جستجوی مقالات مرتبط با کلیدواژه « motor activity » در نشریات گروه « پزشکی »
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Background
The sensory and mobility failure associated with spinal cord injury (SCI) is desperately complicated due to the pathological events that occur sequentially in consequent to the injury.
ObjectivesHerein, we applied neural stem cells, derived from human iPSCs (hiPSC-NSCs), to ameliorate the behavioral complications of contusive SCI in Rhesus monkeys, in sub-acute phase.
MethodshiPSC-NSCs were maintained and characterized in vitro for general NSCs as well as hind-limb specific gene and protein expression prior to transplantation. Moreover, Masson's trichrome staining (MTS) in addition to luxol fast blue (LFB) were performed to determine the fibrotic scar reduction and myelination respectively. Tarlov’s scale were utilized to score the motor improvement, plus, sensory perception evaluation throughout six months following the injury.
ResultshiPSC-NSCs were identified to own NSCs’ exclusive properties in vitro by SOX2, DCX and NESTIN in addition to NESTIN , PAX6 , SOX1 , HOXA2 and HOXB2 protein and gene expression. Additionally, hiPSC-NSCs caused remarkable depletion in fibrotic scar and enhance myelination; spinal shock, sensory responses, reflexes and motor function were improved over six months.
ConclusionsOur findings suggest that hiPSC-NSCs lead to promising recovery after SCI, therefore, this source of NSCs provide a therapeutic potential in clinical studies.
Keywords: Hipsc-Nscs, Spinal Cord Injury, Sub-Acute Phase, Rhesus Monkey, Sensory Perception, Motor Activity -
Background
Viral encephalitis (VE) refers to an acute intracranial inflammation mainly caused by various viral infections.
ObjectivesViral encephalitis (VE) refers to an acute inflammation of the brain primarily caused by various viral infections.
MethodsData from 60 children with acute viral encephalitis (VE) who received 4 weeks of rehabilitation nursing from July 2019 to July 2020 were collected for retrospective analysis. These children were divided into two groups: An early intervention group (n = 30), where rehabilitation nursing started in the second week after admission, and a late intervention group (n = 30), where rehabilitation nursing began in the fourth week after admission. Motor function, daily living abilities, and limb spasticity were compared before and four weeks after nursing. Additionally, the outcomes of rehabilitation nursing—including recovery times from convulsions, cranial nerve disorders, and consciousness disorders—were also compared.
ResultsThe scores for motor function and daily living ability were significantly higher, while the score for limb spasticity was lower in the early intervention group compared to the late intervention group (P < 0.05). Additionally, the early intervention group experienced a significantly shorter recovery time from convulsions, cranial nerve disorders, and consciousness disorders than the late intervention group (P < 0.05).
ConclusionsEarly rehabilitation nursing is effective in enhancing motor function, relieving limb spasticity, and improving the nursing outcomes for children with acute viral encephalitis (VE).
Keywords: Limb, Motor Activity, Nursing, Rehabilitation, Viral Encephalitis -
مقدمه
با پیشرفت تکنولوژی، بازی های رایانه ای امکانات جدیدی را در زمینه فعالیت بدنی کودکان باز کرده است. یکی از این زمینه های مهم بهبود انگیزه و مهارت های حرکتی است. هدف پژوهش حاضر مقایسه تاثیر تمرینات واقعیت مجازی و تمرینات سنتی بر انگیزه و مهارت های حرکتی کودکان بود.
مواد و روش هاجامعه آماری این پژوهش نیمه تجربی، دانش آموزان پسر 10 تا 12 ساله مدارس ابتدایی استان لرستان بود. بر اساس نمرات پیش آزمون، 45 کودک به سه گروه 15 نفری گروه تمرینات واقعیت مجازی، گروه تمرینات سنتی و گروه کنترل تقسیم شدند. هر یک از کودکان گروه های آزمایشی در یک برنامه آموزشی شامل دو جلسه در هفته به مدت هشت هفته، مجموعا 16 جلسه شرکت کردند.
یافته هامطالعه ما نشان داد که تمرینات واقعیت مجازی بر بهبود تمامی خرده آزمون های انگیزش کودکان تاثیر معنی داری داشت. علاوه بر این، این نوع تمرین تاثیر معنی داری بر بهبود تمامی خرده مهارت های دستکاری و برخی خرده مهارت های جابجایی داشت. همچنین تمرینات سنتی باعث بهبود معنی دار در برخی از خرده آزمون های انگیزش کودکان شد. این نوع تمرین باعث بهبود معنی دار در برخی خرده مهارت های دستکاری و برخی خرده مهارت های جابجایی شد. مقایسه بین دو نوع تمرین نشان داد که تمرینات واقعیت مجازی انگیزه درونی را به طور موثرتری نسبت به تمرینات سنتی افزایش داد، در حالی که تمرینات سنتی در تقویت انگیزه بیرونی در مقایسه با تمرینات واقعیت مجازی موثرتر بود. در زمینه خرده مهارت های دستکاری، تمرینات واقعیت مجازی به طور معنی دار تاثیر بیشتری نسبت به تمرینات سنتی داشت. با این حال تفاوت معنی داری بین دو نوع تمرین در زمینه خرده مهارت های جابجایی مشاهده نشد.
نتیجه گیریبر اساس یافته های ما، استفاده از بازی های واقعیت مجازی برای تقویت موثر انگیزه و مهارت های حرکتی در کودکان توصیه می شود.
کلید واژگان: کودک, فعالیت حرکتی, بازی ویدئویی فعال, جابجایی, یادگیریIntroductionWith advancements in technology, computer games have opened new possibilities in the field of children's physical activity. One of these important areas is improving motivation and motor skills. The purpose of the present study was to compare the effects of virtual reality exercises and traditional exercises on children's motivation and motor skills.
