Investigation of Participation in Physical Therapy and Rehabilitation Program After Traffic Accidents with Injuries

Objective: to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.Materials and methods. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.Results. During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p <0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p> 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p <0.05).Conclusions: Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.

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An Overview on the Use of Serious Games in Physical Therapy and Rehabilitation

Handbook of Research on Serious Games as Educational, Business and Research Tools ◽

10.4018/978-1-4666-0149-9.ch061 ◽

2012 ◽

pp. 1175-1187 ◽

Cited By ~ 2

Author(s):

Tiago Martins ◽

Vítor Carvalho ◽

Filomena Soares

Keyword(s):

Physical Therapy ◽

Serious Games ◽

Rehabilitation Program ◽

Motor Disabilities ◽

Interactive Games ◽

Healthcare Settings ◽

Study Results ◽

Severe Motor ◽

Number Of Individuals

As a significant number of individuals have severe motor disabilities due to neurological and musculoskeletal conditions, it is important to provide them with an appropriate rehabilitation program in order to improve their quality of life. Several study results suggest that many elements of the interactive games have tremendous potential as rehabilitation tools. Serious games can entertain the players, while rewarding and reinforcing healthy movements. As these technologies create a pleasant environment, they motivate the patients to perform the necessary exercises with satisfaction and total relaxation, even forgetting that they are conducting therapy. In this sense, various serious games are being applied in healthcare settings, namely in many physical therapy and rehabilitation situations. This chapter discusses the different potentialities of several serious games when used in physical therapy and rehabilitation of patients with problems in motor skills.

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Pelvic Pain and Floor Dysfunction

10.1093/med/9780199350940.003.0024 ◽

2018 ◽

Author(s):

Danielle Sarno ◽

Farah Hameed

Keyword(s):

Physical Therapy ◽

Pelvic Floor ◽

Pelvic Pain ◽

Multidisciplinary Approach ◽

Rehabilitation Program ◽

Painful Bladder ◽

Integral Role ◽

Comprehensive Rehabilitation ◽

Irritable Bowel ◽

Tract Infections

Chronic pelvic pain is defined as persistent pain perceived in structures related to the anatomic pelvis (lower abdomen below the umbilicus) of either women or men for greater than 6 months. The etiology may be related to gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic causes. Pelvic pain and floor dysfunction often are associated with a musculoskeletal disorder related to the pelvic girdle, spine, or hip. Myofascial pelvic pain may be related to other diagnoses, such as depression, irritable bowel syndrome, endometriosis, constipation, painful bladder syndrome, and chronic urinary tract infections. A thorough history and clinical examination, including an internal pelvic floor musculoskeletal examination, can help identify the underlying etiology. A multidisciplinary approach to management is essential. Pelvic floor physical therapy plays an integral role. Other treatments, such as medications, complementary therapies, and injections, may be used in conjunction with physical therapy to facilitate a comprehensive rehabilitation program and manage symptoms.

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A clinical case of physical therapy of a child with multiple sulfatase deficiency

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2021.2.234735 ◽

2021 ◽

Vol 26 (2) ◽

pp. 202-207

Author(s):

I.M. Grygus ◽

O.B. Nagorna ◽

N.E. Nesterchuk ◽

A.O. Nogas ◽

P.S. Podoliaka ◽

...

Keyword(s):

Physical Therapy ◽

Clinical Case ◽

Clinical Phenotype ◽

Rehabilitation Program ◽

Physical Culture ◽

Multiple Sulfatase Deficiency ◽

Therapy Program ◽

Psychomotor Disorders ◽

Hand Eye Coordination ◽

Physical Therapy Program

The article deals with the problems of physical therapy in children with multiple sulfatase deficiency (MSD). The purpose of the study presented in the article was to substantiate the need to form a structured, personalized comprehensive rehabilitation program for children with multiple sulfatase deficiency. The objectives of the study were to analyze the literature on the topic of the study, to study the clinical phenotype of multiple sulfatase deficiency and potential complications of this pathology, to justify the use of physical therapy in children with multiple sulfatase deficiency. Research methods: analysis of scientific and methodological sources of domestic and foreign authors, pedagogical observation, collection of anamnestic information of the patient. The publication discusses the clinical phenotype of genetic pathology and possible potential complications of this orphan disease, strategic vectors of an individual rehabilitation program. The description of a clinical case of late infantile form of the disease is presented. The effectiveness of a six-months’ implementation of the physical therapy program is being investigated. For rehabilitation examination of children with MSD, it is proposed to use testing of children with psychomotor disorders. The technique of massage, the appropriateness of verticalization and orthotics, sensory enrichment of the environment of a child with this genetic pathology are revealed. Exercises of therapeutic physical culture are proposed, they will help to maintain postural control, support ability and functioning of arms, legs, hand-eye coordination, and help prevent diseases of the bronchopulmonary system. It is noted that MSD has been insufficiently studied not only from the standpoint of a treatment strategy, diagnostic algorithms for clinical multisystem manifestations, but also requires attention to analyze the effectiveness and efficiency of the system of modern rehabilitation technologies for children with this diagnosis.

