Mobility Scale Research Articles

Effect of Dynamic Balance Training on Physical Function and Proprioception in Individuals with Knee Osteoarthritis

Background: Osteoarthritis (OA) is a prevalent joint disorder affecting synovial joints, particularly the knee. It leads to degeneration of cartilage, causing pain and reduced physical function. Effective treatment strategies are essential for managing symptoms and improving quality of life. Objective: To determine the effect of dynamic balance training on physical function and proprioception in individuals with knee osteoarthritis. Methods: This quasi-experimental trial was conducted at Riphah International University Lahore, Aziz Medical Clinic, and Ali Hospital, Mughal Pura Lahore. A total of 48 patients with anterior knee pain were recruited and divided into two groups: one receiving dynamic balance training and the other receiving conventional physical therapy (control). Non-probability convenience sampling was used. Outcomes were measured using NPRS, a goniometer, the Community Balance and Mobility Scale (CB&M), and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Knee proprioception was assessed by joint position sense using a universal goniometer, with the average of three angles taken for the final reading. Data were analyzed using SPSS version 25. Results: Significant differences were observed in joint proprioception between weight-bearing (WB) and non-weight-bearing (NWB) procedures. The mean difference for WB was -3.07 compared to -2.18 for NWB, with a higher relative error in WB (p < 0.05). Dynamic balance training resulted in greater reductions in NPRS scores and improvements in WOMAC scores compared to conventional physical therapy (p < 0.05). Conclusion: Dynamic balance training was more effective than conventional physical therapy in improving physical function and proprioception in individuals with knee osteoarthritis.

Magneto-transport in the monolayer MoS2 material system for high-performance field-effect transistor applications

Electronic transport in monolayer MoS2 is significantly constrained by several extrinsic factors despite showing good prospects as a transistor channel material. Our paper aims to unveil the underlying mechanisms of the electrical and magneto-transport in monolayer MoS2. In order to quantitatively interpret the magneto-transport behavior of monolayer MoS2 on different substrate materials, identify the underlying bottlenecks, and provide guidelines for subsequent improvements, we present a deep analysis of the magneto-transport properties in the diffusive limit. Our calculations are performed on suspended monolayer MoS2 and MoS2 on different substrate materials taking into account remote impurity and the intrinsic and extrinsic phonon scattering mechanisms. We calculate the crucial transport parameters such as the Hall mobility, the conductivity tensor elements, the Hall factor, and the magnetoresistance over a wide range of temperatures, carrier concentrations, and magnetic fields. The Hall factor being a key quantity for calculating the carrier concentration and drift mobility, we show that for suspended monolayer MoS2 at room temperature, the Hall factor value is around 1.43 for magnetic fields ranging from 0.001 to 1 Tesla, which deviates significantly from the usual value of unity. In contrast, the Hall factor for various substrates approaches the ideal value of unity and remains stable in response to the magnetic field and temperature. We also show that the MoS2 over an Al2O3 substrate is a good choice for the Hall effect detector. Moreover, the magnetoresistance increases with an increase in magnetic field strength for smaller magnetic fields before reaching saturation at higher magnetic fields. The presented theoretical model quantitatively captures the scaling of mobility and various magnetoresistance coefficients with temperature, carrier densities, and magnetic fields.

Association of Psoas Muscle Mass at Intensive Care Unit Admission With Physical Function and Post-discharge Destination in Survivors of Critical Illness.

Survivors of critical illness may have physical impairments, known as post-intensive care syndrome (PICS). Early screening for the risk of PICS is recommended to prevent PICS. Skeletal muscle mass is a clinically important indicator associated with various outcomes. This study aimed to examine the association of psoas muscle mass at intensive care unit (ICU) admission with the destination and physical function at hospital discharge. In this single-center retrospective cohort study, we reviewed the medical records of adult patients who had required emergency ICU admission and who had been intubated and mechanically ventilated. Psoas major muscle was measured as an indicator of skeletal muscle mass from abdominal computed tomography images at ICU admission. Physical function was assessed using the functional status score for the ICU and ICU mobility scale at hospital discharge. Multinomial logistic and multivariable linear regression were used to analyze the associations of the psoas muscle mass with the discharge destination and physical function at discharge. We enrolled 124 patients (79 men and 45 women) with a median (interquartile range) age of 72.0 (62.0-80.0) years; 39 (31.5%) were discharged to home, 50 (40.3%) were transferred to rehabilitation wards, and 35 (28.2%) were transferred to long-term care settings.The psoas muscle area and volume were 16.9 (11.3-20.6) cm2 and228.3 (180.2-282.0) cm3in home discharge patients, 17.5 (11.5-21.5) cm2 and248.4 (162.0-311.4) cm3in rehabilitation ward patients, and 15.9 (10.3-19.5) cm2 and184.0 (137.0-251.1) cm3in long-term care patients. The areas and volumes of the psoas muscle were not significantly different in the three groups. Furthermore, psoas muscle mass was not significantly associated with the discharge destination and physical function. Discharge destination and physical function at hospital discharge were not significantly associated with psoas muscle mass at ICU admission.

