Tag: biofeedback

Influence of biofeedback training time on muscle torque and knee excursion following semitendinosus release in spastic quadriplegic children with cerebral palsy: A randomized controlled trial

Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel

Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel – Influence of biofeedback training time on muscle torque and knee excursion following semitendinosus release in spastic quadriplegic children with cerebral palsy: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 166-171

Abstract
Background. Medial hamstring shortening represents a serious common complication in children suffering from spastic quadriplegic cerebral palsy. Objective. The purpose of the study was to examine the efficacy of biofeedback training timing following tendon release in spastic quadriplegic cerebral palsied children. Design. a prospective, single-blind, randomized controlled trial. Setting: several hospitals across Giza and Cairo, where children were operated. Methods. Thirty spastic quadriplegic cerebral palsied children of both genders, with their ages ranged from 7 to 9 years (x ̅  = 8.2 ± 0.86 yr.) were randomly assigned into two equal groups (A and B). The control group (A) was trained using electromyographic biofeedback daily for two weeks after removal of plaster cast, in addition to an hour/ day of a designed physical therapy program, while the study group (B) was trained by electromyographic biofeedback during the immobilization period and for two weeks after removal of the cast along with the same physical therapy program as the group (A). The knee extensors’ peak torque and knee excursion angle were measured immediately and two weeks following cast removal by MERAC isokinetic system and electro-goniometer, respectively. Results. The findings exhibited a significant increase (P < 0.05) in the peak torque of knee extensors and an increase in knee excursion in the group (B) immediately and after two weeks of the cast removal when compared with the results of the group (A) after the same period. Conclusion. Applying electromyographic biofeedback training at the two-week immobilization period resulted in a strengthening of the quadriceps and maintaining the obtained range of knee extension following semitendinosus muscle release in spastic quadriplegic children with cerebral palsy.
Key words:
cerebral palsy, spastic quadriplegia, biofeedback, dynamometer
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Effect of varied biofeedback training on transverse abdominis muscle thickness in non-specific low back pain

Janani V., P. Antony Leo Aseer, P. M. Venkata Sai

Janani V., P. Antony Leo Aseer, P. M. Venkata Sai – Effect of varied biofeedback training on transverse abdominis muscle thickness in non-specific low back pain. Fizjoterapia Polska 2021; 21(4); 50-56

Abstract
Aim. The dynamic stability of the low back region is governed by the core musculature, namely the transverse abdominis (TrA) and multifidus. Most rehabilitation professionals believe that selective activation training of the TrA can decrease symptoms in individuals with non-specific low back pain (NSLBP). In this study we have aimed to analyze the effects of varied biofeedback training of the transverse abdominis muscle on the muscle thickness in LBP individuals.
Materials & Methods. Thirty-four LBP individuals were randomly allotted to varied biofeedback training and core muscle exercise groups for three weeks. The transverse abdominis muscle thickness at rest and during the abdominal drawing-in maneuver (ADIM) and the TrA activation ratio were measured as outcomes using ultrasonography.
Results. Varied biofeedback training for three weeks resulted in a significant increase in the thickness (cm) of the transverse abdominis at rest (0.41 ± 0.06) and abdominal drawing-in maneuver (0.54 ± 0.05). There was no significant change in the transverse abdominis contraction ratio between the groups.
Conclusion. Varied biofeedback training of the transverse abdominis was found to be effective in improving the thickness of the transverse abdominis in the treatment of non-specific lower back pain. This above finding may have positive clinical implications in individuals with non-specific lower back pain.
Key words:
biofeedback, training, non-specific, low back pain, transverse abdominis thickness, musculoskeletal ultrasonogram
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Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo – Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 114-120

DOI: https://doi.org/10.56984/8ZG1A45D5

Abstract

Background. Surgical repair for anorectal malformation in children had post-operative unsatisfactory results as children still suffering from faecal incontinence. Objective. The effect of Biofeedback in treating children fecal incontinence after anorectal malformations repair was investigated. Methodology. A randomized controlled trial design was conducted in the Pediatric hospital, Mansoura University. Forty-eight children with postsurgical anorectal malformations repair were assessed for eligibility. Forty children (twenty-two boys and eighteen girls) underwent simple randomization into two matched groups, control and study group. The anal function was assessed by Anorectal manometry and faecal incontinence was evaluated by Baylor social continence scale. Measurements were done before and after two months of intervention, and after four months of follow-up. Result. There was statistically significant improvement in maximal resting anal pressure, maximal voluntary contraction pressure, voluntary contraction time, the threshold of rectal sensation, maximal tolerable rectal volume and Baylor social continence scale (P < 0.05) for biofeedback group after two months of intervention and four months of follow-up in comparison with conservative treatment. Conclusion. Biofeedback improved faecal incontinence after ARM repair and had an intermediate follow up effect in conjunction with conservative interventions.

