Survey of post polio syndrome in Tehran

"nBackground: The long-term effects of poliomyelitis are known in many of countries. In despite of one accrue title for these signs and symptoms; there are similarity aspects in patients' problems. In the signs of explained, absence of strength and endurance, musculoskeletal difficulties, respiratory dysfunction, sleep disorders are more generalized. Prevalence of post polio syndrome (PPS) is aim of this study. "nMethods: 150 subjects with history of poliomyelitis (80 male and 70 female) in Tehran city contributes in this study and complete question forms. "nResults: Muscle pain was reported in 88% of subjects. Thigh muscle weakness was at 42/28%, also muscle spasm indicated at 66%. Recurrent falling of subjects appeared in 74/7%. Early fatigue reported 86%. Above five signs selected for PPS. In this study 85 subjects had four signs of above criteria or 56.66% of subjects had PPS. "nConclusion:  Depended of evaluation and observation there is post polio syndrome in Tehran. Recommended for physical therapy of post polio syndrome attend to stages of progression of this syndrome. In aim to this procedure, physical treatment of these patients must limit to muscle fatigue and also severe physical and exercise activities must be reduce, also some mild aerobic activities without fatigue can be useful

Motor control changes in sagittal motion of lumbar spine following use of lumbosacral belt

Background: The changes in motor control after the use of a supportive belt can contribute to the understanding of its effects on performance. The aim of this study is to quantify motion pattern values relative to the spinal column during the use of a lumbosacral belt. Methods: For fifty healthy female volunteers, the range of motion, maximum isometric torque and changes of phase angle of maximum torque and velocity in two positions, standing and sitting, in two directions, flexion and extension, following the use of a lumbosacral belt were measured using an isoinertial dynamometer (Isostation B200) and compared. Results: Range of motion in both directions in both positions was reduced significantly (P<0.05). Significant reduction of maximum isometric torque was observed in flexion while sitting and in extension while standing and sitting (P<0.05). Phase angle of maximum torque and velocity also changed significantly in both directions and both positions (P<0.05). Conclusion: The lumbosacral belt can act in different ways to prevent injury. It reduces the forces applied to lumbar vertebra and, by changing the maximum torque and velocity phase angles at the onset of range of motion, provides greater stability for joints. Furthermore, the belt can reduce stress imposed on the posterior joints of the spine and limits several momentary forces at the onset of joint movement. Under these conditions, joint injuries can be reduced and prevent some of the mechanical stress that causes lumbar joint disease

The Effects Of Adding Complementary Treatment And Comparison To Ordinary Physical Therapy In Women With Low Back Pain Due To Osteoarthritis

Background: Low back pain (LBP) is a one of the most common symptoms of vertebral column diseases. Spinal muscles have a outstanding role in maintaining vertebral column function in daily life. But proper function and motion of hip and knee joints also has an important role in performing smooth, fine and nonstressed movements of lumbar spin. Where as accurate and fine motions of hip and knee joints in cooperate with lumbar spin can improve translation and summation of forces and increase performance of movements. The aim of this research is to indicate the amount of interventions of lower limb joints on lumbar spin function in patients with LBP, and attention to physical treatment (PT) of them. Materials and Methods: Fifty females with LBP due to osteoarthritis ( OA) of lumbar spin participated in this study and divided in two groups randomly with similar number of cases: a) ordinary treatment or control group and b) complementary treatment group. Patients in control group treated by routine PT approach ( superficial heat, ultrasound, TENS, forward flexion and back extension exercises ) and patients in complementary or test group received routine treatment similar to control group and also strength and stretching exercises of hip and knee joint muscles ( latisimous dorsi, gluteous maximus, iliopsoas, quadriceps and hamstring ) bilaterally. Range of motion (ROM) of lumbar, hip and keen joints by valid goniametere and pain of lumbar in motions at all of axis by visual analog scale measured before, after five and ten sessions of treatments in both groups. Results: In control group with non parametric tests there was not significant difference of MMT of muscles and ROMs of hip and knee joints. Lumbar pain in motion after ten sessions of PT in this group reduced significantly ( P< 0.05 ). Increase of lumbar motion in all of axis after PT was significant at this patients ( P< 0.05 ). In second group that received complementary treatments; ROM of joints, lumbar pain had significant differences between onset of treatments and five and ten sessions later ( P< 0.05 ), but there was not significant findings in MMT of muscles. There were significant differences between percentages of reduce of pain and increase of ROM in comparison of two groups ( P< 0.05 ). Where as patients that received ordinary PT and strength and stretching of muscles around of hip and knee indicated better recovery signs. Conclusion: Reduce of lumbar pain with improve of motion and flexibility of muscles such as quadriceps, hamstring, gluteus maximus, iliopsoas and latisimous dorsi in a complete physical therapy approach indicate there are a great correlation between lumbar pain and functionality of lower limb joints. Therefore concentration to flexibility and extensibility of muscles of lower limbs is a basis aim in treatment of patients with lumbar OA

The effect of transcutaneous electrical nerve stimulation on local and distal cutaneous blood flow following a prolonged heat stimulus in healthy subjects

The aim of this study was to investigate the effects of transcutaneous electrical nerve stimulation (TENS) on blood flow and skin temperature following an elevation of baseline blood flow using infrared preheating. A randomized controlled approach was used whereby 66 healthy human subjects (33 male, 33 female) were allocated to one of three intervention groups (n = 22 per group, equal male and female): Control, Low frequency TENS (4 Hz/200 μs), or High frequency TENS (110 Hz/200 μs). TENS was applied just below motor threshold over the median nerve of the right forearm for 15 min immediately following an infrared preheating. Cutaneous blood flow and skin temperature were recorded at 3-min intervals from the forearm and fingertips during TENS and for 15 min following TENS. Analysis of data revealed no significant differences between High and Low frequency TENS for cutaneous blood flow or skin temperature at the forearm. A small and short lived increase in cutaneous blood flow at the index finger was observed on TENS groups compared with control when TENS was switched off. TENS reduced skin temperature when compared to control during the first 9 min of the 15-min stimulation period at the middle finger but not at the index finger. It was concluded that the effects of high and low frequency TENS when applied below motor threshold produced changes in blood flow and skin temperature that were transient and small. © 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd