Physical Therapy Commons^™

Short-Term Outcomes Of A Comprehensive Rehabiliation Program With Peripheral Magnetic Stimulation In Polyneuropathy: A Case Report, Tuangtip Surarangsit

Chulalongkorn Medical Journal

Polyneuropathy, a condition affecting the peripheral nervous system, often results in sensory and motor dysfunction in older adults. Treatment options include medications and various physical therapy modalities including Peripheral Magnetic Stimulation (PMS). However, evidence supported treating nerve dysfunction with PMS is limited. In this case, an 84-year-old male with a history of diabetes mellitus and osteoarthritis presented with bilateral lower extremity sensory and motor polyneuropathy, experiencing weakness, sensory deficits, and gait instability. After limited success with conventional treatments, a comprehensive rehabilitation program was implemented over four weeks, integrating PMS, occupational therapy, and advanced gait training. Following the intervention, light touch …

Does Asymptomatic Generalized Joint Hypermobility Influence Musculotendinous Extensibility And Knee Joint Proprioception?, Pawan Chaiparinya, Sujitra Boonyong, Chitanongk Gaogasigam

Chulalongkorn Medical Journal

Background: It is unclear whether generalized joint hypermobility (GJH) influences the musculotendinous unit (MTU) extensibility or proprioception of the knee joint in individuals with asymptomatic GJH.

Objectives: To compare the quadriceps and hamstring MTU length as well as knee joint force sense (FS) and joint position sense (JPS) between individuals with asymptomatic GJH and non-GJH controls.

Methods: Thirty-two female subjects were recruited, with 16 subjects in the GJH and non-GJH groups. The angles measured from modified prone knee bend (mPKB) and straight leg raising (SLR) tests were used to identify the quadriceps and hamstrings MTU extensibility using photographic-based angle measurements. …

Influence Of Postural Balance, Fear Of Falling, And Falls Risk Awareness On Quality Of Life In Hypertensive And Normotensive Old Aged Females, Rikza Naseer

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Older adult falls are a severe concern in terms of public health worldwide, with many assessment tools predominantly in English, pointing to the need to perform cross-cultural adaptation and validation to use the different instruments in various cultures. The purpose of this study was to translate the Urdu version of the Falls Risk Awareness Questionnaire for eldercare and established its reliability and validity. Moreover, this cross-sectional study also investigated the correlation of anthropometric measurements, postural balance, fear of falls, and falls risk awareness with quality of life of hypertensive older female patients attending Hospitals of Lahore, Pakistan. Methods: Two …

The Influence Of Therapeutic Body Positions On Hemodynamics And Respiration In Adults With And Without Obesity, Ruchada Sriamad

Chulalongkorn University Theses and Dissertations (Chula ETD)

The primary objective of this research was to investigate the impact of therapeutic body positions on hemodynamic and respiratory responses in adults with and without abdominal obesity. This research comprises three studies: 1) a systematic review and meta-analyses to investigate the influence of various body positions on hemodynamic and respiratory variables in healthy adults; 2) a study on hemodynamic responses during therapeutic body positions in adults with and without abdominal obesity; 3) a study on respiratory responses during therapeutic body positions, comparing obese and non-obese adults. The results from the systematic review revealed that different positions elicit distinct hemodynamic and …

Responsiveness Of The Thai Version Ofthe Pain Anxiety Symptoms Scale-20 (Pass-20),The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8),And The Patient-Reported Outcomes Measurement Information System Short Form-Depression-8a (Promis-D-8a)In Individual With Chronic Low Back Pain, Nuttapong Phongsaphakjarukorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To evaluate the responsiveness, estimate minimal clinically important difference (MCID), and examine correlations between anxiety and depression measures of the Thai versions of the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (T-PROMIS-D-8a), Anxiety 8a (T-PROMIS-Anx8a), and Pain Anxiety Symptoms Scale-20 (PASS-20) measures in individuals with chronic low back pain (CLBP).Methods: The study sample comprised of 144 participants with CLBP. Responsiveness was evaluated by calculating the change scores, effect size (ES), standardized response mean (SRM), area under the curve (AUC), and correlations between the change scores and the Thai version of Global Perceived Effect (T-GPE). We …

