International Journal of Physiotherapy and Research

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/158096

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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Now showing 1 - 20 of 134

Perceived Barriers, Enablers, Beliefs and Level of Physical Activity and Awareness regarding Role of Physiotherapy in Patients posted for Bariatric Surgery: A Questionnaire Based Study
(Portico, 2023-04) Ashika, Shah; Berry, Aditi Ketkar
Background: Obesity is of huge concern worldwide. Bariatric surgery is effective in managing morbid obesity and its associated complications. Physiotherapy plays a crucial role in the pre-operative as well as postoperative phases of bariatric surgery. Lack of physical activity in patients who are obese, patients who are posted for bariatric surgery and those who have undergone bariatric surgery can be accounted to a lot of factors. Identifying their perceived level of physical activity along with the facilitators, barriers and beliefs will help in addressing these issues and thereby increasing adherence to physical activity.Objective: To evaluateperceived level, along with barriers, enablers and beliefs of physical activity in patients posted for bariatric surgery. We also evaluated their awareness about the role of physiotherapy in pre and post-operative phases of bariatric surgery.Method:A questionnaire was designed to gain an insight aboutfactors contributing as barriers and enablers, under the domains of physical, psychological, interpersonal and environmental. It also included perceived level and the existing level of physical activity in the study participants.Questions were also designed to understand their awareness about the role of physiotherapy in the pre and post bariatric surgery phase. It was administered to patients posted for bariatric surgery on an interview basis. Sample size was calculated to be 96. The data was then analysed and represented as descriptive statistics.Results: All study participants failed to meet the recommended level of physical activity. The predominant barriers perceived by the study participants belonged to physical, psychological and interpersonal domains; whereas environmental barriers were found to be of least significance. 72.92% of the study participants lacked the knowledge about the role of physiotherapy in the pre-operative phase of bariatric surgery.Conclusions:Interpersonal, physical and psychological being the predominant barriers faced by the study participants highlight the scope of physiotherapeutic intervention. Also these factors can be modified at an individual level, thereby improving the adherence. There is lack of awareness about the role of physiotherapy in the pre-operative phase of bariatric surgery. Thus there is need to increase awareness about the role of physiotherapy in managing obesity and related complications in pre and post-op phases of bariatric surgery.
Evaluation of Fixa Spine and Mckenzie Exercises In Comparison with Postural Text Reminders on Neck Pain among Office Workers: A Pilot Study
(Portico, 2023-04) Yasmeen, Naba
Background: Neck pain is a public health issue and the world’s fourth-biggest cause of disability. Office workers are more affected by poor posture and different weight loads on the neck leading to the development of neck pain. FixaSpine is a wearable device allowing proper sitting or standing posture when using the computer. McKenzie exercises are inter alia used for decreasing neck pain, there are no studies on the combination of FixaSpine and McKenzie exercises.Objective: to evaluate the change in perceived neck pain before and after the combination of training with FixaSpine and performing McKenzie exercises among office workers in comparison to postural text reminders.Materials and methodology: a pre-post-interventional pilot study was carried out in Southern Sweden with 39 participants. The intervention group received training with ixaSpine and McKenzie exercises and the control group received postural text reminders for the duration of four weeks.The participants performed five days a week during working hours. The data was collected by Neck Pain and Disability Scale. Paired samples t-test and independent t-test were used for analysis.Results: a total of 39 participants (intervention group (n = 25) and control group (n = 14)) were included in the study. The intervention group showed a statistically significant difference in neck pain (p = 0.000) and in the control group, there was no significant difference in neck pain (p = 0.57). There was a significant difference in post-total NPDS scores across the groups (p = 0.002). The magnitude of the mean differences was very large (mean difference = -26.21, 95 % confidence interval: -42.12 to -10.3; Glass’delta = 1.23).Conclusion: There was a significant decrease in perceived neck pain measured before and after an intervention by a combination of training with FixaSpine and performing McKenzie exercises among office workers in comparison to postural text reminders. Further research is needed involving control groups (FixaSpine /McKenzie exercises).
