Application Of Physiotherapy Research Articles

Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures

Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures

Application of Balneoclimatology and Physiotherapy in Endometriosis

Aim: The purpose of this study is to present physiotherapy and balneotherapy as an adjunct to treatment in reducing pain in women with endometriosis. Accordingly, databases were searched to find the most effective forms of physiotherapy for the treatment of endometriosis. Materials and Methods: Two independent reviewers have searched medical and public databases such as PubMed, Scopus and PEDro using search terms and MeSH such as endometriosis, pain, physiotherapy, physical activity, balneotherapy, marker miRNA. Subsequently, the data obtained after the queries were then evaluated with regard to the titles in order to remove works with other keywords. The inclusion and exclusion criterion was an article published in a peer-reviewed journal, limited as to the scope of the publication year 2020-2022. Conclusion: The literature review conducted here suggests that it is necessary to carry out multicentre studies in order to ascertain which forms of physiotherapy and balneotherapy may be most effective in reducing pain and improving the quality of life of women suffering from endometriosis.

Medical rehabilitation of children with obstructive uropathy

To develop technologies of physiotherapy application (sound stimulation, selective chromotherapy) for inclusion in comprehensive medical rehabilitation of children with megaloureter. Clinical observations and special examinations have been performed in 90 children with megaloureter aged from 1 to 10 years. The patients were divided into 2 groups: 30 children (study group) received sound stimulation combined with selective chromotherapy; 30 children (the 1st comparison group) - sound stimulation; 30 children (the 2nd comparison group) - selective chromotherapy (blue spectrum). General clinical methods, ultrasound of kidneys and bladder with Doppler monitoring of intrarenal blood flow, functional methods of bladder examination were used. The positive effects of separate and combined application of sound stimulation and selective chromotherapy on clinical and laboratory indicators, urodynamics of urinary tract and renal blood flow in children with megaloureter after surgery have been revealed. The efficacy of selective chromotherapy use in children with megaloureter and comorbid neurologic bladder dysfunction has been proven. Modern technologies for the application of physiotherapy, namely selective chromotherapy and sound stimulation, to include them in the comprehensive medical rehabilitation of children with megaloureter, have been developed for the first time and their high efficacy has been proven.

The use of physiotherapy in the treatment of scars – a review of the literature

The aim of the research was the review of the newest papers reporting the application of physiotherapy in scar treatment. Answers were searched to the following research-related questions: 1. Which techniques used in physiotherapy are effective in scar treatment? 2. Which tools used in physiotherapy are applied in scar treatment? 3. Was it possible to determine which approach had turned out to be the most efficient in scar treatment? The authors took advantage of the scientifically accepted medical databases online, such as: PubMed and Physiotherapy Evidence Database (PEDro). The inclusion criterion of the randomized clinical trial was based on the papers published between 2016 and May 2021. The papers on scar treatment reporting approaches different from those pertaining to physiotherapy were not included. Moreover, the papers written in languages other than English were not included either. 281 papers pertaining to this issue were found and 35 papers on physiotherapy approaches were selected. Finally, 9 papers were subjected to critical analysis. Most of the authors (n=3) reported using shockwave in their research. Next, laser treatment (n=2) or manual therapy (n=2) were applied. The fewest researchers used electrotherapy (n=1) and silicone gel (n=1).

Assessment of internal derangement of the temporomandibular joint according to the concentration of salivary cytokines in patients with spondyloarthritis

Spondyloarthritis (SpA) is a group of autoinflammatory/autoimmune diseases that affects the spine and peripheral joints. Involvement of the cervical spine correlates with occurrence of temporomandibular disorders (TMDs). Proinflammatory cytokines, interleukin (IL)-23, IL-17A, and tumour necrosis factor-alpha (TNF-α) are significantly involved in the immunopathogenesis of SpA, and inflammation is one of the causes of TMDs. We hypothesised that internal derangement (ID) of temporomandibular joints (TMJs), as the most frequent TMDs in patients with SpA, could be associated with salivary pro-inflammatory markers and clinical activity of axial SpA, measured with laboratory methods or rheumatological indexes. If a statistically significant difference in the concentration of salivary IL-23, IL-17A or TNF-α exists between patients with symptomatic or asymptomatic ID and patients without TMDs, the diagnostic accuracy of certain cytokine(s) for ID can be calculated. The diagnostic accuracy of the cytokine(s) could emphasise the inflammatory background of ID and possibly broaden therapeutic approaches for symptomatic ID in patients with SpA with biological drugs in addition to the routine application of occlusal splint and/or physical therapy.

