Function In Patients Research Articles

Особливості ходьби хворих з остеоартрозом колінного суглоба до та після ендопротезування за даними системи GaitRite

Актуальність. Апаратні обстеження є запорукою стандартизації оцінки стану хворих, які мінімізують помилку лікаря, дають можливість отримати цифровий матеріал, за яким можна визначити функціональну спроможність пацієнта. Одним із таких досліджень є система GAITRite, призначенням якої є оцінка параметрів ходьби людини. Мета дослідження: визначити основні параметри ходьби хворих на гонартроз до та після операції ендопротезування. Матеріали та методи. Обстежені 23 пацієнти з гонартрозом після одностороннього ендопротезування. Проведені дослідження стосуються аналізу часових, геометричних параметрів ходьби, а також оцінки функціональної спроможності хворих із дегенеративними захворюваннями колінного суглоба до лікування та через 1 рік після ендопротезування. Результати. До лікування з приводу остеоартрозу колінного суглоба у хворих спостерігається порушення ходьби у вигляді несиметричності кроків. Спостерігаються зменшення часу опори на стопу хворої кінцівки і, відповідно, збільшення часу переносу стопи даної кінцівки. Зміни на хворій кінцівці відображуються і на протилежній. Після операції зміни параметрів кроків у хворих відбуваються так: збільшення часу опори на протезовану кінцівку і, відповідно, зменшення часу опори на стопу протилежної кінцівки, що проявляється в збільшенні симетричності параметрів кроків. Зменшення больового синдрому та відновлення опірності кінцівки збільшують показник функціональності ходьби. Остеоартроз є системним захворюванням, що розвивається частіше на обох колінних суглобах, і часто в дегенеративний процес залучаються інші структури скелета. Тому у хворих похилого віку FAP після ендопротезування сягає тільки задовільних значень. Ми розглядали хворих після ендопротезування на одному колінному суглобі, а це не завжди дає одразу очікуваний гарний результат. Висновки. Інструментальні методи дослідження ходьби хворих дають можливість визначити ступінь порушення динаміки. Ендопротезування колінного суглоба усуває больовий синдром і відновлює опірність кінцівки, що сприяє покращенню ходьби. Даний метод оцінки ходьби дає можливість визначити ступінь відновлення хворих та скорегувати необхідність подальших методів корекції ходьби чи план подальшого лікування.

Features of statographic indicators of patients with coxarthrosis before and after arthroplasty

Background. Degenerative diseases of the hip joints are accompanied not only by pain, but also by changes in the anatomical proportions of the joint. Hip replacement eliminates pain syndrome, in most patients the anatomical proportions of the joints are restored, but if the clinical outcome of arthroplasty can be assessed radiologically, the result of functional recovery is difficult to assess, especially in dynamics. Statographic research today is one of the main diagnostic methods to monitor the recovery of patients after orthopedic surgeries. Purpose: according to statographic studies to determine the parameters that reflect the functional ability of patients to maintain an upright posture and monitor their changes in the recovery process after hip replacement surgery. Materials and methods. We examined 50 patients with degenerative diseases of the hip joint before and after arthroplasty. Data from standard study protocols were analyzed. Results. Before the operation, the oscillation coefficient differs markedly from the norm for all types of stance. Six months after surgery, normalization of swing is observed at single and double leg stance on a healthy extremity, but for the prosthetic limb, the oscillation coefficient does not improve significantly. Before the operation in double leg stance, there was a shift of the center of mass towards a healthy limb, after 6 months the deviation is significantly reduced. At single leg stance, there is a noticeable shift of the body towards a healthy limb, which decreases after arthroplasty. After surgery, patients have a decrease in the deviation of the body backwards in all types of stance, as well as a decrease in the rotation of the body in single leg stance, the load on the operated limb increases. Conclusions. In patients with coxarthrosis, the support ability of the damaged limb is impaired, which is confirmed by the displacement of the center of mass towards a healthy limb, the load on the foot of the affected limb decreases, the ability to maintain balance is reduced in both double and leg single stance. Monitoring these parameters is a mean to control the restoration of the function of maintaining the balance in patients after hip arthroplasty.

