Motion Exercises Research Articles

Application of Range of Motion Exercises to Increase Muscle Strength in Non-Hemorrhagic Stroke Patients

Stroke is a disruption of blood flow in the brain, patients who suffer from weakness in the limbs can cause a decrease in muscle strength, so they cannot move their body. Solutions to prevent and reduce disability, complications and death after having a stroke. Rehabilitation in stroke patients one of them is by doing Range of Motion exercises. Objective: This study was to analyze the application of ROM exercise to increase muscle strength in ischemic stroke patients. Design: This study used quasi-experimental with Pre-Test and Post-Test approaches with a sample of 15 people using Purposive Sampling techniques. Data analysis using the Wilcoxon Match Pairs test. The data collected consisted of respondents' characteristics in the form of age, gender, history of stroke and muscle strength. The instrument used is an observation sheet and muscle strength measurement, MMT (Manual Muscle Testing). Results: Showed that there was an increase in muscle strength after (post-test) intervening with an average value of 4,13, while muscle strength up to condition 5 (normal) after implementing as many as 7 people (40,67%).

Optimizing labor duration with pilates: evidence from a systematic review and meta-analysis of randomized controlled trials

BackgroundPilates has captured interest due to its possible advantages during pregnancy and childbirth. Although research indicates that Pilates may reduce labor duration, alleviate pain, and improve satisfaction with the childbirth experience, consensus on these outcomes remains elusive, underscoring the necessity for additional studies.AimThis systematic review and meta-analysis aimed to assess the impact of Pilates exercises on labor duration among pregnant women.MethodsThe online database was searched to yield the literature using the terms of ‘Pilates’, ‘childbirth’, and ‘labor duration’, and similar terms including PubMed, Clinical Key, Scopus, Web of Science, Embase, and Cochrane Database of Systematic Reviews up to June 25, 2023. Studies were considered eligible if they were randomized or clinical controlled trials (RCTs/CCTs) published in English, focusing on healthy pregnant women without exercise contraindications. The studies needed to include interventions involving Pilates or exercise movement techniques, a comparison group with no exercise, and outcomes related to labor duration, the period of the active phase, and the second stage of delivery.ResultsEleven studies, totalling 1239 participants, were included in the analysis. These studies provided high-quality evidence from exercise only RCTs/CCTs. The findings indicated a significant reduction in the active phase of labor (8 RCTs, n = 1195; Mean Difference [MD] = -56.35, 95% Confidence Interval [CI] [-89.46 to -23.25]) and overall labor duration (8 RCTs, n = 898; MD = -93.93, 95% CI [-138.34 to -49.51]) in pregnant women who engaged in Pilates exercises compared to those who did not but doesn’t affect on the duration of the second stage of labor (7 RCTs, n = 1135; MD = -0.11, 95% CI [-7.21 to 6.99]).ConclusionsWhile this review primarily addresses the effects of Pilates on healthy and low-risk pregnant women, the findings suggest a potential role for Pilates in shortening labor duration. Therefore, engaging in Pilates or similar physical activities is recommended for pregnant women to potentially facilitate a more efficient labor process.

Immediate effects of upper limb exercises with and without deep breathing on lung function after cardiac surgery – a randomized crossover trial

BackgroundOpen heart surgery, involving median sternotomy, may cause diminished chest wall motion and restrictive pulmonary function in the early postoperative period. Thoracic and upper extremity range of motion (ROM) exercises are often recommended after surgery but have not been evaluated regarding effect on lung volumes and oxygenation. The objective of this study was to evaluate the immediate effect of upper limb elevations, with or without simultaneous deep breathing, on lung function after cardiac surgery.MethodsIn a randomized 2 × 2 crossover trial, 22 adult patients (> 18 years old) were assessed during one of the first days after surgery in the spring of 2022 at Örebro University Hospital, Sweden. Exercises involving five bilateral upper limb elevations, performed either with simultaneous deep breathing (ROM-DB) or without (ROM), while sitting in an upright position at the edge of the bed, were evaluated. Peripheral oxygen saturation (Rad-5v; Masimo, Irvine, USA) was the primary outcome. Tidal volume and respiratory rate were recorded continuously during the exercises (Spiropalm; Cosmed, Rome, Italy). Heart rate, pain, exertion and dyspnoea were evaluated before and after the exercises.ResultsBoth ROM-DB and ROM momentarily increased peripheral oxygen saturation (+ 1% ± 1, p = 0.004 and + 1% ± 1, p < 0.001, respectively), with no significant differences between these exercises (p = 0.525). ROM-DB significantly increased the VT compared with ROM (798 ± 316 vs. 602 mL ± 176, p = 0.004). However, ROM-DB induced more pronounced pain (p = 0.012), exertion (p = 0.035) and dyspnoea (p = 0.013) than ROM.ConclusionsUpper limb elevations improved oxygenation momentarily, both performed with and without simultaneous deep breathing, with no significant differences between these exercises. The additive deep breathing improved tidal volume compared with upper limb elevations alone, but induced more pain, exertion and dyspnoea during the performance of exercise.Trial registrationClinicalTrials.gov (NCT05278819).