Triple intervention in congenital wry neck: case report

<p class="abstract">Wry neck or congenital muscular torticollis is consequent to shortened or contracted sternocleidomastoid muscle (SCM). A painless, retracted sternocleidomastoid muscle is the characteristic feature which results in tugging the neck towards affected side, and draws the shoulder upward and forces the chin in the opposite direction. The incidence is between 0.4 to 1.9%. A 17 years old lady with torticollis since childhood is being discussed in detail with the steps of surgical intervention; at three sites to attain a sternocleidomastoid release and resistance free neck and thus a free head movement. This was followed by application of cervical collar, active physiotherapy and postural exercises. The ignorance and improper advice during childhood had led to this marked deformity at adolescence.</p><p class="abstract"> </p>

Bioinspired and Hierarchically Textile‐Structured Soft Actuators for Healthcare Wearables

AbstractSoft pneumatic actuators possess the increasing potential for various healthcare applications, such as smart wearable devices, safe human‐robot interaction, and flexible manipulators. However, it is difficult to translate the existing technologies to commercial applications due to their inefficient volumetric power, sophisticated control with high operation pressure, slow production, and high cost. To overcome these issues, herein, a caterpillar‐inspired actuator using hierarchical textile architectures based on simple fabrication and low‐cost strategy is designed. Unlike the existing textile‐based pneumatic actuators, the designed actuators are constructed by combining boucle fancy yarns with a novel trilayer‐knit architecture. The as‐prepared actuators concurrently possess fast response (1100° s−1), large bending actuation strain (1080° m−1), high‐power density (272 W m−3), mechanical robustness, easy‐programmable motions, and human‐tactile comfort, which outperforms currently reported textile‐based pneumatic actuators. Furthermore, due to the geometrical transition of the engineered hierarchical structure, the developed actuators exhibit superior dual‐stiffness effect with stress evolution, providing a facile approach to addressing the conflict of flexibility and force output in soft fluidic actuators. This concept as a paradigm provides new insights to develop soft actuators with outstanding design flexibility, adaptability, and multifunctionality using engineered textile‐structure, which has great potential for real‐world applications in medical rehabilitation, physiotherapy, and soft robotics.

Randomised clinical trial of a manual therapy programme to reduce the evolution time of axillary web syndrome in women affected by breast cancer: study protocol

IntroductionBreast cancer is the most common malignant tumour in women, with more than 2 million new cases annually worldwide. One of the most frequent and well-known surgical and post-actinic sequelae...

Highly Stretchable, Breathable, and Self‐Powered Strain‐Temperature Dual‐Functional Sensors with Laminated Structure for Health Monitoring, Hyperthermia, and Physiotherapy Applications

AbstractIn recent years, wearable multifunctional sensors have experienced tremendous development due to their wide application prospects in areas such as Internet of Things, human‐machine interactions, and personal health monitoring. These sensors require not only superior capability to distinguish multiple stimuli with effective signal decoupling, but also good wearable comfortability and even self‐powered features. In this work, a highly stretchable, breathable, and self‐powered sensor enabling simultaneous detection of large tensile strain and temperature stimuli has been designed and successfully fabricated. In this sensor, two functional layers for strain sensing and temperature sensing with high mechanical compatibility are independently arranged, thereby facilitating effective signal decoupling upon the strain‐temperature coupled dual‐stimuli. Notably, this strain‐temperature dual‐functional sensor exhibits not only a high stretchability with a wide working range of up to 100%, but also excellent strain sensing capability and temperature sensing capability. Based on a rational electric circuit design, the sensor further enables synchronous strain‐temperature monitoring in a self‐powered mode. Its practical applications for human motion monitoring, hyperthermia, and physiotherapy are demonstrated. Combining the excellent sensing performance and wearability, the sensor developed in this work can hold great promise for future wearable electronics and E‐skin applications.

