International Journal of Physiotherapy and Research
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Editor-in-Chief: Dr. Srikath K
ISSN: (Print)2321-8975 (Online) 2321-1822
Frequency: Bi-monthly
Language: English
Open Access Peer-reviewed journal
Web site: https://www.ijmhr.org/ijpr.html
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Item Effect Of Pnf Stretching Versus Static Stretching On Calf Muscle Flexibility: A Comparative Experimental Study(IMED Research Publications, 2019-02) Panchal, Aarti; Sabhaya, Deepti; Maitri, ParekhBackground: muscle tightness is the most common disorder in normal healthy Indiviuals.Calf muscle tightness is very common occurring condition. Stretching is form of physical exercise in which a specific muscle or tendon (muscle group) is deliberately flexed or stretched in order to improve the muscle’s felt elasticity and achieve comfortable muscle tone. Purpose of the study is to compare effectiveness of PNF stretching and static stretching in in improving the calf muscle flexibility. Materials and Methods: 30 subjects (n=30) between 5-22years (male and female) with calf tightness were randomly divided in to two groups equally. Each group consists of 15 subjects. Calf flexibility for each group was measured using the Silfverskiold test. Subjects of A group treated with PNF stretching technique, whereas the subjects of group B were treated with static stretching. Treatment was given for 15 days. Results: The PNF technique (group A) the value of the dorsiflexion is increased at the end of the 15 days (19.86) compared to baseline value (13.07). Conclusion: The both PNF and static stretching techniques are effective in improving the calf muscle flexibility but the PNF stretching is more effective compared to static stretching to improve calf muscle flexibility.Item Awareness Of Warning Symptoms, Risk Factors And Treatment Including Rehabilitation Of Stroke Among The High Risk Population(IMED Research Publications, 2019-02) Naik, KhushbuObjective: To assess the awareness of warning symptoms, risk factors and treatment of stroke among the high risk population. This study mainly focus on how much awareness people have who are already on high risk for stroke. Methodology: Sample size was 500. This hospital based survey done in urban population from. There is a three-part self administered questionnaire was used in this study which include demographic data, warning symptoms and treatment of stroke. Before filling the questionnaire duly consent was signed by patient, explained the questionnaire and then questions were asked during a one-to-one interview in the local vernacular language. Conclusion: This study shows that the knowledge regarding the organ involved, warning symptoms and risk factors were comparatively better than other studies. Whereas the knowledge about treatment of stroke including rehabilitation was poor in this study.Item Six Minute Walk Test (6MWT) In Various Pediatric Conditions: A Literature Review(IMED Research Publications, 2019-02) Malawade, Mandar; Shirsath, SarveshThe Six Minute Walk Test (6MWT) was developed in 1963 by Balke to evaluate functional capacity. The test was developed in frail elderly patients 60-90 years of age referred to a geriatric hospital, and it targets community dwelling frail elders. However, the test has been used in a variety of chronic diseases, in adult and pediatric populations as well as in healthy adults and healthy pediatric population. It is a common outcome measurement tool used in physical therapy to determine ones basic exercise endurance and functional fitness. It is simple to perform, and it can help the physical therapist evaluate improvement or decline in one’s overall functional status during his/her rehabilitation program. It is a self paced sub maximal exercise test used to assess functional exercise capacity in patients with chronic diseases. The test has been used as an estimate of physical fitness in severe cardiopulmonary diseases, cystic fibrosis, juvenile idiopathic arthritis, etc in pediatric population. Knowledge about its measurement properties is needed to determine whether it is an appropriate test to use in paediatric population. The purpose of this study will be to systematically review all published clinimetric studies on the 6MWT in various pediatric conditions.Item To Compare The Functional Balance Between Normal Elderly, Elderly With Diabetes, Elderly With Diabetic Polyneuropathy(IMED Research Publications, 2019-02) Patel, Krupa; Naik, NilashriBackground: We aimed in this study to compare functional balance using berg balance scale amongst three groups namely elderly without diabetes, elderly with diabetes and elderly with diabetic polyneuropathy. There were total 108 patients included in the study. Purpose: The main objective of the study was to compare functional balance by