Cross-Cultural Adaptation And Psychometric Properties Of  The Thai Version Of The Patient-Reported Outcomes Measurement Information System Short Form-Depression 8a In Individuals With Chronic Low Back Pain, Ruetaichanok Sansatan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To cross-culturally adapt the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (PROMIS SF v1.0 - Depression 8a) into Thai and evaluate its psychometric properties in individuals with chronic low back pain (CLBP).Methods: The PROMIS SF v1.0 – Depression 8a was translated and cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Two hundred and sixty-nine individuals with CLBP completed the Thai version of PROMIS SF v1.0 – Depression 8a (T-PROMIS-D-8a) scale and a set of measures assessing validity criterion domains. Unidimensionality, internal consistency, and test-retest reliability at a 7-day interval …

The Effect Of Breathing Exercise On Hemodynamics And Heart Rate Variability Parameters In Hypertensive Patients, Sirinut Chaiduang

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research aimed to investigate the effect of breathing exercises (BE) on hemodynamics and heart rate variability (HRV) parameters in hypertensive patients. This research comprised three studies, including 1) a systematic review investigating the effectiveness of each type of BE (deep and slow, manipulated nostril, prolonged expiration, and cycle of breathing) on hemodynamics and HRV parameters in hypertensive patients. 2) A study comparing the effect of BE (deep and slow, pursed lips, and bee-humming) on hemodynamics and HRV parameters in hypertensive patients. And 3) a study comparing the combined effect of developed BE on hemodynamics and HRV …

Comparison Of Postural Control, Balance And Fall In Copd Patients With Breathing Pattern Disorder, Irfan Ahmad

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective Up to 50% of patients with chronic obstructive pulmonary disease (COPD) experience breathing pattern disorders (BPD). The diaphragmatic dysfunction associated with COPD has been associated with balance impairment, and improved diaphragmatic breathing has been preliminarily associated with improved static balance and marching in place. This study aimed to compare clinical gait and balance measures and the risk of falling between patients with COPD-induced BPD and older adult controls and correlate the severity of BPD to gait and balance measures. Methods Gait and balance of fifty-six patients with COPD and 56 older adult controls were measured using the timed up …

Musculoskeletal Disorders, Perceived Stress, And Ergonomic Risk Factors Among Pakistani Smartphone Esports Athletes, Muhammad Athar Khan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Smartphone eSports athletes face various health risks due to prolonged sitting and poor posture.Objective: To investigate the frequency of musculoskeletal disorders, perceived stress levels, health risks and ergonomic risk factors among smartphone eSports athletes and determine the association between levels of perceived stress and MSDs.Methods: A cross-sectional study was conducted on 145 participants. Nordic Musculoskeletal Questionnaire, Perceived Stress Scale (PSS-10), questionnaire on health risks and rapid upper limb assessment (RULA) were used to collect data. The chi-square test determined the association between MSDs and perceived stress.Results: The study revealed that neck pain was the most prevalent issue, affecting 41.4% …

Effects Of Mckenzie’S Neck Exercise On Pain, Craniovertebral Angle, Strength And Endurance Of Deep Neck Flexor Muscles, And Disability In Individuals With Chronic Neck Pain, Sawita Chaiyawijit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To compare the effectiveness of McKenzie’s neck exercise and cranio-cervical flexion (CCF) exercise on strength and endurance of deep neck flexor (DNF) muscles, pain, disability, and craniovertebral angle (CVA) in individuals with chronic neck pain. Methods: Forty individuals with chronic neck pain were randomly allocated to the McKenzie’s neck or CCF exercise group. Each group performed exercises at home daily. The strength and endurance of DNF muscles were measured at baseline, immediately after the first exercise session, and each week follow-up for six weeks. Average pain over the past week was measured at baseline and each week follow-up for …

Effects Of A Game On A Smartphone (“Pilotgold”)To Prevent Non-Specific Neck Pain Among Office Workers:A 6-Month Cluster-Randomised Controlled Trial, Natchanon Intipanya

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To evaluate the effects of a smartphone game for active neck movement exercise on perceived neck discomfort, new onset neck pain, and active cervical range of motion (ROM) among high-risk office workers. Methods: A 6-month prospective cluster-randomized controlled trial was conducted involving 100 healthy but high-risk office workers from nine organizations. They were randomly assigned at the cluster level into either the intervention group (n = 50), who received a smartphone game to play twice a day on workdays for 6 months, or the control group (n = 50), who received a placebo seat pad to use while sitting. …

Comparison Of The Effects Of Dynamic Seat Cushion At Low Back And Buttocks On The Number Of Postural Shifts And Body Perceived Discomfort In Office Workers, Narumon Roynarin

