Day 2 :
- Neurological Rehabilitation | Physical Agents in Rehabilitation | Neuromuscular Medicine | Pain Medicine | Brain Injury | Sports Medicine | Cancer Rehabilitation | Occupational Rehabilitation
Location: Helsinki, Finland
Session Introduction
Zaid Matti
Australasian Faculty of Musculoskeletal Medicine, New Zealand
Title: Platelet-rich plasma (PRP) in physical medicine and rehabilitation. Indications and applications 2019
Biography:
Abstract:
Platelet-rich plasma (PRP) is one of many new developments within the field of regenerative medicine. Medical practitioners in areas such as musculoskeletal pain medicine, physical medicine and rehabilitation, and rheumatology have been exploring the benefits of this novel therapy. The idea of using platelet-rich plasma (PRP) in medicine has been around since the 1980s. Its use has been employed in the area of musculoskeletal medicine recently in the past few years. Platelet-rich plasma in this field has received much media attention due to being used by many celebrity sports athletes for sports injuries. PRP is a promising treatment for some musculoskeletal conditions; however, evidence of its efficacy has been highly variable depending on the specific indication. Therefore, it is essential for practitioners to be aware of the concepts surrounding their use and application. The presentation will cover what platelet-rich plasma is? How is it prepared and administered? Its potential clinical application, and what the current literature discusses in the various areas of clinical musculoskeletal medicine and rehabilitation.
Ramesh Babu Manivannan
Lincoln University College, Malaysia
Title: Effectiveness of exercises with weight loaded equipment’s in pulmonary rehabilitation - A new approach towards better rehabilitation
Biography:
Abstract:
Introduction: Studies published on exercises in pulmonary rehabilitation are focusing mainly on aerobic exercises. Exercises using Weight Loaded Equipment’s (WLE) are not discussed much on studies.
Objectives: This study is focusing on exercises with WLE along with conventional pulmonary rehabilitation.
Methodology: 40 patients prescribed for pulmonary rehabilitation were selected. Control group is applied with Conventional Pulmonary Rehabilitation (CPR) techniques. Interventional group is applied with exercises using WLE with Conventional Pulmonary Rehabilitation (EWLE). The CPR protocol is applied for 30-45 minutes per session for 12 weeks and EWLE for 45-60 minutes of sessions with weight loaded equipment with weights from 5 kg to 20 kg with progressive 60 repetitions for 12 weeks. MRC breathless scale and 6 minute walk tests have been used as measuring tools pre and post- exercise sessions. All the 30 patients completed the activity for 12 weeks as a study group.
Results and Conclusion: Both groups have shown significant improvement with 6-minute walk test (p < 0.05), but EWLE group has shown better improvement p (30 ± 10% versus 12 ± 10% [mean ± SD] in the CPR group, p < 0.005). Strengthening of upper and lower limb muscles has been noted as a factor increases the endurance in MRC breathless scale as 20 ± 10% (p < 0.001) in EWLE, but CPR group has shown very lower level of improvement in endurance (5 ± 8% p > 0.05). The difference between SCPR and CPR in terms of functional improvement has been noted significantly (p < 0.01). Addition of exercises using WLE increases endurance and shown better result in interventional group compared to control group in MRC breathless scale and 6 minute walk test. Thus, the study has concluded that adding exercises with WLE increases the endurance thereby breathless is reduced significantly in pulmonary rehabilitation.
Najla Alhashil
University of Nottingham, UK
Title: The use of mental imagery in stroke rehabilitation: A Delphi survey
Biography:
Najla Alhashil is dealing with the Division of Rehabilitation and Ageing in the School of Medicine, University of Nottingham, UK. Her research interest is in the field of Neurological Rehabilitation.
Abstract:
Hongwei Wan
Shanghai Proton and Heavy Ion Center, China
Title: Effect of nrs2002 on identifying malnutrition in cancer patients undergoing radiotherapy
Biography:
Abstract:
This study aims to evaluate the effect of nutritional risk screening tool (NRS2002) on identifying malnutrition in cancer patients undergoing radiotherapy based on Patient-Generated Subjective Global Assessment (PG-SGA). The nutritional status of cancer patients before radiotherapy in two tertiary hospitals in Shanghai and Zhejiang province were screened and evaluated by NRS2002 and PG-SGA. The Sensitivity, Specificity, Yoden index, Kappa value and area under ROC curve of NRS2002 were calculated using PGSGA as a gold standard. A total of 368 cancer patients were enrolled in this study. Among them, 27.1% of the cancer patients had NRS2002 ≥3 points at admission and 35.9% had PG-SGA ≥ 4 points. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening malnutrition (PG-SGA ≥ 4) were 37.87%, 87.28%, 69.56% and 25.16%, respectively. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening severe malnutrition (PG-SGA ≥ 9) were 62.06%, 96.18%, 80.16% and 58.35%. Results shows that NRS2002 has a low sensitivity but a high specificity for malnutrition screening. Therefore, it is still necessary to carry out nutritional assessment for low nutrition risk cancer patients with radiotherapy, and further nutritional support should be given to those who are in nutrition risk.
- Work Shop
Location: Helsinki, Finland
Session Introduction
Bjorn Augustin
Umea and Gothenburg University School of Economics, Sweden