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  • 1
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 22 ( 2022-11-17), p. 15199-
    Abstract: Background: Combining transcranial direct current stimulation (tDCS) with other therapies is reported to produce promising results in patients with stroke. The purpose of the study was to determine the effect of combining tDCS with motor imagery (MI) and upper-limb functional training for upper-limb rehabilitation among patients with chronic stroke. Methods: A single-center, prospective, randomized controlled trial was conducted among 64 patients with chronic stroke. The control group received sham tDCS with MI, while the experimental group received real tDCS with MI. Both groups performed five different upper-limb functional training exercises coupled with tDCS for 30 min, five times per week for two weeks. Fugl-Meyer’s scale (FMA) and the Action Research Arm Test (ARAT) were used to measure the outcome measures at baseline and after the completion of the 10th session. Results: Analysis of covariance showed significant improvements in the post-test mean scores for FMA (F (414.4) = 35.79, p 〈 0.001; η2 = 0.37) and ARAT (F (440.09) = 37.46, p 〈 0.001; η2 = 0.38) in the experimental group compared to the control group while controlling for baseline scores. Conclusions: Anodal tDCS stimulation over the affected primary motor cortex coupled with MI and upper-limb functional training reduces impairment and disability of the upper limbs among patients with chronic stroke.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2175195-X
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  • 2
    In: Healthcare, MDPI AG, Vol. 10, No. 9 ( 2022-08-26), p. 1631-
    Abstract: During the previous two decades, patient-reported outcome measures (PROMs) have been well tested, and the tools were validated in different languages across the globe. This systematic review aimed to identify the knee disease-specific outcome tools in Arabic and evaluate their methodological quality of psychometric properties of the most promising tools based on the COSMIN checklist and PRISMA guidelines. Articles published in English, from the inception of databases until the date of search (10 August 2022), were included. Articles without at least one psychometric property (reliability, validity, and responsiveness) evaluation, and articles other than in the English language, were excluded from the study. The key terms [“Arabic” AND “Knee” AND (“Questionnaire” OR “Scale”)] were used in three databases, i.e., PubMed, Scopus, and Web of Science (WoS) in the advanced search strategy. Key terms were either in the title or abstract for PubMed. Key words were in the topic (TS) for WoS. COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) risk of bias checklist was used to evaluate the methodological quality of psychometric properties of the Arabic knee-related outcome measures. A total of 99 articles were identified in PubMed, SCOPUS, and WoS. After passing inclusion and exclusion criteria, 20 articles describing 22 scales from five countries were included in this review. The instruments validated in the Arabic language are Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), knee injury and osteoarthritis outcome score (KOOS), knee outcome survey- activities of daily living scale (KOS-ADLS), Oxford knee score (OKS), anterior knee pain scale, osteoarthritis of knee and hip health-related quality of life (OAKHQoL) scale, Lysholm knee score (LKS), international documentation committee subjective knee form (IKDC), intermittent and constant osteoarthritis pain (ICOAP) questionnaire, Kujala patellofemoral pain scoring system (PFPSS), anterior knee pain scale (AKPS) and osteoarthritis quality of life questionnaire (OAQoL),. All were found to have good test-retest reliability (Intra Correlation Coefficient), internal consistency (Cronbach’s alpha), and construct validity (Visual Analog Scale, Short Form-12, RAND-36, etc.). Of 20 instruments available to assess self-reported knee symptoms and function, 12 were validated in the Saudi Arabian population. Among them, KOS-ADLS is the best PROM to be used in various knee conditions, followed by KOOS and WOMAC. The assessed methodological quality of evidence says that the knee Arabic PROMs are reliable instruments to evaluate knee symptoms/function.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2721009-1
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  • 3
    In: Research Journal of Pharmacy and Technology, A and V Publications
    Abstract: Objective: The objective of the study was to determine the efficacy of proprioception and balance exercise along with conventional exercise in patients with neck pain. Methodology: This was an experimental study design 60 samples were selected based on the inclusion criteria, Group A received balance and Proprioception exercise and Group B conventional exercise. Pre and posttest measurement were taken and compared by using outcome measures of VAS, Four-Square Step Test and Modified Clinical Tests of Sensory Interaction in Balance. Results: On comparing the mean value of Group A and Group B, shows significant difference between group A and group B. Group A Balance and proprioception exercise seems to be more effective than Group B conventional exercises.
