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Effects of footwear modification along with physiotherapy on activity of daily living (ADLS) in patients with medial knee osteoarthritis 鞋履改良及物理治疗对膝关节内侧骨关节炎患者日常生活能力的影响
Pub Date : 2023-03-31 DOI: 10.52567/trj.v7i01.212
U. Janjua, Syeda Mahnoor Hassan, Shahbaz Ashraf, Muhammad Farhan Khokhar, Rukhma Muazzam, Haseeba Asif, Farah Salman, Rimza Safdar
Background: the management of osteoarthritis (OA) of the knee with biomechanical therapies claimed that application of orthotic devices is another crucial component of a rehabilitation program. Several footwear modifications are used to lessen medial knee loading (MKL), which helps to reduce pain and other symptoms. Objective: to compare the effects of lateral heel wedge insole alone and in combination with medial arch support on ADLs in patient with medial knee OA. Methodology: A randomized clinical trial was conducted on n=60 patients with medial knee OA were randomly allocated in to group A, received lateral heel wedge insole (LHWI) along with medial arch support (MAS) and group B only adjusted with LHWI. Nonprobability convenient sampling technique was used to collect the data on the knee injury and osteoarthritis outcomes score (KOOS) was used as outcome measures. The outcome measures were assessed at the baseline, and after 8 and 16 weeks. Results: The results of independent t-test showed that group A which received LHWI along with MAS showed more significant improvement (p<0.05) in pain, ADLs, sports activity on KOOS questionnaire at each level of assessment than group B which only received the LHWI. But KOOS quality of life scores only showed significant improvement after 8 weeks of intervention in group A while after 16th weeks no significant difference (p=0.09) was observed. Conclusion: the lateral wedge insoles with medial arch support combined with conventional physical therapy protocol is more effective to improve activities of daily living (ADLS) in patients having medial knee osteoarthritis. Keywords: Footwear, osteoarthritis, lateral heel wedge insoles, KOOS, ADLs.
背景:膝关节骨关节炎(OA)的生物力学治疗声称,矫形装置的应用是康复计划的另一个重要组成部分。一些鞋类改良用于减轻内侧膝关节负荷(MKL),这有助于减轻疼痛和其他症状。目的:比较单独外侧跟楔形鞋垫与联合内侧足弓支撑对内侧膝OA患者ADLs的影响。方法:对60例膝关节内侧OA患者进行随机临床试验,随机分为A组,采用外侧跟楔形鞋垫(LHWI)配合内侧足弓支撑(MAS), B组仅采用内侧足弓支撑(LHWI)。采用非概率方便抽样技术收集膝关节损伤数据,以骨关节炎结局评分(kos)作为结局指标。结果测量在基线、8周和16周后进行评估。结果:独立t检验结果显示,A组在接受LHWI的同时接受MAS治疗,在kos问卷的疼痛、ADLs、运动活动等各评估水平上均较B组有显著性改善(p<0.05)。A组干预8周后kos生活质量评分有显著改善,干预16周后无显著差异(p=0.09)。结论:内侧弓支撑侧楔鞋垫配合常规物理治疗方案对改善膝关节内侧骨性关节炎患者的日常生活活动(ADLS)更为有效。关键词:鞋类,骨关节炎,侧跟楔形鞋垫,oos, ADLs。
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引用次数: 0
Knowledge, attitude and practice behavior regarding blood pressure among physical therapists of twin cities 双城物理治疗师对血压的知识、态度和实践行为
Pub Date : 2023-03-31 DOI: 10.52567/trj.v7i01.161
Sumaiyah Obaid, Ayesha Sana, M. Saleem, Hina Ahmed, S. Kiani, Muniba Shamshad
Background: Blood pressure (BP) monitoring has a very crucial role in physical therapy for accurate evaluation and re-evaluation of the patient, otherwise it can lead to inaccurate clinical decision making and the patient may be falsely diagnosed. It is an important cardinal sign that cannot be neglected in making clinical decision, may put the individual to a greater risk of cardiovascular and other health problems. Objective: to explore the knowledge, attitude, and practice behavior regarding BP among physical therapists (PT) of twin cities. Methods: A cross sectional study was conducted in 6 months, from January 2019 to June 2019 in different hospitals of Islamabad and Rawalpindi. The data was collected from n=296 PT of twin cities after obtaining the written consent. The data of knowledge, attitude and practice behaviors towards BP was collected by semi structured questionnaire. The results were presented in table and graph while description was given as Mean ± SD and f (%). Results: The mean age of study participants was 28.4±3.71 years. The overall mean score of knowledge (4.27±3.05) showed that n=159(53.72%) participants in the study have poor knowledge about the information related to BP. While attitude score (19.74±.2.29) showed that majority of the sample n=179(60.47%) have positive attitude towards the importance of BP evaluation during assessment, management and educating the patient. While observing the behaviour, mean score (14.55±4.78) showed that physical therapist has acceptable behaviour towards the BP measurement. But frequency distribution showed that n=160(54.05%) physical therapist has poor behaviour towards BP measurement during their practice. Conclusion: The knowledge and practice behavior regarding the BP assessment and evaluation among the physical therapist is very poor, while their attitude is positive towards the importance of BP evaluation during assessment, management and educating the patients. Keywords: Blood pressure, inpatient clinic, outpatient clinic, physical therapy.
