Objective: To compare the effectiveness of trigger point release and conventional physical therapy in tension type headaches. Materials & Methods: Randomized controlled trial (RCT) conducted from 18th February 2017 to 13 July 2018, at Isra institute of Rehabilitation Sciences (IIRS) Isra University, Islamabad Campus, Pakistan. A total of n=31 healthy individuals with tension type headache below the age of 50 years, were selected through non probability convenient sampling technique and randomly divided into conventional physical therapy and trigger point therapy group. The pain and Headache disability index data was compared at baseline and during and after the intervention while quality of life was measured pre and post the sessions. For within the groups changes RM-ANOVA was used and for between the groups differences independent sample t-test was used. Results: The results showed that pain was significantly reduced at the end of intervention in conventional physical therapy group as compare to trigger point therapy group (1.31±0.47 ver. 2.13±0.64, p<0.001). Regarding headache disability index, at the end of intervention trigger point therapy group show better results as compare to conventional physical therapy group (32.75±12.83 ver. 53.27±26.57, p=0.01). While comparing quality of life between the groups, no significant difference was observed after intervention. Conclusion: It was concluded that both conventional physical therapy and trigger point therapy are effective in the management of tension type headache. It decreased pain and disability caused by headache but no effect on quality of life due to shorter duration of study. Keywords: Tension type headache, trigger point therapy, stretching exercises.
{"title":"COMPARISON OF TRIGGER POINT THERAPY AND CONVENTIONAL PHYSICAL THERAPY IN TENSION TYPE HEADACHES","authors":"S. Aslam, Aqeel Ahmed, Sundas Zia, Noureen Farooq","doi":"10.52567/trj.v3i01.25","DOIUrl":"https://doi.org/10.52567/trj.v3i01.25","url":null,"abstract":"Objective: To compare the effectiveness of trigger point release and conventional physical therapy in tension type headaches. Materials & Methods: Randomized controlled trial (RCT) conducted from 18th February 2017 to 13 July 2018, at Isra institute of Rehabilitation Sciences (IIRS) Isra University, Islamabad Campus, Pakistan. A total of n=31 healthy individuals with tension type headache below the age of 50 years, were selected through non probability convenient sampling technique and randomly divided into conventional physical therapy and trigger point therapy group. The pain and Headache disability index data was compared at baseline and during and after the intervention while quality of life was measured pre and post the sessions. For within the groups changes RM-ANOVA was used and for between the groups differences independent sample t-test was used. Results: The results showed that pain was significantly reduced at the end of intervention in conventional physical therapy group as compare to trigger point therapy group (1.31±0.47 ver. 2.13±0.64, p<0.001). Regarding headache disability index, at the end of intervention trigger point therapy group show better results as compare to conventional physical therapy group (32.75±12.83 ver. 53.27±26.57, p=0.01). While comparing quality of life between the groups, no significant difference was observed after intervention. Conclusion: It was concluded that both conventional physical therapy and trigger point therapy are effective in the management of tension type headache. It decreased pain and disability caused by headache but no effect on quality of life due to shorter duration of study. Keywords: Tension type headache, trigger point therapy, stretching exercises.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"2005 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88348487","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}
Cochlear implants (CI) are electronic devices that are surgically implanted in children with profound hearing loss to enable them experience sensation of sound. U.S was the first to approve CI surgeries for children in 1990 and the minimum age was lowered to 12 months by U.S Food and Drug Administration by 2002.1 Growing numbers of evidence has demonstrated positive outcomes of CI in language and communication by improving children’s speech perception and speech production.2 Outcomes of CI are neither instant nor irrefutably assured and demands continuous effortful habilitation process to prove this surgery a wise decision.3,4 Evidence shows great variability in outcomes following CI which indicates that children may continue to show hearing and communication problems.5 Long-term habilitation processes of CI and continued exposure to difficulties generate many stressors to parents along with challenges to parental role. Furthermore, to ensure success of CI, parents play a key role by complying with whole rehabilitation process. Therefore any factor that can cause stress for parents and destroys their mental health, can affect child’s progress. Literature reveals that psychological distress is more experienced among parents of children with CI not only in comparison to parents of normal hearing children6 but also do parents of deaf and conventional hearing aid users.7 In Pakistan CI programme