Aerobic exercise and clinical Pilates exercises revealed moderate changes in levels of cognitive, physical performance, balance, depression, fatigue in MS patients.
Background: There is emerging evidence that Guillain–Barré syndrome (GBS) may be associated with coronavirus disease 2019 (COVID-19) infection. The aim of this review was to investigate the strength of the evidence.Method: The review was registered in PROSPERO (CDR42020184822). Three electronic databases, MEDLINE, PubMed, and Web of Science, and three preprint servers, MedRvix, ChemRvix, and BioRvix, were searched from December 2019 to 24th September 2020. Studies were included if they were on COVID-19 and of any design. Articles that are reviews or opinion were excluded. The selection process was carried out using EndNote and Rayyan software. The main outcomes in the study were study design, sample size, sex, age, overall GBS symptoms, other COVID-19 symptoms, comorbidity, timing between infection and the onset of neurological symptoms, CT, MRI, and EMG results. Methodological quality of the studies was assessed using the McMaster Critical Review Form. The collected data was analyzed using qualitative synthesis.Findings: Fifty-one high-quality studies (mostly) consisting of 83 patients were included in the study. All of the patients (except in a very few) in the included studies had confirmed diagnosis of COVID-19. Similarly, the diagnosis of GBS was based on standard clinical, electrophysiological, and cerebrospinal fluid (CSF) criteria.Conclusion: GBS may be associated with COVID-19, and therefore, testing for COVID-19 is recommended in patients presenting with GBS during this pandemic.
Objective: Chronic low back pain (CLBP) causes disability and postural control deficits. Since suffering from pain, disability and impaired postural control, patients decrease their physical activity levels. The aim of this study was to examine the effects of computer-based stability training on pain, disability, postural control and physical activity in patients with CLBP and compare them with traditional training.Methods: Forty-two participants with a history of CLBP were recruited and divided into two groups randomly. Computer-based stability training was applied to study group by help of computer-based device two times a week for 12 weeks while traditional training was done to another group. Pain and disability were assessed by Numeric Pain Scale and Oswestry Disability Index, respectively. Limits of stability (LoS) and postural stability (PS) tests were used to evaluate postural control by Biodex Balance System and SenseWear Armband was used for physical activity assessment. All measurements were applied before and after the training.Results: Significant improvements occurred in LoS and PS scores in both groups after interventions (p<0.05). However, physical activity scores for both groups did not significantly change (p<0.05). Statistical analyses of between-group mean differences showed that there was superiority of computer-based stability training over the traditional training in improving LoS (p=0.023).
Conclusion:The results of this study suggest that twelve-week computer-based stability training might be beneficial to reduce pain and improve postural control in patients with CLBP. On the other hand, computer-based stability training showed superior effect over traditional training for increasing limits of stability.
There was a relationship between cognitive function and hand dexterity in the patients with COPD; however, hand dexterity did not alter according to hypoxemia severity. Hand dexterity which is important in daily living activities should be evaluated in greater detail with further studies in COPD patients.
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