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Assessment of Serum Electrolytes in Sudanese Hypertensive Patients in Khartoum State-Sudan
Nedal Babiker Alawad,
Salman Taha Ahmed Elmukashfi,
Abdelwahab Abdien Saeed,
Rashid Eltayeb Abdalla
Issue:
Volume 5, Issue 2, December 2019
Pages:
31-36
Received:
14 May 2019
Accepted:
18 July 2019
Published:
31 July 2019
Abstract: Background: Hypertension increases the risk of heart failure and kidney failure [1]. Worldwide, hypertension is estimated to cause (7.5) million deaths, about (12.8%) of the total of all deaths. In Africa, however, more than (40%) (And up to 50%) of adults in many countries are estimated to have hypertension [2]. The aim of this study was to assess the association between hypertension and serum electrolytes (sodium, potassium, magnesium and calcium) in hypertensive Sudanese males and females in Khartoum State. Material and Methods: Study Approach is A quantitative approach was used to measure Na+, K+, Mg2+ and Ca2+ in hypertensive Sudanese patients in period from March to Augustus 2018. The study was designed as prospective, hospitals/laboratory based study, this study was performed in different hospitals at Khartoum State. This study was include 30 blood samples collected from patients with hypertension, the restriction of the sample size to (30) subjects is due to lack of financial support. Data was collected using questionnaire. Two and half ml from venous blood sample was collected in heparin container, by using sterile disposable plastic syringes and aseptic condition, vein puncture technique was applied. The sample was centrifuged at (3500 rpm) for (5 minute), and reading. A quantitative method can be used to measuring Ca2+ and Mg2+ concentration by used semi automation method by used spectrophotometer instrument, and the level of Na+ and K+ is determined by methodology is based on the selective electrode measurement (SLE) principle to precisely determine measurement values. Results: This study presented that there were non-significant correlations between levels of (sodium, potassium, magnesium and calcium) of hypertensive patients compared to normal range. The illustrated that there were non-significant correlations between age, duration, social status, gander, job, education status of hypertensive tested group. The study revealed that there was a finding referring to significant correlation between level of (magnesium) and economic status of test group, but non-significant in (sodium, potassium, magnesium). Conclusion: Based on the results of the study was demonstrated the non-significant correlation between serum electrolyte and hypertension tested group compared with normal range. Also the study was not finding any correlation or effect of age, gender, duration of disease and education status of hypertensive patients on serum electrolytes levels, but depended on the finding of results study was presented prevailed significant correlation with economic status of tested group and level of magnesium serum. From this study concluded there was non physiological alteration in electrolytes balance in patients of hypertension.
Abstract: Background: Hypertension increases the risk of heart failure and kidney failure [1]. Worldwide, hypertension is estimated to cause (7.5) million deaths, about (12.8%) of the total of all deaths. In Africa, however, more than (40%) (And up to 50%) of adults in many countries are estimated to have hypertension [2]. The aim of this study was to assess...
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Effectiveness of Task Oriented Physiotherapy Along with Conventional Physiotherapy for Patients with Stroke
Shahinoor Bente Khan,
Mohammad Habibur Rahman,
Md Obaidul Haque,
Ehsanur Rahman
Issue:
Volume 5, Issue 2, December 2019
Pages:
37-41
Received:
24 June 2019
Accepted:
12 August 2019
Published:
16 September 2019
Abstract: Background: Stroke is a disorder where brain is damaged either by blockage in the blood vessels or rupture of the blood vessels. It is the approximately number five leading cause of death. It is also the leading cause of longer period disability as well as preventable cause of disability. Objectives: To determine and compare balance, functional status and mobility before and after application of task oriented physiotherapy along with conventional physiotherapy among patients with Stroke. Methodology: Classic experimental study design was used in this study. 30 patients with stroke were randomly assigned into two groups among them 15 patients were assigned into experimental group received task oriented physiotherapy with conventional physiotherapy and another 15 into control group received only conventional physiotherapy. Total treatment sessions were twenty-four comprising of 3 sessions per week for 8 weeks. Single blinding procedure was used during data collection. Outcome measurement tools: Berg balance scale (BBS) was used to measure balance, functional independence measurement (FIM) was used to measure functional status and timed up and go test (TUG) to measure mobility. Analysis of data: Inferential statistics such as for between group analysis of BBS and FIM used Mann-Whitney U test, and within group analysis of BBS and FIM used Wilcoxon test. Besides Independent t test used for between group analysis and Paired t test was done for within group analysis of TUG by using SPSS version 22. Results: It was found that balance, functional status and mobility improved both between and within group results except standing unsupported one foot in front. Conclusion: This research showed that task oriented physiotherapy along with conventional physiotherapy was more effective than only conventional physiotherapy for patients with stroke.
Abstract: Background: Stroke is a disorder where brain is damaged either by blockage in the blood vessels or rupture of the blood vessels. It is the approximately number five leading cause of death. It is also the leading cause of longer period disability as well as preventable cause of disability. Objectives: To determine and compare balance, functional sta...
