Study on the Usefulness of Sit to Stand Training in Self-directed Treatment of Stroke Patients

Abstract. [Purpose] This study sought to determine the usefulness of sit to stand training in self-directed treatment of stroke patients. It examined the effect that sit to stand training has on balance and functional movement depending on the form of support surfaces. [Subjects and Methods] Thirty stroke patients were randomly sampled and divided into an unstable support surface group (15) and stable support surface group (15). In order to identify the effect depending on the form of support surfaces, 15 minutes of support surface training plus + 15 minutes of free gait training was performed. [Results] The results of the unstable support surface training showed that the corresponding sample t-test results were significant for the 7-item 3-point Berg balance scale, timed Up and Go test, and 6-minute walking test. The independent samples t-test, showed that there were significant outcomes in step length on the affected side, and step length on the unaffected side. [Conclusion] In conclusion, the sit to stand training on stable support surfaces was not as effective as the training using unstable support surfaces, but it is a simple and stable exercise with less risk of falls during training. It can also be performed alone by the patient in order to increase endurance and dynamic balance ability. Therefore, it is considered a useful exercise that can be performed alone by the patient outside the treatment room

Inside Outsourcing: Experiences of Outsourced Physical Therapy Services in Dutch Hospitals

Over the past years, it has become more common in Dutch hospitals to outsource allied healthcare services to the private sector. This development has affected hospital-based physical therapy significantly. And as a result, there is an increasing need for guidance in this new situation. In response to this, the Dutch Association of Physical Therapy in Hospitals (NVZF) conducted a comprehensive study into the process of outsourcing with the objective to inform and advise physical therapy services in hospitals about outsourcing developments. Eight Dutch hospitals where physical therapy services had been outsourced or where this option was explored, were interviewed. The EFQM-Model (European Foundation for Quality Management – Excellence Model) was used to examine the outsourcing process. This provided the following insights into the outsourcing process of physical therapy in Dutch hospitals: (a) three motives of the board of a hospital to outsource the department of physical therapy and three factors influencing whether outsourcing will occur, (b) four different organizational structures of physical therapy services, two of which reflect outsourced services and (c) nine critical factors to be considered by hospital-based physical therapy services when outsourcing occurs. The results of the research were summarized in a Dutch guideline consisting of three parts named “Identifying Motives for Outsourcing and the Probability of Outsourcing”, “Organizing according to the Right to Exist”, and “Development Goals for the Future using the Critical Factors from the Research Results”

Effect of Facial Massage on Static Balance in Individuals with Temporomandibular Disorder – a Pilot Study

Introduction: The influence of the neuromuscular system on the cervical region and mastication is directly associated with mandibular movements and neck posture. Normal occlusal homeostasis depends on complex sensory feedback mechanisms of the periodontal ligament, temporomandibular joint and other structures of the stomatognathic system. This feedback serves as a regulatory mechanism that helps determine the force and nature of muscle contractions. Alterations in the muscles of mastication, neck muscles, and occlusal characteristics constitute causal factors of imbalances in the postural muscle chains, leading to alterations in the center of pressure (CoP) of the feet. Thus, therapies that seek occlusal reestablishment, such as muscle relaxation techniques, may lead to a restructuring of the global equilibrium of the neuromuscular system and an improvement in body posture. Purpose: The aim of the present pilot study was to investigate the immediate effect of facial massage on the CoP in the anteroposterior (CoPAP) and mediolateral (CoPML) directions in individuals with temporomandibular disorder (TMD). Methods: Twenty individuals with a diagnosis of TMD based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were submitted to a facial massage technique. CoPAP and CoPML were evaluated using a force plate. Evaluations were performed under two visual conditions (eyes open and eyes closed) prior to resting in dorsal decubitus (baseline), after 10 minutes of rest (premassage) and after the administration of the massage technique (postmassage). Results: No significant differences were found regarding CoPAP velocity with eyes open or the following aspects under either visual condition (eyes open or closed): CoPML velocity, RMS of CoPAP, RMS of CoPML, and sway area. The only significant difference was found for mean CoPAP velocity with eyes closed. Conclusions: While the results of the present study demonstrate the reliability of the reproduction of the data, facial massage had no immediate influence on postural control in individuals with TMD

Penatalaksanaan Ultrasound Dan Deep Transverse Friction Untuk Mengurangi Nyeri Pada Kasus Trigger Thumb Dextra Di Rsd Bagas Waras Klaten