Telerehabilitation for Geriatric with Dementia and Long Covid-19

Rehabilitation is crucial for individuals who have survived COVID-19, particularly those who are older and have pre-existing health conditions. These survivors may experience long covid symptoms up to four months after infection. Elderly individuals suffering from long covid face difficulties in undergoing conventional rehabilitation methods due to limitations in mobility, lack of social interaction, and inadequate healthcare accessibility. As a result, telerehabilitation has arisen as an alternate form of care. This case report intends to present empirical evidence on the enhancement of functional status in a geriatric long covid patient following telerehabilitation. We present a case of an elderly woman with underlying dementia who developed long covid. The symptoms included of dyspnea and mobility impairment. We provide a telerehabilitation program for three weeks with an active-assisted range of motion exercises. Following three sessions of telerehabilitation, we could see improvement in her Physical Mobility Scale (PMS). After 20 days, the patient's PMS score increased by 3 points.

Bridging the gap: evaluation of preoperative patients’ education by comparing expectations and real-perioperative surgical experiences: a mixed-methods descriptive cross-sectional study

BackgroundEducating patients regarding surgery is an important aspect of the preoperative process. It helps individuals answer their queries, reduce anxiety, and improve overall satisfaction with the surgical experience.ObjectiveTo compare patients’ expectations with their real-perioperative surgical experiences. Also, to evaluate the effectiveness of preoperative education and, thus, improve the doctor-patient relationship.MethodologyThrough consecutive sampling, 65 adult patients were selected from the ENT department of Khyber Teaching Hospital. Preoperative education was provided to all the subjects using a 25-point pro-forma, and their queries were addressed. Postoperatively, all participants were interviewed regarding their expectations and real perioperative surgical experiences. The gaps were noted, and participants were asked about their preferences for addressing such gaps in future interactions. Postoperatively, patients were asked to give comments on how a certain part of preoperative education could have been better delivered.ResultsAmong the 65 patients, 28 (43.1%) were male, and 37 (56.9%) were female. The majority (38.5%) had a primary/secondary school education. Eight (12.3%) patients had ear surgery, 19 (29.2%) had nose surgery, and 38 (58.5%) had throat surgery. Almost 39 (60%) patients had preoperative fear/anxiety. After preoperative education, 17 (26.2%) patients experienced perioperative fear/anxiety, which was a significant reduction (p = 0.001). Preoperative anxiety was greater in females (M: F = 8:13, p = 0.00), while perioperative anxiety was comparable among both genders after patient education (M: F = 5:12, p = 0.18). The greatest dissatisfaction was noted regarding the surgical schedule (33.8%), range of motion (16.9%), deep breathing exercises (13.8%), and preoperative fasting (12.3%). Most importantly, patients’ comments were noted, when they were asked to suggest a better way to educate preoperatively in their respective area of dissatisfaction. Patients appreciated detailed explanations with practical demonstrations for range of motion exercises. One patient complained about no clear instructions on postoperative resumption of snuff.ConclusionPreoperative patient education should be a two-way process involving active participation and continuous feedback. By educating patients properly through a multidisciplinary approach, healthcare providers can further enhance patient satisfaction, alleviate anxiety, and improve the overall quality of care.

The Effect of Waistbands on Intra-Abdominal Pressure and Respiratory Mechanics During Bodyweight Exercise.