Meta-Analysis the Effect of Aquatic Therapy on Functional Ability in Patients with Knee Osteoarthritis

Background: Knee OA can affect mobility in the elderly causing pain and impaired functional ability. This study aims to analyze the effect of aquatic therapy on functional ability in knee osteo­arthritis patients based on the results of a number of previous primary studies.. Subject and Method : This study was conducted using a meta-analysis method with articles searched using the search keywords "knee osteoarthritis" OR "osteoarthritis genu" AND "aquatic therapy" OR "hydrotherapy" OR "water exercise" AND "functional ability" OR "WOMAC" AND "Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3. Results : 9 RCT articles that fit into the inclusion criteria, with a total of 573 samples. Knee OA patients receiving aquatic therapy had a mean WOMAC score of 1.22 units lower than those without aquatic therapy, and the effect was statistically significant (SMD = -1.22; 95% CI -2.03 to -0.41; p = 0.003). In other words, aquatic therapy is effective in improving functional ability in knee OA patients. Conclusion: Aquatic therapy has an effect on increasing functional ability in knee osteoarthritis patients. Keywords: Osteoarthritis, aquatic therapy, WOMAC index Correspondence: Wita Hana Puspita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wita.tj0408@gmail.com. Mobile: +628164837959. Indonesian Journal of Medicine (2022), 07(02): 138-149 https://doi.org/10.26911/theijmed.2022.07.02.03

Effect of core stabilization exercises on lumbar lordotic angle in patients with lumbar disc degeneration

IntroductionAlthough core stabilization exercises (CSEs) prove to be effective in patients with various musculoskeletal disorders, their impact in lumbar disc degeneration (LDD) has not been fully investigated. This study aimed to examine the effects of CSEs on lumbar lordotic angle (LLA), pain intensity, and functional disability in patients with LDD.MethodsOverall, 97 adult patients of both genders with LDD were randomly assigned to the study or control group. The study group (<i>n</i> = 48) received CSEs in addition to traditional physical therapy; the control group (<i>n</i> = 49) received only traditional physical therapy, 3 sessions per week for 12 weeks. LLA, pain intensity, and functional disability were determined before and after the treatment program. LLA was measured with the Surgimap Spine software on marked lateral view X-ray films (OmniDiagnost Eleva); pain intensity was evaluated with visual analogue scale (VAS); functional disability was assessed with Oswestry Disability Index (ODI).ResultsThere was no significant pre-treatment difference between the groups in LLA (<i>p</i> = 0.84), VAS (<i>p</i> = 0.49), or ODI (<i>p</i> = 0.12). Significant post-treatment differences were observed in both groups in all variables (<i>p</i> = 0.001). However, there was a significant decrease in the mean post-treatment values of all variables (<i>p</i> = 0.001) in the study group compared with the control group.ConclusionsCSEs could provide an additional effect of improving LLA, pain intensity, and functional abilities in patients with LDD.

Achievement of more stringent disease control is associated with reduced burden on workplace and household productivity: results from long-term certolizumab pegol treatment in patients with psoriatic arthritis.

Psoriatic arthritis (PsA) impacts the physical health and functional ability of patients, leading to reduced productivity. High unemployment rates and absence due to sickness have been reported in patients with PsA. This post hoc study investigated certolizumab pegol treatment impact on workplace and household productivity in patients with PsA, and assessed whether achievement of more stringent disease control was associated with greater improvements in productivity. RAPID-PsA was a 216-week phase III trial. This post hoc study used a generalised estimating equations (GEE) model to examine the disease activity association, measured using American College of Rheumatology (ACR) and Disease Activity in PSoriatic Arthritis (DAPSA), and workplace and household productivity, assessed using an arthritis-specific Work Productivity Survey (WPS). The GEE model estimated the mean cumulative number of days patients meeting different disease control criteria were affected by absenteeism or presenteeism in the workplace and household. In all, 273 patients were randomised to certolizumab pegol and 183 (67.0%) completed Week 216. At baseline, 60.8% of patients were employed outside the home. Improved disease control, measured using ACR and DAPSA criteria, was associated with fewer cumulative days affected by workplace absenteeism through Week 216: ACR70: 4.1 days, ACR50 to <70: 7.7, ACR20 to <50: 20.9, <ACR20: 35.7; DAPSA remission (REM): 3.3, low disease activity (LDA): 9.8, moderate disease activity (MoDA): 22.4, high disease activity (HDA): 54.0. Improved disease control was also associated with fewer days affected by workplace presenteeism: ACR70: 5.6, ACR50 to <70: 19.3, ACR20 to <50: 71.2, < ACR20: 141.2; DAPSA REM: 5.7, LDA: 25.8, MoDA: 77.2, HDA: 223.6. Similar associations between greater disease control and improved productivity were observed for household absenteeism and presenteeism. This post hoc study demonstrates the cumulative workplace and household work productivity benefits for patients with PsA when achieving more stringent thresholds of disease control with certolizumab pegol treatment.

