| Peer-Reviewed

Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn

Received: 19 March 2019     Accepted: 25 April 2019     Published: 18 June 2019
Views:       Downloads:
Abstract

Background: Balance problems are very common with neuropathic patients following burn. Objective: To investigate the effect of selected physical therapy program on balance of neuropathic patients following burn. Methods: A randomized controlled study was conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following burn injury of lower limb mainly at sole of the foot, 3rd degree injury, axonotemesis with burn extent 30%. Patients were selected from outpatient clinic, Faculty of physical therapy and Kasr AL Ainy hospital, Faculty of Medicine, Cairo University. The study was held during period between June 2017 to April 2018. The balance of patients was assessed before & after treatment by Biodex balances system & Berg Balance Scale. Patients were assigned randomly into two equal groups: Group A (study group) that received selected physical therapy program for balance training including (Stretching, Resistive and Balance exercises) and group B (control group) that received balance exercises only. Results: showed significant improvement in balance in favor to group A. Significant decrease in the balance indices and significant increase in BBS (Berg balance scale) scores were recorded after treatment in both study and control groups with better improvement of group A. Conclusion: On basis of the present data, it is possible to conclude that selected physical therapy program including (Stretching, Resistive and Balance exercises) is more effective for improving balance of neuropathic patients following burn than using balance exercises only.

Published in Clinical Neurology and Neuroscience (Volume 3, Issue 2)
DOI 10.11648/j.cnn.20190302.12
Page(s) 35-42
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Burn, Polyneuropathy, Balance Training