背景:血压(BP)监测在物理治疗中对患者的准确评估和再评估具有非常关键的作用,否则可能导致临床决策不准确,患者可能被误诊。它是临床决策中不可忽视的重要标志,可能使个体面临更大的心血管和其他健康问题的风险。目的:探讨双城物理治疗师对BP的知识、态度和实践行为。方法:2019年1月至2019年6月,在伊斯兰堡和拉瓦尔品第的不同医院进行为期6个月的横断面研究。数据采集自双城n=296名受试者,经书面同意后采集。采用半结构式问卷收集患者对BP的认知、态度和实践行为数据。结果以图表形式呈现,以Mean±SD和f(%)表示。结果:研究对象的平均年龄为28.4±3.71岁。总体知识平均分(4.27±3.05)表明,研究中n=159(53.72%)名参与者对BP相关知识的了解较差。态度得分(19.74±0.2.29)表明,绝大多数样本n=179(60.47%)对血压评估在评估、管理和患者教育中的重要性持积极态度。在观察行为时,平均得分(14.55±4.78)表明物理治疗师对血压测量有可接受的行为。但频率分布显示,n=160(54.05%)物理治疗师在执业过程中血压测量行为不佳。结论:物理治疗师对血压评估和评价的知识和实践行为很差,但对血压评估在评估、管理和患者教育中的重要性持积极态度。关键词:血压;住院门诊;门诊;
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引用次数: 0
Correlation of kinesiophobia with postpartum depression in females with lumbo-pelvic pain 腰盆腔疼痛女性患者运动恐惧症与产后抑郁的关系
Pub Date : 2023-03-31 DOI: 10.52567/trj.v7i01.140
Sameen Saeed, Z. Hassan, Shafaq Altaf, Farwa Asad, Faisal Ashraf
Background:Lumbopelvic pain (LPP) is common during pregnancy associated with postpartum depressive symptoms. These negatively affect maternal health and behavior, such as exercise and physical activity ultimately leads to kinesiophobia. Objective: To determine the association of kinesiophobia with postpartum depression in females with lumbo-pelvic pain. Methods: A cross-sectional study was conducted on 89 postpartum women with lumbo-pelvic pain within six months of delivery in Jinnah Hospital, Lahore. Nonprobability convenience sampling was used to collect the data. Females presenting with lumbo-pelvic pain were selected on the basis of inclusion and exclusion criteria. Lumbo-pelvic pain severity, kinesiophobia and depression were measured by Visual Analogue Scale, Tampa Scale and Zung Self Rating Depression Scale, respectively. Pearson correlation was used to determine the correlation between kinesiophobia and depression. Results: The mean age of participants was 29.14 + 3.28 years. The mean pain score of lumbosacral pain was 1.989, Kinesiophobia was 47.5169 and depression was 60.2247. There was significant strong positive correlation (r=0.786, p<0.001) between Kinesiophobia and postpartum depression among female having lumbosacral pain. Conclusion: There was strong association of kinesiophobia with postpartum depression in females with lumbo-pelvic pain Key words: Depression, kinesiophobia, lumbo-pelvic pain, pregnancy
背景:腰盆腔疼痛(LPP)是妊娠期间常见的与产后抑郁症状相关的疼痛。这些负面影响产妇的健康和行为,如锻炼和体力活动最终导致运动恐惧症。目的:探讨腰盆腔疼痛女性产后抑郁与运动恐惧症的关系。方法:对拉合尔真纳医院89例分娩6个月内腰盆腔疼痛的产妇进行横断面研究。数据采集采用非概率方便抽样。在纳入和排除标准的基础上选择以腰盆腔疼痛为表现的女性。采用视觉模拟量表、坦帕量表和Zung抑郁自评量表分别测量腰盆腔疼痛严重程度、运动恐惧症和抑郁程度。使用Pearson相关性来确定运动恐惧症与抑郁症之间的相关性。结果:参与者平均年龄29.14 + 3.28岁。腰骶疼痛平均评分为1.989分,运动恐惧症平均评分为47.5169分,抑郁平均评分为60.2247分。腰骶痛女性的运动恐惧症与产后抑郁呈显著的强正相关(r=0.786, p<0.001)。结论:腰盆腔疼痛女性产后抑郁与运动恐惧症有很强的相关性。关键词:抑郁、运动恐惧症、腰盆腔疼痛、妊娠
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引用次数: 0
Effect of Kegel exercises on distress symptom and quality of life in elderly Pakistani female with urinary incontinence- a randomized control trial 凯格尔运动对巴基斯坦老年女性尿失禁患者苦恼症状和生活质量的影响——一项随机对照试验
Pub Date : 2023-03-31 DOI: 10.52567/trj.v7i01.217
Anam Aftab, Shafaq Altaf, M. Ramzan, A. Omer, Noor Abid, Hanan Azfar
Background: The stress urinary incontinence was the reason the affected women experienced anxiety and depression. the more severe the symptoms of stress urinary incontinence were, the more negative impact to aspects of quality of life was seen. Objective: To determine the effects of Kegel exercises on distress symptom and quality of life in elderly Pakistani female patients with stress urinary incontinence. Methodology: A single-blinded, randomized control trial was conducted on n=50 female patients having stress urinary incontinence at department of physiotherapy, Haleema Siraj Hospital Rawalpindi from January 2021 to June 2022. The participants with the age above 55 years were recruited through non-probability convenient sampling technique and divided into experimental and control group; n=25 participants in each group. The experimental group received Kegel exercise as an intervention for three months and 3-4 time/day. While control groups didn’t received any intervention but continue the regular medicines. Both groups was evaluated pre and post interventionally (after 3-months) by using urinary distress inventory (UDI) for distress symptoms and incontinence impact questionnaire (IIQ) for quality of life. SPSS version 21 was used for data analysis. Independent t-test was used for between group comparisons of mean differences. Results: The mean age of the study participants was 65.00±8.90 years. Between group analysis, showed that symptom distress {MD=16.21, 95%CI (3.10 to 14.55) on urinary distress inventory (short Form), and life quality {MD=8.83, 95%CI (3.10 to 14.55) on incontinence impact questionnaire significantly greater in experimental group as compared to the control group. Conclusion: Kegel exercises significantly improved distress symptoms and quality of life in females with stress incontinence. Keywords: Elderly, incontinence, Kegel exercises, stress incontinence.
