Doing two tasks together is a day today activity and is problematic in case of elderly with parkinsonism due to inefficient allocation of attention during performing tasks of daily routine therefore improvement of this via dual task training in different enviornmental context may prove beneficial and is economical in reference to time and money and reduces risk of falls during routine walking, obstacle crossing and many other.
The differential diagnosis of each form of parkinsonism at onset may be difficult for clinicians because the evolution of different features may vary widely and clinical and instrumental markers predictive for a specific syndrome are still lacking. Parkinsonisms may exhibit a variety of non-motor symptoms, such as sleep disturbances, that may be present since the early stage of disease. Objective of this prospective single centre observational study is to describe the possible diagnostic value of sleep disturbances in patients with recent-onset parkinsonism. This study suggests that REM sleep motor control is more frequently impaired at disease onset in patients with atypical parkinsonism than in patients with Parkinson disease. The evaluation of sleep disorders, with an in-depth clinical interview followed by video-polysomnography, may be a useful tool in the differential diagnosis of parkinsonism at onset.
There are several measures in the rehabilitation of Parkinson's patients which bring them to the point of ambulation with mobility aids. I have made a study on this condition to further achieve independent walk in them. This book is to show the "efficiency of dual task training in patients with idiopathic Parkinson's disease" it shows improvement in step length and TUG Test. Chapter-1 deals with introduction about the disease. Chapter-2 deals with aims and hypothesis made on this study. Chapter-3 consists of the Review of Literature, sited the articles. Chapter-4 deals with protocol for the patients i.e, how they are trained. Chapter-5 shows the data analysis for the measurements of step length and TUG test. Finally bibliography gives information about the supporting references. This book may help several physiotherapy who deal with Parkinson's patients to practice dual task training. Before going through this book please note that everyone has to study well about Parkinson's disease.
Chronic neck pain is a common source of disability in society. Majority of cases resulting in inability to do daily work and frequent absentism from work. Neck pain may alter proprioceptive function, and cervical repositioning sense is impaired in patients with neck pain. Proprioceptive exercise have an inhibitory effect on pain and discomfort in patients with chronic neck pain. Proprioceptive training programs are used to improve the cervical repositioning sense and eventually relieve the neck pain. This book aims to find out the effects of two different types of proprioceptive training programs, namely; Proprioceptive Neuromuscular Facilitation technique and Deep Cervical Flexors strengthening on subjects with chronic non specific neck pain. The analysis sheds some light on advanced methods used to overcome neck pain and provides evidence for the newer clinical techniques.
Nearly 40% of patients presenting with Non ST-Segment Elevation Myocardial Infarction (NSTEMI) have Chronic kidney disease (CKD).CKD is a powerful predictor of adverse events among NSTEMI patients. CKD patients have a high prevalence of obstructive coronary artery disease. Several studies have been conducted in the past outside Bangladesh but correlation between CKD and outcome in patients with NSTEMI has not been studied in our country. No prior studies have examined the independent association of CKD with coronary anatomy also. Rapid risk stratification is crucial for appropriate management of these patients and for targeting more potent and invasive therapies for higher risk patients. So this study has been designated to evaluate the effect of renal dysfunction on coronary artery disease profile and in-hospital clinical outcome in NSTEMI patients.
The major contribution of this work is examining the changes in cerebrovascular changes in migraine patients and control group due to the effect of a mental activity and comparing the amount of changes in blood oxygenation with healthy subjects to show the neurovascular coupling disorder and have a better understanding of the physiological changes in the brain during mental work. An experimental protocol is designed; to generate a higher activity in the prefrontal cortex by using a cognitive task, which is composed of three difficulty levels; and to measure the activation differences between healthy and diseased (migraine) subjects. In this study, the hemodynamic response during mental arithmetic task was evaluated in both healthy subjects and migraine patients and these responses were compared among these two groups. Our specific hypothesis was that “The hemodynamic response increases with the increasing working memory load in all subjects and this increase would be somewhat impaired in migraine patients according to the neurovascular coupling disorder hypothesis of migraine.”
This book try to show the effect of CD4 count WHO staging TB exposure and age on survival of HIV/AIDS patients in two district Hospitals in southern Ethiopia in addition to that it shows the impact of some routine laboratory result on survival of HIV patients and in Ethiopia this routine activity is not done in standard way and this has a negative impact on survival of patients living with HIV/AIDS who are on ART treatment in some district Hospitals in southern Ethiopia
Studies showing the exercise test responses among Black diabetics are few with a dearth of data on patients with hypertension and diabetes,quite common among Nigerians. This study looked at cardiac function including systolic and diastolic parameters by echocardiographic method, in patients with diabetes, considered the effect of DM alone and DM and hypertension on these parameters as well as looked at those echocardiographic parameters that may be used to predict exercise capacity in this population of patients.
