Background: Combining transcranial direct current stimulation (tDCS) with other therapies is reported to produce promising results in patients with stroke. The purpose of the study was to determine the effect of combining tDCS with motor imagery (MI) and upper-limb functional training for upper-limb rehabilitation among patients with chronic stroke. Methods: A single-center, prospective, randomized controlled trial was conducted among 64 patients with chronic stroke. The control group received sham tDCS with MI, while the experimental group received real tDCS with MI. Both groups performed five different upper-limb functional training exercises coupled with tDCS for 30 min, five times per week for two weeks. Fugl-Meyer’s scale (FMA) and the Action Research Arm Test (ARAT) were used to measure the outcome measures at baseline and after the completion of the 10th session. Results: Analysis of covariance showed significant improvements in the post-test mean scores for FMA (F (414.4) = 35.79, p < 0.001; η2 = 0.37) and ARAT (F (440.09) = 37.46, p < 0.001; η2 = 0.38) in the experimental group compared to the control group while controlling for baseline scores. Conclusions: Anodal tDCS stimulation over the affected primary motor cortex coupled with MI and upper-limb functional training reduces impairment and disability of the upper limbs among patients with chronic stroke.
The aim of this study was to find the health and wellness and its knowledge among non-teaching faculty working at college of applied medical sciences in kingdom of Saudi Arabia. A cross sectional study was conducted among 60 individuals whoever working as non-teaching staffs in college of applied medical sciences without any age restriction. In this present study health risk factors high among both genders was BMI, Cholesterol, Exercise, Nutrition and cancer risk comparatively with other health risk factors like Diabetes, Blood pressure, Smoking, Alcohol and Stress. The mean age of male is 33.7 and female is 35.1 years. This study reveals that health risk factors among the participants 25 (43%) of the individuals were in low risk with a mean score between 81-100, 19 (32%) were in intermediate risk with scores between 61-80 and 16 (25%) of the individuals were < 61 were under high risk. The knowledge of health and wellness among the participants was 38 (63%) scored less than 49%, 13 (22%) scored in the range between 50 to 74%, 9 (15%) scored above 75%. This study reveals a need to initiate life style modification to reduce the health risk factors and also need necessary health awareness programme at college level to reduce the prevalence and incident towards health-related problems.Wellness Institute, wellness is considered, "an active process through which people become aware of, and make choices toward, a more successful existence" 3 . There will be an economic burden if the working adults are unhealthy due to severe loss of production 4 . Thus, to progress in productivity and improve health many workshops are conducted at workplace 5 . The major risk factors for the long term medical illnesses such as hypertension, diabetes mellitus, dyslipidemia, and obesity are closely associated with unhealthy life style 6 .
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