    Type of Medium: Online Resource
    ISSN: 0974-360X , 0974-3618
    Language: English
    Publisher: A and V Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2846942-2
    SSG: 15,3
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  • 4
    In: Journal of King Saud University - Science, Elsevier BV, Vol. 34, No. 5 ( 2022-07), p. 102031-
    Type of Medium: Online Resource
    ISSN: 1018-3647
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 2514731-6
    SSG: 11
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  • 5
    In: International Journal of Life Science and Pharma Research, International Journal of Pharma and Bio Sciences, ( 2022-08-03)
    Abstract: The intent of the study is to establish the effectiveness of suboccipital soft tissue inhibition technique versus neurodynamics on tension type headache for female physiotherapy students. Tension-Type Headache (TTH) is a symptom with a greater impact on quality of life and with a significant socioeconomic impact. Tension-Type Headache and stress are common in student. Long term headache can progress to chronic headache, which has a great impact on the daily life of patients, for instance; aspects of emotions, daily work, and general life activities and so on. Suboccipital Soft tissue mobilization reduces muscle tension and neural tension in tension type headache. The purpose of this study was to explore the application of sub-occipital soft tissue inhibition technique and neurodynamics to compare its effect on Tension-Type Headache. This experimental study included 30 female subjects with headache for more than 1 month and divided into three groups. Group A received suboccipital soft tissue inhibition. Group B received neurodynamics technique, Group C Received both suboccipital soft tissue inhibition and neurodynamic technique. Pre and Post test were taken using VAS, NDI, HDI, Cervical ROM after 4 weeks. On comparing mean values of Group A, Group B & Group C on Visual Analogue Scale score for pain intensity, it showed a significant decrease in the post test Mean values, but Suboccipital soft tissue inhibition and Neurodynamic Techniques (Group C) showed 2.63 which has a lower mean value and is more effective than Suboccipital soft tissue inhibition Technique (Group A) 3.61 and followed by Neurodynamic Technique (Group B) 3.86 at P = 0.001. Hence Null Hypothesis is rejected. This study and our study concludes that both suboccipital soft tissue inhibition and neurodynamics showed a positive impact on headache and quality of life among adults. Although results showed a clinical improvement, there is no clear evidence that one technique is superior to another, combination of both techniques is the most effective treatment. 
    Type of Medium: Online Resource
    ISSN: 2250-0480
    Language: Unknown
    Publisher: International Journal of Pharma and Bio Sciences
    Publication Date: 2022
    detail.hit.zdb_id: 2894013-1
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  • 6
    In: Journal of Mechanics in Medicine and Biology, World Scientific Pub Co Pte Ltd, Vol. 23, No. 06 ( 2023-08)
    Abstract: A customized knee implant numerical modeling using finite element analysis (FEA) during flexion extension has been investigated in this paper with varying loads with an objective of studying its kinematics. Computed tomography (CT) images of 15 osteoarthritis subjects’ images were used in this work. Various morphological characteristics were extracted from clinical images using a commercial CAE software and biomechanical properties were studied on applying standard loads on customized implant and off-the-shelf (OTS) implants. Patient-specific knee implants have been designed according to the morphological characteristics and bone dimension of patient with compressive loads (1500, 1700 and 3000[Formula: see text]N) during normal gait and were compared with the normal knee. Results showed that the stresses are distributed equally to the spacer and the tibial plate, unlike the standard femoral component where the stresses get concentrated on the cut edges. In compressive load, active stress and strain ([Formula: see text] –20[Formula: see text]MPa) are lesser ([Formula: see text] ) and in flexion extension also lesser with a scaling factor of 0.785 and 1.0. The designed implant was found to produce similar biomechanical properties when compared to normal knee joint and thus it can be considered as a valuable implant and could replace the standard OTS knee implants.
    Type of Medium: Online Resource
    ISSN: 0219-5194 , 1793-6810
    Language: English
    Publisher: World Scientific Pub Co Pte Ltd
    Publication Date: 2023
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  • 7
    In: Biosensors, MDPI AG, Vol. 13, No. 8 ( 2023-07-25), p. 757-
    Abstract: This paper presents the feasibility of automated and accurate in vivo measurements of vascular parameters using an ultrasound sensor. The continuous and non-invasive monitoring of certain parameters, such as pulse wave velocity (PWV), blood pressure (BP), arterial compliance (AC), and stiffness index (SI), is crucial for assessing cardiovascular disorders during surgeries and follow-up procedures. Traditional methods, including cuff-based or invasive catheter techniques, serve as the gold standard for measuring BP, which is then manually used to calculate AC and SI through imaging algorithms. In this context, the Continuous and Non-Invasive Vascular Stiffness and Arterial Compliance Screener (CaNVAS) is developed to provide continuous and non-invasive measurements of these parameters using an ultrasound sensor. By driving 5 MHz (ranging from 2.2 to 10 MHz) acoustic waves through the arterial walls, capturing the reflected echoes, and employing pre-processing techniques, the frequency shift is utilized to calculate PWV. It is observed that PWV measured by CaNVAS correlates exponentially with BP values obtained from the sphygmomanometer (BPMR-120), enabling the computation of instantaneous BP values. The proposed device is validated through measurements conducted on 250 subjects under pre- and post-exercise conditions, demonstrating an accuracy of 95% and an average coefficient of variation of 12.5%. This validates the reliability and precision of CaNVAS in assessing vascular parameters.
    Type of Medium: Online Resource
    ISSN: 2079-6374
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2662125-3
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