination therapy and infrared radiation on pain, physical function, and quality of life in subjects with knee osteoarthritis: A randomized controlled study. 联合治疗和红外辐射对膝关节骨关节炎患者疼痛、身体功能和生活质量的影响:一项随机对照研究。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-12-01 Epub Date: 2019-07-04 DOI: 10.1142/S1013702519500124
Zubair Usman, Sonill Sooknunan Maharaj, Bashir Kaka

Background: Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disability and poor quality of life (QoL) of the individuals. Electrotherapeutic agents such as therapeutic ultrasound (US), interferential current (IFC), and infrared radiation are used in the treatment. It is not clear which of these agents is the best in improving these variables.

Objective: The study aimed to compare the effects of the combined application of US and IFC therapies and infrared radiation on pain, functional activities, and QoL in people with KOA.

Methods: In a randomized controlled study, 60 participants were randomized into two groups, the combination therapy group (CTG) and the infrared radiation group (IRG). Each group received 15-min treatment three times per week for 12 weeks. The visual analog scale (VAS) was used to assess the pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional activities and the Short Form Health Survey questionnaire for QoL.

Results: Participants in the CTG had a significant ( p < 0 . 05 ) reduction in pain and significant ( p < 0 . 05 ) improvement in functional activities and QoL compared to the IRG.

Conclusion: The results of this study support the use of the combination of IFC and US therapies to reduce pain and improve function and QoL for KOA patients.

背景:膝关节骨关节炎(KOA)是一种常见的退行性关节疾病，可导致个体的残疾和生活质量(QoL)下降。电疗药物如治疗超声(US)、干扰电流(IFC)和红外辐射用于治疗。目前尚不清楚哪种药物在改善这些变量方面效果最好。目的:本研究旨在比较US和IFC联合应用治疗和红外辐射对KOA患者疼痛、功能活动和生活质量的影响。方法:采用随机对照研究，将60例患者随机分为联合治疗组(CTG)和红外放疗组(IRG)。每组治疗15分钟，每周3次，连续12周。采用视觉模拟量表(VAS)评估疼痛，采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评估功能活动，采用简短健康调查问卷评估生活质量。结果:CTG的参与者有显著的差异(p < 0.05)。(p < 0.05)疼痛减轻，差异有统计学意义(p < 0.05)。与IRG相比，功能活动和生活质量的改善。结论:本研究结果支持IFC联合US治疗可减轻KOA患者的疼痛，改善功能和生活质量。
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引用次数: 10
Quality of life after spinal cord injury in Thai individuals: A mixed-methods study. 泰国个体脊髓损伤后的生活质量:一项混合方法研究。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-06-01 Epub Date: 2018-10-12 DOI: 10.1142/S1013702519500045
Anchalee Foongchomcheay, Aitthanatt Chachris Eitivipart, Jiraporn Kespichayawattana, Monticha Muangngoen

Background: Patients with spinal cord injury (SCI) face various health-related difficulties. Physical limitations and health-related complications in individuals with SCI can lead to activity restrictions and lowering their quality of life (QoL). It is important to assess the QoL in population with SCI to gain more valuable insights into aspects of health-related QoL (HRQoL) that could play a key role in improving care for persons with SCI.

Objective: To quantitatively measure the QoL in persons with SCI in Thailand and expand the results through qualitative investigation to provide meaning, context and depth of "how" and "why" they rated, defined and addressed their QoL in that way.

Methods: The philosophical assumption of this study was set based on the post-positivist views using mixed-methods sequential explanatory design. The quantitative data were collected and analyzed in 101 Thai individuals with SCI using standardized Thai version of the Short Form Health Survey version 2 (SF-36v2), followed by the qualitative investigation of semi-structured interviews in 11 volunteers who participated in the SF-36v2 phase. Priority is given to quantitative data. The data integration occurred at the qualitative data collection through the data interpretation and discussion stage.

Results: With regard to quantitative data, a recent study found a statistically significant difference ( p < 0 . 05 ) in four domains for male and three domains for the female when comparing the SF-36 Thai normative data with SF-36v2 SCI data. Qualitative data revealed that the most salient themes of HRQoL in individuals with SCI were "supporting factors toward QoL" and "driving force post injury". The integration of the findings revealed that the qualitative data could individually explain and define QoL as well as support quantitative results. The connection of both findings indicated that the higher scores in psycho-social variables and lower scores in physical domains of SF-36v2 in Thai persons with SCI may be due to unique Thai family traditions and community values.