A Spatial History of Seaports in South Asia

Seaports provide material foundations for globalization. In the long history of global mobile connectivity that now forms globalization, the Indian Ocean is the world's oldest arena of expansive long-distance sea travel. People have sailed monsoon winds among coastal environments connecting Europe, Africa, India, and China since prehistoric times. Indian Ocean ports grew in number, size, wealth, and permanence over the centuries and anchored the rise of seaborne empires connecting Asia, Africa, Europe, and the Americas. Modernity traveled among industrial port cities along with lower unit costs for shipping and a dramatically increasing scale of shipping in volume, value, distance, and speed. Capital investments in seaport infrastructure grew with the scale of mobility through ports connecting producers and consumers by land and sea in commodity chains that eventually embraced people around the world with increasingly intricate, expansive interdependence, and also with ever more entrenched spatial inequity. The result is the current global seaport space of interwoven connectivity strung along the coastlines of globalization on all the continents.

Is PDQ-39 a reliable measure of quality of life of patients at advanced stages of Parkinson's disease considered for Deep Brain Stimulation

PurposeParkinson's disease (PD) significantly impedes, especially at its advanced stages, the health-related quality of life (QoL) of patients. The Parkinson's disease questionnaire (PDQ-39) is a widely-used measure assessing the impact of the disease on the patients' QoL. To date, the reliability of PDQ-39 has not been selectively evaluated for patients at a particular delineated stage of the PD progression. Against this backdrop, the study aimed firstly to evaluate comprehensively the internal consistency reliability of PDQ-39 and the constituent scales specifically for patients at the advanced stages of PD who were candidates for Deep Brain Stimulation (DBS) surgery, and secondly, to compare the Cronbach's alpha coefficients with those reported in other studies conducted with patients across all stages of the PD progression. MethodsThe sample included 36 Bulgarian patients (29 men and 7 women) at advanced stages of PD (Hoehn and Yahr stage 4), PD duration, M = 11.06, SD = 3.50). The internal consistency reliability of the questionnaire and the constituent scales was assessed using three criteria: Cronbach's alpha coefficients, inter-item and item-total correlations. ResultsThe internal consistency reliability indicators were satisfactory for the entire instrument and for most of the scales and similar to those reported in previous studies. None of the scales had low internal consistency reliability results across the three criteria. Except for the Communication scale, seven of the eight scales had Cronbach's alpha values that were satisfactory or marginally below the cut off score. All scales had acceptable inter-item correlations. Three of the scales (Emotional Well-Being, Cognition and Communication) contained more than one item with non-satisfactory item-total correlations. With minor exceptions, the removal of the items with low item-total correlations either did not improve or improved marginally or even decreased the Cronbach's alpha coefficients of the respective scale. The Communication scale was the only scale with a Cronbach's alpha coefficient that was both low and comparatively different to other studies and had as well low item-total correlations for all constituent items, thus showing non-satisfactory results on two of the three internal consistency reliability estimates. In contrast, the Mobility scale met all three internal consistency reliability criteria. ConclusionPDQ-39 is a reliable tool for assessing the QoL of patients at advanced stages of PD across multiple health-related domains. The questionnaire can be recommended for inclusion in the best practice guidelines for evaluating DBS candidacy and the efficacy of DBS treatment for patients’ QoL.

Perceived Social Mobility and Smartphone Dependence in University Students: The Roles of Hope and Family Socioeconomic Status.