Leahy, MG, Kipp, S, and Sheel, AW. The effect of waistbands on intra-abdominal pressure and respiratory mechanics during bodyweight exercise. J Strength Cond Res XX(X): 000-000, 2024-Athletic apparel is often designed with high-waisted, elastic bands around the abdomen to provide comfort and support during functional exercises. The abdominal musculature aids in both active respiration and trunk stability during the exercise, but whether high-waistband athletic garments affect pulmonary function and respiratory mechanics is unknown. Ten healthy women participated in a single-visit study. Subjects were fitted with esophageal and gastric balloon-tipped catheters and completed three bouts of isometric and dynamic bodyweight squats, lunges, and planks, during which ventilation and pulmonary pressures were continuously recorded. Resting pulmonary function was unchanged by high-waistband garments. During isometric squatting exercise, peak abdominal pressure was significantly greater while wearing high-waistband garments (17 ± 6 cmH2O), relative to low-waistband garments (15 ± 6 cmH2O, p = 0.032). The work of breathing was reduced when completing dynamic squat exercise in a high-waistband garment (16.2 ± 3.9 J·min-1), relative to a low-waistband garment (18.6 ± 5.7 J·min-1, p = 0.026). High waistbands had no effect on abdominal pressures or pulmonary mechanics during lunge or plank exercises. We believe our findings indicate that high-waistband garments have the capacity to alter abdominal and ventilatory mechanics during bodyweight squatting exercises but are unlikely to have an effect during other exercise movements.

Preliminary Studies on Changes in Static Plantar Pressure and Stabilometry in Patients with Ankylosing Spondylitis Undergoing an Exercise Program.

Background/Objectives: Studies have reported that patients suffering from ankylosing spondylitis (AS) have decreased postural stability in comparison to healthy subjects. Our study aims to compare static plantar pressure and stabilometry parameters in AS patients who performed an 8-week exercise program (spine motion and flexibility exercises; stretching of hamstring, erector spine, and shoulder muscles; control abdominal and diaphragm breathing exercises and chest expansion exercises), in three different testing conditions (eyes open, eyes closed, and head retroflexed). Methods: Plantar pressure (the loading of the first and fifth metatarsal heads (MT1, MT5) and calcaneus) and stabilometry (CoP path length, 90% confidence ellipse area, and maximum CoP speed) were recorded in 28 AS patients (age 56.64 ± 10.3 years; body mass index 29.4 ± 4.9 kg/m2) at the beginning of rehabilitation and after 8 weeks. At first evaluation, there were significant differences (p < 0.05) for the foot loading sites (MT1, MT5, and calcaneus), both for the right and left feet, when comparing eyes open with the other two testing situations. Results: After rehabilitation, significant differences were recorded between eyes-open and head-retroflexed conditions for MT1 (p = 0.03 for right; p = 0.004 for left) and calcaneus (p = 0.014 for right; p = 0.011 for left). A significantly higher CoP path length was registered in both initial and final assessments when tested with eyes closed. The maximum CoP speed had increased values at both evaluations when tested with head retroflexed. Conclusions: The CoP path length decreased after the physical exercise program, with a better postural stability after rehabilitation.

The Effect of Stretching on Reducing Lower Extremity Joint Pain in the Elderlies at the Binjai Elderly Service Unit

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Pain is one of the main complaints that drives a person to come to health services. Aging is a natural process experienced by every living creature. The process includes several changes such as physiological, psychological, social and spiritual status. One of the causes of physiological changes in the musculoskeletal system is joint pain. There are several ways to overcome this, namely by practicing footwork (stretching). The aim of this study was to determine the effect of leg movement exercises (stretching) on reducing lower extremity joint pain in the elderly at the Elderly Care Service in Binjai. The type of research used in this research is pre-experimental design with a one group pre test-post test design. The population in this study was 52 elderly people aged 45-59 years. The samples in this study were 10 respondents in the treatment group and 10 respondents in the control group. The sampling technique used in this research is Non Probability Sampling, purposive sampling type. Data was taken using questionnaires and observation sheets. The variable is those who experience lower extremity joint pain. Next, the data were analyzed using a paired t-test with a significance level of p ≤ 0.05. The results showed a decrease in joint pain after giving exercise (stretching). The conclusion is that stretching reduces lower extremity joint pain in the elderly. By reducing joint pain, elderly people can become more active, productive and can live out their old age more comfortably. For future researchers, it is recommended that the scope of the research be deeper for more accurate results by involving a large sample, longer research time and stricter methods of controlling confounding factors.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt; &lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keywords : Joint Pain, Middle age, Stretching&lt;/em&gt;&lt;/strong&gt;