Conclusion: The scores on SF-36v2 and the replies in the qualitative investigation of QoL themes of Thai individuals with SCI were similar to those of other research, but this study is unique in that it specifically represents the Thai socio-environmental-cultural aspects.

背景:脊髓损伤(SCI)患者面临各种与健康相关的困难。脊髓损伤患者的身体限制和健康相关并发症可导致活动受限，降低其生活质量。评估脊髓损伤患者的生活质量对于获得更有价值的健康相关生活质量(HRQoL)方面的见解是很重要的，这可能在改善脊髓损伤患者的护理中发挥关键作用。目的:定量测量泰国SCI患者的生活质量，并通过定性调查扩展结果，以提供他们以这种方式评估、定义和处理生活质量的“如何”和“为什么”的意义、背景和深度。方法:以后实证主义观点为基础，采用混合方法序贯解释设计，设定本研究的哲学假设。采用标准化泰文健康问卷第2版(SF-36v2)对101例泰国脊髓损伤患者进行了定量数据收集和分析，随后对11名参与SF-36v2阶段的志愿者进行了半结构化访谈的定性调查。优先考虑定量数据。数据整合发生在定性数据收集阶段，通过数据解释和讨论阶段。结果:在定量数据方面，最近的一项研究发现有统计学意义的差异(p < 0.05)。在比较SF-36泰国规范数据与SF-36v2 SCI数据时，男性有4个领域，女性有3个领域。定性数据显示，SCI患者HRQoL最突出的主题是“生活质量的支持因素”和“损伤后驱动力”。研究结果的整合表明，定性数据可以单独解释和定义生活质量，也可以支持定量结果。结果表明，泰国脊髓损伤患者SF-36v2在社会心理变量上得分较高，在生理领域得分较低，这可能与泰国独特的家庭传统和社区价值观有关。结论:在定性调查中，泰国SCI患者生活质量主题的SF-36v2得分和回答与其他研究相似，但本研究的独特之处在于它专门代表了泰国社会环境文化方面。
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引用次数: 4
Development of a short form of the Hong Kong Chinese orebro musculoskeletal pain screening questionnaire. 香港华人骨骼肌疼痛筛查问卷简表的编制。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-06-01 Epub Date: 2018-09-13 DOI: 10.1142/S1013702519500057
Raymond C C Tsang, Edwin W C Lee, Jamie S Y Lau, Susane S F Kwong, Eric M L So, Thomas F Y Wong, Rainbow K Y Law

Background: The Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) is a valid screening tool to identify those musculoskeletal patients at risk of developing chronicity and disability. A Hong Kong Chinese version of the OMPSQ (COMPSQ-HK) was developed with satisfactory construct validity and predictive validity.

Objective: The aim of this study was to develop a 10-item short form of the COMPSQ-HK (COMPSQ-HK10) and examine its measurement properties.

Methods: The 10 items were identified from the suggestion by the original author of OMPSQ. The data of the 10 items were extracted from the main study to develop the COMPSQ-HK conducted from 2010 to 2013. The internal consistency using Cronbach's alpha, test-retest reliability examining intraclass correlation coefficient (ICC 1 , 1 ), minimum detectable change and 95% limits of agreement, construct validity by correlating COMPSQ-HK10 with pain, disability score, kinesiophobia score and Medical Outcomes Study Short Form 12, and predictive validity investigating receiver operating characteristic (ROC) curve analyses with sick leave > 60 days and return-to-work status at one year were calculated.

Results: A total of 305 back patients and 160 neck patients were recruited with about 30% of patients lost to follow-up at one year. Both the internal consistency (Cronbach's alpha as 0.732 to 0.757) and test-retest reliabilities (ICC 1 , 1 as 0.868 for both back and neck patients) were satisfactory. The correlations between COMPSQ-HK10 and COMPSQ-HK for back and neck patients were excellent (Pearson r as 0.919 and 0.896, respectively, p < 0 . 001 ). The areas under the ROC curves for back and neck patients were similar for COMPSQ-HK10 and COMPSQ-HK, ranging from 0.603 to 0.712. A cut-off score of 54 of COMPSQ-HK10 was recommended in predicting "sick leave of more than 60 days at one year" and "return to work for at least four consecutive weeks at one year".

Conclusion: The COMPSQ-HK10 has comparable measurement properties with the COMPSQ-HK. It is recommended to use the COMPSQ-HK10 for routine screening to identify patients of back and neck pain at risk of developing chronic pain and disability.

