Assessments and treatments in physiotherapy

G. Sundelin
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Abstract

emphasize that further studies are needed to establish the relationship between EMG muscle rest and the subject ’ s perceived muscle tension. A comparison of HR measured by Polar RS400 and ECG, validity and repeatability is reported by Engstr ö m and co-workers from Lund, Sweden. Healthy subjects performed a cycle ergometer test for 5 min on loads of 50, 100 and 150 W. HR was measured with both EEG and Polar RS400 simultaneously. The results showed a high and signifi cant correlation, ranging from 0.97 to 1.00 between the two measurement tools. In repeated tests, the mean difference in HR between tests and between measurement equipment was low and non-signifi cant. The authors conclude that the Polar RS400 is well suited for recording HR during physical activity and exercise. Bembalgi and Naik from India studied galvanic skin resistance (GSR) biofeedback in a tension-type headache – a comparison between auditory, visual and combined feedback GSR – in a randomized controlled trial. They recruited 143 patients to the three above-mentioned biofeedback treatment groups and to a control group. Pain variables, consumption of analgesics and quality of life scores were evaluated at baseline and at 6 months follow-up. All three forms of bio-feedback were effective in treatment of tension-type headache. Combined GSR biofeedback seemed to be slightly more effective compared with auditory or visual feedback. A case report is presented by Dal é n and co-workers from Karolinska Institutet, Sweden, on the effects on BMC in children with severe cerebral palsy (CP) by use of a standing shell, mounted on a vibrating platform. Four children with CP participated; two used the platform for 8 – 9 months, while two were controls. A switch was done after 1 year. Dual-energy X-ray absorptiometry was performed and a change in BMC values was seen at the lumbar spine after standing on the vibrating platform. The children reacted positively to the vibrating platform, which may be an enjoyable method to increase BMC in children with severe CP. EDITORIAL
物理治疗的评估和治疗
强调肌电图肌肉休息与受试者感知肌肉紧张之间的关系需要进一步的研究。来自瑞典隆德的Engstr ö及其同事报道了Polar RS400和ECG测量的HR,有效性和可重复性的比较。健康受试者在50w、100w和150w的负荷下进行5min的循环测力仪测试。同时用EEG和Polar RS400测量心率。结果显示,两种测量工具之间存在高度且显著的相关性,其范围为0.97至1.00。在重复测试中,测试之间和测量设备之间的平均HR差异很低且不显著。作者得出结论,Polar RS400非常适合记录体力活动和锻炼期间的HR。来自印度的Bembalgi和Naik在一项随机对照试验中研究了紧张型头痛的皮肤电阻抗(GSR)生物反馈——听觉、视觉和联合反馈GSR之间的比较。他们招募了143名患者到上述三个生物反馈治疗组和一个对照组。在基线和6个月随访时评估疼痛变量、镇痛药的使用和生活质量评分。三种形式的生物反馈治疗紧张性头痛均有效。综合GSR生物反馈似乎比听觉或视觉反馈更有效。来自瑞典卡罗林斯卡学院的Dal n和他的同事发表了一份病例报告,报告了使用一个安装在振动平台上的站立壳对严重脑瘫(CP)儿童BMC的影响。4名患有CP的儿童参与了研究;其中2人使用该平台8 - 9个月,另外2人作为对照组。1年后进行了一次转换。双能x线吸收仪显示,站立在振动平台上后,腰椎BMC值发生变化。儿童对振动平台反应积极,这可能是增加重度CP儿童BMC的一种愉快的方法
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