Upper limb dysfunction in stroke patients has an impact on the performance of activity of daily living (ADLS). The ultimate goal for many stroke patients is to achieve maximum level of functional independence. Stroke rehabilitation is often described as a process of active (motor) learning that starts, preferably, within the first few days after the stroke. Some trials found that the favourable outcome in the ADL and independence is still significant at ten years post-stroke onset not only in the first six months depending on the type of rehabilitation.For this reason my work that Submitted for Fulfillment of the Requirements of Doctoral Degree in Physical Therapy for Neuromuscular Disorders and Its Surgery was established with the help of my supervisors Prof. Dr.; Moshera Hassan Darwish,Mohamed S. El Tamawy,Ann Ali Abd El Kader, Mye Ali Basheer to study the appropriate type of rehabilitation for the upper limb dysfunction in the chronic stroke patients that has an impact on brain plasticity in patients with stroke for more than one year.
A number of benefits from meditation have been claimed by those who practice various traditions, but few have been well tested in scientifically controlled studies.From sports participation to sport specific conditions, this state of the art text contributes comprehensively in the domain of physical education and sports sciences contextualizing the knowledge and theory that forms the underpinning of our knowledge behaviour in relation to psychomotor variables among youth.This book may contribute towards promotion of scientific meditation by means of helping physical education teachers and coaches to develop sound training program besides devising remedial training program.
Respiratory disorders in stroke include abnormal breathing patterns, hypoxemic and hypercapnic respiratory failure, aspiration pneumonia due to an inability to protect the airways and clear the airway by coughing, and acute pulmonary embolism due to prolonged immobilization. The aim of this study is to assess the role of mechanical ventilation in the prognosis of patients admitted to the ICU with cerebrovascular stroke. The study was carried out over a one year period, from the first of October 2004 till the end of September 2005. These included 35 patients with cerebrovascular stroke. The mean age for group І is (58.93 years), with (60%) males and (40%) females, and for group П is (62.5) years with (66.7%) males and (33.3%) females. five variables were found to be independent predictors of death at one week: GCS score on admission
Chronic fatigue is common, is difficult to measure, can be associated with considerable morbidity, and is rarely a subject of controversy. It is probably the most common symptom of illness affecting sufferers of both acute and chronic conditions. However, a growing interest in the health problem presented by fatigue both in clinical practice and research, coupled with a decreasing number of reported studies on fatigue in the last decade, make an updated and systemic review of factors related to fatigue necessary. Therefore the aim of this study was undertaken to investigate correlates of fatigue among patients with chronic airway limitation. Related factors may be described as any internal or external elements which have an effect on the person, family or community and which contribute to the existence, or maintenance of the person’s health problem. The study sample compromised 90 patients.
Despite the improvements that have been made in health care over the years, stroke remains a serious public health problem in low, middle and high-income countries. Informal caregivers are particularly important in low resourced settings. The aim of the study was to establish the impact of caregiver education on stroke survivors and their carers. This was done using a randomised controlled trial with a total of 200 patients and their caregivers. From the study, the one-year case fatality was 38%. About 78% of the patients were functionally dependent at 12 months post discharge. Caregiver education had the effect of improving the BI scores by one and 0.7 at the three and 12 months follow ups respectively and improved patients’ EQ-5D scores by a factor of three at 12 months. The patient ability to socialise and participate in community issues post-stroke is currently poor due to poor functional ability levels, necessitating dependency on caregivers. Structured and individualised caregiver training has the effect of improving patients’ quality of life and can help reduce deaths among stroke survivors.
The aim of this book is to present the clinical and radiographic assessment of the effect of Omega-3 fatty acids, as an adjunctive therapy in management of chronic periodontitis in postmenopausal osteoporotic females. The patients were divided into 2 groups: the control group received Rutin and vitamin C once daily. The Omega-3 group received Rutin and vitamin C once daily in addition to Omega-3 once daily too. Clinical assessment was done by measuring the plaque index (PI), bleeding on probing index (BOP), pocket depth (PD) and clinical attachment level (CAL)at baseline before administration of the different medications and performing scaling and root planing (baseline) and after 6 and 9 months intervals. In addition assessing of the radiographic linear and density measurements was done. It can be concluded that the use of Omega-3 is a beneficial nutritional supplementation in chronic periodontitis management.