Chronic renal failure is a clinical syndrome that occurs when there is gradual decline in renal operation overtime.Smoking is one of the most important remediable renal risk factors. It has a negative impact on renal function even in subjects without apparent renal disease, but the adverse renal effects of smoking are particularly marked in patients with different types of kidney disease. The literature available indicates that patients with renal failure are a high risk group particularly, susceptible to smoking- induced renal damage. The renal failure is one of the most common problems in Sudan among both males and females. It is fatal disease so that this study runs to find out the negative impacts of tobacco use on renal function, by study the effect of this bad habit in patients with chronic renal failure.
The purpose of this study was to investigate the effects of Swiss ball training on (1) knee joint reposition sense (knee proprioception), (2) core muscle strength and(3) dynamic balance in sedentary collegiate students. In this thesis, two different participant groups and two different training methods were used. In order to evaluate the effect of Swiss ball training on knee proprioception and core strength, 3 days per week training was conducted throughout 10 weeks (Study 1). In order to evaluate the effect of Swiss ball training on dynamic balance, 2 days per week training was conducted throughout 10 weeks (Study 2). The results of the study indicated that Swiss ball training has significant effect on knee proprioception and core muscle strength. For dynamic balance, at the end of the 10- week Swiss ball training, in both groups (Swiss ball and control), dynamic balance scores were improved significantly. Therefore, effect of the Swiss ball training on dynamic balance could not be determined. As a conclusion,program using Swiss balls with body weight as resistance can provide prolonged improvements in joint proprioception and core strength.
Depression is a wide spread mental health problem affecting many people. The life time risk of depression in males is 12%-18% and females it is 20% to 26%. Depression is often associated with a variety of medical conditions. Depression is 3 times more common in patients after an acute myocardial infarction than in the general community. It is well established that hospitalized patients with Congestive Heart Disease, including post-Myocardial Infarction patients, patients with congestive heart failure etc, show higher prevalence’s of elevated depressive symptoms (30% to 50%) and higher rates of major depression (15% to 20%) than do people of similar age and sex living in the general community.During my clinical posting. I have come across many cardiac patients with depressive states in cardiac care units. Treatment of depressive states will definitely improve the quality of life and has positive effect on course of illness. It is therefore important to recognize presence of this state and treat it. Despite intense research in this area there is still so much to be learned about the prevalence of depression in cardiac patients.
Patients with hip fracture are usually older than age of 65. They need early mobilization in postoperative period. That’s why they need efficient postoperative analgesia. The systemic postoperative analgesia is most common used. In most of cases this kind of analgesia is insufficient. Peripheral nerve blocks are most efficient and surgically depending most specific option for postoperative analgesia.The aim of this study was to compare the effect of continuous „3 - in - 1“ versus single fascia iliaca compartment block, as a postoperative analgesia, and to compare the method with the systemic analgesia in elderly patients with hip fracture. Ninety patients with hip fracture older than 65 years were included and were randomly assigned to three groups per 30 patients, depending of type of postoperative analgesia. In all patients pain intensity was measured in rest and passive leg movement. The amount of supplemental analgesia was measured, and also the time when the patient needed it for the first time. Sensory and motor block were registered in „3 - in - 1“ and FIC groups as well as subjective patient’s impression for quality of analgesia and the side effects.
This particular cohort of non responders did not have pre-treatment HCV genotyping carried out, as Genotype 3 is the most common genotype in Pakistan and the facility is not accessible to all. A crossectional study was carried out to determine HCV genotypes in patients with either non response or relapse after six months of combined treatment with Interferon and Ribavirin. The major HCV-genotypes detected in patients with non-response were 1a in 16 (41%) patients, 3a in 15(38.5%) The pool of non-responder patients comprises mostly of patients with genotype 1 and 3. The patients with Genotype 1 were given suboptimal treatment of six months. HCV – genotyping is of utmost importance in determining the rationale for predicting treatment efficacy and virologic monitoring in these non-responders.
This book discuss the effect of some known hemolytic/oxidant agents on uremic patient's RBCs in vitro, and the effect of some known medicinal plants on reduction of hemolysis (in vitro) and in decreasing of blood urea levels in vivo. Also made a comparison between normal TAC (total antioxidant capacity) and uremic patients Total antioxidant capacity of both (newly diagnosed & patients under dialysis).
Progressive muscular dystrophy refers to a group of hereditary myopathies characterized by progressive weakness, deterioration and regeneration of muscle fibers. Duchenne muscular dystrophy (DMD)is an X-linked recessive disorder that affects 1:3500 males and is caused by mutation in the dystrophin gene which is responsible for the maintenance of mechanical stability at the muscle cell membrane. Symptoms are seldom noted until the child is between 2-5 years old. The disease affects male only and is inherited in the female line. The major characteristics of the disease are muscle wasting, weakness and concurrent hypertrophy. Usually between the age of 8 to 12, severe contractures and muscle weakness are apparant and most children are unable to ambulate. There has been a debate for many years on whether muscular training is beneficial or harmful for patients with myopathic disorders. So we have tried to evaluate the effect of a well-designed isokinetic rehabilitation program on patients with DMD and clarify whether muscle strength training exercises cause improvement or further deterioration in those patients.