The Effect of Intradialytic Exercise on Fatigue in Patients Undergoing Hemodialysis: A Literature Review

Introduction: Fatigue is a common and debilitating symptom experienced by patients undergoing hemodialysis. Intradialytic exercise, which involves physical activity performed during dialysis treatment, has been studied as a potential intervention to alleviate this fatigue. This literature review aims to determine the effects of intradialytic exercise on fatigue in patients undergoing hemodialysis. Methods: The literature review search was carried out using three databases, namely Google Scholar, PubMed, and Science Direct. The inclusion criteria for the literature review search were articles with publication years 2019-2024 in Indonesia and English. The articles could be open access. The keywords used in searching for the article were “intradialytic AND fatigue.” Results: The literature review identified fifteen studies for inclusion in the final analysis. Three articles used randomized control trials, seven articles used quasi-experiments, and five articles used pre-experiments. Many types of intradialytic exercises during hemodialysis were discovered. Conclusion: Intradialytic exercises have proven successful in reducing the level of weakness in patients undergoing hemodialysis. Fifteen research articles were found to support the provision of intradialytic exercises to patients undergoing hemodialysis. Intradialytic exercises can include active movement exercises, leg exercises, and relaxation movements.

Pelaksanaan Baby Gym sebagai Upaya Menstimulasi Perkembangan Motorik Kasar pada Bayi Usia 3-4 Bulan

WHO states that globally, 52.9 million children younger than 5 years old are experiencing developmental problems. Data on child development services in Indonesia shows that as many as 7.5% experience delays in growth and development. One effort to stimulate baby development is to do a baby gym. Baby gym is movement or physical exercise for babies aged &gt; 3 months which aims to stimulate gross motor development. The aim of this community service activity is to increase the knowledge and skills of baby mothers in stimulating gross motor development by carrying out various baby gym exercises and movements. This activity was carried out at PMB Andina Palembang involving 10 activity participants, namely mothers and babies aged 3-4 months. The results of community service activities showed that there was an increase in the average knowledge of activity participants before and after implementing the baby gym education, where the pretest average was 40.2 and the posttest average was 82.0. It is hoped that all parties can work together to increase knowledge and motivation to carry out baby gym regularly.

Post-surgical Rehabilitation Guidelines for Triangular Fibrocartilage Complex Foveal Repair: A Survey of Australian Hand and Wrist Surgeons.

Background: To restore distal radioulnar joint stability following injury to the Triangular Fibrocartilage Complex (TFCC), foveal repair surgery may be necessary. Post-surgery rehabilitation is prescribed to restore wrist and hand function; however, no universally accepted or definitive rehabilitation protocol currently exists. The aim of this study was to survey hand and wrist surgeons regarding their recommended postoperative rehabilitation protocols following TFCC foveal repair surgery. Methods: Australian hand and wrist surgeons were invited to complete a descriptive survey containing 10 questions. Questions included clinical recommendations for wrist and forearm immobilisation, range of motion (ROM) exercise timeframes and surgeon experience of TFCC rupture. Descriptive statistics and between-group (TFCC rupture vs. no-rupture) comparisons (Pearson's Chi2) were calculated. Results: Thirty-one surgeons completed the survey. Recommendations for post-surgery immobilisation ranged from 'not required' to 8 weeks (mode 6 weeks). Wrist and forearm ROM commencement time ranged from 'immediately' to 'later than 8 weeks' (mode 6 weeks). The most recommended orthosis was a 'sugar-tong' (57%). Thirty-seven percent (37%) reported experience of post-surgery re-rupture. Conclusions: While surgeon recommendations varied, the majority recommended 4- to 6-week timeframe for immobilisation and ROM exercise commencement. Additional clinical research is recommended to evaluate whether postoperative rehabilitation decisions influence patient outcomes. Level of Evidence: Level V (Therapeutic).

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.

