Browsing by Author "Wantana Siritaratiwat"
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Item Balance and obstacle crossing ability in independent ambulatory spinal cord injury patients(Khon Kaen University, 2009-12-24) Sugalya Amatachaya; Kitti Sombanda; Kalyarat Rungratanachiwin; Sukanya Jaikla; Wantana Siritaratiwat; Worawan KamruechaPatients with spinal cord injury (SCI) are frequently having impairment of movement control particularly a complex task such as walking and balance control. This study investigated ability of 18 independent ambulatory SCI patients to control their balance by using Berg Balance Scale (BBS), Timed Up and Go Test (TUGT) and to walk over small obstacles (wide or high obstacles at the size 1, 4 and 8 cm., 6 conditions totally), which are the sizes that commonly found at home and in the community. Each obstacle was placed at the middle of the 10-meter walkway. Results demonstrated that most of independent ambulatory subjects still had problem in balance control that resulting in exposing to a high risk of fall (BBS = 32.83 + 13.66 scores and TUGT = 45.57 + 18.83 seconds). In addition, 39 % of subjects were unable to successfully walk over obstacle(s). There were clinical significance of balance control (BBS) between subjects who were able and unable to successfully walk over an obstacle (\> 6 scores). The results may indicate that the development of balance control and obstacle crossing in patients with SCI who are able to walk independently is important to decrease risk of accident after discharge.Item Balance, Fall and Quality of Life of Regular and Non-regular Exercise Elderly(Faculty of Medicine, Khon Kaen University, 2010-06-20) Sugalya Amatachaya; Yaowaraporn Yuenyong; Wantana SiritaratiwatObjectives: To compare balance performance, incidences of fall and quality of life of regular and non-regular exercise elderlyMethods: The study cross-sectionally recruited 300 well-functioning older adults, aged 60 – 80 years both males and females. The eligible subjects were assigned into the regular and non-regular exercise groups by using a questionnaire. Balance performances were investigated by using the Berg Balance Scale (BBS) and Timed Up and Go Test (TUGT). Incidences of fall and quality of life were assessed by using questionnaires.Results: Subjects were mostly females which the mean ages of subjects in non-regular exercise group were 69.65 + 5.09 years and regular exercise group were 68.12 + 4.88 years. There were no significant differences of baseline demographics of subjects in both groups. The findings demonstrated that regular exercise subjects had better balance performances and quality of life with a lower incidence of fall than non-regular exercise subjects. Balance performance of subjects in both groups were significant differences (pItem A comparative study of heat effect between hot pack and Thai herbal ball on pain and physiological changes(Khon Kaen University, 2009-12-25) Punnee Puengsuwan; Torkamol Kamolrat; Wantana Siritaratiwat; Preeda Arayauuchanan; Orawan SaetanHeat has been one of the most effective ways to help control pain for thousands of years. Thai herbal ball (THB) is a traditional Thai therapy for pain reduction. Hot pack (HP) is one of modalities in physical therapy. The effect of THB compare with HP is just confirmed. The aim of this study was to compare the immediate effects of pain reduction and physiological parameters between the HP and THB in the subject with low back pain. Twenty-four subjects with low back pain aged 41 ± 8 years were randomized into each condition to conduct a cross over trial. All parameters were immediately measured at the baseline and after applications of the HP and THB on the back muscle for 20 minutes. The results showed that the VAS reduced both in the HP (1.36, P \< 0.01) and THB (1.03, P \< 0.001), but no difference was found between conditions. However, skin temperature significantly increased more in the HP (mean difference = 0.49 C, 95 % CI: 0.06 to 0.91, P \< 0.03) and heart rate significantly reduced more in THB (mean difference = -4 beats/min, 95 % CI: -1.13 to -5.37, P \< 0.006). Moreover, pain pressure threshold and thoracolumbar spine range of motion significantly increased after the THB and HP, respectively. In conclusion, both modalities have similar effect on pain reduction in subjects with low back pain. Convenience and extended time of heat therapy are favorable. Thus, application of these products may be attractive for patients with chronic pain.Item Effects of sit to stand training on functional balance of children with cerebral palsy(Khon Kaen University, 2010-12-21) Wannisa Kumban; Sugalya Amatachaya; Punnee Peungsuwan; Wantana SiritaratiwatThis quasi-experimental study aimed to investigate the effects of task-specific training: sit to stand on functional balance in children with cerebral palsy. The study recruited 10 school children, aged between 6 to 15 years, with a Gross Motor Function Classification System-Expanded and revised version (GMFCS-E\&R) level I to III. Subjects were evaluated their abilities of sit to stand using the Motor Assessment Scale (MAS: sit to stand item). Their functional balance was assessed using Pediatric Balance Scale (PBS), Functional Reach Test (FRT) in sitting posture and Five Times Sit to Stand (FTSST). The subjects attended 20-minute task specific training program of sit to stand 3 times a week for 6 weeks. Wilcoxon Signed Rank test (P \< 0.05) was used to analyze the outcome differences between pre-training and post-training, and those between post-training and the follow-up periods. Results were found that the median (range) score of sit to stand item in MAS was significantly improved from 2 (2-6) at pre-training to 4 (2-6) at post-training (P = 0.03). Median reaching distance during sitting was significantly increased from 25.5(3-34) at pre-training