Effects of Magnesium in Physiotherapy Treatment for Patients with Knee Osteoarthritis
(Portico, 2024-06) Lokhandwala, Khadija; Parulekar, Poonam; Irani, Ali
Background: Osteoarthritis (OA) is a complex joint degenerative disorder. Pain is a dominant characteristic, becoming persistent and more limiting as the disease progresses, resulting in reduced physical function, quality-of-life. Magnesium deficiency is considered to be a major risk factor for osteoarthritis development and progression. Oral magnesium presents unique challenges for many individuals to effectively restore intracellular magnesium levels. Transdermal magnesium absorption could be more effective than oral absorption due to its greater absorption rate and presents fewer negative effects due to its gastrointestinal tract-bypassing nature. Method: Total 40 subjects with knee osteoarthritis were selected as per the inclusion and exclusion criteria and randomly assigned to either Group A (intervention) or Group B (conventional), each having 20 patients. Assessment of the outcome measures was done pre and post 8 sessions. Outcome measures used were Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Timed up and go test (TUG), 9 Step stair climb test, Knee ROM, Quadriceps strength using pressure biofeedback. Group A was given conventional therapy along with Epsom salt foot soak and Magnesium oil application. Group B was given conventional therapy alone. Result: There was statistically significant improvement seen in all the outcome measures in intragroup analysis with p<0.05. Intergroup analysis showed statistically significant difference in VAS on activity, WOMAC, Knee ROM, Quadriceps strength with p <0.05 indicating Group A performed better than Group B.Conclusion: The study found that Magnesium when used as an adjunct to conventional therapy shows significant difference in pain levels, knee mobility, quadriceps strength and better functionality in activities of daily living.
Is Liver Frailty and functional capacity associated with severity of liver disease in patients awaiting Liver Transplantation? - A prospective Observational Study
(Portico, 2023-04) Vakani, Nirali S.; Shah, Harda H.; Modi, Pranjal; Sutariya, Vaibhav; Tiwari, Bharat
Background: Liver is a major metabolic organ, interfering with the function of all organs and systems. So, the patients with severe liver disease may display wide manifestations of metabolic disorders, loss of muscle mass and function. Combination of these factors leads to decreased exercise tolerance and physical inactivity and it may be exaggerated with increasing severity of liver disease. The functional capacity could be severely affected due to multiple physiological derangements in these population. Hence, a liver transplant is the only cure for end stage liver disease. Currently only few literature are available that evaluated and described the status of frailty and functional capacity in these population. So we have tried to evaluate the same in Indian Population. Methodology: After ethical commttee approval and written inform consent, 85 cirrhotic atients who fulfilled the Inclusion and Exclusion criteria were included in the study. Disease specific history, Severity of Liver disease, Physical evalution of frailty via Hand grip strength, Balance and time taken to do 5 chair stands , subjective functional capacity evaluation was done through Duke activity status Index (DASI). Result: In 85 patients, the average Hand grip strength was 23.70 ± 10.60kg in males and 15.02± 5.08kg in females , average value of timed chair stands (TCS) was 18.18± 6.60 in males and 14.18± 8.65 in females , average balance score was 28.00 ±4.99 in males and 29.33± 2.58 in females and the average value of MELDNa was 22.2± 6.9. Conclusion: When compared with normal Indian standard Liver cirrhotic patient, form of frailty and reduced functional capacity non predominant. That stressed emphasis on rehabilitation and nutritional counselling during waiting period for Transplantation.
Optimising Functional Recovery in a Paediatric Stroke patient secondary to Sickle Cell Disease: A Case Report
(Portico, 2024-06) Jethani, Simran; Bhagat, Prachi; Ganvir, Suvarna
Out of many causes of Paediatric Stroke, Sickle Cell Disease is one of the crucial conditions with the risk of Stroke highest during the first decade that is between the ages of 2 & 5 years. Reported here, however, is a case of a 10-year-old male child with sudden onset left side hemiplegia with facial muscle weakness, who was a known case of Sickle Cell disease since 6 months of age. With the inability to use the upper extremities & walk independently, the patient was functionally dependent with a Fugl Meyer score of 55/126 & Berg balance scale score of 18/56. After 4 months of Physiotherapy Treatment patient was able to use the Upper extremities for functional activities and was able to walk independently with a Berg balance scale score of 46/56.With very few cases of pediatric Stroke receiving Physiotherapy care being reported in the literature, this case report establishes the role of Physiotherapy in preventing long-term neuro developmental disability.