Drawing upon the cognitive-behavioral model of pathological Internet use (PIU) and tunnel effect, this study aimed to construct a moderated mediation model from the perspective of social ecology. Specifically, the model investigated the relationship between perceived social mobility and smartphone dependence, with a focus on the mediating role of hope and the moderating effect of family socioeconomic status (SES) underlying this relationship. A cross-sectional study was conducted with 718 Chinese university students (Mage = 19.19, 70.2% female) from Beijing, Henan, and Tianjin, who anonymously filled out the Perceptions of Socioeconomic Mobility Scale, Mobile Phone Addiction Index Scale, Openness to the Future Scale, and family socioeconomic status questionnaire. Preliminary data analysis was executed using SPSS 22.0, and the moderated mediation effect was tested using the latent moderated structural equations approach in Mplus 8.3. The results showed that (a) less perceived social mobility was linked with greater smartphone dependence; (b) hope mediated the aforementioned relationship; and (c) family SES moderated the first-stage path of the indirect effect through hope. For university students with low (rather than high) family SES, their level of hope increased with the improvement of perceived social mobility, and in turn, that of smartphone dependence decreased. These findings suggest that positive perceptions of upward social class mobility and hopeful attitudes toward future opportunities and personal development among disadvantaged university students may alleviate their reliance on smartphones. Researchers and policymakers should pay attention to the role of individuals' perceptions of the macro environment in motivating specific risky behaviors among university students. Future interventions are essential to mitigate pessimistic environmental perceptions and foster a sense of hope among university students.

Feasibility and Inter-rater Reliability of the Japanese Version of the Intensive Care Unit Mobility Scale.

Purpose The purpose of this study was to verify the feasibility and inter-rater reliability of the Japanese version of the Intensive Care Unit Mobility Scale (IMS). Methods A prospective observational study was conducted at two intensive care units (ICUs) in Japan. The feasibility of the Japanese version of the IMS was assessed by 25 ICU staff(12 physical therapists and 13 nurses) using a 10-item questionnaire. Inter-rater reliability was assessed by two experienced physical therapists and two experienced nurses working with 100 ICU patients using the Japanese version of the IMS. Results In the questionnaire survey assessing feasibility, a high agreement rate was shown in 8 out of the 10 questions. All respondents could complete the IMS evaluation, and most respondents were able to complete the scoring of the IMS in a short time. The inter-rater reliability of the Japanese version of the IMS on the first day of physical therapy for ICU patients was 0.966 (95% CI: 9.94-9.99) for the weighted kappa coefficient and 0.985 (95% CI: 9.97-9.99) on the ICU discharge date assessment. The weighted κ coefficient showed an "almost perfect agreement" of 0.8 or higher. Conclusion The Japanese version of the IMS is a feasible tool with strong inter-rater reliability for the measurement of physical activity in ICU patients.

Prediction of walking speed one year following hip fracture based on pre-fracture assessments of mobility and physical activity

BackgroundOlder people with hip fracture are often medically frail, and many do not regain their walking ability and level of physical activity. The aim of this study was to examine the relationship between pre-fracture recalled mobility, fear of falling, physical activity, walking habits and walking speed one year after hip fracture.MethodsThe study had a longitudinal design. Measurements were performed 3–5 days postoperatively (baseline) and at one year after the hip fracture. The measurements at baseline were all subjective outcome measures recalled from pre-fracture: The New Mobility Scale (NMS), the ‘Walking Habits’ questionnaire, The University of California, Los Angeles (UCLA) Activity Scale, Fear of Falling International (FES-I) and demographic variables. At one year 4-meter walking speed, which was a part of the Short Physical Performance Battery (SPPB) was assessed.ResultsAt baseline 207 participants were included and 151 were assessed after one year. Their age was mean (SD) 82.7 (8.3) years (range 65–99 years). Those with the fastest walking speed at one year had a pre-fracture habit of regular walks with a duration of ≥ 30 min and/or a frequency of regular walks of 5–7 days a week. Age (p =.020), number of comorbidities (p <.001), recalled NMS (p <.001), and recalled UCLA Activity Scale (p =.007) were identified as predictors of walking speed at one year. The total model explained 54% of the variance in walking speed.ConclusionsDuration and frequency of regular walks before the hip fracture play a role in walking speed recovery one year following the fracture. Subjective outcome measures of mobility and physical activity, recalled from pre-fracture can predict walking speed at one year. They are gentle on the old and medically frail patients in the acute phase after hip fracture, as well as clinically less time consuming.

GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY

Although gait and balance impairments are prevalent in children with unilateral cerebral palsy (UCP), their effects on participation are not completely elucidated. This study aims to explore factors affecting participation in children with UCP, particularly those related to gait and balance. This descriptive relation-seeker study was completed with 40 children with UCP at Gross Motor Function Classification System (GMFCS) levels I and II (50% female; median age = 11 (7-12)years). "The Gross Motor Function Measure (GMFM-66)", "The Pediatric Balance Scale (PBS)", "The Timed Up and Go test (TUG) and The Functional Mobility Scale (FMS)", and "The BTS G-Walk Spatiotemporal Gait Analysis System" were used to evaluate the gross motor function, balance, functional mobility, and quantitative gait parameters, respectively. "The Canadian Occupational Performance Measure (COPM)" was employed to evaluate participation. Variables affecting the COPM scores were analyzed by multivariate regression analysis.The factors affecting the COPM-performance score were cadence (B = 79.859, p = 0.001) and FMS (B = 0.352, p

Perme Intensive Care Unit Mobility Score and ICU Mobility Scale: translation into Romanian and cross-cultural adaptation for use in Romani

Perme Intensive Care Unit Mobility Score and ICU Mobility Scale: translation into Romanian and cross-cultural adaptation for use in Romani

Pediatric Outcomes Data Collection Instrument Scores Within Gross Motor Function Classification Scale Levels and Functional Mobility Scale Ratings in Individuals With Cerebral Palsy.

The Pediatric Outcomes Data Collection Instrument (PODCI) is a patient/parent-reported outcome measure used in children with cerebral palsy (CP). PODCI score variability has not been widely examined in patients of Gross Motor Function Classification System (GMFCS) level IV or using the Functional Mobility Scale (FMS). The purpose of this study is to examine the distribution of PODCI scores within patients with CP GMFCS levels I-IV and FMS levels 1-6. Retrospectively identified patients with CP whose parent/caregiver had completed the PODCI at their visit were grouped based on GMFCS and FMS level. One-way ANOVA with pairwise Bonferroni-adjusted post hoc tests was performed to compare the effect of GMFCS and FMS levels (1, 2-4, 5, or 6) on PODCI scores. Three hundred sixty-seven patients were included (128 female, 11.7 years, SD 3.6). Global, Sports, Transfer, and Upper Extremity scores differed among all GMFCS levels ( P ≤0.056) and were significantly lower for GMFCS IV compared with all other levels. Happiness, Expectations, and Pain scores did not differ significantly among GMFCS levels including level IV ( P >0.06). Similar trends were seen at all FMS distances (5, 50, and 500âm). At 50âm, Global, Sports, Transfer, and Upper Extremity scores differed significantly among all FMS levels ( P <0.001) except that Upper Extremity Scores were similar between levels 2-4 and level 5 ( P =1.00). Happiness and Pain scores were not different between FMS levels ( P >0.27). Expectations scores differed only between FMS 1 and FMS 6 with FMS 6 being higher at the 50-m distance only ( P =0.03). Parent-reported outcome measures are important for providing patient-centered care. Providers can examine these measures alongside functional classification systems to create a more complete clinical picture of the patient. Providers should be aware of the score trends seen in our results when evaluating the PODCI for individuals with CP to improve shared decision-making and better monitor their need for future care. Level III-retrospective study.

Protesting the lockdown: geo-indexing a movement publicly opposing Covid-19 policies on Facebook

ABSTRACT The Covid-19 pandemic saw restrictions being implemented to curb the spread of the virus. This seeded anti-lockdown demonstrations across the globe. Leveraging network, quantitative and qualitative textual analysis tools, we scrutinize the expression of opposition to these restrictions on 96 public Facebook groups and pages, and its connection to physical places across the globe. To grapple with this relation, we propose the concept of geo-indexing as the practice of adding meaning to physical places on social media and identify a transnational network of geo-indexed posts. Importantly, this geo-indexed opposition was framed as unified against an unjust and undemocratic imposition of restrictive measures. The language used in some of this communication was conspiratorial, albeit to a lesser degree than expected. Moreover, geo-indexed posts were used to evidence the scale of public mobilization, the cohesion of the protests, to articulate the virtue of transgressing health measures and to extoll those who said or did so, across multiple sites.

Participation in physical activity by adolescents with physical disability: cross-sectional snapshot and future priorities ("Youth Experience Matters" protocol).

