Authors:Rima Solianik, Jelena Ivanova Pages: 1 - 7 Abstract: Background. Mind and body exercise programmes, such as Tai Chi, Yoga and Pilates, can be successfully applied for stress reduction and cognitive function enhancement, however Nirvana Fitness training effects on perceived stress and cognition remain equivocal. The aim. To determine the effects of Nirvana Fitness training on perceived stress and cognition. Methods. The study included 20 women. They were randomly assigned to a control (n=10) or experimental (n=10) group. Participants in the experimental group participated in the Nirvana Fitness exercise programme, which consisted of a 50-minute class twice a week for 8 weeks. Participants in the control group were asked to maintain their daily routines. Changes in perceived stress and cognitive performance were evaluated. Results. The Nirvana Fitness exercise programme significantly decreased (p<0.05) perceived stress and improved (p<0.05) inhibitory control and cognitive flexibility, whereas spatial and working memory remained unchanged. Conclusion. The Nirvana Fitness programme can be used as an effective method to decrease stress and improve attention in women. Keywords: memory, attention, women, mind and body exercise programmes PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1257 Issue No:Vol. 2, No. 27 (2022)
Authors:Vaida Kerulienė, Margarita Kaleckienė Pages: 8 - 16 Abstract: Background. The 16p11.2 microdeletion is one of the most commonly known causes of genetic neurodevelopmental disorders, manifesting in a variety of developmental and behavioral disorders and specific medical conditions. In the case of a diagnosed 16p11.2 microdeletion, referral to a specialist is recommended for a comprehensive neuropsychological and/or developmental assessment. Treatment should be directed at the specific disorders identified. Physiotherapy is applied to improve motor skills, balance and coordination. The aim. To evaluate the effect of physiotherapy on the balance and gross motor skills of a child with 16p11.2 microdeletion. Methods. A 6-year-old boy with a 16p11.2 microdeletion was studied. The subject received individual physiotherapy for six months. The subject’s indicators were assessed 4 times: before physiotherapy procedures and every two months. The subject’s balance was assessed using the Pediatric Balance Scale; gross motor skills were assessed using the skill testing scheme. Results. The average indicator of general motor skills before physiotherapy was 2.57 points, after physiotherapy – 3.48 points, the average change in the results of physiotherapy was 0.91 points. Balance scores improved by 7 points after the half-year intervention, from 39 points to 46 points, but balance remained impaired. Conclusion. Physiotherapy had a beneficial effect on balance and gross motor skills in a child with a 16p11.2 microdeletion. Keywords: physiotherapy, microdeletion, balance, gross motor skills. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1258 Issue No:Vol. 2, No. 27 (2022)
Authors:Eglė Butkienė, Vaida Aleknavičiūtė-Ablonskė Pages: 17 - 27 Abstract: Background. It has been established that the disease of Covid-19 negatively affects the functions of the respiratory system of individuals. Since the disease appeared relatively recently, there are not many studies examining the functional state of the respiratory system of individuals after Covid-19 infection, but it is known that individuals who have suffered from a severe or critical form of the Covid-19 disease are diagnosed with many different complications. The aim. To assess the effectiveness of rehabilitation for functional changes in the respiratory system of persons suffering from a severe and critical form of the Covid-19 disease. Methods. 20 persons (11 men and nine women) aged 54.95±5.02 years who suffered from a severe or critical form of the Covid-19 disease participated in the study. Testing was done twice, before and after rehabilitation. During the study, the subjects’ respiratory system function was evaluated (Stange-Hench sample, respiratory rate, chest excursion, spirometry (VC, FEV, FEV1). Results. After rehabilitation, the parameters of the Stange and Hench functional tests, respiratory rate, chest excursion and Vital Capacity improved. Conclusion. It was established that after 20 days of rehabilitation, the respiratory system function of persons suffering from a severe or critical form of the Covid-19 disease improved. Keywords: Covid-19, Stange and Hench sample, respiratory rate, chest excursion, spirometry. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1259 Issue No:Vol. 2, No. 27 (2022)
Authors:Airida Kišonaitė, Anelė Gedmantaitė Pages: 28 - 37 Abstract: Background. Low back pain is one of the most common problems among ballroom dancers. The aim. To determine the correlations between the hypermobility of the lumbar spine, lower back pain and static endurance of the trunk muscles in sports dancers. Methods. 36 ballroom dancers (50% males and 50% females) between the ages of 16 and 22 participated in the study. The subjects filled out a questionnaire, inclinometry was performed to determine the amplitudes of spinal movements, the static endurance of the trunk muscles was assessed according to the McGill methodology, and the intensity of the felt pain was assessed on the analog pain scale. Results. 72.2% of dancers have experienced lower back pain at least once in their life. The average back pain intensity for males was 2.17 ± 2.92 p., and for females – 3.56 ± 2.66 (p< 0.05). The amplitude of back extension was 28.1° for dancers with back pain, and 22.2° for those without. The average endurance of the back muscles of the subjects who felt pain was 101s, and 117s for those who did not. The average endurance of the left side of the trunk muscles was 70s in subjects with low back pain and 83s in subjects without. A statistically significant difference was found between pain sensation and extension amplitude (p<0.05) and pain sensation and static endurance of trunk muscles (p<0.05). Conclusion. The more intense the pain, the greater the amplitude of the spine. With lower back pain the static endurance of the muscles of the back and left side of the trunk was shorter. Keywords: hypermobility of the spine, back pain, static endurance of the trunk muscles, sports dancing. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1260 Issue No:Vol. 2, No. 27 (2022)
