The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Sylvie Le May - One of the best experts on this subject based on the ideXlab platform.
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effects of a projector based hybrid virtual reality on pain in young children with burn injuries during Hydrotherapy sessions a within subject randomized crossover trial
Burns, 2020Co-Authors: Christelle Khadra, Ariane Ballard, David Paquin, Casey Cotesturpin, Hunter G Hoffman, Isabelle Perreault, Jeansimon Fortin, Stephane Bouchard, Jean Theroux, Sylvie Le MayAbstract:Abstract Aim The aim of this study was to examine the effect of a water-friendly Projector-Based Hybrid Virtual Reality (VR) dome environment combined with standard pharmacological treatment on pain in young children undergoing burn wound care in Hydrotherapy. Methods This study was a prospective, within-subject crossover trial of 38 children aged 6 months to 7 years old (mean age = 1.8 years old). Each Hydrotherapy procedure was divided into two equivalent wound care segments (No hybrid VR during one segment vs. Hybrid VR during the other segment, treatment order was randomized). Pain was measured using the 0–10 FLACC (Face, Legs, Activity, Cry Consolability scale) and the 0–10 NRS-obs (Numerical Rating Scale-obs). Results Projector-Based Hybrid VR significantly reduced procedural pain levels measured by the FLACC (p = 0.026) and significantly increased patients' comfort levels (p = 0.002). Patients' pain levels rated by the nurses using the NRS-obs were non-significant between both groups (p = 0.135). No side effects were reported. Conclusion Projector-Based Hybrid VR helped in reducing the pain related to Hydrotherapy procedures in young children with burn wound injuries. This is the first study using virtual reality distraction with young children, and our findings are especially important because a large percentage of pediatric burn patients are very young. Additional research and development are recommended. Trial registration ClinicalTrials.gov, NCT02986464 , registered on June 12, 2016.
Naiem Moiemen - One of the best experts on this subject based on the ideXlab platform.
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Hydrotherapy in burn care a survey of Hydrotherapy practices in the uk and ireland and literature review
Burns, 2014Co-Authors: Jenna Langschmidt, Paul L Caine, Christopher M Wearn, Amy Bamford, Yvonne Wilson, Naiem MoiemenAbstract:a b s t r a c t Introduction: Hydrotherapy is widely used in burns management however there are risks associated with its use, in particular cross-infection. Data regarding indications and tech- niques in common use is deficient. This study aimed to investigate Hydrotherapy practices in the UK and Ireland. Methods: A survey of the Hydrotherapy practice of major burn care providers was performed by e mail and where necessary, follow up telephone contact. Results: The survey included 28 burn care providers. 27 reported using Hydrotherapy. Only 11 (41%) had defined indication criteria with 4 (15%) implementing a specific protocol. Variations in Hydrotherapy practice were seen. Conclusion: Hydrotherapy is used nationwide, however considerable variation in practice exists. One area worthy of further consideration is the need for appropriate standards of infection control.
Kinanti, Rias Gesang - One of the best experts on this subject based on the ideXlab platform.
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PENGARUH LATIHAN Hydrotherapy UNTUK MENINGKATKAN KECEPATAN BERJALAN PADA ANAK CEREBAL PALSY SPASTIC DIPLEGIA DI YPAC KOTA MALANG
'State University of Malang (UM)', 2019Co-Authors: Hariyati Hariyati, Raharjo Slamet, Kinanti, Rias GesangAbstract:Abstract: The purpose of this research is to find out 1) the effect of Hydrotherapy exercise on increasing the running speed in CP Spastic Diplegia students of SMPLB in YPAC Malang, and 2) factors influencing the running speed in CP Spastic Diplegia child. This research uses quantitative qualitative approach, data collection technique through observation, test walk 10meter walk test, and documentation. Results: 1) there is the effect of Hydrotherapy exercise to increase the walking speed of spastic cerebral palsy diplegia 2) the speed of walking speed of cerebral palsy children can be improved through Hydrotherapy exercise. The conclusion of the research results showed that Hydrotherapy exercise can improve the speed of walking CP Spastic Diplegia child.Keywords: cerebral palsy spastic diplegia, Hydrotherapy exercise, walking speedAbstrak: Tujuan penelitian ini untuk mengetahui 1) pengaruh latihan Hydrotherapy