Young people with physical disability experience challenges to being physically active. To attain the health benefits of physical activity (PA) and sustain engagement, it is essential that participation is meaningful and enjoyable. This study aims to describe current participation in PA by adolescents with physical disability in Ireland, and to establish consensus on their priorities for enhancing physical activity participation. A parallel convergent mixed methods study will be undertaken, comprising a national cross-sectional quantitative assessment of PA participation ("Participation Snapshot") and Delphi consensus study ("Delphi"). Adolescents (n=100) aged 13-17 years with a physical disability will be invited to take part. The Participation Snapshot primary outcome is the Children's Assessment of Participation and Enjoyment (CAPE). Contextual factors including underlying medical diagnosis, demographics, mobility (Functional Mobility Scale), hand function (Manual Ability Classification System) and health related quality of life (Child Health Utility 9D) will also be collected. The Delphi will comprise two to four survey rounds, until consensus is reached. Round 1 consists of a bespoke survey, designed and piloted with a public and patient involvement (PPI) panel, with open-ended questions and Likert scales inviting contributions from adolescents on their prior experience and ideas to enhance participation. Responses will be analysed using inductive thematic analysis to construct items and themes, which will then be deductively mapped to the "F-words" and the family of Participation-Related Constructs frameworks. These items will be presented back to participants in subsequent rounds for selection and ranking, until consensus is achieved on the "top 10 priorities" for enhancing PA participation. The project team and PPI panel will then co-design dissemination material and identify targets for dissemination to relevant stakeholder or policy groups. The findings will provide a basis for developing interventions aiming to enhance future PA participation for adolescents with physical disability.

Effect of &lt;italic&gt;Hwanggigyejiomul-tang&lt;/italic&gt; on Postoperative Breast Cancer-related Lymphedema (BCRL): A Systematic Review and Meta-analysis

Objectives: This study assessed the effectiveness of &lt;i&gt;Hwanggigyejiomul-tang&lt;/i&gt; for postoperative breast cancer-related lymphedema (BCRL) by a systematic review and meta-analysis of randomized controlled trials (RCTs).Methods: A search was conducted using keywords such as “breast cancer”, “lymphedema”, “edema”, “Huangqi Guizhi Wuwu decoction”, “Huangqi Guizhi Wuwu tang”, and “Hwanggigyejiomul tang” in 10 databases (PubMed, Cochrane, ScienceDirect, CNKI, CiNii, RISS, KISS, ScienceON, OASIS, DBpia) on February 11, 2024. There were no limits on the publication period and language, and the quality of the studies was evaluated using Cochrane’s risk of bias tool. A meta-analysis was performed based on the outcome measurements, such as total effective rate (TER), increase in shoulder joint mobility (flexion, extension, abduction, adduction), Fugl-Meyer assessment (FMA), and visual analog scale (VAS) using Review Manager Web.Results: Eleven RCTs were selected. The treatment group (&lt;i&gt;Hwanggigyejiomul-tang-gagambang&lt;/i&gt; or &lt;i&gt;hapbang&lt;/i&gt; with control group intervention) showed a more statistically significant effect compared with the control group (physical therapy or western medicine) in TER (upper limb circumference change), TER (upper limb edema grade change), increase in flexion angle, increase in extension angle, increase in adduction angle, FMA, and VAS.Conclusions: &lt;i&gt;Hwanggigyejiomul-tang&lt;/i&gt; is effective in treating postoperative BCRL. However, because of the low quality of the included studies, more clinical studies are required to increase the possibility of clinical use.

Assessment of Fall Risk and its Association with Frailty among Elderly

Falls are a major public health concern about 10% of falls result in serious injuries like traumatic brain injury. Falls can cause poor quality of life and financial costs for both individuals and society. Early detection of who are at high risk of falling makes it easier to provide rehabilitation therapy in the future. Objectives: To assess functional mobility, fall risk and its association with frailty among elderly. Methods: This cross-sectional study design comprised 90 male / female elderly patients ages 65 to 75. Subjects with limb amputation history, cognitive impairment and ICU status were excluded. Data were gathered from DHQ Kasur andAriz Memorial Hospital. Non-probability convenience sampling was applied. Ethical approval was obtained from institute before conducting research study ran July 2022 to December 2022.Evaluation tools included Berg Balance Scale, Elderly Mobility Scale, Functional Reach Test, and FRAIL Scale. SPSS version 25.0 used to analyze data. Frequencies, percentages, cross tabulations, bar charts, and pie charts were used to display the categorical variables. Results: Frailty and fall risk are significantly correlated, with a p-value of less than &lt; 0.001. Mobility and Frailty had significant relationship (p&lt; 0.001). There was significant association between Frailty and balance dysfunction with (p&lt;0.001). There was significant association between Frailty and fall risk with (p&lt;0.001). Conclusions: Results suggested that frail elderly were at higher risk of fall and their functional mobility is more compromised as compared to non-frail.