Physiotherapy and Rehabilitation Approaches to Premature Infants in Neonatal Intensive Care Units

In addition to medical care and intervention, physiotherapy and rehabilitation practices are used for the health of premature babies in the neonatal intensive care unit. Thus, it is aimed to reach physiological stability of the premature baby, to maintain growth and development, to minimize the risk of complications due to preterm birth, and to support neuromotor and behavioral development. As a member of the interdisciplinary team in the neonatal intensive care unit, the neonatal physiotherapist plays an active role in family education and environmental regulations, as well as planning the physiotherapy program that includes pulmonary and neuromuscular physiotherapy applications customized according to the gestational age and needs of the baby. With physiotherapy approaches, the health of the premature baby is supported in terms of neuromotor and behavioral development, while contributing to parent-infant attachment. In this review, physiotherapy and rehabilitation approaches applied to premature babies in the neonatal intensive care unit are described.

Physiotherapy and Rehabilitation Approaches to Premature Infants in Neonatal Intensive Care Units

In addition to medical care and intervention, physiotherapy and rehabilitation practices are used for the health of premature babies in the neonatal intensive care unit. Thus, it is aimed to reach physiological stability of the premature baby, to maintain growth and development, to minimize the risk of complications due to preterm birth, and to support neuromotor and behavioral development. As a member of the interdisciplinary team in the neonatal intensive care unit, the neonatal physiotherapist plays an active role in family education and environmental regulations, as well as planning the physiotherapy program that includes pulmonary and neuromuscular physiotherapy applications customized according to the gestational age and needs of the baby. With physiotherapy approaches, the health of the premature baby is supported in terms of neuromotor and behavioral development, while contributing to parent-infant attachment. In this review, physiotherapy and rehabilitation approaches applied to premature babies in the neonatal intensive care unit are described.

ANALISIS PENERAPAN ASUHAN FISIOTERAPI TERHADAP KUALITAS PELAYANAN FISIOTERAPI

Physiotherapy care for patients is a continuous and dynamic cycle process carried out byphysiotherapists who have the required competencies, integrated and coordinated with other relatedservices through medical records, information systems and effective communication systems. Thepurpose of the study was to analyze the application of physiotherapy care to the quality ofphysiotherapy services at Bukittinggi National Stroke Hospital and Achmad Mochtar BukittinggiHospital. The research method uses analyze method with a cross sectional design with a sample of 50people using accidental sampling technique. The results showed that the total score of the averageapplication of physiotherapy was 2.37 (not good) while the average score of physiotherapy servicequality was 2.86 (good). The results also illustrate the existence of physiotherapy relationship withphysiotherapy service quality with the results: assessment obtained p value (0.000), diagnosis with pvalue (0.028), intervention plan with p value (0.010), intervention with p value (0.000) evaluationwith p value (0.002) and documentation with p value (0.001). It can be concluded that the applicationof physiotherapy care in the services performed can affect the quality of hospital services. It isexpected that physiotherapy service officers can carry out work in accordance with establishedstandards

Application of Physical Factors at the First Stage of Medical Rehabilitation after Radical Surgical Treatment of Breast Cancer