using berg balance scale among the three groups namely elderly without diabetes, elderly with diabetes and elderly with diabetic polyneuropathy. Methodology: A total of 108 patients were taken for the study, were divided into three groups namely: Group A- Elderly without diabetes, Group B- Elderly with diabetes and Group C- Elderly with diabetic polyneuropathy. Berg balance scale was administered in the above mentioned three groups. Results: The mean of age, gender and duration since diabetes was calculated in all groups. Berg balance scale scores were calculated and in that high fall risk there were 20(55.56%) participants in elderly with diabetic polyneuropathy. In medium fall risk there was 1(2.78%) participant in elderly with diabetes and 16(44.44%) participants in elderly with diabetic polyneuropathy. While in low fall risk there were 36 (100%) participants in normal elderly, 35(97.22%) participants in elderly with diabetes and 0(0%) in elderly with diabetic polyneuropathy. One way Anova was done and all the three groups were having significant difference in their BBS scores. Conclusion: this study concluded that elderly with diabetic polyneuropathy were at high risk of fall than the other two groups; however elderly with diabetics were also at low risk of fall compared to elderly without diabetes though the result was not significant.Item Effect Of Proprioceptive Training On Balance In Cancer Patients With Chemotherapy Induced Peripheral Neuropathy(IMED Research Publications, 2019-02) Andhare, Nilesh; Yeole, Ujwal L.; Malusare, Aditi S.Background: In Cancer patients as there is rising prevalence of chemotherapy-induced peripheral neuropathy (CIPN) have sensory and motor deficits which lead to inappropriate proprioceptive feedback, risk of fall and impaired postural control. Aim and Objectives: To find effect of proprioceptive training on balance in cancer patients with chemotherapy induced peripheral neuropathy. Methodology: 45 participants were selected between the age 41-60 years (mean age 54.03) and informed consent was taken. Pre-intervention BBS, mTNS, and FRT score were calculated. Total 15 sessions of proprioceptive training for 3 weeks was given in which Single limb stance, lunges and base of support exercises. BBS, mTNS and FRT were noted post-treatment. Results: BBS difference for pre-treatment is 37.13 and post is 43.8(p value<0.0001), mTNS difference for pre-treatment is 14.33 and post is 11.13 (p value<0.0001) and FRT difference for pre-treatment is 10.9 and post is 13(p Value<0.0001). Conclusion: In this study we concluded that there is significant effect of proprioceptive training on balance in chemotherapy induced peripheral neuropathy.Item Comparison Of Static Balance In Male Football And Gymnastic Players By Using Balance Error Scoring System(IMED Research Publications, 2019-02) Akre, Manali; Kulkarni, ParagBackground: Balance is a combination of automatic reactions of the body combined with external environmental factors. Balance can be sharpened by adding physical and mental training routines as a part of sports rehabilitation. It is as much a leant skill as it is innate function of the body. Even though the contact sports like football require more of dynamic balance training it is essential for them to have the static balance skills for a penalty strike or during shoot out. It is in these situations that the static balance is maximally challenged. While in the case of gymnastic players their static balance is challenged during maintaining certain postures or while landing. It is widely believed that gymnastic players are more flexible and adapt to automatic situations however football players are equally required static balance skills. This study was an attempt to compare their respective balance skills. Aim: To compare a static balance of male football & gymnastic players by using balance error scoring system. Objectives: To assess and compare static balance in gymnastics and football players. Materials and Methods: Clinical trial. All the subjects were selected by snowball sampling method. Results: The result of this study by paired t-test showed that the static balance has significant difference between football and gymnastics players (P= <0.00001) showed a significant difference. Conclusion: The above study concludes that football players displayed inferior static balance compared with gymnastics players by using balance error scoring system.Item Effect Of Massed Practice Versus Distributed Practice On Basic Mobility Skills Among Post Stroke Patients(IMED Research Publications, 2019-04) Alagappan, ParthibanBackground: Stroke a global health problem is the second commonest cause of death and fourth leading cause of disability. Bed mobility the most important requisite for all activities in impaired in stroke. Retraining of bed mobility skills is very important