to 29(10-50) cm. at post-training (P = 0.02). Total balance scores were significantly increased from 40.5 (7-55) at pre-training to 44.5 (8-55) at post-training (P = 0.04). The median of time spent for five times sit to stand in children with GMFCS-E\&R level I-II was significantly decreased from 21.8 (13.31-48.34) at pre-training to 14 (10.47-32.31) seconds at post-training (P = 0.03). The effects of training remained after 6 weeks post training. Results of this study implied that specific sit to stand training improved an ability of sit to stand and functional balance in subjects with cerebral palsy.Item Physical abilities, quality of life, incidences of complications and falls in patients with chronic spinal cord injury after discharge(Khon Kaen University, 2010-07-15) Jiraporn Wannapakhe; Sugalya Amatachaya; Wantana Siritaratiwat; Preeda Arrayawichanon; Pattra WattanapanPatients with spinal cord injury (SCI) are likely to loss ability to control functions of body systems that lead the patients unable to control their movements. After discharge, unsuitable environmental conditions may significantly affect their ability and increase risks of complications and falls of the patients. This study evaluated the changes of physical abilities and quality of life (QOL), and incidences of complications and falls of 10 patients with chronic complete SCI at 6 months after discharge. Physical abilities and QOL of the patients were measured by using the Spinal cord independence measure (SCIM) and the WHOQOL-BREF-THAI consecutively. Incidence of complications and falls were monthly assessed by using a questionnaire. An average age and post-injury time of the patients were 42.9 ± 14.0 years and 5.6 ± 4.8 years respectively. After 6 months, physical abilities and QOL of the patients were reduced (median physical ability scores reduced from 55 to 54 scores, and median QOL decreased from 93 to 87 scores). All of them reported the incidences of medical complications from 1 – 2 types where 4 of them required rehospitalization for 3 – 30 days. Five patients experienced 1 – 5 occasions of falls. The findings of this study indicated that subjects with chronic SCI showed minimal changes of their physical ability, and faced with a high risk of complications and falls that might affect their ability and QOL. Further study regarding causes and strategies of prevention and health promotion is important for minimizing the consequences of SCI.Item The prevalence of musculoskeletal disorders in the textile occupation in Khon Kaen province(Khon Kaen University, 2010-12-21) Petcharat Keawduangdee; Rungthip Puntumetakul; Yodchai Boonprakob; Sawitri Wanpen; Wantana SiritaratiwatMusculoskeletal disorders are one of the common health problems which can make people discomfort during doing activity or during working and this could affect the quality of their life, family and society. It can arise in every occupation, especially in the industries and also involved in textile occupation. The knowledge of prevalence of musculoskeletal disorder is important information and can be a potential practical guidance to prevent musculoskeletal disorders which will be a good effect for people and economy in their country. The aim of this study was to examine the prevalence of musculoskeletal disorders in the textile occupation in Khon Kaen, Thailand. Three hundred and twenty-three workers of several divisions of the textile industry were participated in this study. The participants were asked to fill out the Standard Nordic Questionnaire in Thai version. This study found that the top three of the most prevalence of musculoskeletal pain in seven days were shoulder pain (39.7 %, 95 % CI: 34.3 – 45.1), low back pain (36.3 %, 95 % CI: 30.9 – 41.6), and wrist and fingers pain (33.1 %, 95 % CI: 27.9 – 38.3), respectively. The top three of the most prevalence of musculoskeletal pain in twelve months were shoulder pain (49.8 %, 95 % CI: 44.4 – 55.3), low back pain (46.6 %, 95 % CI: 41.1 – 52.2), and neck pain (42.6 %, 95 % CI: 37.0 – 48.1), respectively. And the top three of the most disability which affected by pain were low back pain (27.5 %, 95 % CI: 22.5 – 32.5), hip pain (21.4 %, 95 % CI: 16.9 – 26.0), and shoulder pain (21.4 %, 95 % CI: 16.8 – 26.0), respectively. The findings of the study demonstrated that low back pain was the most frequent problem that was found in the textile industrial workers and could make them absent from work. Therefore, it would be worth to further investigate the risk factors of this problem in the textile industrial workers in order to prevent them suffering from the disorder.Item Usage of the Alberta Infant Motor Scale Thai version by physical therapy students(Khon Kaen University, 2010-01-20) Wantana Siritaratiwat; Jaruwan Plaengdee; Jiriya Phasasuk; Nitirun PoonkatokeThe purposes of this study was to compare the rated scores of the Alberta Infant Motor Scale (AIMS) between physical therapy students and a physical therapy lecturer. Fifty five physical therapy students were recruited. Physical therapy students watched a video cassette and assessed gross motor development of a normal infant using the developed AIMS Thai version. The assessments of gross motor development were performed at the 1st, 6th, 8th, 10th, 12th and 14th month. The results showed that scores from the students were not significantly different compared with the lecturer ‘s score at the 1st, 6th and 8th month (p value=0.63, 0.19 and 0.14 respectively). In conclusion, the Alberta Infant Motor Scale (AIMS) Thai version can be used correctly by physical therapy students and their rated score was as good as the lecturer’s at the 1st, 6th and 8th month. Moreover, the AIMS Thai version is appropriate for assessing infans’ gross motor development by physical therapy students. A well practice is needed before using the AIMS Thai version in clinical practice.