Association of Abdominal Endurance with Body Mass Index and Playing Hours in Collegiate Cricket Players: An Observational Study
(Portico, 2023-04) Ansari, Aarzoo Minnat; Mirani, Mumux
Objective: To find the association between abdomina endurance, Body Mass Index and playing hours in collegiate cricket players.Study design: Observational study.Settings: Uka Tarsadia University, Bardoli, Gujarat, India.Participants: 101 collegiate male cricket players with ages ranging from 18-24 years.Outcome measures: The abdominal endurance of all the players were assessed using the American College of Sports Medicine (ACSM) Curl-up test. Body mass index (BMI) and the number of playing hours per week were recorded as the other outcome measures.Results: The players exhibited excellent abdominal endurance. Pearson coefficient correlation test was used to assess the association of abdominal endurance with BMI and playing hours. The results showed that there was no association between abdominal endurance with BMI. However, there was a significant correlation found between abdominal endurance and plying hours in collegiate cricket players.Conclusion: It is concluded from the present study that abdominal endurance is associated with plying hours. Hence, for enhancing abdominal endurance one should consider increasing the playing hours, so as to improve overall performance. Also, the results showed that abdominal endurance is independent of BMI.
Hyaluronic acid alone versus hyaluronic acid associated with adelmidrol for intra-articular treatment of knee osteoarthritis: a long_x005F_x005F_x005F_x0002_term follow-up
(Portico, 2023-02) Vulpiani, Maria Chiara; Vetrano, Mario; Nusca, Sveva Maria; Latini, Eleonora; Santoboni, Flavia; Musa, Francesca; Trischitta, Donatella; Coluzzi, Flaminia; Lardo, David; Ippolit, Ernesto
Background: Hyaluronic acid (HA) has been used for many years for intra-articular treatment of knee osteoarthritis with satisfactory results. HA associated with Adelmidrol – an anti-neuroinflammatory compound – have been only recently introduced in orthopedic clinical practice with good preliminary results.Objective: To investigate whether HA associated with Adelmidrol provides better results than HA alone.Methods: Two cohorts of patients with moderate knee osteoarthritis were treated. Cohort 1 received 5 weekly intra-articular injections of HA during 2017 while Cohort 2, 4 weekly intra-articular injections of HA associated with Adelmidrol during 2018. The patients of the two Cohorts were assessed by WOMAC scale, SF-12 questionnaire and PGIC scale at 1 week (T0), 6 months (T1), 1 year (T2), and 2 years (T3) after the end of treatment. All the data were statistically analyzed. A p-value of <0.05 was considered statistically significant.Results: According to the WOMAC Scale Cohort 1 had higher mean scores than Cohort 2 at each follow-up time, with a statistically significant difference between the two cohorts at T3 (p<0.03) for all the WOMAC components, except for Stiffness. WOMAC Total mean score worsened statistically significantly only in Cohort 1, from T1 to T3 (T2 vs T1: p=0.0033; T3 vs T2: p=0.0007). The same happened for WOMAC Physical Function (T2 vs T1: p=0.0146; T3 vs T2: p=0.0046) and WOMAC Pain (T2 vs T1: p=0.0004; T3 vs T2: p=0.0002). WOMAC Stiffness worsened statistically significantly in Cohort 1 from T2 to T3 (T3 vs T2: p=0.0041), while in Cohort 2 no change on WOMAC scale was statistically significant at any time-point, for any components. The mean scores of the SF-12 questionnaire were better in Cohort 2 than in Cohort 1 at each follow-up time for both the Physical and the Mental components, with a statistically significant difference between the two groups for the latter, at T0 (p=0.0001). In both cohorts the mean score of the Physical component decreased from T0 to T3, but the difference was not statistically significant between the two groups (p=0.25). The mean score of the Mental component slightly increased in Cohort 1 and decreased in Cohort 2, without statistically significant differences between the two groups at any time-point. PGIC showed that Cohort 2 scored significantly better than Cohort 1 at T3 (p=0.0336).Conclusions: Overall, HA associated with Adelmidrol gave better long-term results than HA alone.
