Tag: nevin manimala

J Bodyw Mov Ther. 2021 Jul;27:55-59. doi: 10.1016/j.jbmt.2021.01.007. Epub 2021 Jan 21.

ABSTRACT

OBJECTIVE: To determine the reliability of the Thai version of International Physical Activity Questionnaire Short Form (IPAQ-SF) in Chronic Obstructive Pulmonary Disease (COPD) patients.

METHODS: A cross sectional study was carried out in COPD subjects at Chiang Dao hospital, Chiang Mai, Thailand in June and July 2019. COPD subjects were asked to complete the Thai version of the IPAQ-SF. Calculations for each level of activity were carried out separately (vigorous activity, moderate activity, walking, and sitting). This was carried out twice with an interval of four weeks between visits. The test-retest reliability of the IPAQ was assessed using the intraclass correlation (ICC) with a 95% confidence interval (CI). Cohen’s kappa coefficient and percentage agreement were used to test the repeatability of the physical activity classification between the two visits.

RESULTS: Sixty COPD subjects (50% male), with a mean age of 71.2 ± 7.7 years were included. The least reliability was established for sitting time (ICC = 0.439; 95%CI; 0.212, 0.621, p-value < 0.001) and the greatest for the total physical activity (ICC = 0.837; 95%CI; 0.741, 0.899, p-value < 0.001). The Kappa statistic was 0.433 with a 95%CI; 0.237, 0.639, p-value < 0.001 and the percentage agreement of the physical activity classification between the two visits was 66.7%.

CONCLUSION: The test-retest reliability was adequate for vigorous activity and total physical activity. Although there are concerns about the agreement for classification of physical activity, the IPAQ-SF may be a useful if not definitive tool for assessing physical activity in COPD.

PMID:34391285 | DOI:10.1016/j.jbmt.2021.01.007

J Bodyw Mov Ther. 2021 Jul;27:48-54. doi: 10.1016/j.jbmt.2021.03.008. Epub 2021 Mar 18.

ABSTRACT

INTRODUCTION: Depressed level of consciousness and delirium are associated with multiple complications in cognitive, perceptual and sensory functions in the patients of the intensive care units. The present study aimed to determine the effect of foot massage by a nurse and patient’s family on the level of consciousness and delirium in patients admitted to the intensive care units (ICU).

METHODS: This was a randomized parallel single-blind controlled trial. Seventy-five ICU were assigned in three groups (massage by a nurse, massage by patient’s family and control group) by stratified block randomization method. Both feet were massaged with Swedish massage (10 min) once a day for six days by a nurse or patient’s family. Delirium and level of consciousness was measured before, and post-intervention.

RESULTS: The mean level of consciousness in all the three groups increased significantly one-week post-intervention. However, there was no significant difference in the level of consciousness among the three groups during the study. The frequency of delirium in the massage group by the family was 20% before the intervention, which decreased to 12% after intervention. In the massage group by a nurse and control group, 16% of the samples had delirium before the intervention. After the intervention, the prevalence of delirium was 8% in the massage group by a nurse, and it decreased to 12% in the control group, none of which was statistically significant.

CONCLUSION: The use of Swedish foot massage did not change the level of consciousness and delirium of patients admitted to the ICU.

PMID:34391275 | DOI:10.1016/j.jbmt.2021.03.008

J Bodyw Mov Ther. 2021 Jul;27:507-511. doi: 10.1016/j.jbmt.2021.02.013. Epub 2021 Mar 17.

ABSTRACT

OBJECTIVE: Activation of the trunk and lower limb muscles, namely the multifidus, rectus abdominis, rectus femoris, and tibialis anterior, was analyzed using surface electromyographyin 40 young, healthy, and sedentary individuals.

METHODS: Data were collected from sneaker-clad subjects with independent gait and during hippotherapy using saddles and blankets, with the feet in and out of the stirrups.

RESULTS: Surface electromyography results demonstrated a statistically significantly greater activation of the rectus femoris comparison to tibialis anterior muscle during hippotherapy. No statistically significant differences were observed when comparing variables related to the mount materials used in hippotherapy and human gait.

CONCLUSION: In this study, similarities were observed between activation of the trunk and lower limb muscles during hippotherapy and human gait. In addition, the mount materials and practices used in hippotherapy did not influence muscle activity.

PMID:34391279 | DOI:10.1016/j.jbmt.2021.02.013

J Bodyw Mov Ther. 2021 Jul;27:402-409. doi: 10.1016/j.jbmt.2021.03.018. Epub 2021 Mar 19.

ABSTRACT

INTRODUCTION: Previous studies have analyzed the effects of manual therapy techniques (MTT) in patients with chronic ankle instability (CAI). Clinicians treat patients according the finding-oriented MTT approach. This approach is seldom pursued in research. The purpose of this study was to evaluate the feasibility and efficacy of finding-oriented MTT applications in patients with CAI.

