bluuebunny/crossref_metadata_2025_split huggingface dataset:
The prognostic significance of large vessel occlusion in stroke patients treated by intravenous thrombolysis
Authors: M. Derbisz Justyna , Wnuk Marcin , Popiela Tadeusz , Jagiełła Jeremiasz , Pułyk Roman , Słowik Joanna , Dziedzic Tomasz , Turaj Wojciech , Słowik Agnieszka 
Published: July 2021

IntroductionAccording to guidelines, to shorten the treatment window, acute ischaemic stroke (AIS) treatment by intravenous thrombolysis (IVT) can be done based on the results of head computed tomography (CT) without contrast. The impact of large vessel occlusion (LVO) on computed tomography angiography (CTA) in stroke prognosis in patients treated IVT or IVT and mechanical thrombectomy (MT), where indicated, has not yet been studied systema­tically. We investigated the influence of LVO in consecutive AIS patients on haemorrhagic transformation (HT) on CT 24 h after treatment, mRS < 2 on discharge (unfavourable outcome), and in-hospital mortality.Material and methodsWe analysed several parameters within 24 h after AIS: demographics, risk factors, mRS score pre-stroke, NIHSS upon admission and 24 h later, several clinical and biochemical parameters, and chronic treatment.ResultsWe registered 1209 patients, of whom 362 (29.9%) received IVT and 108 had MT, where indicated. Admission CTA showed LVO in 197 patients (54.4%). Multivariate regression analysis showed that the presence of LVO and lower delta NIHSS (NIHSS on admission minus NIHSS 24 hours later) were independent parameters affecting HT risk. Multivariate analysis showed that the presence LVO and also older age, female sex, lower delta NIHSS, HT, stroke-associated infection, CRP levels ≥ 10 mg/L, and higher WBC count affected unfavourable outcome on discharge. LVO did not affect in-hospital mortality.ConclusionsLVO in AIS patients treated by IVT or IVT and MT affects the risk of HT and unfavourable short-term outcome but not in-hospital mortality.
Invasive lobular carcinoma mammographic findings: correlation with age, breast composition, and tumour size
Authors: Tagliati Corrado , Cerimele Federico , Di Martino Antonietta , Capone Fabrizio , Di Matteo Marialuisa , Caputo Nevia , Lucidi Pressanti Gabriella , Mingliang Ying , Baldassarre Silvia , Giovagnoni Andrea , Marco Giuseppetti Gian 
Published: July 2021

IntroductionThe aim of this study was to evaluate mammographic findings associated with invasive lobular carcinoma in different age groups, taking into account breast composition and tumour size.Material and methodsA total of 1023 invasive lobular carcinoma preoperative mammograms were evaluated. According to the American College of Radiology Breast Imaging Reporting and Data System, cancer mammographic findings were classified as mass, calcifications, architectural distortion, and asymmetry, and breasts were assessed as dense (C or D breast composition) or non-dense (A or B). The patient cohort was subdivided into 3 age groups (< 50, 50-69, ≥ 70 years of age). In order to make the size and age groups dichotomous variables and to perform multiple regression analysis, a cut-off of 10 mm was chosen for tumour size, and < 50-years-old and 50-69-years-old age groups were grouped together (< 70-years-old age group).ResultsSignificant results of multivariate analysis were the association between mass finding and non-dense breasts and size ≥ 10 mm (p < 0.0001), between calcifications, and dense breasts, size < 10 mm and < 70-years-old age group (p < 0.0001), between distortion and < 70-years-old age group (p = 0.0366), and between asymmetry and ≥ 70-years-old age group (p = 0.0090).ConclusionsVarious mammographic findings are differently associated with age group, breast composition, and tumour size.
The effect of a physiotherapy intervention on disability decrease and on the perceived health-related quality of life in patients with musculoskeletal disorders
Authors: Katsika Irini , Alexias George , Togas Constantinos 
Published: July 2021

IntroductionTo evaluate the effect of a physiotherapy intervention on disability decrease and the perceived health-related quality of life (HRQoL) in patients with musculoskeletal disorders.MethodsThe interventional study involved 150 patients of a public hospital and 3 private physiotherapy clinics in Greece. The study lasted 5 months (December 2016–April 2017). A composite questionnaire was used, including sociodemographic/medical data, Oswestry Disability Index (ODI), and EQ-5D-3L. The main intervention consisted in 10 physiotherapy sessions including transcutaneous electrical nerve stimulation, short-wave diathermy, high-frequency ultrasound, hand massage, and strengthening/stretching exercises. Questionnaires were completed before the first session and then after the tenth session. Analysis was performed with SPSS v. 21.0.ResultsHalf of the participants (50%) were treated in a state hospital, while the rest (50%) in a private clinic. The patients had problems in their spine and neck in the same percentage (44.7%). There was a significant decrease (mean: 19.33, SD: 13.71) in ODI score after the intervention. The decrease differed significantly depending on age, marital status, and problem location (spine, neck, chest). A significant improvement in EQ-5D-3L and visual analogue scale scores was recorded after treatment (<i>p</i> = 0.001). The EQ-5D-3L score change differed significantly depending on age, marital status, educational level, problem location, and previous physiotherapy treatment. There was a significant positive correlation between changes in EQ-5D-3L and ODI (<i>r</i> = 0.48, <i>p</i> < 0.001).ConclusionsThe physiotherapy intervention was beneficial for patients with musculoskeletal disorders and improved their perceived HRQoL. Several demographic and medical characteristics affected the improvement.
Effects of proprioceptive neuromuscular facilitation techniques in treating chronic nonspecific low back pain patients
Authors: Z. Fouda Khaled , M. Dewir Ibrahim , S. Abdelsalam Mohammed 
Published: July 2021

IntroductionAs one of the highly prevalent musculoskeletal disorders, low back pain incurs high medical care costs. Proprioceptive neuromuscular facilitation has been used in treating chronic low back pain. This study aimed to investigate the effects of multiple proprioceptive neuromuscular facilitation techniques on endurance of the trunk musculature, spinal mobility, and impairment of function in cases of chronic low back pain.MethodsPatients in this study were randomly assigned into 3 groups. Group A received rhythmic stabilization training, group B received a combination of isotonic exercises, while group C received a combination of both rhythmic stabilization training and combination of isotonic exercises. Trunk endurance was evaluated with trunk flexion and trunk extension endurance tests, spinal mobility was assessed with a modified Schober test, and functional impairment was measured with Oswestry Disability Index.ResultsANOVA showed significant differences (<i>p</i> < 0.05) among the groups after treatment in the measured outcomes. Tukey’s honest significant difference post-hoc test revealed a highly statistically significant improvement in the measured outcomes of group C in comparison with the other groups in the post-intervention conditions.ConclusionsThe application of the rhythmic stabilization training technique of proprioceptive neuromuscular facilitation followed by a combination of isotonic exercises was more effective than implementing either technique alone in the treatment of patients with chronic low back pain.
Efficacy of whole-body vibration on low bone density in post-burn patients
Authors: Galal Mahran Hesham 
Published: July 2021

IntroductionTo evaluate the effect of whole-body vibration on low bone mineral density in post-burn patients.MethodsThirty male post-burn patients were randomly divided into 2 groups. The study group received an intervention of whole-body vibration with following parameters: 30 Hz as vibration frequency, 4–7 mm as amplitude range, and 2.28 g as an acceleration, 3 times per week, 24 weeks, in addition to traditional physiotherapy (exercise program). The control group received traditional physiotherapy (exercise program) only. All patients in both groups were subjected to dual-energy X-ray absorptiometry before and after treatment to estimate the bone mineral density in the lumbar region.ResultsThere were significant increases in bone mineral density mean values in both groups (<i>p</i> < 0.05). Also, there was a significant increase in bone mineral density mean value in the study group compared with the control group (<i>p</i> < 0.05).ConclusionsWhole-body vibration may have a beneficial effect on low bone mineral density in post-burn patients.
Effectiveness of therapeutic suits and intensive suit trainings in individuals with cerebral palsy and other neurological disorders: a scoping review
Authors: Clemente Remón Ángel Luis , Agnieszka Panufnik Marta 
Published: July 2021

