Objective: To compare the efficacy of interferential current (IFC) therapy combined with quadriceps strengthening exercise versus sham IFC plus exercise for pain relief and functional improvement in patients with knee osteoarthritis.
Study Design: Double-blind randomised controlled trial.
Setting: Outpatient rehabilitation clinic.
Introduction: Appropriate care and rehabilitation following surgery for fragility hip fractures in older adults is associated with better outcomes and a greater likelihood of achieving pre-injury functioning. Clinical guidelines specifically for the post-operative care and rehabilitation of patients with hip fractures are scarce; as such, country-specific protocols benchmarked against established guidelines are essential given the wide variation in cultures and beliefs, clinical practice and diverse healthcare systems in Asia. We aimed to provide clinically relevant recommendations for post-operative fragility hip fracture care and rehabilitation to improve patient outcomes and prevent subsequent fractures in Thailand.
View Article and Find Full Text PDFObjectives: The Thai Osteoporosis Foundation (TOPF) is an academic organization that consists of a multidisciplinary group of healthcare professionals managing osteoporosis. The first clinical practice guideline for diagnosing and managing osteoporosis in Thailand was published by the TOPF in 2010, then updated in 2016 and 2021. This paper presents important updates of the guideline for the diagnosis and management of osteoporosis in Thailand.
View Article and Find Full Text PDFObjective: To investigate improvement in balance abilities compared between walking meditation and balance training among older adults with history of fall.
Interventions: Walking meditation or mindfulness meditation whilst standing and moving ( = 35) or balance training ( = 33) 20-30 min/day, 5-7 days/week for 24 weeks was performed at home.
Main Outcomes: The primary outcomes were dynamic balance abilities as assessed by Timed Up and Go test (TUGT), and static balance as assessed by Functional Reach Test (FRT) and Single Leg Stance Test (SLST).
Int J Rehabil Res
September 2021
Low muscle mass is a common condition among older adults that adversely affects strength, physical performance and quality of life. This study aimed to investigate the efficacy and safety of a simple home-based resistance exercise program for older adults with low muscle mass, which was defined as appendicular skeletal mass (ASM) measured by bioimpedance analysis lower than 5.7 kg/m2 in females, and lower than 7.
View Article and Find Full Text PDFObjectives: To identify factors that are independently related to interrupted stroke rehabilitation due to acute care transfer or death.
Methods: Medical records of stroke inpatients admitted from 2012 to 2017 were reviewed. Stroke inpatients with interrupted stroke rehabilitation due to acute care transfer or death were enrolled into the case group.
Background And Aim: Stroke is one of the leading causes of death, physical disability, and economic burden. Nowadays, various types of rehabilitation are available. Rehabilitation centers in Thailand provide services in different ways, including starting time, duration, and frequency of each therapy.
View Article and Find Full Text PDFObjective: To compare the efficacy of therapeutic ultrasound combined with transcutaneous electrical nerve stimulation versus therapeutic ultrasound alone for pain relief and functional improvement in patients with symptomatic knee osteoarthritis.
Design: Randomized controlled trial (blinded assessor).
Setting: Outpatient.
Physical frailty and cognitive impairment are risk factors for adverse outcomes in older people with osteoarthritis of the knee (knee OA). This cross-sectional study was conducted to determine the prevalence and associated factors of frailty and cognitive frailty among community-dwelling older patients with knee OA in four representative cities of Thailand. Data composed of three parts, Part 1: Demographic data, Part 2: The assessment of frailty by Fried phenotype and cognitive function by MiniCog and Part 3: The assessment of factors associated with frailty.
View Article and Find Full Text PDFClin Rehabil
January 2019
Objective:: To investigate the efficacy of a four-week underwater treadmill exercise regimen compared to a home exercise regimen relative to pain relief and functional improvement in obese patients with knee osteoarthritis.
Design:: Single-blind randomized controlled trial.
Setting:: Outpatient.
Purpose: To study the prevalence of depression at 12 months after stroke and to analyze factors associated with depression.
Methods: This prospective cross-sectional study was conducted among nine tertiary hospitals in Thailand. Stroke patients from the Thai Stroke Rehabilitation Registry who were admitted in inpatient rehabilitation wards were recruited for evaluation at the 12-month follow-up time point.
Background: Swallowing problems are a common symptom in patients suffering from stroke. The severity of swallowing problems associate with age, stroke types, and brain lesion. Early recognition of the problem can prevent complications such as aspiration pneumonia, and malnutrition.
View Article and Find Full Text PDFBackground: Sarcopenia is one of common problems among elderly worldwide.
Objectives: Sarcopenia is one of common problems among elderly worldwide. To determine the prevalence of sarcopenia and related factors in community-dwelling elders Thai population.
Purpose To investigate motor recovery of stroke patients 1 year after rehabilitation. Materials and Methods A cross-sectional study of 192 stroke patients discharged from rehabilitation wards in nine tertiary hospitals was conducted. Motor recovery was assessed using the Brunnstrom motor recovery stages (BMRS), at 6 and 12 months after discharge.
View Article and Find Full Text PDFObjective: To examine the efficacy of creative art therapy plus conventional physical therapy, compared with physical therapy only, in increasing cognitive ability, physical functions, psychological status and quality of life of stroke patients.
Design: Randomized controlled trial with blinded assessor.
Setting: An in-patient setting PARTICIPANTS: One hundred and eighteen stroke patients aged ⩾50 years who could communicate verbally.
J Med Assoc Thai
March 2015
Background: This study aims to preliminarily evaluate effect on physical properties of shoulder joints and cognitive function after practicing Rue-si-dad-ton, a Thai traditional exercise using the postures of the hermit doing body contortion which still lacks systematically conducted evidence-based regarding its benefits.
Material And Method: Thirty-seven participants who have routinely worked on computer at least 3 hours per day were recruited and randomized into intervention (n = 19) or control group (n = 18). Physical effect on shoulder joints was evaluated by measuring shoulder range of motion (ROM) and evaluating shoulder function with the American Shoulder & Elbow Surgeons Standardized Shoulder Assessment Form.
Objective: To determine the effectiveness of neck and shoulder stretching exercises for relief neck pain among office workers.
Design: Randomized controlled trial.
Setting: An outpatient setting.
Purpose: To study the efficacy of traditional Thai massage (TTM) versus conventional physical therapy (PT) programs in treating muscle spasticity, functional ability, anxiety, depression, and quality of life (QoL) in Thai stroke patients.
Methods: This randomized controlled trial with a blinded assessor was carried out at the Department of Rehabilitation Medicine, Siriraj Hospital (Bangkok, Thailand). The study included 50 stroke (onset ≥ 3 months) outpatients experiencing spasticity at the elbow or knee muscles at a grade of ≥ 1+ on the modified Ashworth Scale who were ≥ 50 years old and able to communicate.
Objective: To study the mobility status of stroke patients at 1-year after discharge from inpatient stroke rehabilitation. The factors associated with walking ability at 1-year were also explored
Material And Method: A multicenter prospective study of 327 stroke patients from the Thai Stroke Rehabilitation Registry (TSRR) were followed-up at 1-year after discharge from inpatient rehabilitation. Based on the Modified Barthel Index, the stroke patients who had mobility score either 2 or 3 were classified as ambulators.
Objective: To determine the efficacy and safety of Curcuma domestica extracts in pain reduction and functional improvement.
Methods: 367 primary knee osteoarthritis patients with a pain score of 5 or higher were randomized to receive ibuprofen 1,200 mg/day or C. domestica extracts 1,500 mg/day for 4 weeks.
Background: Stroke-related complications are barriers to patients' recovery leading to increasing morbidity, mortality, and health care costs, decreasing patient's quality of life. The purpose of this study was to quantify incidence and risk factors of stroke-related complications during the first year after discharge from rehabilitation ward.
Methods: A prospective observational study was conducted in nine tertiary-care rehabilitation centers.
Objective: To study the effectiveness of simply-performed balancing exercises in fall prevention.
Design: Pre- and post-trial.
Setting: University hospital from January 2009 to May 2010.
Objectives: The objectives of this study were to determine the efficacy and safety of Derris scandens Benth extracts in pain reduction and functional improvement in patients with knee osteoarthritis (OA).
Design: This was a prospective, randomized, controlled trial, single-blinded (assessor).
Settings: The study was conducted at the Rehabilitation Medicine Department, Siriraj Hospital.