Background: Surgery has been known as an inefficient approach to reduce back pain in patients with lumbar spinal stenosis; therefore, non-surgical treatments are necessary. However, there has been little research to analyze the effect of non-surgical treatments on lumbar spinal stenosis pain.
Objective: To identify the effectiveness of 2 physiotherapeutic treatment approaches to relieve pain due to lumbar spinal stenosis.
Design: Randomized controlled trial
Methods: The participants were 36 lumbar spinal stenosis patients who were randomized in the joint mobilization group (JMG) and transcutaneous electrical nerve stimulation group (TENSG). Joint mobilization (JM) was conducted at the posteroanterior joint in the spinous process of the lumbar spine with stenosis. Transcutaneous electrical nerve stimulation (TENS) was applied on the lumbar spine with stenosis at a high frequency and intensity.
Results: Visual analog scale (VAS) pain score significantly decreased in both groups, and the VAS value decreased more after JMG than that after TENSG. The pain thresholds of both groups also significantly increased, and that of JMG increased more compared to TENSG. In both the groups, significant improvements in VAS and pain thresholds were found, and JMG showed better results than TENSG.
Conclusions: JM and TENS showed significant relief in both pain threshold and painpain, and JM showed more advanced relief compared to TENS.
The purpose of this study was to investigate the effect of fall injuries on the balancing abilities and ankle flexibility. Fifteen of the voluntary participants had no experience of falling in the last two years (none falling group, NFG) and 15 others experienced at least one (falling group, FG). Static balance (sway length, sway area), dynamic balance (timed up and go (TUG), and functional to reach test (FRT) were measured in each group. In comparison of static balance, sway length was not significantly different between NFG and FG in both eyes open and eyes close, however the sway area of the FG was significantly wider than that of the NFG (p<.05). In dynamic balance comparisons, TUG of FG was significantly longer than that of NFG (p <.05), however FRT and STS were no significant difference between groups. Ankle flexibility was significantly higher in NFG than in FG. This study suggests that the fall prevention program should include methods for improving ankle stability and lower extremity function.
The aim of this study was to analyze the effect of task-oriented progressive resistance strength training and functional electrical stimulation (FES) on the gait speed and activity of daily living (ADL) in stroke patients. Twenty one patients diagnosed with stroke were randomly divided into 3 groups: the task-oriented progressive resistance strength training group (TPRSTG, n=7), the task-oriented progressive resistance strength training with FES group (TPRSTFESG, n=7), and the control group (CG, n=7). The length of intervention for each session in all groups was 30 minutes, and was performed once a day, 5 times a week, for a total of 6 weeks. The gait speed was measured using 10m walking velocity Test (10MWT) and the ADL was measured using the functional independence measure (FIM). TPRSTFESG demonstrated the most statistically significant lapse in 10MWT (p<.05). While post-intervention analysis showed a significant difference in ADL (p<.05), further analysis between each group indicated that there were no statistically significant differences between the groups post-intervention. These findings suggest that application of both task-oriented progressive resistance strength training with FES is the most effective intervention in improving gait speed.
In this case report, we investigated the effects of robot-assisted gait therapy in a chronic stroke patient using motor assessment and gait analysis. A patient who suffered from the right hemiparesis following the left corona radiata and basal ganglia infarction received 30 minutes of robot-assisted gait therapy, 3 times a week for 4 weeks. Outcome was measured using Motoricity index(MI), Fugl-Meyer assessment(FMA), modified motor assessment scale(MMAS), isometric torque, body tissue composition, 10-meter gait speed and gait analysis. After robot-assisted gait therapy, the patient showed improvement in motor functions measured by MI, FMA, MMAS, isometric torque, skeletal muscle mass, 10-meter gait speed. In gait analysis, cadence, single support time, double support time, step length, walking speed improvement in after robot-assisted gait therapy. The results of this study showed that robot-assisted gait therapy is considered to facilitate locomotor recovery of the chronic hemiparetic stroke patient.