International Journal of Physiotherapy
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Editor-in-Chief: Dr Srinivas Mondam
ISSN (P) 2349-5987 (O) 2348-8336
Frequency: Once in two months
Language: English
Open Access Peer-reviewed journal
Web site: https://www.ijphy.org/about-ijphy.php
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Item Analysis Of Prevalence And Factors Influencing Adolescent Idiopathic Scoliosis Among School Students In Thiruvallur District(Vasinformatics, 2019-06) R, J.; Ramachandran, A.; S, D.Background: The occurrence of AIS is on a high, which necessitates preventive measures at the earliest for which screening is essential at the school level. Prevalence of AIS around the world is 0.4- 5.2 %. Scoliosis leads to problems such as cosmetic deformity, quality of life, visible disability, backache, personal growth, autonomy, and reduced respiratory function. These problems can be prevented if scoliosis is diagnosed and treated earlier. To screen for AIS among selected schools and to analyze factors influencing adolescent idiopathic scoliosis. Methods: A total of 3250 Students between age 11 to 15 years were screened for AIS from Thiruvallur district. The screening was performed at two levels using Adam’s forward bend test and scoliometer, respectively. A detailed analysis was performed on symptomatic AIS subjects (n=58) for various influencing factors and determinants. Results: The prevalence of AIS from 11- 15 years was 0.27%, 0.30%, 0.49%, 0.36% and 0.33% respectively. AIS-affected thoracic region (50%) of females (58%) with a predominant right sided curvature (55%). Bag type and weight, sitting posture in a classroom, study posture was found to influence AIS. Conclusion: This study emphasizes early screening of AIS for school children at the age of 11- 15 years based upon the high prevalence rates compared to global standards. Parents and teachers should be aware of the bag type and weight, sitting and studying posture for early prevention of AIS.Item Anthropometric Characteristics And Physical Fitness Of Urban And Rural 8-10 Years Old School Girls Of Bahawalpur, Pakistan(Vasinformatics, 2019-04) Haq, M. Z. ul; Iqbal, A.; Afzal, A.; Ahmad , H.; Abbas, S.; Yaqoob , M.Background: The assessment of anthropometric characteristics and physical fitness assist the researcher in comparing the growth and health status of urban and rural school girls. Purpose of this research was to examine anthropometric characteristics and physical fitness of urban and rural school girls of district Bahawalpur, Pakistan. Methods: The participants were government primary schoolgirls (urban = 200), and (rural = 200), within the age of 8-10 years. The selected anthropometric and physical fitness variables were stature, body mass, skinfolds, girths, breadths, lengths, speed, standing broad jump, agility, ball throw, handgrip strength, endurance, and flexibility. A student t-test was applied to assess the difference between urban and rural school girls in their anthropometric and physical fitness measures. Results: Results showed the urban school girl was significantly superior in body mass, iliac-crest skinfold(P< .04), abdominal skinfold(P< .04), waist girth (P< .04), hip girth (P< .01), thigh girth(P< .01), arm length, and hand length. In contrast, the rural school girls were significantly higher in speed(P< .02), agility(P< .02), ball throw (P< .02), flexibility( P< .03), run and walk (P< .04) than the urban school girls. Conclusion: It is concluded the urban school girls were higher in skin folds and girths, indicate high body fats than rural school girls. As a result, urban school girls were lower in fitness capacity than rural because higher body fat reduces fitness performance. It is suggested the parents and school administration focus to provide such activities to improve physical fitness and reduce body fats of urban school girls. The future study focusses on investigating the effects of food intake on the anthropometric characteristics, and physical fitness of urban and rural school children.Item Anthropometric, Physical Fitness And Kinematics Analysis Of The Jump Shot Of Female Handball Players - A Case Study Of The Islamia University Bahawalpur, Pakistan(Vasinformatics, 2020-06) Naveed, Qasid; Ul Haq, Muhammad Zia; Ahmad, Hafsa; Naz, Sofia; Haghighi, Mina; Hassan, IqraBackground: This study was designed in two poles, 1st to examine the kinematic parameters of the handball jump shot and 2nd to compare the anthropometric, and physical fitness of novice and skilled female handball players of the university level. Methods: This study design was cross-sectional, and a purposive sampling method was adopted for selecting the participants. The sample consisted of (n = 20) novice, and (n = 20) university female handball players. The