Background: Community ambulation is essential for patients with stroke. Apart from treatments, an assessment with a quantitative target criterion is also important for patients to clearly demonstrate their functional alteration and determine how close they are to their goal, as well as for therapists to assess the effectiveness of the treatments. The existing quantitative target criteria for community ambulation were all derived from participants in a developed country and ability was assessed using a single-task test. To explore cutoff scores of the single-task and dual-task 10-meter walk test (10MWT) in ambulatory patients with stroke from rural areas of a developing country. Methods: Ninety-five participants with chronic stroke were interviewed concerning their community ambulation ability, and assessed for their walking ability using the single- and dual-task 10MWT. Results: A walking speed of at least 0.47 m/s assessed using the single-task 10MWT, and at least 0.30 m/s assessed using the dual-task 10MWT, could determine the community ambulation ability of the participants. Conclusion: Distinct contexts and anthropometric characteristics required different target criteria for community walking. Thus, when establishing a target value for community ambulation, it needs to be specific to the demographics and geographical locations of the patients.
Physical Therapy Specialty

An one year old girl with congenital torticolis was subjected to study. At birth, an oval neck mass was persisted at the right side, which made the head tilted. The patient was treated by massage to reduce the contraction of clavicle muscle. Infra-red was irradiated during 10 minutes in the neck and the left side lumbar regions. Exercises were practised to rotate the neck and the trunk, and to stretch the neck. Mother was trained for holding and carrying the child at home. 4 months of treatment gave good results
Torticollis ; Therapeutics ; Physical Therapy (Specialty)

Among 954 outpatients there are 75.5% patient aged 50-79 was bone-joints pathology, following by the disease of spinal column (33.4%). Especially in 91.6% of patients, there was pain, in 39.1% there was a history of gastroduodenal diseases. 45.9% of patients visited to the clinic 3 months after detecting the symptoms, therefore the treatment had not satisfied result. In the whole, 49.9% got best result, 37.4% got and 12.6% bad
Physical Therapy (Specialty) ; Outpatients ; Patients ; Therapeutics ; Rehabilitation

OBJECTIVES: The aim of this study was to evaluate musculoskeletal and psychosocial perception and compare these conditions regarding the type of job (white or blue-collar) and the type of management model (private or public). METHODS: Forty-seven public white-collar (PuWC), 84 private white-collar (PrWC) and 83 blue-collar workers (PrBC) were evaluated. Job Content Questionnaire (JCQ) and Utrecht Work Engagement Scale (UWES) were applied to evaluate psychosocial factors. Nordic Musculoskeletal Questionnaire (NMQ) was used to assess musculoskeletal symptoms. Pressure Pain Threshold (PPT) was measured to evaluate sensory responses. RESULTS: According to JCQ, all groups were classified as active profile. There was a significant association between work engagement and workers' categories (p < 0.05). PrWC workers had the highest scores for all the UWES domains, while PrBC had the lowest ones. PPT showed that PrBC workers had an increased sensitivity for left deltoid (p < 0.01), and for both epicondyles (p < 0.01), when compared to the other groups. PrWC workers had an increased sensitivity for both epicondyles than PuWC (right p < 0.01; left, p = 0.05). There was no significant association in the report of symptoms across the groups (p > 0.05). CONCLUSION: This study showed differences in psychosocial risk factors and musculoskeletal symptoms in workers engaged in different types of jobs and work organization. Personal and work-related characteristics, psychosocial factors and PPT responses were different across workers' group. Despite all, there was no significant difference in reported symptoms across the groups, possibly indicating that the physical load is similar among the sectors.
Cumulative Trauma Disorders ; Human Engineering ; Humans ; Pain Threshold ; Physical Therapy Specialty ; Psychology ; Public Sector* ; Risk Factors*

We performed physical therapy on a patient who had undergone simultaneous reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) for compound knee ligament injury. The physical therapy program was designed based on Tooyama's concept published in 1996 and our own regimens for postoperative therapy for separate ACL and PCL reconstructions.The results of our physical therapy were as follows: In four months after the surgery, the range of knee motion had been fully recovered. In 16 months postoperatively, the knee ligament had become stable. Knee extention strength had been restored 87% and its flexion strength 103%. The functional ability test found that knee performance was good.Worthy of note were the following three main features of this physical therapy: (1) To minimize stress on ligament until the minimum recovery level of recovery is expected after reconstruction, muscular workout to make quadriceps and hamstrings contracted simultaneiusly was performed so as not to induce contractions of only hamstrings; (2) We kept the chief physician posted on the recovery status of the knee motion range since mobilized arthroscopy might have been required because of knee contracture; (3) Knee coodination training was performed to enhance knee functional ability.
Knee ; Physical Therapy (Specialty) ; Ligaments ; Injury inflicted to the body by an external force ; Adenohypophyseal Diseases