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study compared the number of postural shifts and body perceived discomfort while leaning and sitting on air-filled seat cushion for 1-hour in healthy office workers. Sixty office workers typed a standard text at a computer workstation for an hour in three sitting conditions: leaning on a seat cushion placing behind the low back, sitting on a seat cushion placing under the buttocks, and sitting without a seat cushion (a control condition). The number of postural shifts, average pressure (AP), peak pressure (PP), and frequency of sitting posture were collected using a seat pressure mat device. Body perceived discomfort at …

Effects Of Digital Pen With Tablet And Standard Mouse On Emg, Discomfort, And Rula In Prolonged Computer-Based Tasks, Nion Yaemsanguansak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction – The digital pen with tablets (DPT) effectively modifies the disadvantages of the standard mouse (SM) more prominently than any other alternative pointing devices. However, previous studies lack sufficient evidence to confirm its ability to prevent work-related musculoskeletal disorders (WMSDs). Consequently, our research aimed to prove the DPT as a prevention strategy for the neck-shoulder and upper extremity WMSDs on mouse side by evaluating pathogenesis-related variables. Method – Our study employed a single-subject design with 35 healthy female office workers whose primary workstyle depends on the SM. We assessed muscle activity pattern, fatigue rate, postural risk, perceived discomfort, and …

Physical And Psychological Factors Associated With Non-Specific Low Back Pain Among Female Cleaners In Academic Settings, Kristsada Chaichan

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to determine the association between physical and psychological variables and the presence of NSLBP among female cleaners working in an academic setting. One hundred and ninety-nine female cleaners aged between 18 and 60 years old with and without LBP were asked to complete a set of self-reported questionnaires related to individual, work-related variables, quality of life, and the prevalence of NSLBP among cleaners. The binomial logistic regression analyses were used to determine the association between physical and psychological factors and the presence or of absence NSLBP. The results showed that the overall prevalence of …

Role Of Tele Physical Therapy In Quality Of Life And Satisfaction Among Patients Together With Work Productivity Of Physical Therapists, Munaza Arwa

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Despite showing promising results in clinical trials, role of tele physical therapy in improving the quality of life and satisfaction of musculoskeletal disorder patients is ambiguous. Work productivity of therapists is still needed to be calculated to further evaluate efficacy of tele physical therapy sessions.Objective: The study aimed to determine the role of tele physical therapy in quality of life and satisfaction among patients together with work productivity of physical therapists. Method: An observational study comprising of pre-post and longitudinal design was conducted. 327 patients suffering from musculoskeletal disorders and 199 licensed physical therapists were recruited through MARHAM’s platform. …

Prevalence Of Musculoskeletal Disorders And Ergonomic Risk Factors Among Firefighters, Hamza Farooq

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Injury to the musculoskeletal system or the human body's ability to move is known as a musculoskeletal disorder (i.e. muscles, tendons, ligaments, nerves, discs, blood vessels, etc.). Firefighting is a physically hard and dangerous job. Firefighters carry out emergencies and prevent fire and respond to disaster. Workers who deal with fireworks often have musculoskeletal disorders. Objective: To investigated the prevalence of musculoskeletal disorders and ergonomic risk factors among firefighters. Methodology: Nordic musculoskeletal questionnaire was used to report musculoskeletal disorders in 106 firefighters and quick exposure check (QEC) questionnaire was used in 20 firefighters for 3 different tasks to evaluated …

Cross-Cultural Adaptation And Psychometric Evaluation Of The Myanmar Version Of Oswestry Disability Questionnaire And Roland-Morris Disability Questionnaire For Individuals With Low Back Pain, Phyu Sin Oo

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to develop cross-culturally adapted Myanmar versions of the Oswestry Disability Questionnaire (M-ODQ) and Roland-Morris Disability Questionnaire (M-RMDQ), and determine their psychometric properties in individuals with low back pain (LBP). In accordance with the previous guidelines, the original ODQ and RMDQ were translated and cross-culturally adapted into a Myanmar language. The psychometric evaluation of the adapted M-ODQ and M-RMDQ were conducted on 102 individuals with LBP for assessing reliability, validity, and responsiveness. Reliability was assessed using the intraclass correlation coefficient (ICC 2,1) while concurrent and construct validity were examined using the Spearman rank correlation coefficient and correlations with …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Pain Anxiety Symptoms Scale-20 (Pass-20) And The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8) In Individuals With Chronic Low Back Pain, Panithi Charoenthaweekaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