背景:Orebro肌肉骨骼疼痛筛查问卷(OMPSQ)是一种有效的筛查工具，用于识别那些有发展成慢性和残疾风险的肌肉骨骼患者。本研究编制了香港中文版的问卷(COMPSQ-HK)，具有令人满意的构念效度和预测效度。目的:本研究的目的是开发一个包含10个条目的COMPSQ-HK10简短表格，并检验其测量性质。方法:从OMPSQ原作者的建议中选取10项。这10个项目的数据摘自2010年至2013年开展的COMPSQ-HK主要研究。采用Cronbach's alpha法计算内部一致性、检验类内相关系数(ICC 1,1)、最小可检测变化和95%一致性限的重测信度、将COMPSQ-HK10与疼痛、残疾评分、运动恐惧症评分和医疗结果研究短表12相关的构建效度，以及调查病假> 60天和一年后重返工作状态的受试者工作特征(ROC)曲线分析的预测效度。结果:共招募了305例背部患者和160例颈部患者，约30%的患者在一年后失去随访。内部一致性(Cronbach's alpha为0.732 ~ 0.757)和重测信度(ICC 1,1为0.868)均令人满意。背部和颈部患者的COMPSQ-HK10和COMPSQ-HK的相关性极好(Pearson r分别为0.919和0.896,p < 0.05)。001)。COMPSQ-HK10和COMPSQ-HK在背部和颈部患者的ROC曲线下面积相似，范围为0.603 ~ 0.712。在预测“一年内病假超过60天”和“一年内至少连续4周重返工作岗位”时，compsqh - hk10的分界点建议为54分。结论:COMPSQ-HK10与COMPSQ-HK具有相当的测量性能。建议使用COMPSQ-HK10进行常规筛查，以确定背部和颈部疼痛的患者是否有发展为慢性疼痛和残疾的风险。
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引用次数: 5
Peak torque, rate of torque development and average torque of isometric ankle and elbow contractions show excellent test-retest reliability. 踝关节和肘关节等距收缩的峰值扭矩、扭矩发展速率和平均扭矩表现出良好的重测可靠性。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-06-01 Epub Date: 2018-10-15 DOI: 10.1142/S1013702519500069
Daniel Simpson, Monika Ehrensberger, Christopher Nulty, Joanne Regan, Patrick Broderick, Catherine Blake, Kenneth Monaghan

Background: Peak Torque (PT), Rate of Torque Development (RTD) and Average Torque (AT) over a single contraction assess the three components of muscle function during isometric contractions. Surprisingly, AT has never been reported or its reliability confirmed.

Objectives: This study aims to establish protocol reliability for ankle dorsiflexion and elbow extension isometric muscle function (PT, RTD, AT) in healthy participants using the Biodex System 3 Dynamometer.

Methods: Twelve participants (6 male, 6 female, mean age 39 . 8 ± 16 . 0 years) performed four maximal isometric contractions on two occasions. Intraclass Correlation Coefficient (ICC), Typical Error (TE) and Coefficient of Variation (CV) for PT, RTD and AT were reported.

Results: The ICC for all strength parameters varied from 0.98-0.92. TE for ankle dorsiflexion PT was 1.38 Nm, RTD 7.43 Nm/s and AT 1.33 Nm, CV varied from 6 . 26 ± 6 . 25 % to 11 . 72 ± 8 . 27 % . For elbow extension, TE was 3.36 Nm for PT, 14.87 Nm/s for RTD and 3.03 Nm for AT, CV varied from 5 . 97 ± 4 . 52 % to 18 . 46 ± 14 . 78 % .

Conclusion: Maximal isometric ankle dorsiflexion and elbow extension PT, RTD and AT can be evaluated with excellent reliability when following the described protocol. This testing procedure, including the application of AT, can be confidently applied in research, exercise or clinical settings.