Assessment of Foot In Female Kathak Dancers
(Portico, 2024-06) Bhalerao, Pranita; Gharote, Gaurai
Background: Kathak is the art of storytelling and conveying it to the audience in a different way. Now a days kathak is spreading worldwide, and people are learning and chasing the challenges at top level for this the kathak dancers are focusing more and more over the riyaz followed by intense practice. Tatkar is an important component of this dance form which is performed by foot of dancer, commonly called as footwork. The population increasingly demand the repetitive rhythmic movements at ankle joint and to maintain the ankle stability there is requirement of heavy muscle work. This study examines postural deviations in the foot of female kathak dancers. Methods: The design was quantitative descriptive study utilizing Self Made Questionnaire developed specially for the research and foot posture index scale with the navicular drop test. The questionnaire contained questions related years of practice and frequency of practice with the pain associated to lower limb. Results: Percentage of people with normal and supinated conditions for both right and left feet across the different variables. It’s notable that the categories for Pronated, Highly Pronated, and Highly Supinated feet were not observed in the datasets. Conclusion: In the present study it is found out that about 80% of total population have no postural changes found out in the foot the reason behind that can be the regular warm up cool down sessions, stretching and much more postural awareness. To avoid the foot problems and postural deviation now a days institutes are taking great warm up and cool down sessions with stretching for at least 1 hour and then startup with the forceful riyaz. Further research is warranted to make standardized warm up and cool down protocols for kathak dancers.
Current Trends in Effectiveness of Robotic Assisted Gait Training (RAGT) for Gait Recovery in Neuro Rehabilitation - An Evidence_x005F_x005F_x005F_x0002_-Based Scoping Review
(Portico, 2024-06) Saraf, Ninad R; Korada, Hrishikesh; Anumasa, Ranjith; Shetkar, Pragati B
Robotic-assisted gait training plays a pivotal role in the rehabilitation of individuals recovering from post-stroke and post-spinal cord injuries. By employing sophisticated robotics, this therapy facilitates repetitive, task-specific movements essential for relearning walking patterns. The precision and customisation of robotic systems ensure tailored interventions targeting specific impairments. Moreover, these technologies provide real-time feedback, enhancing patient engagement and motivation. In this review, 11 articles were finalized for review, five were for post-stroke rehabilitation and 6 for spinal cord injuries. Results show that there is improvement in Spatiotemporal parameters of gait, functional outcomes and quality of life.In Conclusion, robotic-assisted gait training ultimately accelerates recovery, improves functional outcomes, and restores independence, profoundly impacting rehabilitation effectiveness.
Prevalence of Hamstring Tightness in Nursing Students Using 90-90 SLR Test: A Cross-Sectional Study
(Portico, 2024-06) Narkhede, Devesh; Ajmera, Mayur; Huma, Quazi Ibtesaam
Background: Flexibility is a range of movement available at a joint. Tightness of muscle is caused by a decline in the ability of muscle to disfigure. Hamstring tightness can lead to low back pain, bad posture, imbalances of muscles and knee pain. According to previously performed studies, prolonged sitting can be a factor that leads to hamstring tightness; therefore, we selected nursing students as a participant in the study who have a daily sitting time of 6-8 hours. Hence objective of the study is to find out the prevalence of hamstring tightness among nursing students. Aim: The study’s aim was to find out if Nursing Students have hamstring tightness due to Prolonged Sitting using a 90-90 SLR test. Study design: Observational study. Methodology: In this cross-sectional study, 145 participants were included by verifying inclusion and exclusion criteria. Consent was taken before evaluation. Hamstring tightness was measured by a 90-90 SLR test. After that, height and weight were measured, and BMI was calculated. After evaluating all participants, prevalence was calculated. Then, it was compared with BMI. Result: 20.68 percent of participants had hamstring tightness. Conclusion: The result indicates that the prevalence of hamstring tightness is low in nursing students.