selected variables were standing broad jump, vertical jump, flexibility, 30-m dash, agility, stride length, stature, body mass, arm length, upper arm girth, leg length, chest girth, waist girth, hip girth, thigh girth, calf girth, hand length, handbreadth and shoulder breadth, pelvic breadth, transverse breadth, elbow and knee breadth, handgrip and arm span, left and right knee angle, left and right elbow angle. An Independent t-test was applied to examine differences between skilled and novice players in kinematics and anthropometric variables. Results: Results showed the skilled female players were significantly higher than the novice players in the following as right elbow angle at the start of movement (<. 03), left elbow angle at the start of movement (<. 00), right knee angle at the start of movements (< .03), stride length at release (< .01), 30-meter dash (< .04), handgrip strength(< .02), agility (< .03), forearm girth (< .03), thigh girth (< . 03) and arm span (< .04). Conclusion: It was concluded the higher angle of elbows, right knee along with more prolonged stride increase the movement capacity of skilled female handball player while attempting the jump shots than novice female players. On the other hand, the anthropometric and fitness measures as arm span, thigh girth, running speed, handgrip strength, and agility increase the performance of skilled players than the novice. The female handball coaches may enhance the performance of novice players by focusing on the specific training of extension and flexion of elbows and stride movement as well as enhancing the physical fitness of female handball players. Future studies would focus on the training of handball players to increase the jump shot performance of players.Item Association Of Non-Specific Low Back Pain And Disability Index With Lower Extremity Alignment Factors(Vasinformatics, 2019-02) Bagwe, S.; Varghese, A.Background: An array of risk factors contributes to non-specific low back pain. Apart from age, female gender, low educational status, obesity, occupation, and psychological factors, postural variations (including variations in the lower extremity) play a significant role in predisposing an individual to low back pain. Hence, while evaluating/examining a patient with back pain, the alignment of the lower extremity should be taken into consideration rather than restricting the evaluation to the lumbosacral region. Methods: 36 subjects (12 Males, 24 Females) with non-specific low back pain were assessed for pain and disability using the Oswestry Disability Index (ODI). The measurements for lower extremity alignment factors (Pelvic angle, Angle of torsion of the femur, Quadriceps angle, Tibial torsion, and Navicular drop) were recorded bilaterally Results: There was a positive correlation of non-specific low back pain and disability index with the right pelvic angle (p=0.0012, r=0.51, and p=0.0003, r=0.56 respectively). Non-specific low back pain and disability index had no correlation with left pelvic angle (p=0.9101, r=0.01 and p=0.9794, r=0.00 respectively). Non-specific low back pain and disability index had a positive correlation with angle of torsion (AOT) of femur (Rt: p=0.0027, r=0.48, Lt: p=0.0084, r=0.43 and Rt: p=0.0039, r=0.46, Lt: p=0.0023, r=0.49 respectively), quadriceps angle (Q-angle) (Rt: p=0.0020, r=0.49, Lt: p=0.0014, r=0.51 and Rt: p=0.0019, r=0.49, Lt: p=0.0024, r=0.49 respectively) and navicular drop (Rt: p=<0.0001, r=0.61, Lt: p=0.0053, r=0.45 and Rt: p=0.0002, r=0.58, Lt: p=0.0048, r=0.46 respectively) bilaterally. Non-specific low back pain had no correlation with right tibial torsion (p=0.9269, r=0.01). Disability index had a positive correlation (not significant) with right tibial torsion (p=0.2427, r=0.19). There was a positive correlation (not significant) of non-specific low back pain and disability with left tibial torsion (p=0.1757, r=0.23 and p=0.0703, r=0.30 respectively). Conclusion: There was an association of non-specific low back pain and disability index with lower extremity alignment factors.Item Association Of Risk Factors Of Cerebral Palsy – A Matched Case Control Study(Vasinformatics, 2020-04) Hemachithra, C.; Meena, N.; Ramanathan, R.; Felix, A. J. W.Background: Cerebral palsy (CP) is one of the leading causes of childhood disability worldwide. The exact etiology of CP is poorly understood, but many risk factors are related to problems during pregnancy, labor, and delivery. The age and sex-matched control study were done to evaluate the association of perinatal risk factors with the development of CP among children in a rural area. Methods: The study was conducted in the Division of Physical Medicine and Rehabilitation (PMR). Seventy clinically diagnosed CP children as cases and 70 children without CP as controls