Exer-Gaming reduces fall risk and improves mobility after stroke

2021 ◽  
pp. 1-9
Author(s):  
Memoona Aslam ◽  
Qurat ul ain ◽  
Pashmina Fayyaz ◽  
Arshad Nawaz Malik
Keyword(s):  
Cognitive Deficits ◽  
Balance Training ◽  
Sampling Technique ◽  
Berg Balance Scale ◽  
Chronic Stroke ◽  
Traditional Training ◽  
Envelope Method ◽  
History Of ◽  
Randomized Control ◽  
Global Strength

Objective: Major goal concealed behind conducting current study was to evaluate the effect of balance training via virtual reality in patients with chronic stroke having history of reduced global strength, reduced anticipatory balance and having history of fall. Methodology: A randomized control trial in which 30 chronic stroke survivors were recruited via purposive sampling technique was conducted. Sealed envelope method was used to randomly allocate patients into two groups that were Exer-gaming group (EGG) (n=15) and traditional training (TBT) group (n=15). Those patients having age above 50 were included using Modified Rankin Scale (MRS). Patients having cognitive deficits, severe contractures, unable to perform task, severe orthopedic condition of joint or those having fracture were not included in the study. The tools used to collect data included Berg Balance Scale (BBS), Timed Up & Go Test (TUG). The data was analyzed before starting the intervention and after every Continuous...

scholarly journals EFFECT OF PINEAPPLE ON GOITER SIZE AND TSH LEVEL

1969 ◽  
Vol 4 (1) ◽  
pp. 399-403
Author(s):  
ABDUL REHMAN KHOKHAR ◽  
MUHAMMAD SHAHID FARQUI ◽  
MUHAMMAD ARSHAD QURESHI ◽  
TANVIR ALI KHAN SHIRWANY ◽  
TEHSEEN IQBAL ◽  
...  
Keyword(s):  
Endemic Goiter ◽  
Nodular Goiter ◽  
Sampling Technique ◽  
Ananas Comosus ◽  
Control Group ◽  
World Population ◽  
Study Group ◽  
History Of ◽  
History Of Pain ◽  
Randomized Control

BACKGROUND: Endemic goiter is a major worldwide problem and is a preventable disease. Morethan 12% of world population is affected. Ananas Comosus is considered to be a good source of iodineand vitamin c, which reduce the size of goiter.OBJECTIVE: The study objectives were, l.To measure the goiter size reduction between study andcontrol groups at 4, 8, and ten weeks of intervention 2.Suppression of TSH level up to 25% from baseline.MATERIALS AND METHODS: The study design was Randomized control Trial and SimpleRandom sampling technique was applied. The Sample Size was 7o; study group 35, control group 35.Dose Standardization was done by P.C.S.I.R laboratories complex Lahore. Exclusion Criteria.Subjects suffering from bleeding disorder, liver disease and thyrotoxicosis. History of thyroid surgery,solitary nodular goiter with history of pain and regional lymphadenopathy. Diabetes mellitis, History ofuse of iodized salt, contracting marriage. Goitrogenic food/marine foods intake, change in bowel habitsRESULTS: Subjects suffering from endemic goiter were selected from teaching hospital D.G Khan.Goiter size measurement and TSH estimation was done at 0, 4, 8 and 10 weeks of study. Goiter sizereduction from baseline 4.41±0.86cm to 2.00±1.02 after eight week of intervation was highly significantamong study group P<0.000, and TSH suppresses from baseline 2.63±0.95 to 0.94±0.84 after eight weekP< 0.000. While changes in control group were non significant.CONCLUSION: Ananas Comosus is good alternator remely for endemic goiter patients and a valuablegoiter shrinkage agent.KEY WORDS: PCSIR, Goiter, Ananas Comosus, TSH

scholarly journals Combined Balance Training and tDCS Intervention for the Recovery of Postural Control Following Chronic Stroke: A Study Protocol for A Multi-Centre, Double Blind, Randomized Control Trial

2021 ◽  
Author(s):  
Fariba Yadolahi ◽  
◽  
Mohsen Roostaei ◽  
Minoo Khalkhali Zavieh ◽  
Abas Rahimi ◽  
...  
Keyword(s):  
Postural Control ◽  
Postural Sway ◽  
Balance Training ◽  
Berg Balance Scale ◽  
Chronic Stroke ◽  
Ambulatory Setting ◽  
Anodal Tdcs ◽  
Post Intervention ◽  
Timed Up And Go ◽  
Double Blind