IntroductionThis review aims to find if there is any effectiveness in the application of therapeutic suits or intensive suit trainings or both together, among people with cerebral palsy and other pathologies.MethodsArticles published from 1997 to 2019 were reviewed. Fifteen articles met the inclusion criteria that involved: English, Spanish, or Polish language; published studies; studies about the effectiveness of suit therapies regardless of the used protocol (Adeli suit, Therasuit, Penguin suit, or suit therapy); studies conducted among people with cerebral palsy or other neurological disorders regardless of age, type of cerebral palsy, and severity level.ResultsThere were some positive effects in gross motor functions, functional gait, and joint mobility. However, the evidence was not clear and there were numerous factors that could have affected the results and produced methodological limitations.ConclusionsThe findings justify further exploration of the potential of suit therapies in people with cerebral palsy and other neurological disorders.
Impact of sensory processing dysfunction on fine motor skills in autism spectrum disorders
Authors: Muthusamy Rajeswari , Padmanabhan Ramachandran , Ninan Binu , Ganesan Sailakshmi 
Published: July 2021

IntroductionChildren with autism spectrum disorders predominantly exhibit social impairment but significant physical features are manifested as motor delays and deficits affecting their daily living. Though sensory integration is a basic component required for motor skills, the impact of sensory processing dysfunction on fine motor skills is not clear, which is explored in this study.MethodsThis cross sectional study was carried out in Vidya Sudha – school for children with special needs. Overall, 56 children diagnosed with autism spectrum disorders with the Childhood Autism Rating Scale were included in the study. Peabody Developmental Motor Scale-2 was used to assess the level of their fine motor skill, and the sensory profile served to evaluate their sensory processing dysfunction.ResultsPearson’s correlation showed a strong positive correlation between the fine motor quotient and auditory, visual, vestibular, and tactile processing, with <i>r</i> > 0.7 and <i>p</i> 0.05. Beta value of logistic regression of tactile, vestibular, and visual processing was 0.554, 0.288, and 0.191, respectively, which conveys that tactile dysfunction has a major impact, followed by vestibular and visual processing deficits.ConclusionsThe study concludes that tactile, vestibular, and visual sensory dysfunctions appear to influence the fine motor skills, with tactile dysfunction exerting a greater impact. The result strongly emphasizes that paediatric therapists should individualize treatment on the basis of sensory dysfunction, which should be considered and simultaneously addressed when training fine motor function and activities of daily living.
Efficacy of modified complex decongestive therapy on limb girth, skin thickness, and functional capacity in patients with lower limb secondary lymphoedema
Authors: Aboelmagd M Fatma , Abdelaal Mohamed Abdelaal Ashraf 
Published: July 2021

IntroductionLymphoedema is a serious health problem that impairs functional performance. The study aim was to explore the effects of modified complex decongestive therapy (MCDT) on lower limb oedema, skin layer thickness, and functional capacity in patients with unilateral lower limb secondary lymphoedema.MethodsOverall, 49 patients (30 women and 19 men) with unilateral lower limb secondary lymphoedema were divided into the MCDT group and the traditional physical therapy (TPT) group and received the assigned treatment for 8 weeks. Limb girth and skin layer thickness at 4 levels and functional capacity were measured before and after the programs with limb round measurements, ultrasonography, and the 6-minute walking test, respectively.ResultsThe oedema significantly decreased at the levels of 5th metatarsal head, medial malleolus, 20 cm below, and 20 cm above the patella by 19.2%, 28.34%, 16.57%, and 12.08% in the MCDT group and by 13.47%, 15.27%, 8.78%, and 7.15% in the TPT group. The skin thickness decreased significantly at the levels of foot, medial malleolus, mid-calf, and mid-thigh by 70.32%, 63.32%, 31.82%, and 15.46% in the MCDT group and by 54.4%, 37.26%, 21.02%, and 9.12% in the TPT group. The 6-minute walking test score increased significantly by 9.84% in the MCDT group and by 5.52% in the TPT group. The post-study results comparison of the 2 groups revealed statistically significant differences in all outcome measures (<i>p</i> > 0.05) in favour of the MCDT group.ConclusionsMCDT yielded higher significantly favourable effects than TPT in patients with lower limb secondary lymphoedema.
Effect of cold versus heat modalities on dynamic balance in healthy adolescents
Authors: F. Ahmed Yomna , M. Shafeek Marian , Abu El-Kasem Shimaa T. 
Published: July 2021

