Motion Exercises Research Articles

Aquatic exercise interventions in the treatment of musculoskeletal upper extremity disorders: A scoping review.

To identify literature on aquatic exercise therapy used to manage upper extremity musculoskeletal disorders and identify key concepts, intervention components, and gaps in the evidence base. The comprehensive search included MEDLINE (Ovid), CINAHL (EBSCOHost), Embase (Ovid), CENTRAL (Cochrane Central Register of Controlled Trials) databases and grey literature sources. JBI Scoping review methodology guided this review through protocol development, searching, screening, data extraction and analysis. Study Selection included: Participants - Adults with upper extremity musculoskeletal disorders; Concept - Aquatic based exercise therapy; Context - any setting in any very highly developed nation. The search identified 5045 sources with 68 studies included in the final synthesis. Findings outlined shoulder problems were the most reported upper extremity condition treated (n = 78) especially following rotator cuff repair (n = 17), followed by the hand and wrist (n = 9), and elbow (n = 6). Range of movement (n = 36) and resistance exercises (n = 17) were the most common interventions reported for aquatic therapy, however compliance with reporting guidance across included studies was poor. Sixteen health domains were identified with range of movement (n = 21) and pain (n = 20) the most common, and 62 outcome measures were reported related to the identified domains. Qualitative aspects of aquatic interventions were evaluated in two papers. There is a need for more primary experimental and qualitative studies related to the upper extremity and aquatic therapy. Improved reporting quality of aquatic therapy exercise intervention is required as is the need to establish specific core outcome sets and domains in this area.

Effects of a smartphone game to facilitate active neck movements on the incidence of neck pain among office workers: a 6-month cluster-randomised controlled trial

To evaluate the effects of a smartphone game for active neck movement exercise on perceived neck discomfort, new onset neck pain, and active cervical range of motion among high-risk office workers. A 6-month prospective cluster-randomized controlled trial was conducted. Workers were randomly assigned at the cluster level into either the intervention group (n=50), who received a smartphone game to play twice a day, or the control group (n=50), who received a placebo seat pad to use while sitting. Both groups were followed up for 6 months and outcome measures included the incidence of neck pain, perceived neck discomfort, assessed by the Borg CR-10, and active cervical range of motion. Analyses were performed using Cox proportional hazard models. The 6-month incidence of neck pain was 20% and 44% in the intervention and control groups, respectively. Hazard ratios, after adjusting for biopsychosocial factors, showed a protective effect of the smartphone game for new onset neck pain (HRadj=0.43, 95% CI 0.20 to 0.91). The between group differences in perceived neck discomfort during the follow up did not reach the minimally clinically important difference level. Mean active cervical range of motion in the intervention group were significantly greater than the control group in all directions (p<0.05). The smartphone game for active neck movement exercise is an effective intervention to prevent neck pain among high-risk office workers.

Influence of Range of Motion Exercises on Hemodynamic Parameters for Patients on Mechanical Ventilation

Influence of Range of Motion Exercises on Hemodynamic Parameters for Patients on Mechanical Ventilation

The Effectiveness of Active Range of Motion Exercises on the Pain Scale of Gouty Arthritis in the Elderly in the Working Area of the Gedong Tataan Health Center

Background &amp; Objective: Gouty arthritis is a condition that occurs when uric acid levels in the blood exceed normal limits, characterized by prolonged pain and impaired daily activities. Based on data at the Gedong Tataan Health Center, there were 26 elderly people with Gout Arthritis who experienced joint pain. Pain in patients with Gout Arthritis can be treated through pharmacological therapy, such as the administration of drugs, and non-pharmacological therapy, such as active range of motion exercises. This study aims to determine the effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area. Method: Quantitative research method with quasy experiment type and pretest posttest control design approach. The population of this study was 26 elderly people while the sample used by the total sampling technique was divided into 2 groups, consisting of 13 intervention groups, and 13 control groups. The research instrument used SOP Range Of Motion and pain scale measurements, the data analysis test used in this study used Mann-Whitney. Result: The results of the study obtained a p-value of 0.004, meaning that there is an effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area. Conclusion: It is hoped that this intervention can be applied at the health center in overcoming pain complaints in the elderly suffering from Gout Arthritis.

