International Journal of Physiotherapy

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/157623

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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Now showing 1 - 20 of 77

Efficacy Of Muscle Energy Techniques As An Adjunct With Mulligans Mobilization In Adhesive Capsulitis Of Shoulder
(Vasinformatics, 2019-04) Jaiswal, N.; Saketa, J.; Rajsekhar, H.
Background: Adhesive Capsulitis most commonly referred to as ”Frozen Shoulder” is an insidious Painful Condition with progressive and gradual restriction of all planes of movement in the glenohumeral joint. Evidence shows Mulligan's mobilization with movement (MWM) mobilization technique is more effective than muscle energy techniques (MET) and conventional therapy in improving shoulder function. Therefore the present study intends to determine the efficacy of muscle energy techniques along with Mulligan’s mobilization with movement, in adhesive capsulitis of the shoulder joint. Methods: The present randomized controlled trial was conducted among 30 subjects including both sex groups aged between 40-60 years diagnosed with adhesive capsulitis of the shoulder. They were randomly assigned into two groups with 15 subjects each. Group A received Mulligan’s mobilization alone, and Group B received Mulligan’s mobilization along with MET. Both the groups received the treatment protocol six times a week for three weeks. Pre and post evaluation of pain was done by using the short-form McGill pain questionnaire, range of motion by the Universal Goniometer and the functional disability by using Shoulder Pain and Disability Index (SPADI). Results: There was a significant improvement (P<0.05) in pre and post-intervention levels in both groups. Between groups analysis, the results are: a range of motion improved 30%, and the values are flexion with a p-value of 0.010, for abduction, internal and external rotations with a p-value of 0.000 except for extension with a p-value of 0.109. On comparison of SPADI using Mann Whitney U test, it showed 50% improvement with a significant difference with a p-value of 0.001 and McGill improved for more than 70% with a p-value of 0.000. Conclusion: Mulligan’s mobilization along with Muscle Energy Technique is found to be more effective in improving quality of life among subjects with adhesive capsulitis of shoulder than Mulligan’s mobilization alone.
Effect Of Manual Therapy (MET) Vs Conventional Therapy For Improving Tendo-Achilles (TA) Flexibility And Foot Posture In Children With Autism Spectrum Disorder
(Vasinformatics, 2020-08) Telang, Priyanka A.; Naqvi, Waqar; Dhankar, Shalaka; Jungade, Shyam
Background: Autism Spectrum Disorder (ASD) is a disorder of neurodevelopment, which affects individuals across social, ethnic, and geographic groups. Autistic children have difficulty with gross motor and fine motor functioning difficulties, including a wide range of signs and symptoms. Toe walking due to TA tightness is commonly observed gait in autistic children altering foot posture in them. The knowledge about the abnormalities can be useful for the assessment and treatment planning of ASD children. We evaluated TA tightness, ROM of the ankle joint, and compare the effect of manual therapy (MET) and conventional therapy for improving TA flexibility and foot posture. Methods: An RCT included 20 diagnosed autistic children(13male,7female) as per inclusion criteria the subjects were divided into two groups, i.e., group A and B, the group A was given Conventional Therapy in the form of passive stretching whereas Group B was given Manual Therapy in the form Muscle Energy Technique. The participants were clinically examined and evaluate TA tightness in the form of Elastography, Range of motion, and foot posture. Data were taken as pre and after post-intervention. Results: There were significant changes in elastography readings, foot posture index, and range of motion in both groups post-intervention, but significant improvement was observed in group B as compared to group A, i.e., p>0.05. Conclusion: This has been concluded that there is a significant effect of Manual therapy in the form of muscle energy technique for improving TA flexibility and foot posture as compared to conventional treatment.
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, Iqra
Background: 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.
Sonographic Evaluation Of Plantar Fascia Following Low-Level Laser Therapy In Plantar Fasciitis
(Vasinformatics, 2019-04) Rubella, D. H.; Aseer , P. A. L.; Dev , B.; Jambu, N.