to gain better outcome in the later phases of rehabilitation. Based on the concepts of motor learning there are numerous practice methods to retrain motor skills. Since sufficient literatures are not available in comparing the effect of massed practice and distributed practice on bed mobility skills among post stroke patients, there is a need for incorporating it in this study. Objectives: To compare the effect of massed practice and distributed on basic mobility skills among post stroke patients. Materials and Methods: Study was conducted as a quasi experimental design – pretest and posttest designs with two comparison treatments at the Department of Physical Medicine and Rehabilitation ,KMCH Hospitals, Coimbatore, Tamil Nadu, India. A total of 20 stroke patients in the age group of 45 to 60 years participated in the study. The participants who satisfied the selection criteria were selected by convenience sampling and randomly assigned into two groups. Group A received bed mobility training using massed practice method and group B received bed mobility training using distributed practice method for 7 days. Outcomes were measured with bed mobility item of Stroke Rehabilitation Assessment of Movement (STREAM) scale. Results: All participants in group A and group B showed significant improvement in bed mobility item of STREAM scale with a mean difference of 11.2 and 15.9 respectively. The calculated ‘t’ value using the paired test for group A and B were 27.03 and 51.36 (P<0.005) respectively. When comparing between the groups using independent ‘t’ test, the bed mobility item of STREAM scores showed mean difference of 4.9 and ‘t’ value of 9.7 (P<0.005). Conclusion: This study revealed that there was significant improvement in bed mobility skills following distributed practice method than massed practice method among post stroke patients.Item Evaluation Of Stability And Postural Control In Patients With Multiple Sclerosis Pre And Post Balance Program On Biodex Balance System(IMED Research Publications, 2019-04) Ghait, Anees S.; Elheneidi, Elbadawy I.; Shendy, Wael S.; Hamoda, Ibrahim M.The purpose of the study was to evaluate response of stability and postural control in patients suffering from multiple sclerosis. Thirty subjects, of both sexes ,their age ranged from 30 to 40 years shared in this study and were divided into two equal groups, the first group (GI) included normal subjects and the second group (GII) included patients suffering from multiple sclerosis. Assessment was done by Biodex balance system via the dynamic balance test which included anteroposterior, mediolatoral and overall stability index. This study was done in Biomechanics lab in Faculty of Physical Education at Kafrelsheikh University. Group II was trained for two months. The results revealed that there were slightly decrease in balance paremeters in the control group or normal subjects during assessment of balance in this study. In relation to the study group, there were no significant difference between the balance parameters post treatment than pre treatment (p >0.05), this indicates that there was no improvement in balance in GII after receiving the balance training program. It could be concluded that performing balance training program did not improve balance in subjects suffering from multiple sclerosis.Item Immediate Effect Of Kinesio Taping V/S Mcconnell Taping In Patellofemoral Oa Knee Patients(IMED Research Publications, 2019-04) Mange, Mihir N.; Zore, Leena; Kumar, AjayBackground: Patello-femoral joint osteoarthritis is very common and occurs due to loss of cartilage of patella and trocheal groove in approximately half of the patients diagnosed with Osteoarthritis knee. Taping can be used to reduce pain in knee osteoarthritis. Different types of taping are done on Osteoarthritis Knee patients to see their individual effect, but very few studies have been done to compare the effect of 2 different types of tape. AIM: To compare the immediate effects of Kinesio taping and McConnell taping on patellofemoral joint osteoarthritis knee patients. Objectives: To compare the effects of Kinesio taping and McConnell taping on Knee flexion and extension Range of motion, pain on Numerical rating scale during Squatting and Descending stairs in patellofemoral joint osteoarthritis patients Materials and methods: This was an Experimental Pre/Post study. Primary data collection was done using random sampling. 