Background: 80% of people with a stroke have impairment of the upper limb (UL). The hemiparetic arm is one of the most devastating consequences after stroke. Improving use of the affected UL is important however, because difficulty in using this UL in daily tasks has been related to lower quality of life. Design: A prospective randomized control trial type study. Setting: Malaysia Government and Private Hospitals and also in private Physiotherapy Centre’s. Population: A total of 25 subjects post stroke were randomly assigned to either in experimental group (n=13) and control group (n=12). Methods: Control group received 45 minutes of treatment session and therapy consisted of conventional therapy only with the affected upper extremity whereas experimental group also received 45 minutes of treatment session and therapy consisted of conventional therapy along with mirror therapy for three days/week. Outcome measures used were Fugl-meyer assessment and Functional independent measure. Results: Comparison of the changes in the Fugl-meyer assessment and Functional independent measure from baseline to six weeks between control and experimental group, revealed that significant improvement were in experimental group which was (p<0.05). Conclusion: Combination of conventional and mirror therapy is an effective method on restoring upper limb motor function among hemiplegic patients. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.208-213
Background/Aims: It has been postulated that foot alignment affects postural stability. However, previous studies reported contradicting results regarding the association between foot alignment and postural stability. Methods: A total of 216 healthy participants aged 15 to 24 years were recruited. Their rearfoot alignment was measured in non-weight bearing and weight-bearing positions. Their static balance was assessed using Balance Error Scoring System and dynamic balance by Star Excursion Balance Test. The relationship between the data obtained were analysed using SPSS version 22 software. Findings: A Pearson correlation with a 95% confidence interval reported that there was: (i) no significant difference in the rearfoot alignment between both genders; (ii) no significant relationship between the rearfoot alignment measured in prone lying and unilateral stance position; (iii) a weak negative correlation between the rearfoot alignment measured in prone lying position to dynamic balance on medial, posterior, lateral, anterolateral and posteromedial direction; (iv) no significant relationship between the rearfoot alignment measured in unilateral stance position to both static and dynamic postural balance. Conclusions: Rearfoot alignment measured in non-weight bearing position plays some role in postural stability and therefore should be considered in sports rehabilitation. However, this can be overlooked in rehabilitation for individuals whose postural stability is not the primary concern.
The inflatable bedpan is designed to provide comfortable, convenient, safe, hygienic, efficient and easy to use to the patients and their caretakers. In order to investigate the suitability thickness of inflatable bedpan for the pressure inflow in bedpan tube, the analysis is done using Catia analysis. The static analysis work is carried out to inflatable bedpan cross section of polyvinyl chloride (PVC) and their relative performances have been observed respectively. The thickness 0.5 mm shows the highest Von Mises Stress which is 21100 kPa compared to 0.8and 1.0 mm thicknesses. The lowest Von Mises Stress observed at thickness 1.0 mm which is 2990 kPa. The less stress obtained can encourage perfect shape of the design. In this paper, by observing the result of static structure analysis obtained, 1 mm is suggested as best thickness to be used as an inflatable bedpan wall because it can withstand more pressure while maintaining its stability.
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