Browsing by Person "Darain, Haider"

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Antecedent anterior cruciate ligament reconstruction surgery and optimal duration of supervised physiotherapy
(IOS Press, 2015-12) Darain, Haider; Alkitani, Abdulhameed; Yates, Christopher; Bailey, Andrea; Roberts, Simon; Coutts, Fiona; Gleeson, Nigel
A 22-year-old patient undergoing unilateral surgical reconstruction of the anterior cruciate ligament (ACL) of the right knee volunteered for the research project and followed an established contemporary hospital-based rehabilitation programme. The patient was supervised post-surgically by an experienced and clinically specialized physiotherapist. The clinical outcomes of rehabilitation were assessed by selected validated patient-reported and objectively-measured outcomes of functional performance capability on four different occasions (pre-surgery, 6th, 12th and 24th week post-surgery). The patient scored 30, 56, 60 and 85 on IKDC (maximum score, 100); 46, 53, 90 and 91 on Lysholm (maximum score, 100); 141, 73, 128 and 175 on K-SES (maximum score, 220); 17, 12, 6 and 6 on the symptom subsection of KOOS (maximum score, 28); 7, 7, 5 and 5 on the pain subsection (maximum score, 36); 1, 0, 3 and 1 on the daily function subsection (maximum score, 68); 0, 0, 5 and 5 on the sport and recreation function subsection (maximum score, 20); 13, 11, 15 and 13 on the quality of life subsection (maximum score, 16) of KOOS at pre-surgery and at the 6th, 12th and 24th week following ACL reconstruction, respectively. Moreover, the patient scored 1.96 m, 1.92 m and 1.99 m on single-leg hop (injured leg) when assessed at pre-surgery and at the 12th and 24th week post-surgery, respectively, following ACL reconstruction. The total time spent in supervised rehabilitation by the patient (675 minutes) was computed as the aggregate patient-reported time spent in exercise during each hospital-based rehabilitation session (verified by physiotherapist evaluation) across the total number of sessions. The patient managed to return to the sport in which he had participated prior to the injury, immediately after the completion of the contemporary rehabilitation programme, at 24 weeks post-surgery. A total of fifteen physiotherapy sessions supervised by the physiotherapist, were attended by the patient during the 24 week rehabilitation period. The latter number of physiotherapy sessions was substantially less than the average supervised physiotherapy sessions reported in the literature. 2015 - IOS Press and the authors. All rights reserved.
Effect of progressive resistive exercise training in improving mobility and functional ability of middle adulthood patients with chronic kidney disease
(Wolters Kluwer, 2015) Sah, Sanjiv K.; Siddiqui, Muhammad A.; Darain, Haider
Patients with chronic kidney disease (CKD) in their middle adulthood are more prone to reduced mobility than younger patients having the same medical condition. Progressive resistive exercise training (PRT) is deemed an effective treatment approach for the management of muscular weakness in patients with CKD. The present review is an attempt to understand the effectiveness of PRT in the mobility and functional ability of patients suffering from CKD. We systematically searched electronic databases, including Medline, Scopus, PubMed, CINAHL, PEDRo and Cochrane, to review the published literature on this subject. Electronic searches were limited to training programs carried out on resistive, aerobic, endurance and therapeutic exercises reporting outcome measures including muscular strength, size, physical function and functional capacity in the clinical population with CKD aged > 40 years. Studies with a minimum duration of eight weeks of exercise training or more were considered eligible for review. The methodological criteria of the included studies were assessed with the PEDro scale. A total of 80 articles were identified using the keywords in the above-mentioned databases. However, based on the study's inclusion and exclusion criteria, only 11 articles were finally included. The results of this review substantiate the effectiveness of PRT in patients with CKD. However, further research is warranted in this area due to the limited availability of high-quality published evidence.
Effects of antecedent flexibility conditioning on neuromuscular and sensorimotor performance during exercise-induced muscle damage
(Hong Kong Association of Sports Medicine & Sports Science, 2013-12) Gleeson, Nigel; Eston, R.; Minshull, Claire; Bailey, A.; Al Kitani, Abdul Hameed; Darain, Haider; Yates, C.; Rees, D.