背景:压力性尿失禁是女性焦虑、抑郁的主要原因。压力性尿失禁的症状越严重,对生活质量的负面影响就越大。目的:探讨凯格尔运动对巴基斯坦老年女性压力性尿失禁患者窘迫症状及生活质量的影响。方法:对2021年1月至2022年6月在拉瓦尔品第Haleema Siraj医院理疗科收治的50例女性压力性尿失禁患者进行单盲、随机对照试验。采用非概率方便抽样法招募年龄在55岁以上的参与者,分为实验组和对照组;每组25人。实验组接受凯格尔运动作为干预,为期3个月,3-4次/天。而对照组没有接受任何干预,而是继续服用常规药物。采用尿窘迫量表(UDI)评价尿窘迫症状,用尿失禁影响问卷(IIQ)评价生活质量,对两组患者进行干预前后(3个月后)评价。使用SPSS version 21进行数据分析。组间均值差异比较采用独立t检验。结果:研究参与者的平均年龄为65.00±8.90岁。组间分析显示,实验组尿失禁影响问卷的症状窘迫(MD=16.21, 95%CI(3.10 ~ 14.55))和生活质量(MD=8.83, 95%CI(3.10 ~ 14.55)显著高于对照组。结论:凯格尔运动可显著改善女性压力性尿失禁患者的窘迫症状和生活质量。关键词:老年人,尿失禁,凯格尔运动,压力性尿失禁。
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引用次数: 0
IMMEDIATE EFFECTS OF POST FACILITATION STRETCH TECHNIQUE ON STRAIGHT LEG RAISE WITH/WITHOUT THORACO-LUMBER DIRECT MYOFACIAL RELEASE IN NON-SYMPTOMATIC ADULTS 促进后拉伸技术对无症状成人直腿抬高伴/不伴胸腰椎肌面直接释放的直接影响
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.205
Ali Raza, K. Haq, Jawwad Naveed, Sajjad Ali, Iqra Rizwan
Background: Hamstring tightness is a condition which if it is remaining untreated it could be related later on to the posture imbalance and movement restriction. There are many techniques to increase the elasticity of hamstrings. Post facilitation stretching (PFS) along with thoraco-lumbar direct myofascial release (MFR) technique is emerging as a novel therapy for improving hamstring muscle length. Objective: To determine the immediate effects of post facilitation stretching technique on SLR with/without thoraco-lumber direct myofascial release on straight leg raise among non-symptomatic adults. Methods: A randomized control trial (RCT) was conducted at FIMS College of rehabilitation Abbottabad Pakistan after approval from HOD. A total of n=24 non symptomatic adults were recruited through non-probability convenient sampling technique. The inclusion criteria were non symptomatic adults with tight hamstrings, age group 18 to 40 years, normal healthy adults, both gender groups, SLR (passive) of 80° degree or less, finger floor distance of 5 cm or more. The participants were than randomly divided into two control group (n=12) and experimental group (n=12). The post facilitation stretch technique was applied in both groups, but experimental group additionally received thoraco-lumber direct myofascial release technique as well. To assess the total mobility of the lumbo-pelvic region and hamstring elasticity fingertip to floor distance was measured and straight leg raise test with the help of goniometer. The data was collected at the baseline and immediately after session. Results: The mean age of the study participant was 23.41±2.31 years. The pre-post analysis showed that right and left straight leg raise (SLR) as well as fingertip floor distance were significantly (p<0.001) improved immediately after the intervention with large effect size. When compared both groups immediately after the intervention, experimental group which received myofascial release in addition post facilitation stretch showed more significant improvement with large effect size in right & left SLR and fingertip floor distance (p<0.001) as compared to control group where only post facilitation stretch technique was applied. Conclusions: The present study concluded that post facilitation stretch along with the thoracolumbar direct myofascial release technique significantly improve hamstrings flexibility. The efficacy of thoracolumbar direct myofascial release has contributed in increasing SLR and Finger Floor Distance tests parameters. Keywords: hamstring, muscle length, myofascial release, muscle energy technique, post facilitation stretch, stretching exercises.