Background: Plantar fasciitis is the most common cause of inferior heel pain resulted from repeated trauma leading to a microscopic tear in the plantar fascia. There is a need to study the non-invasive nature of low-level laser therapy in reducing pain and enhance healing. Therefore the study aimed to find out the efficacy of low-level laser therapy in plantar fasciitis. Methods: The study design is a pre-post experimental design. Thirty patients(21 females & 9 males) with plantar fasciitis who fulfilled the inclusion criteria participated in the study. Baseline parameters using musculoskeletal ultrasonogram of the plantar fascia, numerical pain rating scale, ankle joint mobility testing and foot and ankle ability measure questionnaire were recorded. Subjects in the control group received ultrasonic therapy, while the experimental group received irradiation of Low-Level Laser Therapy (LLLT) for two weeks comprising 12 sessions and the above-specified outcome measures were re-evaluated after two weeks. Results: The results showed significant improvement in pain severity (p<0.04) and ankle dorsiflexion range of motion (p<0.00) and ankle ability measure but no significant change in plantar fascia thickness following low-level laser therapy was observed. A positive correlation (r=0.9) was found between plantar fascia thickness and post foot and ankle ability measure-ADL scores (p=0.02). Conclusion: The findings suggest that low-level laser therapy helps in pain reduction and improving range of motion in plantar fasciitis with minimal effect on the thickness of plantar fascia.
Test-Retest Reliability Of Wavelet-Based Specific Frequency Bands Of Postural Control During Two Standing Task Conditions
(Vasinformatics, 2020-08) Fazeli, Sayyed Hamed; Akbari, Mohammad; Takamjani, Ismail Ebrahimi; Mohsenifar, Holakoo; Sadeghi-Naini, Mohsen
Background: The evaluation of balance measures can help identify postural control processes, but traditional data collection for the center of pressure (COP) may not reveal differences in postural control mechanisms. This study aimed to evaluate the reliability of the frequency component of postural sway using wavelet analysis of COP signals. Methods: Fifteen healthy male subjects (average age: 39.16±7.2 years, average weight: 72±11.06 kg, average height: 171±6.31 cm) participated in this project. They were requested to perform three trials of single-leg and tandem stance conditions for 20-second with and without vision on a force plate. The frequency content of COP signals, including the energy, root mean square (RMS), and velocity of the COP in four frequency bandwidths of postural sway, was evaluated. The test-retest reliability of COP parameters was tested using the intraclass correlation coefficient (ICC). Results: Among different COP parameters, the energy of the COP within a moderate (1.56–6.25 Hz) frequency band (.79≤ ICC ≤.97) with standard error measurement (SEM) ranged from .14 to .23, the RMS of COP within low (.39–1.56Hz) (.79≤ ICC ≤.93) and ultralow (< .10 Hz) (SEM ranged from .000 to .002) (.78≤ ICC ≤.94) in a tandem stance and the RMS of COP in a bandwidth of < .10 Hz (SEM=.00) in a single-leg stance (.70≤ ICC ≤.99) with the eyes closed and open showed good to excellent reliability. Conclusion: The results of this study showed moderate to excellent reliability of wavelet-based COP measures; therefore, these parameters can be used for the identification of postural control mechanisms.
Effectiveness Of Met V/S Marhythe In Individuals With Chronic Lateral Epicondylitis: A Randomized Clinical Trial
(Vasinformatics, 2020-08) Naik, Varun; Phadke, Rutuja A.; Pote Patil, Aishwarya Vikrant
Background: Lateral Epicondylitis is the tendinosis of the extensor musculature of the forearm that has their common origin from the lateral epicondyle of the humerus due to angioblastic degeneration. The study aimed to determine and compare the effectiveness of MET and MaRhyThe in individuals with chronic lateral epicondylitis concerning pain, grip strength, and function. Methods: The study was a randomized clinical trial with 30 subjects divided into two equal groups, with 15 subjects in each group. Group A received MET for seven sessions, and Group B received MaRhyThe for one session. Both the groups received hot moist pack and conventional exercises for seven sessions. Visual Analogue Scale (VAS), Patient Rated Tennis Elbow Evaluation (PRTEE) Questionnaire, and Pain-Free Grip Strength (PFGS) were taken as the outcome measures. Results: Within-group paired sample t-test showed statistical significance in VAS at rest, VAS on activity, PRTEE, and PFGS with a p-value of 0.001 for all. However, between-group analysis using independent sample t-test showed statistical significance in VAS on activity and PRTEE with a p-value of 0.049 and 0.029, respectively, and clinical significance for VAS at rest and PFGS for Group B. Conclusion: The study concludes that both MET and MaRhyThe are effective in treating chronic LE concerning pain, improving function, and strength. However, MaRhyThe is more effective in pain reduction and improving functional activities.