At this point in our understanding of ADHD, many academic constructs designed to aid in our conceptualization of etiology, process, and treatment have been developed. Unfortunately, behavioral interventions that ignore underlying cognitive processes, along with assumptions of a relationship between cognitive training and behavior have proceeded despite a dearth of empirical support. Without a more connected perspective on the relatively minor but chronic dysfunction reflected in the lives of individuals with ADHD, sufferers and care providers often do not know why they are subscribing to an intervention, decreasing their ownership and control of the presenting symptoms. As emergent psychological tools attempt to supplement or even substitute for stimulant medication, drawing the attention and finances of thousands interested in 'the cure,' this study attempts to make the connection between a tentatively-supported motor training program, behavior changes resulting from its application, and measured changes within the executive functions including response inhibition/impulse control and working memory performance following training of children with ADHD. For self- and other-helpers.
This book entitled "Impact of Heart Friendly Mix on Cardiovascular Patients" provides you the details on the prevalence of Cardiovascular Diseases in the targeted area. It also provides you the demographic profile and nutritional status of the Cardiovascular patients. This book gives information on the effect of selected heart friendly foods on the lipid profile of selected cardiovascular 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.
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 term warming-up is applied to the preliminary activities and exercises that the players carry out for physical and mental preparation prior to training Session or a match. Warming-up has got both physiological and Psychological advantage on the sportsmen. Prior to any physical activity or a match it helps the Sportsmen to reach the point where he says - “it's time to begin, I am completely ready". "General Preparation in warming-up is to tune up the muscles, to improve mobility of joints, ligaments and mental alertness for optimizing functioning of the body organs." Warming-up is an introduction to the preparation of whole body for fulfilling the demands of training or match. In Warm-up players go through a series of physical movements of general nature for the whole body that includes jogging, striding, stretching. Warm-up plays an important role in enhancing performance of sportsmen in various games and sports. Warm-up is more vital for those activities in which quick movement and fast running are involved. It improves performance by increasing the strength rate and strength one muscle contraction, increasing muscle co-ordination and helps to prevent injuries.
There are approximately 15 million people worldwide suffering from cerebrovascular stroke each year. Of these, 5 million are permanently disabled. One of the disabling consequences of cerebrovascular stroke is functional impairment of the affected upper extremity since its recovery is often delayed than that of the lower extremity. Most rehabilitation strategies of acute hemiplegic patients focus on compensation rather than restoration of upper extremity function since patients use the unaffected upper extremity for activities of daily living. Promising approach to improve sensori-motor recovery after acute stroke is constraint induced movement therapy (CIMT), often labeled “forced use” treatment. CIMT is a behavioral approach in neuro-rehabilitation based on the principle of “learned non-use”. The major components of CIMT include intense repetitive training and behavioral shaping of the impaired limb with immobilization of the unimpaired arm. In our study, we functionally and neurophysiologically assessed the efficacy of CIMT on functional recovery of upper extremity in acute stroke patients.
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.
Stroke is a condition with high incidence mortality rates and is a leading cause of disability in Malaysia. The effect have long-term consequences on post-stroke patients. The impact of stroke on health related QoL may be disastrous; and stroke can affect multiple domains of life. However, there is a dearth of understanding of how stroke affects the quality of life (QoL) of post-stroke patients undergoing rehabilitation. The study was conducted based on the mode of grounded theory using semi-structured interviews. Data analysis was guided by constant comparative method, in which verbatim quotations were catalogued into essential concepts by use of codes developed interatively to reflect the data. Reports obtained were findings from 11 post-stroke patients (6 women and 5 men) aged 50 to 70 years which solicited their perspectives on post-stroke QoL. Themes emerged were impact of stroke on QoL, adaptation and coping strategies, and social support and interation. These findings were consistent with prior research indicating the measures of stroke-related QoL should include awareness and education of the post-stroke patient to cope with the consequences of stroke and disabilities.
Diabetes mellitus (DM), a complicated metabolic disease, is one of the most harmful chronic disorders and causes of death in modern society. Renal functions are significantly altered in patients with DM. This book illustrates the effect of diabetes and the use of NSAIDs (Celecoxib and Aspirin) on the kidney and urinary bladder functions. Experimental diabetes was induced by injecting rats with streptozotocin. The results showed that Celecoxib or Aspirin could improve the nephropathy and bladder dysfunction induced by diabetes.