دورية أكاديمية
Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial.
| العنوان: | Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial. |
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| المؤلفون: | Abdelfadil HMG; Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, October 6 University, Giza, Egypt., Fahmy EM; Department of Neurology, Faculty of Medicine, Cairo University, Giza, Egypt., Abdelmegeed SM; Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt., Zakaria HM; Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt., Darwesh AA; Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt., Kadry AM; Faculty of Physical Therapy, Kafrelsheikh University, Kafr El Sheikh, Egypt., Elsayed SH; Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia., Aboeleneen AM; Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.; Department of Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt., Alshimy AM; Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Al Ryada University for Science and Technology, Sadat City, Menoufia, Egypt. |
| المصدر: | Frontiers in neurology [Front Neurol] 2024 May 09; Vol. 15, pp. 1285420. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101546899 Publication Model: eCollection Cited Medium: Print ISSN: 1664-2295 (Print) Linking ISSN: 16642295 NLM ISO Abbreviation: Front Neurol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Lausanne : Frontiers Research Foundation, 2010]- |
| مستخلص: | Background: Improvement in rehabilitation outcomes for patients suffering from chronic stroke can be attained through systematic desensitization of their fear of falling, which in turn reduces the risk of falling. Purpose: This study aimed to examine the effect of adding systematic desensitization to a goal-directed paradigm on functional performance, balance, risk of falling, and fear of falling among chronic ischemic stroke patients. Methodology: Two equally sized groups, each comprising 40 stroke patients of both sexes, were randomly divided. For 8 weeks, Group A received three sessions per week of combined treatment consisting of systematic desensitization and a goal-directed paradigm, while Group B received only the goal-directed paradigm. The Timed Up and Go (TUG) test and Dynamic Gait Index (DGI) were used to assess function performance; the Berg Balance Scale (BBS) and the Biodex Fall Risk Index (FRI) were used to evaluate balance; and the 16-item Fall Efficacy Scale-International (FES-I) was used to evaluate fear of falling. At baseline and after the treatment, all measurements were obtained. Results: Both groups (A and B) revealed a substantial increase in functional performance through a decrease in TUG scores and an increase in DGI. Additionally, there was a decrease in the risk of falling through an increase in the BBS scores and a decrease in the FRI. Furthermore, there was a decrease in the fear of falling, as measured using the FES-I, after treatment, with superior improvement in Group A with a p -value of <0.001. Conclusion: Systematic desensitization combined with a goal-directed paradigm has a superior effect on improving functional performance and reducing the risk of falling and the fear of falling in patients with stroke compared to a goal-directed paradigm alone. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Abdelfadil, Fahmy, Abdelmegeed, Zakaria, Darwesh, Kadry, Elsayed, Aboeleneen and Alshimy.) |
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| فهرسة مساهمة: | Keywords: balance; goal-directed paradigm; risk of falling; stroke; systematic desensitization |
| تواريخ الأحداث: | Date Created: 20240524 Latest Revision: 20240525 |
| رمز التحديث: | 20240525 |
| مُعرف محوري في PubMed: | PMC11111878 |
| DOI: | 10.3389/fneur.2024.1285420 |
| PMID: | 38784906 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1664-2295 |
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| DOI: | 10.3389/fneur.2024.1285420 |