Control of complex lithofacies on the shale oil potential in saline lacustrine basins of the Jimsar Sag, NW China: Coupling mechanisms and conceptual models

The heterogeneity of lithofacies is a pivotal factor influencing the shale oil potential. A comprehensive understanding of the intricate influence of rock complexity on hydrocarbon generation properties, microscopic pore-throat structure, and fluid occurrences is crucial for shale oil exploration and development. The Lucaogou Formation in the Jimsar Sag is a type of saline lacustrine shale oil, which was chosen as a research example in this paper. To unravel the causal linkage and confirm the coupling relationship between lithofacies, pores, and fluid mobility in the sedimentary sequence of saline lacustrine basins, a series of experiments were conducted. These included total organic carbon (TOC), X-ray diffraction (XRD), vitrinite reflectance (Ro), Rock-Eval pyrolysis, field emission-scanning electron microscopy (FE-SEM), low-field nuclear magnetic resonance (LF-NMR), mercury intrusion porosimetry (MIP), and low-temperature nitrogen adsorption (LTN2A). The results revealed significant differences in pores, oiliness, and fluid mobility among the four dominant lithofacies. Employing an innovative comprehensive evaluation method, high-carbon silty dolomite manifests significant potential for hydrocarbon generation, substantial storage capacity, effective oiliness and mobility, heightened brittle mineral content, and facile fracture production. Consequently, it was the most favorable lithofacies. Furthermore, TOC, pore size, and pore types emerged as key factors influencing the movable oil content of different lithofacies. More importantly, a detailed multiscale model illustrated potential linkages across the three different scales of lithofacies associations, pores, and fluid mobility. The study’s outcomes can offer enhanced guidance for accurately assessing shale oil resources, particularly in the identification of crucial “sweet spots”.

Effects of the High-Intensity Early Mobilization on Long-Term Functional Status of Patients with Mechanical Ventilation in the Intensive Care Unit.

Intensive care unit (ICU)-acquired weakness often occurs in patients with invasive mechanical ventilation (IMV). Early active mobility may reduce ICU-acquired weakness, improve functional status, and reduce disability. The aim of this study was to investigate whether high-intensity early mobility improves post-ICU discharge functional status of IMV patients. 132 adult patients in the ICU who were undergoing IMV were randomly assigned into two groups with a ratio of 1 : 1, with one group received high-intensity early mobility (intervention group, IG), while the other group received conventional treatment (control group, CG). The functional status (Barthel Index (BI)), capacity of mobility (Perme score and ICU Mobility Scale (IMS)), muscle strength (Medical Research Council sum scores (MRC-SS)), mortality, complication, length of ICU stay, and duration of IMV were evaluated at ICU discharge or after 3-month of ICU discharge. The patient's functional status was improved (BI scores 90.6 ± 18.0 in IG vs. 77.7 ± 27.9 in CG; p=0.005), and capacity of mobility was increased (Perme score 17.6 ± 7.1 in IG vs. 12.2 ± 8.5 in CG, p < 0.001; IMS 4.7 ± 2.6 in IG vs. 3.0 ± 2.6 in CG, p < 0.001). The IG had a higher muscle strength and lower incidence of ICU-acquired weakness (ICUAW) than that in the CG. The incidence of mortality and delirium was also lower than CG at ICU discharge. However, there were no differences in terms of length of ICU stay, duration of IMV, ventilator-associated pneumonia, and venous thrombosis. High-intensity early mobility improved the patient's functional status and increased capacity of mobility with IMV. The benefits to functional status remained after 3 month of ICU discharge. Other benefits included higher muscle strength, lower incidence of ICUAW, mortality, and delirium in IG.