Effect Of Structured Exercise Regimen On Quality Of Life, Balance And Strength On A Patient With Miyoshi Myopathy – A Case Report
(Vasinformatics, 2020-08) Taklekar, Abhishek; Samson, Akhil; Palekar, Tushar
Background: Dysferlinopathy is an autosomal recessive disease seen in adolescence or young adulthood. Miyoshi Myopathy is characterized by weakness and wasting of posterior compartment leg muscles rather than the anterior compartment and distal upper limb muscles. Still, the intrinsic muscles of the foot and hands are spared. There are several undiagnosed cases in India and also around the world with dysferlinopathy. Diagnosis for the same requires advanced biological laboratories along with high economic funding for diagnostic purposes. Case Summary: This case report presents a 22-year-old male diagnosed with Miyoshi myopathy/LGMD2b (dysferlinopathy). The subject complained about a loss of balance, strength, and difficulty in performing activities of daily living. The patient was given Aquatic Therapy along with conventional physical therapy for a duration of 6weeks, which included three days of supervised therapy along with 3days home protocol and a rest day kept at the end of every week. Outcome Measures: Standardized scales like the Barthel Index and the Berg Balance Scale were used for the assessment of pre and post the progress of the subject for Quality of Life and Balance, respectively. Manual Muscle testing was used for assessments for pre and post muscle strength of the subject. Conclusion: The timely diagnosis of a rare condition before the advancement of the disorder and thus the use of appropriate intervention of physiotherapy, which consisted of progressive muscle-strengthening exercises along with balance training proved to be promising in preventing falls, muscle atrophy and thus making the patient independent for doing daily activities.
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.
Relationship Between The Thigh Anthropometric Measurements With Isokinetic Performance Of Knee Muscles
(Vasinformatics, 2020-08) Chevidikunnan, Mohamed Faisal; Khan, Fayaz Rahman
Background: Strength measurement is an essential component of assessment in rehabilitation. However, there may be many factors that may alter muscle performance, among which anthropometric values play a significant role. Therefore, the objective of this study is to find out the correlation between thigh anthropometric measurements with the knee isokinetic muscle performance. Methods: Eighteen young, healthy male adults, whose mean age was of 21.22 ± 1.39 were included. Anthropometric measurements like height, weight, thigh girth, and femoral length were correlated with isokinetic strength of knee flexor and extensor muscles. The variables collected in isokinetic measurements; used for analysis were peak torque at three angular velocities of 60°/s, 120°/s, and 180°/s. Results: The Pearson correlation between the thigh girth and isokinetic peak torque at angular velocities of 600/s, 1200/s, and 1800/s for knee extensors were, r = 0.52, 0.69 and 0.73 whereas for knee flexors it was r = 0.53, 0.24 and 0.44 respectively which showed moderate to high correlation when the level of significance was kept at 0.05. However, the correlation between the femoral length and isokinetic peak torque at three angular velocities for knee muscles showed a weak positive correlation only. Conclusion: Study results show that there is a moderate to strong positive correlation exists between thigh girth and isokinetic peak torque of knee musculature, whereas there is only a weak correlation exists between femoral length and isokinetic peak torque of knee musculature. Therefore, it reveals that the length of the extremity does not seem to influence the outcome of isokinetic measurement values. In contrast, the girth of the muscle can influence the outcome of the isokinetic measurement values, especially for the knee joint.
Effects Of Bosu Ball Exercise On Jump Performance In Football Players
(Vasinformatics, 2020-08) Salot, Charmi; Sathya, P.; Paul, Jibi
Background: Football is the sport that requires a lot of high-intensity dynamic movements like jump, i.e. while heading and kicking a ball. Unstable surfaces like Bosu ball in the fields of rehabilitation and general fitness are effective in joint stabilization by improving the sensory efficiency of soft tissue during dynamic activities. Thus the purpose of the study was to see the effects of Bosu ball exercise on jump performance in football players. Methods: A total of 90 football players participated in the study. The players were categorized into two groups experimental group (n=45) who underwent Proprioceptive training on Bosu ball with their regular football training program and control group (n=45) underwent regular football training program. The players were trained for six weeks. Jump assessment at pre and post-intervention was done for all subjects using the single-leg hop test and Vertical Jump test. Results: The results revealed a significant difference in pre and post assessment experimental > control group single-leg hop test and vertical jump test with p-value 0.000 (< 0.05). Conclusion: Bosu ball training was effective in improving the single-leg hop distance and vertical jump height in male football players.
Short And Long-Term Effects Of Pulsed Wave And Continuous Wave Ultrasound For The Treatment Of Carpal Tunnel Syndrome: A Randomized Clinical Trial
(Vasinformatics, 2020-08) Zwolińska, Jolanta
Background: Sonotherapy is used in carpal tunnel syndrome (CTS) treatment; continuous or pulsed ultrasound waves are commonly used. The aim was to assess the short and long-term effects of CTS treatment using continuous and pulsed ultrasound waves. Methods: This study was a randomized clinical trial. Forty-eight patients with mild and moderate CTS (20 unilateral and 28 bilateral) were subjected to complex physiotherapy. Complex physiotherapy included whirlpool massage, neuromobilization, and sonotherapy (continuous wave and pulsed wave ultrasound). The patients were randomly placed in two treatment groups and were subjected to sonotherapy with continuous or pulsed ultrasound waves. Seventy-six hands were assessed before, immediately after, and one year after treatment. Outcome measures included the Boston Carpal Tunnel Questionnaire (CTS SSS & FSS), computer-measured global handgrip force, provocative and functional tests, assessments of vegetative disorders, and sensation disorders. Results: Significant improvements in symptoms and parameters were observed after sonotherapy in both groups immediately after and one year after treatment. Long–term effects of CTS SSS & FSS for pulsed-wave amounted to p=0.0018, p=0.0001 while p=0.0003, p=0.0021 for continuous wave, respectively. Between the groups, a statistically significant difference was found in the change of muscle strength (p=0.0374) and Luthy's sign result (p=0.0262) between examination one and examination 3. Conclusions: Short and long-term effects of continuous and pulsed ultrasound wave in CTS treatment is comparable. Effects are influenced by energy density transmitted to tissues. Pulsed wave appears more effective in the long-term in improving the condition of hand muscles.
