Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan – Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb. Fizjoterapia Polska 2020; 20(2); 102-108

Abstract
Objective. To determine whether active rehabilitation program including both isokinetic and aerobic exercises in lower limb after burn is effective or not? Method. Forty patients with lower limb burn were randomly divided into two equal groups, Group A (active rehabilitation group): received guidelines protocol (range of motion exercise, massage, splinting, stretching) plus active rehabilitation program consisted of combined isokinetic and aerobic exercises, while Group B (control group): received guidelines protocol and aerobic exercises. Treatment program was applied for 12 weeks (3 sessions/week). Evaluation methods included Biodex isokinetic dynamometer (BID) for obtaining peak torque (PT) of quadriceps and hamstring strength assessment and Lower Extremity Functional scale (LEFS) for functional activity assessment of lower limb. All measures were gathered before the start of the study, and after termination of the trial (after 12 weeks).
Results. An increase in PT of quadriceps and hamstring was reported in both groups at the end of the trial, 32.69% and 25.7% respectively in group A, while 14.19% and 10.22% respectively in group B. The difference between both groups was statistically significant (p < 0.05). Also, there was a statistical improvement in LEFS score in group A compared with that of group B (p < 0.05), as the percent of improvement in group A and B was 72.9% and 38.91% respectively. Conclusion. Higher statistical results were achieved with active rehabilitation program illustrating the prominent effects of isokinetic exercises in lower limb burn in the term of improving leg muscles strength and functional activity.

Key words:
Burn, Isokinetic exercise, Aerobic exercise, Biodex isokinetic dynamometer (BID), and Lower Extremity Functional scale (LEFS)

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Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel – Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial. Fizjoterapia Polska 2020; 20(1); 60-64

Abstract
Objective. The aim of this study was to assess the efficacy of aerobic exercises on Pittsburg sleep quality index, serotonin, epinephrine, and norepinephrine levels in elderly with chronic primary insomnia.
Material and methods. 40 elderly participants of both genders complaining from chronic primary insomnia were randomly assigned into two equal groups: the control group and the study group. Their age was between 60 to 70 years old. The study group had participated in a moderate-intensity aerobic exercise program for 1hour/day, three times/week for three months, while the control group did not attend the exercise program but underwent the same evaluations as the study group. Pittsburg Sleep Quality index, serotonin level, epinephrine, and norepinephrine hormonal levels were evaluated before and after the treatment duration.
Results. The Pittsburg Sleep Quality Index and serotonin level showed significant improvement in the study group and the significant difference between groups favoring the study group (p < 0.05). However, no significant changes occur in epinephrine or norepinephrine levels. The control group showed non-significant changes in any of the measured variables (p > 0.05).
Conclusion. Moderate intensity aerobic exercise seems to improve sleep, enhance serotonin level in patients with chronic primary insomnia.

Key words:
Aerobic exercise, elderly, primary insomnia

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