Background: Repetitive transcranial magnetic stimulation (rTMS) is a novel technique that may improve recovery in patients with stoke, but the role of rTMS as an applied and practical treatment modality for stroke rehabilitation has not been established yet.Objective: This study was conducted to determine the effects of a rehabilitation program (RP) in conjunction with rTMS on functional indices of the paretic upper limb in the subacute phase of stroke.Material and Methods: Twenty patients in the subacute phase of stroke were randomly assigned into two groups: The high frequency rTMS (HF-rTMS) in conjunction with RP (experimental group), and the RP group (control group). The experimental group received 10 sessions of 20 Hz rTMS on the affected primary motor cortex and the other group received 10 sessions of RP. In experimental group, RP for the paretic hand was conducted following rTMS session. Box and block test (BBT), Fugl-Meyer Motor Assessment for upper limb (FMA-UL), grip strength and pinch strength were used to assess motor function before the first session and after the last session of treatment.Results: Significant improvement in BBT, FMA-UL, grip strength and pinch strength was observed in both groups. Improvement of BBT and grip strength was significantly greater in the experimental group rather than the control group (p<0.05). FMA-UL score and the pinch strength were greater in the experimental group, although the differences were not statistically significant. Conclusion: HF-rTMS in conjunction with RP is effective to improve the function of upper limb. It seems HF-rTMS is a novel feasible and safe technique for hemiparesis patients in the subacute phase of stroke.
Background:Hyperlordosis is defined as an abnormal increase in the lumbar arch of >40°. This study compared two taping techniques include abdominal muscles and hamstrings taping for the treatment of lumbar hyperlordosis.Materials and Methods:The randomized clinical trial was performed in Shiraz, Iran, during June and September 2014. Thirty women aged 20–45 years old with at least 40° lumbar lordosis participated. The women were randomized into two groups (n = 15). Abdominal muscles taping was performed for the first group, whereas the other group underwent hamstrings taping with 30% tension. Lumbar lordosis was measured before, immediately after, and 24 h after taping. The two-way repeated measures analysis of variance was used to compare the two groups for lumbar lordosis angle.Results:No significant differences were detected between the lumbar lordosis angles before and immediately after taping in the two groups (P > 0.05). However, a significant reduction was observed in lordosis angle in the abdominal group and the hamstring group 24 h after taping relative to before intervention (P < 0.01).Conclusion:Taping of the abdominal and hamstring muscles was not effective immediately, whereas it decreased lordosis after 24 h.
Backgrounds Osteoarthritis (OA) is primarily a disease of cartilage destruction. Knee OA is the most common type of arthritis which can be treated with kinesio taping (KT). Purpose The current study was aimed to compare the effect of quadriceps muscle taping vs. patellar taping on balance and functional performance in patients with knee OA. Patients and Methods 40 patients with knee OA aged from 40 to 65 years entered this interventional study. Eligible participants were randomly divided into 2 groups, the Quadriceps taping group, and patellar taping group. The balance was measured using the modified star excursion balance test (SEBT), functional reach test (FRT), and Berg balance scale test (BBST). Also, functional activity was evaluated using the step test. All variables measured before, immediately after and 24 hr after the intervention in both groups. Results Within-group comparison in both groups showed that KT therapy improved modified SEBT, FRT and step test scores immediately after and 24 h after the intervention compared to baseline, and the difference was more significant 24 h after the intervention compared to immediately after the intervention. However, BBS score was not different in assessed times compared to baseline in both groups. The results of between-group analyses of variables showed no significant differences between the two groups in assessed times. Besides, repeated measure ANOVA showed that time significantly influenced modified SEBT, FRT, and step test. However, there was no group effect on assessed variables. Conclusion Both quadriceps and patellar taping positively influenced balance and functional level of the patients with knee OA. Also, there is no superiority between these 2 methods.
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