Motion Exercises Research Articles

Functional Outcomes of Patients with Ankylosed Elbow Managed with Fascia Lata Interposition Arthroplasty and Early Post-operative Active Motion Protocol

Background: Interposition arthroplasty is a non-prosthetic-requiring surgery that restores motion in young patients with ankylosed elbows who are not amenable to total elbow arthroplasty, elbow arthrodesis, or resection arthroplasty. This procedure usually requires extensive soft tissue stripping to free the elbow joint, an interposition graft, and post-operative immobilization. Objective: This study determined the functional outcomes of patients who underwent interposition arthroplasty of the elbow with early post-operative active motion exercise protocol, foregoing external fixation. Methodology: The study retrospectively reviewed charts of patients treated by a single surgeon for ankylosed elbows from 2017 to 2023 in a tertiary institution. All patients initiated early overhead active motion exercises as early as 24–48 hours post-surgery without any external fixation. Pre-operative and last follow-up functional outcomes were determined using the Mayo Elbow Performance and Fil-DASH scores. Result: The study included six patients with a mean age of 44 (24–61). Mayo Elbow Performance improved by a mean of 23% and Fil-DASH scores improved by a mean of 92%. Patients’ average arc of motion was 65˚ at a mean follow-up of 20 months. All elbows were stable and painless throughout the arc of motion. Conclusion: Interposition arthroplasty using tensor fascia lata graft combined with early overhead active motion is a viable surgical option for pain relief and improvement of motion in patients with elbow ankylosis who are candidates for either total elbow arthroplasty or arthrodesis.

APPLICATION OF RANGE OF MOTION EXERCISE THERAPY IN PATIENTS EXPERIENCING INEFFECTIVE PERIPHERAL PERFUSION WITH TYPE 2 DIABETES MELLITUS AT PASAR REBO HOSPITAL, JAKARTA

Introduction: Health problems can affect the systems in the human body, one of which is the endocrine system, which is often disrupted. Endocrine health problems are diseases that attack the endocrine system. There are many types of diseases that attack the endocrine system, one of which is diabetes mellitus. Objective: To provide an overview of nursing care for patients who has ineffective peripheral perfusion with diabetes mellitus type 2 using the application of range of motion exercise therapy at RSUD Pasar Rebo. Method: Qualitative descriptive research type with a case study research method, namely, by collecting data. Sources of assessment data were obtained from observation, interviews, family, nursing notes and literature study. Results: The results of the research in this scientific paper proposal, based on the results of case studies in several research journals, state that it was found that there was a good influence on the AnkleBrachial Index (ABI) as an indicator of the resolution of the problem of ineffective peripheral perfusion, after carrying out range of motion exercise therapy in patients with diabetes. experiencing ineffective peripheral perfusion problems with diabetes mellitus type 2 with an implementation duration of 2 days. Conclusion: In nonpharmacological therapy by carrying out range of motion exercise therapy, peripheral perfusion problems were not effectively resolved. by the improving of Ankle-Brachial Index value.

Effectiveness Range of Motion Therapy and Warm Water Compresses on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients: Scoping Review

Background: Stroke is the most common cause of disease in the world and is the highest cause of death in Indonesia, so prevention is essential to minimize disability and stroke death. To restore and increase muscle strength in stroke patients, the solution is to do Range Of Motion (ROM) Exercises and Warm Compresses. This Scoping Review aimed to identify the effectiveness of Range Of Motion therapy and warm compresses on increasing muscle strength in non-hemorrhagic stroke patients. Methods: The method used is a Scoping Review using journal databases from PubMed, Science Direct, and Google Scholar in the range of 2020-2023 with the keywords "Range Of Motion Therapy", "Warm Compress", "Muscle strength" and "Non-Hemorrhagic Stroke" and stroke obtained as many as 2381 articles. Results: Search for articles according to the criteria and get 10 ready to be reviewed. The articles describe the effectiveness of ROM therapy and warm compresses in increasing muscle strength in non-hemorrhagic stroke patients. Conclusion: It is expected in stroke patients to attempt to control Range Of Motion therapy and warm water compresses.

