[Purpose] The aim of this study was to investigate the efficiency of Nintendo®
Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy.
[Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males;
mean age, 6–15 years) were included in the study and divided into two groups: a
neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental
treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2
days/week for six weeks. Use of the upper extremities, speed, disability and functional
independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen
Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence
Measure (self-care) before and after treatment. [Results] There were statistically
significant improvements in all parameters for group 1 and group 2 (except quality of
function) after six weeks of treatment. Intergroup analysis showed that group 1 was
superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test.
[Conclusion] Our results showed that neurodevelopmental treatment is effective for
improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable,
motivational, safe, and effective rehabilitation program, the Nintendo® Wii may
be used in addition to neurodevelopmental treatment.
In conclusion, we could report that kinesio taping has significant immediate effects after a single kinesio taping application on range of motion, pain and functional status in patients with knee osteoarthritis. We could also report that KT in addition to conventional treatment is not superior to conventional treatment alone in terms of clinical outcomes over 3 weeks later.
The aim of the study was to compare the effects of low-intensity exercise programs for lower extremities, either supervised or at home, on pain, muscle strength, balance and the hemodynamic parameters of knee osteoarthritis (OA) patients. This randomized study included 78 patients with knee OA in 2 groups of supervised and home-based exercise program. Exercises were applied to the first group in the clinic as a group exercise program and were demonstrated to the second group to be performed at home. Before and after the 6-week exercise program, assessment was made of pain, quadriceps and hamstring muscle strengths, 6-min walk test (6MWT), and non-invasive hemodynamic parameters. Results of the 78 patients, 56 completed the study. Pain, muscle strength, and 6MWT scores showed significant improvements in both groups. There were also significant differences in the amount of change in pain and muscle strength (pain: p = 0.041, Rqdc: 0.009, Lqdc: 0.013, Rhms: 0.04) which indicated greater improvements in the supervised group. The balance scores of supervised group showed a significant improvement (p = 0.009). No significant change was determined in hemodynamic parameters of either group. Conclusion according to the results of this study showed that low-intensity lower extremity exercises conducted in a clinic under the supervision of a physiotherapist were more effective than home-based exercises in reducing post-activity pain levels and improving quadriceps and right hamstring muscle strength. Both the supervised and home exercise programs were seen to be effective in reducing rest pain and increasing 6 MW distance in knee osteoarthritis patients.
Kinesio® taping in chronic low back pain is an easy and effective method which increases the effectiveness of the treatment significantly in a short period when applied in addition to exercise and electrotherapy methods.
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