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Balance BoosterBlog
By admin Blog

Preoperative Rehabilitation in Patients Planning for Joint Replacement Surgery for Better Outcomes.

The clinical influence of the preoperative and postoperative therapies for recovery after the joint replacement surgery is still questionable. A research study focuses on analyzing the clinical effects of preoperative rehabilitation among the patients who are planning to opt for joint replacement surgery for enhanced results. Functional scores, postoperative pain, recovery time, length of hospital stay, and quality of life were studied. The total numb Long-term outcomes were not affected by the preoperative rehabilitation. Though there was a slight improvement in early postoperative pain, this is not much of clinical significance. Existing evidence suggests that preoperative rehabilitation may slightly improve early postoperative pain and function among patients undergoing joint replacement; however, effects remain too small and short-term to be considered clinically important and did not affect key outcomes of interest (ie, length of stay, quality of life, costs).

By admin Blog ,

Adapted Boxing Provides Innovative Treatment for Parkinson’s Disease (PD)

When asked how her family responded when she told them she was boxing for her Parkinson disease, 80-plus-year-old Maxine replied with a sly smirk of confidence, “They used to laugh, but they don’t laugh anymore.”

Maxine has been fighting back against her PD with a boxing-based, noncontact exercise curriculum developed at Rock Steady Boxing in Indianapolis. Her PD symptoms and, more important, her quality of life have improved significantly since starting her boxing training.

Although there is a lot of anecdotal evidence that promotes Rock Steady Boxing, there have only been two small trials that sought to examine the clinical benefits of Rock Steady Boxing. In one study, 31 people with PD were assigned to either a boxing exercise training or traditional exercise for 24-36 sessions, each lasting 90 minutes over 12 weeks. Participants were tested before and after completion of training on measures of balance, balance confidence, mobility, gait velocity, gait endurance, and quality of life. Although the researchers state that their original hypothesis was that boxing would lead to greater improvements than traditional exercise, the study did not bear that out. Both groups demonstrated gains on multiple measures. No outcome measure demonstrated a significant difference between groups except for balance confidence which favored the traditional exercise group. Even though boxing was not shown to be better than traditional exercise, it did improve important measures of fitness.

In a second trial, six people with PD attended 24-36 boxing training sessions, each lasting 90 minutes over 12 weeks. Outcome measures of balance, mobility and quality of life were assessed at 12, 24, and 36 weeks. Each of the participants showed improvement on at least five of the 12 outcome measures at 12 weeks, which was sustained at 24 and 36 weeks.

Larger trials are needed to fully understand the effects of Rock Steady Boxing on PD and how it compares to other exercise modalities.

By admin Blog ,

Is exercise an effective therapy to treat long-lasting low back pain?

Long-lasting (chronic) low back pain is a common cause of disability across the world and is expensive in terms of healthcare costs and lost working hours. Exercise therapy aims to increase muscle and joint strength and improve muscle function and range of motion. This should reduce pain and disability, and speed recovery and return to usual activities. Exercise therapies are designed or prescribed by health professionals and cover a range of exercise types, durations, and delivery methods. Examples of exercise therapies include general physical fitness programs delivered in a group setting, aerobic exercise in the form of walking programs, and strengthening of specific muscles or groups of muscles to increase core stability.

Exercise probably reduces pain compared to no treatment, usual care or placebo in people with long-lasting (chronic) low back pain. Exercise may reduce pain and improve disability compared to common treatments such as electrotherapy or education. Research study suggests moderate-certainty evidence that exercise is probably effective for treatment of chronic low back pain compared to no treatment, usual care or placebo for pain. The observed treatment effect for the exercise compared to no treatment, usual care or placebo comparisons is small for functional limitations, exercise to have improved pain (low-certainty evidence) and functional limitations outcomes (moderate-certainty evidence) compared to other conservative treatments; however, these effects were small and not clinically important when considering all comparisons together. Subgroup analysis suggested that exercise treatment is probably more effective than advice or education alone, or electrotherapy, but with no differences observed for manual therapy treatments.