METHOD: In this randomized controlled, blinded assessor crossover feasibility trial, participants were randomized to receive nine finding-oriented MTT treatments or no treatment during a three-week period, followed by a six-day washout period after which participants were crossed-over. Criteria under evaluation were adherence and attrition rates, safety (adverse events (AEs)) and acceptability and preliminary effects of finding-oriented MTT on muscular activity (measured by surface Electromyography (sEMG)) and on dynamic balance (measured by time to stabilization (TTS) and the modified Star Excursion Balance Test (modified STBT)).

RESULTS: Seven women and two men (mean age: 26 ± 6.1 years) with CAI enrolled in this feasibility study. Success criteria showed a high adherence (90%) and low attrition rate (10%). All data could be used for analysis. AEs such as tingling in the foot during a short time frame were reported after four finding-oriented MTT interventions. Preliminary effect sizes showed divergence and few statistically significant results for sEMG.

CONCLUSION: The participants were adherent to the finding-oriented MTT intervention. The acceptability of data recording and data analysis was good. In addition, the study protocol should be adapted by adding a 10-min warm up period, a participant familiarization to TTS and modified STBT, and test repetitions.

PMID:34391263 | DOI:10.1016/j.jbmt.2021.03.018

J Bodyw Mov Ther. 2021 Jul;27:447-454. doi: 10.1016/j.jbmt.2021.03.007. Epub 2021 Mar 19.

ABSTRACT

OBJECTIVE: The purpose of this study was to investigate the effect of 4 weeks of sling-based manual therapy on the cervicothoracic junction (CTJ) area in patients with neck pain and forward head posture.

DESIGN: Single-blind randomized controlled trial.

SETTING: Outpatient, Chonbuk National University hospital, Republic of Korea.

SUBJECTS: A total of 22 participants with neck pain (Numeric Pain Rating Scale >3) and forward head posture (craniovertebral angle <51) were randomly assigned to a CTJ group or a control group (n = 11 each).

INTERVENTION: In the control group, joint mobilization and motor control training was applied for the upper cervical spine (C0-C1). The CTJ group applied the same intervention to the upper cervical spine and cervicothoracic junction (C7-T3).

MAIN MEASURES: Numeric pain rating scale and neck disability index, craniovertebral angle, active range of motion, and muscle activity were evaluated before and after 4 weeks of intervention.

RESULT: The CTJ group participants showed significant improvement in the craniovertebral angle and cervical extension range after the intervention than the control group (P = 0.025, P = 0.001). While both groups presented significant differences after the intervention regarding Numeric pain rating scale, neck disability index, and muscle activity (sternocleidomastoid and anterior scalene muscle), there were no statistically significant differences between the groups (P > 0.05).

CONCLUSION: Our results suggest that the CTJ and the upper cervical region in patients with neck pain and forward head posture represent an area which if approached by manual therapy, improves cervical mobility and posture.

PMID:34391270 | DOI:10.1016/j.jbmt.2021.03.007

J Bodyw Mov Ther. 2021 Jul;27:464-471. doi: 10.1016/j.jbmt.2021.05.008. Epub 2021 May 12.

ABSTRACT

BACKGROUND: Trunk rotations are important functional movements which form the foundations of human motion pattern, especially in the functions of walking and running. They prevent the functional impairments and structural lesions resulting from axial overloading in static positions such as sitting.

OBJECTIVES: The aim of the study was to assess the influence of rotational movement training exercises on the abdominal muscle thickness and spinal mobility range.

STUDY DESIGN: Randomized controlled trial.

METHODS: The study involved 73 individuals aged 18-45. The subjects were randomly divided into two groups. The study group (TG) comprised 40 people who performed rotational movement exercises over the period of 4 weeks (16 training sessions). In the control group (CG) the training was not applied. Changes in the thickness of selected abdominal muscles on ultrasound imaging were evaluated, as well as trunk mobility, based on the trunk lateral flexion test.

RESULTS: The analysis of the obtained data has demonstrated a statistically significant increase in the thickness of the abdominal internal (IO) (p < 0.05) and external oblique muscles (EO) (p < 0.001) in the study group (TG) between measurements I and II, and measurements I and III. A similar increase in the thickness was found in the summation measurement of TrA + IO + EO. Bilateral increase in the trunk lateral flexion range in the frontal plane has also been noted.

CONCLUSIONS: Rotational movement training of the trunk leads to an increase in the thickness of the abdominal oblique muscles. Rotational movement exercise training increases trunk mobility in the frontal plane.

PMID:34391272 | DOI:10.1016/j.jbmt.2021.05.008

J Bodyw Mov Ther. 2021 Jul;27:352-357. doi: 10.1016/j.jbmt.2021.01.014. Epub 2021 Jan 28.

ABSTRACT

INTRODUCTION: Lateral epicondylitis (LE) is a common ailment causing pain and functional limitations. There is an inadequate understanding of its etiopathogenesis. Involvement of the radial nerve (RN) as the primary causative factor for this condition remains debatable. The aim of the present study was to assess the RN thickness in patients with LE and compare it with the unaffected side.

METHODS: The study included seventy eligible patients (M:F, 22:48) in the age group of 30-60 years with a clinical diagnosis of LE. The cross-sectional area of RN was measured at the spiral groove (SG) and around the antecubital fossa (AF) using ultrasound and compared with the unaffected side. Numeric Pain Rating Scale (NPRS) and the QuickDASH scale were used to assess pain and functional impairment.