背景:腿筋紧绷是一种情况,如果不及时治疗,可能会导致姿势不平衡和运动受限。有很多技巧可以增加腿筋的弹性。后促进拉伸(PFS)和胸腰椎直接肌筋膜释放(MFR)技术正在成为改善腘绳肌长度的新疗法。目的:探讨无症状成人直腿抬高时,胸腰椎肌筋膜直接松解后促进拉伸技术对SLR的即刻效果。方法:经HOD批准,在巴基斯坦阿伯塔巴德FIMS康复学院进行随机对照试验(RCT)。通过非概率方便抽样技术,共招募了n=24名无症状成人。纳入标准为无症状且腘绳肌紧致的成年人,年龄18 ~ 40岁,正常健康成人,男女皆可,单侧(被动)角度为80°及以下,指底距离为5cm及以上。将受试者随机分为对照组(n=12)和试验组(n=12)。两组均应用后促进拉伸技术,实验组在此基础上应用胸腰椎肌筋膜直接松解技术。测量腰盆区总活动度和腘绳肌弹性,测量指尖到底距离,并借助测角仪进行直腿抬高试验。数据是在基线和会议结束后立即收集的。结果:研究参与者的平均年龄为23.41±2.31岁。前后分析显示,干预后患者左右直腿抬高(SLR)和指尖触地距离均有显著改善(p<0.001),且效应量大。干预后立即比较两组,实验组在进行肌筋膜松解的同时进行促进后拉伸,其左右单反和指底距离的改善更为显著,且效应量较大(p<0.001)。结论:本研究结论后促进拉伸配合胸腰段肌筋膜直接释放技术显著提高腘绳肌柔韧性。胸腰椎肌筋膜直接松解术的效果有助于增加SLR和指底距离测试参数。关键词:腘绳肌,肌肉长度,肌筋膜释放,肌肉能量技术,后促进拉伸,拉伸练习。
{"title":"IMMEDIATE EFFECTS OF POST FACILITATION STRETCH TECHNIQUE ON STRAIGHT LEG RAISE WITH/WITHOUT THORACO-LUMBER DIRECT MYOFACIAL RELEASE IN NON-SYMPTOMATIC ADULTS","authors":"Ali Raza, K. Haq, Jawwad Naveed, Sajjad Ali, Iqra Rizwan","doi":"10.52567/trj.v6i04.205","DOIUrl":"https://doi.org/10.52567/trj.v6i04.205","url":null,"abstract":"Background: Hamstring tightness is a condition which if it is remaining untreated it could be related later on to the posture imbalance and movement restriction. There are many techniques to increase the elasticity of hamstrings. Post facilitation stretching (PFS) along with thoraco-lumbar direct myofascial release (MFR) technique is emerging as a novel therapy for improving hamstring muscle length. Objective: To determine the immediate effects of post facilitation stretching technique on SLR with/without thoraco-lumber direct myofascial release on straight leg raise among non-symptomatic adults. Methods: A randomized control trial (RCT) was conducted at FIMS College of rehabilitation Abbottabad Pakistan after approval from HOD. A total of n=24 non symptomatic adults were recruited through non-probability convenient sampling technique. The inclusion criteria were non symptomatic adults with tight hamstrings, age group 18 to 40 years, normal healthy adults, both gender groups, SLR (passive) of 80° degree or less, finger floor distance of 5 cm or more. The participants were than randomly divided into two control group (n=12) and experimental group (n=12). The post facilitation stretch technique was applied in both groups, but experimental group additionally received thoraco-lumber direct myofascial release technique as well. To assess the total mobility of the lumbo-pelvic region and hamstring elasticity fingertip to floor distance was measured and straight leg raise test with the help of goniometer. The data was collected at the baseline and immediately after session. Results: The mean age of the study participant was 23.41±2.31 years. The pre-post analysis showed that right and left straight leg raise (SLR) as well as fingertip floor distance were significantly (p<0.001) improved immediately after the intervention with large effect size. When compared both groups immediately after the intervention, experimental group which received myofascial release in addition post facilitation stretch showed more significant improvement with large effect size in right & left SLR and fingertip floor distance (p<0.001) as compared to control group where only post facilitation stretch technique was applied. Conclusions: The present study concluded that post facilitation stretch along with the thoracolumbar direct myofascial release technique significantly improve hamstrings flexibility. The efficacy of thoracolumbar direct myofascial release has contributed in increasing SLR and Finger Floor Distance tests parameters. Keywords: hamstring, muscle length, myofascial release, muscle energy technique, post facilitation stretch, stretching exercises.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86794317","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
EFFECT OF KNEE JOINT MOBILIZATION ON HAMSTRING MUSCLE LENGTH IN PATIENT WITH KNEE OSTEOARTHRITIS 膝关节活动对膝骨性关节炎患者腘绳肌长度的影响
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.189
F. Sherazi, Sairah Waqar, M. Khalid, Kashmala Saleem, S. Kiani, Momena Shahzad
Background: Knee osteoarthritis is a common disease of old age which causes difficulty in activities of daily living. The hamstring muscle tightness is often associated with grade 1 and 2 knee osteoarthritis. The treatment of knee osteoarthritis includes stretches, strengthening and mobilization of joints, these may also improve the hamstring muscle length. Objectives: To determine effects of knee Joint Mobilization on hamstring muscle length in Patient with Knee Osteoarthritis. Methodology: A randomized clinical trial study was conducted at Benazir Bhutto Hospital Rawalpindi from September 2020 to December 2020. A total of n=44 participants were included male and female of age between 40-65 years after screening for pain more than 3 on Numeric Pain Rating Scale (NPRS) for more than 3 months, 20% hamstring length shortening in degree, grade I &II osteoarthritis according to Kellgren and Lawrence Classification system also satisfying American College of Rheumatology for clinical classification of Knee OA. The Hamstring screening was done using Active knee extension test (AKET), 90-90 test and sit and reach test. They were randomly allocated in group A received post isometric relaxation (PIR) and group B Kaltenborn mobilization and traction (KM+KT) group. Each participant received three sessions per week for 4 weeks. The data was collected at baseline, post 1st session and after 12th session by using Numeric pain rating scale (NPRS) for pain, Active knee extension test (AKET) for hamstring flexibility and WOMAC scale for functional disability. Data analysis was done through SPSS-21. Result: The mean age of the study participants was 48.15±9.70 years. Both groups have shown statistically and clinically (p<0.001) improvement regarding pain, muscle length and functional disability after treatment duration till 12th session. When comparing the groups KM+KT group showed more significant improvement with large effect size (p<0.05) regarding pain, hamstring muscle length and functional disability as compared to PIR group at the end of 12th session. Conclusion: Kaltenborn mobilization and traction group has shown significant improvement in pain, muscle length and functional status as compared to the PIR group. Keywords: Active knee extension test, Hamstring flexibility, Kaltenborn mobilization, Muscle length, Osteoarthritis.