COVID-19 AND THE THYROID FUNCTION IN PATIENTS WITH HCV- ASSOCIATED HEPATOCELLULAR CARCINOMA.

COVID-19 is more than a respiratory infection, with deep implications regarding multiple systems and organs. Thyroid damage is frequent in COVID-19 and may overlap previous HCV or HCC associated diseases. The objective of this study is to determine the effects of COVID-19 in patients with HCV associated HCC and thyroid comorbidities. We performed a retrospective study of the thyroid function tests and autoantibodies in patients with HCV-associated HCC prior and during COVID-19. We included 52 consecutive patients with HCV-associated HCC and documented thyroid disease, diagnosed with COVID -19 between April and October 2020. Serum values of thyroid-stimulating hormone, free T3, free T4, anti-thyroglobulin antibodies and anti-thyroid peroxydase antibodies were determined and compared to baseline levels. At baseline, 44 patients had positive antithyroid antibodies, 6 had hypothyroidism in substitution and 2 had hyperthyroidism under treatment. During COVID-19 we found an increase in serum values of antithyroid antibodies, and decreased levels of TSH, freeT3 and freeT4 levels. Specific therapies were discontinued in one patient with hyperthyroidism and 3 patients with hypothyroidism. There is a significant impact of COVID-19 on the thyroid homeostasis; a long-term prognostic value for patients with HCC infected with COVID-19 required further extensive research.

Prosthetic management of severely resorbed mandibular ridge using neutral zone technique in complete dentures: a case report

Any prosthodontic procedure aims to restore a patient's function, contours, aesthetics, speech, and health to normal. In traditional complete dentures, achieving optimal denture stability is always found to be a challenge. This is often exacerbated in resorbed mandibular ridges. Therefore, this article describes a strategy for enhancing the retention of mandibular complete dentures for individuals with an extremely resorbed ridge. A patient reported to the department of prosthodontics with a chief complaintof loose dentures and wanted to get them replaced. A complete clinical examination was carried out which revealed severely resorbed mandibular ridge. After a complete evaluation, prosthetic rehabilitation with a complete denture using the neutral zone technique was panned. The complete denture was made and delivered to the patient was superior in terms of stability, function and aesthetics. The clinician should understand the advantages of the neutral zone technique and implement it in clinical practice sothat a prosthesis that is functionally, physiologically and psychologically acceptable to the patient can be delivered.

Effectiveness of Closed Kinetic Chain Exercise on Increasing Functional Strength in Knee Osteoarthritis Patients

Introduction: The prevalence of osteoarthritis increases with age with functional impairment. With Closed Kinetic Chain Exercise (CKCE) patients are able to increase movement in the knee area. Objective: To provide an overview of various evidence from previous studies regarding the effectiveness of Closed Kinetic Chain Exercise in improving functional ability in patients with knee osteoarthritis. Methods: Conducted a literature review by searching through electronic databases namely Garuda, Pubmed, and Google Scholar, and obtained 5 relevant research articles from 2016-2021 based on inclusion and exclusion criteria. Results: After being given closed kinetic chain exercise, it was found that there was a decrease in complaints such as pain and an increase in the strength of functional movement in patients with knee osteoarthritis. Conclusion: closed kinetic chain exercise is effective in improving functional ability in patients with knee osteoarthritis

Effect of new reflexology maneuver on lung function and functional ability of chronic obstructive pulmonary disease patients in pulmonary rehabilitation program: A randomized control trial