terhadap peningkatan kecepatan berjalan pada anak CP Spastic Diplegia siswa SMPLB di YPAC Kota Malang, dan 2) faktor-faktor yang mempengaruhi kecepatan berjalan pada anak CP Spastic Diplegia. Penelitian ini menggunakan pendekatan kualitatif kuantitatif, teknik pengumpulan data melalui observasi, tes berjalan 10meter walk test, dan dokumentasi. Hasil penelitian: 1) ada pengaruh latihan Hydrotherapy untuk meningkatkan kecepatan berjalan anak cerebral palsy spastic diplegia 2) kemampuan kecepatan berjalan anak cerebral palsy dapat ditingkatkan melalui latihan Hydrotherapy.Kesimpulan dari hasil penelitian menunjukan bahwa latihan Hydrotherapy dapat meningkatkan kecepatan berjalan anak CP Spastic Diplegia.Kata Kunci: cerebal palsy spastic diplegia, latihan Hydrotherapy, kecepatan berjalan
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PENGARUH Hydrotherapy TERHADAP PENINGKATAN GERAK SENDI LUTUT PADA CEREBAL PALSY SPASTIC DIPLEGIA DI YPAC KOTA MALANG
'State University of Malang (UM)', 2019Co-Authors: Artistiyanto Himawan, Raharjo Slamet, Kinanti, Rias GesangAbstract:This study aims to determine the effect of Hydrotherapy to increasemovement of articulation genu at cerebal palsy spastic diplegia. This research usingExperimental with Single Subjek Research method and A-B design. The samplecontain of one children with cerebal palsy spatic diplegia which the treatment isfloating in the pool with 35-60 minutes in duration and three times every week infrequency through 12 times meeting. The movement of articulation genu will bemeasured after training program has done. The sample analyzation using SSR methodand the instrument that used is Goneometer with stabilization criteria are 15%. Andthe conclusion, there is a significant improvement at the articulation of genu afterhaving a treatment
Jost Langhorst - One of the best experts on this subject based on the ideXlab platform.
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A Systematic Overview of Reviews for Complementary and Alternative Therapies in the Treatment of the Fibromyalgia Syndrome
Hindawi Limited, 2015Co-Authors: Romy Lauche, Winfried Hauser, Gustav Dobos, Holger Cramer, Jost LanghorstAbstract:Objectives. This systematic overview of reviews aimed to summarize evidence and methodological quality from systematic reviews of complementary and alternative medicine (CAM) for the fibromyalgia syndrome (FMS). Methods. The PubMed/MEDLINE, Cochrane Library, and Scopus databases were screened from their inception to Sept 2013 to identify systematic reviews and meta-analyses of CAM interventions for FMS. Methodological quality of reviews was rated using the AMSTAR instrument. Results. Altogether 25 systematic reviews were found; they investigated the evidence of CAM in general, exercised-based CAM therapies, manipulative therapies, Mind/Body therapies, acupuncture, Hydrotherapy, phytotherapy, and homeopathy. Methodological quality of reviews ranged from lowest to highest possible quality. Consistently positive results were found for tai chi, yoga, meditation and mindfulness-based interventions, hypnosis or guided imagery, electromyogram (EMG) biofeedback, and balneotherapy/Hydrotherapy. Inconsistent results concerned qigong, acupuncture, chiropractic interventions, electroencephalogram (EEG) biofeedback, and nutritional supplements. Inconclusive results were found for homeopathy and phytotherapy. Major methodological flaws included missing details on data extraction process, included or excluded studies, study details, and adaption of conclusions based on quality assessment. Conclusions. Despite a growing body of scientific evidence of CAM therapies for the management of FMS systematic reviews still show methodological flaws limiting definite conclusions about their efficacy and safety
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efficacy of Hydrotherapy in fibromyalgia syndrome a meta analysis of randomized controlled clinical trials
Rheumatology, 2009Co-Authors: Jost Langhorst, Frauke Musial, Petra Klose, Winfried HauserAbstract:reduction of pain (SMD � 0.78; 95% CI � 1.42, � 0.13; P <0.0001) and improved health-related quality of life (HRQOL) (SMD � 1.67; 95% CI � 2.91, � 0.43; P ¼0.008) at the end of therapy. There was moderate evidence that the reduction of pain (SMD � 1.27; 95% CI � 2.15, � 0.38; P ¼0.005) and improvement of HRQOL (SMD � 1.16; 95% CI � 1.96, � 0.36; P ¼0.005) could be maintained at follow-up (median 14 weeks). Conclusions. There is moderate evidence that Hydrotherapy has short-term beneficial effects on pain and HRQOL in FMS patients. There is a risk to over-estimate the effects of Hydrotherapy due to methodological weaknesses of the studies and to small trials included in