背景:膝关节骨性关节炎是一种常见的老年疾病,主要导致日常生活活动困难。腘绳肌紧绷常与1级和2级膝骨关节炎有关。膝关节骨性关节炎的治疗包括伸展、加强和活动关节,这些也可以改善腘绳肌的长度。目的:探讨膝关节活动对膝骨性关节炎患者腘绳肌长度的影响。方法:2020年9月至2020年12月在拉瓦尔品第贝娜齐尔·布托医院进行了一项随机临床试验研究。共有44名参与者,年龄在40-65岁之间,通过数字疼痛评定量表(NPRS)进行疼痛超过3个月的筛查,20%的腿筋长度缩短,根据Kellgren和Lawrence分类系统进行I级和ii级骨关节炎,并满足美国风湿病学会对膝关节OA的临床分类。腘绳肌筛查采用主动膝关节伸展测试(AKET)、90-90测试和坐伸测试。随机分为A组和B组,分别接受后等距松弛(PIR)和Kaltenborn动员牵引(KM+KT)治疗。每位参与者每周接受三次治疗,持续4周。在基线、第1次治疗后和第12次治疗后收集数据,采用数字疼痛评定量表(NPRS)评估疼痛,主动膝关节伸展试验(AKET)评估腿筋柔韧性,WOMAC评估功能障碍。通过SPSS-21进行数据分析。结果:研究对象平均年龄为48.15±9.70岁。两组治疗至第12期后疼痛、肌肉长度和功能障碍均有统计学和临床改善(p<0.001)。第12期结束时,KM+KT组在疼痛、腘绳肌长度和功能障碍方面比PIR组改善更显著,且效应量大(p<0.05)。结论:与PIR组相比,Kaltenborn动员牵引组在疼痛、肌肉长度和功能状态方面均有显著改善。关键词:膝关节主动伸展试验,腘绳肌柔韧性,Kaltenborn活动,肌肉长度,骨关节炎。
{"title":"EFFECT OF KNEE JOINT MOBILIZATION ON HAMSTRING MUSCLE LENGTH IN PATIENT WITH KNEE OSTEOARTHRITIS","authors":"F. Sherazi, Sairah Waqar, M. Khalid, Kashmala Saleem, S. Kiani, Momena Shahzad","doi":"10.52567/trj.v6i04.189","DOIUrl":"https://doi.org/10.52567/trj.v6i04.189","url":null,"abstract":"Background: Knee osteoarthritis is a common disease of old age which causes difficulty in activities of daily living. The hamstring muscle tightness is often associated with grade 1 and 2 knee osteoarthritis. The treatment of knee osteoarthritis includes stretches, strengthening and mobilization of joints, these may also improve the hamstring muscle length. Objectives: To determine effects of knee Joint Mobilization on hamstring muscle length in Patient with Knee Osteoarthritis. Methodology: A randomized clinical trial study was conducted at Benazir Bhutto Hospital Rawalpindi from September 2020 to December 2020. A total of n=44 participants were included male and female of age between 40-65 years after screening for pain more than 3 on Numeric Pain Rating Scale (NPRS) for more than 3 months, 20% hamstring length shortening in degree, grade I &II osteoarthritis according to Kellgren and Lawrence Classification system also satisfying American College of Rheumatology for clinical classification of Knee OA. The Hamstring screening was done using Active knee extension test (AKET), 90-90 test and sit and reach test. They were randomly allocated in group A received post isometric relaxation (PIR) and group B Kaltenborn mobilization and traction (KM+KT) group. Each participant received three sessions per week for 4 weeks. The data was collected at baseline, post 1st session and after 12th session by using Numeric pain rating scale (NPRS) for pain, Active knee extension test (AKET) for hamstring flexibility and WOMAC scale for functional disability. Data analysis was done through SPSS-21. Result: The mean age of the study participants was 48.15±9.70 years. Both groups have shown statistically and clinically (p<0.001) improvement regarding pain, muscle length and functional disability after treatment duration till 12th session. When comparing the groups KM+KT group showed more significant improvement with large effect size (p<0.05) regarding pain, hamstring muscle length and functional disability as compared to PIR group at the end of 12th session. Conclusion: Kaltenborn mobilization and traction group has shown significant improvement in pain, muscle length and functional status as compared to the PIR group. Keywords: Active knee extension test, Hamstring flexibility, Kaltenborn mobilization, Muscle length, Osteoarthritis.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73580377","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: 1
EFFECTS OF COMPELLED BODY WEIGHT SHIFT TECHNIQUE BY USING INSOLE FOR REHABILITATION OF INDIVIDUALS WITH CHRONIC 使用鞋垫强制体重转移技术对慢性患者康复的影响
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.159
U. Farooq, S. Hussain, Huma Balqias, Umair S. Ahmad, Rohail Amir Babar, Rijja Haider
Background: Stroke is one of the leading causes of long-term disability worldwide. The stroke survivors usually become complicated with sensor and motor problems which lead to compromised walking ability and functional limitation, after stroke occurrence the recovery of walking ability is considered one of the vital outcomes of stroke rehabilitation. Objective: To determine the effects of Compelled Body Weight Shift (CBWS) technique by using insole in the individuals with chronic stroke. Materials and methods: A randomized control trial (NCT04479774) was conducted from March 2020 to August 2020. The data was collected through non probability convenient sampling technique. The duration of the study was 6 months after the approval from Rehman medical Institute and Northwest General Hospital. A total n=27 were divided into control n=14 which received conventional physical therapy (CPT) and experimental group n=13 additionally received compelled body weight shift (CBWS) technique using insole shoe lift of 0.6 cm thickness. The tinetti (POMA) for balance and gait, 10 Meter walk test for gait parameters and analogue weight scale for weight distribution on both limbs were assessed at the baseline and after 6th week of intervention. Results: The mean age and BMI of the study participants was 49.84±6.18 years and 34±5.13 kg/m2 respectively. Between the groups analyses showed that all the domains showed no significant difference, but step length showed significant difference (p<0.001) after 6th week. The stride length showed significant difference after 3rd week and 6th week (p<0.01). while the cadence showed significant difference after 3rd week only (p=0.02) and no significant difference was observed after the 6th week of the treatment. Conclusions: There was slight improvement in cadence, stride length and step length after the treatment. Furthermore, it is evident that CBWS is effective for improving gait parameters. Keywords: Balance, gait training, physical therapy, stroke, stroke rehabilitation.
