scholarly journals The effect of aquatic training on static and semi-dynamic balance of patients with chronic ischemic stroke: A randomized clinical trial

2021 ◽  
Vol 67 (3) ◽  
pp. 315-321
Author(s):  
Alireza Vakilian ◽  
Hossein Babaeipour ◽  
Mansour Sahebozamani ◽  
Fariborz Mohammadipour
Keyword(s):  
Clinical Trial ◽  
Ischemic Stroke ◽  
Randomized Clinical Trial ◽  
Dynamic Balance ◽  
Control Group ◽  
Balance System ◽  
Group I ◽  
Study Results ◽  
Significant Difference ◽  
Aquatic Training

Objectives: This study aims to investigate the effect of six-week aquatic exercise on the static and semi-dynamic balance of male patients with chronic ischemic stroke (CIS). Patients and methods: This randomized clinical trial (RCT) included a total of 36 male CIS patients (mean age 60.2±6.7 years; range, 40 to 70 years) between January 2015 and January 2017. The patients were randomly divided into three groups consisting of 12 patients in each group: (i) exercising in shallow water, (ii) exercising in deep water, and (iii) control group. Training sessions were held three days a week for six weeks, and the control group did not participate in these sessions. The balance of the patients was checked using the Biodex balance system in two stages. Results: There was no significant difference between the two intervention groups (shallow and deep) in terms of the balance assessment post-test (p>0.05), yet there was a statistically significant difference between the two intervention groups (shallow and deep) with the control group in terms of the semi-dynamic balance (total) score, (p<0.05); the semi-dynamic balance (total) of the two intervention groups (shallow and deep) was higher than that of the control group (p<0.05). Conclusion: Our study results indicate that exercise in both depths is a suitable solution to improve balance, particularly semi-dynamic balance (total) in male CIS patients. Accordingly, aquatic training has a positive effect on balance in male stroke patients and we can prescribe this protocol as a useful remedy for these patients.

scholarly journals Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial

2017 ◽  
Vol 18 (12) ◽  
pp. 1112-1116
Author(s):  
A Nishad ◽  
NS Sreesan ◽  
Joseph Joy ◽  
Lakshmi Lakshmanan ◽  
Joyce Thomas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Antibacterial Activity ◽  
Randomized Clinical Trial ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Group I ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
The Impact ◽  
Experimental Group

ABSTRACT Aim The study aimed to assess the impact of mouthwashes on antibacterial activity of individuals with fixed orthodontic appliances. Materials and methods A total of 60 individuals were considered in the study. Sixty (20 each group) nonextraction class I individuals were randomly divided into experimental and control groups. Group I: Experimental group [chlorhexidine (CHX) mouthwash], group II: Experimental group (neem mouthwash), group III: Control group (distilled water). All the clinical examinations were done at baseline and 30th day respectively, after the start of orthodontic treatment. The mean differences between the different experimental groups were calculated using one-way analysis of variance (ANOVA) test. Results There was no statistical significance at baseline mean plaque index (PI), gingival index (GI) scores, and Streptococcus mutans (SM) colony count between groups. The PI and GI scores among CHX and neem mouthwash groups (p = 0.002, p = 0.032 respectively) were significantly reduced after intervention and also the SM colonies count was reduced in CHX and neem mouthwash groups and there was significant difference between the groups. Conclusion As both mouthwashes showed significant effectiveness on antibacterial activity in individuals with fixed orthodontic appliances, neem mouthwash can be used as an alternative to CHX. Clinical significance It is better to have a sound knowledge regarding the use of mouthwash in long term as fixed orthodontics are associated with accumulation of SM, enamel demineralization, and an increased number of carious lesions, predominantly in sites adjacent to bracket. How to cite this article Nishad A, Sreesan NS, Joy J, Lakshmanan L, Thomas J, Anjali VA. Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial. J Contemp Dent Pract 2017;18(12):1112-1116.

scholarly journals Electrical interferential current stimulation versus electrical acupuncture in management of hemiplegic shoulder pain and disability following ischemic stroke-a randomized clinical trial

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Fariba Eslamian ◽  
Mehdi Farhoudi ◽  
Fatemeh Jahanjoo ◽  
Elyar Sadeghi-Hokmabadi ◽  
Parvin Darabi
Keyword(s):  
Clinical Trial ◽  
Ischemic Stroke ◽  
Range Of Motion ◽  
Randomized Clinical Trial ◽  
Shoulder Pain ◽  
Pain Severity ◽  
Shoulder Range Of Motion ◽  
Significant Difference ◽  
Electrical Acupuncture ◽  
Interferential Current

