Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial

Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim


Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim – Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial. Fizjoterapia Polska 2022; 22(5); 26-30

DOI: https://doi.org/10.56984/8ZG20ASbq

Streszczenie

Purpose. To investigate the effect of pilates training on cognitive functions in patients with stroke. Materials and Methods. Forty Right stroke patients (Left hemiparesis) of both genders with age ranged from 50–65 years old were recruited randomly and divided into two equal groups; Study group (I) received pilates training therapy and selected physical therapy program for 6 weeks, Control group (II) received the same selected physical therapy program only for 6 weeks. Pre- and post-treatment assessment using RehaCom System, Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) were done for all patients. Results. Cognitive disorders (Attention, Memory, Reaction behavior and logical reasoning) were significantly improved in study group (pilates training therapy) more than control group (selected physical therapy program). cognitive disorders were improved in both groups with the best improvement results of group (I) more than group (II). Conclusion. Pilates Training program considered an effective physical therapy method for improving cognitive disorders in patients with stroke.

Słowa kluczowe:
stroke, pilates training, cognitive disorders

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Cognitive disorders subsequent to ischemic heart disease from the physiotherapeutic perspective

Krzysztof Jodzio, Denise A. Drumm

Krzysztof Jodzio, Denise A. Drumm – Cognitive disorders subsequent to ischemic heart disease from the physiotherapeutic perspective. Fizjoterapia Polska 2001; 1(2); 117-122

Abstract
Background. The contemporary model of rehabilitation for persons with ischemic heart disease (CHNS) emphasizes the necessity to coordinate the therapeutic interventions of various specialists who come into contact with the patient. One of the essential elements of such coordination, vital to the successful cooperation of the physiotherapeutic and physiotherapeutic teams, is the proper evaluation of the impact of chronic circulatory insufficiency on disturbances of cognitive process in persons with CHNS, which was the object the present study. Material and method. The research involved two groups of patients with CHNS and a control group of healthy persons (30 persons in each group, matched for sex, age educational status). Group I consisted of patients qualified for bypass surgery, while Group II included persons referred for conservative treatment exclusively. The instruments used to evaluate disturbances of cognitive functions included Benton’s Visual Memory Test, the Logical Memory subtest form Choynowski’s Memory Scale, the Bourdon-Wiersma Attention Test, Raven’s Matrix Test (standard version), and the Tapping Test from the Halstead-Reitan Battery. Results. Persons with CHNS were found to have significant deterioration of visual memory, problem-solving skills, and psychomotor speed, in comparison to healthy persons. Moreover, cognitive disturbances were found to be less severe in patients qualified for surgery than in those qualified for conservative treatment. The patients qualified for bypass surgery made fewer mistakes in the test of attention than those treated conservatively. The results are discussed in the context of the involvement of psychological factors in the treatment and rehabilitation of ischemic heart disease. Conclusions. Persons with CHNS exhibit relatively selective disturbances of cognitive functions, including visual memory, reasoning by analogy, and hand fine motor proficiency. The presence of numerous and/or pronounced cognitive disturbances suggesting brain dysfunction is a contraindication for open heart surgery. Testing cognitive functions and psychomotor efficiency in persons with CHNS broadens the scope of traditional psychological assessment for purposes of rehabilitation, which has traditionally focused on the emotional and characteristic of patients.

Key words:
ischemic heart disease, cognitive disturbances, coronary artery bypass graft (CABG)

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Attitude of physiotherapists towards elderly patients with mental and behavioural disorders

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski – Attitude of physiotherapists towards elderly patients with mental and behavioural disorders. Fizjoterapia Polska 2006; 6(3); 216-221

Abstract
Background. To verify whether cognitive deficits and mood disorders of older inpatients negatively influence the attitudes of physiotherapists towards them. Material and methods. Examination in Geriatric Rehabilitation Unit. 52 patients (78± ,4 years) and 7 physiotherapists. Cognitive status and mood of the patients were examined using the Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS) respectively. GDS was performed only in patients with MMSE 15. The therapists filled an anonymous questionnaire concerning the quality of working with particular patients. This enabled the following division: group (P+) patients working with whom the physiotherapists evaluated as pleasant, group (P-) patients who were negatively evaluated by the physiotherapists as working with them was difficult and tiresome. Results. In group (P-) MMSE values were significantly lower than in group (P+), and they were 15,2±7,5 vs. 23,1±3,7 respectively (p=0,0) and GDS values were significantly higher in comparison with group (P+), and they were 21,3±4,8 vs. 14,6±5,9 respectively (p=0,0). Conclusions. The patients evoking negative attitudes of physiotherapists (impatience, irritability, aversion) had mainly severe cognitive deficits (MMSE<19) and severe depressive symptoms (GDS>20). This may be an additional factor decreasing effectiveness of physiotherapy in this group of patients.

Key words:
cognitive impairment, depression, elderly persons, physiotherapy

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