背景:中风是世界范围内导致长期残疾的主要原因之一。脑卒中幸存者通常会出现复杂的传感器和运动问题,导致行走能力受损和功能限制,脑卒中后行走能力的恢复被认为是脑卒中康复的重要结果之一。目的:探讨内底强制体重转移(CBWS)技术在慢性脑卒中患者中的作用。材料与方法:2020年3月至2020年8月进行随机对照试验(NCT04479774)。数据采集采用非概率方便抽样技术。经拉赫曼医学研究所和西北总医院批准后,研究时间为6个月。其中对照组14例采用常规物理治疗(CPT),试验组13例采用强制体重转移(CBWS)技术,鞋垫提鞋厚度为0.6 cm。在基线和干预第6周后评估平衡和步态的tinetti (POMA),步态参数的10米步行测试和四肢体重分布的模拟体重量表。结果:研究对象的平均年龄为49.84±6.18岁,BMI为34±5.13 kg/m2。组间分析显示,6周后各域差异无统计学意义,但步长差异有统计学意义(p<0.001)。第3周和第6周步幅差异有统计学意义(p<0.01)。治疗第3周后,两组患者的心率差异有统计学意义(p=0.02),治疗第6周后两组患者的心率差异无统计学意义。结论:治疗后患者的步幅、步长、步长均有轻微改善。此外,CBWS对改善步态参数明显有效。关键词:平衡,步态训练,物理治疗,中风,中风康复。
{"title":"EFFECTS OF COMPELLED BODY WEIGHT SHIFT TECHNIQUE BY USING INSOLE FOR REHABILITATION OF INDIVIDUALS WITH CHRONIC","authors":"U. Farooq, S. Hussain, Huma Balqias, Umair S. Ahmad, Rohail Amir Babar, Rijja Haider","doi":"10.52567/trj.v6i04.159","DOIUrl":"https://doi.org/10.52567/trj.v6i04.159","url":null,"abstract":"Background: Stroke is one of the leading causes of long-term disability worldwide. The stroke survivors usually become complicated with sensor and motor problems which lead to compromised walking ability and functional limitation, after stroke occurrence the recovery of walking ability is considered one of the vital outcomes of stroke rehabilitation. Objective: To determine the effects of Compelled Body Weight Shift (CBWS) technique by using insole in the individuals with chronic stroke. Materials and methods: A randomized control trial (NCT04479774) was conducted from March 2020 to August 2020. The data was collected through non probability convenient sampling technique. The duration of the study was 6 months after the approval from Rehman medical Institute and Northwest General Hospital. A total n=27 were divided into control n=14 which received conventional physical therapy (CPT) and experimental group n=13 additionally received compelled body weight shift (CBWS) technique using insole shoe lift of 0.6 cm thickness. The tinetti (POMA) for balance and gait, 10 Meter walk test for gait parameters and analogue weight scale for weight distribution on both limbs were assessed at the baseline and after 6th week of intervention. Results: The mean age and BMI of the study participants was 49.84±6.18 years and 34±5.13 kg/m2 respectively. Between the groups analyses showed that all the domains showed no significant difference, but step length showed significant difference (p<0.001) after 6th week. The stride length showed significant difference after 3rd week and 6th week (p<0.01). while the cadence showed significant difference after 3rd week only (p=0.02) and no significant difference was observed after the 6th week of the treatment. Conclusions: There was slight improvement in cadence, stride length and step length after the treatment. Furthermore, it is evident that CBWS is effective for improving gait parameters. Keywords: Balance, gait training, physical therapy, stroke, stroke rehabilitation.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74370913","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
IMPACT OF DEATH ANXIETY ON RESILIENCE AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE: ROLE OF SOCIAL SUPPORT AS MODERATOR 死亡焦虑对慢性肾病患者心理韧性的影响:社会支持的调节作用
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.196
S. Waqar, Mariyam Ikram, R. Mushtaq, Muhammad Manan Haider Khan
Background: There are so many cases report with death anxiety in Chronic Kidney Disease (CKD). Death anxiety leads toward various types of psychopathologies as well as numerous disorders. Excessive death anxiety also affects the resilience level of CKD patients. Objective: to find out the impact of death anxiety on resilience among patients with CKD moderating role of social support. Methodology: This study design was Correlational. The sample consists of n=150 patients with CKD. Data was collected from different hospitals of Multan, Bahawalpur, and Lodhran. The CKD patients with age range from 15 to 25 years diagnosed with stage 3-5 of chronic kidney diseases on hemodialysis/peritoneal dialysis and kidney transplantation were included in the study. The Death Anxiety scale-Urdu Child and Youth Resilience Measure- Urdu and Multidimensional Scale of Perceived Social Support Version-12 was used for data collection. Results: The correlation analysis among study variables shows that death anxiety has significant negative correlation (p<0.01) with resilience (r=-0.55). The overall model explained the 44% of variance with F=57.08(2,147), p<0.001 for resilience, whereas in step 2, social support was found significant predictor (R2=41, B=0.39, β=0.64, p<0.01) of resilience and moderator between death anxiety and resilience. From step 3, death anxiety was similarly established significant negative predictor (R2=47, B=-0.24, β=-0.33, p<0.01) of resilience. Additionally, in step 4, the interaction of death anxiety and social support was found significant for resilience (R2= 49, B=-0.01, β=-0.56, p<0.01. Conclusion: there is a negative relationship between death anxiety and resilience. Social support significantly moderates the relationship between death anxiety and resilience. Keywords: Chronic kidney disease, death anxiety, resilience, social support.