Effectiveness Of The Lacey Assessment Of Preterm Infants To Predict Neuromotor Outcomes For Premature Babies At Twelve Months Corrected Age
(Vasinformatics, 2020-08) Naushad, Thanooja; Meena, N.; Kulkarni, Tushar Vasant
Background: The Lacey Assessment of Preterm Infants (LAPI) is used in clinical practice to identify premature babies at risk of neuromotor impairments, especially cerebral palsy. There is a shortage of studies on the Lacey assessment despite its wide clinical use. This study attempted to find the diagnostic accuracy of the Lacey assessment of preterm infants to predict neuromotor outcomes of premature babies at 12 months corrected age and to compare their predictive ability with brain ultrasound. Methods: This prospective cohort study included 89 preterm infants (45 females & 44 males) born below 35 weeks gestation. An initial assessment was done using the Lacey Assessment of Preterm Infants (LAPI) after babies reached 33 weeks postmenstrual age. Follow up assessment on neuromotor outcomes was done at 12 months (±1 week) corrected age using two standardized outcome measures, i.e., Infant Neurological International Battery and Alberta Infant Motor Scale. Brain ultrasound data were collected retrospectively. Data were statistically analyzed, and the diagnostic accuracy of the Lacey Assessment of Preterm Infants (LAPI) alone and in combination with brain ultrasound was calculated. Results: Fisher's exact test showed p<.01, indicating that there is an association between the Lacey Assessment of Preterm Infants (LAPI) and the neuromotor outcomes at one year corrected age. A combination of Lacey Assessment (LAPI) and brain ultrasound results showed higher sensitivity in predicting abnormal neuromotor outcomes than Lacey Assessment alone (80% vs. 66.7%, respectively). Lacey Assessment also showed high specificity (96.3%) and negative predictive value (97.5%). Conclusion: Results of this study suggest that the Lacey Assessment of Preterm Infants (LAPI) can be used as a supplementary assessment tool for premature babies to identify those at risk of abnormal neuromotor outcomes. These findings have applications to identify premature babies eligible for early intervention services.
Effect Of Type Of Physical Activity On The Sleep Pattern Of Sport Players
(Vasinformatics, 2020-08) Saini, Preeti; Sharma, Mahak
Background: Physical activity has been identified as a significant adjuvant in improving quality of life and lowering the cost of medicine. A positive effect has been seen on the mental and physical health of an individual influenced by physical activity and sleep. There is a scarcity of studies that determined the correlation between sleep patterns and physical activity among sports players. The present study is aimed to assess the association between physical activity and sleep among sports players. Methods: The present study was carried in Faridabad with a sample size of 133 sports players with age criteria between 18-25 years. The subjects were runners, shooters, and archers. WHO Questionnaire for physical activity was used to assess the physical activity of sports players. The Sleep Pattern was evaluated by using the “Pittsburgh Sleep Quality Index.” Results: The study results revealed that all of the runners (100%) were having vigorous activity. 72.7% of archers had moderate activity, but 58.8% of shooters had sedentary activity. Most of the sports payers were having a fairly good quality of Sleep (P=0.65). No correlation was observed between the Global Physical Activity Questionnaire Score of the subjects with any Sleep Domain. Conclusion: The study concluded that among different sports players doing sedentary, moderate, or heavy physical activity were having good quality sleep. This means even a small amount of physical activity can contribute to good quality sleep.
A Partial Functional Restoration After Hallux Valgus Correct Surgery - A Controlled Preliminary Study
(Vasinformatics, 2020-08) Siracuse, Jean-Philippe; Forelli, Florian; Mazeas, Jean; Sadaka, Jérôme; Touzard, Rémy; Trousselier, Matthieu; Traullé, Maude
Introduction: Hallux valgus is the most common condition found in the foot, caused by a progressive failure of the first ray stabilization means. The hallux is deviated into valgus, the first metatarsal into varus, and their association leads to a subluxation of the metatarsophalangeal joint of the first ray. Surgery is a treatment frequently used to correct this condition. So, is the static postural balance altered after corrective surgery? Materials and Method: 23 subjects participated in the study, all women, divided into two groups: control and hallux valgus. The hallux valgus group was evaluated three months post-operatively. Bipodal tests were carried out on a stabilometry platform, one with eyes open and one with eyes closed. The pressure center parameters were recorded and analyzed, such as the length or the area of the pressure center. Results: The results obtained showed significant differences between the two groups and were statistically significant, with a p-value of 0,05. The pressure center values are higher in the hallux valgus group. Conclusion: Some results found in the literature agree with the results of the present study. There are significant deficits in the static postural balance three months after corrective surgery. Other studies with a larger sample may be performed to confirm or not the results of this study.