began in 2000 and at that time due to financial constraints only few patients were able to afford this and faced many difficulties in its long term rehabilitation process.8 Currently many hospitals in liaison with international companies are offering CI surgeries with habilitation services. Some of those hospitals are Dow University of Health Sciences Karachi, Capital Development hospital Islamabad, Combined Military Hospital Rawalpindi, Bahria International Hospital Lahore and Central park hospital Lahore. Many schemes also provide free cochlear implant surgery services with one year fund for habilitation services i.e. audiological services and speech therapies. It is commendable that services to patients of CI in Pakistan are growing at exponential rate from selection of CI candidate to habilitation process post-surgery, but parallel to that parents’ increasing stress level affecting their psychosocial life cannot be ignored. It has been observed that at first hand CI poses great financial burden that can continue to upheaval at any stage of life even after bearing expense of costly CI surgery, when any piece of device gets damaged or need repair. Even if insurance is sought it requires depositing minimum eighty thousand rupees per year that is only affordable for high economic strata. Services of CI surgeries are only offered in few big cities and for every mapping and follow up. Patients from far-flung areas are required to travel long distances and for life long they become dependent on their CI panel and/or company no matter how many difficulties, bad a
{"title":"STRESSORS FOR PARENTS OF CHILDREN WITH COCHLEAR IMPLANT IN PAKISTAN","authors":"Faseeha Shafqat","doi":"10.52567/TRJ.V3I01.21","DOIUrl":"https://doi.org/10.52567/TRJ.V3I01.21","url":null,"abstract":"Cochlear implants (CI) are electronic devices that are surgically implanted in children with profound hearing loss to enable them experience sensation of sound. U.S was the first to approve CI surgeries for children in 1990 and the minimum age was lowered to 12 months by U.S Food and Drug Administration by 2002.1 Growing numbers of evidence has demonstrated positive outcomes of CI in language and communication by improving children’s speech perception and speech production.2 Outcomes of CI are neither instant nor irrefutably assured and demands continuous effortful habilitation process to prove this surgery a wise decision.3,4 Evidence shows great variability in outcomes following CI which indicates that children may continue to show hearing and communication problems.5 Long-term habilitation processes of CI and continued exposure to difficulties generate many stressors to parents along with challenges to parental role. Furthermore, to ensure success of CI, parents play a key role by complying with whole rehabilitation process. Therefore any factor that can cause stress for parents and destroys their mental health, can affect child’s progress. Literature reveals that psychological distress is more experienced among parents of children with CI not only in comparison to parents of normal hearing children6 but also do parents of deaf and conventional hearing aid users.7 In Pakistan CI programme began in 2000 and at that time due to financial constraints only few patients were able to afford this and faced many difficulties in its long term rehabilitation process.8 Currently many hospitals in liaison with international companies are offering CI surgeries with habilitation services. Some of those hospitals are Dow University of Health Sciences Karachi, Capital Development hospital Islamabad, Combined Military Hospital Rawalpindi, Bahria International Hospital Lahore and Central park hospital Lahore. Many schemes also provide free cochlear implant surgery services with one year fund for habilitation services i.e. audiological services and speech therapies. It is commendable that services to patients of CI in Pakistan are growing at exponential rate from selection of CI candidate to habilitation process post-surgery, but parallel to that parents’ increasing stress level affecting their psychosocial life cannot be ignored. It has been observed that at first hand CI poses great financial burden that can continue to upheaval at any stage of life even after bearing expense of costly CI surgery, when any piece of device gets damaged or need repair. Even if insurance is sought it requires depositing minimum eighty thousand rupees per year that is only affordable for high economic strata. Services of CI surgeries are only offered in few big cities and for every mapping and follow up. Patients from far-flung areas are required to travel long distances and for life long they become dependent on their CI panel and/or company no matter how many difficulties, bad a","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85834469","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}
Ramsha Sohail, Q. Ain, Abdul haseeb Bhutta, N. Asif