RESULTS: Thickness of RN at the AF (p = 0.026) and the SG (p = 0.0117) on the affected were statistically significant compared to the unaffected side in the cohort comprising of all the 70 patients. Out of 70 patients, increased thickness was seen in 23 at the SG and 19 at the AF. QuickDASH was statistically significant in patients who had thickened nerves compared to the unaffected side at the SG (p = 0.04) but not at the AF (p = 0.16). NPRS was not statistically significant at either the AF (p = 0.34) or the SG (p = 0.71) in patients with thickened nerves.

CONCLUSION: Tennis elbow needs to be no longer acknowledged only as tendinopathy. It also requires consideration of the involvement of the RN.

PMID:34391257 | DOI:10.1016/j.jbmt.2021.01.014

J Bodyw Mov Ther. 2021 Jul;27:26-33. doi: 10.1016/j.jbmt.2021.02.027. Epub 2021 Mar 5.

ABSTRACT

INTRODUCTION: To investigate the effect of the Kinesio Tape on the muscle power of the elite weightlifters.

METHODS: A randomized controlled trial, single blind. Forty-two male weightlifters were randomly assigned to the experimental Kinesio Tape and sham Kinesio Tape groups of the study. The participants then performed a single leg vertical jump and a single leg horizontal jump with three attempts of each to obtain the measurement of muscle power. Outcome measures were included single-leg vertical countermovement jump, estimated peak power, and single-leg horizontal countermovement jump.

RESULT: Significant effect of Kinesio Tape on horizontal jumps distance among the weightlifters in the experimental group (p = 0.002). The study showed that the vertical jump height (p = 0.433), estimated peak power (p = 0.542) and horizontal jump distance (p = 0.841) measurements did not improve significantly between the groups at level p = 0.05.

CONCLUSION: There is a small and better improvement noticed on the outcome measurements after Kinesio Tape application, which may be considered clinical importance for the sport. However, there was no statistically significant effect of Kinesio Tape between the groups.

PMID:34391243 | DOI:10.1016/j.jbmt.2021.02.027

J Bodyw Mov Ther. 2021 Jul;27:274-280. doi: 10.1016/j.jbmt.2021.02.025. Epub 2021 Mar 5.

ABSTRACT

OBJECTIVE: Although many studies indicated a decreased reaction time in post-traumatic complaints including ACL injury, no study has been devoted to measure reaction time in patients with patellofemoral pain syndrome (PFPS). The purpose of the present study was to compare the visuomotor reaction time between PFPS and healthy individuals.

METHODS: Twenty five patients with PFPS (20 women and 5 men, mean age 29.28 years, SD 5.59) and 25 healthy controls (19 women, 6 men, mean age 29.32, years SD 5.30) were recruited in the present study. The dependent variables were upper extremity reaction time, upper extremity error rate, knee extension reaction time in both involved and non-involved legs, plantar flexion reaction time in both involved and non-involved legs.

RESULTS: The results of one-way multiple analysis of variance showed that patients with PFPS had slower upper extremity reaction time (P=0.047, Effect size (ES)=0.39) and plantar flexion reaction time (symptomatic side) (P<0.001, ES=0.77) as compared with healthy control. The symptomatic knee extension reaction time was slower than the healthy matched leg, but this difference was not statistically significant (P=0.296, ES= 0.19).

CONCLUSION: The present study suggests that the reaction time might be considered as a factor associated with PFPS.

PMID:34391245 | DOI:10.1016/j.jbmt.2021.02.025

J Bodyw Mov Ther. 2021 Jul;27:287-293. doi: 10.1016/j.jbmt.2021.02.022. Epub 2021 Mar 11.

ABSTRACT

BACKGROUND: Cricket is one of the prominent global team sports. With an emergence of Twenty20 tournaments, the physical preparation of elite cricket players has become complex with high match injury incidence. Yoga as a body-mind training is associated with having positive effects on a person’s physical and psychological conditions, bringing in better mind-body equilibrium.

OBJECTIVES: Evaluating the impact of yoga in facilitating muscular functioning and mindfulness among asymptomatic male cricket players.

METHOD: First-class domestic male cricket players in the age group of 18-35 years were randomized into yoga group n=42 and wait-list control group n=40. Players received the yoga module for five days per week for a duration of six weeks. Primary outcome measures of muscular functioning were core stability, flexibility, range of motion, static balance, dynamic balance and proprioception of the ankle. Assessments were held at baseline, immediate post-intervention, and a follow-up after six months of intervention.

RESULTS: A statistical significance with p < .001 was observed for most of the variables at T2 and T3. Comparison of the model fit shows a highly significant p < 0.001 difference between the model as compared to the baseline model among most of the variables.

CONCLUSION: This yoga module was appropriate for enhancing muscular functioning variables of this study. Continuous practice of this yoga module can reinforce sustainable benefits for male cricket players.

PMID:34391247 | DOI:10.1016/j.jbmt.2021.02.022