Prevalence and Risk Factors of Neck Pain among the Hospital Front and Back Office Workers at the Nairobi Hospital, Kenya
(Portico, 2023-06) Bilton, Sore Kwoma; Otieno, Wycliffe; Stella, Margaret; Ogwedho, Serafino; Muriithi, David; Munyao, Ann; Muya, Christine K; Karuguti, Wallace
Objective: To identify the prevalence and risk factor of neck pain among the hospital front and back-office workers at The Nairobi Hospital, Kenya.Material and methods: Descriptive cross-sectional studies was carried out among 133 participants on the prevalence and risk factors of neck pain at a specific point of time defined by the population. All variables were collected within a specified duration. An adapted structured close ended questionnaire was used, coveri group-made questions for population parameters and variables, for screening neck status for the enrolled participants. In addition to the adapted questionnaire from the Oswestry Neck Disability Index (ONDI) combined with our variables, participants were requested to fill out an adapted combined self-developed questionnaire consisting of demographics characteristics; age, gender, duration of employment, and pain intensity.Collected data was analyzed using statistical package of social sciences-SPSS version 21, and results tabulated in tables, pie charts and grapResults: majority of participant ( n=112,84%) were from the age of group between 41-50 years at 42%, followed by 31-40 yeaat 37%, 21-30 years at 20% and finally 51 years and above at 1%. Females represented by 66% and males at 34% of the participants. Period of employment was between 1-10 years at 60% followed by 11-20 years with 34%, less than 1 year and 21-30 years each represented by 3%. workers currently with neck pain at the Nairobi hospital were (n=38 ,34%). Pain intensity; Majority of those who had neck pain 25% had mild pain, while only 1% had severe pain. Those with risk factors for sitting durations; sitting at 2-4hrs represented by 47.3%, followed by 5-6hrs at 37.5%, less than 2 hours was 8.9%, 7-8hrs was 3.6% and more than 8hrs was 2.7%.Conclusion: study concludes that prevalence of neck pain among front and back-office workers at The Nairobi Hospital currently accounts for 34% with female being the most affected. This is associated with continuous sitting and poor body mechanics in relation to work station and equipment. Age, gender, period of employment, and sitting posture awareness were also found to be important factors influencing the occurrence of neck pain.
Effectiveness of Benson’s Relaxation Technique In Stressed PCOD Women
(Portico, 2024-02) Srinivasan, Revathi; K. J, Donnagayathri; M, Tanisha Rizkeen; Kumar, A. K Vijay Krishna
Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrinological disorder in women, causing metabolic dysfunction and body composition changes. As of June 30, 2022, WHO estimates indicate over 116 million women (3.4%) globally are affected by PCOS. Stress, defined as worry and mental tension from difficult situations, is a major contributor to reproductive dysfunction. Reports increasingly highlight stress’s role in PCOS manifestation. The study aims to assess the Benson relaxation technique’s effectiveness in alleviating stress in women with PCOS.Aim: To determine the effectiveness of Benson’s relaxation technique in stressed PCOD.Methodology: Study Design: Experimental study, Study setting: Dr. B.R. Ambedkar Medical College and Hospital, Department of Physiotherapy, Bangalore -560045 Sample design: Purposive sampling. Sample size: 30 patients.Result: A significant reduction in stress among PCOD women was observed with the use of Benson’s Relaxation Technique. The pre-perceived stress score before the technique was 22.63±5.26, decreasing to 18.23±5.98 post-intervention. The enhancement score was 4.40, with a t-value of 11.08. The analysis indicates a substantial stress reduction among PCOD women using Benson’s Relaxation Technique, as assessed through the Perceived Stress Scale (p<0.001).Conclusion: The study conclusively demonstrated the efficacy of Benson’s Relaxation Technique in alleviating stress among women with PCOD. The analysis revealed a significant shift in stress levels, with 33.4% transitioning from high to moderate stress, 30.3% from moderate to low, and 30% maintaining moderate stress. Only 3.3% had persistent low stress, and the same percentage had persistent high stress. The pre-intervention stress score was 22.63526, decreasing to 18.2315.98 post-intervention, yielding a noteworthy enhancement score of 4.40. This signifies a statistically significant reduction in perceived stress (p<0.001), supported by a t-value of 11.08.