60 Patellofemoral Joint Osteoarthritis knee patients between 45-55 age group were selected and were divided into two groups- Group A-Kinesio Taping and Group B- McConnell Taping group containing 30 each. ThePre and Post Assessment of both the groups was done using Goniometer for Knee ROM and Numerical Rating Scale(NRS) for pain score during Squatting and Descending stairs. Results: The result of this study by Mann-whitney test showed that Kinesio taping has statistical significant increase in knee range of motion (flexion and extension)( p-value=0.0334). And statistical significant decrease in pain score on NRS during Squatting (p-value=0.0212) Conclusion: Kinesio taping has shown statistical significant increase in Knee Range of Motion, and statistical significant decrease in pain on Numerical Rating Scale(NRS) during Squatting, while no significant difference on Numerical Rating Scale (NRS) during descending stairs when compared to McConnell taping.Item Association Between The Levels Of Physical Activity And Cardiorespiratory Fitness Among Security Guards(IMED Research Publications, 2019-04) Malavia, Bharvi; Shah, SweetyBackground: Physical fitness is important in most high physically demanding jobs especially in the security services. It has to be ensured that the security guards are both physically fit for work, by matching their capabilities with the physical requirement for their job, and physically fit for life. Cardiorespiratory fitness has a strong relationship with physical activity. This study aims to explore the correlation that exists between physical activity and cardiorespiratory fitness among the security guards. Method: A total of 50 healthy security guards aged 20-40 years (mean 31) participated in the study. Global Physical Activity Questionnaire (GPAQ) was used to assess the physical activity level among the security guards. Metabolic Equivalent (MET) was used to express the intensity of physical activity. The data collected related to the perception of guards on physical activity at work, transport, recreation and sedentary. Cardiorespiratory fitness was determined by a submaximal progressive protocol performed by the Chester step test. The Chester step test evaluated the aerobic capacity of the security guards. Results: Spearman correlation test revealed a significant strong positive correlation (r= 0.847, p<0.01) between physical activity and cardiorespiratory fitness. Work domain and transport domain showed positive correlations with aerobic capacity (i.e. r= 0.811, p<0.01 and r= 0.383, p=0.006 respectively). On average, 3469.60 (2141.63) MET minutes per week were spent in physical activity. Average VO2 max was 60.6 (11.8) ml/kg/min. Conclusion: The results of the present study suggest that physical activity is strongly associated with cardiorespiratory fitness in security guards.Item Effectiveness Of Snag Mobilization On Computer Professionals With Mechanical Neck Pain And Mobility Deficit(IMED Research Publications, 2019-04) Pal, Akshay; Misra, AnandBackground: There is limited evidence available which support that SNAG Mobilization (manual therapy) can be used as an intervention in the management of mechanical Neck Pain. Study Design: experimental study design & 20 to 50 years of age, both male and female. Methods: Patients diagnosed with computer professionals with mechanical Neck Pain and mobility deficit underwent a standard evaluation including the Neck disability Index (NDI), and active Neck range of motion (ANROM). 100 patients were randomly divided in two groups, to be treated with either Conventional therapy or Manual therapy approach. Outcomes of treatment were captured on the 1st day and after 6th week of the treatment session. Results: The data was analysed using sample ‘t’ test In this study after administration of exercises, the Neck Disability index of computer professionals of both the groups, A and B were improved. But, Better Disability index experienced by computer professionals of group B than computer professionals of group A. Overall, the pain status was found to be different after administration of exercises in groups. At post intervention, the mean difference in Neck Disability index among computer professionals between group A and group B were statistically highly significant (p<0.001). Conclusion: In this study the result showed that the computer professionals intervened with sustained natural apophyseal glide mobilization(SNAG’S)with conservative treatment is better and more improved in angles of neck flexion and extension, lateral rotation, bending at right and left sides and neck disability index, than computer professionals treated with conservative treatment alone.Item Effect Of Taping On Scapular Posture And Shoulder Range Of Motion In Subacromial Impingement Syndrome(IMED Research Publications, 2019-04) Gandhi, Hemali J.; Mhatre, Bhavna; Chilgar, Leena; Mehta, AmitaBackground: Alteration in upper body posture is associated with shoulder impingement due to changes in scapular orientation, increased thoracic kyphosis and concomitant imbalance of glenohumeral and scapulothoracic muscles. Mechanical correction of scaular and thoracic posture can reduce impingement. Recently use of kinesiotapes has been increasingly popular. There have been some studies