Materials and MethodsThe statistical population of this semi-experimental research was 10 to 12-year-old male students of elementary schools in Lorestan province, Iran. Based on the pre-test scores, 45 children were divided into three groups of 15 participants each: the virtual reality exercises group, the traditional exercises group, and the control group. Each child in the experimental groups participated in a training program consisting of two sessions per week for eight weeks, totaling 16 sessions.
ResultsOur study revealed that virtual reality exercises had a significant effect on improving all subtests of children's motivation. Furthermore, this type of training had a significant effect on improving all manipulation sub-skills and some locomotor sub-skills. In addition, traditional exercises caused a significant improvement in some subtests of children's motivation. This type of training caused a significant improvement in some manipulation sub-skills and some locomotor sub-skills. Comparisons between the two types of exercises revealed that virtual reality exercises enhanced intrinsic motivation more effectively than traditional exercises, whereas traditional exercises were more effective in boosting extrinsic motivation compared to virtual reality exercises. In the field of manipulation sub-skills, virtual reality exercises had a significantly greater effect than traditional exercises. However, no significant differences were observed between the two types of training in the field of sub-skills of locomotor.
ConclusionBased on our findings, it is recommended to utilize virtual reality games to effectively boost both motivation and motor skills in children.
Keywords: Child, Motor Activity, Exergaming, Locomotion, Learning -
مقدمه
هدف از مطالعه حاضر بررسی تاثیر تمرین در منزل با اضافه بار عملکردی بر استقلال عملکردی، تعادل، راه رفتن و تغییرات الکترومیوگرافی بیماران سکته مغزی مزمن بود.
مواد و روش هانمونه آماری شامل24 نفر بیمار سکته مغزی مزمن مراجعه کننده به کلینیک بیمارستان شهدای عشایر خرم آباد بود. آن ها به صورت تصادفی در دو گروه مساوی (مداخله و کنترل) تقسیم شدند. مقیاس اندازه گیری تعادل برگ، آزمون استقلال عملکردی، اندازه گیری و مداخله راه رفتن دالی و بررسی الکترومیوگرافی عضلات چهارسر رانی و درشت نی قدامی برای هر دو گروه درمراحل پیش آزمون و پس آزمون پس از 12 هفته، اجرا شد.
یافته هاتمرین در منزل همراه با اضافه بار عملکردی به طور قابل توجهی باعث بهبود تعادل، راه رفتن و استقلال عملکردی در گروه مداخله شد. در آزمون الکترومیوگرافی در عضلات تیبیالیس قدامی و چهار سر ران در گروه مداخله پیشرفت مشاهده شد.
نتیجه گیریداده های ما نشان داد که علاوه بر تمرینات بالینی، تمرین در منزل با استفاده از وزنه یا کاف وزنه می تواند منجر به بهبود استقلال عملکرد، راه رفتن و تعادل در بیماران سکته مغزی مزمن شود.
کلید واژگان: فعالیت حرکتی, ماهیچه ها, توانبخشی عصبی, بیماری های سیستم عصبیIntroductionThe purpose of this study was to investigate the effect of home-based exercise with functional overload on functional independence, balance, walking, and electromyographic changes in chronic stroke patients.
Materials and MethodsThe statistical sample consisted of 24 chronic stroke patients referred to the clinic of Shohadaye Ashayer Hospital in Khorramabad, Iran. They were randomly divided into two equal groups (intervention and control). Berg Balance measurement scale, functional Independence test, Dolly walk measurement and intervention, and electromyography examination of quadriceps femoris and tibialis anterior muscles were investigated for both groups in the pre-test and post-test stages after 12 week.
ResultsHome-based exercise with functional overload significantly improved balance, walking, and functional independence tests in the intervention group. In the electromyography test, an improvement in the amplitude of the tibialis anterior and quadriceps femoris muscles has been observed in the intervention group.
ConclusionOur data revealed that in addition to clinical exercises, home-based exercises using weights or weight cuffs may lead to improvements in independent functioning, walking, and balance in in chronic stroke patients.
Keywords: Motor Activity, Muscles, Neurological Rehabilitation, Nervous System Diseases -
Background
This study aimed to investigate the effect of four weeks of selected endurance training on neurotrophin-3 (NT-3) and tropomyosin receptor kinase C (TrkC) gene expression in hippocampal areas of rats with spinal cord injury (SCI).
MethodsIn this experimental study, the rats were separated into six equal groups. First, the animals were put under general anesthesia and had their SCI. Then, for four weeks, they were subjected to two kinds of endurance training programs. However, the control injury group received no intervention or training. Following the completion of the training regimes, molecular tests were done using the qRT-PCR technique to evaluate changes in the gene expression of NT-3 and TrkC from the animals' hippocampus.
ResultsThe expression of NT-3 and TrkC genes were significantly reduced in the SCI model compared to the healthy control group, but it was increased in the SCI + exercise 1 and SCI + exercise 2 groups compared to the SCI group. NT-3 levels did not vary significantly between the SCI + exercise 1 and SCI + exercise 2 groups, although alterations in TrkC levels altered.
ConclusionIn addition to enhancing locomotion in animals with SCI, the endurance training regimens in this research were effective on the expression of NT-3 and TrkC genes and may play a role in axonal development and neuronal survival in SCI recovery.
Keywords: Spinal Cord Injuries, Neurotrophin 3, Trkc Receptor, Motor Activity -
Objective (s)
The current study aims to investigate the protective effect of iron oxide nanoparticles capped with curcumin (FeONPs-Cur) against motor impairment and neurochemical changes in a rat model of Parkinson’s disease (PD) induced by reserpine.