Key words:

biofeedback, anorectal malformation, faecal incontinence, anorectal manometry

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Possibilities for respiratory biofeedback aplication in physiotherapy of patients with COPD

Witold Pawełczyk, Janina Bajowska, Bogusława Wójtowicz, Katarzyna Bogacz, Tomasz Sirek, Jan Szczegielniak

W. Pawełczyk, J. Bajowska, B. Wójtowicz, K. Bogacz, T. Sirek, J. Szczegielniak. Possibilities for respiratory biofeedback aplication in physiotherapy of patients with COPD. FP 2013; 13(4); 12-18

Abstract

Background. There are no comprehensive studies of breathing biofeedback. The influence of breathing biofeedback in patients with COPD is unclear.
Study Objective. The aim  of this study was to compare standard physiotherapy with physiotherapy connected to biofeedback exercises with respect to breathing amplitude, 6MWT results and lungs function in patients with COPD.
Measurements. Thirty six patients with COPD were examined. They were divided into two groups. Group A took part in standard physiotherapy. Group B took part in standard physiotherapy and additional biofeedback exercises. Six minute walking test, spirometry and breathing amplitude measurement were conducted.
Results. There was significant improvement of abdominal movement in group B 0,74  (±0,53, p<0,05).
The change of FEV1 in group B was significant. The change was 3,38% (±4,34, p<0,05).
Conclusion
1.This investigation showed the influence of standard physiotherapy connected to biofeedback exercises on abdominal movement.
2.Standard physiotherapy connected to biofeedback exercises is effective in improving FEV1 in patients with COPD.

Key words:
biofeedback, COPD, physiotherapy

Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture

Marcin Krajczy, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Edyta Krajczy, Anna Szczegielniak, Jan Szczegielniak

M. Krajczy, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, E. Krajczy, A. Szczegielniak, J. Szczegielniak – Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture. FP 2014; 14(1); 42-49

Abstract

Background. Fractures of the distal radius constitute a serious clinical problem. It seems that appliance of elastic therapeutic tape may be an effective method of physiotherapy among patients suffering from the forearm’s fracture.Aim of the study. The aim of the study is to assess the impact of selected elastic therapeutic tape applications on physiotherapy’s effects among patients treated conservatively after Colles’ fracture. Material and methods. The study included 38 patients treated in the Rehabilitation Department of Health Care Centre in Nysa in the period from January 2012 until November 2013. Participants were randomly divided into 2 groups. A study group (SG) consisted of 20 patients (16 women and 4 men), while a control group (CG) was composed of 18 patients (15 women and 3 men). Therapy for all of the participants was based on usage of the Hand Tutor device. Additionally, after a preliminary examination, patients from the  study group received selected applications of elastic therapeutic tape as follows: muscular – toning for the wrist’s flexors and ligamentous or corrective for the wrist area. Applications were replaced every 4 days. Physiotherapy lasted 10 days. According to the established protocol, during and after completion of physiotherapy regular checkups were conducted. Results. Elastic therapeutic tape’s applications used in the process of physiotherapy in SG’s patients increased range of motion for both active and passive movements and improved quality of them compared to the patients from CG. It was also observed that deficit of movements (difference between range of passive and active motions) decreased more in the SG’s patients.
Conclusions: 1. In the final study no significant differences has been showed in the studied parameters between the groups. Research has presented wrist’s functions improvement in the frequency of active movements and range of motion in both groups. 2. Significantly higher results in the final examination of the frequency and wrist’s mobility in general were shown in comparison to the initial results.

Key words:
Colles’ fracture, physiotherapy, elastic therapeutic tape, biofeedback, Hand Tutor

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Individualised low frequency magnetic field therapy, using the example of the de Quervain syndrome

Marcin Machnia, Natalia Cichoń, Elżbieta Miller

M. Machnia, N. Cichoń, E. Miller: Individualised low frequency magnetic field therapy, using the example of the de Quervain syndrome. FP 2015;15(4);116-122

Abstract
Background. The paper presents a case of treatment of the de Quervain syndrome with low frequency electromagnetic field (PEMF), following a procedure different from those applied to date. A patient with de Quervain syndrome diagnosed in her left hand, had been treated in the typical fashion for several months (immobilisation, pharmacotherapy, physiotherapy, kinesitherapy) without any significant improvement.
Due to the absence of the expected therapeutic effect in terms of manual skills, or abatement of pain, the patient was subjected to PEMF therapy with the use of biofeedback, in order to determine the parameters of the therapy. The therapeutic procedure involved using the ONDAMED device, generating an impulse imitating the functional potential of neural cells with a smooth adjustment of parameters (induction, frequency, time), allowing the use of biofeedback of pulse measured on the radial artery. The diagnostic and therapeutic procedure resulted, after 4 weeks, in an improvement of hand function and cessation of pain. The result of treatment and manner of treatment described in the paper encourage further study into the effect of magnetic impulses of waveforms similar to the functional potential of neural cells and the use of biofeedback in targeted magnetotherapy.

Key words:
PEMF, biofeedback, ONDAMED, magnetotherapy, tendovaginitis

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