Background: Stroke is one of the most debilitating diseases among the adults around the world which leads to persistent rehabilitation needs even at chronic stage. Achievement of good postural control is a critical requirement for daily activities which enhances quality of life in patients with stroke. There is increasing evidence that transcranial direct current stimulation (tDCS) may be considered as a promising adjunct technique to improve motor recovery after stroke. Evidence of augmented neuroplasticity after tDCS suggests that a paired rehabilitation followed by consecutive use of tDCS may optimize recovery outcomes. Although a few RCTs have been conducted on upper limbs rehabilitation in chronic stroke using tDCS, however no study focused on balance training in chronic stroke patients. This randomized, sham-controlled, double-blinded clinical study aims to address brain stimulation targeting postural control using tDCS in chronic stroke. Methods: The study participants will be chronic ischemic stroke individuals with postural control impairments who meet no exclusion criteria. Active or sham anodal tDCS will delivered to lesioned leg motor cortex combined with balance training. Experimental group receive active anodal tDCS stimulation (2mA) for 20 min, daily for 5 days paired with balance training. Linear and nonlinear approaches will be used to analyse postural sway changes pre and post-intervention. Postural sway fluctuation, Functional balance assessment using Berg balance scale, Timed Up-and-Go Test will be compared in active and sham groups. Conclusions: This trial could have significant implications for balance rehabilitation after stroke in the ambulatory setting. If found to be effective, this novel approach may improve rehabilitation protocol in this population.

HUBUNGAN TUNGAU DEBU RUMAH, PAPARAN ASAP ROKOK DAN RIWAYAT PENYAKIT KELUARGA TERHADAP KEJADIAN ASMA BRONKIAL PADA ANAK USIA 5 – 10 TAHUN DI WILAYAH KERJA PUSKESMAS LEMPAKE KOTA SAMARINDA TAHUN 2016

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu
Keyword(s):  
Cigarette Smoke ◽  
Bronchial Asthma ◽  
Sampling Technique ◽  
Total Sample ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
History Of ◽  
Weather Changes ◽  
And Gender

Bronchial Asthma generally starts from childhood which is condition where respiration channel experiences constriction because of hyperactivity with some specific stimulation which cause inflammation. Some risk factors are smoking exposure of cigarette smoke, weather changes, mite on house dirt, pet and history of family sickness. The purpose of this research is to know Relation of mite on house dirt, exposure of cigarette smoke  and history of family sickness with bronchial asthma incident to child 5 – 10  years old on working area of Puskesmas Lempake Samarinda City in 2016. Method which used was analytic survey with Case Control approaching. The total sample was 36 children which consisted of 18 case group and 18 control group with matching by using age and gender which submitted with Purposive Sampling technique. Data Analysis used Chi Square with wrong degree α = 0,005. The result showed that there was relation of mite of house dirt (p = 0,006), history of family sickness (p = 0,001) and no relation with exposure of cigarette smoke (p = 0,370) with bronchial asthma incident to child 5 – 10 years old on working area of Puskesmas Lempake Samarinda City in 2016.

scholarly journals Assessment of muscle mass, risk of falls and fear of falling in elderly people with diabetic neuropathy

2015 ◽  
Vol 28 (4) ◽  
pp. 677-683 ◽  
Author(s):  
Hudson Azevedo Pinheiro ◽  
Karla Helena Coelho Vilaça ◽  
Gustavo de Azevedo Carvalho
Keyword(s):  
Diabetic Neuropathy ◽  
Lean Body Mass ◽  
Muscle Mass ◽  
Body Mass ◽  
Fear Of Falling ◽  
Berg Balance Scale ◽  
Elderly Adults ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
History Of

