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Shahla Najafi Doulatabad - One of the best experts on this subject based on the ideXlab platform.
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Comparing the effect of Cawthorne-Cooksey and Frenkel exercises on balance in patients with multiple sclerosis: a randomized controlled trial.
Clinical rehabilitation, 2017Co-Authors: Ardashir Afrasiabifar, Fatemeh Karami, Shahla Najafi DoulatabadAbstract:Objective:To evaluate the effect of Cawthorne–Cooksey and Frenkel exercises on balance in patients with multiple sclerosis.Design:It was a three-arm parallel randomized controlled trial study.Setting:Outpatient clinic.Subjects:Patients with multiple sclerosis.Interventions:Subjects in the intervention groups completed a 12-week program consisted of Cawthorne–Cooksey or Frenkel exercises. The control group only received routine care.Main measures:The outcome measure was the Berg Balance Scale.Results:Seventy-two patients completed the study. At the end of the intervention, there was a statistically significant improvement in Berg Balance Scale in the Cawthorne–Cooksey group (n = 24) in comparison with the other two groups (P = 0.001). In the Frenkel group (n = 23), the improvement was statistically greater than the changes in the control group (n = 25), but it did not appear to be clinically significant. The Berg Balance Scale score increased to 8.9 in the Cawthorne–Cooksey group and 2.3 in the Frenkel gro...
Marine Raquel Diniz Da Rosa - One of the best experts on this subject based on the ideXlab platform.
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Reabilitação vestibular em idosos com Parkinson
CEFAC Saúde e Educação, 2007Co-Authors: Zeigelboim,bianca Simone, Jurkiewicz,ari Leon, Marine Raquel Diniz Da RosaAbstract:OBJETIVO: verificar a efetividade dos exercícios de reabilitação vestibular (RV) por meio de avaliação pré e pós-aplicação do questionário Dizziness Handicap Inventory (DHI) - adaptação brasileira. MÉTODOS: avaliaram-se oito pacientes (três do sexo feminino e cinco do sexo masculino), na faixa etária de 48 a 71 anos, encaminhados da Associação Paranaense de Parkinson para o Laboratório de Otoneurologia da Universidade Tuiuti do Paraná. Os pacientes foram divididos em dois grupos e submetidos aos seguintes procedimentos: anamnese, avaliação otorrinolaringológica, avaliação vestibular por meio da vectoeletronistagmografia (VENG) e aplicação do questionário DHI - adaptação brasileira pré e pós RV utilizando-se os protocolos de Cawthorne e Cooksey (grupo A) e Herdman (grupo B). RESULTADOS: a) conforme as queixas otoneurológicas referidas na anamnese, observou-se a prevalência da tontura (100,0%), tremor (100,0%) e desvio de marcha (75,0&); b) no exame vestibular, todos os pacientes (100,0%) apresentaram alteração, sendo a maior freqüência das síndromes vestibulares periféricas deficitárias (62,5%); c) houve melhora significativa dos aspectos funcional (p = 0,020470) e emocional (p = 0,013631) após a realização dos exercícios de RV utilizando-se o protocolo de Cawthorne e Cooksey e do aspecto emocional (p=0,007316) utilizando-se o protocolo de Herdman. CONCLUSÃO: comparando-se os dois protocolos utilizados, verificou-se uma melhora significativa dos pacientes do grupo A, submetidos ao protocolo de Cawthorne e Cooksey (p=0.0231)
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Reabilitação vestibular em idosos com Parkinson Vestibular rehabilitation in elderly patients with Parkinson