IntroductionMany adolescents are treated with cold or heat modalities before therapeutic exercise, but the difference between the effect of cold vs. heat on dynamic balance is not clear till now. The study aimed to determine the immediate effects of cold and heat modalities for ankle joint on dynamic balance and also to compare the impact of these modalities on dynamic balance.MethodsThe study involved 30 normal adolescents of both genders aged 13–18 years. The Biodex system was used for dynamic balance assessment in each participant under 3 conditions: (1) control condition: at room temperature; (2) immediately after a 15-minute cold immersion (5°C ± 1°C) for ankle joint; (3) immediately after a 15-minute heat immersion (40°C ± 5°C) for ankle joint. For randomization, the order of cold and heat modalities was chosen randomly by using a coin flip.ResultsMixed design MANOVA revealed statistically significant changes in dynamic balance, including overall stability (OAS), anteroposterior stability (AP), and mediolateral stability (ML) after cold modality and after heat modality (<i>p</i> ≤ 0.05). The pairwise comparison test to compare cold vs. heat modalities determined that OAS, AP, and ML were statistically significantly improved after heat modality in comparison with cold modality (<i>p</i> ≤ 0.05).ConclusionsDynamic balance could be altered immediately after cold or heat modalities. It improved after heat while decreased after cold modality in healthy adolescents.
Effectiveness of transcranial direct current stimulation on pain and function in knee osteoarthritis: a systematic review with meta-analysis based on PRISMA guidelines
Authors: Chaturvedi Rekha , Kulandaivelan Sivachidambaram , Joshi Shabnam 
Published: July 2021

IntroductionTo evaluate the effectiveness of transcranial direct current stimulation (tDCS) on pain and quality of life in patients with knee osteoarthritis (OA).MethodsThe meta-analysis data source were PubMed (MEDLINE) and Cochrane (Central). Randomized controlled trials comparing active tDCS (in combination with other interventions or alone in knee OA patients) with sham tDCS published in English till July 2019 were analysed. The outcome measures were pain intensity (visual analogue scale and numeric rating scale) and quality of life (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]). Mean difference with 95% confidence interval for the active tDCS and sham groups were investigated.ResultsFour articles with 171 patients were included in the qualitative systematic review and 2 articles with 55 patients were included in the quantitative meta-analysis. The results revealed a statistically significant reduction in pain (visual analogue scale) in the active tDCS group compared with the sham group (<i>Z</i> = 7.32, <i>p</i> < 0.00001) and a significant improvement in WOMAC scores (<i>Z</i> = 2.31, <i>p</i> = 0.02), with high heterogeneity of 83%.ConclusionsThere is a significant improvement in pain and function in patients with knee OA after the application of active tDCS either alone or in combination. However, more studies are required to confirm the effectiveness of tDCS in knee OA. Owing to the promising results of tDCS in various pain conditions and in knee OA, it can be seen as a future tool for managing pain in the field of physiotherapy.
A comparison of abdominal muscles fatigue in women after vaginal birth, women after caesarean section, and a control group. A pilot study
Authors: Kuciel Natalia , Mazurek Justyna , Sutkowska Edyta , Biernat Karolina , Pawik Łukasz 
Published: July 2021

IntroductionTo investigate fatiguability of abdominal muscles in women after natural childbirth and caesarean section compared with a control group in the prone bridge (plank) test.MethodsThe study involved 11 women after natural childbirth, 8 women after caesarean section, and 8 women who had not been pregnant and had not given birth. After completing a personal questionnaire and qualification in a functional examination, the participants performed the prone bridge (plank) test. A 4-lead surface electromyograph was used for the study of rectus abdominis muscles and internal oblique/transversus abdominis muscles.ResultsThere were no statistically significant differences between the right and left side of the body (<i>p</i> < 0.05). There were no differences in muscle fatigue parameters between the groups in the prone bridge test (<i>p</i> < 0.05).ConclusionsElectromyographic parameters of abdominal muscles fatigue are similar in women after natural childbirth, women after caesarean section, and those who have not given birth. Caesarean section in asymptomatic women does not affect the deterioration of abdominal muscle strength in plank exercise.
Effectiveness of sensory stimulation among children with impaired psychomotor development: a pilot study
Authors: Wójtowicz Dorota , Ptak Agnieszka , Świtkowska Sylwia , Stefańska Małgorzata 
Published: July 2021