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Comparison of Dual Task and Task Oriented Training Programme on Gait in Chronic Stroke
Amandeep Singh,
Davinder Kaur,
Rajneet Kaur Sahni,
Simran Grewal
Issue:
Volume 5, Issue 2, December 2019
Pages:
42-50
Received:
30 August 2019
Accepted:
25 September 2019
Published:
20 October 2019
Abstract: Stroke is the major cause of disability and handicap in adults and it usually results in some degree of muscle weakness. Daily living requires balance and walking ability while performing tasks. Several factors affect the functional independence in post stroke period in which gait plays a significant role. 30 subjects of age group 45-60 years were selected by purposive sampling and informed consent was taken. The subjects were divided into 2 groups A and B of 15 each. Both the groups received conventional physiotherapy as muscle strengthening of affected lower limb and balance training. Group A received dual task training and Group B received task oriented training for 8 weeks. Pre test and post test data for gait parameters (gait speed, cadence, step length, stride length) were obtained by using 10meter walk test respectively. Unpaired‘t’ test was applied at the p<0.05 for the comparison within and between the groups for the variable Gait Parameters(i.e gait speed, cadence, step length, stride length). The values of gait parameters between the groups were significant which showed that task oriented training is more effective than dual task training to improve gait in chronic stroke.
Abstract: Stroke is the major cause of disability and handicap in adults and it usually results in some degree of muscle weakness. Daily living requires balance and walking ability while performing tasks. Several factors affect the functional independence in post stroke period in which gait plays a significant role. 30 subjects of age group 45-60 years were ...
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Vision Neurorehabilitation 2025: A Commitment Towards Advancing Care, Sharing Knowledge and Rebuilding Lives
Issue:
Volume 5, Issue 2, December 2019
Pages:
51-62
Received:
31 August 2019
Accepted:
22 October 2019
Published:
4 December 2019
Abstract: International evidence shows that people with disabilities have unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor quality of life. This article provides a narrative overview of literature on neurorehabilitation in developing countries, especially from the perspective of India and highlights some of the challenges in rehabilitation within the context of neurological conditions. Several issues related to neurorehabilitation are discussed for a systematic approach to build horizontal health care systems that are sustainable and responsive; involvement of bilateral agencies using multi-sectorial approach, new partnerships, strategic collaboration; provision of technical assistance, research and development; and capacity-building for a strong interdisciplinary workforce. Other factors that need to be addressed include governance for strengthening health care systems through logistics, surveillance and service delivery; and adequate scaling. Enlisted here is also a list of comprehensive summary actions to tackle neurological disorder-related disability, and offers governments, policy-makers and other relevant stakeholders a blueprint for implementing recommendations of the World Disability Report and the Convention on the Rights of Persons with Disabilities, and facilitate social inclusion of persons with neurological conditions, in countries at all stages of development. This document is prepared for crystallizing the vision of neurorehabilitation for the future in the year 2025. The vision will reflect our aspirations, the full potentials of growth and development, and layout the efforts needed to fulfill this vision. This vision may in parallel serve to address the strategic implementation for other disability conditions. We hope it will facilitate increased cooperation and innovation and inspire commitment to preventing these debilitating disorders and providing the best possible care for people who suffer from them.
Abstract: International evidence shows that people with disabilities have unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor quality of life. This article provides a narrative overview of literature on neurorehabilitation in developing countries, especially from the perspective of Ind...
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Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review
Asma Islam,
Mohammad Habibur Rahman,
Md. Obaidul Haque,
Shamima Islam
Issue:
Volume 5, Issue 2, December 2019
Pages:
63-68
Received:
7 November 2019
Accepted:
5 December 2019
Published:
17 December 2019
Abstract: Stroke is one of the leading cause of disability and death throughout the world. Among the hospitalized neurological patients, 60% acquire gait disturbance. Functional electrical stimulation (FES) is a form of electrical current which helps to contract the weak muscles in the patient with stroke. Several studies were conducted to identify the effectiveness of FES on gait performance. Therefore the purpose of the article was to identify the good quality RCTs and find their results regarding the effectiveness of FES on gait performance of stroke patient. 5 randomized control trials were identified from the Physiotherapy Evidence Database (PEDro) and their score was 5 and above. A careful analysis was performed to make synopsis of those articles and presented in table with description. The first 4 studies found that a combination approach such as Mirror Therapy, Action Observational Training, Brain-computer interface and standard rehabilitation along with FES is effective in gait performance than the FES alone. One study compared the effectiveness of dual and four channels FES where they found 4 channels FES is more effective than dual channel. Therefore the review concluded that FES combined with other treatment modalities is beneficial to restore gait performance of patient with stroke.
Abstract: Stroke is one of the leading cause of disability and death throughout the world. Among the hospitalized neurological patients, 60% acquire gait disturbance. Functional electrical stimulation (FES) is a form of electrical current which helps to contract the weak muscles in the patient with stroke. Several studies were conducted to identify the effec...
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