The Role Of Morphological Traits On The Batting Performance Of Cricket Batsmen – A Review Study
(Vasinformatics, 2020-06) Ul Haq, Muhammad Zia; Nazeer, Muhammad Tahir; Muhammad Badar Habib,; Naveed, Muhammad Qasid; Saeed, Muhammad Awais; Rajab, Sumeira
Background: The batting performance is assessed by considering the batting average and strike rate of a batsman. With the induction of T-20 cricket matches, the strike rate of a batsman has gained much attention from coaches and team management. To increase the strike rate a batsman required to hit powerful shots for boundaries, which assist in making maximum scores at the minimum ball. Therefore, this investigation was planned to determine the effect of body size on the batting performance of cricket batsman. Methods: the literature for this study was selected for cricket coaching manual, cricket books, cricket batting videos, a biography of cricket batsmen, research articles. The academic documents were downloaded and shortlisted from Google Scholar, Research Gate, EBSCO, and ProQuest from 1990 to 2019. Results: The synthesized literature review concludes, stature, longer legs, longer arms, and lean body mass of a batsman show positive effects on the execution of powerful shots in cricket. Furthermore, the maximum strength of muscles assists a batsman to boost up the initial velocity of bat swing to accomplish the ball speed for a successful and powerful shot. Conclusions: Although stature and longer limbs of batsmen are associated with batting performance. On the other hand, the specific training would also enhance the capacity of cricket batsman for powerful shots in cricket. A future study was proposed to investigate the effect of training on the batting performance.
Effect Of Whole Body Vibration On Lower Body Strength And Balance In Osteoarthritis Knee
(Vasinformatics, 2020-04) Aggarwal, Amita; Paranjape, Purva Ravindra; Palekar, Tushar J; Singh, Gurjit; Rao, Tejashree Sridhar
Background: Knee osteoarthritis causes pain, functional limitation, and disability in the elderly. Whole-body vibration has gained a lot of attention in recent years. It is currently used in alleviating pain and improve physical function along with strength and balance. Methods: 34 individuals aged between 50-70 years fulfilling the inclusion criteria were selected and randomized into two groups. Baseline assessment was done using the VAS scale, WOMAC scale, Berg Balance Scale, and 30seconds chair stand test. Group A received whole-body vibration, and knee strengthening exercises, and group B received only strengthening exercises. The treatment was given thrice in a week for four weeks. The assessment was done by the end of the 2nd and 4th weeks. Results: Whole body vibration had shown greater improvement of VAS on rest (p<0.05) compared to VAS on activity. Also, the WOMAC score was statistically improved between and within the group with p<0.05. Conclusion: Whole body vibration, along with strengthening exercises, showed superior effects in reducing pain, stiffness, physical function, balance, and lower limb strength in osteoarthritis knee patients.
Effect Of Dynamic Neuromuscular Stabilization Therapy Vs Parachute Resistance Training On Performance Level In Race Walkers: Comparative Study
(Vasinformatics, 2020-06) Panse, Rasika; Yeole, Ujwal; Pawar, Piyusha; Gawali, Bhagyashree R.
Background: Race walking significantly places stress on the lower extremity joints affecting ADLs. The gait pattern of race walking is different than normal walking that causes biomechanical alterations leading to musculoskeletal disabilities. DNS (Dynamic Neuromuscular Stabilization) therapy is based on developmental kinesiology and the integration of neurophysiology and biomechanical principles in which each purposeful movement pattern is reinforced by the coordination between every segmented required for postural stability. Parachute Resistance training works on the principle of air resistance and terminal velocity, which helps in improving lower extremity muscle strength and power, decreasing the stress put on joints during physical activity. Methods: The study was completed by using a stratified sampling technique among the race walkers between the age group of 18-29 years, a total of 40 race walkers (20 males and 20 females) were selected based on the inclusion and exclusion criteria by approaching various sports academies. Participants were divided into two groups, Group A and Group B. The groups consisted of 20 participants each. They were verbally interviewed regarding their demographics. Pre-treatment assessment of vo2max and speed was done using the Cooper test and sprint test, respectively. Participants in group A underwent Dynamic Neuromuscular Stabilization Technique, and group B underwent a Parachute resistance training program, and post-treatment assessment of all the parameters was done. Results: DNS Therapy shows significant improvement in the performance level of race walkers in group A as compared to Group B with p-value 0.003 and 0.001. Conclusion: The study concluded that DNS therapy and Parachute resistance training exercises are equally effective in improving the performance level in race walkers.
