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Transverse oscillatory pressure in management of cervical radiculopathy: A randomised controlled study 横振荡压在颈椎病治疗中的作用:一项随机对照研究
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.09.037
Adesola O. Ojoawo PhD , Ayo Olabode BMRPT , Oluwadamilare Esan FWACS , Abiodun Badru MSc , Sunday Odejide MSc , Bose Arilewola MSc

Background

Cervical radiculopathy is an important subgroup of neck disorders causing severe pain and disability.

Objectives

The study assessed the effect of transverse oscillatory pressure (TOP) on pain intensity and functional disability of patients with cervical radiculopathy.

Methods

Twenty-six individuals with unilateral radiating neck pain were randomly allocated into Group A (8 males and 5 females) and Group B (6 males and 7 females). Participants in the two groups received kneading massage, cryotherapy, and active isometric exercises to the posterior paraspinal muscles, trapezuis, and sternomastoid muscles. TOP was administered to Group A, whereas Group B served as control. Treatment was applied three times per week for 4 weeks, making 12 treatment sessions for each participant. Visual analogue scale and Neck Disability Index were used to assess pain intensity and neck disability, respectively, at baseline, 2 weeks, and 4 weeks. Data were analysed using repeated-measures analysis of variance.

Results

There was a significant improvement in pain intensity and neck functional disability of patients between baseline, 2nd week, and 4th week of treatment sessions in Groups A and B (p < 0.05). There was a significant reduction in pain intensity in Group A (f = 7.08, p < 0.05) at the 2nd week and 4th week compared with Group B.

Conclusion

It can be concluded that TOP reduces pain faster in patients with cervical radiculopathy.

颈神经根病是引起严重疼痛和残疾的颈部疾病的一个重要亚群。目的探讨横振荡压(TOP)对颈椎病患者疼痛强度和功能障碍的影响。方法将26例单侧放射性颈痛患者随机分为A组(男8例,女5例)和B组(男6例,女7例)。两组患者均接受按摩按摩、冷冻治疗和脊椎骨后旁肌、斜方肌和胸锁乳突肌的主动等距运动。A组给予TOP, B组作为对照组。治疗每周3次,持续4周,每位患者治疗12次。采用视觉模拟量表和颈部残疾指数分别在基线、2周和4周评估疼痛强度和颈部残疾。数据分析采用重复测量方差分析。结果a组和B组患者的疼痛强度和颈部功能障碍在基线、治疗第2周和第4周之间有显著改善(p <0.05)。a组疼痛强度显著降低(f = 7.08, p <p < 0.05),与b组比较,第2周和第4周比较,p < 0.05)。结论TOP对颈椎病患者的疼痛减轻更快。
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引用次数: 7
Authorship and Conflict statement 作者身份和冲突声明
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/S1013-7025(16)30026-4
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引用次数: 0
Copyright Transfer Agreement 版权转让协议
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/S1013-7025(16)30027-6
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引用次数: 0
Validity and reliability of the 20-m run, horizontal leap, and four-bound tests measuring high-level mobility in neurologically impaired patients 20米跑、水平跳跃和四界测试测量神经功能受损患者高水平活动能力的效度和信度
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.03.003
Marek Gorski Master of Education (Physical Education), Grant Scroggie Master of Health Science, Terrence Haines PhD

Background

High-level mobility (HLM) training including running forms an integral part of physical rehabilitation for neurologically impaired patients.

Objective

This study examines the validity and reliability of three quickly administrable measures of HLM, namely, the 20-m run, horizontal leap, and four-bound tests in patients with neurological disorders.

Methods

This is a retrospective data audit of 62 patients (23 women, 37.1%; 39 men, 62.9%) participating in the HLM (running retraining) task. All participants were recovering from neurological conditions such as stroke, brain injury, brain/spinal tumour, Guillain–Barré syndrome, and cerebral palsy complications.

Results

High levels of test–retest reliability of the investigated tests (interclass correlation coefficient > 0.95) were obtained. The 95% minimum detectable changes were as follows: 20-m run, 1.9 seconds; horizontal leap, 0.20 m; four-bound test, 0.57 m. The area under the receiver-operated characteristic curve was 0.96 for the 20-m run, 0.90 for the horizontal leap, and 0.91 for the four-bound test, which suggests high validity of the tests to discriminate between participants who were classified as “running” and those as “not running”. Participants performing at < 7.2 seconds for the 20-m run test or ≥ 0.75 m for the horizontal leap test or 4.0 m for the four-bound test were most likely classified as running.

Conclusion

The 20-m run, horizontal leap, and four-bound tests are valid and reliable objective measures of HLM when administered in people with neurological conditions.