Abstract Background Hemiplegic Shoulder Pain (HSP) is among common complications occurring after stroke leading to disability. This study was conducted to compare the effects of electrical Interferential Current stimulation (IFC) and Electrical Acupuncture (EAC) on pain intensity, range of motion, and functional ability in patients with HSP and also comparing the two modalities regarding improvement of above indices. Methods In this randomized clinical trial, 46 patients with HSP caused by ischemic stroke were recruited and assigned into 2 groups. Conventional exercise trainings were applied for both groups. Group A received additional IFC with medium frequency of 4000 HZ, and Group B received additional EAC two times a week for a total of 10 sessions. Pain severity, daily function, and shoulder Range of Motion (ROM) were evaluated using Visual Analogue Scale (VAS), Shoulder Pain and Disability Index (SPADI), and goniometry, respectively before and 5 weeks after the treatment. Results Both groups showed relative improvement in pain severity, SPADI score, and its subscales, and also active and passive shoulder ROM after the treatment. However, IFC group compared to EAC group had higher mean changes of active ROM in abduction (28.00 ± 3.81 vs. 12.25 ± 2.39) and functional subscale of SPADI (11.45 ± 1.88 vs. 5.80 ± 1.66) after the treatment. On the contrary, EAC group showed higher percentage of VAS changes (46.14 ± 6.88 vs. 34.28 ± 5.52), indicating better pain improvement compared to IFC group. Other parameters did not show significant difference between two groups. Conclusion Both IFC and EAC caused short term improvement in functional state, increased motion, and decreased pain in patients with HSP. Although pain control was more evident in acupuncture group, IFC resulted in better effects on function and active ROM of abduction, and seems to have higher efficacy. Trial registration This clinical trial was registered in the Iranian Registry of Clinical Trials at 2016-07-16 with a registry number of IRCT201602153217N10.

Compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section: A double-blinded randomized clinical trial

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Ali Abbasijahromi ◽  
Hamed Hojati ◽  
Saeid Nikooei ◽  
Hossein Kargar Jahromi ◽  
Hamid Reza Dowlatkhah ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Essential Oil ◽  
Essential Oils ◽  
Randomized Clinical Trial ◽  
Control Group ◽  
Content Type ◽  
Gate Control Theory ◽  
Significant Difference ◽  
The Mean ◽  
Damask Rose

AbstractBackgroundAnxiety is the most common psychological reaction in women during labor. Similar to numerous other surgeries, postoperative pain is also reported following cesarean section (C-section). According to the (Gate) Control Theory, there is a relationship between pain and psychological problems such as anxiety. Accordingly, the present study aimed to compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section.MethodsThis triple-group randomized clinical trial was performed on 90 mothers who visited Motahari Hospital of Jahrom, Iran, for C-section in 2017. The incidence and severity of pain and anxiety were measured and recorded for all three groups prior to intervention. The intervention groups underwent aromatherapy with lavender and Damask rose essential oils. Patients were asked to inhale cotton balls, separately stained with three drops of each essential oil at a distance of 10 cm for 30 mins. The severity of pain and anxiety was measured using the visual analogue scale (VAS) and the Spielberger State-Trait Anxiety Inventory (STAI) 5 min after the specified process, respectively. The control group underwent aromatherapy in a similar fashion with normal saline. Finally, data were analyzed using descriptive statistical indices and ANOVA and Kruskal–Wallis tests in SPSS 21.ResultsThere was no significant difference between the three groups in the mean severity of pain and anxiety before the intervention (p>0.05). The mean severity of pain and overt anxiety in the lavender and Damask rose aromatherapy groups was significantly different than the control group after the intervention (p<0.001). In addition, no significant difference was observed between the overt and overall anxiety levels of the two intervention groups after the intervention (p>0.05).ConclusionsThe findings suggested that inhalation aromatherapy can reduce the severity of overt anxiety and pain after C-section, with Damask rose essential oil showing a larger effect than lavender.

scholarly journals Evaluation of the Effectiveness of Dynamic Neuromuscular Stability Exercises on Balance and Walking Function in the Elderly

