جستجوی مقالات مرتبط با کلیدواژه « hemiplegia » در نشریات گروه « پزشکی »

Movement disorders of cerebral palsy are often associated with sensory, perceptual, cognitive, and communication defects; Therefore, the purpose of this research was to investigate the effectiveness of sensorimotor exercises on bimanual motor skills of hemiplegic children.

Semi-experimental research method and research design is pre-test and post-test with experimental and control groups. The statistical population consisted of hemiplegic children who referred to the rehabilitation centers of Kermanshah city in 1402. The statistical sample of the research was 22 people based on the criteria for entering the research, who were randomly divided into 2 groups of 11 people, and in the next stage, based on the criteria for exiting the research, 21 people remained (sensory-motor exercises 11 people, control 10 people). The research tools were demographic questionnaire and MABC-2 test. To analyze the data, dependent t-test and one-way analysis of variance were used.

The results showed that there is a significant difference between the pre-test and post-test of the experimental group in all variables (p<0.001). Also, there was a significant difference between the two experimental and control groups in the variable of receiving the ball and throwing the bean bag in the post-test (P≥0.001).

It seems that sensorimotor exercises can be used to improve the two-handed skills of hemiplegic children.

Movement function and daily activities of hemiplegic children are defective; therefore, the aim of this study was to compare the effectiveness of a selected exercise program and rehabilitation and a selected exercise program with rehabilitation on the motor skills of unhealthy hands of hemiplegic children.

Methods and Materials:

 The research method is quasi-experimental. The statistical population consisted of hemiplegic children referring to Tavaniab, Zanko and Kimia rehabilitation centers in Kermanshah. The statistical sample of the study was 30 people based on the inclusion criteria who were randomly divided into 3 groups of 10 people and in the next stage 24 people remained based on the exclusion criteria. The research instrument was a demographic questionnaire and MABC-2 test. Dependent t-test and one-way analysis of variance were used to analyze the data.

The results showed that there was a significant difference between pre-test and post-test of both experimental groups in all variables (p <0.001). There was a significant difference in the nail and board variable between the rehabilitation group and the selected group with rehabilitation (P ≤ 0.001). But there was no significant difference between the other groups (P ≥ 0.001). There is a significant difference in the page threading variable between the rehabilitation group and the selected group with rehabilitation (P ≤ 0.001). But there was no significant difference between the other groups (P ≥ 0.001). There is a significant difference in the maze drawing variable between the rehabilitation group and the selected group with rehabilitation (P ≤ 0.001). But there was no significant difference between the selected group and rehabilitation (P ≥ 0.001).

It can be concluded that the selected group with rehabilitation has a better effect on the variables of beanbag, nail and board, threading and drawing maze than other groups.

Hemiplegic children have several neurological defects that are involved in motor function and daily activities; Therefore, the aim of this study was to compare the effectiveness of a selected exercise program and rehabilitation and a selected exercise program with rehabilitation on healthy hand motor skills of hemiplegic children.

The research method is quasi-experimental and the research design is pre-test post-test with experimental and control groups. The statistical population consisted of hemiplegic children referring to Tavaniab, Zanko and Kimia rehabilitation centers in Kermanshah. The statistical sample of the study was 30 people based on the inclusion criteria who were randomly divided into 3 groups of 10 people and in the next stage 24 people remained based on the exclusion criteria (selected exercises 9 people, selected exercises with rehabilitation 8 people and exercises Rehabilitation 7 people). The research instrument was a demographic questionnaire and MABC-2 test. Dependent t-test and one-way analysis of variance were used to analyze the data.

The results showed that there was a significant difference between pre-test and post-test of both experimental groups in all variables (p ≤0.001). Also, there was no significant difference in the ball receiving variable between any of the groups (P ≥ 0.001). However, there was a significant difference in the bean bag throwing variable between the rehabilitation group and the selected group with rehabilitation (P ≤ 0.001).

It seems that the selected group with rehabilitation has a better effect on bean bag throwing variable than other groups.

 Caring a patient with hemiplegia could affects different aspects of family caregivers’ health. This study aimed to determine the effect of a patient care education on stressors, anxiety and depression in family caregivers of patients with hemiplegia stroke.

This was a quasi-experimental study carried out in 2019. The samples were women caring for their patients with hemiplegia discharged from a teaching hospital in Koohdasht, Iran. The experimental group received 4 sessions of group discussion and 3 home visits in the designed educational program. Stress, anxiety and depression of caring women in both groups were measured using the DASS21 before and after the intervention. Data were analyzed using Fisherchr('39')s exact test, Chi-square, Wilcoxon, Mann-Whitney U test.