were included. Information regarding perinatal risk factors was collected from the parents of the children. Data were collected and statistically analyzed by using the Mc-Nemar chi-square test. Results: The study results suggested that children with male sex (53%) had a higher incidence of CP compared to female (47%) children. Spastic diplegia (60%) was the most common subtype of CP. The significant ‘p’ value (< 0.01) reveals that all the perinatal risk factors are associated with the development of CP. Conclusion: This study concluded that spastic diplegia was the most common subtype of CP. The perinatal risk factors such as preterm, low birth weight, birth asphyxia, and neonatal seizures had a significant association with the development of CP.Item Autonomic Dysregulation And Low Heart Rate Variability In Spinal Cord Injury (SCI): A Marker For Depression(Vasinformatics, 2020-06) Mitra, Shambhovi; Singh, VarshaBackground: Spinal cord injury (SCI) results in physical, autonomic, and psychological consequences. Depression is among one the most common psychological effects of SCI, with an incidence of 22%. Depression is associated with reduced heart rate variability (HRV), but it remains unclear if autonomic dysregulation possesses depression risk in SCI. Thus, this study aims to explore the association between HRV and depression in SCI. Methodology: Ninety-one spinal cord injured patients (eighty-eight males and three female) representing three levels of severity of injury (cervical, high thoracic, and low thoracic) were recruited. Basal/resting HRV was assessed using 1000Hz Polar Heart rate monitor RS800 CX and Kubios HRV software. PHQ-9 assessed the depression; a cut of 10 was used to divide the sample into patients with probable Major Depressive Disorder (MDD) and non-MDD. Results: Non-parametric tests for between-group comparisons showed a significant difference in HRV variables (p<0.05) between the probable MDD and non-MDD SCI. Significant differences in HRV were observed between the low and high thoracic (p<0.05) and low thoracic and cervical group (p<0.05), suggesting that the functioning of the autonomic nervous system might differ with level of SCI. Conclusion: Depression in SCI has been associated with injury-related factors; we use the neurovisceral theory to explain the role of the autonomic nervous system in depression in SCI.Item Cognitive Development Based On The Volleyball Game Play In Physical Education(Vasinformatics, 2020-02) Salimin, Norkhalid; Minhat, Noraliza; Elumalai, Gunathevan; Shahril, Mohd Izwan; YSU, GunturBackground: The purpose of this study is to determine the effects of the Teaching Games for Understanding (TGfU), Sport Education Model (SEM), and Hybrid Teaching Games for Understanding Sport Education Model (HTGfU–SEM) on the cognitive performance among Form 1 students on volleyball gameplay. Student’s cognitive focusing on the tactical decision-making aspect of opening and closing space and selection of skills used in the game. Methodology: The study is using the quasi-experimental method involving a sample of 96 Form 1 students. The control group is TGfU while the treatment groups are SEM and HTGfU-SEM. The research instrument was adapted from the Game Performance Assessment Instrument (GPAI) with the validity value (r =.81). These modified instruments were used to assess the cognitive aspects of badminton gameplay. The Mean, SD, ANOVA, ANCOVA, MANOVA and posthoc test were used to analyze the cognitive data. Results: As for the overall tactical decision making via a multivariate test in volleyball gameplay indicated significant effect through SEM. Especially for closing space in volleyball 3 vs. 3 gameplay through SEM, F (2, 93) = 10.054, p <0.05, η2 = .178. Conclusion: The findings of this study provide a strong justification for implementing SEM in teaching and facilitating physical education games since it may enhance student’s cognitive ability especially in tactical decision-making in opening and closing space and selection of skills. Advancement in cognitive ability may enhance student’s capacity to mastery of in-game skills.Item Comparative Analysis On The Efficacy Of Aerobic Capacity In Cardiac Rehabilitation Obese And Non-Obese Phase Ii Patient(Vasinformatics, 2019-04) Naqvi, M.; Khan, M. S.; Perwaiz, S.; Ibrahim, Q.; Khan, M. W.; Khan, T. Y.Background: Aerobic Exercise is a host of health benefits to reduce vigor risk and maintain body weight. The purpose of the present investigation is to determine the influence of aerobic exercises on body weight and Metabolic Equivalent of Task (MET) activity among cardiac rehabilitation phase II patients. The objective of the study is to investigate the impact of obesity on the efficacy of aerobic capacity. Methods: Fifteen obese (ten males, five