Effects of Brain Gym Exercises on Attention and Anxiety in Adolescents – An Experimental Study
(Portico, 2024-06) Khan, Lubna; Shivdikar, Rutika; Kumar, Ajay
Background: The common psychological difficulties in adolescents are anxiety states or minor depression and apart from that the attention span in adolescents is also shrinking as reported. The Brain Gym exercise is said to release learning blocks and cause improvement in areas such as memory, concentration, and focus. The goal of this study is to improve anxiety and attention in adolescents by performing brain gym exercises. Aim: To study the effects of brain gym exercise on attention and anxiety in adolescents. Methodology: The study employed an experimental study including 134 students within a 15-19 years age group, selected through purposive sampling. The primary outcomes are the Hamilton anxiety rating scale and the mindful attention awareness scale. Brain gym exercise was performed thrice a week for four weeks. Results: A statistically significant improvement in anxiety and attention is observed with using brain gym exercise. The pretest mean anxiety score at week 1 was 18.46 and after four weeks the results showed a statistically significant decrease in anxiety with a mean score of 16.14. The pretest attention score in week 1 was 3.67 and the post-intervention score in week 4 was 3.98 showing a statistically significant increase in attention. The data was statistically significant with a p-value of <0.05.Conclusion: The study concludes there’s a significant effect of brain gym exercises in improving attention and anxiety.
The Relationship Between Smartphone Usage Duration with Hand Grip, Pinch Grip Strength and It’s Impact on NCS Motor Parameters of Median Nerve in Young Population – An Observational Study
(Portico, 2024-02) Patel, Jagruti; Rana, Prachi; Patel, Helly; Patel, Niral
Background: There seems to be a lack of literature regarding the association between handgrip strength and nerve conduction parameters of the median nerve among smartphone users in the young population. There is a need to investigate the inter-relation of grip strength with smartphone usage and motor parameters of the median nerve by carrying out a nerve conduction study.Aims: The study aims to find out the correlation between hand-grip and pinch-grip strength on nerve conduction study motor parameters among smartphone users.Methods and Material: 112 young adult participants were included. Hang grip strength and pinch grip strength were assessed for both hands and after three trials, the average was calculated. The average screen time of their smartphones over the past week was noted, and simultaneously, the motor nerve conduction study parameter of the median nerve was performed.Statistical analysis: Pearson’s correlation was applied to find out the correlation between the component of the handgrip, pinch grip, and motor nerve conduction velocity of the median nerve. The p-value of < 0.001 was considered statistically significant.Results: The study obtained a significant negative correlation between smartphone usage with amplitude and nerve conduction velocity and a significant positive correlation with the latency of the median nerve.Conclusions: The study concluded that smartphone usage reduces the hand grip and pinch grip strength and significantly affects the motor parameters of the median nerve.