References
[1] Fan kw, Zhuzx, Denzy. (2005). An experimental model of electrical injury to the peripheral nerve. Burns 31: 731-736.
[2] Ahmmed, A. U. and Mackenzie, I. J. (2003). Posture changes in diabetes mellitus. J Laryngol. Otol. 117(5): 358-364.
[3] Akbari, M., Karimi, H., Farahini, H. and Faghihzadeh, S. (2006). Balance problems after unilateral lateral ankle sprain. J Rehabil Res Dev. 43: 819–824.
[4] De Oliveira CB, De Medeiros IR, Frota NA, Greters ME, Conforto AB. (2008). Balance control in hemiparetic stroke patients; main tools for evaluation. J Rehabil Res Dev. 45(8):1215–26.
[5] Higashlmori H, Whetzel TP, Mahmood T, Carlsen RC. (2005). Peripheral axon caliber and conduction velocity are decreased after burn injury in mice. Muscle Nerve. 31: 610-620.
[6] Tamam Y, Tamam C, Tamam B and Ustundag M. (2013). Peripheral neuropathy after burn injury. Eur Rev Med Pharmacol Sci. 1:107-11.
[7] Coert JH. (2010). Pathophysiology of nerve regeneration and nerve reconstruction in burned patients. Burns. 36:593–8.
[8] Akbari, M., Jafari, H., Moshashaee, A. and Forugh, B. (2012). Do diabetic neuropathy patients benefit from balance training? J Rehabil Res Dev. 49: 333–338.
[9] Eftekharsadat, B., Babaei-Ghazani, A., Mohammadzadeh, M., Talebi, M., Eslamian, F. and Azari, E. (2015). Effect of virtual reality-based balance training in multiple sclerosis. Neurol Res. 37: 539–544.
[10] Schmitz, R. J. and Arnold, B. (1998). Interest and intratest reliability of a dynamic balance protocol using the Biodex stability system. J Sport Rehabil. 7 (2): 95-101.
[11] Arnold, B. and Schmitz, R. (1998). Examination of balance measures produced by the Biodex Stability System. J Athl Train. 33: 323–327.
[12] Langley, F. A. & Mackintosh, S. F. H. (2007). Functional balance assessment of older community dwelling adults: A systematic review of the literature. The Internet Journal of Allied Health Sciences and Practice. 5(4).
[13] Blum, Lisa; Korner-Bitensky, Nicol. (2008). Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review. Physical Therapy. 88 (5): 559–566.
[14] Muir SW, Berg K, Chesworth B, Speechley M.(2008). Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther., 88 (4): 449–59.
[15] Downs S, Marquez J, Chiarelli P. (2013). The Berg Balance Scale has high intra- and inter-rater reliability but absolute reliability varies across the scale: a systematic review. J Physiotherapy. 59: 93–99.
[16] Newstead, A. H., Hinman, M. R. and Tomberlin, J. A. (2005). Reliability of the Berg Balance Scale and Balance Master Limits of Stability Tests for Individuals with Brain Injury. Journal of Neurologic Physical Therapy. 29: 18-23.
[17] Boulgarides LK, McGinty SM, Willett JA, Barnes CW. (2003). Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Phys Ther. 83 (4): 328–39.
[18] Steffen T. M.; Hacker T. A., Mollinger L. (2002). Age- and Gender-Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and Gait Speeds". Journal of Physical Therapy. 82 (2): 128–137.
[19] Meuleman, et. al. (2000). Exercise and training in the debilitated aged: Strength and functional outcomes. Arch phys Med Rehab. 81: 312-318.
[20] Cristina DS, Ricky W, Anice CP, Andreja PP, Renata HH and Isabel CS. (2012). Effects of a combined strengthening, stretching and functional training program versus usual-care on gait biomechanics and foot function for diabetic neuropathy: a randomized controlled trial. BMC Musculoskeletal Disorders J. 13: 36.
[21] Alvaro E Georg. (2005). Economic analysis of screening program for diabetes mellitus in Brazil. Rev Saude Publica. vol 39 (3):452-60.
[22] Hardee JP, Porter C, Sidossis LS, Borsheim E, Carson JA, Herndon DN. (2014). Early rehabilitative exercise training in the recovery from pediatric burn. Med Sci Sports Exerc.; 46:1710–6.
[23] Salsabili, H., Bahrpeyma, F., Forogh, B. and Rajabali, S. (2011). Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes. J Rehabil Res Dev. 48: 775–786.
[24] Mueller MJ, Tuttle LJ, LeMaster JW, Strube MJ, McGill JB, Hastings MK. (2013). Weight-bearing versus non weight-bearing exercise for persons with diabetes and peripheral neuropathy: a randomized controlled trial. Arch Phys Med Rehabil. 94: 829-838.
[25] Allet L, Armand S, Golay A and Monnin D (2010). The gait and balance of patients with diabetes can be improved: a randomised controlled trial. Diabetologia. 53(3):458–466.
[26] Fiona P. (2010). Rehabilitation of the burn patient". Indian J Plast Surg. Sep. 43: 101–113.
[27] Shaker J and Steven MJ (2011). Update on the management of diabetic polyneuropathies. Diabetes Metab Syndr Obes. 4:289-305.
[28] Cristina D, Ricky W, Anice C and Andreja P (2012). Stretching and functional training program versus usual-care on gait biomechanics and foot function for diabetic neuropathy: a randomized controlled trial. BMC Musculoskeletal Disorders J. 13:36.
[29] Burak F and Bulkar B. (2016). The investigation of effect of balance and strength exercises on knee proprioception in young adolescents". British Journal of sports medicine.
[30] Cindy T, Constance V, and Donna L. (2017): " Strength and balance training for adults with peripheral neuropathy and high risk of fall: current evidence and implications for future research". PMC J. 39(5): E416–E424
[31] Fiona S, Eva M, Helmar C and Kathrin M. (2014). Exercise Intervention Studies in Patients with Peripheral Neuropathy: A Systematic Review". Sports medicine J. 44 (9): 1289–13.
Cite This Article
  • APA Style

    Rasha Mohamed El-Rewainy, Esraa Hany Rostom, Hanan Helmy Elgendy. (2019). Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn. Clinical Neurology and Neuroscience, 3(2), 35-42. https://doi.org/10.11648/j.cnn.20190302.12