The aim of this study was to assess the effects of two modes of antecedent flexibility conditioning on neuromuscular and sensorimotor performance during a subsequent episode of exercise-induced muscle damage (EIMD). Twenty-four males (age 20.9 2.3 years; height 1.78 0.06 m; body mass 72.3 7.4 kg, mean SD) were randomly assigned to interventions comprising 6 weeks of thrice-weekly flexibility conditioning of the hip region and knee flexor musculature in the dominant limb involving proprioceptive neuromuscular facilitation (n = 8), passive exercise (n = 8), or no exercise as a control (n = 8). Musculoskeletal, neuromuscular, and sensorimotor assessments were carried out at baseline, after conditioning, and before and up to 168 hours after damaging exercise of the ipsilateral knee flexors. Flexibility conditioning and EIMD elicited transient performance decreases in volitional electromechanical delay (up to 40.1% compared to baseline; 67.5 12.3 milliseconds vs. 47.9 9.7 milliseconds, mean SD, 48-hour post- vs. pre-EIMD; p < 0.01), passive hip flexibility (up to 19.9%; 96.7 8.2 vs. 120.7 11.0, p < 0.001) and sensorimotor capability (manifold error increase to 10.8%; 10.8% 6.9% vs. 0.3% 3.7%, p < 0.05) and exceeded the effects of eccentric exercise alone. EIMD-related performance decreases were especially prominent when preceded by passive flexibility conditioning, and were sufficiently potent following both modes of antecedent conditioning to raise concerns about compromised capability for rapid and dynamic stabilization of synovial joints. 2013.
Measurement of changes in the oxygenation of quadriceps muscles during the voluntary and involuntary fatigue test in normal healthy sedentary subjects
(Universidad de Alicante, 2015) Rehma, Amir Ur; Siddiqui, Muhammad A.; Darain, Haider
The Purpose of this study is to investigate the changes in muscle oxygen consumption in response to the different fatigue protocol cycle ergometry and electrical stimulation (voluntary and involuntary) in human quadriceps muscle using near infrared spectroscopy (NIRS). Fifteen healthy sedentary voluntary University students between ages 20-60 were invited to participate in the study. Three minutes stimulation was performed to fatigue the muscle. Changes in muscle oxygenation were measured by near infrared spectroscopy. The present resistance was calculated as the estimated maximal power output. The data were analysed using the Kolmogorov-Smirnov (K-S) test to determine the distribution. Descriptive statistics are used to characterize the shape, central tendency, and variability within a set of data. Differences were tested by utilizing the Friedman test the level of statistical significance was set at P<0.05. There was no significant difference (p>0.05) was found between right leg oxygenated (HbO2), deoxygenated (HHb), and total haemoglobin (CHb) as compared to left leg during cycle ergometry fatigue test. On the other hand, significant difference (p<0.05) was found in oxygenated haemoglobin of right leg when two (cycle ergometry and electrical stimulation) fatigue results were compared. However, no significant difference (p>0.05) was found in deoxygenated (HHb) and total haemoglobin (CHb) of right leg when two (cycle ergometry and electrical stimulation) fatigue results were compared. There was no significant difference (p>0.05) found in oxygenated, deoxygenated and total haemoglobin between right and left leg cycle ergometry fatigue indices. Similarly, no significant difference (p>0.05) was found in oxygenated, deoxygenated and total haemoglobin of right leg when two (cycle ergometry and electrical stimulation) fatigue indices were compared. The significant difference (p<0.001) were found between two (cycle ergometry and electrical stimulation) fatigue results. This study reveals that the oxygen consumption was more in the electrical stimulation as compared to the cycle ergometry during the fatigue test. Significant difference was observed between the oxygenated haemoglobin when comparing the electrical stimulation with cycle ergometry. Similarly, significant differences were found between the legs in cycle ergometry fatigue test. influences, together with exercise-induced-effects, should be considered as causes. Results show a functioning preparation-system within the DRV for better prepared-junior-athletes to commence the IPCP. Faculty of Education. University of Alicante.
The role of resource information centres in the community based rehabilitation framework
(2013) Darain, Haider; Alkitani, A.; Kashif, M.; El-Ziq, N. S.
Community Based Rehabilitation (CBR) programmes aim to utilise the existing resources in the community for persons with disabilities. This paper describes the role of the Resource Information Centres (RICs) set up in the aftermath of the earthquake in Pakistan, as part of the CBR framework. The authors perused relevant literature and added inputs from their experience regarding the role of RICs. The majority of persons with disabilities are not aware of the facilities available in their local areas. The RICs could play a vital role in guiding them to access the existing facilities comprehensively. RICs also carry out a variety of activities that facilitate social integration of persons with disabilities.