Objective: This research study aimed to find out the association between physical activity and urinary incontinence in elderly population. Methods: A cross-sectional correlation study design was conducted with n=161 elderly male and female subjects with age ≥ 55 years. Non- probability convenience sampling was used in order to collect data from the respondents. Rapid Assessment of Physical Activity (RAPA) and MESA questionnaire was used to evaluate level of physical activity and presence of urinary incontinence. The association between physical activity and urinary incontinence was measured through Chi-square test. SPSS 21 was used to analyze the data. Results: The mean±SD age of subjects was 64.03± 9.56 years. Level of physical activity found to be significantly associated with urinary incontinence (p≤0.05). A significant association can be seen in participants who are sedentary (p=0.02), who perform moderate physical activity for 30 minutes/day for 5 days/week (p=0.04) and who perform strength activities (p<0.001). Conclusion: Moderate level of regular physical activity at-least 5 days in week and/or activities to increase muscle strength such as weight lifting, calisthenics once a week or more are prevent urinary incontinence in elderly people. Keywords: elderly, incontinence, physical activity, stress incontinence, urinary incontinence, urge incontinence.
{"title":"ASSOCIATION BETWEEN URINARY INCONTINENCE AND DIFFERENT LEVEL OF PHYSICAL ACTIVITIES","authors":"Ramsha Sohail, Q. Ain, Abdul haseeb Bhutta, N. Asif","doi":"10.52567/trj.v3i01.24","DOIUrl":"https://doi.org/10.52567/trj.v3i01.24","url":null,"abstract":"Objective: This research study aimed to find out the association between physical activity and urinary incontinence in elderly population. Methods: A cross-sectional correlation study design was conducted with n=161 elderly male and female subjects with age ≥ 55 years. Non- probability convenience sampling was used in order to collect data from the respondents. Rapid Assessment of Physical Activity (RAPA) and MESA questionnaire was used to evaluate level of physical activity and presence of urinary incontinence. The association between physical activity and urinary incontinence was measured through Chi-square test. SPSS 21 was used to analyze the data. Results: The mean±SD age of subjects was 64.03± 9.56 years. Level of physical activity found to be significantly associated with urinary incontinence (p≤0.05). A significant association can be seen in participants who are sedentary (p=0.02), who perform moderate physical activity for 30 minutes/day for 5 days/week (p=0.04) and who perform strength activities (p<0.001). Conclusion: Moderate level of regular physical activity at-least 5 days in week and/or activities to increase muscle strength such as weight lifting, calisthenics once a week or more are prevent urinary incontinence in elderly people. Keywords: elderly, incontinence, physical activity, stress incontinence, urinary incontinence, urge incontinence.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78842641","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}
On behalf of the entire editorial board, I am delighted to inform you that we are releasing a new multidisciplinary International Journal named ‘The Rehabilitation Journal’ (TRJ), which will be an open access, peer reviewed, and online journal. This journal will cover all topics related to medical rehabilitation including but not limited to musculoskeletal rehabilitation, neurological rehabilitation, cardiopulmonary rehabilitation, sports rehabilitation, psychosocial rehabilitation, speech and language rehabilitation and community based rehabilitation etc. The primary aim of TRJ is to provide the readers with a platform to access high quality research associated with rehabilitation, which will not only deliver scientific basis to the clinicians for evidence-based practice but also promote rehabilitation research with the aim of improvising the existing research with new ideas and bridging the gaps. We intend to build up an international base of the journal and therefore encourage authors from all around the world to participate and make their work published in an International refereed journal. We ensure strict adherence to International guidelines of reviewing to maintain a high standard of an international journal. Every manuscript submitted to TRJ, which falls under the umbrella term of Rehabilitation, will go through a basic process of scrutinizing by the related associate editors, and then will be sent to experts in the relative field for a detailed review. Based on the comments and recommendations made by the reviewers, the final decision will be made by the managing editor. The most distinct feature of TRJ is continuous publication of articles online after acceptance without waiting for a sufficient number of articles for an issue. The review time will be regularly monitored by the editorial board to ensure faster publications avoiding any unnecessary delay. Other features include the provision of open access and online tracking of the status of manuscript. Open access research articles provide fast and efficient sharing of the findings across the globe. This also ensures high quality work to help influence rehabilitation practice in the shortest possible time to the broadest possible population of scientific researchers. Finally, I would like to pay my sincerest gratitude to entire editorial board for their continuous hard work behind launching of this journal. We hope that you will enjoy reading this new journal and contribute to make it an international platform for sharing good quality work in all fields of rehabilitation.
