The Outcome of Biofeedback Muscle Re-Education after Brachial Plexus Reconstruction: a Case Series

The purpose of this report was to evaluate the outcome of biofeedback muscle re-education after brachial plexus reconstruction. A case series was conducted based on registry data of Rehabilitation Outpatient Clinic. A total of 20 subjects underwent surgical reconstruction to restore elbow flexion in the period of 2012-2014 were included in the study. All 20 subjects received biofeedback muscle re-education until end June 2015 (data extraction). Oucome measures were time to recovery (months) after surgical reconstruction and patients’ compliance. Recovery is considered when muscle contraction of biceps (nerve transfer) and gracilis (free functional muscle transfer/ FFMT) are ≥ 100μV, recorded using EMG-surface electrode. Of 4 subjects underwent nerve transfer, all showed recovery with median time of 9 months. Of 16 subjects underwent FFMT, 5 showed recovery with median time of 9 months. The majority of subjects in both groups could comply with once in 2 weeks rehabilitation program

Correcting of Pronated Feet Reduce Skeletal Muscle Injury in Young Women with Biomechanical Abnormalities

Abstract: Biomechanical abnormalities of pronated feet accompanied by functional leg length disparity may increase the risk of skeletal muscle injury. Objective of the study is to prove that correction of pronated feet by the foot orthoses will reduce the creatine kinase-MM (CK-MM) concentrations as the muscle injury indicator. The design study was double blind randomized clinical trials with control. Research subjects were divided into two groups, group 1 used the foot orthoses while group 2 did not used the foot orthoses. The whole subject examined the concentrations of the CK-MM enzyme before, and 24–72 hours after the walking test. The walking test was conducted 15 minutes with maximum speed. The concentration of the CK-MM enzyme before walking test on treatment group was 70.07±15.33 International Unit (IU), similar with the control group was 69.85±17.03 IU (P=0.971). The increased in CK-MM enzyme concentrations 45 hours after the walking test was lower in the treatment group (7.8±9 IU) than the control group (22.0±11.5 IU) (P=0.001). The CK-MM enzyme concentrations continued to decline in the treatment group after the second walking test (77.21±17.47 IU), and after the third walking test (69.86±11.88 IU) (P=0.018). The foot orthoses for correcting the pronated feet on the young women with biomechanical abnormalities is able to reduce the degree of the skeletal muscle injury after walking activity

Correlation between functional mobility and physical activity in elderly with locomotive syndrome

Background In the elderly, one of the most common causes of chronic disability is Locomotive syndrome. Locomotive syndrome is a decrease in mobility function due to locomotive organ disorders. Physical activity in the elderly is known to decrease compared to young adults, and good functional mobility is needed to carry out daily physical activities. Objectives To analyze the correlation between functional mobility and physical activity in the elderly with Locomotive syndrome.  Methods This study is a cross-sectional observational study. 44 participants (15 men and 29 women) aged 60-78 years participated after screening with the Indonesian version of the Loco-check questionnaire. Subjects performed the Five Time Sit to Stand (FTSTS) test and filling out the Indonesian version of the International Physical Activity Questionnaire – Short Form (IPAQ-SF). The correlation between FTSTS and IPAQ-SF scores with Loco-check were analyzed using the Spearman correlation test. Results A significant correlation was shown between FTSTS values and Loco-check which yielded with a p value of 0.008, and a correlation coefficient of 0.395. No correlation found between IPAQ-SF scores and Loco-check. Conclusion There is a positive correlation between functional mobility and Locomotive syndrome

Foot orthoses improve kinematic measurement in young women with biomechanical abnormality

BACKGROUND Foot pronation causes biomechanical abnormalities in the form of functional leg-length disparity. Foot orthoses are often used in the treatment of abnormal pronation. The aim of the study was to evaluate the effect of foot orthoses on abnormal kinematic chain the differences of pelvic height, step length, and walking distance on walking test in young women with biomechanical abnormality. METHODS A randomized double blind controlled clinical trial was conducted on 27 young adult women having abnormal biomechanical abnormalities. By random allocation the subjects were divided into the intervention group (14 subjects) receiving correction of foot pronation using foot orthoses, and the control group (13 subjects) receiving no orthoses. Before and during use of foot orthoses, we determined pelvic height difference (mm), step length difference (cm), and walking distance at maximal walking speed for 15 minutes. RESULTS Correction of foot pronation resulted in decreased pelvic height difference from 4.7 ± 2.1 mm to 1.7 ± 1.3 mm (p<0.001) and in a reduction in step length difference, from 4.9 ± 2.9 cm to 2.1 ± 1.5 cm (p=0.002). Walking test distance of the intervention group was 1318.5 ± 46.3 m, as compared with that of the control group of 1233 ± 114.7 m (p = 0.05). Walking distance of the intervention group rose steadily in the second test to 1369.3 ± 27 m, and in the third test to 1382.14 ± 10.5 m (p<0.001). CONCLUSIONS Foot orthoses improved the kinematic chain, resulting in a more symmetrical pelvic height, reduced step length difference, and increased functional walking ability

The Effect of Foot Orthosis on Skeletal Muscle Injury Indicator on Young Adult Women with Biomechanical Abnormalities Pronated Feet And Functional Leg Length Disparity

This study show that foot orthosis application in young adult women with abnormal biomechanics pronated feet with functional leg length disparity will reduce the degree of leg muscles injury. The reduce of muscle injury showed by the reduced of the creatine kinase-MM enzyme concentrations, which is an objective skeletal muscle injury 45 hours after the walking activity