Pub Date : 2020-04-24DOI: 10.37506/ijpot.v14i4.11310
Nizamudheen Pk, S. A. R. Ebrahim
Background: Balance is a vital component of physical fitness wherein athletes have to stay in control oftheir body’s position. Poor balance has often been associated with the risk of sustaining injuries amongparticipants of competitive sports. Y balance test (YBT) has been found to be a reliable and valid toolto assess balance. Establishing a normative data for different sports based on their level of competitioncould be beneficial for screening, ruling out balance deficits. It could as well help coaches or trainers makedecisions about athlete’s fitness level, risk of injuries and return to sports after any injury.Objectives: To find out the normative data of lower extremity using Y Balance test among collegiate soccerplayers and to compare the Y balance scores between the legs.Study Design: A cross sectional study.Methods: Thirty three soccer players aged between 17-26 were selected from Yenepoya (Deemed to beUniversity) soccer team. A standardized protocol was followed to record Y balance test scores. Reachdistances of each participant was then normalized with limb length of respective side. Mean and standarddeviation was used to find the normative distribution of Y balance reach score in all the three directions andpaired t-test was used to compare the reach scores between the legs.Result: Normative values of anterior reach distance right and left were 70.93 and 70.79 respectively,posterolateral right and left were 107.95 and 107.74 respectively, posteromedial right and left were 105.52and 106.26 respectively and composite scores of right and left were 94.82 and 94.86 respectively. Therewere no statistically significant difference between the legs in anterior, posterolateral, posteromedial andcomposite scores.Conclusion: Normative data of dynamic balance of lower extremity among collegiate soccer players havebeen established using Y balance test kit.
{"title":"Y Balance Normative Data of Dynamic Balance for Collegiate Soccer Players","authors":"Nizamudheen Pk, S. A. R. Ebrahim","doi":"10.37506/ijpot.v14i4.11310","DOIUrl":"https://doi.org/10.37506/ijpot.v14i4.11310","url":null,"abstract":"Background: Balance is a vital component of physical fitness wherein athletes have to stay in control oftheir body’s position. Poor balance has often been associated with the risk of sustaining injuries amongparticipants of competitive sports. Y balance test (YBT) has been found to be a reliable and valid toolto assess balance. Establishing a normative data for different sports based on their level of competitioncould be beneficial for screening, ruling out balance deficits. It could as well help coaches or trainers makedecisions about athlete’s fitness level, risk of injuries and return to sports after any injury.Objectives: To find out the normative data of lower extremity using Y Balance test among collegiate soccerplayers and to compare the Y balance scores between the legs.Study Design: A cross sectional study.Methods: Thirty three soccer players aged between 17-26 were selected from Yenepoya (Deemed to beUniversity) soccer team. A standardized protocol was followed to record Y balance test scores. Reachdistances of each participant was then normalized with limb length of respective side. Mean and standarddeviation was used to find the normative distribution of Y balance reach score in all the three directions andpaired t-test was used to compare the reach scores between the legs.Result: Normative values of anterior reach distance right and left were 70.93 and 70.79 respectively,posterolateral right and left were 107.95 and 107.74 respectively, posteromedial right and left were 105.52and 106.26 respectively and composite scores of right and left were 94.82 and 94.86 respectively. Therewere no statistically significant difference between the legs in anterior, posterolateral, posteromedial andcomposite scores.Conclusion: Normative data of dynamic balance of lower extremity among collegiate soccer players havebeen established using Y balance test kit.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116844193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Stroke is an acute neurological dysfunction and the second leading single cause of death,with 5·8 million fatal cases per year, 40% of which are in people younger than 70 years, with problems involuntary movement, sensation, language, emotional and intellectual functioning. Task oriented approachpractice of Repetitive Task Training (RTT) is a treatment in which you repeat a series of specific movementsover and over again, exercises are categorized as either blocked practice or random practice.Aims and Objectives: To find out the effects of repetitive task training to improve sit to stand performanceand Activities of Daily Living (ADL) skills in stroke patients. To evaluate sit to stand performance and ADLperformance and to train Repetitive task training activities.Materials and Methods: The raw scores of pre intervention and post intervention of Modified AshworthScale (MAS) and Functional Independence Measure (FIM) were added and summed up into final scores.Within experimental and control groups were analyzed using Wilcoxon Sign Ranks Test. Mann–Whitney UTest was performed for knowing the significance between the groups.Conclusion: The results of this study suggest that sit to stand activities which is based on activity interventionis strongly grounded in repetitive task training is a promising intervention for improving sit stand activityperformance of ADL in stroke patients.