Materials and MethodsRats were grouped into control, PD model induced by reserpine, and PD model treated with FeONPs-Cur (8 rats/group). The open field test was used to assess motor activity. The concentration of dopamine (DA), norepinephrine (NE), serotonin (5-HT), lipid peroxidation (MDA), reduced glutathione (GSH), and nitric oxide (NO), and the activities of Na+,K+,ATPase, acetylcholinesterase (AchE), and monoamine oxidase (MAO) were determined in the midbrain and striatum. Data were analyzed by ANOVA at P-value<0.05.
ResultsThe PD model exhibited a decrease in motor activity. In the midbrain and striatum of the PD model, DA, NE, and 5-HT levels decreased significantly (P-value<0.05). However, an increase in MAO, NO, and MDA was observed. GSH, AchE and Na+,K+,ATPase decreased significantly in the two brain areas. FeONPs-Cur prevented the decline of dopamine and norepinephrine and reduced oxidative stress in both areas. It also prevented the increased MAO activity in the two areas and the inhibited activity of AchE and Na+,K+,ATPase in the midbrain. These changes were associated with improvements in motor activity.
ConclusionThe present data indicate that FeONPs-Cur could prevent the motor deficits induced in the PD rat model by restoring dopamine and norepinephrine in the midbrain and striatum. The antioxidant activity of FeONPs-Cur contributed to its protective effect. These effects nominate FeONPs-Cur as an antiparkinsonian candidate.
Keywords: FeONPs-Cur, Monoamines, Motor Activity, Oxidative stress, Parkinson’s disease -
مقدمه
هدف از این مطالعه بررسی اثر چهار هفته تمرین منتخب بر عملکرد حرکتی و بیان ژن نروتروفین4 در هیپوکمپ رت های مبتلا به ضایعه نخاعی بود.
روش کاراین مطالعه که از نوع تجربی است، روی رت های نر بالغ و جوان انجام شد. حیوانات به صورت تصادفی به 6 گروه (کنترل سالم، سالم با پروتکل تمرینی اول، سالم با پروتکل تمرین دوم، ضایعه نخاعی، ضایعه نخاعی با پروتکل تمرینی اول و ضایعه نخاعی با پروتکل تمرینی دوم، هر گروه 7 سر) تقسیم شدند. ابتدا، حیوانات تحت بیهوشی عمومی و آسیب نخاعی قرار گرفتند. پس از دو هفته ریکاوری، رت ها به مدت 4 هفته، دو نوع برنامه تمرین هوازی انجام دادند. پس از انجام تمرین ها، تست حرکتی و تست های مولکولی برای سنجش تغییرات بیان ژن فاکتور نروتروفین4 از هیپوکمپ حیوانات انجام شد. تجزیه وتحلیل اطلاعات توسط نرم افزار SPSS 20.0 انجام شد. سطح معناداری نیز 05/0 در نظر گرفته شد.
یافته هانمرات تست حرکتی در گروه دریافت کننده تمرین در مقایسه با نمرات تست حرکتی گروه آسیب، افزایش معناداری داشت. بیان ژن نروتروفین4 در مدل آسیب نخاعی نسبت به گروه کنترل کاهش معناداری داشت، همچنین، بیان این ژن در گروه آسیب نخاعی + تمرین 1 و در گروه آسیب نخاعی + تمرین 2 نسبت به گروه آسیب نخاعی افزایش داشت؛ اما این افزایش بیان بین دو گروه آسیب نخاعی + تمرین تفاوت معناداری را نشان نداد.
نتیجه گیریپروتکل های تمرینی در این مطالعه علاوه بر ایجاد بهبود حرکتی در حیوانات دچار ضایعه نخاعی، بر بیان ژن نروتروفین4 موثر هستند و می توانند عاملی برای رشد آکسونی و بقای نرونی در بهبودی ضایعه نخاعی باشند
کلید واژگان: آسیب طناب نخاعی, نروتروفین4, پروتکل تمرین, عملکرد حرکتیIntroductionThe present research aimed to investigate the effect of four weeks of selective training on motor performance and neurotrophin4 (NT4) gene expression in the hippocampus of rats with spinal cord injury (SCI).
MethodThis experimental study was conducted on adult and young male Wistar rats. The animals were randomly divided into six groups (control group, healthy group with the first exercise protocol, healthy group with the second exercise protocol, SCI group, SCI group with the first exercise protocol, and SCI group with the second exercise protocol; 7 animals in each group). Firstly, animals were subjected to general anesthesia and SCI. After two weeks of recovery, two types of aerobic exercise programs were performed for four weeks. After performing the exercises, Basso Beattie Bresnahan (BBB) test and molecular tests were used to measure the expression of the NT4 gene from the hippocampus of the animals using the qRT-PCR method.
ResultsThe BBB score in the exercise group compared to the injury group increased significantly. The expression of NT4 in the SCI group was significantly decreased compared to the control group. While, NT4 expression was increased in the SCI + exercise 1 group and in the SCI + exercise 2 group compared to the SCI group, this increased expression was not significantly different between the two groups of SCI + exercise.
ConclusionThe exercise protocols of this study are effective on NT4 gene expression, as well as improving movement in animals with SCI, and could be a factor for axonal growth and neuronal survival in spinal cord injury recovery.