The results showed that stress, anxiety and depression of caregivers were significantly decreased in the experimental group one month after intervention as compared to the control group (P <0.05).

The findings showed that the training program for caregivers of hemiplegic stroke patients could reduce the stress, anxiety and depression.

Spasticity is a common motor impairment in patients with stroke that not only has a negative impact on the patient’s quality of life but also has high economic burdens for society. Recently the application of shock wave therapy has attracted considerable attention as a safe and effective method in treatment of spasticity. The objective of the present study was to investigate the effect of application shock wave on spasticity of quadriceps femoris and triceps surae muscles in patients with stroke. This was a quasi-experimental study on 15 stroke patients which were selected according to inclusion criteria between September 2016 and May 2017. This study was approved by the Ethics Committee of Shahid Beheshti University of Medical Sciences, Iran. The intervention included one session placebo shock wave and three sessions of true shock wave. Level of the spasticity was measured at quadriceps and gastrocnemius muscles by Ashworth scale (AS) and passive range of motion (PROM) of the knee and ankle joints was recorded by a manual goniometer (Enraf-Nonius Corp., Delft, Netherlands). Participants were assessed at baseline, after the placebo shock wave, after the final session of active shock wave and 4 weeks after the last treatment. Placebo shock wave had not significant effect on grade of AS of spastic muscles as well as PROM of knee and ankle joints. True shock wave induced a statistically significant reduction in AS of triceps surae and quadriceps femoris muscles and improvement of PROM of knee and ankle joints. The reduction in AS of triceps surae and improvement of ROM ankle joint continued 4 weeks after the last treatment.  However, after 4 weeks, there was a significant reduction in the PROM of knee joint compared to the last session. Three sessions shock wave therapy can reduce the tone of triceps surae and quadriceps muscles and improved the passive range of motion in the knee and ankle joints for up to 4 weeks, but these effects were not stable on the PROM knee joint.

Constraint Induced Movement Therapy (CIMT) is one of the effective methods in improving motor function of upper extremity in children with spastic hemiplegic cerebral palsy, which has various types. The objective of the present integrated review was to investigate the effect of CIMT in children with spastic hemiplegic cerebral palsy and to create specific instruction for using this method for these children.

In the present combined and two-stage study, first, in an integrated review, all articles in Persian and English languages between 2000 and 2015 on children with spastic hemiplegic cerebral palsy were extracted using the following keywords: cerebral palsy, hemiplegia, Constraint Induced Movement Therapy, rehabilitation, and occupational therapy. Then, in the qualitative stage, the results were examined in the five-member expert panel of professional occupational therapists in the area of cerebral palsy.

In the conducted investigation, 36 articles were found related on cerebral palsy and upper extremity function. First, by examining the summary of articles, only 14 articles that met the inclusion criteria were selected. Then, full texts of articles related to interventions CIMT to improve hand function of patients with cerebral palsy were examined.

In the investigations conducted, the positive impact of CIMT in improving the motor function of children with cerebral palsy had been proven, but the results were not provided as an instruction. Therefore, with regard to the view of experts and specialists, a specific instruction for this treatment was developed. In addition, the impact of this treatment with a sling or splint for 14 days, 6 hours a day along with occupational therapy, and physiotherapy was more.

Transfer of learning is one of the most important instructional and rehabilitating techniques used widely in the treatment of some diseases around the world. The present study aimed to examine the effect of sequencing two types of practice, i.e. imagery and physical, on the immediate and delayed bilateral transfer of a throwing task by women with hemiplegia. This study was carried out with 30 women with hemiplegia (mild disease) and with an age range of 12 to 18 years. In this project, the participants practiced the intended task with both their healthy and damaged limbs, following two possible sequences of imagery or physical practice coming first. The effect of these practice protocols on the performance of the damaged limb was studied. In order to analyze the data, one-way ANOVA, Tukey post-hoc, and independent samples t tests were utilized. All significance levels were set at less than 0.05. The results of the immediate bilateral transfer test did not show any significant difference between the two groups with two different practice sequences (imagery or physical first) (P = 0.490). However, in the short-term and long-term delayed bilateral tests, the group with the precedence of physical practice had a significantly better performance than the group with the imagery practice precedence (P = 0.036 and P = 0.001, respectively). Based on the results of this study, it can be stated that patients with hemiplegia, due to their movement limitations, may benefit from a bilateral transfer technique to increase aspects of their mobility. In addition, in order to develop leaning, and increase the efficacy of the practices, the use of combined practices (physical and imagery) with the precedence of physical practice is suggested for these patients.

