ABSTRACT
Objective To study the clinical effect of neuromuscular stimulation combined with vaginal cones treatment in patients with postpartum stress urinary incontinence ( SUI) .Methods 100 cases using random sampling method were divided into vaginal cones ( control group ) in 50 cases and neuromuscular stimulation combined with va-ginal cones training (observation group) in 50 cases,by each treatment for 8 weeks,The treatment effect of SUI before and after of the two groups was evaluated .Results The change of pelvic floor muscle strength before treatment in the two groups was no statistically significant differences (χ2 =5.49,P >0.05);The change of pelvic floor muscle strength after treatment in the observation group than the control group obviously improve (χ2 =23.11,P<0.05);The of pelvic floor muscle strengthscore score (4.88 ±0.77)point after 12 week in the observation group were significant-ly higher than those control group (3.88 ±0.69)/point (t=3.55,P<0.05);The incidence rate (10%) of urinary incontinence after 12 week in the observation group were significantly lower than those in the control group ( 18%) (χ2 =4.33,P<0.05);The muscles contraction strength [(37.55 ±7.98)μV] after treatment in the observation group were markedly increased compared to the control group [(37.55 ±7.98)μV] (t=5.13,P<0.05).Conclusion The incidence rate of urinary incontinence postpartum can reduce postpartum stress urinary incontinence , and pelvic floor muscle strength were increased by treatment in neuromuscular stimulation combined with vaginal cones .
ABSTRACT
JUSTIFICATIVA E OBJETIVOS: A doença pulmonar obstrutiva crônica (DPOC) afeta aproximadamente 210 milhões de pessoas ao redor do mundo tornando-se uma questão de saúde pública. Diversas técnicas fisioterapêuticas são propostas para minimizar estas consequências. O objetivo deste estudo foi comparar dois protocolos distintos de reabilitação pulmonar e suas repercussões sobre a função pulmonar, muscular respiratória e periférica e capacidade funcional. RELATO DOS CASOS: Caso 1: Paciente do sexo feminino, 50 anos, tabagista, história de tosse crônica e portadora de DPOC. Foi avaliada pelo teste de função pulmonar (espirometria), manovacuometria, teste de Caminhada de Seis Minutos, índice de massa corpórea, sensação de dispneia e para correlacionar os itens utilizou-se o índice BODE e submetida ao protocolo 1 de reabilitação pulmonar ambulatorial convencional semanalmente (2 vezes) por 6 semanas. Caso 2: Paciente do sexo feminino, 66 anos, tabagista, história de dispneia intensa, portadora de enfisema pulmonar à radiografia de tórax. Foi avaliada assim como o caso 1 e submetida ao protocolo 2, também duas sessões semanais com uso de eletroestimulação neuromuscular através de um equipamento de corrente russa como recurso terapêutico e treinamento muscular respiratório com incentivador pressórico de carga linear. CONCLUSÃO: O procedimento de eletroestimulação neuromuscular mostrou-se benéfico em melhorar a resistência muscular periférica e consequentemente a capacidade funcional, juntamente com o treinamento muscular respiratório que promoveu resultados positivos no teste de função pulmonar. A reabilitação pulmonar ambulatorial convencional mostrou-se potencialmente eficaz, pois melhorou o condicionamento geral da paciente refletido pelo aumento na distância percorrida no TC6 e aumento da força muscular inspiratória.