Keywords: Aerobic exercise, Motor activity, Neurotrophin-4, Spinal cord injury -
زمینه و هدف
آسیب نخاعی یک اختلال حسی و حرکتی ناتوان کننده است. شایع ترین نوع اختلال حسی بعد از آسیب نخاعی، درد نوروپاتیک است که سبب کاهش کیفیت زندگی می شود. تا به امروز روش های درمانی بکاررفته جهت درمان آسیب های نخاعی کاملا موثر نبوده است. بنابراین محققان همواره به دنبال یافتن داروهای جدید و کارآمد علیه ضایعه نخاعی بوده اند. پیش ازاین اثرات آنتی اکسیدانی و ضدالتهابی متفورمین در سایر اختلالات سیستم عصبی مرکزی و محیطی به اثبات رسیده است. در مطالعه حاضر نقش احتمالی اثرات محافظت نورونی و آنتی اکسیدانی تزریق داخل نخاعی متفورمین بر درد نوروپاتی و عملکرد حرکتی بعد از آسیب نخاعی در موش صحرایی مورد ارزیابی قرار گرفت.
روش ها:
تعداد 35 سر رت در پنج گروه تحت عنوان شم (بدون آسیب نخاعی)، آسیب نخاعی-دریافت کننده حامل دارو (آسیب) و سه گروه تحت درمان با متفورمین (متفورمین) با دوزهای یک، دو، و چهار میلی مولار قرار گرفتند. تست های رفتاری صفحه داغ، استون، وون فری، BBB و تغییرات وزن در روز های 7، 14، 21 و 28 پس از جراحی انجام شد. تغییرات سرمی کاتالاز، گلوتاتیون، سطح نیتریت سرم و همچنین شمارش نورون های حسی و حرکتی نخاع نیز در پایان دوره ی 28 روزه اندازه گیری شد.
یافته ها:
نتایج نشان داد که تزریق داخل نخاعی متفورمین موجب کاهش درد حرارتی، سرمایی و مکانیکی، بهبود عملکرد حرکتی و همچنین افزایش متناسب وزن در موش های صحرایی مبتلا به آسیب نخاعی می شود. متفورمین همچنین سبب افزایش درصد کاتالاز و گلوتاتیون نسبت به گروه آسیب، کاهش سطح نیتریت سرم و افزایش تعداد نورون های حسی و حرکتی نسبت به گروه آسیب گردید.
نتیجه گیری:
اثرات محافظت نورونی و آنتی اکسیدانی تزریق داخل نخاعی متفورمین می تواند سبب کاهش درد و بهبود حرکت به دنبال آسیب نخاعی شود.
کلید واژگان: آسیب نخاعی, آنتی اکسیدان, درد نوروپاتیک, عملکرد حرکتی, متفورمین, محافظت نورونیBackground and AimSpinal cord injury (SCI) is a debilitating sensory-motor dysfunction. Neuropathic pain and motor dysfunction are the most common types of dysfunctionality after SCI, which reduces the quality of life. So far, SCI treatment has not been completely effective and researchers are seeking for novel alternative/potent therapies. Metformin has shown antioxidant and anti-inflammatory effects on the central and peripheral nervous systems. In the present study, the probable neuroprotective and antioxidant effects of intrathecal metformin administration was evaluated on the neuropathic pain and motor dysfunction after SCI.
MethodsThirty-five rats were divided into five groups: sham, SCI, and metformin (Met) at doses of 1, 2 and 4 mM. Hot plate, acetone, and von Frey behavioral tests and weight changes were performed on days 7, 14, 21, and 28 after SCI. The changes in serum levels of catalase and glutathione, as well as nitrite level, and numbers of sensory and motor neurons were measured on day 28 after surgery.
ResultsIntrathecal injection of metformin reduced heat, cold and mechanical pain, motor activity, and modulated weight changes in rats after SCI. Intrathecal metformin also attenuated serum changes of catalase and glutathione, decreased serum nitrite, and increased survived sensory and motor neurons after SCI.
ConclusionEmploying the neuroprotective and antioxidant potential of intrathecal metformin administration could reduce neuropathic pain and improve motor dysfunction following SCI.
Keywords: Spinal cord injury, Antioxidant, Neuropathic pain, Motor activity, Metformin, Neuroprotection -
Background and Objectives
An ankle sprain is one of the most common musculoskeletal injuries and has various complications. Various factors can predict post-injury complications, including ankle muscle strength, pain, and activity level. So far, no study has exclusively investigated the predictive role of these factors. Therefore, this study aims to investigate the role of these factors in ankle instability, functional mobility, and gait speed in individuals with ankle sprain.
MethodsThis study was conducted on 140 individuals with ankle sprains who were referred to medical centers in Shiraz City, Iran. The demographic information of the patients (including the time elapsed since the sprain, etc.) was recorded by a demographic questionnaire. Related tests were also used to evaluate ankle muscle strength, pain, activity level, ankle functional instability, functional mobility, and gait speed, respectively.
ResultsIn the regression models, the predictive value for each outcome of ankle functional instability, functional mobility, and walking speed was 45.5%, 58.8%, and 65.3% of the variance, respectively. In all stepwise models, ankle muscle strength was the strongest predictor for the outcomes of functional ankle instability, functional mobility, and gait speed.
ConclusionAnkle muscle strength, level of education, history of sprain in the last year, and age were the vital predictors of ankle functional instability. Muscle strength, age, and sprain status were the critical predictors of functional mobility respectively. Muscle strength, pain, age, duration of sprain, and activity level were the crucial predictors of gait speed.
Keywords: Joint Instability, Motor Activity, Walking Speed, Gait, Muscle Strength -
Background
Stress can alter behavioral parameters, oxidative stress markers, and electrocardiographic (ECG) records. Also, metal oxide nanoparticles can affect behavioral and oxidative stress parameters in animal models, but their effects on the physiological functions of the body in stress situations and ECG changes are not yet clear.
