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Permanent URI for this communityhttps://hdl.handle.net/20.500.12503/29916
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Browsing Abstracts by Author "Aggarwal, Sonali"
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Item A Systematic Review of the Effectiveness Aquatic Exercises has for Individuals with Parkinson's Disease(2020) Salem, Yasser; Liu, Howe; Quiben, Myla; Holmes, Clayton; Aggarwal, SonaliPurpose: The aim of this systematic review was to examine the evidence regarding benefits of aquatic exercise for patients with Parkinson's disease. Methods: Electronic databases used were PubMed and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Two individuals independently searched for relevant literature & sorted based on the inclusion criteria. Studies were included if they met the diagnosis criteria (Hoehn & Yagr scale or physician diagnosed) and aquatic exercise was the main intervention. Articles were excluded if they were not available in English. Results: Of 19 articles, there were eleven randomized controlled trials, one nonrandomized controlled trial, one case control study, five cohort studies, and one case study. Participant age ranged from 60 to 76 and overall inclusion criteria was 19-95 or older. Sample sizes ranged from 1 to 46 participants and 437 individuals were analyzed. Treatment duration was 3-4 up to 16 weeks with session frequency being 1-2 sessions up to 5 per week. Session length ranged from 35 to 60 minutes. A range of aquatic exercises and techniques were used to address multiple impairment areas. Various outcome measures were used to assess effectiveness of treatment. Conclusions: The evidence suggests an aquatic exercise program may effectively address deficits in quality of life, functional mobility, balance, posture, pain, and mood. Studies reported that aquatic activities are safe, enjoyable, & feasible interventions without adverse events or exacerbation of symptoms. Variability between studies was found with randomization, intervention parameters, population, and outcome measures for documenting changes.Item Effectiveness of Proprioceptive Neuromuscular Facilitation in the Stroke Population: A Systematic Review(2020) Salem, Yasser; Quiben, Myla; Mendez, Ana; Aggarwal, SonaliPurpose: The purpose of this systematic review was to evaluate the effectiveness of proprioceptive neuromuscular facilitation (PNF) for treatment of patients post stroke. Methods: A search of electronic databases (Pubmed, CINHAL, PeDRO, and Scopus) was conducted with the keywords "proprioceptive neuromuscular facilitation" and "stroke". This yielded 172 articles and 89 remained after screening for duplicates. Thirty articles were included for final review based on exclusion criteria. Studies included adults 18 years and older after a cerebrovascular accident (CVA), PNF as the main intervention, and availability in English. Results: Thirty articles met the criteria: 16 randomized control trials, 7 quasi-experimental, 3 case controls, and 4 case reports. Sample size ranged from 1 to 131 participants and 802 subjects were analyzed. Age ranged from 32 to 82. Session duration ranged from 10 to 60 minutes and intervention length ranged from 1 to 12 weeks. Frequency ranged from 1 to 6 sessions per week. Many outcome measures were used, and improvements were found in the following domains: functional outcome measures, gait/mobility, tone/spasticity, stroke specific assessment, balance, strength, range of motion, sensation, and dysphagia. Conclusion: Based on this review, PNF is effective for addressing the dysfunctions commonly seen after a stroke. No adverse outcomes were reported. Variability existed in study design concerning population, frequency, duration, PNF techniques, and outcome measures. The majority of studies had small sample sizes & the overall number of studies were low. Additional research is needed to further support the effectiveness of PNF with patients after CVA.