Browsing by Author "Chansirinukor W."

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    Comparison of walking performance between elderly women with and without history of falling within preceding 6 months
    (2553) รัชนก ทัดมาลา; ปิยะพงษ์ อัคเทพ; วรัษฐา นันอนนท์; อมรรัตน์ ชื่นบาน; วรรณเพ็ญ จันทร์ศิรินุเคราะห์; Thadmala R.; Achratep P.; Nananon V.; Chuenbaan A.; Chansirinukor W.; Ratchanok Thadmala; Piyapong Achratep; Varatta Nananon; Amornrat Chuenbaan; Wunpen Chansirinukor; Mahidol University. Faculty of Physical Therapy
    Significance and background. The falls of elderly is a major health problem and has risen significantly. Falls are the leading cause of severe fetal, serious injuries, disability or even injury death. However, walking performance in Thai elderly women with and without history of falling within preceding 6 months has not been investigated. Objective. To compare walking performance between the elderly women with history of falling and with no history of falling during the preceding 6 months. Methods. The participants were 32 women aged 60 years or older. They were divided into two groups: faller (m=10) and non-faller (m=22). Their age, weight, height was recorded. Also, their walking performance was assessed by the Time Up and Go Test (TUGT). All data were compared using Unpaired t-test. Results. The followings were the findings (mean ± SD) obtained from the participants in the faller and non-faller groups - age: 67.50±6.11 years and 67.36±3.86 years respectively; BM1: 25.07±5.20 kg/mk2and 23.88±3.5 kg/m2 respectively and TUGT 9.66±2.92 seconds and 8.28± 1.56 seconds, respectively. All data were statistically non-significant O>0.05). Conclusion. No significant difference between the walking performance of elderly women with and without history of falling within preceding 6 months was found. However, there was some limitation as all participants were involved in exercise. Their physical activities may differ from general elders. The walking performance of elderly women should be studied further in various settings.
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    EFFECTS of SPINAL MOBILIZATION with LEG MOVEMENT VERSUS SPINAL EXTENSION-ORIENTED MOBILIZATION on PAIN, and DISABILITY in PATIENTS with LUMBAR RADICULOPATHY
    (2024-01-01) Halidadjiyah; Sakulsriprasert P.; Chansirinukor W.; Halidadjiyah; Mahidol University
    Background: Either spinal mobilization with leg movement (SMWLM) or spinal extension-oriented mobilization (SEOM) has been proven to be effective for patients with lumbar radiculopathy (LR). Therefore, this study aimed to compare the effects of SMWLM versus SEOM on pain, disability, straight leg raise (SLR), and 5-m walk test in patients with LR. Methods: Of the 58 patients screened for eligibility, 32 patients diagnosed with LR were randomly assigned to either intervention group, SWWLM versus SEOM, and 4 sessions were taken in 2 weeks by blinded physical therapists. Pain at rest and worst by visual analog scale (VAS), straight leg raise (SLR), 5-m walk test (5MWT), and disability by Modified Oswestry Disability Index (MODI) were assessed by a blinded assessor at baseline and after each treatment session. Results: The patients in both groups showed significant improvement in VAS at rest, VAS at worst, SLR, 5MWT, and MODI ( 0.001). However, there was no significant difference between SMWLM and SEOM groups. Conclusion: The result demonstrated that both SMWLM and SEOM were effective in treating patients with LR regarding pain at rest and worst, SLR, 5MWT, and MODI.
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    Inter-Rater Reliability of a 6-Item Movement Control Test Battery in Individuals With and Without Chronic Non-Specific Low Back Pain
    (2025-01-01) Thana-udomnan T.; Chansirinukor W.; Kongoun S.; Klahan K.; Wattananon P.; Thana-udomnan T.; Mahidol University
    Objective: The purpose of this study was to investigate the inter-rater reliability of the 6-item movement control test battery (MCTB) in individuals with and without chronic non-specific low back pain (CNLBP) using different rating methods, including individual tests, summation, and direction-specific tests, for movement control impairment detection through real-time observation. Methods: Forty-seven participants with and without CNLBP were recruited. Participants were asked to perform MCTB (flexion-specific tests: waiter's bow, sitting knee extension, and quadruped rocking backward; extension-specific tests: pelvic tilt, prone knee flexion, and quadruped rocking forward), while 2 raters simultaneously and independently observed the movement control. Inter-rater reliability was analyzed using the chi-square test, percentage agreement (PA), kappa coefficient, and prevalence-adjusted and bias-adjusted kappa (PABAK). Results: The chi-square showed significant associations (P < .05) between the 2 raters in all tests and grading methods. For PA, all grading methods showed an acceptable level (PA > 70%), except prone knee flexion and extension-specific tests. The acceptable kappa levels (kappa > 0.4) were obtained in the flexion-specific tests and all individual tests except the prone knee flexion. The kappa of the summation did not reach the acceptable agreement level; however, this method yielded acceptable inter-rater reliability after using PABAK (PABAK = 0.62). Conclusions: The findings support inter-rater reliability of the flexion-specific tests, summation, and most individual tests for clinical use. However, the prone knee flexion and the extension-specific tests should be used with caution.