ObjectivesIn this study, motor activity, ECG records, and oxidant/antioxidant balance changes were investigated following administration of nanoparticles of magnesium oxide (nano-MgO) and zinc oxide (nano-ZnO) in normal and acute restraint stressed rats.
MethodsAdult male Wistar rats were divided into 16 groups, including control (saline), restraint stress (90, 180, and 360 minutes + saline), nano-MgO, and nano-ZnO (1, 5, and 10mg/kg, intraperitoneally) groups, with or without restraint stress of 90minutes. Motor activities were evaluated by the elevated plus maze (EPM) and open field tests. Electrocardiographic parameters were evaluated in the 6 groups. Catalase (CAT) activity and malondialdehyde (MDA) level were measured in the cerebellum + brain stem and brain hemispheres of animals.
ResultsMotor activity was decreased by the stress of 90 minutes, nano-MgO 10 mg/kg, and nano-ZnO 10 mg/kg. The PR interval and ST height were decreased by the stress of 90 minutes. The QRS interval was increased by nano-MgO 5 mg/kg, and QRS amplitude, T amplitude, and ST height were decreased by nano-MgO 5mg/kg. The QT interval and QTc were increased by nano-ZnO 5mg/kg, and ST height was decreased by nano-ZnO 5 mg/kg. The PR interval, QRS interval, QTc, and QT interval were increased by nano-MgO 5 mg/kg in the stress of 90 minutes, and the heart rate (HR) and ST height were decreased by nano-MgO 5 mg/kg in the stress of 90 minutes. HR, QRS interval, and QTc were increased by nano-ZnO 5 mg/kg in the stress of 90 minutes, and T amplitude and ST height were decreased by nano-ZnO 5 mg/kg in the stress of 90 minutes. The MDA level was increased by nano-MgO and nano-ZnO in the brain hemisphere and cerebellum + brain stem, and CAT activity was decreased by nano-MgO and nano-ZnO in the brain hemisphere and cerebellum + brain stem. The MDA level was increased by the restraint stress of 360 minutes in the cerebellum + brain stem while it was not changed in the brain hemispheres.
ConclusionsIt seems that the side effects of these nanoparticles on motor activity could be related to the imbalance of oxidant/antioxidant systems in the cerebellum + brain stem. Also, it is possible that nanoparticles increase the effects of acute stress on changes in ECG parameters.
Keywords: Antioxidant, Electrocardiogram, Motor activity, Nanoparticles, Rat -
هدف
روش های مختلفی برای مدیریت و درمان مشکلات حرکتی کودکان فلج مغزی وجود دارد که اثربخشی آن ها را می توان در تون عضلانی، مهارت های حرکتی درشت، و حرکات ارادی سنجید. از میان این روش های مداخلاتی، رویکرد درمانی دوساهو با هدف تاثیر بر عملکرد حرکتی کودکان فلج مغزی طراحی شد. این مطالعه برآن است تا تاثیر این رویکرد را به صورت اختصاصی بر عملکرد حرکتی درشت کودکان مبتلا به فلج مغزی اسپاستیک بسنجد.
مواد و روش هادر این کارآزمایی بالینی تصادفی دو سو کور، 24 کودک با اختلال فلج مغزی اسپاستیک (سن 4 تا 14 سال) به صورت تصادفی در دو گروه آزمون (12=n) و شاهد (12=n) تخصیص داده شدند. گروه آزمون ترکیب درمان آرام سازی روانی-حرکتی دوساهو همراه با مداخلات معمول کاردرمانی و گروه شاهد فقط مداخلات معمول کاردرمانی را دریافت نمودند. روش دوساهو در 16 جلسه و هفته ای دو بار به مدت 45 دقیقه انجام شد. ابزارهای ارزیابی برای عملکرد حرکتی درشت، مقیاس عملکرد حرکتی درشت نسخه 66 و برای سنجش اسپاستی سیتی عضلانی، مقیاس ارزیابی تون عضلانی اشورث بود.
یافته هابر اساس ارزیابی های قبل از مداخلات مشخص شد که کودکان گروه آزمون و شاهد در هیچ یک از متغیرها تفاوت عملکرد نداشتند (05/0<P) اما پس از ارایه ی مداخلات میزان تغییرات در گروه آزمون به صورت معنی دار بیش تر از گروه شاهد بود (در کنترل عملکرد حرکتی 001/0=P و در سنجش تون عضلانی 001/0=P).
نتیجه گیرییافته های این پژوهش نشان داد که استفاده از روش دوساهو می تواند در ارتقاء عملکرد حرکتی درشت و تعدیل تون عضلانی کودکان فلج مغزی اسپاستیک 4-12 سال موثر باشد. بنابراین استفاده از روش دوساهو می تواند به عنوان یک پروتکل درمانی برای بهبود عملکرد حرکتی و ارتقا توانایی جسمانی این گروه از کودکان فلج مغزی مدنظر قرار گیرد.
کلید واژگان: توانبخشی روانی, فلج مغزی, عملکرد حرکتی, تون عضلانی, کودکKoomesh, Volume:24 Issue: 3, 2022, PP 300 -305IntroductionThere are various methods for managing and treating motor problems in children with cerebral palsy, which their effectiveness can be measured in muscle tone, gross motor skills, and voluntary movements. Among these intervention methods, Dohsa-Hou treatment approach was designed to affect the motor function of children with cerebral palsy. This study aimed to evaluate the effect of this approach specifically on gross motor function in children with spastic cerebral palsy.
