Introduction: The study aims to review published literature on multidisciplinary interventions and their effect on quality of life of individuals with multiple sclerosis to produce state-of-the-art recommendations and consistent discipline combinations for optimal holistic patient car Methods: The study thoroughly analyzed papers published between January 2010 and February 2022. The publications are gathered from five critical databases: Cochrane, JSTOR, PEDro, PubMed, and ScienceDirect. With Rayyan, the data is analyzed. Independent reviewers evaluate the quality of the papers included in the review using the PEDro Scale and the Cochrane Collaboration tool. Results: The review includes ten studies with an average of 129 participants for each of the 513 identified articles. In QOL domains, multidisciplinary rehabilitation programs address limits in physical role (p = 0.016), emotional role (p = 0.010), mental wellbeing composite (p = 0.017), and cardiorespiratory fitness (p = 0.017). In addition, it improves Fatigue, as measured by the Chalder Fatigue Scale, the SF-36 vitality subscale, and Fatigue self-efficacy. Only one study found no statistically significant differences in its primary outcome. With 19 individuals, the Level of Activity improved, notably the Timed 50 Meter Walk (p = 0.014), walking speed (p = 0.034), 2- (p = 0.204), and 6-Minute Walk (p = 0.027). Discussion: In terms of quality of life and decrease in fatigue, multidisciplinary interventions have a remarkable impact on the activity level of MS patients. Findings suggest that Multidisciplinary interventions and other treatment combinations are best recommended in patients with MS to improve multicomponents of QoL and different outcomes such as fatigue.
Introduction: This study aims to explore cancer rehabilitation practice from multiple researches and to review the effectiveness of these interventions to the quality of life of the individuals with cancer. Methods This research used articles, journals, and research from PubMed, ScienceDirect, NCBI, PEDro, and UpToDate. This study utilized randomized control trial studies from 2011 to the current year. The article's population should be solely cancer patients and has the quality of life as its primary outcome. The articles must have at least a score of 8 in PEDro, and only articles written or translated into English are included. Rayyan.ai ® was used in our research as our review too. Published by University of St. Augustine for Health Sciences on behalf of the Philippine Physical Therapy Association. ISSN: 2766-3086 Results: A total of 8 RCTs were included and reviewed in the study. The results were categorized based on the primary and secondary outcomes and formed into five outcomes: quality of life, fatigue, physical performance, pain, and balance. Eight articles were evaluated for QoL. Six out of all reported a significant effect of cancer rehabilitation among cancer individuals. The other two showed a statistical significance due to small population and insignificant differences aside from selfreported physical activity. Four studies were assessed for fatigue and showed a significant effect in improving and preventing worsening of it. One study reported a significant benefit in increasing physical performance of individuals with cancer. One study was evaluated for pain and gave a significant improvement on the level of pain. One of eight articles addressed balance and significantly improved balance among cancer individuals undergoing treatment. Discussion: Adverse effects of chemotherapy and radiation therapy among cancer patients alter their quality of life. Doing aerobic and resistance exercises reign superior across all outcomes that are recommended in a patient with cancer because based on the evidence, it shows that it improves the quality of life of individuals undergoing chemotherapy and diagnosed with cancer. The clinical effects that will benefit the body by doing these exercises are as follows: Increase lung volume, strengthen cardiac muscle, increase the level of HDL, increase bone density, and increase blood volume due to higher endurance during intense physical activity.
Introduction: To identify the effectiveness of anti-gravity treadmill (AGT) on gait quality of patients with orthopedic conditions through a systematic review. Methods: Search was conducted in databases such as Cochrane Library, MEDLINE, Physiotherapy Database (PEDro), ScienceDirect, and NCBI for the articles published between January 2011 and April 2022. Included studies undergo data extraction, methodological quality assessment using the PEDro Scale and JBI Critical Appraisal Tool, and assessed risk of bias using the Cochrane Collaboration’s risk of bias tool. The main outcome evaluated in this study is the gait quality. Results: Out of 147 publications found, 11 studies with the mean of 37 the review included subjects. Anti-gravity treadmill appears to be effective equal to standard rehabilitation in improving the gait quality and the overall function of the patient. Discussion: The use of anti-gravity treadmill is safe and reliable, and it can be a complementary therapeutic option for improving gait quality in patients with lower extremity orthopedic conditions. However, due to the risk of bias assessment, there is no conclusive evidence to support the claims. To increase evidence power, studies with higher methodological quality and larger samples are required.
Introduction: The purpose of this study was to assess the quality and reliability of YouTube as a source of physical therapy patient education. Methods: The study was conducted using a scoping review design that considers the various studies that have been undertaken about YouTube video's quality and reliability in the field of physical therapy. The PRISMA Reporting protocol was used to screen out articles from databases (Medline, PubMed, Science Direct, PEDro, EBSCOhost). The Pedro scale was used to check the quality of the study while Cochrane Bias Tool was used to screen for risks of bias. Results: A total of 29 articles were included. The publications were then classified into 21 musculoskeletal articles, 4 neurological articles, 1 cardiovascular, 1 urology article, and 2 on water treatment and frailty syndrome. Overall, 18 (62.07%) of the articles were rated as poor, 7 (24.14%) as fair, and 4 (13.79%) as excellent quality. In terms of reliability, 19 articles (65.52%) were scored as poor, 3 (10.34%) as fair, and 7 (24.14%) as highly reliable. This scoping review found that YouTube can be a beneficial tool as a primary resource for patient education; however, it lacks the accuracy of material needed to answer patient/client inquiries. The articles chosen were found to have low reliability and poor quality. Discussion: Healthcare professionals, physical therapists, and educators can use additional peer-reviewed resources to doublecheck the integrity of the material provided and ensure that the YouTube channel's source is legitimate and trustworthy.
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