{"title":"THE REHABILITATION JOURNAL (TRJ)","authors":"H. Tariq","doi":"10.52567/trj.v1i01.44","DOIUrl":"https://doi.org/10.52567/trj.v1i01.44","url":null,"abstract":"On behalf of the entire editorial board, I am delighted to inform you that we are releasing a new multidisciplinary International Journal named ‘The Rehabilitation Journal’ (TRJ), which will be an open access, peer reviewed, and online journal. This journal will cover all topics related to medical rehabilitation including but not limited to musculoskeletal rehabilitation, neurological rehabilitation, cardiopulmonary rehabilitation, sports rehabilitation, psychosocial rehabilitation, speech and language rehabilitation and community based rehabilitation etc. The primary aim of TRJ is to provide the readers with a platform to access high quality research associated with rehabilitation, which will not only deliver scientific basis to the clinicians for evidence-based practice but also promote rehabilitation research with the aim of improvising the existing research with new ideas and bridging the gaps. We intend to build up an international base of the journal and therefore encourage authors from all around the world to participate and make their work published in an International refereed journal. We ensure strict adherence to International guidelines of reviewing to maintain a high standard of an international journal. Every manuscript submitted to TRJ, which falls under the umbrella term of Rehabilitation, will go through a basic process of scrutinizing by the related associate editors, and then will be sent to experts in the relative field for a detailed review. Based on the comments and recommendations made by the reviewers, the final decision will be made by the managing editor. The most distinct feature of TRJ is continuous publication of articles online after acceptance without waiting for a sufficient number of articles for an issue. The review time will be regularly monitored by the editorial board to ensure faster publications avoiding any unnecessary delay. Other features include the provision of open access and online tracking of the status of manuscript. Open access research articles provide fast and efficient sharing of the findings across the globe. This also ensures high quality work to help influence rehabilitation practice in the shortest possible time to the broadest possible population of scientific researchers. Finally, I would like to pay my sincerest gratitude to entire editorial board for their continuous hard work behind launching of this journal. We hope that you will enjoy reading this new journal and contribute to make it an international platform for sharing good quality work in all fields of rehabilitation.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86421756","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}
Pub Date : 2015-07-31DOI: 10.2174/1874943720150601e001
O. Pino
This paper provides an update and overview of the field of memory disorders and memory rehabilitation of adults. Progresses in brain plasticity knowledge and neuroimaging observations about compensation after structural losses have influenced non-pharmacological interventions, which represent a growing area with strong theories and explanatory frameworks. Rehabilitation models may follow three directives not alternatives to each other: restore lost functions, develop compensatory strategies or adopt external memory aids. Because of treatment approaches have a differential effect on distinct aspects of memory functions, and the assessment of the treatment outcomes is relevant not only at impairment level but also at the disability level, the effectiveness of restitution oriented therapies and compensatory approaches was evaluated. We discussed these different treatment approaches also reporting a survey of training results and systematic reviews findings. A large body of evidence seems to support, with different efficacy levels according to etiology and type of brain injury, several training programs in stable individuals but not in persons with degenerative diseases. The present paper can serve as a guide for clinicians and researchers.