Materials and MethodsIn this double-blind randomized clinical trial, 24 children with spastic cerebral palsy (aged 4 to 14 years) were randomly assigned to experimental (n=12) and control (n=12) groups. The experimental group received a combination of Dohsa-Hou psycho-motor relaxation therapy with routine occupational therapy interventions and the control group received only routine occupational therapy interventions. Dohsa-Hou method was performed in 16 sessions twice a week for 45 minutes. The gross motor performance scale version 66 was used for the assesement gross motor function, and the Ashworth Muscle Tone Scale was used for measuring muscle spasticity.
ResultsBased on pre-intervention evaluations, it was found that children in the experimental and control groups did not differ in any of the variables, but after the intervention, the rate of change in the experimental group was significantly higher than the control group in controlling motor function (P=0.001) and in measuring muscle tone (P=0.001).
ConclusionThe findings of this study indicated that the use of Dohsa-Hou method could be effective in promoting gross motor function and modulating muscle tone in children with spastic cerebral palsy aged 4-12 years. Therefore, the use of Dohsa-Hou method can be considered a therapeutic protocol to improve motor function and increase the physical ability of children with cerebral palsy.
Keywords: Psychomotor therapy, Motor Activity, Cerebral palsy, Muscle Tonus, Child -
Introduction
Neuroinflammation and oxidative stress play critical roles in the pathophysiology of Parkinson’s disease (PD), and neuroprotective agents could be helpful to slow down the dopaminergic neurodegeneration. Neuroprotective and antioxidant properties of exercise and sesamol have been previously reported. The current research evaluated the influences of sesamol and exercise on memory and motor impairments, oxidative stress and inflammatory markers in an experimental model of PD.
Methods6-hydroxydopamine (6-OHDA) was microinjected into the medial forebrain bundle of male rats. Treatment with sesamol (50mg/kg) or treadmill exercise was performed for 7 weeks. Behavioral and biochemical assessments were performed at the end of 6th week after 6-OHDA injection.
ResultsNet number of rotations and tumor necrosis factor (TNF)-α level was significantly enhanced in 6-OHDA group in comparison with sham group. Also, step-through latency was decreased in this group along with increased lipid peroxidation and decreased total thiol levels in the hippocampus. Moreover, sesamol and exercise, alone or in combination, improved rotational behavior, which was accompanied by decreased striatal TNF-α level. However, sesamol and/or treadmill exercise had no effect on aversive memory, although exercise enhanced hippocampal total thiol level.
ConclusionBeneficial properties of sesamol and treadmill exercise for amelioration of motor impairments might be due to their anti-inflammatory activities.
Keywords: Sesamol, 6-OHDA, Exercise, Motor activity, Memory, Oxidative stress -
Background
The main aim of the study was to identify selected factors that determine patients with multiple sclerosis (MS’) failure to take home therapeutic exercises (HTE) and other physical activity (OPA).
Materials and MethodsThe study was conducted using a self‑completed online survey that was aimed at adult people diagnosed with MS, registered on the portal TacyJakJa.pl. In total, 335 persons were involved.
ResultsAlmost half of all people who completed the survey (49.9%), reported that no one encouraged them to use HTE, and only 16.1% were encouraged by their doctor. As many as 51% of the respondents reported also that no one encouraged them to undertake OPA, and only 18.5% were encouraged by their doctor. As the most important reason for not using HTE, the respondents chose fear that exercises may worsen their condition (47.3%). However, the most important reason for not using the OPA was high fatigue (61.9%). The number of people exercising at home increased with age (P = 0.013). Those surveyed with relapsing–remitting MS significantly more often (P = 0.002) took up OPA (60.7%) than the respondents with a secondary progressive MS (10.0%) and a primary progressive (4.4%).
ConclusionPhysicians relatively rarely encourage patients with MS to undertake HTE and OPA. The patients do not perform HTE primarily because of fears of health deterioration or fatigue. Undertaking HTE is influenced by age but undertaking other forms of physical activity by the type of MS. Actions should be taken to popularize HTE and OPA, especially HTE among young patients.
Keywords: Motor activity, multiple sclerosis, patients’ attitudes -
Introduction
Astrocyte dysfunction is the common pathology failing astrocyte-neuron interaction in neurological diseases, including Parkinson’s Disease (PD). The present study aimed to evaluate the impacts of astrocytic dysfunction caused by striatal injections of selective glial toxin L-Aminoadipic Acid (L-AA) on the rats’ locomotor activity in normal conditions and under alpha-methyl-p-tyrosine depletion of catecholamines synthesis.
MethodsThirty-three male Wistar rats were used in the experiments. Intrastriatal L-AA injections (100 µg) were performed into the right striatum. Alpha-methyl-p-tyrosine (a-MT, 100 mg/kg, inhibitor of tyrosine hydroxylase) was intraperitoneally injected for catecholamine depletion. The animals were divided into 5 groups, as follows: 1. L-AA treated (n=7), 2. L-AA+a-MT treated (n=5), 3. Sham-operated (n=7), 4. Sham+a-MT treated (n=5), 5. Intact control (n=9). For assessing motor function, open field and beam walking tests were used on the third day after the operation. Neuronal and astrocyte markers (glial fibrillary acidic protein, glutamine synthetase, tyrosine hydroxylase, & neuronal nuclear antigen) were examined in the striatum by immunohistochemistry.
ResultsAdministrating L-AA led to astrocytic degeneration in the striatum. No neuronal death and disruption of dopaminergic terminals were detected. L-AA and a-MT-treated animals’ distance traveled was significantly (P=0.047) shorter than the Sham-operated group injected with a-MT. In the walking beam test, the number of unilateral paw slippings was significantly (P<0.01) higher in the L-AA-treated group than Sham-operated animals. Administrating a-MT alone and L-AA did not change rats’ performance in walking beam tests.
