Abstract.[Purpose] The aim of this study was to investigate the relationship between physical capacity and fear avoidance beliefs in patients with chronic low back pain. [Subjects and Methods] This cross sectional study included 131 male university students with chronic low back pain. All the patients completed a fear avoidance beliefs questionnaire. Each participant performed a physical capacity test, which included hand grip force, leg strength, abdominal muscle endurance, flexibility, and cardiopulmonary endurance testing.[Results] Negative correlation was observed between physical capacity (leg strength, abdominal muscle endurance) and fear avoidance beliefs regarding work. Physical capacity (hand grip force, leg strength, cardiopulmonary endurance) showed a negative correlation with fear avoidance beliefs about physical activity. Abdominal muscle endurance and cardiopulmonary endurance were predictors of fear avoidance beliefs.[Conclusion] Physical capacity showed a negative correlation with fear avoidance beliefs in patients with chronic low back pain. The results of this study suggest that physical capacity is an important factor for predicting fear avoidance beliefs in patients with chronic low back pain.
[Purpose] The main purpose of this study was to identify the impact of rib cage joint
mobilization and chest wall stretch on respiratory muscle tone and stiffness and chest
expansion in stroke patients and to compare the effects of both interventions. [Subjects
and Methods] Subjects were randomly assigned to a rib cage joint mobilization group (n=15)
or a chest wall stretch group (n=15). Respiratory muscle tone and stiffness were measured
using a myotonometer, and the chest expansion was gauged using a measuring tape. [Results]
A significant difference was found on comparing the respiratory muscle tone and stiffness
on the affected and sound side before intervention. Although both groups showed an
increase in respiratory muscle tone and stiffness after intervention, no significant
difference was found. A significant increase in chest expansion was observed; however, no
significant difference was observed in the variations between the groups. [Conclusion]
This study suggests that rib cage joint mobilization and chest wall stretch exercises can
be used to increase chest expansion potential and respiratory muscle tone in patients with
chronic stroke.
[Purpose] The purpose of the present study was to examine the immediate effects of
simultaneous application of proprioceptive neuromuscular facilitation (PNF) and elastic
taping (T), and the removal of the elastic tape, on the gait parameters of stroke
patients. [Subjects and Methods] Twenty stroke patients were divided into a proprioceptive
neuromuscular facilitation group (PNFG, n=7), a taping group (TG, n=6), and a
proprioceptive neuromuscular facilitation with taping group (PNFTG, n=7). Relevant
interventions were applied for 30 minutes, the tape was removed, and gait parameters were
evaluated. [Results] Only the intervention of the PNFTG yielded significant differences in
patient cadence, speed, and stride length. [Conclusion] The simultaneous application of
PNF and taping for 30 minutes has carryover effects that can improve stroke patients’ gait
ability, even after the removal of the tape.
[Purpose] This study aimed to examine the immediate effects of diaphragm taping with breathing exercise on the tone and stiffness in the respiratory muscles of patient with stroke. [Subjects and Methods] A total of 28 subjects, 14 in the diaphragm taping with breathing exercise group and 14 in the breathing exercise group, were administered respective intervention methods. Subsequently, the muscle tone and stiffness in upper trapezius, scalene, external oblique abdominal and ractus abdominis muscle of both the respiratory muscles were measured. [Results] The comparison of respiratory muscles on the affected and non-affected sides in stroke patients showed statistically significant declines in the muscle tone and stiffness of all measured muscles but not in the stiffness of the external oblique abdominal muscle and rectus abdominis muscles. After intervention, the diaphragm taping with breathing exercise group exhibited statistically significant increases in the muscle tone of all measured muscles and in the stiffness of the upper trapezius and scalene muscles, and statistically significant declines in the saturation of peripheral oxygen. However, the breathing exercise group showed statistically significant increases only in the muscle tone of the upper trapezius and external oblique abdominal muscles. [Conclusion] This study demonstrated that diaphragm taping with breathing exercise had positive effects of immediately increasing the muscles tone and stiffness in the respiratory muscles.
[Purpose] This study was conducted to compare the immediate effects of different
electrotherapies on the gait parameters for stroke patients. [Subjects and Methods] Thirty
patients with stroke were randomly assigned either to the functional electrical
stimulation group or the transcutaneous electrical nerve stimulation group, with 15
patients in each group. Each electrotherapy was performed for 30 minutes simultaneously
with the therapeutic exercise, and the changes in the spatial and temporal parameters of
gait were measured. [Results] After the intervention, a significant, immediate improvement
in cadence and speed was observed only in the functional electrical stimulation group.
[Conclusion] Based on this study, functional electrical stimulation that stimulates motor
nerves of the dorsiflexor muscles on the paretic side is recommended to achieve immediate
improvement in the gait ability of stroke patients.
In chronic stroke patients, muscle tone and stiffness increase due to ankle spasticity. Electrotherapy may control the spasticity of patients with central nerve system damage via neurophysiological mechanisms. Therefore, this study was conducted to determine the immediate effects of interferential current therapy on gastrocnemius (GCM) muscle. Methods: This study was a one-group pretest-posttest design and 20 stroke patients participated. The experimental group underwent interferential current therapy for GCM for 30 minutes. Muscle tone (MT) and stiffness were assessed using MYOTONEⓇ PRO. After 30 minutes of interferential current therapy, MT and stiffness of the affected side and unaffected side by GCM were measured.
[Purpose] The main purpose of this study was to compare the effects of core stabilization
and chest mobilization exercises on pulmonary function and chest expansion in chronic
stroke patients. [Subjects and Methods] Thirty stroke patients were randomly divided into
two groups: a core stabilization exercise group (n=15) and a chest mobilization exercise
group (n=15). Each exercise was performed 3 times per week for 30 minutes for 4 weeks, and
pulmonary function and chest expansion when breathing were measured for both groups.
[Results] There were significant increases in both forced vital capacity and forced
expiratory volume in 1 second before and after intervention. Core stabilization exercise
resulted in a significant increase in peak expiratory flow, and significant increases in
upper and lower chest expansion were detected with chest mobilization exercise. However,
no significant difference was revealed between the two groups. [Conclusion] This study
suggested that both exercises were effective in some aspects of pulmonary function while
core stabilization can help increase peak expiratory flow and chest mobilization can
assist with chest expansion.
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