females) and fifteen non-obese (eleven males, four females) participants of phase II cardiac rehabilitation were selected from a tertiary care hospital by their Body Mass Index (BMI). They were divided into two groups by simple random technique. Aerobic exercises were given for 12 weeks for post-CABG cardiac rehabilitation phase II obese and non-obese (healthy and overweight) patients. BMI and the Metabolic equivalent of task activity of cardiac rehabilitation phase II patients are measured by enrolling a patient in 12 weeks of aerobic exercises program. Results: The aerobic exercise shows a positive result in both obese and non-obese patients. Aerobic exercises improved metabolic equivalent of task in both obese(4.6667+_0.65134 ;< 0.05) and non-obese patients (4.6923+_.48038 ;< 0.05) significantly.But aerobic exercises were more effective in enhancing the efficacy of aerobic capacity in obese patients. Conclusion: It is evident that aerobic exercises are more effective for obese patients to maintain or reduces weight. Higher MET activity was observed in obese patients.Item Comparative Effectiveness Of Sleeper Stretch And Cross - Body Stretch For Improving Posterior Shoulder Tightness, Pain And Function In Patients With Adhesive Capsulitis – A Randomized Controlled Trial(Vasinformatics, 2020-04) Yavanika; Meena, MakhijaBackground: Adhesive Capsulitis usually involves the posterior capsule tightness, which can be stretched either by sleepers or cross-body stretch techniques. The present study aimed to compare and see the effectiveness of two stretching techniques on horizontal adduction and internal rotation range of motion along with pain and disability. Methodology: The study was conducted on 30 subjects diagnosed with adhesive capsulitis (12 females and 18 males) of age group 40-65 years and meeting the inclusion as well as the exclusion criteria. Subjects were divided into three groups- Cross body stretch group (Group 1), Sleeper Stretch group (Group 2), and Control group (Group 3) randomly. Both groups 1 & 2 received the intervention given to group 3 along with the different stretching techniques three times a week for four weeks. Clinical outcome measures were horizontal adduction and internal rotation as measured with a goniometer, pain intensity on a numeric pain rating scale, and shoulder disability with the help of shoulder pain and disability index. Result: Data was collected at baseline and after four weeks of intervention in all three groups. Data were checked for normal distribution. For non-normally distributed data, Kruskal Wallis test-Pain (p-value> 0.419) and Function (p-value>0.665) and for normally distributed data, one-way repeated measure ANOVA-Shoulder Horizontal Adduction (p-value>0.284) and Internal Rotation (p-value>0.334) was used and the p-value was fixed to < 0.05. Conclusion: Both the type of stretches were equally effective for four weeks.Item Comparative Reliability Of Tinetti Mobility Test And Tug Tests In People With Neurological Disorders(Vasinformatics, 2019-12) Besios, Thomas; Nikolaos, Aggeloussis; Vassilios, Gourgoulis; Giorgos, MauromatisBackground: In recent years, many tests have been developed to evaluate the mobility and functional capacity of people with neurological disorders (Hemiplegia, MS). The purpose of this study was to test the reliability and additionally to determine the measurement error of TMT and TUG in adults with neurological disorders (hemiplegia, MS). Methods: In the study of tests 20 adults (11 with multiple sclerosis and 9 with hemiplegia) who were retrospectively registered participated. The average age of adults was 38.7 ± 13.9 years old and their average body mass was 65.1 ± 13.1kg. The Greek version of the tests and a Nikon 5300 digital camera for video recording were used for data collection. ICC was calculated by means of a two-way ANOVA model. Results: The results showed that there were no statistically significant differences between the two independent evaluators and that the TMT (ICC > 0,936 ) and TUG (ICC> 0,996) had strong reliability. Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that the tests TMT and TUG are reliable and can be used to evaluate kinetic and balance disorders. Therefore, it was concluded that the tests should be applied to reliably estimate the mobility and functional ability of adults with neurological disorders.Item A Comparative Study On The Effect Of Paraffin Wax Therapy With Manual Mobilization Versus Ultrasound Therapy With Manual Mobilization On Pain, Range Of Motion And Functional Status Of Shoulder In Diabetic Subjects With Adhesive Capsulitis(Vasinformatics, 2019-10) Reddy, A. V.; Krishna, S. R.; Madhavi, K.; Sachan, A.Background: The shoulder is a complex joint that plays a crucial role in many activities of daily living. Adhesive