Introduction. Chronic obstructive pulmonary disease (COPD) is a complex disease that requires multidisciplinary interventions provided by a team work of care providers working closely. Pulmonary rehabilitation should be considered a part of integrated patient management. Aim. The main goal of this study was to search for the effectiveness of introducing new reflexology maneuver as main component in pulmonary rehabilitation program (PRP). Material and Methods. Randomized control trial was done on 35 COPD patients of both genders their ages ranged from 50-70 with different degrees of functional severity. Patients were grouped into two groups; Reflexology Group (20 patients) including patients underwent classic PRP with addition of the new reflexology maneuver&amp; control group(15 patients) who underwent classic PRP without reflexology maneuver.Outcomes were mentioned as refinement of pulmonary function,exercise tolerance and capacity measured by 6-min walk test,dyspnea score measured by the Modified British Medical Research Council (mMRC) Questionnaire, health status assigned by Combined Assessment test (CAT) score and parameters of blood gases. Results. Comparison between different variables in both groups before PRP and reflexology revealed statistically significant differences as regards the mean values of forced vital capacity (FVC) only, although the same comparison after full course of PRP and reflexology assigned statistically significant differences as regards the mean values of partial pressure of O2 (PO2), partial pressure of CO2 (PCO2), oxygen saturation (SaO2),forced expiratory volume in 1sec (FEV1), dyspnea &amp;CAT score considering (p &lt; 0.05). Conclusion. With addition of reflexology to PRP the comprehensive PR program outcomes in COPD patients resulted in significant improvement in dyspnea, blood gases, FEV1 and CAT score.

Function, sarcopenia and osteoporosis 10 years after a femoral neck fracture in patients younger than 70 years

Background and purposeA femoral neck fracture (FNF) may have long-term effects on the patient's function, also in patients younger than 70 years. These long-term effects are not well described, since most studies have short follow-ups. The aim of this study was to investigate clinical outcome by performance-based functional tests, hand grip strength, and hip function in different subgroups. The secondary aim was to study surgical complications, bone mineral density (BMD) and occurrence of sarcopenia 10 years after a FNF. Patients and methodsA prospective multicenter study with a 10-year follow-up of patients aged 20–69 years with a FNF treated with internal fixation (IF). Five-times sit-to-stand test (5TSST), 4-m walking speed test, hand grip strength (HGS) and Harris Hip Score (HHS) were performed.A radiographic examination of the hip was performed and re-operations were registered. Bone mineral density (BMD) at the hip, spine and total body composition were assessed with dual energy x-ray absorptiometry (DXA). Present sarcopenia was determined by the combination of reduced functional performance and low fat-free mass index (FFMI). ResultsA total of 58 patients were included. 5TSTS was normal in 45% of the patients and old age was associated with poorer performance (p<0.001). 76% of the study population had a normal speed gait and likewise, old age (p = 0.005) and walking aids (p = 0.001) were associated with poor performance. HGS was normal in 82% of the men and 64% of the women. HHS showed that 85% had a good/excellent function. A major re-operation was performed in 34% of the patients with displaced FNF and in 20% of patients with non-displaced FNF. 74% displayed osteopenia and 12% osteoporosis. 17% of the men and 38% of the women had sarcopenia. InterpretationThe majority of patients less than 70 years of age with a FNF treated with IF, had normal functional tests, muscle strength and a good hip function ten years post-operatively. However, one in ten had osteoporosis, and one third was sarcopenic which indicate the importance of encouraging regular muscle preserving resistance training after hip fracture.

Effects of Interactive Dynamic Scalp Acupuncture on Motor Function and Gait of Lower Limbs after Stroke: A Multicenter, Randomized, Controlled Clinical Trial.