    Copy | Download

    ACS Style

    Rasha Mohamed El-Rewainy; Esraa Hany Rostom; Hanan Helmy Elgendy. Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn. Clin. Neurol. Neurosci. 2019, 3(2), 35-42. doi: 10.11648/j.cnn.20190302.12

    Copy | Download

    AMA Style

    Rasha Mohamed El-Rewainy, Esraa Hany Rostom, Hanan Helmy Elgendy. Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn. Clin Neurol Neurosci. 2019;3(2):35-42. doi: 10.11648/j.cnn.20190302.12

    Copy | Download

  • @article{10.11648/j.cnn.20190302.12,
      author = {Rasha Mohamed El-Rewainy and Esraa Hany Rostom and Hanan Helmy Elgendy},
      title = {Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn},
      journal = {Clinical Neurology and Neuroscience},
      volume = {3},
      number = {2},
      pages = {35-42},
      doi = {10.11648/j.cnn.20190302.12},
      url = {https://doi.org/10.11648/j.cnn.20190302.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190302.12},
      abstract = {Background: Balance problems are very common with neuropathic patients following burn. Objective: To investigate the effect of selected physical therapy program on balance of neuropathic patients following burn. Methods: A randomized controlled study was conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following burn injury of lower limb mainly at sole of the foot, 3rd degree injury, axonotemesis with burn extent 30%. Patients were selected from outpatient clinic, Faculty of physical therapy and Kasr AL Ainy hospital, Faculty of Medicine, Cairo University. The study was held during period between June 2017 to April 2018. The balance of patients was assessed before & after treatment by Biodex balances system & Berg Balance Scale. Patients were assigned randomly into two equal groups: Group A (study group) that received selected physical therapy program for balance training including (Stretching, Resistive and Balance exercises) and group B (control group) that received balance exercises only. Results: showed significant improvement in balance in favor to group A. Significant decrease in the balance indices and significant increase in BBS (Berg balance scale) scores were recorded after treatment in both study and control groups with better improvement of group A. Conclusion: On basis of the present data, it is possible to conclude that selected physical therapy program including (Stretching, Resistive and Balance exercises) is more effective for improving balance of neuropathic patients following burn than using balance exercises only.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn
    AU  - Rasha Mohamed El-Rewainy
    AU  - Esraa Hany Rostom
    AU  - Hanan Helmy Elgendy
    Y1  - 2019/06/18
    PY  - 2019
    N1  - https://doi.org/10.11648/j.cnn.20190302.12
    DO  - 10.11648/j.cnn.20190302.12
    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
    SP  - 35
    EP  - 42
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20190302.12
    AB  - Background: Balance problems are very common with neuropathic patients following burn. Objective: To investigate the effect of selected physical therapy program on balance of neuropathic patients following burn. Methods: A randomized controlled study was conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following burn injury of lower limb mainly at sole of the foot, 3rd degree injury, axonotemesis with burn extent 30%. Patients were selected from outpatient clinic, Faculty of physical therapy and Kasr AL Ainy hospital, Faculty of Medicine, Cairo University. The study was held during period between June 2017 to April 2018. The balance of patients was assessed before & after treatment by Biodex balances system & Berg Balance Scale. Patients were assigned randomly into two equal groups: Group A (study group) that received selected physical therapy program for balance training including (Stretching, Resistive and Balance exercises) and group B (control group) that received balance exercises only. Results: showed significant improvement in balance in favor to group A. Significant decrease in the balance indices and significant increase in BBS (Berg balance scale) scores were recorded after treatment in both study and control groups with better improvement of group A. Conclusion: On basis of the present data, it is possible to conclude that selected physical therapy program including (Stretching, Resistive and Balance exercises) is more effective for improving balance of neuropathic patients following burn than using balance exercises only.
    VL  - 3
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Department of Physical Therapy of Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

  • Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

  • Department of Neurology, Faculty of Medicine, Cairo University, Cairo, Egypt

  • Sections