Effectiveness of neuromuscular exercises and neuromuscular electrical stimulation on pain, function and balance in patients with knee osteoarthritis – a randomised controlled trial

Abstract The current study explores the effect of neuromuscular exercises (NEMEX) and neuromuscular electrical stimulation (NMES) on pain, function, balance, range of motion (ROM), fall risk and dynamic mobility in patients with knee osteoarthritis. A total of 92 subjects were randomly allocated into four groups: Group A – conventional treatment; Group B – NEMEX; Group C – NMES; and Group D – NEMEX in combination with NMES and conventional treatment. Visual analogue scale(VAS), knee injury osteoarthritis and outcome score (KOOS), timed up and go test (TUG), range of motion (ROM), community balance and mobility scale (CBM&amp;S), and dynamic gait index (DGI) were the outcome measures in the study. Statistically significant improvement was found in VAS in Group D with 1.61 ± 0.50 (mean ± standard deviation (SD)) followed by Group C with 2.59 ± 0.50 (mean ± SD) and Group B with 4.18 ± 0.50 (mean ± SD) and at week 10 (follow-up) in Group D with1.74 ± 0.54 (mean ± SD) followed by Group C with 3.23 ± 0.87 (mean ± SD) and Group B with 4.91 ± 0.75 (mean ± SD) and in comparison to Group A at P = 0.0001 at week 6 and at week 10 in comparison to Group A. KOOS subvariables, TUG, ROM (R, L), CBM&amp;S and DGI were also found significant at P = 0.0001 at week 6 and at week 10. This study found that combined application of NEMEX and NMES is helpful in improving pain, function, balance, ROM and reduces fall risks. Trial registration no. CTRI/2021/06/034213

Limited associations between passive range of motion and gross motor function in ambulant/semi-ambulant children and adolescents with cerebral palsy: A cross-sectional study

Background and aimCerebral palsy (CP) is the most common childhood motor disability, and the Cerebral Palsy Follow-Up Program (CPUP) in Nordic countries uses a traffic light system for passive range of motion (ROM) assessment to aid interpretation and guide decisions regarding interventions. However, the arbitrary chosen ROM threshold values and their potential clinical impact are uncertain. We investigated whether lower extremity ROM values were positively associated with gross motor function and whether gross motor function scores differ between the CPUP ROM thresholds. MethodsThis was a cross-sectional analysis of CPUP data for 841 ambulatory children and adolescents with CP, at a mean (SD) age of 9 (3). Regression analyses were employed to explore the relationship between gross motor capacity and performance (using the Gross Motor Function Measure (GMFM-66) and the Functional Mobility Scale (FMS) 5/50/500 m, respectively) and lower extremity ROM, measured with a goniometer. ROM was assessed both as continuous and categorical variables. ResultsWe found that two out of ten continuous ROM measures were positively associated with gross motor function. Limited differences in gross motor function between the ROM thresholds were seen for seven out of ten ROM measures. The CPUP traffic light thresholds primarily differentiated gross motor function between the red and green categories, predominantly for the subgroup of participants with bilateral spastic CP. ConclusionLimited associations between passive ROM and gross motor function in children and adolescents with CP were observed, indicating that there is more to consider than ROM when identifying whether interventions are needed.

Effects of acute phase intensive electrical muscle stimulation in COVID-19 patients requiring invasive mechanical ventilation: an observational case-control study

We investigated the effects of acute-phase intensive electrical muscle stimulation (EMS) on physical function in COVID-19 patients with respiratory failure requiring invasive mechanical ventilation (IMV) in the intensive care unit (ICU). Consecutive COVID-19 patients requiring IMV admitted to a university hospital ICU between January and April 2022 (EMS therapy group) or between March and September 2021 (age-matched historical control group) were included in this retrospective observational case–control study. EMS was applied to both upper and lower limb muscles for up to 2 weeks in the EMS therapy group. The study population consisted of 16 patients undergoing EMS therapy and 16 age-matched historical controls (median age, 71 years; 81.2% male). The mean period until initiation of EMS therapy after ICU admission was 3.2 ± 1.4 days. The EMS therapy group completed a mean of 6.2 ± 3.7 EMS sessions, and no adverse events occurred. There were no significant differences between the two groups in Medical Research Council sum score (51 vs. 53 points, respectively; P = 0.439) or ICU mobility scale at ICU discharge. Addition of upper and lower limb muscle EMS therapy to an early rehabilitation program did not result in improved physical function at ICU discharge in severe COVID-19 patients.