Authors:Paulina Petkevičiūtė, Justina Valinčiūtė, Lina Varžaitytė Pages: 38 - 50 Abstract: Background. Guillain-Barre syndrome is an immune-mediated polyradiculoneuropathy characterized by acute neurological symptoms, usually following an infectious disease. The discovery of links between coronavirus infection and GBS has made the analysis even more relevant. The aim. To evaluate the efficacy of rehabilitation for patients with GuillainBarre syndrome (GBS). Methods. A systematic literature review was performed according to PRISMA statement. A literature search had begun on January 10, 2022, and ended on May 1, 2022. The search was performed in Pubmed, ScienceDirect, and ClinicalKey databases. Inclusion criteria were research articles published less than five years ago, written in English, evaluating the efficacy of rehabilitation for patients with GBS. Results. The research strategy identified 606 results. After excluding duplicates (n = 230), and after a thorough assessment, six studies were included. Every study showed positive effects of rehabilitation in patients with GBS. Two studies used GBS – Disability Score to evaluate rehabilitation efficacy, which had positive results (p < 0.0001 and p < 0.01). Another study found that supervised, individualized exercise was more efficient than unsupervised home exercise. There was also a study with groups of children with GBS, who had electromyographic biofeedback therapy, that showed positive dynamics (p < 0.05). Another study assessed neuropathic pain and presented a reduction in pain after rehabilitation (p < 0.05). Conclusion. Patients with GBS have achieved significant positive changes in mobility, cognitive function, and performance of daily tasks after rehabilitation treatment. Keywords: Guillain-Barre syndrome, rehabilitation, electrical stimulation, physical therapy, exercise. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1261 Issue No:Vol. 2, No. 27 (2022)
Authors:Muskaan Mahamadhanif Mujawar Pages: 51 - 67 Abstract: Background. Cerebral palsy (CP) is one of the most common childhood disorders. Different treatment strategies are used to improve quality of life. Aim. To systematically review the recent articles and investigate the effects of aquatic therapy on motor functions in children with cerebral palsy. Methods. Studies between 2012–2022 were selected investigating the effects of aquatic therapy on motor functions in CP children. The databases Google Scholar, PubMed and PEDRO were used. Selection criteria included diagnosis as CP, use of aquatic intervention, participants aged until 18 years, use of validated outcome measure, published in English, and study design as a randomized control trial/pilot study/case study. Results. Out of 11 studies selected for this review, 6 of them were randomized control trials, 2 were quasi experimental studies, 2 were comparative studies and one was case series. Aquatic exercises, Halliwick concept, Watsu and water immersion therapy, swimming exercises were used as aquatic interventions in the studies. Gross Motor Function Measure (GMFM) was the most commonly used tool for recording motor functions. About 64% of studies showed that aquatic interventions can provide significantly beneficial effects on motor functions of children with CP when compared to conventional therapy or no intervention. Conclusions. Aquatic therapy provides beneficial effects on motor functions in children with cerebral palsy. Keywords: cerebral palsy, aquatic therapy, aquatic exercises, swimming program, motor functions. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1262 Issue No:Vol. 2, No. 27 (2022)
Authors:Florinta Čičirkaitė Pages: 68 - 74 Abstract: Background. Children become less involved in various activities, and physical inactivity may negatively affect motor development. Motor skills are important for a child’s development, so it is very important to know and track motor skills development. One of the methods for assessing motor skills is Bruininks – Oseretsky (BOT-2) test. The aim. to determine and compare the motor skills of 5–6-year-old girls who attend and do not attend gymnastics classes. Methods. 5-6 years girls participated in the study. We collected 15 who attended gymnastics classes and 15 age-matched controls. Gross motor skills were assessed using Bruininks-Oseretsky (BOT-2) test kit. Results. Bilateral coordination, balance, running speed and agility, upper-limb coordination, and strength of girls attending gymnastics classes were significantly higher (p <0.05) compared to girls not attending gymnastics. Conclusions. Attending gymnastics classes significantly improved motor skills of 5–6-year-old girls. Keywords: motor skills, preschool children, BOT-2. PubDate: 2022-10-07 DOI: 10.33607/rmske.v2i27.1263 Issue No:Vol. 2, No. 27 (2022)
