- Email: [email protected]
Poster 148 Sonographic Evaluation of Plantar Fascia
Other
e63
comorbidities (P<.0023) had greater discharge-home rates. Conversely, facilities with higher percentages of patients in the mildly severe (tier 3) classification of comorbidities (P<.0197) had lower discharge-home rates when compared to the no tier classification. Conclusions: Future work should examine differences in rehabilitation outcomes based on facility type, urban/rural location, ownership, and size. Understanding how contextual characteristics influence rehabilitation outcomes may inform clinicians and administrators in developing systemlevel interventions needed to improve the quality of rehabilitation services. Key Words: Hip fracture, Outcomes research, Quality measures, Medical rehabilitation, Older adults
Main Outcome Measures: Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) health questionnaire. Results: Adults with CP who had higher GMFCS Level and the exercise habits showed significantly higher scores in the most scales of the HRQOL (P<0.001). On the other hand, sex and age did not show the significant score differences in the HRQOL. The multiple regression analysis revealed that exercise period and frequency have been showed as significant explanatory variables in the most scales of the HRQOL (P<0.001). Conclusions: The present study clearly showed that long-term exercise habits with appropriate frequency have positive effects on HRQOL in adults with CP. Key Words: rehabilitation, cerebral palsy, exercise
Disclosure: Michael Cary has nothing to disclose.
Disclosure: Jung wan You has nothing to disclose.
Poster 146 Combination of Wrist Splint and Conventional Treatment VS Conventional Treatment Alone in Carpal Tunnel Syndrome Sirikwan Panyasriwanit (Chulalongkorn University) Objective: To determine the efficacy of using a wrist splint combined with conventional treatment on the improvement of symptoms, hand function and nerve conduction study (NCS) in mild to moderate degree of CTS. Design: A randomized single-blind controlled trial. Setting: King Chulalongkorn Memorial Hospital Participants: Thirty-nine CTS patients who had a mild to moderate degree of CTS (confirmed by NCS) were studied. All patients completed the study. Intervention: All patients were allocated into group of wrist splint or control with block randomized technique. Patients in control group were treated with conventional treatment, included education, vitamin B, while splint group received identical treatment with addition of a wrist splint for 3 months. Main Outcome measures: Boston Carpal Tunnel Questionnaire (BCTQ) and NCS Results: Significant improvement of BCTQ score (symptom, function) were observed in both splint (pZ0.001, 0.018) and control groups (pZ0.028, 0.006) after treatment. However, only the splint group showed significant reduction in DSL and DML (pZ0.005, 0.004). Comparison of BCTQ scores between splint and control groups showed lower score in splint group after treatment, though this was not a significant difference (pZ0.114, 0.769). Significant decrease of DSL and DML were observed in splint compared to control group (pZ0.044, 0.018) whereas no significant difference was observed in SNAP and CMAP (pZ 0.959, 0.280). Conclusions: A combination of wrist splint with conventional methods improved efficacy of treatment and significantly decreased DSL and DML compared to conventional treatment alone. Further study is necessary to evaluate long term efficacy. Key Words: Carpal tunnel syndrome, CTS, wrist splint Disclosure: Sirikwan Panyasriwanit has nothing to disclose.
Poster 148 Sonographic Evaluation of Plantar Fascia Seyed Kazem Shakouri (Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences), Arash Babaei-Ghazani, Bina Eftekhar Sadat Objective: To investigate sonography role is evaluation of common ankle problems especially plantar fasciitis (PF). Design: A prospective study. Setting: Rehabilitation education and research hospital. Participants: 36 patients with heel pain and the clinical findings of PF and heels of 36 asymptomatic volunteers, age and sex matched were recruited into the study as a control group. Intervention: Musculoskeletal sonographic examinations were performed with a commercially available scanner (5-14 MHz Linear transducer). Main Outcome measures: PF thickness in three different sites, heel fat pad thickness, Visual Analog Scale (VAS) and BMI were measured. Sonoelastographic evaluation was done. Results: Significant increase was observed in plantar fascia thickness and heel fat pad thickness in patients with PF in relation to the control group (P Z .0001). Plantar fascia thickness in conjunction with calcaneus was 6.24 1.12 and 2.76 0.88 mm in case and control groups, respectively. This different was statistically significant (P Z .0001). Also we noted mixed increase and decrease of plantar fascia hardness in Sonoelastographic examination. Conclusion: Although MRI is the modality of choice in the morphologic assessment of plantar fascia lesions; sonography can also serve as an effective time-saving tool in diagnosis and follow-up of PF. Sonoelastography as a new technique could also help differentiate plantar fasciitis from normal plantar fascia. Key Words: Plantar fasciitis, Sonography, Plantar fascia thickness Disclosure: Seyed Kazem Shakouri has nothing to disclose; Arash BabaeiGhazani has nothing to disclose.