背景:慢性肾脏疾病(CKD)中存在死亡焦虑的病例较多。死亡焦虑会导致各种类型的精神病理以及许多疾病。过度的死亡焦虑也会影响CKD患者的恢复能力水平。目的:探讨死亡焦虑对慢性肾病患者心理弹性的影响及社会支持的调节作用。方法学:本研究设计为相关研究。样本包括n=150例CKD患者。数据收集自木尔坦、巴哈瓦尔布尔和洛德兰的不同医院。年龄在15 ~ 25岁之间,经血液透析/腹膜透析和肾移植诊断为3-5期慢性肾脏疾病的CKD患者纳入研究。使用死亡焦虑量表-乌尔都语儿童和青少年弹性测量-乌尔都语和感知社会支持多维量表版本-12进行数据收集。结果:各研究变量间的相关分析显示,死亡焦虑与心理弹性呈显著负相关(p<0.01) (r=-0.55)。整体模型解释了44%的方差,F=57.08(2147), p<0.001,而在步骤2中,社会支持被发现是心理弹性的显著预测因子(R2=41, B=0.39, β=0.64, p<0.01),并在死亡焦虑和心理弹性之间起到调节作用。从步骤3开始,死亡焦虑同样是心理弹性的显著负向预测因子(R2=47, B=-0.24, β=-0.33, p<0.01)。此外,在步骤4中,死亡焦虑和社会支持的交互作用对心理弹性有显著影响(R2= 49, B=-0.01, β=-0.56, p<0.01)。结论:死亡焦虑与心理弹性呈负相关。社会支持显著调节死亡焦虑与心理韧性之间的关系。关键词:慢性肾病,死亡焦虑,复原力,社会支持。
{"title":"IMPACT OF DEATH ANXIETY ON RESILIENCE AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE: ROLE OF SOCIAL SUPPORT AS MODERATOR","authors":"S. Waqar, Mariyam Ikram, R. Mushtaq, Muhammad Manan Haider Khan","doi":"10.52567/trj.v6i04.196","DOIUrl":"https://doi.org/10.52567/trj.v6i04.196","url":null,"abstract":"Background: There are so many cases report with death anxiety in Chronic Kidney Disease (CKD). Death anxiety leads toward various types of psychopathologies as well as numerous disorders. Excessive death anxiety also affects the resilience level of CKD patients. Objective: to find out the impact of death anxiety on resilience among patients with CKD moderating role of social support. Methodology: This study design was Correlational. The sample consists of n=150 patients with CKD. Data was collected from different hospitals of Multan, Bahawalpur, and Lodhran. The CKD patients with age range from 15 to 25 years diagnosed with stage 3-5 of chronic kidney diseases on hemodialysis/peritoneal dialysis and kidney transplantation were included in the study. The Death Anxiety scale-Urdu Child and Youth Resilience Measure- Urdu and Multidimensional Scale of Perceived Social Support Version-12 was used for data collection. Results: The correlation analysis among study variables shows that death anxiety has significant negative correlation (p<0.01) with resilience (r=-0.55). The overall model explained the 44% of variance with F=57.08(2,147), p<0.001 for resilience, whereas in step 2, social support was found significant predictor (R2=41, B=0.39, β=0.64, p<0.01) of resilience and moderator between death anxiety and resilience. From step 3, death anxiety was similarly established significant negative predictor (R2=47, B=-0.24, β=-0.33, p<0.01) of resilience. Additionally, in step 4, the interaction of death anxiety and social support was found significant for resilience (R2= 49, B=-0.01, β=-0.56, p<0.01. Conclusion: there is a negative relationship between death anxiety and resilience. Social support significantly moderates the relationship between death anxiety and resilience. Keywords: Chronic kidney disease, death anxiety, resilience, social support.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91152081","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
AUGMENTED EFFECTS OF SENSORY INTEGRATION THERAPY AND VIRTUAL REALITY ON MOVEMENT AND BALANCE ISSUES IN CEREBRAL PALSY: A PILOT STUDY 感觉统合治疗和虚拟现实对脑瘫患者运动和平衡问题的增强效应:一项试点研究
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.165
Sannia Batool, Aruba Saeed, Misbah Ghous, Kiran Khushnood
Background: Cerebral Palsy (CP) causes many sensory and motor deficits in children which may lead to deterioration of their functional activities and daily life. Effective interventions are required to be worked on, which can improve the movement status of such subjects. Objective: To determine the effects of sensory integration therapy (SIT) in addition with virtual reality (VR) and Conventional Physical Therapy in subjects with cerebral palsy. Methods: A Pilot randomized control trial (RCT) was conducted at Pakistan Railway Hospital Rawalpindi from July to December 2019. The n=26 subjects were recruited after fulfilment of inclusion criteria; male and female diagnosed spastic CP subjectswith age 5-12 years, gross motor function classification system (GMFC) level I-II, can independently walk ≥ 5 meters, spasticity of lower limb <3 on Modified Ashworth Scale (MAS), able to understand commands and play gamesThe subjects were randomly divided into group A, receiving sensory integration therapy (SIT) in