There are a large number of publications confirming the clinical safety of the of physiotherapy application in patients with malignant neoplasms of the breast, but scientific studies on the physical factors complex use in medical rehabilitation of this group of patients in the early postoperative period have not been published yet. Aim. To determine the effectiveness of fluctuating currents in combination with pneumocompression, general magnetotherapy, local magnetotherapy, low-temperature argon plasma applied for patients after radical surgical treatment of breast cancer in the early postoperative period. Material and methods. A prospective, simple, randomized study involving 190 women diagnosed with breast cancer in the early postoperative period after radical Madden mastectomy or radical breast resection (2–4 days) was performed, the average age was 58±10.61 years. The control group consisted of patients included in the course of rehabilitation (exercise therapy, balance therapy and classes with a medical psychologist) fluctuating currents. Low-temperature argon plasma, intermittent pneumocompression, general and local magnetotherapy were added to fluctuations for patients in the main groups. Results and discussion. The analysis of the clinical and functional data showed that in the early postoperative period for breast cancer against the background of the standard drug therapy and the course of medical rehabilitation, the combination of fluctuating currents with intermittent pneumocompression, general and local magnetotherapy significantly reduced the degree of the upper limb edema and the volume of lymphorrhea. The addition of general and local magnetotherapy affects the decrease in the indicators of the shoulder girdle and forearm muscles electrical excitability. Low temperature argon plasma improves the regeneration of the postoperative suture and reduces swelling and inflammation in this area. The dynamics of the decrease in the level of anxiety and depression, pain syndrome and the general condition of cancer patients are most pronounced in the groups that additionally received magnetotherapy. The volume and quality of movements, muscle strength significantly increased in all groups without differences in results. The action of magnetic fields contributes to the increase of tissue oxygenation, due to which an anti-inflammatory and decongestant effect is realized. Fluctuation of the shoulder girdle and forearm muscles leads to normalization of the functional electrical excitability of the muscles by surgical treatment, which allows to restore the motor stereotype of the limb in a short time, and intermittent pneumocompression affecting the skin and tissue structures of the lower extremities and trunk improves the overall lymph flow, which does not lead to stagnation of lymph in the operated area. Conclusion. Thus, the combined application of physical factors against the background of the standard drug therapy and the course of medical rehabilitation significantly improves the result and recovery time after surgical treatment of the breast cancer in the early postoperative period. A comprehensive approach to medical rehabilitation at the I stage led to the preservation of results in the long-term period 1.5 and 6 months after the operation without adverse events.

Accurate Prediction of Knee Angles during Open-Chain Rehabilitation Exercises Using a Wearable Array of Nanocomposite Stretch Sensors.

In this work, a knee sleeve is presented for application in physical therapy applications relating to knee rehabilitation. The device is instrumented with sixteen piezoresistive sensors to measure knee angles during exercise, and can support at-home rehabilitation methods. The development of the device is presented. Testing was performed on eighteen subjects, and knee angles were predicted using a machine learning regressor. Subject-specific and device-specific models are analyzed and presented. Subject-specific models average root mean square errors of 7.6 and 1.8 degrees for flexion/extension and internal/external rotation, respectively. Device-specific models average root mean square errors of 12.6 and 3.5 degrees for flexion/extension and internal/external rotation, respectively. The device presented in this work proved to be a repeatable, reusable, low-cost device that can adequately model the knee’s flexion/extension and internal/external rotation angles for rehabilitation purposes.

Physical treatment of posttraumatic elbow contractures in children – our experience

The most common complications of elbow trauma are contractures and neurovascular injuries. The complications can be a result of the initial injury, but they can also be a result of a surgical treatment. In addition to orthopedic treatment of elbow fractures, physical therapy and rehabilitation play a significant role in treatment of posttraumatic contractures. To determine the effects of physical therapy and rehabilitation of posttraumatic elbow contractures in children. This was a retrospective cross-sectional study conducted in the University Clinic for Physical Medicine and Rehabilitation, Skopje in the period 01.01.2021 – 01.07.2022. A total of 52 children were included, at the age between 2 and 13 years who had a posttraumatic elbow contracture, limited range of motion, pain and/or limitations in accomplishing daily activities. Depending on the clinical finding, children underwent a relevant physical therapy (kinesitherapy, functional therapy, electrotherapy, thermotherapy, hydrotherapy and magnetotherapy) in duration of three weeks. For assessing the effects of the rehabilitation therapy, the range of motion of the elbow and forearm was examined along with the Flynn’s scale in all children, prior to and after completion of the physical treatment. Applied physical treatment resulted in a significant improvement in all analyzed movements such as: elbow flexion (p=0.00001), elbow extension (p=0.00001), forearm pronation (p=0.00001), forearm supination (p=0.0000) and Flynn’s scale (p=0.0000). After completion of the rehabilitation treatment, excellent results were registered in 41 (85%) children, moderate in 10 (19.23%) and favorable in 1 (1.92%). Timely and adequate application of physical therapy and rehabilitation can significantly improve the final outcome in treatment of posttraumatic elbow contractures in children. A combination of different physical procedures adequately applied and personalized can significantly improve the range of motion of the elbow.

