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Effect of resistance exercise program on coactivation of both lower extremities in chronic stroke patients / Mostafa Alsaid Mostafa Fahmy ; Supervised Wael S. Shendy , Yasser T. Salem , Hatem S. Shehata

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mostafa Alsaid Mostafa Fahmy , 2020Description: 62 P. : charts , facaimiles ; 25cmOther title:
  • تأثير تمرينات المقاومة على التناسق الحركى فى كلا الطرفين السفلين لمرضى الشلل النصفى المزمن [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy Neuromuscular and Neurosurgery Summary: Background: Stroke is a frequent cause of problems in body function resulting in limitations of functional activity. Stroke generally leads to greater postural instability, and muscle weakening compared with healthy individuals. The strength of multiple muscle groups of both the paretic and non-paretic lower limbs have been shown to correlate with independence in sit to stand transfer and gait. Objective: to investigate if resistance exercises of non-paretic lower limb may improve the strength of paretic limb and the functional activities in patients with chronic stroke. Patients and Methods: 24 male patients with stroke represented the sample of the study. Their age ranged from 45 to 76 years. The Patients were assigned randomly into two equal groups; The control group treated by standard physical therapy program, and the intervention group treated by the same program in addition to resistance exercises program for adductors and abductors muscles of non-paretic extremity. Treatment session was one-hour session per day, 3 times a week for 6 successive weeks. Portable dynamometer was used to assess any increase in muscle forces of paretic and non-paretic lower limb muscles. Neurosoft Surface EMG was used to assess any change in pattern of activation (delay time) between both lower extremities. Also, functional independence measure scale (FIM) was used to assess any improvement in functional activities of these patients. All patients were assessed pre and post intervention. Results: The strength of paretic hip abductors and adductors improved significantly more in intervention group in comparison to control group. The delay time of both adductors and abductors decreased 15 % and 12%, respectively more in intervention group. FIM scores improved 7% more in intervention group.These changes in delay time and FIM was not significant in comparison to control group
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.21.08.M.Sc.2020.Mo.E (Browse shelf(Opens below)) Not for loan 01010110081311000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.21.08.M.Sc.2020.Mo.E (Browse shelf(Opens below)) 81311.CD Not for loan 01020110081311000

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy Neuromuscular and Neurosurgery

Background: Stroke is a frequent cause of problems in body function resulting in limitations of functional activity. Stroke generally leads to greater postural instability, and muscle weakening compared with healthy individuals. The strength of multiple muscle groups of both the paretic and non-paretic lower limbs have been shown to correlate with independence in sit to stand transfer and gait. Objective: to investigate if resistance exercises of non-paretic lower limb may improve the strength of paretic limb and the functional activities in patients with chronic stroke. Patients and Methods: 24 male patients with stroke represented the sample of the study. Their age ranged from 45 to 76 years. The Patients were assigned randomly into two equal groups; The control group treated by standard physical therapy program, and the intervention group treated by the same program in addition to resistance exercises program for adductors and abductors muscles of non-paretic extremity. Treatment session was one-hour session per day, 3 times a week for 6 successive weeks. Portable dynamometer was used to assess any increase in muscle forces of paretic and non-paretic lower limb muscles. Neurosoft Surface EMG was used to assess any change in pattern of activation (delay time) between both lower extremities. Also, functional independence measure scale (FIM) was used to assess any improvement in functional activities of these patients. All patients were assessed pre and post intervention. Results: The strength of paretic hip abductors and adductors improved significantly more in intervention group in comparison to control group. The delay time of both adductors and abductors decreased 15 % and 12%, respectively more in intervention group. FIM scores improved 7% more in intervention group.These changes in delay time and FIM was not significant in comparison to control group

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