capsulitis is defined as a painful and disabling condition in which the capsule and the connective tissue surrounding the glenohumeral (GH) joint becomes inflamed, leading to restriction of range of motion in the joint. A wide range of physical therapy interventions are used to improve the joint range of motion in subjects with adhesive capsulitis. Earlier, isolated studies were done on the effectiveness of paraffin wax therapy and ultrasound therapy in subjects with adhesive capsulitis. The need of the present study was to compare the effect of paraffin wax therapy with manual mobilization and ultrasound therapy with manual mobilization on pain, shoulder ROM and functional status in diabetic subjects with adhesive capsulitis. Methods: Subjects for the study were recruited from the outpatient department of endocrinology and physiotherapy. The size of the sample is 80 (eighty subjects) 40 in each group, and study design is an experimental study design (Non-randomized open-label study). The pretreatment values of pain and functional status of the shoulder were assessed using Shoulder Pain and Disability Index (SPADI) scale and ROM was assessed using a universal goniometer. The subjects in the paraffin wax therapy group received wax therapy for 10 minutes and undergone manual mobilization. The subjects in the ultrasound therapy group received ultrasound therapy (3MHz) for 10 minutes and undergone manual mobilization. The treatment was given for 3 sessions per week for 6 weeks and post-treatment values were noted for the subjects of both the groups. Results: There was an improvement of ROM of external rotation, pain & functional status of the shoulder in subjects who underwent paraffin wax therapy with mobilization and ultrasound therapy with mobilization. When comparing both the groups, the subjects who underwent paraffin wax therapy with mobilization have better outcomes than ultrasound therapy with the mobilization group (p< 0.05). Conclusion: There was an improvement of ROM of external rotation, pain & functional status of the shoulder in subjects who underwent paraffin wax therapy with mobilization and ultrasound therapy with mobilization. When comparing both the groups, the subjects who underwent paraffin wax therapy with mobilization have better outcomes than ultrasound therapy with the mobilization group.Item Comparison Of Kinesio Taping And Manual Therapy With Supervised Exercise Therapy For The Treatment Of Shoulder Impingement Syndrome(Vasinformatics, 2019-10) Mohamed, SHP; Alatawi, S. F.Background: Shoulder Impingement Syndrome (SIS) is a major contributing factor for shoulder pain. Although many therapists use Kinesio Taping (KT) and Manual Therapy (MT) for SIS, no such studies in combination with Supervised Exercise Therapy (SET) have been conducted in the context of Saudi Arabia. Thus, the purpose of this study is to compare the effectiveness of KT and MT with SET in patients with SIS. Methods: Randomized controlled trial. Thirty-two subjects were assigned into two groups (KT with SET and MT with SET). The following outcome measures were measured at baseline, three weeks and six weeks. The outcome measurements are pain intensity by a numerical pain rating scale (NPRS), Active range of motion in the shoulder (AROM) by goniometry, and the functions of the shoulder measured through Shoulder Pain and Disability Index (SPADI). A simple descriptive statistical analysis was adopted to describe the patient-specific demographic characteristics with respect to outcome parameters. Within-group and between groups comparison were analyzed using ANOVA, and Scheffes’ posthoc tests by using SPSS 21.0. Results: Sixteen subjects completed treatment in each group. No differences were identified between groups at baseline. In ANOVA, it was shown that both groups significantly (p<0.05) decreased pain intensity, improved function and increased shoulder AROM in the 3rd week, and 6th week. However, post hoc analysis results suggested that the KT, in conjunction with SET, had a higher proportion of change on 3rd week, of the pain intensity, SPADI, and AROM. Conclusion: KT with SET has been found to be more effective than the MT with SET in the 3rd week and had the same effect in the 6th week of the treatment. When an immediate effect is expected, KT may be a better choice of treatment in the management of SIS.Item Comparison Of The Effectiveness Of Transcutaneous Electrical Nerve Stimulation (TENS) Vs. Interferential Therapy (IFT) For Relief Of Pain In Primary Dysmenorrhea(Vasinformatics, 2019-12) Revadkar, Mayur Tukaram; Bhojwani, Trineta MohanBackground: Dysmenorrhea or pain during menstruation is commonly seen in young women and largely impacts their quality of life. Pain medications are largely used to tackle this situation; however, they have