{"title":"Effect of Repetitive Task Training to Improve Sit to Stand Performance and Activities of Daily Living Skills in Patients with Stroke","authors":"Kumaresan Arumugam, Senthilkumar Cennappan Bose, Rama Kumar Sahu","doi":"10.37506/IJPOT.V14I4.11300","DOIUrl":"https://doi.org/10.37506/IJPOT.V14I4.11300","url":null,"abstract":"Introduction: Stroke is an acute neurological dysfunction and the second leading single cause of death,with 5·8 million fatal cases per year, 40% of which are in people younger than 70 years, with problems involuntary movement, sensation, language, emotional and intellectual functioning. Task oriented approachpractice of Repetitive Task Training (RTT) is a treatment in which you repeat a series of specific movementsover and over again, exercises are categorized as either blocked practice or random practice.Aims and Objectives: To find out the effects of repetitive task training to improve sit to stand performanceand Activities of Daily Living (ADL) skills in stroke patients. To evaluate sit to stand performance and ADLperformance and to train Repetitive task training activities.Materials and Methods: The raw scores of pre intervention and post intervention of Modified AshworthScale (MAS) and Functional Independence Measure (FIM) were added and summed up into final scores.Within experimental and control groups were analyzed using Wilcoxon Sign Ranks Test. Mann–Whitney UTest was performed for knowing the significance between the groups.Conclusion: The results of this study suggest that sit to stand activities which is based on activity interventionis strongly grounded in repetitive task training is a promising intervention for improving sit stand activityperformance of ADL in stroke patients.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116907841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/IJPOT.V14I4.11288
Anmol Sonavane, Akshay H Limaye
Background : Stroke is sudden loss of neurological function caused by an interruption of the blood flow to the brain. Stroke survivors experience a long-term balance and mobility problems. Generally the nonparetic limb bears more weight than the paretic limb; this is known as weight bearing asymmetry. Walkingdysfunction is most commonly reported limitation after stroke and can markedly affect independence,quality of life, and participation. As a resut of weight bearing asymmetry and persisting stroke-related gaitdeviations there can be development of secondary musculoskeletal complications.Materials & Methodology : A cross-sectional study with stroke (n=100) patient was done in duration of 6months. Patient with pain in knee before stroke, hemispatial neglect, who couldn’t follow verbal commands,unable to stand independently, were excluded. Weight bearing asymmetry was checked with the help of 2weighing scales. Pain was assessed with the help of McGill pain questionnaire.Results : It was found that mean age of patients was 52.89 years, mean height was 1.67, mean weight was65.18kgs, and mean BMI was 23.45 (normal). Mean time since stroke was 24.21 months, mean weight onright lower limb was 32.46 kg and mean weight on left lower limb was 32.26 kg and mean McGill pain scorewas 23.40. Correlation analyses revealed a moderate positive relationship between weight and weight onright lower limb (r=-0.51, p<0.01) also weight and weight on left lower limb (r=-0.57, p<0.01). A moderatenegative relationship between weight on right lower limb and weight on left lower limb (r=--0.41, p<0.01).Finally, it was found that out of 100 chronic stroke patients, 48 patients had knee pain in non-paretic limbwith weight bearing asymmetry.Conclusion : There is impact on knee joint in chronic stroke patient with weight bearing asymmetry.