Context: Anxiety plays an important role in the management of chronic pain. The Patient-Reported Outcomes Measurement Information System Short Form v1.0 – Anxiety 8a (PROMIS SF v1.0 - Anxiety 8a) and the Pain Anxiety Symptoms Scale-20 (PASS-20) have been developed for assessing general anxiety and pain-specific anxiety, respectively.Objective: To cross-culturally adapt the PROMIS SF v1.0 - Anxiety 8a and PASS-20 into Thai versions (T-PROMIS-Anx8a and T-PASS-20, respectively) and evaluate their psychometric properties in individuals with chronic low back pain (CLBP).Methods: The adaptations were performed using the Functional Assessment of Chronic Illness Therapy (FACIT) translation guidelines. Thai individuals with CLBP completed …

Effects Of Lower Extremity Muscle Strengthening Exercise And Foot Orthoseson Medial Longitudinal Arch Height In Individuals With Flexible Flatfoot, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Foot orthoses and lower extremity exercises have been widely recommended to improve medial longitudinal arch (MLA) height in adults with flexible flatfoot. However, there is little evidence to guide the choice between foot orthoses or lower extremity exercises. Objectives: This study comprised two separate studies. Study 1 aimed to establish the more effective exercise protocol by comparing the MLA height in groups performing foot exercises with and without gluteus medius (GMed) muscle strengthening exercise. Study 2 compared the established exercise protocol in Study 1 with foot orthoses to determine the actual effectiveness of each intervention. Main outcome measures: Navicular …

Sit-To-Stand Ability With Dual Task Among Older Adults With Mild Cognitive Impairment, Perayut Chimsuwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Sit to stand (STS) is the basic mobility related to the quality of life. Older adults with mild cognitive impairment (MCI) have a movement pattern change in motor function. Moreover, the dual task can interfere with cognitive ability, leading to reduced motor performance. However, there was a lack of evidence of movement time, kinematics, and kinetics while performing STS tasks. This study aims to evaluate the STS ability in older adults with and without MCI while performing in single and dual conditions. This study was cross-sectional. Seventy older adults (35 older adults with MCI and 35 controls) participated in this …

The Effect Of Breathing Training Program Using A Toy Blower On Lung Function, Respiratory Muscles Strength, And Functional Capacity In People With Obesity Level 2, Sarawut Jansang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Obesity level 2 has major implications on the respiratory system, particularly the impact of breathing exercises on lung function, which may now be trained employing a variety of breathing exercises and equipment. Therefore, researcher was interested in applying inflatable toys to be applied along with breathing patterns in people with obesity level 2 between the ages of 30 and 65, which affected lung function, respiratory muscle strength and physical activity in way of life. Therefore, the researcher aimed to study the effects of a breathing training program using a toy blower device on breathing performance and respiratory muscle strength. The …

Incidence Of Peripheral Neuropathy, Postural Stability Alteration, And Factors Associated With Fall In Patients With Breast Cancer During Taxane-Based Chemotherapy, Nida Rattanakrong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to 1) investigate the incidence density of taxane-induced peripheral neuropathy (TIPN), which included sensory and motor neuropathy symptoms, and their risk factors, 2) investigate the static and dynamic postural stability during taxane-based chemotherapy, and 3) investigate the fall incidence density and risk factors in women with breast cancer who were undergoing taxane-based chemotherapy. TIPN symptoms and severity were evaluated by the European Organization for Research and Treatment of Cancer CIPN specific self-report questionnaire (EORTC QOL-CIPN20) (Thai version) and the numbers of falls were recorded in 141 participants. The postural stability was measured in static …

The Effect Of Walking Training With Textured Insole Socks On Standing Balance And Gait In Older Adults With A Risk Of Falls, Chanon Pinvanichkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Previous research revealed that textured surface treatments improved standing balance performance or had a negative effect on gait performance in older adults. The new design textured insole socks were introduced in this study. This study aimed to evaluate the effects of textured insole socks on standing balance, gait parameters, and a risk of falls in older adults with a risk of falls. Thirty older adults with a risk of falls participated and randomly allocated equally to the intervention (texture insole socks) or control (unmodified socks) groups. Both groups were asked to walk on a 10-meter walkway for 2,000 steps/day, 3 …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Neurophysiology Of Pain Questionnaire, Pichet Pasangkayo