side effects with regular use. Safe, effective pain-relieving modalities are crucial to help women cope with this situation. There is extensive literature proving the effectiveness of TENS for relieving the pain in primary dysmenorrhea; however, literature proving the same for IFT is sparse. Thus this research aims to investigate and compare the effectiveness of both the modalities in primary dysmenorrhea. Methods: 30 samples(17-25) were included in this study. Using the Simple Random Sampling method, the subjects were divided into two groups. One group received therapy through TENS(80-120 Hz, 20mins, Intensity as per tolerance) and the other through IFT(4PV,80-150HZ, 20 mins, Intensity as per tolerance). Electrical stimulation was given in the region of maximal pain. The Intensity of pain before and after treatment was recorded using the Numerical Pain Scale. The duration of pain relief and the need for analgesic post the therapy was also noted. Results: TENS and IFT are both extremely effective for the relief of pain in primary dysmenorrhea (P<0.0001). There is no significant difference in their effect on the comparison (P=0.422). And most of the subjects in both groups did not need analgesics after therapy. Conclusion: Both TENS and IFT are equally effective in the relief of pain in primary dysmenorrhea. However, tolerance to IFT currents is better among young women as they are medium frequency currents.Item Computer Game-Based Rehabilitation For Poststroke Upper Limb Deficits- Systematic Review And Meta-Analysis(Vasinformatics, 2020-02) Gandhi, Dorcas B C; Sterba, Albert; Kate, Mahesh P; Khatter, Himani; Pandian, Jeyaraj DBackground: The need for intense rehabilitation protocols with easy applicability to improve for patient adherence and harness the potential neuroplasticity leading to improvement in the quality of life (QOL) in post-stroke patients. Several studies have described the benefits of virtual reality and video games in rehabilitation. Aims: To explore and determine if Computer game-based rehabilitation for post-stroke upper limb deficits after stroke is superior to conventional therapy in terms of (1) ICIDH based outcomes (2) Intervention duration (3) acceptability and adherence to the intervention. Methods: This systematic review and meta-analysis followed PRISMA guidelines. Several electronic databases were searched using specific keywords, to measure the effects of computer-game-based therapy in post-stroke patients compared to conventional therapy. Results: 14 studies were included after a systematic review, out of which 11 were included for analysis. Studies recording Wolf motor function test and box and block test have shown improvements with Computer-game-based therapy in addition to conventional therapy. No improvements were recorded in impairments and patient participation/Quality of life. CGBT was acceptable and reported no adverse effects. Conclusions: Computer-game-based therapy or non-immersive virtual rehabilitation is effective and acceptable for upper limb rehabilitation after stroke. With significant improvement in ‘activity-limitation,’ this mode of rehabilitation can be adapted for patient-specific needs. Its effects on impairment and quality of life need further exploration.Item Correlation Between Upper Trapezius, Levator Scapulae And Pectoralis Minor Muscle Length In Frozen Shoulder – A Cross-Sectional Observational Study(Vasinformatics, 2020-04) Vardanapu, Pranisa; Jampa, Naga Sravana Kumar; Hussain, AsifBackground: Frozen shoulder is defined as the painful and disabling condition with unknown etiology. It has a limited shoulder range of motion due to decreased capsular flexibility and altered muscle function. Assessment on the frozen shoulder is needed, and it is vital to know the alteration in scapular muscles in the shoulder range of motion during arm elevation. The intention of conducting this study is to reach conclusions of tightness of a muscle in the upper trapezius, pectoralis minor muscle, and frozen shoulder levator scapulae showing limited ranges. Methods: In this cross-sectional observational study, 50 subjects of age 30 and above were assessed for muscle length in the frozen shoulder and unaffected shoulder. Subjects with shoulder pain with frozen shoulder stage 2 and above are allotted into the affected shoulder, and unaffected shoulder; both groups were assessed. The following parameters were measured: ROM of the shoulder, SPADI ratings, short pectoral thickness, levator scapulae length, and upper trapezium muscle length. Results: Decreased shoulder flexion, extension, abduction, and limited rotations were the problems associated with frozen shoulder. Pearson correlation coefficient for PMI and LSI shows Positive Correlation r = 40.6% on the affected side. Pearson correlation