Poster 147 The Effects of Exercise Habits on Health Related Quality of Life in Adults with Cerebral Palsy Jung wan You (Hiroshima University), Hye Im Jeong, Moon Hwan Lim, Masahiro Yamasaki Objective: To investigate the effects of exercise habits (existence of exercise habits, exercise period, frequency and hours) on Health Related Quality of Life (HRQOL) in adults with cerebral palsy (CP). Design: Cross-sectional study. Setting: Three CP Welfare Centers, two rehabilitation centers and CP football teams in Korea and Japan were selected. Participants: Adults (NZ201; 158 males, 43 females; 119 from Korea, 82 from Japan) with CP were enrolled as a convenience sample. Study subjects were stratified by severity of CP using the Gross Motor Function Classification System (GMFCS). Intervention: Not applicable.
www.archives-pmr.org
Poster 149 Maximum Bite Force Related to Diabetes Simone Cecilio Hallak Regalo (USP - FORP), Marisa Semprini, Selma Sie´ssere, Taˆnia de Freitas Borges Objective: To analyze the maximum bite force in diabetic and non-diabetic subjects, to determine whether diabetes influences the bite force. Design: The craniomandibular function is determined by a complex interrelation of muscles, joint, teeth and neuromuscular system. Bite force is a component of masticatory function and how it is exercised by the action of the levator, depends on the volume, muscle activity and coordination between the different muscles involved. It is a method used to clinically evaluate the functional and physiological characteristics of the muscles of mastication and analyze the stomatognathic system. Setting: none listed.
e63
comorbidities (P<.0023) had greater discharge-home rates. Conversely, facilities with higher percentages of patients in the mildly severe (tier 3) classification of comorbidities (P<.0197) had lower discharge-home rates when compared to the no tier classification. Conclusions: Future work should examine differences in rehabilitation outcomes based on facility type, urban/rural location, ownership, and size. Understanding how contextual characteristics influence rehabilitation outcomes may inform clinicians and administrators in developing systemlevel interventions needed to improve the quality of rehabilitation services. Key Words: Hip fracture, Outcomes research, Quality measures, Medical rehabilitation, Older adults
Main Outcome Measures: Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) health questionnaire. Results: Adults with CP who had higher GMFCS Level and the exercise habits showed significantly higher scores in the most scales of the HRQOL (P<0.001). On the other hand, sex and age did not show the significant score differences in the HRQOL. The multiple regression analysis revealed that exercise period and frequency have been showed as significant explanatory variables in the most scales of the HRQOL (P<0.001). Conclusions: The present study clearly showed that long-term exercise habits with appropriate frequency have positive effects on HRQOL in adults with CP. Key Words: rehabilitation, cerebral palsy, exercise
Disclosure: Michael Cary has nothing to disclose.
Disclosure: Jung wan You has nothing to disclose.