Rehabilitation following Medial Meniscus tear and Lateral Tibial Plateau fracture managed conservatively:A Case Report
(Portico, 2024-04) S, Priya; Krishna, Harish S; Gupta, Komal R
Background and purpose: Dashboard injuries with forced lateral rotation of the leg can cause tibial plateau fractures with medial meniscus and ACL injuries. Tibial plateau fractures are difficult to treat and can have devastating effects such as discomfort, deformity, restricted ROM causing early degenerative changes in the knee joint. The purpose of this case report is to explain the physiotherapy intervention options and to assess their success in the conservative management of such injury. Case description: 33-year-old female presented to physical therapy with severe pain over the right knee while standing, unable to bend or straighten the knee and had a feeling of giving away of knee while walking since the time patient experienced a fall from her motorcycle. The condition was managed with supervised and unsupervised physiotherapy for 8 weeks. Intervention consisted of patient’s education about the condition, immobilization, electrotherapeutic modalities, exercise therapy, posture, gait, balance and proprioception training and counselling for 8 weeks, six days a week, for 45–60 minutes each day Outcome: The patient gained the knee ROM and strength in the lower extremities while achieving all short-term goals. She began ambulating independently and was mobile and autonomous in most situations. Her Oxford knee score improved by 75%.Discussion: It has been demonstrated that physical therapy interventions are helpful in reducing patients’ functional limitations. Due to a lack of supporting data, this case report describes specific procedures that were used to reduce functional restrictions caused by a medial meniscus rupture and a lateral tibial plateau fracture.
Effect of Random, Blocked, and Mixed Practice Order on Upper Extremity Motor Learning in Subjects with Parkinson’s Disease
(Portico, 2024-04) Kini, Sneha; Rangarajan, Lakshmiprabha; Naik, Prajakta
Background: Random practice order has been shown to improve motor learning in normal individuals as well as sports players. The purpose of this study is to investigate which practice order is beneficial in subjects with Parkinson’s disease. Methodology: The total number of Subjects included in this study was 32. Blocked practice order followed by random followed by mixed practice order was given. In between washout period of 1 week was given. Response time during acquisition and retention was assessed. Data were analyzed statistically by using one-way ANOVA. Results: The mean time taken by the subjects was maximum with Randomnn practice order with (p=0.001, SD= 10.73) during Acquisition and (p=0.003, SD=8.88). The mean time difference was maximum with random (p= 0.001) in both the acquisitions as well as retention phases. On comparing the difference between the 1st and 10th trials of all three practice orders by using Analysis of Variance (ANOVA) post hoc analysis by using Tukey’s test, we observed that in subjects with PD Random practice order is more beneficial than mixed and blocked respectively. Discussion: On comparing all three practice orders we can infer that Upper Extremity motor learning skill was superior with Random practice orders followed by Mixed and blocked practice orders respectively in both the acquisition and retention phases.
Relationship between Functional Status and Quality of Life in Patients with Spinal Cord Injury: A Cross - Sectional study
(Portico, 2023-12) Huma, Quazi Ibtesaam; Ganvir, Suvarna; Harishchandre, Maheshwari
Background: Spinal Cord Injury is one of the severe injuries results in loss of sensory and motor function below the level of injury which deteriorates the quality of life. The bio-psycho-social model also emphasizes on the improving the quality of life than enhancing the physical function as the primary goals of SCI rehabilitation. Many authors have reported that there is significant positive effect on activities of daily living. Therefore, improving the quality of life in individuals with SCI. Aim: To study the Relationship between Functional Status and Quality of Life in Patients with Spinal Cord Injury. Methodology: Ten subjects were enrolled according to the inclusion and exclusion criteria of the study. WHOQOL-BREF and SCIM was administered at 3rd, 6th and 9th month of injury to assess the Quality of life and Functional Status of the individuals with Spinal Cord Injury. Result: There was significant correlation between SCIM Vs Psychological domain (r=-0.66, p= 0.03*) at 3rd month, SCIM Vs Social domain (r= 0.57, p= 0.08*) at 3rd month, SCIM Vs Environmental domain (r= 0.57, p= 0.07*) at 9th month post injury.Conclusion: The study concluded that there was a positive association between the functional status and quality of life in patients with spinal cord injury at 3, 6 and 9 months of injury.