{"title":"Prevalnace of Knee Pain in Chronic Stroke Patients with Weight Bearing Asymmetry","authors":"Anmol Sonavane, Akshay H Limaye","doi":"10.37506/IJPOT.V14I4.11288","DOIUrl":"https://doi.org/10.37506/IJPOT.V14I4.11288","url":null,"abstract":"Background : Stroke is sudden loss of neurological function caused by an interruption of the blood flow to the brain. Stroke survivors experience a long-term balance and mobility problems. Generally the nonparetic limb bears more weight than the paretic limb; this is known as weight bearing asymmetry. Walkingdysfunction is most commonly reported limitation after stroke and can markedly affect independence,quality of life, and participation. As a resut of weight bearing asymmetry and persisting stroke-related gaitdeviations there can be development of secondary musculoskeletal complications.Materials & Methodology : A cross-sectional study with stroke (n=100) patient was done in duration of 6months. Patient with pain in knee before stroke, hemispatial neglect, who couldn’t follow verbal commands,unable to stand independently, were excluded. Weight bearing asymmetry was checked with the help of 2weighing scales. Pain was assessed with the help of McGill pain questionnaire.Results : It was found that mean age of patients was 52.89 years, mean height was 1.67, mean weight was65.18kgs, and mean BMI was 23.45 (normal). Mean time since stroke was 24.21 months, mean weight onright lower limb was 32.46 kg and mean weight on left lower limb was 32.26 kg and mean McGill pain scorewas 23.40. Correlation analyses revealed a moderate positive relationship between weight and weight onright lower limb (r=-0.51, p<0.01) also weight and weight on left lower limb (r=-0.57, p<0.01). A moderatenegative relationship between weight on right lower limb and weight on left lower limb (r=--0.41, p<0.01).Finally, it was found that out of 100 chronic stroke patients, 48 patients had knee pain in non-paretic limbwith weight bearing asymmetry.Conclusion : There is impact on knee joint in chronic stroke patient with weight bearing asymmetry.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132532753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/ijpot.v14i4.11331
M. Th
Purpose: Restoration of independent walking is the major goal of rehabilitation after stroke. Walking difficulty hinders community level participation of an individual, affecting quality of life. Earliest activation of locomotion concerned cortical areas is important to achieve near normal locomotion after rehabilitation. Motor imagery (MI) is a process of imagination of body part movement without actually moving it and it is found that MI activates same cortical areas which are activated during actual movement. MI enhances motor planning, causes neural adaptations to improve voluntary skeletal muscle strength and increases firing at local interneurons as well. There is limited evidence available regarding the effect of guided motor imagery (guided MI) on functional gait performance in post stroke patients. Hence, purpose of this study is to see the effect of guided MI on functional gait performance in post stroke patients. Aim: To study effect of guided MI on functional gait performance in post stroke patients. Objective: To assess and compare functional gait performance in post stroke patients with and without guided MI. Method: Prospective, Experimental Randomized Control Trial. Result: Study results showed that functional gait performance has improved in post stroke patients due to guided MI reflected by significant p values during analysis. Conclusion: The above study concludes that application of guided MI improves functional gait performance in post stroke patients as compared to conventional treatment alone, enhancing their functional independence and quality of life.