Evaluation of the efficacy of a novel lumbar exoskeleton with multiple interventions for patients with lumbar disc herniation: a multicenter randomized controlled trial of non-inferiority

BackgroundLumbar disc herniation (LDH) occurs when the nucleus pulposus or annulus fibrosus protrudes into the intervertebral space, potentially compressing nerve roots and causing symptoms such as sciatica, restricted mobility, and lower extremity weakness. The development of portable lumbar exoskeleton devices offers a new approach, combining traction, range of motion (ROM) exercises, and resistance training in a single system, potentially reducing treatment complexity and enhancing LDH patient outcomes.ObjectiveThis study aims to evaluate the efficacy and safety of a novel lumbar exoskeleton device compared to traditional traction methods combined with rehabilitation therapy for patients with LDH.MethodsA multicenter, non-inferiority randomized controlled trial was conducted with 118 participants diagnosed with LDH. Participants were randomly assigned to the Exoskeleton Group or the Traction Group. The Exoskeleton Group used the novel device for traction, ROM, and resistance training, while the Traction Group underwent traditional traction and rehabilitation therapy. Outcomes included efficacy rate after 10 treatments, Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and lumbar ROM—were assessed at 3, 6, and 10 treatments.ResultsA total of 118 eligible participants were recruited. After 10 treatments, both groups showed significant improvements in VAS scores, ODI, and lumbar ROM compared to baseline (P &amp;lt; 0.001). However, there was no significant difference in the overall efficacy rate between the two groups (P = 0.748).ConclusionThe novel lumbar exoskeleton device demonstrates comparable efficacy and safety to traditional traction therapy combined with rehabilitation, offering a promising alternative for the conservative treatment of LDH.

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An analysis of the literature has shown that the human capacity for physical achievement can be significantly improved through regular exercise. These exercises, focusing on the development of endurance or strength, allow you to adapt to different types of physical load, which contributes to achieving high sports results and maintaining optimal physical condition. It is important to understand that the human body responds to exercise by changing the phenotype of muscle tissue, which depends on many factors, including frequency, intensity of exercise, age, genetics, gender, nutrition and previous training experience. In the context of physical therapy, the use of high-intensity interval training, plyometric training, aquatic therapy, circuit training, breathing exercises, and functional movement exercises promote endurance and adaptation to daily physical tasks. Importantly, these methods are adapted to the individual needs and health status of patients, emphasizing the importance of a personalized approach in physical therapy. Thus, the development of endurance is a key element in both sports and physical rehabilitation. In sports, it focuses on achieving high results and improving the general physical condition, while in physical therapy, it focuses on adapting to the individual needs of patients, ensuring their recovery and maintaining activity. The article presents the rehabilitation program for patients with coronary heart disease, which presents the developed rehabilitation route, physical exercises developed taking into account the needs of cooperation with various specialists. The results shown indicate the effectiveness of established rehabilitation programs.

Current Rehabilitation Practices of Physiotherapists in Intensive Care Units in the UAE: A National Survey

Abstract* Background Intensive care units (ICUs) are essential for patient recovery, but prolonged stays often result in complications like reduced mobility and muscle weakness. Aims This study examines current ICU rehabilitation practices in the United Arab Emirates (UAE) through a web-based cross-sectional survey involving 80 physiotherapists from both public and private sectors. Methods The questionnaire, validated by experts with a Cronbach’s alpha of 0.84, explored various rehabilitation strategies. Most participants held bachelor’s degrees and had 2-5 years of experience. Results Over 96% required physician referrals for ICU physiotherapy sessions, and 75% noted that hospitals provided development programs to enhance skills. Respiratory therapy, joint mobilization, and electrical stimulation were the most commonly used interventions, while massage, continuous passive motion machines, and taping were less frequently applied. Among neonatal ICU patients, 85.7% of physiotherapists regularly performed passive range of motion exercises, and 69% consistently involved parents in the treatment plan. The results indicate a variety of practices among ICU physiotherapists in the UAE, with no clear adherence to standardized protocols. This lack of consistency may negatively affect patient care quality. Conclusion The study underscores the importance of implementing standardized rehabilitation protocols and enhancing patient education to improve outcomes in ICU settings.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Injuries to the lateral ankle ligaments

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

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

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

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

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

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

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

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

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

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

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