Effectiveness of the Application of Range of Motion (ROM) with the Cylindrical Grip Method on Increasing Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Patients: A Systematic Review

Background: The Ministry of Health revealed that in 2023, stroke cases will increase, and funding for stroke will be very large, causing other diseases. Therefore, patients must carry out the cylindrical grip method independently without large costs. ] This study aims to assess the effectiveness of applying Range of Motion (ROM) exercises using the Cylindrical Grip method to enhance upper extremity muscle strength in non-hemorrhagic stroke patients. Methods: A literature review was carried out using PRISMA flow diagrams. The journal databases used are Google Scholar and Scopus. Inclusion criteria include articles that focus on the effect of the cylindrical grip method on non-hemorrhagic stroke patients, journals for the last 5 years, full pdf access, the exclusion criteria are research articles of the review type. Results: The search results obtained 10 journals by searching two databases: Google Scholar and Scopus Conclusion: The cylindrical grip method significantly increases muscle strength in non- hemorrhagic stroke patients and can be used as a gradual mobilization method that can be carried out at home independently by the patient.

Don't Sleep on Sleep: A Case Report from a Division I Heptathlete.

A female NCAA Division I track athlete experienced non-localized shin pain midway through her first season, which was diagnosed as medial tibial stress syndrome. Treatments included strengthening and range of motion exercises, reduced training volume, and pain control modalities, but symptoms worsened. It was revealed she had been suffering from severe sleep deprivation (<3 hours/night) contributing to bilateral tibial and fibular stress reactions. Months of trial and error eventually resulted in the implementation of sleep interventions which improved her total body bone mineral density and bilateral stress reactions. Two years after successful sleep interventions this athlete has remained injury-free and continues to set personal bests in her events. Our standard injury screening protocols did not include questioning sleep quality and quantity early in the process and this case highlights the need for these measures to be considered initially and throughout the treatment and recovery phases of sports-related injuries.

Game-based physical education learning to improve basic manipulative movement skills in primary school children

Physical education plays an important role in the development of children's motor skills, especially at primary school age. Basic manipulative movement exercises that focus on object manipulation, ball games and other games can accelerate the development of hand-eye coordination and gross motor skills. This study aims to develop and implement an effective game-based physical education learning model to improve the basic manipulative movement skills of primary school children. The type of research used is pre-experimental research, one group pre-test post-test design. The study population consisted of students aged 9-10 years of grade 4 in Palembang City, with a sample of grade 4A total 25 students who participated in game-based learning for 8 sessions. The results of this study indicate that the use of the game model in learning has a significant effect on the improvement of learners' manipulative movement skills. Educators and coaches are advised to use the game model as the main tool in children's motor development, with adaptations based on learners' initial abilities.

Pedagogical strategy of teaching-learning projectile throwing in third year baccalaureate students of the “Santa Rita Educational Unit”

A pedagogical strategy is presented for teaching projectile launching to third-year high school students at the Santa Rita Educational Unit. It is focused on teaching concepts such as parabolic trajectory, initial velocity and launch angle, which are fundamental. to understand the motion of projectiles in physics. To facilitate this learning, the PhET interactive simulator was used, which allowed students to manipulate different variables and observe how these affect the behavior of the projectiles in real time. The methodology was implemented in three phases: a theoretical introduction to the key concepts, an interactive experimentation phase with the PhET simulator, and an evaluation based on theoretical and practical tests. In addition, this pedagogical strategy seeks to promote active and participatory learning, where Students become protagonists of their own learning process, exploring and discovering the effects of changes in launch parameters. The result was the evaluation of the students, which was carried out through tests that combined theoretical questions about the principles of projectile movement and practical exercises that required them to apply what they learned in simulations.

