Effects Of Physical Rehabilitation Research Articles

Effectiveness of physical rehabilitation on clinical outcomes of patients following stroke

Background and purpose Stroke is a leading cause of gait impairment, resulting in long-term disability among adults, and frequently results in impaired mobility or motor function. More than half of the people with stroke are not able to walk, and walking impairments are still present among them due to abnormal muscle control, muscle weakness, abnormal muscle tone, abnormal muscle activation patterns, and altered energy expenditure, mostly affecting the paretic side. Thus, the purpose of the current study was to examine the effectiveness of using combined gait training and treadmill walking technique on selected clinical outcomes of patients with stroke.Patients and methods A quasi-experimental design was used to test the research hypotheses. A convenience sample of 50 adult patients with stroke were recruited.Setting This study was conducted in the outpatient clinics of neurology and physiotherapy unites at Shebin El Kom City, Menoufia University Hospital, Menoufia Governorate.Tools Interviewing Questionnaire, the Barthel Index, the Simplified Stroke Rehabilitation Assessment of Movement Scale, the Berg Balance Scale, the Oxford Scale, and the Modified Ashworth Scale were used to collect data.Results There was a statistically significant improvement in voluntary movement of subscale scores of the upper and lower limb and basic mobility after intervention. There was a statistically significant improvement in the mean scores of activities of daily living and body balance after intervention. There was a statistically significant improvement in the mean score of muscle tone and muscle strength after intervention.Conclusion Combined gait training and treadmill walking technique is effective in improving clinical outcomes in patients with stroke.Recommendation Rehabilitation nurses should be encouraged to implement the combined gait training and treadmill walking technique as a routine practice in rehabilitation facilities for patients with stroke.

Physiotherapy led early rehabilitation of the patient with critical illness

Background: Studies revealing the effectiveness of physical rehabilitation techniques provided during a critical care admission have been hampered by experimental control issues and ethical constraints. However, because of worldwide variations in physiotherapy practice, differences in patient outcomes can be investigated when physical rehabilitation is provided immediately upon critical care admission compared to rehabilitation initiated after extubation, after withdrawal of mechanical ventilation, after discharge from the acute environment or not at all.Objectives: The purpose of this review is to examine reports describing the effects of physical rehabilitation which is commenced immediately on critical care admission compared to rehabilitation which is delayed.Major findings: Overall, early initiation of rehabilitation reveals an increased incidence of physiotherapy consultation, decreased time to achieve activity milestones, improved functional outcomes at intensive care unit and hospital discharge and reduced direct patient costs. Where early rehabilitation is already a key component of care for critically ill patients, research has concentrated on determining the acute physiological effects of interventions, or the impact of providing additional specific therapies to overall functional and administrative outcomes.Conclusions: Early physiotherapy led rehabilitation of the critically ill patient has the potential to dramatically influence recovery and functional outcomes in this vulnerable patient group.

P3.161 Effect of physical rehabilitation on perceived quality of life of persons with Parkinson disease

P3.161 Effect of physical rehabilitation on perceived quality of life of persons with Parkinson disease