Abstract Objective : To assess muscle mass, risk of falls and fear of falling in elderly adults with diabetic neuropathy (DNP). Methods : 50 elderly patients with diabetes mellitus (DM) and diabetic neuropathy (NPD) participated in this study. Risk of falling was assessed using the Berg Balance Scale (BBS). Fear of falling was assessed by means of the Falls Efficacy Scale-International (FES-I). Muscle mass was assessed by tetrapolar bioimpedance analysis (BIA) and Janssen's equation. Subjects were divided into two groups: one with a history of falls in the six months before study enrollment (G1) and the other without history of falls (G2). Results : There were statistically significant differences between G1 and G2 regarding lean body mass (p < 0.05), risk of falls as measured by the BBS (p < 0.01), and fear of falling as measured by the FES-I (p < 0.01). In addition, there was a significant correlation between the BBS and BIA (r = 0.45 and p < 0.01), showing that the greater the lean body mass, the lower the risk of falling. Conclusions : We found an association between lean mass, risk of falls and fear of falling in elderly adults with DNP and a history of falls from own height.

scholarly journals Does Motor Training of the Nonparetic Side Influences Balance and Function in Chronic Stroke? A Pilot RCT

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Shanta Pandian ◽  
Kamal Narayan Arya ◽  
Dharmendra Kumar
Keyword(s):  
Functional Performance ◽  
Berg Balance Scale ◽  
Chronic Stroke ◽  
The Body ◽  
Control Group ◽  
Therapy Program ◽  
Functional Reach Test ◽  
Double Blinded ◽  
And Function ◽  
Experimental Group

Background. Balance and functional abilities are controlled by both sides of the body. The role of nonparetic side has never been explored for such skills.Objective. The objective of the present study was to examine the effect of a motor therapy program primarily involving the nonparetic side on balance and function in chronic stroke.Method. A randomized controlled, double blinded trial was conducted on 39 poststroke hemiparetic subjects (21, men; mean age, 42 years; mean poststroke duration, 13 months). They were randomly divided into the experimental group(n=20)and control group(n=19). The participants received either motor therapy focusing on the nonparetic side along with the conventional program or conventional program alone for 8 weeks (3 session/week, 60 minutes each). The balance ability was assessed using Berg Balance Scale (BBS) and Functional Reach Test (FRT) while the functional performance was measured by Barthel Index (BI).Result. After intervention, the experimental group exhibited significant(P<0.05)change on BBS (5.65 versus 2.52) and BI (12.75 versus 2.16) scores in comparison to the control group.Conclusion. The motor therapy program incorporating the nonparetic side along with the affected side was found to be effective in enhancing balance and function in stroke.

Trauma-Sensitive Yoga Interventions and Posttraumatic Stress and Depression Outcomes Among Women: A Systematic Review and Analysis of Randomized Control Trials

2021 ◽  
Author(s):  
Ashleigh Kysar-Moon ◽  
Matthew Vasquez ◽  
Tierra Luppen
Keyword(s):  
Systematic Review ◽  
Posttraumatic Stress ◽  
Traumatic Event ◽  
Meta Analysis ◽  
Depression Symptoms ◽  
Randomized Control Trials ◽  
Methodological Rigor ◽  
History Of ◽  
Randomized Control ◽  
Analysis Models

Abstract Research shows that most people experience at least one traumatic event in their lifetimes, and between 6% and 8% of those with a history of trauma will develop posttraumatic stress disorder (PTSD) and/or related mental health conditions. Women face a greater threat of trauma exposure and have a higher risk of PTSD and depression than men. Trauma-Sensitive Yoga (TSY), a body-based adjunctive therapy, has shown potential in several studies as an effective method for reducing PTSD and depression symptoms. However, existing research and systematic reviews vary widely in their methodological rigor and comparison samples. Thus, in this systematic review we examined the effectiveness of TSY among women with a history of trauma and depression who had participated in randomized control trials with clear control and experimental groups. Findings in fixed- and mixed-effects meta-analysis models suggest marginally significant to no effects of TSY on PTSD and depression outcomes. Our systematic review highlights critical questions and significant gaps in the existing literature about the rationale and best practices of TSY intervention duration.

Effectiveness of balance training programme in reducing the frequency of falling in established osteoporotic women: a randomized controlled trial

2016 ◽  
Vol 31 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Ibolya Mikó ◽  
Imre Szerb ◽  
Anna Szerb ◽  
Gyula Poor
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Balance Training ◽  
Training Programme ◽  
Exercise Programme ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Randomized Controlled

Objective: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. Design: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. Subjects: A total of 100 osteoporotic women – at least with one osteoporotic fracture – aged 65 years old and above. Main measures: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. Interventions: Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. Results: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group ( p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporotic women after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. Conclusion: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past.

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