Injuries to the lateral ankle ligaments

Acute sprains and ruptures of the lateral ankle ligaments are the most common injuries of the ankle joint. They are often related to sporting activity and predominantly affect individuals under 40 years old. Lateral ligament injuries occur due to supination trauma. The anterior talofibular ligament is most commonly affected often in combination with the calcaneofibular ligament. In contrast, ruptures of all three lateral ankle ligaments (luxatio pedis supinatoria) or complete ruptures of the medial and lateral ligaments (luxatio pedis cum talo) are extremely rare. The clinical diagnostics have ahigh sensitivity and specificity andX-ray images are used to exclude fractures and other accompanying injuries. In cases of acute injuries conservative treatment in an orthosis for 5-6weeks to prevent supination is the method of choice. Surgical treatment is reserved for exceptional indications. For both operative and conservative forms of treatment the functional treatment with initial movement exercises in asemi-rigid orthosis and the following proprioceptive training are crucial for the success of treatment and show superior results compared to immobilization in a surgical cast.

Workout at a virtual gym: Surrounding avatar's motion speed and exercise intensity effect on the user's time perception.

This study explored the relationship between surrounding avatars and time perception in a virtual reality (VR) gymnasium. Previous research has highlighted that motion speed and exercise intensity significantly influence time perception. In VR, time perception is shaped by various factors, such as an avatar's embodiment at different levels. However, the specific effects of the surrounding avatar on time perception in a VR gymnasium context remain unclear. Thus, this study focuses on two key attributes of the surrounding avatar: (1) motion speeds and (2) exercise intensity. Participants in a VR gymnasium either rode a stationary bike or sat on one while observing avatars performing exercises in the virtual environment(VE). They were then asked to estimate the duration judgment and the feeling of the passage of time for each task. The results revealed that when the surrounding avatars exercised at a faster motion speed, participants perceived the duration of time as longer and felt that time passed more quickly. Additionally, high-intensity exercise led participants to perceive the passage of time as faster.

The clinical effects of pulsed electromagnetic field therapy for the management of chronic ankle instability: a study protocol for a double-blind randomized controlled trial

BackgroundChronic ankle instability is associated with long-term neuromuscular deficits involving poor postural control and peroneal muscular impairment. Symptoms of chronic ankle instability hinder engagement in physical activity and undermine the patient’s quality of life. Despite the existence of various treatment modalities, none has conclusively provided evidence of clinical effectiveness in counteracting neuromuscular deficits, such as arthrogenic muscle inhibition of the peroneal longus (PL). Pulse electromagnetic field therapy employed as an adjunct biophysical therapy can potentially improve stability by mitigating peroneal muscle weakness and by activating the peroneal muscle. We postulate that by combining standard care (muscle strengthening, balance training, and range of motion exercise) with pulse electromagnetic field therapy, postural control stability and peroneal muscle weakness will significantly improve.MethodsThis is a prospective, randomized, double-blind, placebo-controlled trial. A total of 48 adults with chronic ankle instability will be recruited and randomly allocated into either the intervention or control groups. The intervention group (n = 24) will receive active pulse electromagnetic field therapy and standard exercise training, while the control group (n = 24) will receive sham pulse electromagnetic field therapy and standard exercise training for 8 weeks. Primary and secondary outcomes will be evaluated at baseline, week 4, 8 as well as at 3-, 6-, and 12-month follow-up visits.DiscussionChronic ankle instability is a common debilitating condition without a curative conservative treatment. Investigating different treatment modalities will be essential for improving rehabilitation outcomes in this clinical population. This study will investigate the effectiveness of pulsed electromagnetic field therapy on the functional and clinical outcomes in the chronic ankle instability population. This trial may demonstrate this non-invasive biophysical therapy to be an effective measure to help patients with CAI.Trial registrationClinicalTrials.gov NCT05500885. Registered on August 13, 2022.