The hemiplegic children use the affected hand less, so improvement of the affected hand function is considered by treatment programs. The aim of this study was to investigate the effect of Xbox- kinect bimanual games on using the affected hand in hemiplegic children aged 4 to 14 those referred to rehabilitation centers of Tehran.
In this current randomized clinical trial, 34 children with hemiplegic cerebral palsy randomly divided into control and intervention groups. The upper limb performance was evaluated by using QUEST test. Both groups received the occupational therapy in a similar way In addition, children in the intervention group played Xbox- kinect bimanual games half an hour twice a week for eight weeks. Then the upper limb performance was evaluated again.
The results of ANCOVA indicated a significant difference between control and treatment groups (P The results indicated that participation of hemiplegic children in virtual games, such as xbox kinect games, has significant effects on upper limb function improvement in children with hemiplegic cereberal palsy.

Global statistics indicate an increase in the population of people with stroke worldwide. Cerebrovascular disorder is the third leading cause of death in the United States. this study was done by the goal of survey The effect of slow stroke back massage on the quality of life in the elderly patient with hemiplegia consequent cerebrovascular accident
Material & This is a single-blind randomized clinical trial performed in payambar azam hospital, tavan center of rehabilitation and elder care center of Gonbad-e-Kavos city in 1396. The sample size was 42 people, 21 of whom were in the experimental and control group, respectively. Sampling was performed in a 6-month period by available sampling method and the results were evaluated using a questionnaire of 8-dimensional quality of life measurements. Data were analyzed using descriptive statistics and independent t-test and Chi-square test.
The mean scores after intervention in dimensions of physical & social function and general health were significant. In terms of physical function, in the experimental group, the mean and standard deviation of the score before and after the intervention were 40/24±22/90 and 69.45±18.79 (p We conclude that slow stroke back massage is an effective way to improve the symptoms and function of the affected area and can be a complementary therapeutic method in rehabilitation of patients with brain strokes, which indicates that this non-pharmacological and complementary intervention improved of the quality of life of elderly patients.

Hemiplegia after stroke is the most common cause of dexterity disorder in adults, which is associated with impairment in daily life activities. The aim of the present study was comparative assessment of the effects of movement therapy and electrotherapy on dexterity.

In the present clinical trial with before-after design, 16 patients with post-stroke hemiplegia received 36 sessions of treatment. Hand gross dexterity was measured using Minnesota instrument prior to, and 18th and 36th sessions after the intervention. Shapiro Wilk test, paired t-test, and Pierson correlation were used to analyze the data.

The significant increase of hand gross dexterity was noticed between before and 18th, 18th and 36th, and also before and 36th sessions after intervention in movement therapy group (p

The present study showed that movement therapy is effective in increasing hand dexterity all the time. But the continuation of electrotherapy has reverse effects on it.

Spasticity is a clinical deficit of upper motor neurons lesions that presented immediately or at delayed times after lesions and occurs in about 38% of stroke patients. Extracorporeal shock wave therapy (ESWT) has been recently reported as a safe and effective method for reducing spasticity in stroke patients. In the present study, we sought to investigate the impact of the ESWT on post stroke spasticity using a meta-analysis method.
All primary reports of spasticity indexed in PubMed, MEDLINE, Science Direct, Scopus and search engine of Google Scholar from January 2000 to December 2016 were searched. The following terms were used as keywords: Spasticity, muscle hypertonicity, ESWT, stroke and hemiplegia. Any report was included if it met the following criteria: involving clinical trials, full-version availability, and being written in english. Two reviewers selected articles independently and reviewed the studies considering quality and eligibility, and then they extracted general information on objectives, design, participants, and outcomes. The methodologic quality of each study was assessed using the Pedro Scale. In the statistical analyses, we considered two outcomes; Modified Ashworth scale (MAS) grade and passive rang of movement (PROM). The meta-analysis was done using random effect model in Stata, version 11 (Stata Corp., TX, USA).
Eleven studies within a total of 261 patients were included in this review. In seven studies the shock waves were applied to the upper limb muscles, and in four other studies, the effects of ESWT on the spasticity of the lower limb muscles were assessed. Immediately after applying the ESW, MAS grade was significantly decreased in comparison to the baseline values. (Standardized mean difference [SMD], -1.62; 95% confidence interval [CI], -2.2 to -1.04). The PROM was significantly increased immediately after ESWT in comparison to the baseline values (SMD, 3.23; CI 95%, 1.35 to 5.12).
The results of this study showed that ESWT can immediately improve the spasticity and increased PROM, but it seems that the mechanism of action of shock waves on spasticity is still unclear. Further clinical trial studies with higher methodological quality should be recommended.