Assessment of Stroke Patients' Muscle Strength Following a Combination of Mirror Therapy and ROM (Range of Motion) Exercises Based on Self-Care Theory

Background: When blood flow problems kill off some brain cells, the result is a neurological deficiency known as a stroke. There have been 507 reported cases of stroke in East Java, while the overall stroke prevalence in Indonesia has jumped from 7% to 10.9% (Riskesdas, 2020). The researchers at RSI Darus Syifa's Surabaya set out to determine how much of an impact self-care theory-based mirror therapy and range-of-motion exercises had on the muscular strength of stroke patients admitted to the inpatient unit. Methods: A true experimental with a pretest-posttest control group design was utilised in this type of research. One hundred and ten stroke patients made up the study's population. There were a total of 34 participants in this study, with 17 serving as control subjects and 17 as interventionists. Sampling was based on probability sampling using simple random sampling. The Medical Research Council (MRC) scale was utilised by the device to measure muscular strength. Mann-Whitney and the Wilcoxon Signet Rank Test were used to examine the collected data. Results: In the inpatient ward of the Darus Syifa Surabaya Hospital, stroke patients who undergo a combination of mirror therapy and range of motion exercises based on self-care theory show a significant improvement in muscle strength, according to the Mann-Whitney test (p &lt; 0.05). Conclusion: The study found that stroke patients' muscle strength improved with a combination of mirror therapy and range of motion exercises grounded in self-care theory.

The Effect of Bilateral Range of Motion (ROM) on Increasing Upper Arm Muscle Strength in Stroke Patients

Introduction: In cases of stroke, there are several clinical manifestations, one of which is muscle weakness or hemiparesis. A rehabilitation program used to improve patient mobility involves exercise activities. Exercise therapy, such as range of motion (ROM) exercises, involves joint movements through their entire range in all appropriate directions. Objectives: This study aims to determine the effect of bilateral ROM on the improvement of upper limb muscle strength in stroke patients. Methods: This study employed a quantitative research design known as a one-group pre-test and post-test design. Twenty-four respondents were selected using purposive sampling technique at Dr. Sitanala Hospital, Tangerang. Data collection involved two instruments: Bilateral ROM Checklist and Muscle Strength Value Guide. Prior to intervention, respondents underwent muscle strength assessment. Following the intervention, on the fifth day, researchers conducted a post-test by re-measuring muscle strength. Data analysis utilized the paired t-test. Statistical analysis using the dependent t-test (Paired simple t-test) revealed that out of 24 respondents, the mean pre-test score was ± 3.38, and the mean post-test score was ± 4.50. Statistical results yielded a p-value of 0.000 (α &lt; 0.05), suggesting a significant effect of Bilateral Range of Motion (ROM) on muscle strength improvement. Results: There is a significant effect of Range of Motion (ROM) on muscle strength improvement in stroke patients. This study demonstrated that it took 5 days to increase muscle strength from a pre-intervention mean of 3.38 to 4.50 post-intervention. Conclusion: Range of Motion can increase muscle strength in stroke patients, it can be used as an adjunct to nonpharmacological therapy.

Analysis of Common Movements and Discomforts among Rubber Farmers: Basis for Exercise Movements

The development of exercise movements based on the everyday movements of women rubber farmers and their bodily discomforts is examined in this qualitative study. It is specifically tailored to enhance the physical fitness and well-being of female farmers in the agricultural region of Naga, located in the province of Zamboanga Sibugay, Philippines. The muscles affected by the common movements of rubber tapping, which result in body pains and complaints, are investigated. It is found that the common movements of rubber farming are as follows: Unang Palagsik, Sanggot, Buhi-Sanggot, and Manawat. The results were collected and biomechanically analyzed with the help of a licensed physical therapist. It was concluded that the body parts mostly affected by rubber farming are the back, legs, neck, and arms. Exercise movements in the form of images and instructions were then formulated and assigned to each common movement, serving as the final output of this research study. The physical health and occupational well-being of women rubber farmers are expected to improve based on the study's findings, contributing to sustainable agricultural practices and community development initiatives.

Manual Therapy Versus Exercise Therapy in Patients with Osteoarthritis of Knee -A Comparative Study