Surveying the correlation of temperature measuring by new infrared method and range of motion of joints after joint movement exercises

Surveying the correlation of temperature measuring by new infrared method and range of motion of joints after joint movement exercises

Analysis of the effect of range of motion exercises on the quality of life of post-stroke patients at royal prima hospital Medan in 2024

Stroke is a severe medical condition that occurs due to the interruption of blood supply to the brain, either through blockage (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). With more than 15 million cases each year worldwide, stroke is a leading cause of disability and death, with a significant impact on patients' quality of life. In Indonesia, the prevalence of stroke is very high, especially among adult patients, which contributes to the high mortality and disability rates. This study aims to evaluate the effect of Range of Motion Exercises on the physical condition and quality of life of post-stroke patients at the Rehabilitation Polyclinic of Royal Prima Hospital Medan. Using a correlational descriptive research design with the One Group Pretest-Posttest approach, this study involved 30 respondents who underwent a range of motion exercises. The results of the analysis showed that before the intervention, the majority of patients were in the poor quality of life category. However, after undergoing a rehabilitation program, there was a significant improvement in the patient's quality of life, where 50% of the respondents reported an excellent quality of life. This study indicates that range of motion exercises are effective in improving the quality of life of stroke patients, which has the potential to make an essential contribution to the development of stroke rehabilitation programs in Indonesia.

Comparison Between Robotic Finger Therapy Exercise and Conventional Exercise on the Range of Motion of the Metacarpophalangeal Joints: Study of Post-stroke Patients at Diponegoro National Hospital

BACKGROUND : Metacarpophalangeal (MCP) joints range of motion (RoM) exercise can be done using either conventional exercise or robotic finger therapy. This study aimed to compare MCP joints RoM improvement between conventional exercise and robotic finger therapy exercise in post-stroke patients. METHOD : This study was a randomized controlled trial pre and post test controlled group design. The data were taken from individuals aged 45-65 years with a history of stroke undergoing medical rehabilitation at the Diponegoro National Hospital before and after intervention (robotic finger therapy exercise vs conventional exercise) for 6 weeks. MCP joints RoM was measured using goniometer before and after the intervention. Datas were analysed using SPSS ver 20.0. Normality of data distribution would be assessed using the Shapiro-Wilk test. Differences in the RoM of MCP joints before and after treatment in each group were tested using paired t-test. Group differences were tested using unpaired t-test. RESULT : There was significant RoM improvement in each MCP joint in each group before and after the treatment (p&lt;0.05). There was no significant difference in RoM improvement between groups (p&gt;0.05). CONCLUSION : Both robotic and conventional therapy significantly improve MCP joints RoM in post-stroke patients. There was no significant difference in MCP joints RoM improvements between robotic finger therapy and conventional exercise.

SORAKDASTRA: Innovation in Learning Media to Enhance Basic Movement Skills of Blind Students

The purpose of this research is to improve the basic movement skills of blind students through the application of SORAKDASTRA media in circuit training. SORAKDASTRA utilizes circuit training, which is used to conduct basic movement exercises tailored to the types of basic movements in physical education learning. The research method employed is developmental. This development research uses the ADDIE model design (Analysis, Design, Development, Implementation, Evaluation). The data collection instrument is a questionnaire using media assessment instruments and basic movement skills instruments. Data analysis in this study was conducted using quantitative descriptive analysis. Data collection was carried out over one month and included six accompanying sessions. Subsequently, the basic movement tasks designed for the students were validated by experts and practitioners in physical education with scores of 98.6% for adaptive physical education experts, 97.3% for motor skills experts, 98.6% for blind experts, 94.6% for media experts, and 85.3% for surface design experts. SORAKDASTRA is a book made from scrap fabric and embroidered in 3D to create a raised effect on the images of basic activities. Based on statistical analysis, the results of the non-parametric test for skills were significant (Sig&lt;0.05), indicating an improvement in the learning outcomes for non-locomotor, locomotor, and manipulative basic movement skills among students at SLB A. The learning outcomes for the students improved by 57% using the N-Gain test. Based on data analysis and discussion, it can be concluded that teachers and blind students greatly need the SORAKDASTRA learning media to enhance basic movement skills (non-locomotor, locomotor, and manipulative).