2021 ◽  
Vol 19 (3) ◽  
pp. 279-288
Author(s):  
Mohammad Hani Mansori ◽  
◽  
Yousef Moghadas Tabrizi ◽  
Kamal Mohammadkhani ◽  
◽  
...  
Keyword(s):  
Dynamic Balance ◽  
The Elderly ◽  
The Body ◽  
Control Group ◽  
Static Balance ◽  
Daily Routine ◽  
Study Results ◽  
Significant Difference ◽  
Post Test ◽  
Gait Function

Objectives: Walking and balance control are determining factors in the independence of the elderly because they are the main components of daily physical activity. This study evaluated the effectiveness of Dynamic Neuromuscular Stability (DNS) training on balance and gait function in the elderly. Methods: This study had a pre-test/post-test design. It was a quasi-experimental study performed on 30 older men aged 60-70 years in Qom Province, Iran, in 2021. The elderly was randomly divided into experimental (n=15) and control (n=15) groups. The Experimental Group (EG) participated in three 45-min sessions of dynamic neuromuscular stability training every week for 6 weeks, and the Control Group (CG) continued their normal daily routine. Berg balance scale (dynamic balance), modified stork stand (static balance), and temporal and spatial gait parameters were used to collect information before and after applying the training protocol. The obtained data were analyzed using ANCOVA statistical method and the paired t test. Results: There were significant differences between pre-test and post-test in EG regarding the variables of dynamic balance, static balance (P=0.001), and gait function, but in the CG, no significant difference was observed for these variables (P>0.05). Also, there was a significant difference between the mean scores obtained in the balance and gait tests between the two groups (P<0.05), and EG performed better in the post-test. Discussion: DNS training due to the great variety of movement in different parts of the body and the effect on improving strength, flexibility, range of motion, and physical fitness can also improve balance and gait function in the elderly. According to the present study results, one of the best ways to reduce the costs and physical, psychological, and social problems caused by aging is to use DNS training for the elderly.

scholarly journals Effects of Flaxseed Oil Consumption on Anthropometric Parameters in the Patients with Metabolic Syndrome: A Randomized Clinical Trial

2017 ◽  
Vol 6 (1) ◽  
pp. 44-51
Author(s):  
Atefeh Akrami ◽  
Farzad Nikaein ◽  
Siavash Babajafari ◽  
Shiva Faghih ◽  
Mohammad Javad Zibaeenejad
Keyword(s):  
Metabolic Syndrome ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Sunflower Oil ◽  
Flaxseed Oil ◽  
Control Group ◽  
Alpha Linolenic Acid ◽  
Anthropometric Parameters ◽  
Anthropometric Measures ◽  
Study Results

Background: Flaxseed oil, as the main source of Alpha linolenic acid (ALA), decreases the production of Arachidonic acid (AA) from linoleic acid (LA) that plays an important role in the development of metabolic syndrome (MS). The aim of the present study was to compare the effects of flaxseed oil and sunflower oil on anthropometric parameters in patients suffering from MS. Materials and Methods: In this randomized clinical trial, 60 participants aged 30-60 years who suffered from MS were selected according to ATP III definition and were divided into two even groups receiving flaxseed oil and sunflower oil. Each group received 25 ml of the specified oil on a daily basis for 7 weeks. The anthropometric measures were evaluated on the first and last days of the study. Results: No significant differences were observed between the two groups regarding weight. However, waist circumference reduced significantly in the flaxseed oil group compared to the control group (P=0.001). Conclusions: The ALA might prevent the increase in adipose tissues. Therefore, it seems that flaxseed oil has beneficial effects on MS. [GMJ.2017;6(1):44-51]

scholarly journals Effect of Twelve Sessions of Tai Chi Exercise on Static and Dynamic Balance in Young Girls

2020 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
Abdolhamid Daneshjoo ◽  
Aida Tavakol ◽  
Hassan Sadeghi
Keyword(s):  
Tai Chi ◽  
Dynamic Balance ◽  
Training Group ◽  
Repeated Measure ◽  
Control Group ◽  
Young Girls ◽  
Balance System ◽  
Significant Difference ◽  
Tai Chi Exercise ◽  
And Control