AIM OF THE STUDY: The aim of the study to compare the effectiveness of manual therapy versus exercise therapy in patients with knee osteoarthritis in terms of decreasing pain HYPOTHESIS • Null Hypothesis: There may be no significant difference in the effectiveness of manual therapy and exercise therapy in patients with knee osteoarthritis • Alternate Hypothesis: There may be significant difference in the effectiveness of manual therapy and exercise therapy in patients with knee osteoarthritis INTERVENTION Group A: MANUAL THERAPY Manual physiotherapy protocol consisted of Treatment is done for two sessions per week for four weeks. Knee Mandatory interventions: 1. Knee flexion, non-thrust Antero-posterior directed force to the tibia, 2. Tibio-femoral joint ,non-thrust 3. Knee extension, non-thrust Postero-anterior directed force to the tibia 4. Tibio-femoral joint, non-thrust 5. Patellar gliding force, non-thrust 6. Manual stretch to quadriceps, hamstring, triceps surae muscle groups 7. Soft tissue manipulation ,quadriceps and Peripatellar connective tissue, hamstring, hip adductor and triceps surae muscles groups Treatment is done for two sessions per week for four weeks. Group B: EXERCISE THERAPY This group performed a closely supervised standardized knee exercise program at twice a week for four weeks at eight treatment sessions. This program consists of active range of motion exercise for knee, muscle strengthening exercise for hip and knee, muscle stretching for lower limbs and riding a stationary bike. Aerobic exercises • Up to 10 minutes stationary bicycle or walk. Stretching exercises: • Standing calf stretch – 3 repetitions with 30 sec hold • Supine hamstring stretch -3 repetitions with 30 sec hold • Prone quadriceps stretch –3 repetitions with 30 sec hold Range of motion exercises: • In long sitting position, • Knee mid flexion to end range extension – two 30 sec bouts with 3 sec hold at end range • In long sitting position, knee mid flexion to end range flexion – two sec bouts with 3 sec hold at end range Strengthening exercises: • Static quad sets in knee extension –one set of 10 repetitions with 6 sec hold,10 sec rest between repetitions. • Short arc terminal extension exercises for the knee joint. • Quadriceps non-weight bearing progressive resistance exercises with weighted cuffs. • Supine Straight Leg Rise (SLR) Neuro muscular control exercises: Closed chain progression: • Seated leg press – one 30 sec bout • Standing weight –shifting exercises • Side- stepping • Step ups • Forward-backward and shuttle – walking drills RESULTS: Knee function of all patients increased significantly after the 4-week intervention program in both the groups of MANUAL THERAPY and EXERCISE THERAPY but Group A Manual therapy improved more significantly when compared to Group B Exercise therapy. CONCLUSION: Treatment effect was more in the patients received Manual therapy when compared to Exercise therapy. This finding suggest that Manual therapy can be useful intervention supplement in patients with osteoarthritis of knee.

Comparative effectiveness of high-intensity laser therapy and ultrasound therapy for hemiplegic shoulder pain in stroke patients: a randomized controlled trial“

ABSTRACT Background Hemiplegic shoulder pain (HSP) is a prevalent clinical manifestation following stroke, often causing considerable discomfort and disability. Various therapeutic approaches have been developed to address HSP. Objectives This study aimed to compare the effectiveness of HILT versus US therapy in alleviating HSP in stroke patients. Methods A double-blind randomized controlled trial enrolled stroke patients with HSP within one year post-onset. Participants were randomly assigned to HILT (with sham US) or US therapy (with sham HILT). Both groups received 10-minute sessions of their assigned therapy modality along with daily shoulder range of motion (ROM) exercises 5 times per week over two consecutive weeks. Pain reduction was the primary outcome, with shoulder ROM as secondary outcomes. Results Thirty patients (11 women, 19 men; mean age: 60.80 ± 11.51 years) were included. After the two-week intervention, significant improvements were observed in pain reduction at rest and during motion in the HILT group, and in pain reduction during motion and shoulder internal rotation in the US group compared to pre-treatment values within each group. However, there was no significant difference between the HILT and US therapy groups in any evaluated parameter. Conclusions Comparable efficacy was found between HILT and US therapy in reducing pain and improving shoulder ROM for HSP in stroke patients. Both modalities, when combined with shoulder ROM exercises, offer viable options for managing HSP in this population. Further research with larger sample sizes is needed to validate these findings and explore long-term outcomes.

Validity of Rating of Perceived Exertion Scales in Relation to Movement Velocity and Exercise Intensity During Resistance-Exercise: A Systematic Review.