背景:单次收缩的峰值扭矩(PT)，扭矩发展率(RTD)和平均扭矩(AT)评估等长收缩期间肌肉功能的三个组成部分。令人惊讶的是，AT从未被报道过，其可靠性也从未得到证实。目的:本研究旨在利用Biodex System 3测功仪建立健康参与者踝关节背屈和肘关节伸等长肌肉功能(PT, RTD, AT)的方案可靠性。方法:12例受试者，男6例，女6例，平均年龄39岁。8±16。0岁)两次进行了4次最大等距收缩。报道了PT、RTD和AT的类内相关系数(ICC)、典型误差(TE)和变异系数(CV)。结果:各强度参数的ICC值在0.98 ~ 0.92之间。踝关节背屈PT的TE为1.38 Nm, RTD为7.43 Nm/s, AT为1.33 Nm, CV为6。26±6。25%对11%。72±8。27%。肘关节伸展时，PT组TE值为3.36 Nm, RTD组为14.87 Nm/s, AT组为3.03 Nm/s, CV值为5。97±4。52%对18%。46±14。结论:最大等距踝关节背屈度和肘关节伸度的PT、RTD和AT在遵循上述方案时可获得极高的可靠性。这种测试程序，包括AT的应用，可以自信地应用于研究、锻炼或临床环境。
{"title":"Peak torque, rate of torque development and average torque of isometric ankle and elbow contractions show excellent test-retest reliability.","authors":"Daniel Simpson,&nbsp;Monika Ehrensberger,&nbsp;Christopher Nulty,&nbsp;Joanne Regan,&nbsp;Patrick Broderick,&nbsp;Catherine Blake,&nbsp;Kenneth Monaghan","doi":"10.1142/S1013702519500069","DOIUrl":"https://doi.org/10.1142/S1013702519500069","url":null,"abstract":"<p><strong>Background: </strong>Peak Torque (PT), Rate of Torque Development (RTD) and Average Torque (AT) over a single contraction assess the three components of muscle function during isometric contractions. Surprisingly, AT has never been reported or its reliability confirmed.</p><p><strong>Objectives: </strong>This study aims to establish protocol reliability for ankle dorsiflexion and elbow extension isometric muscle function (PT, RTD, AT) in healthy participants using the Biodex System 3 Dynamometer.</p><p><strong>Methods: </strong>Twelve participants (6 male, 6 female, mean age <math><mn>39</mn> <mo>.</mo> <mn>8</mn> <mo>±</mo> <mn>16</mn> <mo>.</mo> <mn>0</mn></math> years) performed four maximal isometric contractions on two occasions. Intraclass Correlation Coefficient (ICC), Typical Error (TE) and Coefficient of Variation (CV) for PT, RTD and AT were reported.</p><p><strong>Results: </strong>The ICC for all strength parameters varied from 0.98-0.92. TE for ankle dorsiflexion PT was 1.38 Nm, RTD 7.43 Nm/s and AT 1.33 Nm, CV varied from <math><mn>6</mn> <mo>.</mo> <mn>26</mn> <mo>±</mo> <mn>6</mn> <mo>.</mo> <mn>25</mn> <mi>%</mi></math> to <math><mn>11</mn> <mo>.</mo> <mn>72</mn> <mo>±</mo> <mn>8</mn> <mo>.</mo> <mn>27</mn> <mi>%</mi></math> . For elbow extension, TE was 3.36 Nm for PT, 14.87 Nm/s for RTD and 3.03 Nm for AT, CV varied from <math><mn>5</mn> <mo>.</mo> <mn>97</mn> <mo>±</mo> <mn>4</mn> <mo>.</mo> <mn>52</mn> <mi>%</mi></math> to <math><mn>18</mn> <mo>.</mo> <mn>46</mn> <mo>±</mo> <mn>14</mn> <mo>.</mo> <mn>78</mn> <mi>%</mi></math> .</p><p><strong>Conclusion: </strong>Maximal isometric ankle dorsiflexion and elbow extension PT, RTD and AT can be evaluated with excellent reliability when following the described protocol. This testing procedure, including the application of AT, can be confidently applied in research, exercise or clinical settings.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 1","pages":"67-76"},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Physiotherapist-patient communication in entry-level physiotherapy education: A national survey in Nigeria. 初级物理治疗教育中的物理治疗师-患者沟通:尼日利亚的一项全国性调查。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-06-01 Epub Date: 2018-10-11 DOI: 10.1142/S1013702519500070
Ukachukwu Okoroafor Abaraogu, Kaosisochukwu Rachael Aguji, Deborah Onyinyechukwu Duru, Udoka Chris Okafor, Antoninus Obinna Ezeukwu, Sylvester Emeka Igwe

Background: Clinical communication impacts on physiotherapy treatment outcome and its competence warrants being assessed during training for physiotherapists given the increasing need to improve patient outcomes.

Objective: This study aimed to investigate the assessment of clinical communication in entry-level physiotherapy programs in Nigeria.

Methods: In a cross-sectional survey, questionnaires were sent by e-mail or hand-delivered to the heads of physiotherapy programs, asking them to consult with faculty members involved in the assessment of clinical communication in undergraduate education.