{"title":"Memory Impairments and Rehabilitation: Evidence-Based Effects of Approaches and Training Programs","authors":"O. Pino","doi":"10.2174/1874943720150601e001","DOIUrl":"https://doi.org/10.2174/1874943720150601e001","url":null,"abstract":"This paper provides an update and overview of the field of memory disorders and memory rehabilitation of adults. Progresses in brain plasticity knowledge and neuroimaging observations about compensation after structural losses have influenced non-pharmacological interventions, which represent a growing area with strong theories and explanatory frameworks. Rehabilitation models may follow three directives not alternatives to each other: restore lost functions, develop compensatory strategies or adopt external memory aids. Because of treatment approaches have a differential effect on distinct aspects of memory functions, and the assessment of the treatment outcomes is relevant not only at impairment level but also at the disability level, the effectiveness of restitution oriented therapies and compensatory approaches was evaluated. We discussed these different treatment approaches also reporting a survey of training results and systematic reviews findings. A large body of evidence seems to support, with different efficacy levels according to etiology and type of brain injury, several training programs in stable individuals but not in persons with degenerative diseases. The present paper can serve as a guide for clinicians and researchers.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68099904","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}
Pub Date : 2015-03-31DOI: 10.2174/1874943701508010017
M. Benedetti, D. Sarti, S. Stagni, E. Mariani
In view of the high incidence of total knee replacements, it is important to identify the most efficient yet cost- effective rehabilitation program, in order to optimize patient care within the constraints of the National Healthcare System. This paper aimed at reviewing the literature on post-acute Total Knee Replacement (TKR) rehabilitation discharge setting, and on the strategies for early discharge of TKR patients from orthopedic wards. Research studies on the effectiveness of rehabilitation in intensive rehabilitation care, skilled nursing facilities, home rehabilitation, fast-tracks, enhanced recovery and clinical pathways in total knee replacement patients have been reviewed. Length of stay following knee arthroplasty is influenced by the following factors: age, sex, marital status, co-morbidity, preoperative use of walking aids, pre and postoperative hemoglobin levels, the need for blood transfusion, ASA (American Society of Anesthesiologists) score and time between surgery and mobilization. Clinical pathways and fast tracks seem to be effective in reducing length of stay without increasing clinical complications. However, despite the vast quantity of literature available, results remain inconclusive. There is no clear evidence supporting an algorithm for the optimal rehabilitation management after total knee replacement. Beside the question of which setting or path is preferable in terms of organization, the review enlightens that it is relevant also gaining a deeper understanding of the most important predictors of the best outcomes. There is a need to review criteria for admitting total knee arthroplasty patients to intensive rehabilitation, to start a "fast- track" protocol, to build "Clinical Pathways" and to discharge patients to home rehabilitation.
