Background: Stroke, also known as cerebrovascular accident is caused when the brain does not receive enough blood supply, thus preventing brain from receiving oxygen and nutrients. Its divided into two major categories: ischemic and hemorrhagic. A stroke is a medical emergency, and prompt treatment is crucial. Objective: To determine the level of exercise compliance following Physical Therapy treatment in patients with stroke. Methodology: This cross-sectional study was conducted in different hospitals of Lahore on 139 participants in Lahore, ages between 45 to 70, both genders, patients with both ischemic and/or hemorrhagic stroke and those following a home based plan were included for the study. Any participants unwilling for follow-ups, with cognitive impairments, diabetes or ischemic heart disease and unable to communicate were excluded. For the collection of the data, a researcher designed questionnaire was used. An informed consent was taken from the study participants. SPSS 25 was used for data analysis. Results: 31.7% of the participants agreed that exercise was beneficial to health and 36.7% remained neutral. 23.0% strongly agreed and 25.9% agreed their preference were scheduled exercise programs. 35.3% agreed to feel better when they were active and 30.9% disagreed to this. Sense of accomplishment, keep mind active and good for heart were significant motivators to exercise adherence. Lack of strength, shortness of breath and bad weather were significant barriers. Conclusion: There was little to moderate level of compliance with exercise in patients with stroke following physiotherapy intervention. Keywords: exercise, exercise compliance, physical therapy, stroke
Background: Stroke is a universal health care disease, the important cause of long time disability in world. Stroke leads to an inactive living, physical restrictions, and not good physical levels, which are related with common post-stroke participation limits. Aerobic capability and walking ability are decreased in old chronic patients of stroke. Aim: To determine the effects of treadmill training and stationary cycling training to improve ambulatory function and cardiovascular fitness in hemiparetic stroke patients Methods: 54 chronic stroke patients were allocated to treadmill training group(n=27) or stationary cycle exercise group (n=27). All participants received conventional physical therapy along with treadmill or stationary cycle training. The 10MWT was conducted to measure gait function and 6 min walk test was used to measure cardiovascular health. Results: The mean of treadmill group for 10 meter walk test is 10.01 + 15.48. The mean of stationary cycle group for 10 meter walk test is 9.80 + 6.77. The mean of treadmill group for 6 min walk test is 22.04+ 17.45. The mean of stationary cycle group for 6 min walk test is 23.20+ 22.92. The p value of 0.000 shows significant difference. This significant difference reflects that both interventions show equal improvement in participants. There is significant difference between pre and post treatment values of both interventions. Both intervention groups displayed significant effect in ambulatory functions and cardiovascular fitness. The results between groups were non significant, it means both interventions showed equal effect but results with in groups were significant. Conclusion: The study showed that treadmill training and stationary cycling training equally enhanced the gait ability and cardiovascular health of chronic stroke patients. Therefore, these exercises could be used to enhance walking and cardiovascular health in management of stroke. Keywords: treadmill training, stationary cycle training, ambulatory function, cardiovascular fitness, stroke
Background: COVID-19 pandemic has become a foremost health concern, many countries have ordered lockdown to stop the spread of COVID-19 due to which many Universities are closed and students are taking lectures online, Pakistan is also one of the countries in which lockdown was imposed, the aim of this study is to examine the level of physical activity and lifestyle of medical students from University of Lahore (UoL) during COVID-19. Aim: To determine the effect of COVID-19 lockdown on the physical activity and lifestyle of medical students of University of Lahore. Materials: Sample size included 151 medical students from the University of Lahore, study was pure cross-sectional and convenient sampling technique was used, data was collected through online questionnaire which contained question from IPAQ-SF to estimate the physical activity and lifestyle of observed University students. Data was analyzed using SPSS version 25. Results: The results showed that from the population of 151 medical students of University of Lahore 75 students (49.7%) reported Low level of physical activity, while 44 students (29.1%) students reported Moderate level of physical activity, and 32 students (21.2%) reported high level of physical activity. Conclusion: Majority of the medical students showed Low level of physical activity, 49.7% in the last 7 days during COVID-19 pandemic. Medical students of University of Lahore showed a decrease in their overall physical activity level. Keywords: COVID-19, lockdown, Medical students, Physical activity
Background: Maturing is followed by slow physiological changes in body structures, such as decreases in muscle strength, movement speed, response time, and changes in equilibrium and integumentary systems. Deftness is constantly compromised by maturing procedure. Aim: To determine effects of circuit training on vestibular dysfunction in geriatric population Methods: This research included 34 participants with age ranges from 50 to 85. All the participants were divided into two groups. Participants were assessed pre and post treatment by using modified CTSIB, DHI and Fukuda test. Group A received Cawthorne & Cooksey protocol. The standardized protocol consists of 4 steps that include specific exercises carried out during lying, sitting position, position of standing and walking state. These exercises were undertaken during the following 12 weeks until the end of the intervention. Results: Modified CTSIB pretreatment mean±SD for conventional group was 93.64± 20.709 and post treatment was 80.35± 30.211. On the other hand, pretreatment mean±SD for treatment group was 96.07± 15.349 and post treatment was 79.47± 25.169. Pretreatment P.value for CTSIB is .166 and of post treatment is .466 (P= > .05). DHI pretreatment mean±SD of conventional group was 41.41± 22.25 and post treatment was 20.0± 12.74. Pretreatment mean±SD of treatment group was 38.7± 22.404 and post treatment was 19.8± 16.501. Conclusion: Conventional treatment and circuit training both are equally effective for the rehabilitation of vestibular dysfunctions. However, according to the P.value (P= <.05) of Fukuda test statistically significant results are seen. That’s mean circuit training is effective for treating vestibular problems. Key words: Geriatric Population, Vestibular dysfunction, Dizziness, Modified CTSIB, DHI
Objective: To translate and validate the ABC-Scale in Urdu language to predict risk of fall in older population. Study design: Cross-cultural Translation and validation Place and Duration: Study was conducted in older adult community of Sialkot from March 2020 to December 2020. Methodology: Translation of ABC in Urdu was conducted by using Beaton et al guidelines. Two bilingual translators translated the original version into Urdu language step wise, correction process was followed. Then two backward translations were done by language expert. After all this process, the translated version was reviewed by the professionals and the final version was applied on 15 individuals. Its reliability and validity was tested on 60 older adults. Results: For test re test reliability, intra class correlation coefficient ICC was measured with a value of 0.984 Which shows good test re-test reliability. The internal consistency and reliability of ABC was calculated by Cronbach’s alpha for total score with a value of 0.985. Content validity was good with values of CVI ranging from 0.767 to 0.955. To test the discriminative validity, independent t test was used to show the difference between the healthy and unhealthy adults. Factor analysis of UABC showed total variance 81.277 and cumulative variance was also 81.277. To calculate construct validity of U-ABC Pearson’s correlation coefficient was used and measured as 0.558. Conclusion: It was concluded that Urdu version of UABC is a valid assessment tool for older adults with fear of fall. It has good content validity, construct validity and reliability. Keywords: activities specific balance scale, validation, Urdu translation, reliability, tool translation
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