Results: Six of seven physiotherapy programs responded (an 86% response rate). Assessment of clinical communication and methods of assessing clinical communication by the programs showed wide variation. There was an average of two assessments per year. The objective structured clinical examination with patients (21; 38%) and written communications (report/chart) (13; 23%) were the most commonly used assessment methods. Perceived challenges included a lack of facilities, validity, inexperienced examiners, and difficulties in integrating processes and content.

Conclusion: A variety of assessment methods are being used in entry-level physiotherapy programs in Nigeria, which target different components of clinical communication skills acquisition. More effort is needed to improve limited facilities and human resources training to enhance clinical communication assessment in Nigerian physiotherapy programs.

背景:临床沟通对物理治疗结果的影响及其能力值得在物理治疗师培训期间进行评估，因为越来越需要改善患者的治疗结果。目的:本研究旨在调查尼日利亚初级物理治疗项目的临床沟通评估。方法:采用横断面调查的方法，通过电子邮件或手工发送问卷给物理治疗项目的负责人，请他们与参与本科教育临床沟通评估的教师进行咨询。结果:7个物理治疗方案中有6个有反应(有效率为86%)。临床沟通的评估和评估临床沟通的方法显示出很大的差异。每年平均进行两次评估。客观结构化临床检查患者(21;38%)和书面沟通(报告/图表)(13%;23%)是最常用的评估方法。感知到的挑战包括缺乏设施、有效性、没有经验的审查员，以及整合过程和内容的困难。结论:在尼日利亚，针对临床沟通技能获得的不同组成部分，在入门级物理治疗项目中使用了多种评估方法。需要更多的努力来改善有限的设施和人力资源培训，以加强尼日利亚物理治疗项目的临床沟通评估。
{"title":"Physiotherapist-patient communication in entry-level physiotherapy education: A national survey in Nigeria.","authors":"Ukachukwu Okoroafor Abaraogu,&nbsp;Kaosisochukwu Rachael Aguji,&nbsp;Deborah Onyinyechukwu Duru,&nbsp;Udoka Chris Okafor,&nbsp;Antoninus Obinna Ezeukwu,&nbsp;Sylvester Emeka Igwe","doi":"10.1142/S1013702519500070","DOIUrl":"https://doi.org/10.1142/S1013702519500070","url":null,"abstract":"<p><strong>Background: </strong>Clinical communication impacts on physiotherapy treatment outcome and its competence warrants being assessed during training for physiotherapists given the increasing need to improve patient outcomes.</p><p><strong>Objective: </strong>This study aimed to investigate the assessment of clinical communication in entry-level physiotherapy programs in Nigeria.</p><p><strong>Methods: </strong>In a cross-sectional survey, questionnaires were sent by e-mail or hand-delivered to the heads of physiotherapy programs, asking them to consult with faculty members involved in the assessment of clinical communication in undergraduate education.</p><p><strong>Results: </strong>Six of seven physiotherapy programs responded (an 86% response rate). Assessment of clinical communication and methods of assessing clinical communication by the programs showed wide variation. There was an average of two assessments per year. The objective structured clinical examination with patients (21; 38%) and written communications (report/chart) (13; 23%) were the most commonly used assessment methods. Perceived challenges included a lack of facilities, validity, inexperienced examiners, and difficulties in integrating processes and content.</p><p><strong>Conclusion: </strong>A variety of assessment methods are being used in entry-level physiotherapy programs in Nigeria, which target different components of clinical communication skills acquisition. More effort is needed to improve limited facilities and human resources training to enhance clinical communication assessment in Nigerian physiotherapy programs.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 1","pages":"77-87"},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial. 肌肉能量技术对术后肘关节僵硬患者疼痛、活动范围和功能的影响:一项随机对照试验。
IF 1.5 Q4 REHABILITATION
Hong Kong Physiotherapy Journal
Pub Date : 2019-06-01 Epub Date: 2018-10-11 DOI: 10.1142/S1013702519500033
Anood I Faqih, Nilima Bedekar, Ashok Shyam, Parag Sancheti

Background: Elbow is a very functional joint. Elbow stiffness is a significant cause of disability hampering the function of the upper extremity as a whole. Muscle Energy Techniques (METs) are relatively pain-free techniques used in clinical practice for restricted range of motion (ROM).

Objective: To study the effects of MET on pain, ROM and function given early in the rehabilitation in post-surgical elbow stiffness.