CEFAC Saúde e Educação, 2007Co-Authors: Jackeline Martins-bassetto, Bianca Simone Zeigelboim, Ari Leon Jurkiewicz, Angela Ribas, Marine Raquel Diniz Da RosaAbstract:OBJETIVO: verificar a efetividade dos exercícios de reabilitação vestibular (RV) por meio de avaliação pré e pós-aplicação do questionário Dizziness Handicap Inventory (DHI) - adaptação brasileira. MÉTODOS: avaliaram-se oito pacientes (três do sexo feminino e cinco do sexo masculino), na faixa etária de 48 a 71 anos, encaminhados da Associação Paranaense de Parkinson para o Laboratório de Otoneurologia da Universidade Tuiuti do Paraná. Os pacientes foram divididos em dois grupos e submetidos aos seguintes procedimentos: anamnese, avaliação otorrinolaringológica, avaliação vestibular por meio da vectoeletronistagmografia (VENG) e aplicação do questionário DHI - adaptação brasileira pré e pós RV utilizando-se os protocolos de Cawthorne e Cooksey (grupo A) e Herdman (grupo B). RESULTADOS: a) conforme as queixas otoneurológicas referidas na anamnese, observou-se a prevalência da tontura (100,0%), tremor (100,0%) e desvio de marcha (75,0&); b) no exame vestibular, todos os pacientes (100,0%) apresentaram alteração, sendo a maior freqüência das síndromes vestibulares periféricas deficitárias (62,5%); c) houve melhora significativa dos aspectos funcional (p = 0,020470) e emocional (p = 0,013631) após a realização dos exercícios de RV utilizando-se o protocolo de Cawthorne e Cooksey e do aspecto emocional (p=0,007316) utilizando-se o protocolo de Herdman. CONCLUSÃO: comparando-se os dois protocolos utilizados, verificou-se uma melhora significativa dos pacientes do grupo A, submetidos ao protocolo de Cawthorne e Cooksey (p=0.0231).PURPOSE: to check the effectiveness of vestibular rehabilitation exercises (RV) by means of an evaluation of a pre and post application of the Dizziness Handicap Inventory (DHI) questionnaire (Brazilian version). METHODS: eight patients were evaluated (three female and five male), in the age group varying from 48 to 71, referred from the Paraná Association of Parkinson to the Otoneurological Laboratory of Tuiuti University of Paraná. The patients were divided in two groups and submitted to the following procedures: anamnesis, otorhinolaryngological evaluation, vestibular evaluation through vectoelectronystagmography (VENG) and an application of DHI questionnaire (Brazilian version) before and after RV, using Cawthorne and Cooksey (group A) and Herdman (group B) protocols. RESULTS: a) regarding the otoneurological complaints referred to in the anamnesis, the prevalence of dizziness (100.0%), trembling (100.0%) and deviation during walking (75.0%) were observed; b) In the vestibular exam, all patients (100.0%) presented alterations, with the largest incidence being the deficient peripheral vestibular syndromes (62.5%); c) There was significant improvement of the functional (p = 0,020470) and emotional (p = 0,013631) aspects after accomplishing the RV exercises using the Cawthorne and Cooksey protocol and of the emotional aspect (p=0,007316) using Herdman protocol. CONCLUSION: comparing the two protocols used, a significant improvement of group A patients, submitted to the protocol of Cawthorne and Cooksey (p=0.0231), was confirmed
Ardashir Afrasiabifar - One of the best experts on this subject based on the ideXlab platform.
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Comparing the effect of Cawthorne-Cooksey and Frenkel exercises on balance in patients with multiple sclerosis: a randomized controlled trial.
Clinical rehabilitation, 2017Co-Authors: Ardashir Afrasiabifar, Fatemeh Karami, Shahla Najafi DoulatabadAbstract:Objective:To evaluate the effect of Cawthorne–Cooksey and Frenkel exercises on balance in patients with multiple sclerosis.Design:It was a three-arm parallel randomized controlled trial study.Setting:Outpatient clinic.Subjects:Patients with multiple sclerosis.Interventions:Subjects in the intervention groups completed a 12-week program consisted of Cawthorne–Cooksey or Frenkel exercises. The control group only received routine care.Main measures:The outcome measure was the Berg Balance Scale.Results:Seventy-two patients completed the study. At the end of the intervention, there was a statistically significant improvement in Berg Balance Scale in the Cawthorne–Cooksey group (n = 24) in comparison with the other two groups (P = 0.001). In the Frenkel group (n = 23), the improvement was statistically greater than the changes in the control group (n = 25), but it did not appear to be clinically significant. The Berg Balance Scale score increased to 8.9 in the Cawthorne–Cooksey group and 2.3 in the Frenkel gro...
