ABSTRACT
ANTECEDENTES: El objetivo fue describir los cambios en la funcionalidad tras la utilización de realidad virtual en participantes postoperados de Artroplastia Total de Rodilla (ATR). MATERIALES Y MÉTODOS: Se reclutaron 25 participantes postoperados de ATR. El entrenamiento con realidad virtual duró seis semanas. Las medidas de resultado fueron: el cuestionario WOMAC; la escala Berg Balance; dolor con escala visual analógica (EVA); distancia recorrida con el Test de Marcha de seis minutos y la diferencia de la carga de peso en las extremidades inferiores. RESULTADOS: Al finalizar el tratamiento, todas las variables estudiadas mostraron reducciones estadísticamente significativas (p < 0,05). CONCLUSIONES: Un entrenamiento fisioterapéutico que añade realidad virtual, a corto plazo, mejora la funcionalidad en participantes post operados de ATR
BACKGROUND: The objective was to describe the changes in functionality after the use of virtual reality in post Total Knee Arthroplasty (ATR) participants. MATERIALS AND METHODS: 25 post-operated ATR participants were recruited. The virtual reality training lasted 6 weeks. The outcome measures were the WOMAC questionnaire; the Berg Balance scale; pain with visual analogue scale (VAS); distance covered with the 6-minute Walk Test and the difference in weight load on the lower extremities. RESULTS: At the end of the treatment, all the variables studied showed statistically significant reductions (p < 0.05). CONCLUSIONS: Physiotherapeutic training that adds virtual reality, in the short term, improves functionality in post-operated ATR participants
Subject(s)
Humans , Male , Female , Aged , Arthroplasty, Replacement, Knee/rehabilitation , Software , Mechanical Phenomena , Virtual Reality , Physical Therapy Modalities/mortality , Exercise Therapy/methods , Surveys and Questionnaires , Pain Measurement/methods , Visual Analog Scale , Gait , Exercise/physiologyABSTRACT
INTRODUCTION: Multiple sclerosis (MS) is a chronic autoimmune disease affecting the myelinated axons of the central nervous system causing neurological deterioration. People living with MS have a poor quality of life (QOL) because of the symptoms caused by the disease and there are various types of treatments to manage the symptoms aside from medication. OBJECTIVE: This meta-analysis examines the effect of exercise, yoga and physiotherapy on the physical, mental and social QOL among individuals living with MS. SETTING: A systematic review with meta-analysis was conducted using PubMed, Medline, and Scopus from 1990 to 2017. The standard mean difference scores were computed in each study for the domains of physical, mental and social functioning. RESULTS: Eighteen studies met the inclusion criteria for this meta-analysis. Aerobic exercise was effective in improving satisfaction with physical functioning,d = 0.35 (95% CI = 0.08 to 0.62), mental functioning d = 0.42 (95% CI = 0.11 to 0.72), and social functioning d = 0.42 (95% CI = 0.15 to 0.69). Physiotherapy was also found to be effective for physical functioning d = 0.50 (95% CI 0.19 to 0.80), mental functioning d = 0.44 (95% CI 0.14 to 0.75) and social functioning d = 0.60 (95% CI 0.21 to 0.90). However yoga and combination of exercises did not have a significant effect on any of the QOL domains. CONCLUSION: These findings suggest that aerobic exercise and physiotherapy improves the satisfaction of MS patients with their physical, mental and social functioning and may be included as normal practice in the treatment of MS.
Subject(s)
Exercise/physiology , Multiple Sclerosis/physiopathology , Multiple Sclerosis/psychology , Quality of Life/psychology , Yoga/psychology , Exercise Therapy/methods , Humans , Physical Therapy Modalities/mortalityABSTRACT
AIMS: This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke. METHODS: The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n=1 791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Frühreha-Plus">"Standard-Plus">"Nur Akut"). RESULTS: There is a positive relationship between adherence to clinical guidelines and survival time, even when relevant covariates are controlled. The hazard-ratios are 0.49 for "Frühreha-Plus" and 0.65 for "Standard-Plus" compared to "Nur Akut". CONCLUSIONS: Healthcare processes should be organized on the basis of cross-sector collaboration and in line with the recommendations of the guidelines.
Subject(s)
Guideline Adherence/statistics & numerical data , Occupational Therapy/statistics & numerical data , Occupational Therapy/standards , Physical Therapy Modalities/mortality , Physical Therapy Modalities/standards , Stroke Rehabilitation , Stroke/mortality , Aged , Critical Pathways/standards , Critical Pathways/statistics & numerical data , Disease-Free Survival , Female , Germany/epidemiology , Hospitalization/statistics & numerical data , Humans , Male , Physical Therapy Modalities/statistics & numerical data , Practice Guidelines as Topic , Prevalence , Risk Factors , Survival AnalysisABSTRACT
BACKGROUND: Incomplete cervical cord syndrome without spinal instability is a very devastating event for the patient and the family. It is estimated that up to 25% of all traumatic spinal cord lesions belong to this category. The treatment for this type of spinal cord lesion is still subject of discussion. From a biological point of view early surgery could prevent secondary damage due to ongoing compression of the already damaged spinal cord. Historically, however, conservative treatment was propagated with good clinical results. Proponents for early surgery as well those favoring conservative treatment are still in debate. The proposed trial will contribute to the discussion and hopefully also to a decrease in the variability of clinical practice. METHODS/DESIGN: A randomized controlled trial is designed to compare the clinical outcome of early surgical strategy versus a conservative approach. The primary outcome is clinical outcome according to mJOA. This also measured by ASIA score, DASH score and SCIM III score. Other endpoints are duration of the stay at a high care department (medium care, intensive care), duration of the stay at the hospital, complication rate, mortality rate, sort of rehabilitation, and quality of life. A sample size of 36 patients per group was calculated to reach a power of 95%. The data will be analyzed as intention-to-treat at regular intervals, but the end evaluation will take place at two years post-injury. DISCUSSION: At the end of the study, clinical outcomes between treatments attitudes can be compared. Efficacy, but also efficiency can be determined. A goal of the study is to determine which treatment will result in the best quality of life for the patients. This study will certainly contribute to more uniformity of treatment offered to patients with a special sort of spinal cord injury. TRIAL REGISTRATION: Gov: NCT01367405.