Passive Movement Exercise of the Lower Limbs May Facilitate Wound Healing in Patients With Diabetic Foot Ulcers.

Diabetic foot ulcers are a frequent and serious complication of diabetes with a high risk of amputation. Exercise has been shown to promote wound healing; however, patients with non-healing foot ulcers have limited ability to exercise due to the foot ulcer. Other strategies are therefore warranted. We evaluated the effect of eight weeks of two-leg passive movement exercise on wound healing in patients with non-healing diabetic foot ulcers. Twenty-one patients were included in the study and randomized into either a control or a passive movement exercise intervention group. The primary outcome measure was the wound area. Sixteen participants completed the trial. Wound sizes for the passive movement intervention group were 274 mm2 and 58 mm2 at baseline and week 8, compared to 148 mm2 (p=0.31) and 136 mm2 (p=0.51) in the control group (week 16; 7 mm2 vs. 23 mm2, p=0.55). The mean wound area percentual reduction between baseline and week 8 was higher in the intervention group (76% vs. 36%, difference 40%, p=0.062). The two-leg passive movement intervention showed a non-significant difference in wound healing and was well tolerated by patients with diabetic foot ulcers. Although the study shows potential, the results should be interpreted with its limitations of being underpowered and potentially confounded. We encourage larger randomized controlled trials to be conducted, to elucidate whether the two-leg passive movement intervention can be used to accelerate wound healing in non-healing ulcers.

Stress response of 18-, 24- and 30-month-old sport horse stallions to a pretraining programme

Warmblood sires traditionally have been presented for stallion licencing at 2 years of age, but the age at which horses are mentally fit for training is a point of controversy. We have therefore investigated the stress response of young stallions to pretraining for licencing. Salivary cortisol concentration, heart rate and heart rate variability (HRV) were determined repeatedly over 12 weeks. Stallions were 24 and 30 months old and either housed in groups or individual boxes (Group 24, n = 9; Box 24, n = 10; Box 30, n = 10). Pretraining included free movement in an indoor arena, training in a horse walker, lunging and jumping of obstacles without rider. In addition, group-housed 18-month-old stallions (Group 18, n = 10) underwent an abbreviated programme with only free movement and horse walker exercise. We hypothesised that the stress response to pretraining is reduced by group housing but not affected by age. In stallions of all groups, cortisol concentration increased in response to pretraining events (P < 0.001). Cortisol release differed among events (P < 0.001) was most pronounced after free movement in weeks 1 and 2 and became less pronounced with event repetition (P < 0.001). When horses were in the horse walker for the first time, cortisol release was increased in group-housed in comparison to individually housed stallions (time × stable P < 0.001). An increase (P < 0.001) in heart rate differed among events (P < 0.001) and became smaller with repetition (P < 0.001). The HRV decreased transiently in response to pretraining events (P < 0.001) indicating sympathoadrenal activation. In conclusion, pretraining of young stallions is both a physical and a mental demand and induces a stress response. With the repetition of events, even stallions as young as 18 months adapted rapidly to these demands. Group housing had no stress-reducing effects. Our study does not provide evidence that the systematic pretraining of young Warmblood stallions raises animal welfare concerns.

Effectiveness of McKenzie exercises plus stabilization exercises versus McKenzie exercises alone on disability, pain, and range of motion in patients with nonspecific chronic neck pain: A randomized clinical trial.

Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition. This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain. A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (> 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula. The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0-10 scale, 95% CI -1.8 to -0.6; p< 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension. Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. This combined approach can improve outcomes.