addition to virtual reality (VR) and conventional physical therapy CPT), while group B received only virtual reality (VR) and conventional physical therapy CPT). The interventions were given for 6 weeks with assessments at baseline, 3rd and 6th weeks. The outcome measures were gross motor function measurement (GMFM) for assessment of gross motor functions, pediatric balance scale (PBS) for assessment of balance in children and 2-minute walk test (2MWT) for mobility. The analysis was done via SPSS 21 and ANOVA test was applied. Results: The mean age of the study participants was 7.52±2.25 years. The balance Scale and 2-minute walk test showed significant interaction (p<0.001) between intervention and time. Between group analyses done by one way ANOVA, the assessment at 3rd and 6 weeks has shown significant difference (p<0.001) for GMFM standing, walking/running and total along with PBS and 2 MWT. Conclusion: Augmentation of sensory integration therapy with virtual reality has significant effects on improving gross motor functions, balance and mobility in cerebral palsy as compared to virtual reality. Keywords: Balance, cerebral palsy, gross motor functions, virtual reality, sensory integration therapy
背景:脑瘫(CP)可导致儿童的许多感觉和运动障碍,从而导致其功能活动和日常生活的恶化。需要制定有效的干预措施,以改善这些受试者的运动状况。目的:探讨感觉统合疗法(SIT)联合虚拟现实(VR)和常规物理疗法对脑瘫患者的治疗效果。方法:于2019年7月至12月在拉瓦尔品第巴基斯坦铁路医院开展随机对照试验(RCT)。在满足纳入标准后,招募了26名受试者;诊断为痉挛性CP的男性和女性,年龄5-12岁,大肌肉运动功能分类系统(GMFC)等级为I-II级,能独立行走≥5米,修改Ashworth量表(MAS)下肢痉挛<3,能理解指令和玩游戏。随机分为A组,在虚拟现实(VR)和常规物理治疗(CPT)的基础上接受感觉统合治疗(SIT)。而B组仅接受虚拟现实(VR)和常规物理治疗(CPT)。干预为期6周,并在基线、第3周和第6周进行评估。结果测量是大运动功能测量(GMFM)评估大运动功能,儿童平衡量表(PBS)评估儿童平衡,2分钟步行测试(2MWT)评估活动能力。数据分析采用SPSS 21,方差分析(ANOVA)。结果:研究参与者的平均年龄为7.52±2.25岁。平衡量表和2分钟步行测验显示干预与时间有显著的交互作用(p<0.001)。通过单因素方差分析进行组间分析,第3周和第6周的评估显示GMFM站立、步行/跑步和总分以及PBS和2mwt的显著差异(p<0.001)。结论:与虚拟现实相比,虚拟现实增强感觉统合治疗在改善脑瘫大运动功能、平衡和活动能力方面有显著效果。关键词:平衡,脑瘫,大运动功能,虚拟现实,感觉统合治疗
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引用次数: 1
CORRELATION OF SMARTPHONE ADDICTION WITH TEXT NECK SYNDROME DURING COVID-19 PANDEMIC COVID-19大流行期间智能手机成瘾与短信颈综合征的相关性
Pub Date : 2022-12-31 DOI: 10.52567/trj.v6i04.148
Rafia Farrukh Shamsi, Aisha Sadeeqa, A. Khan, F. Khan, Aruba Saeed, Syeda Nayab Sheeraz
Background: Smartphones pervasiveness has captured people with the ability to search for information, communicate more easily, and make our day-to-day jobs easier. On the other hand, excessive smartphone use can also lead to serious musculoskeletal consequences including neck pain and disability. Objective: To determine the correlation of Text-Neck-Syndrome with smartphone addiction during the COVID-19 pandemic. Methods: The cross-sectional study was conducted on n=500 participants of both genders between 20 to 30 years olds. The study population were assessed for text next syndrome with Neck disability index, and neck pain on Visual analogue scale (VAS) and Smartphone addiction scale short version (SAS-SV) to find problematic smartphone usage. The spearmen test was used to determine the correlation between the Text neck syndrome and smartphone addiction during Covid-19 pandemic. Results: The mean age of the participants was 22.8±2.47 years. A total of n=418(83.6%) were female and remaining n=82(16.4%) was male participated in the study. The results showed that there is significant mild to moderate positive significant correlation (p<0.05) between individual item and total score of SAS-SV with pain and neck disability. Conclusion: It was concluded that the excessive use of smart phone during COVID 19 caused neck pain and related functional impairment. Keywords: Addiction, neck disability, neck pain, text neck syndrome, VAS
背景:智能手机的普及使人们能够更轻松地搜索信息、交流,并使我们的日常工作更轻松。另一方面,过度使用智能手机也会导致严重的肌肉骨骼问题,包括颈部疼痛和残疾。目的:探讨新型冠状病毒病疫情期间文本颈综合征与智能手机成瘾的相关性。方法:采用横断面研究方法,选取年龄在20 ~ 30岁,男女各500人。对研究人群进行颈部残疾指数、颈部疼痛视觉模拟量表(VAS)和智能手机成瘾量表短版(SAS-SV)评估,以发现智能手机使用问题。在Covid-19大流行期间,使用矛兵测试来确定短信颈综合征与智能手机成瘾之间的相关性。结果:患者平均年龄22.8±2.47岁。女性共418例(83.6%),男性共82例(16.4%)。结果显示,疼痛颈残的单项评分与总分存在轻度至中度显著正相关(p<0.05)。结论:新型冠状病毒肺炎期间过度使用智能手机可导致颈部疼痛及相关功能损害。关键词:成瘾,颈部残疾,颈部疼痛,短信颈综合征,VAS
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引用次数: 0
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The open rehabilitation journal
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