Experimental studies:
In one of the study given by Y Analay et al (2002), researcher compared group exercise program under supervision with home physiotherapy program. Total 45 Subjects were randomly assigned to two groups. Group-I (N=23) was treated with stretching, mobilization, strengthening, cycling, postural & respiratory exercises. Each session was 50 min long and given for 3days/week for 6 weeks. While Group-II (N=22) performed same exercises at home for six weeks. After 6 weeks, Pain levels remain constant, aerobic capacity improved significantly in group I compared to baseline, but no significant difference was found between the groups.
Another study given by M. Yurtkuran et al (2005), three groups treated with different options were compared. Balneotherapy (N=21) was given to group I for 20min per day, 5 days a week for 3 weeks. Group II (N=20) was treated with BT and NSAIDs (1000 mg Naproxen) for same period, while Group III (N=20) took only NSAIDs. All groups were instructed to performe respiratory & postural exercises for 20mins per day. After 6 months of follow up, they showed significant improvement in all groups for all parameters except ESR, finger to floor distance and schober test.
Pilot Study:
In 10-15% of the AS cases, jaw complications also appear and most of the subjects undergo surgical procedure like osteotomy etc. One study was given by D.W. Oh et al (2008), where physical therapy program was administered for pain in TMJ and restricted mouth opening (N=10, mouth opening<30mm). Treatment session was 1 hour long, given 3 times a week for 4 weeks, with 6 week follow up. Total 12 sessions of Somatognathic alignment exercises with home exercise program were completed (Fig.4). ATD showed improvement after...
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...rapy program in ankylosing spondylitis.Rheumatol Int, 32, 3931-3936.
37. Analay, Y., Ozcan, E., Karan, A., Diracoglu, D. & Aydin, R.(2003). The effectiveness of intensive group exercise on patients with ankylosing spondylitis. Clinical Rehabilitation, 17, 631-636.
38. Turan, Y., Bayraktar, K., Aydin, E., Tastaban, E. & Berkit, I.K.(2014). Is magnetotherapy applied to bilateral hips effective in ankylosing spondylitis patients? a randomized, double blind, controlled study. Rheumatol Int, 34, 357-365.
39. Widberg, K., & Karimi, H.(2009). Self- and manual mobilization improves spine mobility in men with ankylosing spondylitis – a randomized study.Clinical Rehabilitation, 23, 599-608.
40. Tubergen, A. V., & Hidding, A. (2002). Spa and exercise treatment in the ankylosing spondylitis: fact or fancy?. Best Practice & Research Clinical Rheumatology, 16(4), 653-666.
Yu, J., park, D., & Gyuchang, L. (2013). Effect of eccentric strengthening on pain, muscle strength, endurance, and functional fitness factors in male patients with achilles tendinopathy. American journal of physical medicine and rehabilitation , 92, 68-76.
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
Ytterberg, S.R., Mahowald, M.L. & Krug, H.E.(1994) “Exercise for arthritis”, BailliOre' s Clinical Rheumatology, 8(1), pp. 161-189. ScienceDirect [Online]. Available at: http://www.sciencedirect.com/science/article/pii/S0950357905802304 (Accessed: 13th May 2014).
Researchers did a study where they got 64 individuals who suffer from arthritis to try massage therapy. The results showed that not only did the therapy release pressure, it also lessened the pain and increased mobility
Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Tomlinson, C. A., & Archer, K. R. (2015). Manual Therapy and Exercise to Improve Outcomes in Patients with Muscle Tension Dysphonia: A Case Series. Physical Therapy, 95(1), 117-128.
Controlled increases in physical stress through progressive resistive exercise cause muscle fibers to hypertrophy and become capable of generating greater force.3 Early emphasis is on restoring joint range of motion and muscle flexibility, however, resistive exercises are not delayed. The initial emphasis of muscle loading should be on endurance, accomplished with lower loads and higher repetitions. Progressive resistive exercises are initiated at the available range and progressed to new positions as wrist range of motion returns in all planes. Both the overload principle and the SAID Principle (Specific Adaptation to Imposed Demands) are important considerations in therapeutic exercise dosing.1,3,11 Within pain tolerance, dosing progressive resistive exercises that maintain a therapeutic stress level will encourage muscle tissue hypertrophy. Finding activities that produce the correct force and repetition, without injury, is the goal of the remobilization period. Starting with low force, moderate to high repetitions, and encouraging therapeutic rest following induced stress is important to both the overload principle and the SAID Principle. Additionally, it is important to prevent dosing resistive exercises that exceed optimal stress, which may result in injury. The patient’s response to therapeutic exercise should be assessed during, immediately following,
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
Physical therapy is a fairly new practice of rehabilitation. The treatments were not widely practiced until after World War I when soldiers returned home with injuries that were able to be rehabilitated by this therapy. The profession immediately began to grow and has been popular in the U. S. since that time. The vocation is also expected to c...
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
All athletes get injured right? So who exactly allows them to run the fields again? There is a specific person meant for just that, a Physical Therapist. A career that would be fit for someone who enjoys being active and being involved in sports. As a way to help people, Physical Therapy is a very important career to any individual who is looking to get better, Physically. They attend any person,it doesn’t matter what age or gender. Over all this career is most important to athletes, who may get injured and need someone to help them get back in shape. As you continue to read, you will learn about the conditions and requirements needed to be a Physical Therapist. You will read about how not everyone is fit
2. Fitzgerald, GK.; Piva, SR.; Gil, AB.; Wisniewski, SR.; Oddis, CV.; & Irrgang, JJ. Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: A randomized clinical trial. Phys Ther. April 2011;91;4: 452-469.
The field of physical therapy has been largely influenced by social civil occurrences. A large impact on this field is credited to the various wars throughout the United States history, allowing for the advancement maturation of this young field. Wartime conflicts placed a demand for healing of injured soldiers, the field of physical therapy providing the supply. This field has adapted throughout the years, a resiliency that has earned respect in the health care realm (Echternach, J. L. (2003). Foundational interventions of physical therapy such as therapeutic exercise, mobility training, range of motion, and more owe their roots to physical therapy in the military. The proven success of these therapies emerged during periods of war, and carried
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.
Rheumatoid arthritis is a chronic progressive inflammatory auto-immune disease which causes damage to the muscles, making it harder to use the fingers, feet, wrists and/or ankles. In a shorter definition, rheumatoid arthritis is a progressive disease that causes muscle loss. Women between the ages of 40-60 years old are more susceptible to this disease but anyone can develop symptoms. Strength training enhances muscle strength and functional capacity as well as prevents further reduction of bone density. In a “recent Cochrane review of exercise therapy for treating rheumatoid arthritis, it was concluded that long-term dynamic exercise is effective in increasing aerobic capacity and/ or muscle strength.” There is another recent study by Lemmey of a 24-week high-intensity strength training program that was effective in restoring lean muscle mass and physical functions in people with rheumatoid arthritis. However, these results ended up coinciding with results from a different study by Rall, which states “progressive strength training failed to augment fat-free mass in patients with RA.” Because of these conflicting results, the true answer is