Influence of work, home and lifestyle related factors during COVID-19 lockdown on presentation of pain and functional status among school teachers with chroni non specific low back pain – An Online Survey
(Portico, 2023-02) Gulati, Anisha; Sardeshmukh, Sharvari; Sawant, Suruchi; Ibrahim, Seeba Mohamed; Shah, Avani; Salunkhe, Shreeya
Introduction: Large numbers of teachers are affected by Low Back Pain (LBP) and often report limitations in performing daily activities. The prevalence of LBP was high in the population that was confined to their houses due to COVID-19 lockdown.Objective: To study the Influence of Work, Home and Lifestyle related factors during COVID-19 lockdown on presentation of pain and functional status among school teachers with chronic nonspecific LBP.Methods: A total of 229 school teachers residing in India participated in the study. A self-administered, structured questionnaire, composed of 18 questions including various domains of life was administered; along with 13 activities of daily living and a scale to rate the difficulty level while performing.Results: Among work related activities: Prolonged sitting (p = 0.022), Gadget use (p=0.058), Twisting and turning (p = 0.035) and walking (0.036); whereas, among Home related activities: Lifting and carrying (p = 0.060) and House chores (p = 0.036) had an influence on pain. Body mass index (p=0.005) and emotional status (p=0.01) had significant correlation with intensity of pain. The most difficulty was reported in performing prolonged sitting activity.Conclusion: Covid-19 lockdown had a significant influence on work and home-related activities and lifestyle of Indian school teachers which ultimately had an effect on LBP and functional status.
Effectiveness of William’s Flexion Exercises on Non-Specific Low Back Pain Among Nurses
(Portico, 2024-04) I.,Sulaiman; Bera, Ananya; S.,Sahana; Kumar, A. K.Vijay Krishna
Background: Spinal Cord Injury is one of the severe injuries results in loss of sensory and motor function below the level of injury which deteriorates the quality of life. The bio-psycho-social model also emphasizes on the improving the quality of life than enhancing the physical function as the primary goals of SCI rehabilitation. Many authors have reported that there is significant positive effect on activities of daily living. Therefore, improving the quality of life in individuals with SCI. Aim: To study the Relationship between Functional Status and Quality of Life in Patients with Spinal Cord Injury. Methodology: Ten subjects were enrolled according to the inclusion and exclusion criteria of the study. WHOQOL-BREF and SCIM was administered at 3rd, 6th and 9th month of injury to assess the Quality of life and Functional Status of the individuals with Spinal Cord Injury. Result: There was significant correlation between SCIM Vs Psychological domain (r=-0.66, p= 0.03*) at 3rd month, SCIM Vs Social domain (r= 0.57, p= 0.08*) at 3rd month, SCIM Vs Environmental domain (r= 0.57, p= 0.07*) at 9th month post injury. Conclusion: The study concluded that there was a positive association between the functional status and quality of life in patients with spinal cord injury at 3, 6 and 9 months of injury.
Assessment of Hand Grip Strength and Pinch Grip Strength among Healthy Embroidery Workers: Cross-Sectional Study
(Portico, 2024-06) Solanki, Shraddha; Shivdikar, Rutika; Kumar, Ajay
Background: Embroidery is a craft that decorates fabric or other materials by using a needle to apply thread or yarn. Hand and finger strength is essential during embroidery design to minimize discomfort and risk of upper extremity injuries Aims and objective: This study aims to assess hand grip strength and pinch grip strength among healthy embroidery workers. Methodology: 100 embroidery workers were recruited. Demographic details including BMI were taken in self-designed form. Hand grip strength was assessed by Jamar Hand Held Dynamometer. Pinch grip strength was assessed by a Pinch Guage Dynamometer. Statistical analysis was done using the Python software. Results: The study included 100 subjects that involved all female subjects aged 20 to 40 yrs. with 4 or more than 4 years of experience. The study showed that the hand grip strength of embroidery workers was more affected than the pinch grip strength. This study also showed that age is not related to the hand grip and pinch grip strength. It also showed that an increase in the years of experience increases hand grip and pinch grip strength (p< 0.05) as well as grip strength was more in the dominant hand(p<0.0001).Conclusion: Hand grip strength was found to be affected more than the pinch grip strength. They found no correlation with the age and there was a correlation with years of experience.

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