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Pain neurophysiology knowledge is hypothesized to influence pain beliefs and physical performance in individuals with chronic low back pain (LBP). Valid and reliable measures of such knowledge is important to evaluate the pain treatment on this domain as well as to understand its role in both physical and psychological functions of individuals with chronic pain. This study aimed to culturally adapt the revised Neurophysiology of Pain Questionnaire into Thai (T-rNPQ), using the Functional Assessment of Chronic Illness Therapy (FACIT) methodology, and to evaluate its reliability and validity. Two hundred sixty-three individuals with chronic LBP completed the T-rNPQ and seven …

Association Between Sensory Of Fingertip And Hand Function In Individuals With Stroke, Orisa Elfath

Chulalongkorn University Theses and Dissertations (Chula ETD)

No abstract provided.

Effects Of Textured Mat On Lower Limb Muscle Activities And Body Sway In Individuals With Chronic Ankle Instability, Nanthiphak Konphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

A textured mat with flexible nubs is a novel type of unstable surface offering more texture variety than a conventional unstable surface. A textured mat may be utilized to improve balance and muscular activation in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the effects of a textured mat versus a regular foam surface and a firm surface on lower limb muscle activity and postural control in individuals with CAI. This repeated measurements within subject study recruited 28 participants with CAI. A triaxial accelerometer and electromyograph were used to monitor the 10 muscles of …

Diagnostic Accuracy Of The Timed Up-And-Go Test With Different Types Of Cognitive Tasks For Mild Cognitive Impairment In Older Adults, Kanyakon Chanabangkaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Timed Up-and-Go test (TUG) test with cognitive tasks was a motor and cognitive dual-task approach used to evaluate the level of cognitive ability in older adults. Moreover, the different types of cognitive tasks challenge different aspects of cognition and impact performance differently. To our knowledge, the accuracy of the TUG test with different types of cognitive tasks still lacks information regarding which cognitive tasks and test outcomes are optimal to use. This study aimed to evaluate and compare the accuracy of the TUG test with different types of cognitive tasks to detect older adults with mild cognitive impairment (MCI). …

Comparing The Effectiveness Of Lumbar Rotation To Central Posteroanterior Mobilization In The Treatment Of Individuals With Bilateral Non-Specific Low Back Pain, Nalinee Eitssayeam

Chulalongkorn University Theses and Dissertations (Chula ETD)

To compare the effectiveness of lumbar rotation mobilization and central posteroanterior (central PA) mobilization on the intensity of low back pain (LBP), lumbar range of motion (LROM), functional rating index (FRI), and global perceived effect (GPE) in individuals with bilateral non-specific low back pain (NSLBP). Seventy bilateral NSLBP individuals were recruited (19 men and 51 females). The participants were randomly assigned into two groups using concealed opaque envelopes: central PA or rotation. Both groups got a placebo treatment with detuned shortwave diathermy before receiving intervention according to their group assignment. The outcomes were measured at four points: baseline, after placebo …

Effects Of Home-Based Exercise Using Balance Disc With Smartphone Inclinometer Application Feedback On Sitting Balance And Activity Of Daily Living In Individual With Stroke, Pantawit Aphiphaksakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Sitting ability is critical for daily activities in individuals who have experienced a stroke. A combination of seated balance training on an unstable surface and real-time visual feedback via a simple mobile inclinometer application may improve trunk control in stroke survivors. Objective: This randomized controlled trial aimed to determine the effects of home-based exercise utilizing a balance disc with input from a smartphone inclinometer application on sitting balance and activities of daily living in stroke survivors. Methods: This trial enrolled 32 stroke survivors aged 30 to 75 years. Participants were randomly assigned to one of two groups: intervention or …

A Study Of Work Ability And Associated Factors In Aging Office Workers With Non-Communicable Diseases And Musculoskeletal Disorders, Sara Rawdeng

Chulalongkorn University Theses and Dissertations (Chula ETD)

Aging workers has been linked with high prevalence of both musculoskeletal disorders (MSDs) and non-communicable diseases (NCDs). Health status has a significant impact on work ability. This study compared work ability, using the Work Ability Index (WAI), among aging office workers with and without MSDs and NCDs and determined factors associated with WAI scores. A cross-sectional study was conducted among office workers aged between 45-60 years. An online questionnaire was adopted to collect data. Analyses were conducted using Mann-Whitney U test and multivariable logistic regression model. The results of 689 workers, 34%, 13%, 12%, and 41% reported MSDs, NCDs, MSDs …