高水平运动(HLM)训练包括跑步是神经损伤患者物理康复的一个组成部分。目的探讨20米跑、水平跳跃和四界试验三种快速给药的HLM测量方法在神经系统疾病患者中的效度和信度。方法回顾性分析62例患者的资料,其中女性23例,占37.1%;39名男性(62.9%)参加了跑步再训练任务。所有参与者均从中风、脑损伤、脑/脊髓肿瘤、格林-巴罗综合征和脑瘫并发症等神经系统疾病中恢复过来。结果被调查的测试具有较高的重测信度(类间相关系数>0.95)。95%最小可检测变化如下:20米跑1.9秒;水平跳跃,0.20米;四界检验,0.57 m。20米跑、水平跳跃和四界测试的特征曲线下面积分别为0.96、0.90和0.91,表明测试对“跑步”和“不跑步”参与者的区分具有较高的效度。参与者在<20米跑试验7.2秒、水平跳跃试验≥0.75米、四跳试验4.0米最可能被归类为跑步。结论20米跑、水平跳跃和四界试验是神经系统疾病患者HLM的有效、可靠的客观测量方法。
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引用次数: 0
Authorship and Conflict statement 作者身份和冲突声明
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/S1013-7025(15)00073-1
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引用次数: 0
Clinical handover in physiotherapy enhanced safety and continuity of patient care for transfer from acute to rehabilitation hospitals 物理治疗的临床交接提高了从急症医院转到康复医院的病人护理的安全性和连续性
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.025
P.M.Y. Lau DHSc , R.M.W. Chau DHSc , A.C.M. Chan DHSc , M.W.Y. Poon MSc , R.S.K. Tang MSc
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引用次数: 1
Effects of combined transcranial direct current stimulation and physiotherapy for upper limb rehabilitation in patients with stroke: A controlled clinical trial 经颅直流电刺激联合物理治疗对脑卒中患者上肢康复的影响:一项对照临床试验
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.026
K.H. Wong MSc , L.O.L. Ho MMedSc , M.M.F. Chan MSc , K.T.H. Yiu BSc , P.Y.H. Poon MSc , R.W.K. To MSc , M.K.Y. Mak PhD
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引用次数: 2
New impact of physiotherapy management on children with congenital talipes equinovarus (CTEV): Preliminary results 物理治疗对儿童先天性马蹄内翻(CTEV)的新影响:初步结果
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.019
K.P. Ng MSc , N.C. Chan MSc , K.F. Chan MSc , K.Y. Yuen BSc , N.C. Kwok SHKAM Orthopaedics , Y.H.P. Poon MSc
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引用次数: 0
Therapeutic efficacy of Lofnac Gel via phonophoresis in the management of chronic nonspecific low back pain: A randomised controlled trial Lofnac凝胶经音游疗法治疗慢性非特异性腰痛的疗效:一项随机对照试验
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2014.12.004
Adesola O. Ojoawo PhD , Olamide Odewole BMR, PT , Sunday A. Odejide MSc , Bosede O. Arilewola MSc , Abiodun G. Badru MSc

Background

The prevalence of nonspecific low back pain is very high among Nigerians and in Africa. Lofnac Gel is a nonsteroidal anti-inflammatory gel that has been used to treat musculoskeletal pain, but its efficacy on nonspecific low back pain is inconclusive.

Objective

The objective of this study was to examine the therapeutic efficacy of Lofnac Gel in the management of nonspecific low back pain.

Methods

Seventy patients diagnosed with mechanical low back pain of 3 months' duration were divided into two groups: experimental group (n = 35) and control group (n = 35). Participants in both groups were placed on supervised strengthening exercises for multifidus muscles of the low back. The experimental group was placed on ultrasound phonophoresis therapy with Lofnac Gel (with diclofenac and methyl salicylate as active ingredients), whereas the control group was placed on ultrasound with water as coupling medium. The treatment was applied twice per week for 6 weeks. Present pain intensity and disability were measured before treatment, and in the 3rd week and 6th week of treatment. Data were analysed using descriptive and inferential statistics, and post hoc analysis was carried out when necessary.

Results

There was a significant difference between the pre- and posttreatment pain intensity and disability index for both the experimental (F = 17.947, p < 0.001; F = 20.712, p < 0.001) and control (F = 14.791, p < 0.001; F = 10.418, p < 0.001) groups. There was also a significant difference between the experimental and control group data in terms of pain intensity (F = 28.76, p < 0.001) and disability index (F = 39.817, p < 0.001) in the 6th week.

Conclusion

Exercise combined with Lofnac phonophoresis was more effective in the management of patients with chronic low back pain than exercise and ultrasound alone.

背景:在尼日利亚和非洲,非特异性腰痛的患病率非常高。Lofnac凝胶是一种非甾体抗炎凝胶,已被用于治疗肌肉骨骼疼痛,但其对非特异性腰痛的疗效尚无定论。目的:探讨Lofnac凝胶治疗非特异性腰痛的疗效。方法70例确诊为机械性腰痛3个月的患者分为实验组(35例)和对照组(35例)。两组参与者都进行了下背部多裂肌的强化训练。实验组采用以双氯芬酸和水杨酸甲酯为有效成分的Lofnac凝胶进行超声声泳疗法,对照组采用以水为偶联介质的超声疗法。治疗每周2次,连续6周。在治疗前、治疗第3周和治疗第6周测量疼痛强度和残疾。使用描述性和推断性统计分析数据,必要时进行事后分析。结果两组患者治疗前后疼痛强度和失能指数差异均有统计学意义(F = 17.947, p <0.001;F = 20.712, p <0.001)和对照组(F = 14.791, p <0.001;F = 10.418, p <0.001)组。在疼痛强度方面,实验组与对照组的数据也有显著差异(F = 28.76, p <0.001)和残疾指数(F = 39.817, p <0.001)。结论运动联合Lofnac声泳术治疗慢性腰痛的疗效优于单纯运动加超声。
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引用次数: 2
Early integration of physiotherapy knowledge acquired into simulated acute care management 早期将物理治疗知识整合到模拟急性护理管理中
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.004
W.M. Lo MPH, S.P.C. Ngai PhD, M. Mak PhD
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引用次数: 0
期刊
Hong Kong Physiotherapy Journal
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