for PMI and UTI shows Positive Correlation r = 13.4%. Pearson Correlation for LSI and UTI shows Positive Correlation r= 28.1% on the affected side. Conclusion: There was a correlation between upper trapezius, levator scapulae, and pectoralis minor muscle length. Most of the affected side shoulder showed the tightness in the pectoralis minor muscle.Item Descriptive Study Of Hand Grip Strength And Factors Associated With It In A Group Of Young Undergraduate Students In University Of Peradeniya, Sri Lanka Who Are Not Participating In Regular Physical Training(Vasinformatics, 2019-06) Nakandala, P; Manchanayake, J; Narampanawa, J; Neeraja, T; Sivanolipathan, P; Mafahir, M; Dissanayake, JBackground: Handgrip strength (HGS) not only reflects the strength of the upper limb muscles; it also reflects the overall strength of the skeletal muscles and physical fitness. Further, it is being used as an indicator of nutritional status too. Undergraduate students have been described as having low physical fitness due to their sedentary lifestyle in many studies. Therefore, this study describes the HGS and its association with gender, hand dominance, Body Mass Index (BMI), hand and forearm anthropometries in a group of young undergraduate students of the University who do not participate in regular physical training. Methods: This is a cross-sectional descriptive study, and was conducted among healthy first-year residential undergraduate student population (n= 524, 350 females, 174 males, mean age= 21.31 ± 0.93). Main outcome measures were HGS, gender, hand dominance, BMI, hand length, hand span, handbreadth, forearm length, forearm girth, and wrist circumference. Results: HGS of the dominant hand of male students was 35.27 ± 5.91 kg, which is significantly higher (p< 0.05) than that of the females (19.52 ± 4.34 kg). However, it has a significant but weakly positive correlation with other variables measured except for forearm length. Conclusion: This study has provided an insight into the association of low HGS with physical inactivity in an academically oriented group where the BMI is within the normal range and the association of higher HGS with hand dominance and male gender.Item Does Aquatic Exercise Improve Quality Of Life In Obese Low-Back Pain Population?(Vasinformatics, 2019-08) Abadi, FH; Choo, LA; Elumalai, G; Sankaravel, M; Razli, A.I.Background: Low-back pain is one of the most common reasons for work stress, poor health, sickness, and reducing the quality of life. While obesity is a growing public health concern, it was proved that obesity is a risk factor for low back pain. Whereas obese low-back pain people cannot avoid weight load on the spine in any exercise, but they can easily carry out the exercise in water. This study aimed to know the effect of aquatic exercise on quality of life among obese low-back pain people. Methods: A total of 39 women with BMI≥27 kg.m-2 who had non-specific chronic low-back pain were purposively selected for this study. They randomly assigned in two groups; exercising (N=19, 37.85±5.83 years with 32.97±4.84kg.m-2) and control group (N=20, 40.8±5.25 years with 31.87±4.79 kg.m-2). The exercising group carried out the aquatic exercise, twice per week, 60 minutes per session, for 12 weeks. Quality of life was measured using the SF-36v2 questionnaire with eight domains; physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. Results: The findings showed a significant (p≤0.001) improvement in the quality of life in the exercising group after 12 weeks. The significant improvement was found on seven domains of the SF-36v2 in the exercising group after the aquatic exercise intervention program while there was no significant effect on mental health (p=0.051). In the control group, a negative change in mean difference (-3.02) was observed in the mental health domain, while it was changed (15.32) for the exercising group. There was no significant change in BMI in both groups, also. Conclusion: In conclusion, a 12-week aquatic exercise is an appropriate intervention program to improve the overall quality of life among obese women who are suffering from non-significant chronic low- back pain.Item Does Hallux Valgus Surgery Modify The Gait Parameters? Literature Review(Vasinformatics, 2020-02) Traulle, Maude; Mazeas, Jean; Sadaka, Jérôme; Touzard, Rémy; Trousselier, Matthieu; Forelli, FlorianBackground: the deformation of the hallux into a valgus constitutes the most frequent deformation of the forefoot and one of the most performed corrective surgeries in the region. This deformation is the cause of many biomechanical disorders and causes gait disturbances. This review aims to analyze the restoration of space-time and kinematic parameters of walking in the aftermath of corrective surgery for hallux valgus. Methods: four studies were analyzed according to the main criteria of walking speed, support time, step length and kinematics of the ankle and foot before and after the intervention. Results: If some of the results obtained in the analyzed works show an improvement of these criteria in post-operative, the subjects having benefited from hallux valgus surgery seem to present some persistent issues in the spatiotemporal and kinematic parameters. Conclusion: This work does not demonstrate the superiority of one surgical technique over another in the recovery of gait. This recovery does not seem absolute, but this review highlights above all the lack of literature on this subject.Item Does Motor Control Exercise Decreases Lumbar Pain, Improves Muscle Activity And Regional Function In Individuals With Acute And Sub Acute Non-Specific Low Back Pain(Vasinformatics, 2019-12) H, Ansar Basha; Kanthanathan, Subbiah; ShankarBackground: Non-specific low back pain (LBP) is defined as LBP that poses signs and symptoms which cannot be related to a recognizable cause, and Motor Control Exercise (MCE) usually is the choice of treatment for conditioning lumbar muscles for chronic LBP group. Limited information is available regarding their clinical application for participants with acute and sub-acute LBP. Hence, the main aim of this study is to find out this clinical utility. Methods: A quasi-experimental study with 30 participants of less than six weeks and twelve weeks duration of LBP were included in the study and are divided into an experimental and control group. Pain intensity using numeric pain rating scale (NPRS), lumbar range using modified Schober’s test, muscle function using surface electromyography (EMG) and functional disability using Roland Morris Disability Questionnaire (RMDQ) were recorded pre and post-treatment. The experimental group received lumbar MCE with general exercises and the control group received only general low back exercises aiming to improve lumbar range and muscle efficiency for six-session spread over three weeks duration along with therapy for pain reduction. Results: Subjects in both experimental & control groups had significant improvement in pain (p<.001) and RMD Questionnaire (P<.001), Lumbar range of motion had improved significantly only in the experimental group (Flexion p<.001, Extension p<.001) compared to control group. Though lumbar muscle activation had improved in both the groups, subjects in the experimental group showed significant and uniform improvement in lumbar muscle activation following MCE than the control group. Conclusion: Motor Control Exercise provides better clinical improvement in pain, lumbar muscle activation and regional functional ability without exacerbating symptoms in subjects with LBP during the acute and sub-acute phase.Item Effect Of An Equine Therapy Program On Psychomotor Development In Children Belonging To The School Integration Program(Vasinformatics, 2020-04) Barrientos, Pablo Morales; Andruske, Cynthia Lee; Vitoria, Cesar Rodrigo VargasBackground: A large number of children with disabilities exist, who have special educational needs and a delay in psychomotor development; they are frequently incorporated into student integration programs (SIP), forming part of the regular class and receiving complimentary technical and educational assistance. The health system has historically handled these cases through traditional physical therapy; however, currently, other complementary treatment techniques have arisen that produce benefits in the physical, psychological, cognitive, and social aspects of the child. This study aimed to evaluate the impact of an Equine therapy program on the psychomotor development of SIP students. Methods: A quantitative study with a quasi-experimental design and convenience sampling was conducted. Eighteen students (ten men and eight women) from SIP were obtained to establish a control group (N=9) and an experimental group (N=9). The intervention consisted of an 18-weeks program of equine therapy with two sessions each week. Psychomotor development was assessed before and after the intervention with the “Test de Desarrollo y Aprendizaje” (TADI). Results: There was a significant improvement in psychomotor development (p<0,001) and in the cognitive and motor skills at the end of the intervention (p<0,05), the effect size obtained in the psychomotor development construct and the cognition and motor skills indicators were large (d> 0,8). Conclusion: Statistically significant changes were found in the experimental group comparing the initial and final values after the intervention through many variables. It is then possible to conclude that equine therapy has a moderate to large impact on psychomotor development of SIP students, which was also statistically significant.