IntroductionThe sense of balance, proprioception, and exteroception are key for healthy psychomotor development and proper functioning of human beings. Any disorders in this area may cause dysfunctions, problems with tactile stimuli perception and muscle tone regulation, as well as lack of motion and body awareness. The aim of the study was to evaluate the effectiveness of sensory integration therapy as a method of supporting psychomotor development in children residing in a long-term care and nursing home.MethodsThe study involved 16 children, randomly divided into 2 equal groups, permanently living in a long-term care and nursing home in Poland. None of the children was diagnosed with autism. The psychomotor development was evaluated with the Sensorimotor History Questionnaire (based on the questionnaire by Balzer-Martin) and the Southern California Postrotary Nystagmus Test by Ayres. The research was performed between October 1, 2016 and June 30, 2017. Each participant underwent the test twice – prior to the therapy and after 8 months of therapy.ResultsThere were significant changes in the psychomotor development in the treatment group in areas not correlated with the children’s age.ConclusionsThe therapy using the sensory integration approach can potentially support the development of children who are permanent residents of a long-term care and nursing home. The classic formula of the sensory integration therapy (i.e. 1 session per week) may be insufficient in the case of permanently institutionalized children. The study should be expanded and carried out in larger groups of children.
Evaluation of postural stability in girls and boys during the adolescence period
Authors: Burdacka Katarzyna , Chwała Wiesław , Walaszek Robert , Burdacki Marcin 
Published: July 2021

IntroductionThe purpose of the work was to assess the static and dynamic postural stability and to identify the risk of the locomotor system injuries in 14-year-old boys and girls.MethodsThe study involved a group of 40 girls and 43 boys aged 14 who regularly attended physical education classes, 4 hours per week. The examination of static balance was carried out with the modified version of the first test of the Eurofit Physical Fitness Test Battery – the Flamingo Balance Test, and dynamic balance assessments were performed with the Y-Balance Test by using a specially designed test tool, the so-called Y-Balance Test Kit. To differentiate between the higher and lower risk of a motor system injury, an index proposed by Butler was applied.ResultsWith respect to both static and dynamic balance, the results obtained by the studied girls did not differ statistically significantly from those of the studied boys.ConclusionsIn the group of girls, the index recommended by Butler was exceeded by 78% of the subjects for the left lower limb and by 80% of the subjects for the right one, while in the group of boys, the respective values were 74% and 79%. This indicates that the risk of a motor system injury among the study subjects was low.
Efficacy of class IV laser in the management of musculoskeletal pain:
a systematic review
Authors: de la Barra Ortiz Hernán Andrés , Acevedo Cangas Sebastián , Cumio Herrera Antonio , Oñate García Felipe , Velásquez Velásquez Sebastián 
Published: July 2021

IntroductionMusculoskeletal disorders (MSDs) are the main reason for disability in the world, causing pain and functional
loss. Class IV laser is a recent treatment proposed for pain reduction in MSDs, although studies supporting its use and dosage
are limited. The purpose of the paper was to describe the efficacy of class IV laser in the treatment of musculoskeletal pain.MethodsRandomized clinical trials were identified in the PubMed, Scopus, Web of Science, CINAHL, and ScienceDirect
databases by a search on August 31, 2020. Three independent investigators reviewed article titles and abstracts for eligibility.
Risk of bias and quality were evaluated with the Cochrane risk of bias tool and PEDro scale. Decreased pain was considered
the main outcome; range of motion, strength, or disability were secondary outcomes.ResultsA total of 50 articles were obtained after eliminating duplicates, reduced to 7 after selection criteria application. MSDs
included patellofemoral dysfunction (<i>n</i> = 1), epicondylitis (<i>n</i> = 1), osteoarthritis (<i>n</i> = 1), cervicalgia (<i>n</i> = 3), and lumbar radiculopathy (<i>n</i> = 1). The studies had a low risk of bias and a PEDro score greater than 7. Pain reduction was observed at the end of
laser treatments and in follow-up evaluations (<i>p</i> < 0.005); the decrease in disability favoured laser management (<i>p</i> < 0.005).ConclusionsClass IV laser is effective in reducing pain and improving function in patients with MSDs. Further research is
necessary to establish a consensus on the dosage and obtain more evidence in MSDs of non-articular origin.