Robotic arm inertial control for recreational child physiotherapy application

According to reports from physical therapists, physiotherapy presents a painful and uninteresting process because it distances itself from the ludic, which is a natural essence of the human being, and easily attracts children when applied. In 2021, the “Robotic System for Children's Physiotherapy with Recreational Activities” project was developed, which consisted of a robotic arm to assist in the physiotherapy process of children with Cerebral Palsy. According to the conclusions of the initial project, the developed control was effective in what was proposed but not sufficient for project application in rehabilitation environments In this way, this work present a new control that is safer and that allows its application helping in the rehabilitation of these children. This new control allows the robotic arm to reproduce the movements of the human arm, so that the movement of the forearm, arm and hand are reproduced independently, simultaneously and in real time. Therefore, the prototype control operates reliably and robustly, achieving what was aimed at, a safer and more efficient physiotherapeutic process for users.

Application of Physiotherapy for Physical Welfare December 2021

Physical activities have a key part in every area of the anatomical and physiological system of the human body, although the value of exercise in human health is rarely acknowledged in day-to-day living. In recent days more data are shown most musculoskeletal problems are caused by poor physical activity and poor ergonomics even though they developed as physical illnesses and disorders. Physiotherapy brings a huge contribution to an individual‘s life health and physical abilities. These abilities are considered to be a cornerstone for Health well-being for pediatrics as well as geriatrics. So we like to update the importance, effectiveness, benefits, and awareness of physiotherapy school-going, college-going students, Cardiovascular, Gynecological illnesses. Many researchers and professors in physiotherapy study the effect of exercise on human health and everyday finding in the research.

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Simple SummaryDry needling, used by physical therapists, is a treatment modality used for the management of musculoskeletal pain. It is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues and muscles, with the aim of mechanically disrupting the inner tissues. This technique is called dry needling as the procedure does not involve the injection of any substance. Subacromial syndrome is defined as any kind of non-traumatic, usually unilateral, shoulder problem that causes pain around the acromion, that usually gets worse during or after lifting the arm. It should not be treated with surgical methods as the first option, but with different physiotherapy techniques. In this review, an overview of the effects of dry needling combined with conventional physiotherapy in patients with subacromial syndrome is presented. One of the key focal points is that dry needling combined with physiotherapy is effective and safe in reducing the pain and disability caused by this pathology.Our aim was to evaluate the effectiveness of dry needling (DN) combined with conventional physiotherapy in the recovery of patients with subacromial syndrome (SAS). A search was made of the main open access health science databases. The publication date was not limited for systematic reviews but was for randomized clinical trials (RCTs), which were limited to the last five years (from 2016) in English or in Spanish. Ninety-four studies were selected. In order to assess the quality of the studies, the JADAD scale or Oxford quality scoring system was used. A total of 402 patients were analyzed in all the studies in which the application of conventional physiotherapy was compared to the DN, either in a combination or in isolation. Improvements were obtained in pain intensity (Visual Analogic Scale—VAS), Range of Movement (ROM), Pressure Pain Threshold (PPT), functionality with Disabilities of the Arm, Shoulder and Hand (DASH) and the Shoulder Pain and Disability Index (SPADI), and in the cost–benefit ratio. DN is effective and safe in reducing the pain and disability produced by SAS, with the best combination of treatment turning out to be conventional physiotherapy together with DN, obtaining more stable and longer-lasting benefits than merely applying the techniques in isolation.

Application of physical therapy and occupational therapy methods in the rehabilitation of children with delayed development of psycho-motor’s functions

Application of physical therapy and occupational therapy methods in the rehabilitation of children with delayed development of psycho-motor’s functions

Role of physiotherapy in oral maligant melanoma: A review

Background & Introduction: Oral melanoma is a decrepit, onward & perilous premalignant phase seen chiefly, in the Indians. It is often due to the fulfillment of tobacco. This is treated with remedy pursue by the use of exercise of the mouth stipulated by a physiotherapist. Methodology: The originator directed an ambient search of open access articles of general scientific databases including PuBMed, science direct, Scopus, Web of Science, shodhganga, Google Scholar etc. Two considerable scientific studies were found related to the physiotherapy in oral melanoma. Results: Physiotherapy supervision includes exercises which have demonstrated to have a great efficacy on the oral melanoma protocol – like tongue stretch & “O” exercise. Conclusion: Albeit the elementary care of oral melanoma is dental, the role of physiotherapy is also important greatly. Through the action of opening of the mouth is restrict, the application of physiotherapy has a prominent efficacy.