Background: Tai Chi is Chinese martial art strengthening the performance of individuals. Objectives: The purpose of present study is to determine the effect of a Tai Chi exercise period on static and dynamic balance of young girls. Methods: For the purpose of this research, 32 young girls were voluntarily selected and randomly divided into two groups: Tai Chi training group (21 subjects; mean ± SD; age 22.05±2.4 weight 53.67±6.3 kg, height 1.60±0.5 m) and control group (11 subjects; mean ± SD; age 23.37±0.9 weight 53.64±7.8 kg, height 1.62±0.4 m) players. Static and dynamic balance were measured using Biodex Balance System SD three days before and after a 12-session training period with similar conditions in terms of time and place (75 minutes each session). Results: Mixed repeated measure test showed a significant difference between pre and post-tests in open eye single-foot, closed eye single-foot, open eye two-foot, and closed eye two-foot stances (p=0.001). However, no significant difference was revealed in the control group (p>0.05). While there was better balance state in all stances of Tai Chi group, no significant difference was observed between the groups in this respect (p>0.05). Conclusions: The findings of this research indicated the effectiveness of Tai Chi exercises on static and dynamic balance of young girls. Although there was no significant difference in effect of exercise between training and control groups, mean percentage of changes in training group revealed the effectiveness of exercise in training group compared to control. Therefore, Tai Chi exercises can be recommended to treat and prevent injury due to poor balance. We suggested performing Tai Chi more than 12 session in order to enhance it influences.

scholarly journals The effectiveness of online metacognitive versus face-to-face counseling on anxiety and metaworry in women with a history of spontaneous miscarriage: A Randomized clinical trial

2020 ◽  
Author(s):  
Mina Ghiasi shaham Abadi ◽  
Tahmineh Farajkhoda ◽  
Hassan Zareei Mahmoodabadi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Secondary Outcome ◽  
Base Line ◽  
Satisfaction Scale ◽  
Face To Face ◽  
Group I ◽  
Significant Difference ◽  
History Of ◽  
Online Group

Abstract BackgroundOnline and face-to-face counseling interventions can be performed on women with a history of miscarriage, which causes their anxiety and metaworry.The aim of this study was to compare effectiveness of metacognitive counseling methods, online and face-to-face, on anxiety and metaworry of women with miscarriage.MethodsIn this parallel randomized clinical trial, 40 women with a history of miscarriage, anxiety and metaworry were randomly assigned to two groups (n = 20/each): group I receiving metacognitive counseling via online network and software, and group II (control) receiving face-to-face metacognitive counseling with same content and time, 90-minute sessions. Data were collected demographic form, Beck Anxiety Inventory, Wellz metaworry questionnaire and satisfaction scale. Primary outcomes included changes in the scores of anxiety, metaworry were measured in both groups in three times including at the base line, and at the end of week eight and twelve of the intervention initiation. Satisfaction with counseling method was assessed as secondary outcome at the end of week eight and twelve of the intervention beginning in both groups.ResultsIn both groups, mean score of anxiety in 12th week was significantly different from before the intervention; difference was more significant in online group (p = 0.04). In both groups, the mean score of metaworry in 12th week had a statistically significant difference compared to the beginning of the study, and the decrease was again more significant in the online group (p = 0.03). Satisfaction with the counseling method had statistically significant difference between the two groups in week eight and twelve (respectively p ≈ 0.00).ConclusionsMetacognitive counseling both online and face-to-face improves anxiety and metaworry in women with miscarriage. Online counseling was more effective, satisfying, and longer compared with face-to-face counseling method, especially in corona virus19 outbreak.Trial registration: ISRCTN, IRCT20181120041707N1, Prospectively registered, Registered 23 May 2019, https://en.irct.ir/trial/35643/ IRCT20181120041707N1

Effect of Low-Pressure Drainage Suction on Pharyngocutaneous Fistula After Total Laryngectomy

2020 ◽  
Vol 130 (1) ◽  
pp. 32-37
Author(s):  
Mojtaba Maleki Delarestaghi ◽  
Aslan Ahmadi ◽  
Fatemeh Dehghani Firouzabadi ◽  
Maryam Roomiani ◽  
Mohammad Dehghani Firouzabadi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Total Laryngectomy ◽  
Recovery Time ◽  
Low Pressure ◽  
Control Group ◽  
Pharyngocutaneous Fistula ◽  
Significant Difference ◽  
Drain Group ◽  
And Control