To evaluate the effects of interactive dynamic scalp acupuncture (IDSA), simple combination therapy (SCT), and traditional scalp acupuncture (TSA) on motor function and gait of the lower limbs in post-stroke hemiplegia patients. A total of 231 patients with post-stroke hemiplegia was randomly divided into IDSA (78 cases), SCT (78 cases), and TSA (75 cases) groups by a random number table. Scalp acupuncture (SA) and lower-limb robot training (LLRT) were both performed in the IDSA and SCT groups. The patients in the TSA group underwent SA and did not receive LLRT. The treatment was administered once daily and 6 times weekly for 8 continuous weeks, each session lasted for 30 min. The primary outcome measures included Fugl-Meyer assessment of the lower extremity (FMA-LE), berg balance scale (BBS), modified barthel index (MBI), and 6-min walking test (6MWT). The secondary outcome measures included stride frequency (SF), stride length (SL), stride width (SW), affected side foot angle (ASFA), passive range of motion (PROM) of the affected hip (PROM-H), knee (PROM-K) and ankle (PROM-A) joints. The patients were evaluated before treatment, at 1- and 2-month treatment, and 1-, and 2-month follow-up visits, respectively. Adverse events during 2-month treatment were observed. Nineteen patients withdrew from the trial, with 8 in the IDSA and 5 in the SCT groups, 6 in the TSA group. The FMA-LE, BBS, 6MWT and MBI scores in the IDSA group were significantly increased after 8-week treatment and 2 follow-up visits compared with the SCT and TSA groups (P<0.05 or P<0.01). Compared with pre-treatment, the grade distribution of BBS and MBI scores in the 3 groups were significantly improved at 1, 2-month treatment and 2 follow-up visits (P<0.05 or P<0.01). The SF, PROM-H, PROM-K and PROM-A in the IDSA group was significantly increased compared with the SCT and TSA groups after 8-week of treatment (P<0.05 or P<0.01). Compared with the SCT group, ASFA of the IDSA group was significantly reduced after 8-week of treatment (P<0.05). SF, SL, PROM-K and PROM-A were significantly increased at the 2nd follow-up visit whereas the ASFA was significantly reduced in the IDSA group compared with the SCT groups at 1st follow-up visit (P<0.05 or P<0.01). The SF was significantly increased in the SCT group compared with the TSA group after 8-week treatment (P<0.05). Compared with the TSA group, PROM-K, PROM-A were significantly increased at the 2nd follow-up visit (P<0.05). The effects of IDSA on lower-limb motor function and walking ability of post-stroke patients were superior to SCT and TSA. The SCT was comparable to TSA treatment, and appeared to be superior in improving the motion range of the lower extremities. (Registration No. ChiCTR1900027206).

The Relationship between the Level of Compliance in the Physiotherapy Program and the Functional Ability of Patients with Genu Osteoathritis at Dr. Moewardi Hospital

Genu Osteoathritis is a degenerative disease characterized by damage to articular cartilage so that it can cause symptoms of stiffness and pain in the knee joint that will affect the functional ability of adherence or also called compliance is an important component in the physiotherapy program, especially exercise therapy for patients, because adherence greatly determines the success rate of the outcomes compiled by the physiotherapist. The purpose of this study was to determine the relationship between the level of patient compliance in the physiotherapy program with the functional abilities of patients with genu osteoathritis. This research method used a correlational research method with cross sectional approach. Namely the research method used to find the relationship between the independent variable and the dependent variable. The population in this study was 30 people. The measurement of functional ability using a questionnaire is the Knee Injury and Osteoathritis Outcome Score (KOOS) and to measure the respondent's level of compliance using the Exercise Adherence Rating Scale (EARS). The results of the study were analyzed using the product moment correlation test and the p-value was 0.347. So it can be concluded that there is no corelation between the level of adherence with the functional abilities of patients with genu osteoathritis in RSUD Dr. Moewardi.

A Case of Guillain-Barré Syndrome as the First Presentation of Systemic Lupus Erythematosus

Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with different clinical manifestations. Acute [resembling Guillain-Barré syndrome (GBS)] or chronic (chronic inflammatory demyelinating polyradiculoneuropathy) inflammatory polyradiculoneuropathy has been reported in rare SLE cases. Case Presentation: We reported a 39-year-old woman that presented with acute peripheral neuropathy, and she was eventually diagnosed with SLE. She developed distal numbness and paraesthesia followed by progressive upper and lower extremity weakness and difficulty in swallowing and speaking. She had a history of flu-like illness three weeks before to symptoms. Conclusions: Progressive upper and lower extremity weakness along with areflexia and electrodiagnostic findings suggested the diagnosis of Guillain-Barré syndrome. Over a month, significant neurological recovery occurred, and the patient's function continued to recover.