{"title":"Setting, Clinical Pathways, Fast-Track and Rehabilitation FollowingPrimary Knee Arthroplasty: A Literature Review","authors":"M. Benedetti, D. Sarti, S. Stagni, E. Mariani","doi":"10.2174/1874943701508010017","DOIUrl":"https://doi.org/10.2174/1874943701508010017","url":null,"abstract":"In view of the high incidence of total knee replacements, it is important to identify the most efficient yet cost- effective rehabilitation program, in order to optimize patient care within the constraints of the National Healthcare System. This paper aimed at reviewing the literature on post-acute Total Knee Replacement (TKR) rehabilitation discharge setting, and on the strategies for early discharge of TKR patients from orthopedic wards. Research studies on the effectiveness of rehabilitation in intensive rehabilitation care, skilled nursing facilities, home rehabilitation, fast-tracks, enhanced recovery and clinical pathways in total knee replacement patients have been reviewed. Length of stay following knee arthroplasty is influenced by the following factors: age, sex, marital status, co-morbidity, preoperative use of walking aids, pre and postoperative hemoglobin levels, the need for blood transfusion, ASA (American Society of Anesthesiologists) score and time between surgery and mobilization. Clinical pathways and fast tracks seem to be effective in reducing length of stay without increasing clinical complications. However, despite the vast quantity of literature available, results remain inconclusive. There is no clear evidence supporting an algorithm for the optimal rehabilitation management after total knee replacement. Beside the question of which setting or path is preferable in terms of organization, the review enlightens that it is relevant also gaining a deeper understanding of the most important predictors of the best outcomes. There is a need to review criteria for admitting total knee arthroplasty patients to intensive rehabilitation, to start a \"fast- track\" protocol, to build \"Clinical Pathways\" and to discharge patients to home rehabilitation.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"8 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2015-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68099883","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}
Pub Date : 2014-10-31DOI: 10.2174/1874943701407010006
E. Carmeli, B. Imam, E. Kodesh
Background: Moderate exercise training has innumerable benefits on physical function, cognition and mental health. However, the effects of exercise training on anxiety reduction that results in increased physical activity is much less appreciated. The objective of this study was to examine the effects of moderate exercise training on anxiety-related behaviors that result in increased physical activity. Methods: Old (17 months) female mice (n=6), C57B6 were allocated to either a sedentary or a running group that underwent 12 weeks of treadmill running (20 minutes/day, 6 days/week). Anxiety-related behavior was assessed using an Open Field Test. Results: Moderate exercise training resulted in increased locomotion in the exercised group. These mice entered the 'inner zone' of the open field more frequently; b) exhibited higher movement velocity within the arena; c) traveled a longer distance; and d) spent less time at the corners of the open field. Conclusion: Our results indicate the beneficial effects of moderate exercise training on reducing anxiety-related behavior and triggering spatial behaviors in an Open Field Test among aged mice.
{"title":"Effects of Moderate Exercise Training on Spatial Behavior Among Old Mice - Preliminary Results","authors":"E. Carmeli, B. Imam, E. Kodesh","doi":"10.2174/1874943701407010006","DOIUrl":"https://doi.org/10.2174/1874943701407010006","url":null,"abstract":"Background: Moderate exercise training has innumerable benefits on physical function, cognition and mental health. However, the effects of exercise training on anxiety reduction that results in increased physical activity is much less appreciated. The objective of this study was to examine the effects of moderate exercise training on anxiety-related behaviors that result in increased physical activity. Methods: Old (17 months) female mice (n=6), C57B6 were allocated to either a sedentary or a running group that underwent 12 weeks of treadmill running (20 minutes/day, 6 days/week). Anxiety-related behavior was assessed using an Open Field Test. Results: Moderate exercise training resulted in increased locomotion in the exercised group. These mice entered the 'inner zone' of the open field more frequently; b) exhibited higher movement velocity within the arena; c) traveled a longer distance; and d) spent less time at the corners of the open field. Conclusion: Our results indicate the beneficial effects of moderate exercise training on reducing anxiety-related behavior and triggering spatial behaviors in an Open Field Test among aged mice.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"7 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2014-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68099841","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}
Pub Date : 2014-05-30DOI: 10.2174/1874943701407010001
Robert C Hilliard, Britton W Brewer, Allen E Cornelius, Judy L Van Raalte
Purpose: A prospective, longitudinal study was conducted to examine Big Five personality characteristics as predictors of adherence to clinic-based rehabilitation activities following anterior cruciate ligament (ACL) reconstruction surgery.
Method: Participants (72 men, 36 women) completed a questionnaire assessing Big Five personality dimensions prior to surgery. For the first 7 weeks after surgery, participants' rehabilitation session attendance was recorded and rehabilitation professionals rated participants' adherence during rehabilitation sessions..