Ariela Torres Cruz - One of the best experts on this subject based on the ideXlab platform.
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a influencia do protocolo de reabilitacao de Cawthorne e cooksey no equilibrio de idosas
Ciência & Saúde, 2016Co-Authors: Juliana De Oliveira Souza, Ariela Torres CruzAbstract:Objective: This study aimed to evaluate the influence of Cawthorne and Cooksey rehabilitation protocol in the balance of institutionalized elderly women. Materials and Methods: Randomized controlled clinical trial. After checking the inclusion and exclusion criteria, 10 elderly women, aged 60 to 88 years, were randomly chosen and divided into two groups: five elderly women in the experimental group (GE), submitted the rehabilitation protocol of Cawthorne and Cooksey, and five in the control group (GC), who did not receive the proposed treatment. Both groups were evaluated before and after three months of treatment by the Berg Balance Scale (BBE). Following the evaluation, the elderly women of the GE were submitted individually to 32 sessions of rehabilitation using the protocol of Cawthorne and Cooksey, conducted 2 times per week, for a period of three months, lasting 50 minutes each. Results: It was found that there was an increase in BBE score of the GE (p=0.0008) compared to GC (p=0.0486) and, consequently, a decrease in the likelihood of falls. Conclusion: The results of this study shows that the Cawthorne and Cooksey rehabilitation protocol was able to improve the balance of institutionalized elderly women who participated in the study.
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A influência do protocolo de reabilitação de Cawthorne e Cooksey no equilíbrio de idosas The influence of Cawthorne and Cooksey rehabilitation protocol in balance of elderly women
2016Co-Authors: Juliana De Oliveira Souza, Ariela Torres CruzAbstract:Objective: This study aimed to evaluate the influence of Cawthorne and Cooksey rehabilitation protocol in the balance of institutionalized elderly women. Materials and Methods: Randomized controlled clinical trial. After checking the inclusion and exclusion criteria, 10 elderly women, aged 60 to 88 years, were randomly chosen and divided into two groups: five elderly women in the experimental group (GE), submitted the rehabilitation protocol of Cawthorne and Cooksey, and five in the control group (GC), who did not receive the proposed treatment. Both groups were evaluated before and after three months of treatment by the Berg Balance Scale (BBE). Following the evaluation, the elderly women of the GE were submitted individually to 32 sessions of rehabilitation using the protocol of Cawthorne and Cooksey, conducted 2 times per week, for a period of three months, lasting 50 minutes each. results: It was found that there was an increase in BBE score of the GE (p=0.0008) compared to GC (p=0.0486) and, consequently, a decrease in the likelihood of falls. conclusion: The results of this study shows that the Cawthorne and Cooksey rehabilitation protocol was able to improve the balance of institutionalized elderly women who participated in the study.
John D Holden - One of the best experts on this subject based on the ideXlab platform.
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hawthorne effects and research into professional practice
Journal of Evaluation in Clinical Practice, 2001Co-Authors: John D HoldenAbstract:The Hawthorne studies in the 1930s demonstrated how difficult it is to understand workplace behaviour, and this includes professional performance. Studies of interventions to improve professional performance, such as audit, can provide useful information for those considering using such methods, but cannot replace judgement. In particular, there is no single phenomenon that can be labelled 'the Hawthorne effect'. The process of triangulation, considering a subject from different perspectives, might overcome the problems of Hawthorne effects better than using a single method such as controlled trials.