BACKGROUND AND OBJECTIVES: Chronic obstructive pulmonary disease (COPD) affects approximately 210 million people around the world becoming a public health issue. Various physical therapy techniques are proposed to minimize these consequences. The aim of this study was to compare two different protocols for pulmonary rehabilitation and its effects on lung function, respiratory and peripheral muscle and functional capacity. CASE REPORTS: Case 1: Female patient, 50 years, smoker, history of chronic cough and a carrier of COPD. Was evaluated by pulmonary function test (spirometry), manometer, Walking Test Six Minutes, body mass index, dyspnea sensation,and to correlate the items used the BODE index and subjected to a protocol of outpatient pulmonary rehabilitation conventional weekly (2 times) for 6 weeks. Case 2: Female patient, 66 years, smoker, history of severe dyspnea, with chronic pulmonary emphysema on chest radiograph. Was evaluated based on the case and subjected to a second protocol,also two weekly sessions with the use of neuromuscular electrical stimulation through a chain of Russian equipment as a therapeutic resource and respiratory muscle training with motivational pressure linear load. CONCLUSION: The method of neuromuscular stimulation proved beneficial in improving peripheral muscle strength and consequently the functional capacity, along with respiratory muscle training that promoted positive results in lung function testing. The conventional outpatient pulmonary rehabilitation tobe potentially effective, since it improves the overall fitness of the patient reflected by the increase in 6 MWD and increased inspiratory muscle strength.
Subject(s)
Humans , Female , Middle Aged , Pulmonary Disease, Chronic Obstructive/rehabilitation , Physical Therapy Modalities , Respiratory TherapyABSTRACT
OBJECTIVE: The purpose of this study was to identify the effect of EMG-triggered electrical neuromuscular stimulation for recovery of hemiplegic arm function. METHOD: EMG-triggered electrical stimulation was applied to the extensor digitorum communis (EDC) of 8 chronic hemiplegics who showed no functional changes for more than 3 months. Stimulation was started when the amplitude of processed EMG signal from the same muscle exceeded the preset threshold. The therapeutic effect was evaluated by kinesiologic and clinical methods before and after 4 weeks. Quantitative EMG from EDC, excursion of second metacarpophalangeal joint, and functional measurements were used. We also evaluated cognitive and perceptual effect on recovery of arm function. RESULTS: Subjects treated with EMG-triggered electrical stimulation showed significant gain in amplitude of quantitative EMG and excursion sum during maximal exertion comparing to those of pre-treatment (p0.05). CONCLUSION: These results suggest that EMG-triggered electrical stimulation might be an effective therapeutic modality to improve motor function of the hemiplegic arm of chronic brain injured patients.
Subject(s)
Humans , Arm , Brain , Electric Stimulation , Hemiplegia , Metacarpophalangeal Joint , Muscle SpasticityABSTRACT
OBJECTIVE: The present study was conducted to investigate the effects of transcutaneous electrical nerve stimulation (TENS) and microcurrent electrical neuromuscular stimulation (MENS) on pain-like behaviors developed in rats with an experimental neuropathy. METHOD: Neuropathic surgery was done by a unilateral ligation of L5 and L6 spinal nerves of the rat. Allodynic behavior was examined by measuring foot withdrawal frequency in response to 10 applications of a von Frey filament (2.5 g) to the plantar surface of the foot. Ongoing pain behavior was examined by measuring cumulative time in 3 min that the rat lifted its foot off a plate held at cold temperature (5oC). TENS (square pulses; 3 Hz, 30 mA) or MENS (bipolar pulses; 10 Hz, 300 microampere) was applied for 15 min or 5 min, respectively, to the skin of the affected foot. RESULTS: Behavioral signs of mechanical allodynia and cold-induced ongoing pain had developed after nerve injury. Either TENS or MENS, when applied once, alleviated allodynic behavior, lasting up to 2 hrs. Such an alleviation lasted much longer when TENS or MENS was applied repeatedly (once a day for 6 days); 3 days by TENS and 1 day by MENS. Cold-induced ongoing pain behavior, however, was not affected by the repeated application of either TENS or MENS. CONCLUSION: The results suggest that both TENS and MENS are useful tools for the treatment of mechanical allodynia. Repeated application of TENS or MENS is more effective in alleviating mechanical allodynia than its single application. Either TENS or MENS, however, seems not effective in alleviating cold-induced ongoing pain.