Poster 146 Combination of Wrist Splint and Conventional Treatment VS Conventional Treatment Alone in Carpal Tunnel Syndrome Sirikwan Panyasriwanit (Chulalongkorn University) Objective: To determine the efficacy of using a wrist splint combined with conventional treatment on the improvement of symptoms, hand function and nerve conduction study (NCS) in mild to moderate degree of CTS. Design: A randomized single-blind controlled trial. Setting: King Chulalongkorn Memorial Hospital Participants: Thirty-nine CTS patients who had a mild to moderate degree of CTS (confirmed by NCS) were studied. All patients completed the study. Intervention: All patients were allocated into group of wrist splint or control with block randomized technique. Patients in control group were treated with conventional treatment, included education, vitamin B, while splint group received identical treatment with addition of a wrist splint for 3 months. Main Outcome measures: Boston Carpal Tunnel Questionnaire (BCTQ) and NCS Results: Significant improvement of BCTQ score (symptom, function) were observed in both splint (pZ0.001, 0.018) and control groups (pZ0.028, 0.006) after treatment. However, only the splint group showed significant reduction in DSL and DML (pZ0.005, 0.004). Comparison of BCTQ scores between splint and control groups showed lower score in splint group after treatment, though this was not a significant difference (pZ0.114, 0.769). Significant decrease of DSL and DML were observed in splint compared to control group (pZ0.044, 0.018) whereas no significant difference was observed in SNAP and CMAP (pZ 0.959, 0.280). Conclusions: A combination of wrist splint with conventional methods improved efficacy of treatment and significantly decreased DSL and DML compared to conventional treatment alone. Further study is necessary to evaluate long term efficacy. Key Words: Carpal tunnel syndrome, CTS, wrist splint Disclosure: Sirikwan Panyasriwanit has nothing to disclose.
Poster 148 Sonographic Evaluation of Plantar Fascia Seyed Kazem Shakouri (Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences), Arash Babaei-Ghazani, Bina Eftekhar Sadat Objective: To investigate sonography role is evaluation of common ankle problems especially plantar fasciitis (PF). Design: A prospective study. Setting: Rehabilitation education and research hospital. Participants: 36 patients with heel pain and the clinical findings of PF and heels of 36 asymptomatic volunteers, age and sex matched were recruited into the study as a control group. Intervention: Musculoskeletal sonographic examinations were performed with a commercially available scanner (5-14 MHz Linear transducer). Main Outcome measures: PF thickness in three different sites, heel fat pad thickness, Visual Analog Scale (VAS) and BMI were measured. Sonoelastographic evaluation was done. Results: Significant increase was observed in plantar fascia thickness and heel fat pad thickness in patients with PF in relation to the control group (P Z .0001). Plantar fascia thickness in conjunction with calcaneus was 6.24 1.12 and 2.76 0.88 mm in case and control groups, respectively. This different was statistically significant (P Z .0001). Also we noted mixed increase and decrease of plantar fascia hardness in Sonoelastographic examination. Conclusion: Although MRI is the modality of choice in the morphologic assessment of plantar fascia lesions; sonography can also serve as an effective time-saving tool in diagnosis and follow-up of PF. Sonoelastography as a new technique could also help differentiate plantar fasciitis from normal plantar fascia. Key Words: Plantar fasciitis, Sonography, Plantar fascia thickness Disclosure: Seyed Kazem Shakouri has nothing to disclose; Arash BabaeiGhazani has nothing to disclose.
Poster 147 The Effects of Exercise Habits on Health Related Quality of Life in Adults with Cerebral Palsy Jung wan You (Hiroshima University), Hye Im Jeong, Moon Hwan Lim, Masahiro Yamasaki Objective: To investigate the effects of exercise habits (existence of exercise habits, exercise period, frequency and hours) on Health Related Quality of Life (HRQOL) in adults with cerebral palsy (CP). Design: Cross-sectional study. Setting: Three CP Welfare Centers, two rehabilitation centers and CP football teams in Korea and Japan were selected. Participants: Adults (NZ201; 158 males, 43 females; 119 from Korea, 82 from Japan) with CP were enrolled as a convenience sample. Study subjects were stratified by severity of CP using the Gross Motor Function Classification System (GMFCS). Intervention: Not applicable.
www.archives-pmr.org
Poster 149 Maximum Bite Force Related to Diabetes Simone Cecilio Hallak Regalo (USP - FORP), Marisa Semprini, Selma Sie´ssere, Taˆnia de Freitas Borges Objective: To analyze the maximum bite force in diabetic and non-diabetic subjects, to determine whether diabetes influences the bite force. Design: The craniomandibular function is determined by a complex interrelation of muscles, joint, teeth and neuromuscular system. Bite force is a component of masticatory function and how it is exercised by the action of the levator, depends on the volume, muscle activity and coordination between the different muscles involved. It is a method used to clinically evaluate the functional and physiological characteristics of the muscles of mastication and analyze the stomatognathic system. Setting: none listed.