Gender Oriented Variations In The Finger Flexion Cascade In Normal Individuals
(Vasinformatics, 2020-04) Varghese, Jibu George; Venugopal, Vidhya; Srinivasan, V.; Hari Priya, G. A. Geetha
Background: A normal Finger Flexion Cascade (FFC) is formed by the fingers of the hand when the hand in a relaxed position. Usually, the fingers of the hand assume a flexed position; gender may influence the normative values of the resting hand due to differences in the anatomical structure of hand and frequency of usage of joints of hand in their respective occupation and habitual activities of daily living. Hence the study aims to find the difference in the FFC between men and women in power grip and nonpower grip occupational activities. Methods: A cross-sectional study was conducted in a mixed population of five hundred active individuals aged between 25 and 40 years belonging to various occupations of industrial work and individuals working with software companies. Individuals who fulfilled the inclusion criteria participated in the study. After completing a questionnaire based on occupation, the subjects were grouped into power grip users and nonpower grip users. The range of motion of the joints of all the fingers, namely, metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints of both dominant hand and nondominant hand was measured using universal finger goniometer, and the composite finger flexion was recorded using a geometric ruler. The results were analyzed, and Un-paired T-test was used to compare the FFC between the power grip and the nonpower grip group. Results: The FFC variations in both the hands of male and female subjects in power grip users (PGU) and nonpower grip users(NPGU) were recorded. In the dominant hand, it was found that the DIP joint of 5th digit in female subjects had a greater ROM values than male subjects, but greater ROM values in MCP joints of the hand in males were found. The comparison between the range of values of both groups revealed that the values in the PGU group were more than the NPGU group with a statistical significance of p<0.001. Conclusion: The finger flexion cascade was found to be more closed in female subjects than males in both the dominant and nondominant hands of in the power grip users than in the nonpower grip users.
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.
A Study To Analyse The Effects Of Fascial Manipulation On The Lateral Thigh Region In Mechanical Low Back Pain
(Vasinformatics, 2020-06) Hari Priya, G. A. Geetha; Varghese, Jibu George
Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders, affecting up to 90% of people at some point in their lifetime. Up to 50% will have more than one episode of back pain. Previous studies have highlighted the benefits of fascial manipulation for chronic low back pain over manual therapy alone. But early detection of densification of specific points in the lateral thigh region in low back pain subjects in an acute phase itself will be of benefit in resolving the back pain as the deep friction on these points aims at restoring the physiological gliding properties of the fascia and lead to immediate pain relief in the low back, increased range of motion and improved functions. Methods: Sixty individuals were enrolled for the study and were randomly allotted to two groups using a simple random method, were samples were randomly allocated by the primary investigator before baseline assessment. Control group subjects in Group A received conventional exercises, including core stability exercises. Experimental group subjects in Group B received Fascial manipulation to the lateral aspect of the thigh region in the lower limb. Both the groups received interferential therapy for 20 minutes as a part of conventional treatment for low back pain for 15 days. The subjects were assessed for their pain level, using NPRS score, and range of motion (ROM) was assessed to find any restriction in the lumbar region due to fascial densification. The functional activities of daily life were assessed using the ODI scale. The above scores were recorded before and after the interventions for both the groups. Results: The pre-test and post-test results were analyzed using a Paired and Unpaired t-test. The outcome measures of the Numeric Pain Rating Scale, Modified Schober's test, the Oswestry Disability Index were used for the study. A comparison of post-test values between Group A and Group B using unpaired t-test revealed a significant difference of p<0.001 in terms of pain relief, improved Range of motion, and functional ability of subjects in Group B than subjects in Group A. Conclusion: Fascial manipulation technique on lateral thigh region proved to be effective than conventional exercises as it showed a clinical and significant effect in decreasing pain and disability and improving the range of motion and functional activities of daily living in subjects with mechanical low back pain.

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