reporting the effect of kinesiotapes on muscle activation and pain reduction in subacromial impingement syndrome. Kinesiotapes can also be used to correct scapular and thoracic posture in Subacromial Impingement Syndrome. Purpose of study: To study the effect of scapula and thoracic taping using kinesiotapes in addition of conventional treatment on scapular posture and shoulder range of motion in Subacromial Impingement Syndrome. Materials and Methods: 60 subjects with Subacromial Impingement Syndrome were randomly assigned to two groups. Experimental group received scapula and thoracic taping using kinesiotape for 24hrs along with conventional physiotherapy treatment. Control group received conventional physiotherapy. Subjects were assessed pre, immediate post intervention and 24hr post intervention for scapular posture, shoulder range of motion and pain. Results: Experimental group showed statistical significant improvement(p<0.001) in scapular posture, shoulder range of motion and pain (on medial rotation, and reaching the back) scores both immediately and 24hour post intervention compared to control group. Also greater improvement was seen in pain and range of motion post 24 hour as compared to immediate post intervention in experimental group. Conclusion: Taping as an adjunct to conventional treatment is much more effective for short term improvement in scapular postures, range of motion and reduction in pain as compared to only conventional treatment in subjects with Subacromial Impingement Syndrome.Item Functional Gait Parameters As Objective Assessment Tools In Patients With Chronic Low Back Pain: A Case Study(IMED Research Publications, 2019-04) Bani-Ahmed, Ali A.We report a 38 yrs old patient with a previously diagnosed Chronic Low Back Pain who became severely functionally impaired as evidenced by the Oswestry Disability Questionnaire (56%). The aim of this study was to introduce changes in functional gait parameters as an assessment tool before and after a single session of Kinesiotape application in a patient with chronic LBP. We introduced, for the first time, gait parameters including the 10-meter walk test and the 6-minute walk test as the functional gait parameters of interest. There was (1) a 25% & 36% increase in normal walking speed and fast walking speed, respectively as evidenced by the 10MWT with 72% decrease in pain and (2) a 86% increase in walking tolerance as evidenced by the 6MWT with 88% decrease in pain. Our data demonstrated for the first time the possible effective use of gait assessment as objective motor performance measures to assess the therapy-induced improvement following therapeutic intervention in patient with chronic low back pain. We hope that these data will act as a starting point for further research to test the potential gait assessment measures to provide a more in-depth objective assessment in response to rehabilitation therapies in chronic low back pain patients.Item Neurophysiological Changes In Person With Insulin Dependent And Non Insulin Dependent Diabetes Mellitus(IMED Research Publications, 2019-04) Pandya, Maitrey; Damani, MiralBackground: Diabetes mellitus is a disease caused by an inability of the body to metabolize glucose properly. The prevalence of diabetes is rapidly rising all over the globe at an alarming rate. As Insulin and non-insulin dependent diabetes shows their effect on various physiological systems includes central, peripheral and autonomic nervous systems, musculoskeletal, cardiovascular and other vital systems. A common complications due to the IDDM and NIDDM includes peripheral neuropathy, retinopathy, nephropathy and vascular complication. Insulin and non-insulin dependent diabetes mellitus, both affect the peripheral nervous system significantly. Therefore we would like to find out neurophysiological changes on peripheral nervous systems between insulin and non-insulin dependent diabetes mellitus. Aim: To find out the Neuro-physiological changes between IDDM and NIDDM. Materials and Method: 120 individuals screened with SF36 (general health good and above) were included with age limit between 25 to 60 years. Those individuals having a history of hospitalization in last 1 year, acute fever, present history of radiculopathy and open wound were excluded. They were divided into 2 groups IDDM and NIDDM. For nerve conduction study–distal latency, amplitude and NCV of sensory and motor nerves were performed. Nerve conduction studies of common peroneal, tibial and sural nerves were examined in both groups. Latency, NCV and CMAP/SNAP were taken as outcome measures. Result and Discussion: Bio-statistical analysis has been done using Mann-Whitney test. Result suggest that there is a significant difference in Neurophysiological changes (p<0.05) between IDDM and NIDDM groups. Conclusion: In context to our study and neurophysiological