Rehabilitative Sciences
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/29942
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Browsing Rehabilitative Sciences by Author "Liu, Howe"
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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 Effects of Tai Chi programs on acute and chronic pulmonary conditions(2020) Kolenovic, Mersida; Traina, Allison; Liu, Howe; Salem, Yasser; Logsdon, LianaIntroduction: The health benefits of Tai Chi has been found to have numerous health benefits throughout all systems of the body. Due to Tai Chi's focus on controlled breath and diaphragmatic breathing, Tai Chi has been shown to improve pulmonary functions in chronic and acute pulmonary disease such as chronic obstructive pulmonary disease (COPD), asthma, lung cancer, and cystic fibrosis. The purpose of this systematic review is to analyze studies related to Tai Chi intervention for subjects with pulmonary disease in order to compare Tai Chi program parameters. Methods: This systematic review examines how a Tai Chi program can improve lung function, forced expiratory volume of 1 second (FEV1), 6 minute walk distance (6MWD) test results, dyspnea scale measures, and overall sense of well-being. This review utilized random control trials from PubMed database within the past 15 years. Key words used were "Tai Chi," "intervention," "cystic fibrosis," "asthma," "COPD," "lung cancer". Results: Individuals with COPD benefitted most from a Tai Chi program with sessions twice per week for 12 weeks. Two studies showed sustained physiological and subject perceived improvements 12 weeks after completion of Tai Chi program for individuals with COPD. Conclusion: Tai Chi is a beneficial intervention for individuals with pulmonary disease in improving lung function, endurance, and overall sense of well-being. This systematic review revealed that further studies are needed to uncover sustained effects of Tai Chi programs and regarding pulmonary conditions such as adult and pediatric asthma, lung cancer, and cystic fibrosis.Item Tai Chi and Diabetic Peripheral Neuropathies(2020) Kolenovic, Mersida; Logsdon, Liana; Salem, Yasser; Liu, Howe; Traina,AllisonBackground: Every year about 1.5 million Americans are diagnosed with diabetes. A common and major complication these individuals face is the development of peripheral neuropathies, typically due to uncontrolled glucose levels. The purpose of this systematic review is to identify the benefits of Tai Chi as an exercise intervention to alter peripheral sensation and balance related to neuropathy in diabetic patients. Tai Chi is an ancient Chinese martial art that incorporates elements of balance, strength, postural control, and concentration. Methods: This systematic review examines the effects of a Tai Chi program based on studies from PubMed database within the past 20 years. Each intervention program had varying parameters like numbers of forms, session durations and session frequencies. Results: Six studies show improvement in ankle proprioception, quality of life, glucose control, nerve conduction velocities in legs and arms, vascular reactivity index, plantar sensation, and locomotor stability. Each study had less than 60 participants and a Tai Chi program of at least 8 weeks of Yang, Sun, or Cheng style with progressions at the instructor's discretion. Conclusion: Tai Chi is a beneficial intervention for people with peripheral neuropathy. The six studies showed improvement in glucose control, quality of life, sensation and standing balance components. After thorough analysis, this review exposes several deficits in the existing research. Further studies could control for more balance variables, include larger sample sizes, and investigate the efficacy of specific Tai Chi program parameters.Item Virtual Reality Intervention for Parkinson's Disease: A Systematic Review.(2020) Liu, Howe; Salem, Yasser; Henry, Zach; Tran, KellyPurpose: With growing evidence supporting the use of Virtual Reality (VR) for people with Parkinson's Disease (PD) as an effective treatment technique to improve functional mobility. The purpose of this systematic review was to examine the evidence with regard to the effectiveness of VR for improving mobility function in individuals with PD. Number of subjects: A systematic review of literature including 22 studies with a total of 569. Methods: Literature search included the following databases: PubMed, Scopus, PEDro, and CINAHL using the following terms: virtual reality, games, and gaming with PD. There were two reviewers that independently reviewed, extracted data, and assessed quality of articles. A third reviewer was utilized when there was a disagreement between the two reviewers. Results: Analysis of the included studies indicated that 19 out of 22 studies demonstrated a statistically significant improvement of their outcome measures following the use of VR intervention. Out of the 22 studies, 10 studies conducted a follow-up to evaluate the long-term effects of VR. Eight out of the ten studies that conducted a follow-up showed lasting effects of VR intervention. Conclusions: The mobility decline associated with PD has been shown to contribute to a decrease in daily living activities, decreased community participation, and depression. Virtual reality and gaming may have the potential to combat the mobility deficits associated with PD more effectively to improve the functional mobility and quality of life of patients. Future studies should investigate long term retention and patient compliance to home-based VR.