Trigger Fingger / Thumb is inflammation that occurs in the flexor tendon sheath , which causes pain, clicking sounds when the finger is moved for flexion and extension, then the thumb feels locked when moved flexion and difficult to straighten or extend. Objective : To find out the benefits of Ultrasound, Deep Transverse Friction against decreased pain in the case of dextreme Trigger Thumb. Results: after treatment 3 times there was a decrease in the degree of pain T1 silent pain: 2, tenderness: 3, motion pain: 5. Become T2 silent pain: 2 tenderness: 3 motion pain: 5, T3 silent pain: 1 tenderness: 2 and motion pain: 3. Conclusion: Ultrasound and Deep Transverse Friction can reduce pain

Penatalaksanaan Ultrasound dan Terapi Latihan untuk Meningkatkan Kemampuan Aktivitas Fungsional pada Kasus Sprain Medial Collateral Ligament Sinistra di Rumah Sakit Ortopedi Prof. DR. R. Soeharso Surakarta

The level of injury to the Medial Collateral Ligament (MCL) is difficult to calculate, but it was stated that this injury is common, especially with regard to sports, such as soccer, skiing. The purpose is Knowing the benefits of Ultrasound and Therapy Exercise in cases of medial collateral ligament sprain in increasing functional active ability. After getting 3 times the therapy, the result was a reduction in tenderness T0 = 3 to T3 = 2, and a decrease in motion pain T0 = 5 to T3 = 4. Increased range of motion for active motion T0 S = 0o-0o-100o to T3 S = 0o-0o-1150, for passive motion T0 S = 0o-0o-1150 to T3 S = 0o-0o-125o

Penatalaksanaan Fisioterapi pada Kondisi Median Meniscus Tear Knee Sinistra dengan Modalitas Ultrasound dan Terapi Latihan untuk Mengurangi Nyeri dan Meningkatkan Aktivitas Fisik dan Kemampuan Fungsional di RSP dr. Ario Wirawan Salatiga

Background: Meniscus Tear is a condition where the occurrence of shredded or rupture of cartilage that serves as a bearing or reducer of pressure on the knee joint, the Meniscus injury has two types of causes that are traumatic and degenerative. Common signs and symptoms of meniscus tear are. Pain, subacute swelling, and mechanical symptoms such as friction, unstable, limited range of motion, locking, the injury occurs due to many activities such as jumping and overload Objectives: To know the benefits of Ultrasound, Transcutaneus Electrical Nerve Stimulation, as well as Exercise Therapy in reducing pain and increase physical activity and functional ability in meniscus tear condition. Results: After the therapeutic Action 4 times (T1-T4) obtained the result of decreased knee pain with VAS, silent pain from 1 to 0, pain from 5 to 2, press pain from 4 to 1. Increased muscle strength knee joint with MMT, muscle strength of flexor the knee sinistra from 4 to 5, and the muscle strength of the extensor knee Sinistra from 4 to 5. The increase of physical activity and functional ability, with KOOS, from a score of 79% to 94%. Conclusion: Therapy using Ultrasound modalities, Transcutaneus Electrical Nerve Stimulation, and Exercise Therapy can accelerate pain reduction, increased muscle strength, and increased functional ability in the condition Meniscus Tear

Penatalaksanaan Infrared Dan Terapi Latihan Untuk Mengurangi Nyeri Dan Meningkatkan Kekuatan Otot Pada Kasus Post Orif Fracture Tibia Plateau Dextra Di Rumah Sakit Umum Daerah Panembahan Senopati Bantul

Fracture of the tibia plateau is a coomon but complex fracture and includes a variety of fracture patterns, besides potentially associated with soft tissue injuries, tibial plateau fractures occur because the media femoral condylus is pushed towards the tibia and result in damage to the soft tissue. To find out the benefits of physiotherapy management in reducing pain, increasing ROM knee, increasing muscle strenght and reducing oedema in the case post orif fracture tibial plateau using infrared modalities and Exercise Therapy. After getting therapy 4 times with result of pain assessment, stay pain from T1 : 1 to be T4 : 0, pressure pain T1 : 2 to be T4 : 1, Move pain T1 : 4 to be T4 : 2, to increase ROM of knee T1 : S : 0° - 0° - 115° to be T4 : 0° - 0° - 130°, to increase flexion and extension knee muscle strenght T1 : 4 to be T4 : 5, to reduce oedema such as condylus ring T1 : 42 cm to be T4 : 41, from condylus to distal 5 cm T1 : 44 cm to be T4 : 42,5 cm, from condylus to distal 10 cm T1 : 46 cm to be T4 : 44,5 cm, from condylus to proximal 5 cm T1 : 46 cm to be T4 : 45 cm, from condylus to proximal 10 cm T1 : 42 cm to be T4 : 41 cm. Therapy using infrared modalities can reduce pain and reduce edema in cases post orif fracture tibia plateau dextra and Exercise Therapy can improve Range Of Motion (ROM), and increase muscle strength in cases post orif fracture tibia plateau dextra