ConclusionAstrocyte ablation in dopamine depleted striatum resulted in reduced motor activity and asymmetrical gait disturbances. These findings demonstrated the role of astroglia in motor function regulation in the nigrostriatal system and suggest the possible association of glial dysfunction with motor dysfunction in PD.
Keywords: Astrocyte, 2-Aminoadipic Acid, Alpha-methyltyrosine, Corpus striatum, Motor activity -
مقدمه
فلج مغزی (CP) یک اختلال حرکتی است که حاصل آسیب های غیر پیشرونده ی حرکتی با منشا آسیب مغزی قبل، حین یا بلافاصله پس از تولد می باشد. تمرینات ورزشی نقش بسزایی در بهبودی حرکتی دارد این مطالعه نیز به منظور بررسی اثر یک دوره تمرینات دایره ای بر عملکرد حرکتی درشت کودکان فلج مغزی انجام شد.
مواد و روش هااین کارآزمایی بالینی روی 34 کودک فلج مغزی انجام شد که به دو گروه مساوی 17 نفره آزمون (تمرین دایره ای و یک جلسه در هفته کاردرمانی) و کاردرمانی (یک جلسه در هفته) تقسیم شدند. از ابزار GMFM-88 برای ارزیابی تغییرات عملکرد حرکتی درشت قبل و بعد از 12 هفته تمرین، استفاده شد. تمرینات دایره ای که 3 دور و هر دور متشکل از 6 ایستگاه 30 ثانیه ای و وقفه ی 30 ثانیه ای بین ایستگاه ها بود، هفته ای سه جلسه و به مدت 12 هفته انجام شد.
یافته هانتایج آزمون های آماری نشان داد که همه اجزای عملکرد حرکتی درشت در گروه آزمون و نیز در گروه کاردرمانی(به جز عملکرد طاقباز و غلطیدن) بهبود معنی دار داشت (05/0P <)، لیکن در مقایسه بین گروهی بهبود معنی داری در عملکرد حرکتی درشت و اجزای آن در گروه آزمون در مقایسه با گروه کاردرمانی مشاهده شد (01/0= p).
نتیجه گیرینتایج این پژوهش نشان داد که تمرینات دایره ای به همراه کاردرمانی می تواند موجب بهبود بیشتر در عملکرد حرکتی درشت در کودکان فلج مغزی دیپلژی اسپاستیک در مقایسه با کاردرمانی شود.
کلید واژگان: فلج مغزی, اسپاستیک, دیپلژی, فعالیت حرکتی, تمرین دایره ایIntroductionCerebral palsy (CP) is a movement disorder that results from non-progressive motor injuries originating before, during, or immediately after birth. Exercise plays a significant role in motor improvement. This study was conducted to investigate the effect of circuit exercise training on the gross motor function of children with spastic diplegia cerebral palsy.
Materials and MethodsThis clinical trial was performed on 34 cerebral palsy children, who were divided into two equal groups of 17 experimental (circuit training with one session per week of occupational therapy) and occupational therapy group.The GMFM-88 was used to evaluate gross motor function changes before and after 12 weeks of exercise. Circuit exercises training were performed three times a week for 12 weeks. These exercises were designed in three sets and each set consisted of 6 stations. The duration of activity and rest in each station was equal to 30 seconds.
ResultsThe results of statistical tests showed that all components of gross motor function, in both exercise and occupational therapy group (except lying and rolling) significantly improved (P <0.05). However, in the intergroup comparison, a significant improvement was observed in gross motor function and its components in the circuit exercise training group compared to the occupational therapy group (p = 0.01).
ConclusionThe results of this study showed that circuit exercise trainings with occupational therapy can further improve the performance of gross motor movements in children with Spastic diplegia cerebral palsy compared to occupational therapy.
Keywords: Cerebral palsy, Spastic, Diplegic, Motor Activity, Circuit training -
Journal of Advances in Medical and Biomedical Research, Volume:29 Issue: 137, Nov- Dec 2021, PP 309 -316Background and Objective
Methylphenidate (MPH), as a central nervous system stimulant, is often used to manage hyperactive disorders. The literature is scarce regarding the behavioral consequences of chronic MPH treatment and the role of involved receptors. Thus, in the current study involved receptors in MPH induced-anxiety, depression and motor activity disorders were evaluated.
Materials and MethodsSeventy rats were randomly distributed to seven groups (n = 10, per group); they were treated with normal saline, Domoic acid (DOM) (as AMPA/kainite receptor agonist), Bicuculline (BIC) (as GABAA receptor antagonist), Ketamine (KET) (as NMDA receptor antagonist ), Yohimbine (YOH) (as Alpha-2 adrenergic receptor antagonist), or Haloperidole (HAL) (as D2 dopamine receptor antagonist), simultaneously with MPH (10 mg/kg). On days 11, 17 and 24, some standard behavior tests including Elevated Plus Maze (EPM), Forced Swim Test (FST) and Open Field Test (OFT) were used to investigate anxiety, depression and motor activity disturbances, respectively.
ResultsOur study indicated that pretreatment of rats with KET, HAL and YOH abolished MPH induced - mood and motor activity disturbances.
ConclusionMPH by interacting with Dopaminergic, NMDA and ɑ2-adrenergic receptors induces anxiety, depression and motor activity disorders.
Keywords: Methylphenidate, Aanxiety, Depression, Motor activity -
Introduction
The major secondary complications of spinal cord injury (SCI) are neuropathic pain and motor dysfunction, which remained medical challenges for clinicians. Due to the major role of glutamate in excitotoxicity and central sensitization, the present experiment was to evaluate the effects of ketamine (KET), an n-methyl-D-aspartate (NMDA) receptor blocker, on sensory-motor functions in a rat model of clip compression SCI.
MethodsWistar rats were divided into sham, SCI and KET-treated groups. The sham group received laminectomy without any compression lesion. KET and SCI groups were subjected to severe compression injury for 1min with an aneurysm clip and then treated with KET (10mg/kg) or 5% dimethyl sulfoxide (as vehicle), respectively. The rats were assessed by pain-related and motor behavioral tests inclusive of von Frey, acetone drop, hot plate, inclined plane and Basso-Beattie-Bresnahan on day 0 prior to the injury and the 7th, 14th, 21st and 28th days following SCI.
ResultsKET group compared with the SCI group showed a significant decline in the mechanical allodynia on the 21st and 28th days, and in cold allodynia from the 1st week to the 4th week post-injury. KET treatment improved the motor function but not weight loss and auricle temperature rise during the 4 weeks of follow up from the 1st week until the 4th week.
ConclusionIt was ultimately attained that the advantageous effects of intrathecal KET on sensory-motor dysfunction of SCI rats could provide new approaches for KET as a neuroprotective agent toward clinical applications.
Keywords: Ketamine, Spinal cord injury, Neuropathic pain, Motor activity, Rat -
Background
The neuroprotective effects of duloxetine and neurodegenerative effects of methamphetamine have been shown in previous studies, but their exact mechanism remain unclear. In the current study it involved molecular mechanisms of neuroprotective effects of duloxetine against methamphetamine induced neurodegeneration were clarified.
MethodsAbout 40 adult male rats randomly were divided to 5 groups. Group 1 and 2, as control and methamphetamine treated, received normal saline and methamphetamine (10 mg/kg) respectively. Groups 3, 4 and 5 concurrently treated with methamphetamine and duloxetine at doses of 10, 20 and 30 mg/kg respectively. All treatments were undertaken for 21 days. On day 22 Open Field Test (OFT) were used to examine the level of motor activity disturbance and anxiety in animals. After that hippocampus was isolated from each rat and oxidative, antioxidant, inflammatory factors and also level or expression of total and phosphorylated forms of CREB and P‑CREB and BDNF proteins were measured.
ResultsDuloxetine in all mentioned doses could inhibit the effects of methamphetamine induced motor activity disturbance in MWM. Chronic abuse of methamphetamine could increase malondialdehyde (MDA), tumor necrosis factor‑Alpha (TNF‑α) and interleukine‑1beta (IL‑1β) while caused decreases in superoxide dismutase (SOD), glutathione peroxidase (GPx) and glutathione reductase (GR) activities and decreased CREB (both forms) and BDNF proteins, while duloxetine could prevent these malicious effects of methamphetamine.
ConclusionsWe conclude that P‑CREB/ BDNF signaling pathways might have critical role in duloxetine neuroprotective effects against methamphetamine induced neurodegeneration.
Keywords: Duloxetine, methamphetamine, motor activity, neurodegeneration, P‑CREB, BDNFpathway -
Introduction
Regarding the many applications of nanomaterials in various industries and the existence of many hypotheses on the harmful effects of nanoparticles on living things, the research in this field is of great significance. Thus, the present study aimed to investigate the effect of zinc and vitamin C nanoparticles as antioxidants and administration both on locomotor activity and anxiety.
Materials and methodsIn this experimental study, rats were divided into seven groups including one saline group and six treatment groups. Zinc oxide nanoparticles (ZnO) were injected intraperitoneally in six groups at three concentrations of 1.25, 2.5, 5 mg/kg and vitamin C at three concentrations of 30, 60 and 120 mg/kg. At the end of the prescription period, the number of lines crossed in the open field test for motor activity and the number of stools for anxiety in each group were evaluated over a 5-min period.
ResultsPrescription of different doses of ZnO and vitamin C did not indicate any significant change in motor activity compared to the saline group. The injection of 30 and 120 mg/kg of vitamin C decreased the number of defecation (anxiety) compared to the saline group (P < 0.001and P < 0.01, respectively) and also significant decrease was observed at 5 and 1.25 mg/kg doses of ZnO compared to the saline group (P < 0.001).
ConclusionBased on these observations, vitamin C and ZnO reduced anxiety but had no effect on the motor activity of animals.
Keywords: Zinc Oxide Nanoparticles, Vitamin C, Motor Activity, Anxiety, Rat -
IntroductionFrequent and regular exercises in the first six months of stroke may cause return of a significant portion of sensory and motor function of patients. This study aimed to examine the effects of passive range of motion exercise in the acute phase after stroke on motor function of the patients.MethodsA randomized controlled trial study was conducted. The patients with first ischemic stroke were randomly allocated to either experimental (n=33) or control (n=19) group. Passive range of motion exercises was performed in the experimental group during the first 48 hours of admission as 6 to 8 times of 30 minute exercise. Before intervention, and one and three months after intervention, motor function were measured by muscle strength grading scale (Oxford scale) and compared. SPSS version 13.0 for Windows was used for statistical analysis. Frequency distribution was used to describe the data. For comparisons, paired t-test, independent t-test was used, and repeated measures test was used.ResultsIn acute phase, the intervention in the experimental group led to significant improvement of motor function between the first and third month in both the upper and lower extremities. In control group, improvement was observed only in the muscle strength of upper extremity in the first and third month compared to pre-intervention measurement. The greatest improvement was observed in the interval from base to one month in the upper extremity, and base to the first month and the first to the third month in the lower extremity.ConclusionIt is recommended to use early passive range of motion exercise as part of care for people with stroke during the acute phase of the disease.Keywords: Stroke, Range of motion, articular, Hemiplegia, Motor activity
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