Authors:Viktorija Rockina Pages: 75 - 88 Abstract: Background. Tension-type headache is a common complaint in modern society. Self-massage or massage can be prescribed to reduce it, but it is still unclear which of these techniques is more effective in reducing tension-type headaches. The aim of the study is to determine the short-term and long-term effects of neck massage and self-massage in tension-type headache. Methods. 30 people participated in the study, who were randomly divided into two groups: massage and self-massage, 15 people in each group. Outcome measures were subjects’ headache intensity, active head range of motion, fatigue, and functional and emotional disability index pre and post the nine-week interventions and long-term effect – one month after the interventions. Results. Both massage and self-massage after the 9-week interventions significantly reduced pain-related indicators. One month after the interventions, the headache intensity, fatigue, functional and emotional disability of subjects in the self-massage group were significantly (p < 0.05) lower, and the active amplitudes of neck movements were significantly higher (p < 0.05) than in the massage group. Conclusions. Both massage and self-massage significantly reduced subjects’ headaches, increased head range of motion, reduced fatigue, and functional and emotional disability. However, one month after the interventions, the long-lasting effect of self-massage was significantly superior to the massage group. Keywords: pain, functional disability, emotional disability, fatigue. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1264 Issue No:Vol. 2, No. 27 (2022)
Authors:Eglė Lendraitienė, Laura Urbonienė, Daiva Petruševičienė, Rasa Šakalienė Pages: 89 - 97 Abstract: Background. Balance control and restoration of movements are among the most important rehabilitation goals for stroke survivors. There are many techniques used to restore lost function, but there is little research demonstrating the effectiveness of specific equipment in improving balance. The aim. To compare balance and lower limb muscle strength in stroke patients when applying different methods of physiotherapy. Methods. The study included 40 stroke patients with hemiparesis and impaired balance. The subjects were divided into two groups: the first group (n=20) underwent physiotherapy on the Biodex balance system device (with visual feedback), the second group (n=20) – wobble board exercises. Both groups underwent 45-minute physiotherapy sessions 5 times a week (in total, 20 procedures). The subjects were tested at baseline and after physiotherapy. Balance was evaluated by applying the Best Evaluation Systems Test (BEST), and lower limb muscle strength – by using the Oxford muscle strength scale. Results. Physiotherapy on the Biodex balance system device as well as wobble board exercises improved balance and muscle strength in stroke patients. Furthermore, the balance results of the first group (Biodex) was significantly greater than those of the second group (wobble board). No difference in muscle strength parameters was found between the groups. Conclusion. Physiotherapy using the Biodex balance system device (with visual feedback) was superior to wobble board exercises for improving the balance abilities, but not the lower limb muscle strength, in stroke patients. Keywords: stroke, physiotherapy, Biodex, balance, muscle strength, lower limb. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1265 Issue No:Vol. 2, No. 27 (2022)
Authors:Huma Balqias, Syed Alamdar Hussain, Usman Farooq, Umair Ahmad, Rohail Amir Babar Pages: 98 - 108 Abstract: Background. Chronic obstructive pulmonary disease (COPD) is a multifactorial, progressive chronic lung disease. COPD was rated as the third largest cause of death by the World Health Organization (WHO) in 2016. Cough and sputum are present in about 60% of COPD patients. For persons with COPD who are unable to attend the standard centre-based program, home-based pulmonary rehabilitation offers a cost-effective option. The aim. To compare the effects of supervised and self-directed pulmonary rehabilitation on cough and sputum expectoration in patients with chronic obstructive pulmonary disease. Methods. Forty COPD-diagnosed subjects with ages between 40 to 60 years were recruited for this randomized clinical trial. The participants were randomly distributed into self-managed (n=18) and supervised (n=19) groups. Data was collected using a 6-minute walk test, the Leicester Cough Questionnaire and a cough and sputum assessment questionnaire at baseline after 6 weeks post treatment. Results. There was a significant difference found between self-managed and supervised groups for six-minute walk test with P value to be P > 0.005. While analysing LCQ, overall no significant difference was observed demonstrating between two groups with P > 0.05; besides, physical factors showed a significant difference during the pre-session which showed P = 0.004. No significant difference was found while analysing values from Cough and sputum assessment questionnaire with P > 0.05 Conclusion. Supervised exercise program and self-managed group show equal improvement in COPD patients. Self-management exercise should be encouraged for active involvement of patient during the treatment and to promote self-preventive behavior. Keywords: sputum, cough, self-management, pulmonary rehabilitation. PubDate: 2022-11-16 DOI: 10.33607/rmske.v2i27.1266 Issue No:Vol. 2, No. 27 (2022)
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