Fasciatherapy and Reflexology compared to Hypnosis and Music Therapy in Daily Stress Management

Background: Patients suffering from stress symptoms due to every-day life who are looking for a nonpharmacological response to their relief expectation are many. Furthermore, early reckoning of the day-to-day stress which may lead to clinical diagnosis is the best way of preventing the stress-related diseases. Among the many alternative medicinal options, there is little evidence that fasciatherapy (Fs) and reflexology (Rf) are effective in this field.Purpose: assess incidence of fasciatherapy Danis Bois Method (DBM) and of reflexology on patients’ stress level in everyday-life, and provide a more informed choice among the numerous mind and body techniques by comparing them with hypnosis (Hp) and music therapy (Mt).Settings: Specialized Complementary and Alternative Medicine (CAM) centres for outpatients. Participants: 308 individuals (average age =50.53 SD 14.37, 93 males, 215 females) going to the centres for health care, but free from serious diseases and not heavily medicated respecting the inclusion criteria and providing valid forms.Research Design: Four armed, non-randomized observational pragmatic trial with pretest–posttest repeated measures, on separate samples ofnatural groups.Intervention: According to the centre participants where they used to be treated, they were exposed to a single semi-standardized session of a technique of their choice: Fs, Rf, Hp, Mt. Volunteers had a controlled non-intervention resting (Rt) session.Main Outcome Measures: Mean STAI-Y assessing anxiety as reflecting the stress level: MANCOVA and ANCOVA performed with Tukey’s HSD.Results: MANCOVA indicates a significant reduction of anxiety (p < .01) in each condition, resting included. ANCOVA performance adjusting on stress level in T0 (41.73) and on the mean sumscore of the trait (44.89), Fs (-13.92), Rf (-15.92), and Hp (-15.88) were equally effective on the stress level decrease. Mt (-10.0) and Rt (-6.38) showed the same level of effectiveness.Conclusions: The results suggest fasciatherapy DBM, hypnosis, and reflexology could be used as non-pharmacological and safe interventions in stress management. Though showing a lesser efficiency, music therapy could be useful in different circumstances

Penatalaksanaan Infrared dan Isometric Exercises untuk Mengurangi Nyeri pada Sendi Hip Dextra pada Kasus Post Operasi Fracture Collum Femur dengan Pemasangan Austin Moore Prothese (AMP) di RSUD Dr. Moewardi Surakarta

Background: Post operation Fracture Collum Femur Dextra with Austin Moore Prothese (AMP) installation is an operation by replacing Caput femoris with prothese, which is a metal or plastic material. In this case the modalities provided are Infrared (IR) and Isometric exercises. Objective: To find out about physiotherapy in reducing pain, increasing muscle strength. Joint Motion Scope and functional activity ability in postoperative femoral fracture patients with Austin Moore Prothese (AMP) placement. Results: After 4 sessions of therapy, the result was a reduction in motion pain T1: 5/7 to T4: 4/7, an increase in LGS in the dextra hip joint T1: S 15⁰-0⁰ – 8⁰ to T4: S 15⁰-0⁰ – 90⁰, increase in Harris Hip Score (HHS) TI: 65.0 to T4: 65.5.Conclusion: It can be concluded that the application of Infrared (IR) and Isometric Exercises modalities can help to reduce pain, the range of motion of the joints in patients postoperative Fracture Collum Femur with the installation of Austin Moore Prothese (AMP. Keywords: Fracture Collum Femur, Austin Moore Prothese, Infrared (IR) and Isometric Exercises

Visceral Manipulation Decreases Pain, Increases Cervical Mobility and Electromyographic Activity of the Upper Trapezius Muscle in Non-Specific Neck Pain Subjects with Functional Dyspepsia: Two Case Reports

Background and Purpose: The lack of clear knowledge about the etiology of nonspecific neck pain (NS-NP) strengthens the need for other mech-anisms, still poorly described in the literature, to be investigated. Therefore, a quantitative analysis of two cases of NS-NP in subjects with functiona dyspepsia was conducted in order to verify the immediate and seven-day postintervention effects of visceral manipulation (VM) to the stomach and liver on neck pain, cervical range of motion (ROM), and electromyographic (EMG) activity of the upper trapezius muscle. Case Description: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.Outcomes: The results demonstrated (sub-jects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a de-crease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects). Discussion: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with func-tional dyspepsia