Movement velocity (MV) may be a valid tool to evaluate and control the load in resistance training (RT). The rating of perceived exertion (RPE) also enables practical load management. The relationship between RPE and MV may be used to monitor RT intensity. To evaluate the validity and practicality of RPE scales related to MV and training intensity in resistance exercise. We hypothesize a positive correlation among RPE, MV, and load intensity in RT. Therefore, RPE may serve as a supplementary indicator in monitoring RT load. Boolean algorithms were used to search several databases (SPORTDiscus, EBSCO, PubMed, Scopus, and Google Scholar). Studies published from 2009 to 2023 included clinical trials (randomized or not) in healthy female and male subjects that analyzed the relationship between different RPE scales and MV in basic RT exercises. Systematic review. Level 3. A total of 18 studies were selected using different RPE scales with reported MV training loads. Participants included RT and untrained male and female subjects (15-31 years old). Two RPE scales (OMNI-RES and repetitions in reserve) were used. The selected studies showed moderate positive correlations among these RPE scales, MV, and training load (eg, percentage of 1-repetition maximum [%1-RM]). In addition, equations have been developed to estimate %1-RM and MV loss based on the OMNI-RES scale. Studies show that RPE scales and MV constitute a valid, economic, and practical tool for assessing RT load progression and complementing other training monitoring variables. Exercise professionals should consider familiarizing participants with RPE scales and factors that might influence the perception of exertion (eg, level of training, motivation, and environmental conditions).

Postoperative Rehabilitation Program for Increasing Muscle Mass in Patients With Hip Fracture: A Retrospective Study.

Hip fractures are most likely to occur in older people, and after hip surgery muscle mass and the ability to perform activities of daily living often decline. In this study, we conducted inpatient rehabilitation after surgery for hip fracture and measured changes in muscle mass and physical performance. We retrospectively analyzed patients aged 65 years or older who underwent surgery (prosthetic replacement or internal fixation) and inpatient rehabilitation for hip fracture at our hospital between August and December 2020. The training included a joint range of motion exercise, muscle-strengthening exercise, gait training, early mobilization training, and neuromuscular electrical stimulation. We measured the following factors after one and six weeks postoperatively: muscle mass, body weight, fat mass, grip strength, bilateral knee extension strength, ability to walk, and ability to perform activities of daily living. Seventeen patients were included. Median age was 84 years (interquartile range, 72-90). Lower limbs skeletal muscle mass increased(median 4.8 kg to 4.9 kg, p = 0.045), while upper limbs skeletal muscle mass and body weight decreased(median 1.2 kg to 1.1 kg, p = 0.0027), (median 46.8 kg to 45.5 kg, p = 0.0039), respectively. Total skeletal muscle mass and fat mass remained unchanged. Grip strength was maintained, and knee extension muscle strength on the healthy and affected sides increased (healthy side median 10.7 kgf to 13.7 kgf, p = 0.019; affected side median 5.5 kgf to 9.5 kgf, p < 0.001). All patients exhibited improved ability to perform activities of daily living; however, 52.9% of patients regained their pre-injury walking ability. Our rehabilitation program increased lower limbskeletal muscle mass in patients with hip fractures.

Functional outcome Measure of Programme for Scalular Stabilisation Exercise in Rehabilitation of Frozen Shoulder : An Experimental Study

Background: The signs and symptoms of adhesive capsulitis, another name for frozen shoulder, include shoulder joint stiffness and pain. Conventional rehabilitation methods concentrate on enhancing shoulder range of motion and minimizing discomfort. It has been suggested that by enhancing scapular kinematics and muscle activation patterns, scapular stabilization workouts can improve functional outcomes. Objective: This study aims to evaluate the functional outcomes of a scapular stabilization exercise program in individuals receiving rehabilitation for frozen shoulder. Methods: Forty people who had been diagnosed with frozen shoulder participated in a randomized controlled trial. One of two groups the scapular stability exercise Group A or the standard rehabilitation Group B was assigned at random to each participant. The eight-week intervention consisted of five thirty minute sessions, held five times a week. For eight weeks, Group A supplemented their traditional range of motion exercises with scapular stabilization exercises. Sessions lasted thirty minutes, consisted of ten repetitions each, and were conducted five days a week. Group B carried on with just traditional workouts. Functional outcomes were assessed using the Numerical Pain Rating Scale NPRS Goniometry for range of motion tests, and the Disability Associated with the Arm, Shoulder, and Hand DASH questionnaire at the beginning of the experiment. Follow up assessments were carried out after the eight week intervention phase. Results and Conclusion: When compared to the control group, the scapular stabilization group showed better results in terms of reduced discomfort and increased mobility. This implies that adding scapular stabilization exercises to the adhesive capsulitis treatment regimen could result in improved therapeutic outcomes. Larger sample sizes and longer follow up times are required for future study in order to confirm these results and improve adhesive capsulitis patient’s treatment plans.