Results: Results of multiple regression analyses indicated that the 5 personality factors explained 11 percent of the variance in attendance and 17 percent of the variance in adherence ratings, that agreeableness was a significant positive predictor of attendance, and that conscientiousness and openness to experience were significant positive predictors of adherence ratings.
Conclusion: As a potential contributor to adherence, personality warrants consideration when implementing rehabilitation programs after ACL surgery.
{"title":"Big Five Personality Characteristics and Adherence to Clinic-Based Rehabilitation Activities after ACL Surgery: A Prospective Analysis.","authors":"Robert C Hilliard, Britton W Brewer, Allen E Cornelius, Judy L Van Raalte","doi":"10.2174/1874943701407010001","DOIUrl":"https://doi.org/10.2174/1874943701407010001","url":null,"abstract":"<p><strong>Purpose: </strong>A prospective, longitudinal study was conducted to examine Big Five personality characteristics as predictors of adherence to clinic-based rehabilitation activities following anterior cruciate ligament (ACL) reconstruction surgery.</p><p><strong>Method: </strong>Participants (72 men, 36 women) completed a questionnaire assessing Big Five personality dimensions prior to surgery. For the first 7 weeks after surgery, participants' rehabilitation session attendance was recorded and rehabilitation professionals rated participants' adherence during rehabilitation sessions..</p><p><strong>Results: </strong>Results of multiple regression analyses indicated that the 5 personality factors explained 11 percent of the variance in attendance and 17 percent of the variance in adherence ratings, that agreeableness was a significant positive predictor of attendance, and that conscientiousness and openness to experience were significant positive predictors of adherence ratings.</p><p><strong>Conclusion: </strong>As a potential contributor to adherence, personality warrants consideration when implementing rehabilitation programs after ACL surgery.</p>","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"7 ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4316726/pdf/nihms654319.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33038930","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}
Pub Date : 2013-10-18DOI: 10.2174/1874943720130912001
R. Hauser, A. Orlofsky
Background: Acetabular labral tear is a debilitating condition for which there are few effective non-surgical treatment options. A number of studies in humans and in animal models suggest that the labrum may have a capacity for spontaneous healing, and that therapies that seek to exploit and facilitate this process may be beneficial. Regenerative injection therapies have shown promise in the treatment of several musculoskeletal disorders, but have not previously been applied to labral tear. Methods: We present an initial case series of 19 patients with labral tear that were treated in our clinic with intra-articular injections of hypertonic dextrose. Patient-reported assessments were collected by questionnaire between 1 and 60 months post-treatment (mean = 12 months). Results: All patients reported improvements in pain relief and functionality. Patients reported complete relief of 54% of recorded symptoms. Improvements did not show dependence on the time between treatment and follow-up. No adverse events were reported. Conclusions: Regenerative injection therapy (prolotherapy) for acetabular labral tear appears to be a safe and potentially efficacious procedure that merits further investigation as a non-surgical option.