findings, individuals with IDDM must be taken into consideration for promotion, prevention, and care as compared to NIDDM for secondary complications.Item A Retrospective Study Of Demographic Profile Of Patients With Spinal Cord Injury Admitted In A Tertiary Care Hospital In Ahmadnagar, India(IMED Research Publications, 2019-04) Rai, Sana; Ganvir, SuvarnaBackground: Spinal cord injuries are greatly disabling and deadly injuries. At present, there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries. Methods: A retrospective study was performed by reviewing the medical records of 30 patients with spinal cord injuries who were admitted to the hospitals in Ahmednagar, India from 2016-2018. Variables included gender, age, marital status, etiology, occupation, level of injury, and severity of injury, associated complaints, complications and treatment. Results: The proportion of patients increased from 30% to 36.66% from 2016 to 2018. The male-to female ratio was 5:1. The major cause of spinal cord injuries was traffic accidents (36.66%). Many of the injured were skilled workers (36.66%), semi-skilled (20%), and students (23.33%); these occupations accounted for 79.99% of the total sample. Cervical 13(33.33%) and lumbar 16(43.33%) spinal levels were the most affected. The most documented complications were pressure ulcers 11(36.66%) and urinary tract infection 02(6.66%). Conclusion: The proportion of males was higher than the proportion of females. Skilled workers, semi-skilled workers and the students comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.Item Long Stick Exercise To Reduce Arm And Chest Girth In Obese Female Individuals(IMED Research Publications, 2019-06) Parekh, NamrataBackground: Obesity in women is associated with alterations in the reproductive cycle with a reduction in fertility, as well as an increased risk of polycystic ovarian syndrome (PCOS) and infrequent or no ovulation. Overweight women with PCOS have a tendency towards insulin resistance and are prone to developing diabetes, particularly in later life. All these issues make the treatment of infertility more complicated and less successful .Furthermore the tendency toward menstrual and ovarian disturbances associated with obesity may predispose to an increased risk of ovarian, breast and endometrial cancer. In fact it is now clear the incidence of all gynaecological cancer increases with increasing BMI . Method: Fifty female aged between 20 and 60 years of age who were body mass index greater than 25kg/cm2 eligible for this study. Use of long stick 20 times repeated movements. female doing long stick exercise 25 minutes per day. During the exercise sessions, subjects were led by an instructor, and they imitated the motions and postures at the same speed. After 40 days of exercise program Arm and chest girth measured by measuring tap. Result: The result of 50 subjects was analyzed using SPSS version 16.0. The level of significance was kept at p<0.05. The data was screened by mann – Whitney U test. A total of 50 subjects volunteered to participated in this study. Conclusion: For Arm girth ,Pre and post significant difference was founded. For Chest girth, Pre and post significant difference was founded.Item Determining The Prevalence Of Trigger Points In Acute Shoulder Pain Patients(IMED Research Publications, 2019-06) Nazareth, Albertina; Athavale, Neeraj; Kadakia, Drishti; Shyam, Ashok K.; Sancheti, Parag K.Background: Shoulder pain due to its high prevalence has great significance in its contribution to morbidity. It’s the third most common musculoskeletal problem.There are two types of trigger points found they are active and latent trigger points.Active trigger points are the one which when palpated causes spontaneous pain or referred pain and latent trigger points are the one which do not cause any pain except they are present either in form of taut band or nodules. MyofascialTrigger points (MTrPs) cause a local pain syndrome. The main cause of myofascial pain syndrome are trigger points. Purpose of the study: The purpose of the study was to determine the exact muscles that have the tendency for developing trigger points in acute shoulder pain pathologies and to see the trigger points developed are due to the shoulder pathology. Materials and Methods: A observational study was performed. Patients were selected by convenient sampling. 