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Background: 80% of people with a stroke have impairment of the upper limb (UL). The hemiparetic arm is one of the most devastating consequences after stroke. Improving use of the affected UL is important however, because difficulty in using this UL in daily tasks has been related to lower quality of life. Design: A prospective randomized control trial type study. Setting: Malaysia Government and Private Hospitals and also in private Physiotherapy Centre’s. Population: A total of 25 subjects post stroke were randomly assigned to either in experimental group (n=13) and control group (n=12). Methods: Control group received 45 minutes of treatment session and therapy consisted of conventional therapy only with the affected upper extremity whereas experimental group also received 45 minutes of treatment session and therapy consisted of conventional therapy along with mirror therapy for three days/week. Outcome measures used were Fugl-meyer assessment and Functional independent measure. Results: Comparison of the changes in the Fugl-meyer assessment and Functional independent measure from baseline to six weeks between control and experimental group, revealed that significant improvement were in experimental group which was (p<0.05). Conclusion: Combination of conventional and mirror therapy is an effective method on restoring upper limb motor function among hemiplegic patients. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.208-213

Abstract:Objective: The kick force is effective only if the flexibility of the muscle is in accord. The stretching capacity of tendons, ligaments and capsule are very limited due to the function of articular stabilization. Pilates exercises are to be performed to improve muscular flexibility with greater movement breadth, strength and fluency. Lack of flexibility is a limiting factor for performance and being a facilitator for muscular injuries. Materials and Methods: Goniometer, Sit and reach table and Exercise mat. 30 football players were randomly distributed into two groups, Pilates group (n=15) and control group (n=15). Control group was given Ballistic, PNF and Static stretching exercises and Pilates group was given Pilates protocol respectively. Both the groups were trained 5 times a week for 4 weeks, 30 minutes each session. Pre and post outcome measures of Goniometer and sit and reach test were taken. Results: The Pilates group training reported a higher level of improvement than control group (p< 0.05).

Introduction: Trunk control is one of the impairments in spastic hemiplegics which affects the balance in cerebral palsy children. Trunk balance is a pre-requisite for upper limb function. By improving trunk control, the balance increases, helping the child to be functionally independent.Objectives: To improve trunk control and balance in spastic hemiplegic cerebral palsy children by Swiss ball training.Method: Thirty subjects were included in the study after obtaining informed consent from their parents and they were separated into two groups. One group was given conventional training and the other group was given Swiss ball training for 30 minutes, 4 times weekly for 6 weeks. Gross Motor Functional Measure (GMFM-88) scale was utilized for assessment of trunk balance and Paediatric Balance Scale (PBS) for assessment of functional balance. Paired t-test was used to analyse the effect of trunk control and balance functions Results:The post-test mean values of all the variables of Swiss ball training group were significantly improved compared to those of the conventional group (p<0.005). Conclusions:The study shows that Swiss ball training improves trunk control and balance in spastic hemiplegic cerebral palsy children.

Abstract. This paper proposes a better engineering design of an assistance kit for manual wheelchair users. The design is aimed to enhance the detection of obstacles in the travelling path of the wheelchair user at low cost. This is facilitated by microcontroller and sensor technologies. The proposed design provides the intended user with obstacle detection, light detection, a light emitting diode (LED) emergency light system, and an emergency alarm system. The microcontroller is the main controller that receives input from the sensors and produces output to the light crystal display (LCD) screen, the LED emergency light system, and the emergency alarm system. An ultrasonic sensor is used to detect the presence of obstacles directly behind the wheelchair. If any obstacle exists behind the wheelchair within a set range, the system will alert the wheelchair user through different alarm sounds. In the case of absence of light, the LED emergency light system is activated and turns on a light source, which is attached to the wheelchair to provide a bright and clear path for the user. The distance between the obstacle and the wheelchair, and the status of the LED emergency light system are displayed on the LCD screen.

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Background/Aims: It has been postulated that foot alignment affects postural stability. However, previous studies reported contradicting results regarding the association between foot alignment and postural stability. Methods: A total of 216 healthy participants aged 15 to 24 years were recruited. Their rearfoot alignment was measured in non-weight bearing and weight-bearing positions. Their static balance was assessed using Balance Error Scoring System and dynamic balance by Star Excursion Balance Test. The relationship between the data obtained were analysed using SPSS version 22 software. Findings: A Pearson correlation with a 95% confidence interval reported that there was: (i) no significant difference in the rearfoot alignment between both genders; (ii) no significant relationship between the rearfoot alignment measured in prone lying and unilateral stance position; (iii) a weak negative correlation between the rearfoot alignment measured in prone lying position to dynamic balance on medial, posterior, lateral, anterolateral and posteromedial direction; (iv) no significant relationship between the rearfoot alignment measured in unilateral stance position to both static and dynamic postural balance. Conclusions: Rearfoot alignment measured in non-weight bearing position plays some role in postural stability and therefore should be considered in sports rehabilitation. However, this can be overlooked in rehabilitation for individuals whose postural stability is not the primary concern.