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thermal Hydrotherapy improves quality of life and hemodynamic function in patients with chronic heart failure
American Heart Journal, 2003Co-Authors: Andreas Michalsen, Rainer Ludtke, Malte Buhring, Gunther Spahn, Jost Langhorst, Gustav DobosAbstract:Abstract Background Chronic heart failure is characterized by increased peripheral vascular resistance and reduced peripheral perfusion due to adrenergic and renin angiotensin activation and impaired endothelial function. Recent studies have shown that nonpharmacological peripheral vasodilation with thermal therapy by means of warm-water baths and sauna has beneficial effects in chronic heart failure. European Hydrotherapy (according to Kneipp) additionally uses short cold water stimuli, which lead to prolonged vasodilation and adaptive responses. Studies on the efficacy of Hydrotherapy in chronic heart failure are lacking. Methods We studied 15 patients (5 men, 10 women, mean (± SD) age 64.3 ± 1.8 years) with mild chronic heart failure (NYHA functional class II to III, ejection fraction 30%–40%). Patients were randomly assigned to 6 weeks of intensive home-based Hydrotherapy or 6 weeks restriction in a crossover intervention trial. Quality of life and heart-failure–related symptoms were assessed by means of a validated questionnaire (PLC). Graded bicycle exercise test with incremental workloads (0, 50, 75, 100 watts) was performed at the end of each treatment period. The hydrotherapeutic program consisted of a structured combination of daily home-based external warm- and cold-water applications. Results Baseline characteristics were balanced between the groups. With Hydrotherapy, a significant (P ≤ .05) improvement in 3 of 6 dimensions of quality of life (mood, physical capacity, enjoyment) and a significant reduction in heart-failure–related symptoms was found. Heart rates at rest and at 50-Watt workload were significantly reduced by Hydrotherapy; blood pressure decreased nonsignificantly at rest and during exercise. The hydrotherapeutic treatment was well accepted and no relevant adverse effects were observed. Conclusions A home-based hydrotherapeutic thermal treatment program improves quality of life, heart-failure–related symptoms and heart rate response to exercise in patients with mild chronic heart failure. The results of this investigation suggest a beneficial adaptive response to repeated brief cold stimuli in addition to enhanced peripheral perfusion due to thermal Hydrotherapy in patients with chronic heart failure.
Geunyoung Park - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of Hydrotherapy on balance and paretic knee strength in patients with stroke a systematic review and meta analysis of randomized controlled trials
American Journal of Physical Medicine & Rehabilitation, 2020Co-Authors: Choong Sik Chae, Ji Hyun Jun, Yongjun Jang, Geunyoung ParkAbstract:Objective The aim of the study was to compare the effects of Hydrotherapy and land-based conventional therapy on postural balance and knee strength in stroke patients. Designs A comprehensive search was done via databases (PubMed, EMBASE, and Web of Science) until April 12, 2019, to select randomized controlled trials. The methodological quality was assessed by the PEDro scale. Berg Balance Scale was pooled as the primary outcome and Forward Reach Test, Timed Up and Go test, and paretic knee flexor and knee extensor torque as secondary outcomes. Results Eleven articles were included. Pooled results showed that Hydrotherapy was more beneficial in stroke patients on Berg Balance Scale (mean difference = 1.60, 95% confidence interval = 1.00 to 2.19), Forward Reach Test (mean difference = 1.78, 95% confidence interval = 0.73 to 2.83), Timed Up and Go test (mean difference = -1.41, 95% confidence interval: -2.44 to 0.42), and knee extensor torque (mean difference = 6.14, 95% confidence interval = 0.59 to 11.70) than conventional therapy. In subgroup analysis according to stroke-onset duration, Hydrotherapy for chronic stroke patients exhibited significant effectiveness on Berg Balance Scale (mean difference = 1.61, 95% confidence interval = 1.00-.21); no significant effect was observed in subacute stroke patients (mean difference = 1.04, 95% confidence interval = -2.62 to 4.70). Conclusion Stroke patients showed improvement in postural balance and paretic knee extensor strength with Hydrotherapy. Hydrotherapy exhibited significant effects on improving postural balance in chronic patients than in subacute patients.