{"title":"Regenerative Injection Therapy (Prolotherapy) for Hip Labrum Lesions:Rationale and Retrospective Study","authors":"R. Hauser, A. Orlofsky","doi":"10.2174/1874943720130912001","DOIUrl":"https://doi.org/10.2174/1874943720130912001","url":null,"abstract":"Background: Acetabular labral tear is a debilitating condition for which there are few effective non-surgical treatment options. A number of studies in humans and in animal models suggest that the labrum may have a capacity for spontaneous healing, and that therapies that seek to exploit and facilitate this process may be beneficial. Regenerative injection therapies have shown promise in the treatment of several musculoskeletal disorders, but have not previously been applied to labral tear. Methods: We present an initial case series of 19 patients with labral tear that were treated in our clinic with intra-articular injections of hypertonic dextrose. Patient-reported assessments were collected by questionnaire between 1 and 60 months post-treatment (mean = 12 months). Results: All patients reported improvements in pain relief and functionality. Patients reported complete relief of 54% of recorded symptoms. Improvements did not show dependence on the time between treatment and follow-up. No adverse events were reported. Conclusions: Regenerative injection therapy (prolotherapy) for acetabular labral tear appears to be a safe and potentially efficacious procedure that merits further investigation as a non-surgical option.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"6 1","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2013-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68099896","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}
Pub Date : 2013-08-23DOI: 10.2174/1874943701306010049
Mareike Schwed, T. Getrost, D. Schmidtbleicher, C. Haas
Parkinson's Disease (PD) subjects are less able to adapt gait to fluctuating motor demands in daily life situations than the healthy elderly, e.g. in crowded places, crossing the road, and starting or stopping at traffic lights. Several studies proved gait abnormalities in PD. However, to our knowledge there is currently no biomechanical test that deals with the ability in gait adaptation. The aim of this study was to develop and evaluate a new biomechanical test which proves the adaptability of gait to fluctuating external conditions. In order to have a reproducible, quantitative gait-test, a treadmill was used, accessed by a special software. The so called adaptability-of-gait test (AOG) changed the treadmill's velocity ballistically and unpredictably for the test subjects. 49 PD-subjects and 10 age-matched controls (HC) participated in the study. In order to subdivide PD subjects in homogeneous groups, we used a cluster analysis. In a first-step of evaluation we focused on differences between PD with moderate (PDM) and severe disease stages (PDS) and HC and examined correlations according to existing, valid tests, e.g. Unified Parkinson Disease Rating Scale (UPDRS) subscales, clinical and biomechanical gait-assessments. Results showed significant differences in gait-adaptation between the groups. Severe PD had a worse gait adaptation compared to PD moderate and HC. Correlation analysis of the PD sample showed significance differences between the AOG-test and bradykinesia and facial expression, but no significances differences according to conventional clinical gait assessments, e.g. Webster gait-test. We conclude that the AOG-test has potentials to identify a new gait performance: the adaptation of gait.
{"title":"Biomechanical Analysis of Gait Adaptability in Parkinson's Disease","authors":"Mareike Schwed, T. Getrost, D. Schmidtbleicher, C. Haas","doi":"10.2174/1874943701306010049","DOIUrl":"https://doi.org/10.2174/1874943701306010049","url":null,"abstract":"Parkinson's Disease (PD) subjects are less able to adapt gait to fluctuating motor demands in daily life situations than the healthy elderly, e.g. in crowded places, crossing the road, and starting or stopping at traffic lights. Several studies proved gait abnormalities in PD. However, to our knowledge there is currently no biomechanical test that deals with the ability in gait adaptation. The aim of this study was to develop and evaluate a new biomechanical test which proves the adaptability of gait to fluctuating external conditions. In order to have a reproducible, quantitative gait-test, a treadmill was used, accessed by a special software. The so called adaptability-of-gait test (AOG) changed the treadmill's velocity ballistically and unpredictably for the test subjects. 49 PD-subjects and 10 age-matched controls (HC) participated in the study. In order to subdivide PD subjects in homogeneous groups, we used a cluster analysis. In a first-step of evaluation we focused on differences between PD with moderate (PDM) and severe disease stages (PDS) and HC and examined correlations according to existing, valid tests, e.g. Unified Parkinson Disease Rating Scale (UPDRS) subscales, clinical and biomechanical gait-assessments. Results showed significant differences in gait-adaptation between the groups. Severe PD had a worse gait adaptation compared to PD moderate and HC. Correlation analysis of the PD sample showed significance differences between the AOG-test and bradykinesia and facial expression, but no significances differences according to conventional clinical gait assessments, e.g. Webster gait-test. We conclude that the AOG-test has potentials to identify a new gait performance: the adaptation of gait.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"6 1","pages":"49-58"},"PeriodicalIF":0.0,"publicationDate":"2013-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68099828","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}