Tag: udar

PNF method of gait analysis in patients after ischemic stroke

Piotr Lutowski, Łukasz Sielski, Katarzyna Lutowska

Piotr Lutowski, Łukasz Sielski, Katarzyna Lutowska – PNF method of gait analysis in patients after ischemic stroke. Fizjoterapia Polska 2011; 11(2); 143-154

Abstract
Cerebral stroke is one of the most common diseases of the nervous system. Paresis or hemiparesis are the main consequences of this diseases. For patients and their carers, such disorders are burdensome as they affect multiple aspects of everyday life. The study was a research project aimed at determining the effect of gait reeducation using PNF approach in patients with the history of ischemic cerebral stroke.he sample comprised 23 patients with the history of ischemic cerebral stroke, admitted to the rehabilitation unit. The patients were qualified for the study based on Berg Balance Scale, informed consent and the value of weight bearing symmetry index for the lower limbs.The study consisted of:• tandem balance test used to calculate weight bearing symmetry index for the lower limbs,• walk test at a distance of 20 m. to determine gait velocity and step length,• Subjective assessment of individual gait phases based on observation,• Berg Balance Scale.Improvement in all the studied parameters was noted in the studied sample.Proprioceptive Neuromuscular Facilitatiobn (PNF) is an effective method of rehabilitation for patients with the history of ischemic cerebral stroke. It contributes to improvement in the qualitative and quantitative parameters of gait.
Key words:
cerebral stroke, Rehabilitation, PNF method, Gait
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Changes in Hand Flexors Spasticity and Strength after Radial Extracorporeal Shock Wave Therapy in Post-Stroke Patients: A Randomized Controlled Trial

Gehan M. Ahmed, Bassam A. Elnassag, Ayman A. Nassif, Ebtesam M. Fahmy, Amira M. El Gohary, Elham N. Salem

Gehan M. Ahmed, Bassam A. Elnassag, Ayman A. Nassif, Ebtesam M. Fahmy, Amira M. El Gohary, Elham N. Salem – Changes in Hand Flexors Spasticity and Strength after Radial Extracorporeal Shock Wave Therapy in Post-Stroke Patients: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 34-39

Abstract
Background. Radial Extracorporeal Shock Wave Therapy (rESWT) has been reported to be an alternative, safe and noninvasive treatment for spasticity. Objective. This study aimed to determine its additional effect to a selected physical therapy program on spasticity of wrist and fingers flexors and hand grip strength in patients with stroke. Design. A single blinded, parallel randomized controlled trial. Setting. Faculty of Physical Therapy and Department of Clinical Neurophysiology, Faculty of Medicine, Cairo University, Egypt. Participants. Thirty stroke patients were divided randomly into two equal groups. Interventions. Group (A): received four successive sessions of rESWT as one session/week over flexor carpi ulnaris, flexor carpi radials and hand intrinsic muscles. Control group (B): received sham rESWT and both groups received a selected physical therapy program for stroke over a period of four weeks as three sessions/week. Outcomes measures. The Modified Ashworth’s Scale, Hand grip strength and H/M ratio were performed for all patients before and after treatment. Results. Intervention group showed significant improvements in wrist and fingers flexor muscles’ tone and hand grip strength compared to the control group (p < 0.05). The H/M ratio results revealed statistically non-significant difference between both groups (p > 0.05). Conclusion. Adding rESWT to a selected physical therapy program can increases its effectiveness in reducing spasticity and improving strength of treated muscles in patients with stroke.

Key words:
Radial Extracorporeal Shock Wave Therapy, Wrist and Fingers flexor Spasticity, Stroke
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Effect of Electromyogram-Triggered Stimulation versus Alternating Electromyogram Stimulation on Hand Functions in Chronic Stroke Patients: A randomized controlled trial

Dany Alphonse Anwar Habib, Abeer AboBakr El-Wishy, Ebtessam Mohamed Fahmy, Heba A. Bahey El Deen, Shaimaa Shaheen Mohammed, Abd El-HamiedIbrahim El-Sayed Mohammad

Dany Alphonse Anwar Habib, Abeer AboBakr El-Wishy, Ebtessam Mohamed Fahmy, Heba A. Bahey El Deen, Shaimaa Shaheen Mohammed, Abd El-HamiedIbrahim El-Sayed Mohammad – Effect of Electromyogram-Triggered Stimulation versus Alternating Electromyogram Stimulation on Hand Functions in Chronic Stroke Patients: A randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 172-179

Abstract
Aim. The purpose of this study is to compare between electromyogram-triggered stimulation versus alternating electromyogram stimulation on hand function in chronic stroke patients. Material and Methods. Forty five chronic stroke patients of both sexes were divided into 3 equal groups (A, B and C). Each group received the same designed physical therapy program for hand function training in addition to electromyogram-triggered stimulation for group A and alternating electromyogram stimulation for group B. Each patient was assessed before and after the two months of intervention protocol by box and block test to evaluate manual dexterity and by electromyography (EMG) threshold to evaluate peak muscle torque. Results. There was significant post-treatment increase in manual dexterity and peak muscle torque mean scores in all groups. The percentage of improvement was higher in group B compared to other groups. Conclusion. Adding alternating electromyogram stimulation or electromyogram-triggered stimulation to a designed physical therapy program for hand function training improves hand function and peak muscle torque in chronic stroke patients. Alternating electromyogram stimulation was more effective than electromyogram-triggered stimulation.
Key words:
Electromyogram-triggered stimulation, alternating electromyogram stimulation, rehabilitation; stroke, hand function
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Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity

Agnieszka Sobierajska-Rek

A. Sobierajska-Rek – Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity. FP 2017; 17(4); 24-32

Abstract

Shoulder pain is a typical symptom accompanying upper extremity paresis or plegia after stroke.
Aim of the study. The aim of this study was to determine relationship among clinical factors, such as subluxation or impingement syndrome, spasticity, pain pressure sensitivity and incidence of shoulder pain in stroke patients.
Material and methods. Stroke survivors with hemiplegic shoulder pain (n = 26), and the controls without shoulder pain (n = 11) underwent pain pressure threshold measure at biceps and supraspinatus, soft tissues in shoulder region, motor function of upper limb in Brunnstrom scale and spasticity were assessed.
Results. There was no difference in sensitivity in supraspinatus, but the correlation at the level of statistical tendency is present in biceps. Spasticity was more severe in the shoulder pain group, and intensity of pain was correlated with an increase in muscle tonus.
Conclusion. There is correlation between the pain in hemiplegic shoulder and symptoms of impingement syndrome and subluxation in shoulder joint. The tendency to increased pain pressure sensitivity was observed in biceps in the group with shoulder pain.

Key words:
stroke, hemiplegia, shoulder pain

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