Knee Arthroplasty for Ankylosis in a Patient with Severe Hemophilia A

Abstract Hemophilic arthropathy is a common complication of hemophilia A and can lead to chronic synovitis, joint damage, and eventually ankylosis. We present a case report of a 39-year-old male patient with a history of recurrent hemorrhages into the joints. He had a history of traumatic injury to both upper limbs and lower limbs. The patient was on bed rest for 6 months. Subsequently, he developed ankylosis of both elbows in 30° of flexion and ankylosis of the right (Right) knee in 40° of flexion with tricompartmental arthritis of the left knee joint. Radiologically, the left knee joint showed reduced joint space with tricompartmental arthritis. The patient was managed by the tumor prosthesis for the Rt knee. He was advised for management of the elbow joints for which he was not willing. Postoperatively, he was allowed knee range of motion exercises and walking with a walker for 4 weeks followed by a stick for 1 month. At 6-month follow-up, he was able to walk effortlessly without support. The Knee Society Score improved from 47 preoperatively to 75 at 6-month follow-up.

Challenges in service robot devices for elderly motion assistance

Abstract Motion assistance for elderly people is a field of application for service robotic systems that can be characterized by requirements and constraints of human–machine interaction and by the specificity of the user’s conditions. The main aspects of characterization and constraints are examined for the application of service systems that can be specifically conceived or adapted for elderly motion assistance by having to consider conditions of motion deficiency and muscular strength weakness as well as psychological aptitudes of users. The analysis is discussed in general terms with reference to elderly people who may not even suffer from specific pathologies. Therefore, the discussion focuses on the need for motion exercise in proper environments, including domestic ones and frame familiar to a user. The challenges of such applications oriented toward elderly users are discussed as requiring research and design of solutions in terms of specific portability, user-oriented operation, low costs, and clinical-physiotherapeutic functionality. Results of the author’s team experiences are presented as an example of problems and attempted solutions to meet the new challenges of service systems for motion assistance applications for elderly people.

Effectiveness of Nurse-Led Stroke Rehabilitation on Awareness, Activities of Daily Living and Coping in Stroke Patients at a Tertiary Care Hospital in India.

Introduction Stroke is a major global cause of mortality and disability, with many survivors lacking awareness. Nurses play a pivotal role in the early identification and management of symptoms with regard to stroke. The present study aimed to assess the effectiveness of stroke rehabilitation on awareness, activity of daily living (ADL) and coping among stroke patients. Methods A quasi-experimental approach was used, with 60 stroke patients (30 patients in the study and 30 patients in the control group) selected using a non-probability purposive sampling technique. The pre-test on stroke awareness by the stroke knowledge assessment tool, ADLwas assessed by the Barthel Index, and coping was assessed through the Brief-COPE (Coping Orientation to Problems Experienced) scale among stroke patients. The investigator implemented stroke rehabilitationfor study group participants and routine was followed for control group patients. Nurse-led stroke rehabilitation consists of Day 1 lecture on the causes, medication adherence, post-stroke complications, and home care following a stroke; Day2: Tailored to individual needs - demonstration of meeting ADL such as bathing, toileting, grooming, and feeding; Day 3: Demonstration of active and passive range of motion (ROM) exercises; Days 4-7: Supervised practice sessions on meeting daily activities as well as active and passive exercises. Daily practices last 40 minutes once a day was carried out. Post-test was conducted on the 30th day at neurology OPD during a re-visit, on stroke awareness, ADL and coping. The data was organized and analyzed using descriptive and inferential statistics. Results The control group had a mean awareness of causes, symptoms, management, and prevention of complications of stroke with a mean score of 11.7 while the study group had 13.6, which was statistically significant at p < 0.05. ADL comparison between control and study groups revealed that the ADL mean score was 12.07 in the control group and 13.23 in the study group significant at p < 0.05. A significant disparity in coping was found between the control group (30.3) and the study group (35.03), which was statistically significant at p < 0.01. Conclusion The study reveals that stroke rehabilitation led by nurses is more effective for stroke patients in improving their coping abilities, ADLs, and awareness.