The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study

Background: Hernia Nucleus Pulposus (HNP) is a condition in which the nucleus pulposus has bulged from the intervertebral disc, consequently damages the walls of the annulus fibrosus and compresses the nerves. Clinical problems such as radiating pain, sensory disturbances according to dermatomes, muscle weakness, restricted range of motion, especially during flexion, and decreased functional ability. Core stability exercise is one of the physiotherapy treatments to reduce pain and improve the patient's functional ability with lumbar HNP. The purpose of this study is to determine the effectiveness of core stability exercise on increasing functional ability in cases of lumbar HNP with Modified Oswestry Low Back Pain Disability Questionnaire as a parameter. Methods: A single case study provided a physiotherapy intervention to a 56-year-old female patient for four weeks with four evaluations. The dose of exercise given was three times a week, three sets, five repetitions, 6-9 minutes of each type of exercise, and hold time 5-10 seconds. The improvement of functional ability is measured by using the Modified Oswestry Low Back Pain Disability Questionnaire. &#x0D; Results: There was an improvement in functional ability as measured by Modified Oswestry Low Back Pain Disability Questionnaire. At pre-intervention, the Modified Oswestry score was 52% meaning the patient had severe disability. On the 4th week evaluation, the patient's Modified Oswestry score decreased to 26%, indicating moderate disability. &#x0D; Conclusion: This study showed that core stability exercise effectively improved functional ability in a patient with lumbar HNP.

Randomized controlled trial of gamma sensory stimulation treatment maintains functional ability and decreases sleep fragmentation in Alzheimer’s disease patients

AbstractBackgroundDaily, at‐home gamma sensory stimulation consisting of EEG‐calibrated auditory and visual stimuli is a new therapeutic approach for the treatment of Alzheimer’s Disease (AD). Based on experimental studies demonstrating that sensory‐evoked gamma oscillation halts or reverses AD‐related pathology, improves cognitive function, and normalizes circadian rhythm in transgenic mice carrying human AD pathological genes, this clinical trial evaluated the effects of 40Hz sensory stimulation on functional ability and sleep quality of AD patients.MethodPatients with mild‐to‐moderate AD (MMSE 14‐26, inclusive; n=74) were randomized to receive either 40Hz noninvasive audio‐visual stimulation or sham stimulation over a 6‐month period. Functional abilities of patients were measured by Alzheimer's Disease Cooperative Study ‐ Activities of Daily Living (ADCS‐ADL) scale at baseline and every four weeks during the study and follow‐up period. Sleep quality was assessed from nighttime activities of a subgroup of patients (n=7 in treatment, n=6 in sham groups) who were monitored continuously via a wrist worn actigraphy watch throughout the 6‐month period.ResultAdjusted ADCS‐ADL scores from beginning and end of the trial were compared in patients who completed the trial. Over the 6‐month period, patients in the sham group (n=19) showed the expected decline, a 5.40‐point drop in ADCS‐ADL scores, whereas patients in the treatment group (n=33) receiving therapy exhibited only a 0.57‐point decline. Changes in ADCS‐ADL scores were statistically significant between the sham and treatment groups (P&lt;0.01). Nighttime active durations in the treatment group were significantly (p&lt;0.03) reduced in the second 3 months compared to the first 3 months but the opposite change was observed in the sham group. After normalizing the active durations by the corresponding nighttime period of each patient, the analysis confirmed opposite changes in nighttime active durations between the two groups (p&lt;0.001).ConclusionPatients in gamma sensory stimulation therapy maintained their activities of daily living and showed an improved sleep quality over a 6‐month treatment period; two outcome measures, functional ability and sleep quality known to be strongly linked in AD. Maintenance of functional ability represents an important treatment and management goal for AD patients, reducing formal and informal care, and delaying time to institutionalization.

The effectiveness of rehabilitation measures in the treatment of vertebrogenic arthralgia of the hip joint

The efficacy of a specially designed physical rehabilitation program to alleviate hip pain and improve function in patients with vertebral arthralgia of the hip was investigated. The rehabilitation program included exercises to strengthen and stretch the muscles of the lower back and exercises for balance. Data from 32 women with unilateral or bilateral hip arthralgia were analyzed. They underwent physical rehabilitation for 3 months. The average age of the patients was 64.5 years. The WOMAC questionnaire (Western Ontario and McMaster Universities osteoarthritis Index) with three subscales, the Timed-Up and Go functional test, measurements of walking speed, maximum walking speed and the ability to keep balance were used for the initial assessment of the patient's condition and assessment of the effectiveness of the rehabilitation intervention. Walking speed and maximum walking speed were measured using a stopwatch. The balance was tested using the Berg scale. The data obtained indicate significant positive changes in pain sensation and functional ability according to WOMAC, maximum walking speed, in functional test "Timed-Up and Go" and balance under the influence of rehabilitation intervention. The difference in pain score was 70.75 ± 17.58 mm. The indicator of the functional ability of patients associated with the hip joint during the rehabilitation period changed by 31%, which is a significant change (p ≤ 0.05). There was an increase in the maximum walking speed (on average by 26%) and a decrease in the time for passing the ""Timed-Up and Go" test (on average by 13%) (p &lt;0.05).