70 people participated within the age of 18-65, pain duration within 3 months, males and female included with no history of recent trauma, neurovascular injuries, degenerative pathology and shoulder dislocation. Patients were assessed for myofascial trigger points (MTrPs) on both affected and non-affected side. MTrPs were assessed on different muscles by manual palpation method. Results: The result shows that the muscle affected maximum is upper trapezius with 84.28% and pectoralis major with 71.42%. Also on the affected side, upper trapezius with 37.14% and pectoralis major and subscapularis with 20.00%. Conclusion: This study showed the prevalence of trigger points in acute shoulder pain pathologies is66.59% . Each patient of any acute pathology had the presence of more than 3 trigger points in the affected side proving trigger points to be of significant importance and it is due to underlying shoulder pathology.Item A Cross Sectional Study To Find Out Quality Of Life Of Urban Professional Physiotherapists(IMED Research Publications, 2019-06) Sawant, Nikita Vishnu; Dave, Jui; Kulkarni, GauriBackground: The present study is the survey to gather information regarding quality of life (QOL) and its influencing factors among urban professional physiotherapists. AIM: This study is designed to help us as a community to understand our problems and address them to have better work- life balance. Objective: This study is solely done to highlight problems faced by physiotherapists, which should be tackled as earliest, thereby helping in professional growth. METHOD: Cross sectional study. Result: Average mean score of QOL of urban professional physiotherapists is 52.38 while most urban professional physiotherapists have QOL score (mode) of 53.85 with median of 52.44. Conclusion: This study concludes that QOL scores of urban professional physiotherapists remain mostly on lower side. Item analysis showed that emotional problem domain is severely affected followed by physical health domain.Item A Study To Compare Retro-Walking (BACKWARD Walking) And Suboccipital Muscle Inhibition Technique In Hamstring Muscle Flexibility In Collegiate Students: An Experimental Study(IMED Research Publications, 2019-06) Desai, Bhakti; Foram, Bhut; Shreeya, Vora; Maru, Grishma; Nagvadiya, Kuldeep; Parsaniya, S. BansiBackground: Tightness of hamstring is observed in a majority of the students. long duration sitting can be a contributory factor in hamstring tightness. Shortening of the hamstring has a negative impact on the posture of the pelvic region. The increase in stiffness of the hamstring may serve as a cause of low back pain and it is also a common characteristic of back pain patients. The increase in stiffness of the hamstring produces more burdens on the back and causes improper motion patterns in the lumbo-pelvic region. Methodology: For the study Total number of 30 subjects were randomly taken from The School of Physiotherapy at R.K.University and assigned to either group -A [suboccipital inhibition] or group-B [retro -walking (backward walking)] and there was given a treatment for 5 day with one session per day. Result: Data was analyzed by using SPSS software. For evaluation paired and unpaired T test used for analysis. Conclusion: It can conclude that has both techniques where improve hamstring muscles flexibility suboccipital muscles inhibition technique is more effective than the retro walking technique.Item Effectiveness Of Intermittent Pelvic Traction With And Without Self Neural Tissue Mobilization In Lumbar Radiculopathy(IMED Research Publications, 2019-06) Thomas, Sneha; Hotwani, RinkleBackground: Low back pain is a very common problem in adults. The clinical application of intermittent pelvic traction has become the common treatment for lumbar radiculopathy and is also used by clinicians in day to day practice. Only few authors have studied about the effectiveness of self neural tissue mobilization during intermittent pelvic traction. Hence the study was undertaken with an intention to find out the effect of intermittent pelvic traction with and without self neural tissue mobilization on pain and functional disability in patients with lumbar radiculopathy. Methodology: 74 patients with lumbar radiculopathy were included in the study. Subjects were randomly divided into two groups. Group A received only IPT and Group B received IPT with SNTM for 20 minutes with 10 second hold and rest time respectively. The treatment was given initially for 6 days continuously thereafter the treatment was given on alternate days for 1 week. Pre and post intervention pain (VAS) and functional disability (ODI) measures were noted. Results: On comparison between pre and post interventional values of pain and functional disability using paired ‘t’ test, a significant difference (p<0.001) were found in both the groups. As well as the present study showed significant decrease in the pain measurement (p=0.023) and functional disability measures (p=0.043) in group treated with IPT with SNTM. Conclusions: This study concluded that both IPT and IPT with SNTM are effective in both pain and functional disability measures. But when both groups were compared with each other, the IPT with SNTM was more effective than that of IPT alone. So it can be chosen as a treatment for lumbar radiculopathy.