Objective: Pharyngocutaneous fistula (PCF) is one of the most severe multifactorial complications following laryngectomy. The current study aimed at determining the effect of a low-pressure vacuum drain on the incidence of PCF after total laryngectomy. Methods: The current randomized clinical trial was conducted on 35 patients undergoing total laryngectomy in Hazrat Rasoul Akram and Firoozgar hospitals in Tehran, Iran. The subjects were divided into the vacuum drain (n = 15) and control (without vacuum drain) (n = 20) groups. The incidence of PCF and the recovery time were recorded. Results: The rate of PCF formation from the stoma and wound edges was significantly lower in the low-pressure vacuum drain group than in the control group (6.7% vs 40%) ( P < .05). There was no significant difference between the groups in time to recovery from PCF. Conclusion: The low-pressure vacuum drain method is effective in reducing the incidence of PCF after total laryngectomy.

scholarly journals Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Antonio de Olival Fernandes ◽  
Yvoty Alves dos Santos Sens ◽  
Vivian Bertoni Xavier ◽  
Luiz Antonio Miorin ◽  
Vera Lúcia dos Santos Alves
Keyword(s):  
Clinical Trial ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Randomized Clinical Trial ◽  
Functional Capacity ◽  
Respiratory Function ◽  
Cycle Ergometer ◽  
Forced Expiratory Volume ◽  
Control Group ◽  
Significant Difference

Purpose. Exercise is recommended for patients undergoing hemodialysis, to reduce the decrease in functional capacity secondary to the progression of chronic kidney disease. A cycle ergometer can be easily added to an exercise routine during hemodialysis sessions. The purpose of this article was to assess the results of a training protocol with the cycle ergometer during hemodialysis sessions on the respiratory function and functional capacity of patients with chronic kidney disease on hemodialysis. Method. In this randomized clinical trial (NCT no. 02834026), 39 patients undergoing hemodialysis were randomly allocated into two groups: the treatment group (TG, n = 20), who underwent a cycle ergometer protocol training, and the control group (GC, n = 19), not trained. The TG attended 24 training sessions, three times a week, during the intradialytic period. Training intensity was aimed at keeping the heart rate between 50 and 70% of its maximum. All participants were evaluated before and after the eight consecutive weeks of follow-up and had biochemicals data, anthropometric, functional, and respiratory outcomes evaluated. Results. A significant difference was observed between groups in forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, maximal inspiratory and expiratory pressure, and Borg score and distance covered in the six-minute walk test. Improvement was also observed in biochemical and Kt/V test results for the TG. Conclusion. The systematic training regimen with a cycle ergometer resulted in benefits in the respiratory function and functional capacity in patients with chronic kidney disease undergoing hemodialysis.

scholarly journals Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)

2020 ◽  
Author(s):  
Masoumeh Kanikzadeh ◽  
Rahim Tahmasebi ◽  
farideh bahreini ◽  
faezeh jahanpour
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Picture Book ◽  
Infusion Therapy ◽  
Control Group ◽  
School Aged Children ◽  
Distress Score ◽  
Significant Difference ◽  
Intravenous Catheterization ◽  
Catheterization Procedure

Abstract Background: Hospitalized pediatric patients experience pain, fear, and distress during intravenous catheterization. This study investigates the effects of a picture book on reducing distress caused by intravenous (IV) catheterization among school-aged children.Methods: seventy four Pediatric emergency room patients age 6-12 years old requiring Iv Infusion were enrolled in this randomized clinical trial. The intervention, providing a description of the IV catheterization procedure using a picture book, was compared to the same description of the procedure without a picture book (standard of care). Subject distress was measured using the Observation Scale of Behavior Distress Revised (OSBD_R) which assigns a score to eight observable behaviors. Before, during, and after the procedure at 15-second intervals (measured using a timer), a trained observer assigned an OSBD_R score of distress. A total score of 22 is considered maximum distress. The primary endpoint for the study was OBSD_R score difference in Phase 3 (Performing catheterization procedure, attaching and infusion therapy). Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis. Results: The mean distress score in third phases for the intervention group (0.667 ± 0.610) was significantly less than that of the control group (3.218 ± 1.799). A significant difference in distress score was observed before and after the intervention (p< 0.001).Conclusions: Children’s distress due to IV catheterization can be reduced with a simple, nonpharmacological picture book intervention. The children’s orientation on the IV catheterization plays a significant role in controlling and reducing their distress during and after the intervention. We suggested using the picture book to reduce the children distress before Intravenous Catheterization.

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