Feasibility of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial

Traxler, Kristina; Schinabeck, Franz; Baum, Eva; Klotz, Edith; Seebacher, Barbara

doi:10.1186/s40814-021-00886-0

Cited by 3 publications

(1 citation statement)

References 59 publications

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“…З огляду на вищевказане підходи до процесів реабілітації мають спрямовуватися на відновлення обмеженої хворобою/станом функціональності; реабілітаційні заходи мають спрямовуватися і на відновлення функціональності, спричиненої наслідками хвороби/стану; реабілітаційні заходи мають проводитися у ході міждисциплінарного діалогу учасників міждисциплінарної команди; фахівець з реабілітації у реабілітаційному процесі відіграє роль ментора, який створює та налагоджує взаємозв'язки між пацієнтом та навколишнім світом. В умовах повномасштабної війни на території України переосмислення вимагають і підходи до реабілітації учасників бойових дій [11,12].…”

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Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Strashko¹

2022

Med. and Ecol. probl.

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During combat activities, the consequences of contusive and traumatic injuries to the spine, which lead to myofascial pain, in particular in the neck area, are of great importance. Myofascial pain syndrome, localized in the muscles and fascia, can range from mild discomfort to excruciating pain. To optimize personal rehabilitation programs in health care practice, for additional visualization of educational and practical activities, it was suggested to consider the rehabilitation process as a "motor and mental dialogue" at the same time, and also to use a topological object - the Möbius strip as a visual, multi-vector, interdisciplinary, plastic model of rehabilitation. The paper focuses on the study of the effectiveness of using the ecological approach in rehabilitation practice. The research was conducted on the basis of the Municipal Enterprise "Poltava Regional Clinical Hospital for War Veterans" of Poltava Regional Council. 42 military servicemen - participants of combat activities with a diagnosis of the myofascial pain syndrome of the cervical area were included in the study. As a component of the ecological approach, an individually developed program of comprehensive rehabilitation intervention aimed at the biomechanically interconnected muscle spirals, the diaphragm and masticatory muscles, and the temporomandibular joint was used. The method of active rehabilitation in patients using a program of comprehensive rehabilitation intervention for biomechanically interconnected muscle spirals, diaphragm and masticatory muscles, and temporomandibular joint, was based on a course of training with a multidisciplinary rehabilitation team lasting 21 days - 3 - 5 sessions with the doctor every day and 6-8 sessions according to the video sample recorded by the doctor. A statistically significant decrease in the intensity of pain according to VAS and an increase in the angle of painless lateral movement with an element of rotation may indicate the effectiveness of rehabilitation measures already on the seventh day of treatment. A decrease in the intensity of pain and an increase in the angle of painless lateral movement with an element of rotation in the experimental group, as compared to the control group, may indicate the advantage of using the proposed program at the same time as standard approaches in rehabilitation. The model proposed in the study can act not only as a treatment and rehabilitation tool but also as a visual training tool for future specialists, which has several advantages over traditional models. In particular, it involves low cost and ease of implementation, and it should be noted that the comprehensive, at first glance, rehabilitation process is simplified due to mathematical logic, sequence, creativity, and game form.

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Section: вступunclassified

Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Strashko¹

2022

Med. and Ecol. probl.

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Combining specific task-oriented training with manual therapy to improve balance and mobility in patients after stroke: a mixed methods pilot randomised controlled trial

Traxler

Baum²,

Klotz

et al. 2023

Disability and Rehabilitation

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Investigating force-time characteristics of prone thoracic SMT and self-reported patient outcome measures: a feasibility study

et al. 2023

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Background Spinal manipulative therapy (SMT) is commonly used to treat musculoskeletal conditions, including thoracic spine pain. Applying patient-specific force-time characteristics are believed to be important to improve SMT’s effectiveness. Investigating SMT as part of a multimodal approach is fundamental to account for the complexity of chiropractic clinical practice. Therefore, pragmatic investigations balancing minimal disruptions to the clinical encounter at the same time as ensuring a robust data quality with rigorous protocols are needed. Consequently, preliminary studies are required to assess the study protocol, quality of data recorded and the sustainability of such investigation. Therefore, this study examined the feasibility of investigating SMT force-time characteristics and clinical outcome measures in a clinical setting. Methods In this mixed-methods study, providers recorded thoracic SMT force-time characteristics delivered to patients with thoracic spinal pain during regular clinical encounters. Self-reported clinical outcomes of pain, stiffness, comfort during the SMT (using an electronic visual analogue scale), and global rating of change scale were measured before and after each SMT application. Feasibility was quantitatively assessed for participant recruitment, data collection and data quality. Qualitative data assessed participants’ perceptions on the impact of data collection on patient management and clinical flow. Results Twelve providers (58% female, 27.3 ± 5.0 years old) and twelve patients (58% female, 37.2 ± 14.0 years old) participated in the study. Enrolment rate was greater than 40%, data collection rate was 49% and erroneous data was less than 5%. Participant acceptance was good with both providers and patients reporting positive experience with the study. Conclusions Recording SMT force-time characteristics and self-reported clinical outcome measures during a clinical encounter may be feasible with specific modification to the current protocol. The study protocol did not negatively impact patient management. Specific strategies to optimize the data collection protocol for the development of a large clinical database are being developed.

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Feasibility of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial

Cited by 3 publications

References 59 publications

Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Combining specific task-oriented training with manual therapy to improve balance and mobility in patients after stroke: a mixed methods pilot randomised controlled trial

Investigating force-time characteristics of prone thoracic SMT and self-reported patient outcome measures: a feasibility study

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