Methods: An RCT was conducted on 30 patients post elbow fracture fixation. Group 1 was given MET immediately post removal of immobilization while Group 2 received MET 1 week later along with the rehabilitation protocol. Pain (Visual Analogue Scale), ROM (goniometry) and function (Disability of Arm, Shoulder and Hand questionnaire) were assessed pre and post 3 weeks.

Results: Group 1 showed greater improvement than Group 2, mean flexion and extension change between groups being 11 . 7 ± 2 . 8 , 95%CI(5.9,17.4) and 8 . 5 ± 2 . 0 , 95%CI(4.4,12.7), respectively. VAS and DASH scores improved better in Group 1, mean change being 1 . 2 ± 0 . 2 , 95%CI(0.6,1.8) and 18 . 2 ± 2 . 2 , 95%CI(13.5,22.8) for VAS and DASH scores, respectively.

Conclusion: MET can be used as an adjunct to the rehabilitation protocol to treat elbow stiffness and can be given safely in the early stages of post elbow fracture rehabilitation managed surgically with open reduction and rigid internal fixation.

背景:肘关节是一个功能非常强大的关节。肘部僵硬是阻碍上肢整体功能残疾的重要原因。肌肉能量技术(METs)是一种相对无痛的技术，用于临床实践中限制活动范围(ROM)。目的:探讨MET对术后肘关节僵硬患者早期康复时疼痛、关节活动度及功能的影响。方法:对30例肘关节骨折患者进行随机对照试验。组1在拆除固定物后立即给予MET，组2在1周后随康复方案接受MET。3周前后分别评估疼痛(视觉模拟量表)、ROM(角测量法)和功能(臂、肩、手残疾问卷)。结果:1组较2组改善明显，组间屈伸变化平均为11。7±2。8, 95%CI(5.9,17.4);5±2。0, 95%CI(4.4,12.7)。第一组VAS、DASH评分改善较好，平均变化1分。2±0。2, 95%CI(0.6,1.8)和18。2±2。VAS和DASH评分分别为2.95% ci(13.5,22.8)。结论:MET可作为治疗肘关节僵硬的辅助康复方案，在肘关节骨折后手术复位和刚性内固定的早期给予安全。
{"title":"Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial.","authors":"Anood I Faqih,&nbsp;Nilima Bedekar,&nbsp;Ashok Shyam,&nbsp;Parag Sancheti","doi":"10.1142/S1013702519500033","DOIUrl":"https://doi.org/10.1142/S1013702519500033","url":null,"abstract":"<p><strong>Background: </strong>Elbow is a very functional joint. Elbow stiffness is a significant cause of disability hampering the function of the upper extremity as a whole. Muscle Energy Techniques (METs) are relatively pain-free techniques used in clinical practice for restricted range of motion (ROM).</p><p><strong>Objective: </strong>To study the effects of MET on pain, ROM and function given early in the rehabilitation in post-surgical elbow stiffness.</p><p><strong>Methods: </strong>An RCT was conducted on 30 patients post elbow fracture fixation. Group 1 was given MET immediately post removal of immobilization while Group 2 received MET 1 week later along with the rehabilitation protocol. Pain (Visual Analogue Scale), ROM (goniometry) and function (Disability of Arm, Shoulder and Hand questionnaire) were assessed pre and post 3 weeks.</p><p><strong>Results: </strong>Group 1 showed greater improvement than Group 2, mean flexion and extension change between groups being <math><mn>11</mn> <mo>.</mo> <mn>7</mn> <mo>±</mo> <mn>2</mn> <mo>.</mo> <mn>8</mn></math> , 95%CI(5.9,17.4) and <math><mn>8</mn> <mo>.</mo> <mn>5</mn> <mo>±</mo> <mn>2</mn> <mo>.</mo> <mn>0</mn></math> , 95%CI(4.4,12.7), respectively. VAS and DASH scores improved better in Group 1, mean change being <math><mn>1</mn> <mo>.</mo> <mn>2</mn> <mo>±</mo> <mn>0</mn> <mo>.</mo> <mn>2</mn></math> , 95%CI(0.6,1.8) and <math><mn>18</mn> <mo>.</mo> <mn>2</mn> <mo>±</mo> <mn>2</mn> <mo>.</mo> <mn>2</mn></math> , 95%CI(13.5,22.8) for VAS and DASH scores, respectively.</p><p><strong>Conclusion: </strong>MET can be used as an adjunct to the rehabilitation protocol to treat elbow stiffness and can be given safely in the early stages of post elbow fracture rehabilitation managed surgically with open reduction and rigid internal fixation.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"39 1","pages":"25-33"},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
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