Ефективність препарату Артрида® при болю в нижній частині спини

Стаття присвячена лікуванню пацієнтів із хронічним рецидивуючим болем у нижній частині спини. Наведено дані дослідження клінічної ефективності та безпеки препарату Артрида®, застосування якого в комплексній терапії в момент загострення і наявності актуального больового синдрому дозволяло скорочувати терміни прийому і дози нестероїдних протизапальних препаратів, а також сприяло поліпшенню біомеханічних показників і функціональної здатності пацієнтів.

Application of Intelligent Exercise Training Equipment in Clinical Nursing of Neurology Department.

To investigate the effect of intelligent exercise training equipment on lower limb function and standing stability of stroke patients with hemiplegia in clinical nursing of neurology department. Forty-eight stroke patients with a course of 1 to 3 months were randomly divided into treatment group and control group, with 24 cases in each group. The control group was treated with conventional rehabilitation training, and the treatment group was treated with intelligent training system, twice a day, 20 min each time. Lower extremity motor function (using the FMA-L scale) and walking function (using the functional walking scale FAC) were assessed before treatment and 4 weeks after treatment. The results showed that there was no statistical difference between the control group and the treatment group in the t-test of lower limb motor function scores before rehabilitation treatment (P > 0.05). After treatment, the lower extremity motor function scores of the two groups were tested by group design T-test, and the results showed that there was a significant difference between the two groups (P < 0.05); The effect of the treatment group was significantly better than that of the control group (P < 0.05). Intelligent exercise training equipment combined with routine rehabilitation therapy in clinical nursing of neurology department could improve the lower extremity motor function and walking ability of patients with convalescence stroke hemiplegia, and the effect was better than that of routine rehabilitation therapy alone.

The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson's Disease.

Background and Objectives: The purpose of this study was to investigate the effects of transcranial direct current stimulation (tDCS) on motor function, balance and gait ability in patients with Parkinson’s disease (PD). Materials and Methods: For the experiment, 30 patients with PD were randomly assigned to the experimental group (n = 15) and the control group (n = 15). Visual cueing training was commonly applied to both groups, the experimental group applied tDCS simultaneously with visual training, and the control group applied sham tDCS simultaneously with visual training. All subjects were pre-tested before the first intervention, post-tested after completing all 4 weeks of intervention, and followed-up tested 2 weeks after the completing intervention. The tests used the Unified Parkinson’s Disease Rating Scale (UPDRS) for motor function assessment, Functional Gait Assessment (FGA) for balance assessment, Freezing of Gait Questionnaire (FOG-Q) and the GAITRite system for gait ability assessment. Among the data obtained through the GAITRite system, gait velocity, cadence, step time, double support time, and stride length were analyzed. Results: The experimental group showed a significant decrease in UPDRS and a significant increase in FGA and cadence after the intervention. In addition, UPDRS and cadence showed a significant difference in the follow-up test compared to the pre-intervention test. Conclusions: This study suggests that the application of tDCS to the supplementary motor area of PD patients is useful as an adjuvant therapy for rehabilitation training of PD patients.

The "Big Five" of Invasiveness - the Usefulness of Drains, Probes and Catheters in Colorectal Surgery

The perioperative management of colorectal resections is often dominated by traditional procedures and a strong focus on safety. Evidence-based measures such as those established in Fast Track or ERAS programs, are rarely applied in a standardised manner. As part of elective colorectal surgery, many patients therefore continue to routinely receive central venous access, peridural catheters, urinary catheters, drains and/or gastric tubes ("Big Five" of invasiveness). This article presents the currently available evidence on these measures in colorectal surgery. In addition, results relating to the "Big Five" from the author's own centre are presented. This review shows that the "Big Five" of invasiveness are clinically unnecessary or supported by evidence. In addition, they often impair the patient's function.