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Novel treatment with percutaneus electrolysis in cervical whiplash syndrome

Revista Fisioterapia Invasiva ◽

10.1055/s-0039-3401891 ◽

2019 ◽

Vol 02 (02) ◽

pp. 070-071

Author(s):

García Naranjo JR

Keyword(s):

Physical Therapy ◽

Traffic Accidents ◽

Motor Vehicle ◽

Treatment Session ◽

Informed Consent Form ◽

Reduction Of Pain ◽

Conventional Physiotherapy ◽

Whiplash Syndrome ◽

The Cost ◽

Therapy Center

Introduction and Aims Cervical whiplash syndrome (CWS) commonly occurs because of the rear impact of motor vehicle collisions, producing a forced passive extension of the neck, followed by a rapid flexion in the form of a whip. This violent flexion can lead to an enthesopathy of the levator scapulae muscle (LS). The aim of this study was to evaluate the effectiveness of the percutaneous needle electrolysis (PNE) technique on the enthesopathy of the LS after a CWS and to compare this with a conventional physical therapy protocol. Material and Methods In a physical therapy center specialized in traffic accidents, we arranged to interview a sample of 100 voluntary patients, providing subjects with the inclusion-exclusion criteria and an informed consent form. Participants recruited to the study had their pain quantified using the visual analog scale (VAS) for pain, the validated neck pain questionnaire (NPQ), and an algometer. Two groups were created. One received the PNE technique and the other received the conventional physiotherapy protocol. Once treatments were completed, pain was quantified once again and the results were obtained. Results The most important findings are highlighted, regarding the comparison of variables of pain quantification in both groups and regarding the cost per treatment session. Conclusions 1. The conventional physiotherapy protocol used is effective for the reduction of pain in the SLC in the enthesopathy of the LS.2. Treatment with the PNE technique is effective for the reduction of pain in the CWS for LS enthesopathy.3. Physiotherapy treatment which includes the PNE technique is more effective in the algometry variable than treatment performed with conventional physiotherapy techniques by 16.8%.3. The PNE technique is superior to the protocol of conventional physiotherapy in the cost/effectiveness relationship by 85%.4. The PNE technique, without combining the same with any other physiotherapy technique, is effective for the reduction of pain in cases of enthesopathy.

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Scientific Basis of the Use of Medical Rehabilitation and Botulinum Therapy during Rehabilitation Post-Stroke Spasticity

Journal of New Medical Technologies ◽

10.12737/3305 ◽

2014 ◽

Vol 21 (1) ◽

pp. 25-29

Author(s):

Королев ◽

A. Korolev

Keyword(s):

Botulinum Toxin ◽

Physical Therapy ◽

Exercise Therapy ◽

Botulinum Toxin Type A ◽

Rehabilitation Program ◽

Additional Treatment ◽

Medical Rehabilitation ◽

Comprehensive Treatment ◽

Post Stroke ◽

Spastic Paresis

Among the factors contributing to disability after stroke is the most important movement disorder, major clinical manifestation of which is the central spastic paresis. Spasticity is revealed in the study of passive movements of the limbs as increased resistance to muscle in response to its rapid stretching. Once developed spastic paresis usually persists throughout the life of the patient. The treatment of spastic paresis is intractable problem. In recent years the treatment of post-stroke spasticity started using botulinum toxin type A. In comparison with the existing methods of treating muscle hyper local administration of botulinum toxin has a number of obvious advantages. According to the latest recommendations in all cases after botulinum therapy require active physical therapy and physical rehabilitation. Botulinum therapy is not a substitute for physical therapy and exercise therapy, which is the basis of the rehabilitation program and is an integrated part of a comprehensive treatment to improve motor functions. Using a special additional treatment measures such as physical therapy and exercise therapy is often part of the overall treatment but their formal evaluation was carried out in only a few studies. The article presents the author´s concept of rehabilitation post-stroke spastic muscle hypertonus in neuro-rehabilitation with the use of medical rehabilitation and botulinum therapy.

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Outcome Study of Ulnar Nerve Compression at the Elbow Treated with Simple Decompression and an Early Programme of Physical Therapy

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(05)80125-1 ◽

1995 ◽

Vol 20 (5) ◽

pp. 628-637 ◽

Cited By ~ 72

Author(s):

P. A. NATHAN ◽

R. C. KENISTON ◽

K. D. MEADOWS

Keyword(s):

Physical Therapy ◽

Return To Work ◽

Ulnar Nerve ◽

Rehabilitation Program ◽

Cubital Tunnel Syndrome ◽

Cubital Tunnel ◽

Term Outcome ◽

Long Term Outcome ◽

Tunnel Syndrome ◽

Simple Decompression

Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper limb. This paper presents the experience of treating cubital tunnel syndrome with simple decompression in 131 patients (164 ulnar nerves) over the past 12 years. 85% of these patients had mild or moderate ulnar nerve disease. In 146/164 ulnar nerves (89%), simple decompression resulted in good or excellent immediate post-operative relief of symptoms. After an average follow-up of 4.3 years (range, 0.8–12.0 years), 130/164 (79%) still reported good or excellent relief. The independent predictors of a better long-term outcome were absence of post-operative subluxation, greater body weight, normal pre-operative two-point discrimination (2-PD), and a more recent date of operation. A physical therapy rehabilitation program generally began on the day after surgery. Active participation in this predicted a rapid return to work or activities of daily living. The average time to return to work with simple decompression was 20 workdays.

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