Frozen shoulder is a major musculoskeletal illness in diabetic patients. This study aimed to compare the effectiveness of shock wave and corticosteroid injection in the management of diabetic frozen shoulder patients. Fifty subjects with diabetic frozen shoulder were divided randomly into group A (the intra-articular corticosteroid injection group) and group B that received 12 sessions of shock wave therapy, while each patient in both groups received the traditional physiotherapy program. The level of pain and disability, the range of motion, as well as the glucose triad were evaluated before patient assignment to each group, during the study and at the end of the study. Compared to the pretreatment evaluations there were significant improvements of shoulder pain and disability and in shoulder flexion and abduction range of motion in both groups (p < 0.05). The shock wave group revealed a more significant improvement the intra-articular corticosteroid injection group, where p was 0.001 for shoulder pain and disability and shoulder flexion and abduction. Regarding the effect of both interventions on the glucose triad, there were significant improvements in glucose control with group B, where p was 0.001. Shock waves provide a more effective and safer treatment modality for diabetic frozen shoulder treatment than corticosteroid intra-articular injection.
Background: Since the first appearance of COVID-19 numerous complications have been reported particularly within 1.48% of the population suffering from stroke. Maintaining positive mental health is crucial to modulate COVID-19 impacts involving burnout, depression, and anxiety. Objective:The aim of the current study was to investigate the consequences of the COVID-19 pandemic in Egypt on the level of burnout in stroke cases. Patients and methods:A total of 100 Egyptian stroke male and female cases participated in the study. Participants aged between 34 and 70 years old and their cognition score was >26 according to Montreal Cognitive Assessment (MOCA) scale. The Malach-Pines tool was used to measure burnout. Results:The mean scores of all items of the burnout scale increased significantly post COVID-19 in comparison with that of pre COVID-19 (P<0.001). The highest score was for "I've had it" with a mean score of 4.17 (SD 1.08) pre COVID-19, which increased significantly post COVID-19 to 5.98 (SD 0.97). The score of "I've had it" also increased significantly post COVID-19 in both age classes, duration of illness classes, and in females and males (P<0.001), also increase significantly post COVID-19 compared with that pre COVID-19 in subjects with high, medium, and low educational levels (P<0.001). Conclusion:Lockdown procedures related to the COVID-19 pandemic had a major impact on stroke cases whose post COVID-19 burnout levels had increased and led to worse management outcomes.
Background: Cerebrovascular accident (Stroke) incidence is rapidly increasing and is considered to be one of the leading causes of death and physical impairment on a global level. These impairments aren’t limited to motor weakness but can also include impairments in somatosensory functions essential for producing accurate and specific motor actions. Aim of the study: To determine the efficacy of lower limb sensory training on postural stability in stroke patients. Procedures: Thirty male ambulant patients with ischemic stroke in the distribution of anterior circulation with a modified Ashworth scale not exceeding 1+. The ages of the participants were between 50-65 years. They were recruited three to six months from the onset of their symptoms. Then, they were assigned randomly into two equal groups, study group (A) and control group (B). The patients in the study group (A) have been given a combination of a sensory-based intervention program for the affected lower limb and a carefully selected physical therapy program. Control group (B) patients were treated with the same selected physical therapy program. The treatment was executed three sessions per week for six weeks. Each session was done in a 90 minutes window.
BackgroundChronic shoulder pain following cerebrovascular stroke (CVS) is a major problem that persists after maximum recovery of motor functions. Such pain has been attributed to altered shoulder joint kinematics causing soft tissue damage.AimEvaluation of shoulder proprioception in the ipsilateral paretic arm and contralateral unaffected side 6 months following cerebrovascular event.Subject and methodThirty adult patients (G1) with ischemic strokes ranging from 6 months to 1 year and 30 healthy control (G2) were assessed for shoulder proprioception. Angular displacement error was measured during active and passive repositioning of shoulder external and internal rotation in both patients’ shoulders and in control’s dominant upper limb.ResultsStatistically significant increase in angular displacement error was found in all tests in the affected shoulder compared to the unaffected contralateral shoulder and dominant arm of control subjects. The contralateral unaffected shoulder of patients showed within normal values and no differences with control values. Passive external and internal rotations showed statistically higher errors in patients with cortical lesions compared to those with subcortical lesions.ConclusionSix months following the CVS, shoulder proprioception deficit in the affected hemiparetic side persists. Contralateral side shows no abnormalities. Cortical lesions might be associated with late shoulder proprioception recovery compared to subcortical lesions. The side of the lesion does not seem to affect the severity of proprioception deficit.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.