目的:恢复独立行走是脑卒中后康复的主要目标。行走困难阻碍了个人在社区层面的参与，影响了生活质量。最早激活运动相关的皮质区域对于康复后实现接近正常的运动是重要的。运动想象(MI)是一种对身体部位运动的想象过程，而不是实际运动，MI激活的皮层区域与实际运动时激活的区域相同。心肌梗死增强运动计划，引起神经适应以改善随意骨骼肌力量，并增加局部中间神经元的放电。关于引导运动意象(guided motor imagery, MI)对脑卒中后患者功能性步态表现的影响，现有证据有限。因此，本研究的目的是观察引导心肌梗死对脑卒中后患者功能步态表现的影响。目的:探讨引导心肌梗死对脑卒中后患者功能步态的影响。目的:评估和比较脑卒中后伴与不伴引导心肌梗死患者的功能步态表现。方法:前瞻性、实验性随机对照试验。结果:研究结果显示，脑卒中后患者的功能步态表现因引导心肌梗死而得到改善，分析时p值显著。结论:上述研究表明，与单纯常规治疗相比，应用引导心肌梗死可改善脑卒中后患者的功能步态表现，提高其功能独立性和生活质量。
{"title":"The Effect of Guided Motor Imagery on Functional Gait Performance in Post Stroke Patients","authors":"M. Th","doi":"10.37506/ijpot.v14i4.11331","DOIUrl":"https://doi.org/10.37506/ijpot.v14i4.11331","url":null,"abstract":"Purpose: Restoration of independent walking is the major goal of rehabilitation after stroke. Walking difficulty hinders community level participation of an individual, affecting quality of life. Earliest activation of locomotion concerned cortical areas is important to achieve near normal locomotion after rehabilitation. Motor imagery (MI) is a process of imagination of body part movement without actually moving it and it is found that MI activates same cortical areas which are activated during actual movement. MI enhances motor planning, causes neural adaptations to improve voluntary skeletal muscle strength and increases firing at local interneurons as well. There is limited evidence available regarding the effect of guided motor imagery (guided MI) on functional gait performance in post stroke patients. Hence, purpose of this study is to see the effect of guided MI on functional gait performance in post stroke patients. Aim: To study effect of guided MI on functional gait performance in post stroke patients. Objective: To assess and compare functional gait performance in post stroke patients with and without guided MI. Method: Prospective, Experimental Randomized Control Trial. Result: Study results showed that functional gait performance has improved in post stroke patients due to guided MI reflected by significant p values during analysis. Conclusion: The above study concludes that application of guided MI improves functional gait performance in post stroke patients as compared to conventional treatment alone, enhancing their functional independence and quality of life.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128953828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/ijpot.v14i4.11297
Jyoti S. Jeevannavar, Swapnali S. Suryawanshi, Padmavati Patil
Background: Parental Stress Scale (PSS) is a self report scale of 18 items which represents positive and negative components of parenthood. Administration of scale doesn’t require any specific training but as it is self report scale it is important that parents should be able to read it by themselves for better understanding of questions. Therefore it is necessary to translate and validate the tool in local language. Objective : Objective of this study was to translate the Parental Stress Scale in Kannada language and check its reliability in comparison with original English tool. Methods: Translation procedure was followed according to WHO guidelines for translation and adaptation of instruments. The original English version of PSS was translated by two translators into Kannada. It was further subjected to expert panel opinion. Amendments were done in the Kannada version as per the panel’s opinion. A reverse translation of the amended tool was then done by a translator back to English from Kannada. The translated scale was later tested for reliability and validity. Results : The Cronbach’s alpha value of translated version of PSS was found to be 0.915 with an ICC value of 0.82. The translated version of tool was found to be reliable and culturally acceptable in North-Karnataka region. Conclusion: The translated version of PSS has an excellent internal consistency and good reliability. It can be used to measure parental stress scores among the population from North-Karnataka region.
{"title":"Reliability and Validity of the Kannada Version of the Parental Stress Scale","authors":"Jyoti S. Jeevannavar, Swapnali S. Suryawanshi, Padmavati Patil","doi":"10.37506/ijpot.v14i4.11297","DOIUrl":"https://doi.org/10.37506/ijpot.v14i4.11297","url":null,"abstract":"Background: Parental Stress Scale (PSS) is a self report scale of 18 items which represents positive and negative components of parenthood. Administration of scale doesn’t require any specific training but as it is self report scale it is important that parents should be able to read it by themselves for better understanding of questions. Therefore it is necessary to translate and validate the tool in local language. Objective : Objective of this study was to translate the Parental Stress Scale in Kannada language and check its reliability in comparison with original English tool. Methods: Translation procedure was followed according to WHO guidelines for translation and adaptation of instruments. The original English version of PSS was translated by two translators into Kannada. It was further subjected to expert panel opinion. Amendments were done in the Kannada version as per the panel’s opinion. A reverse translation of the amended tool was then done by a translator back to English from Kannada. The translated scale was later tested for reliability and validity. Results : The Cronbach’s alpha value of translated version of PSS was found to be 0.915 with an ICC value of 0.82. The translated version of tool was found to be reliable and culturally acceptable in North-Karnataka region. Conclusion: The translated version of PSS has an excellent internal consistency and good reliability. It can be used to measure parental stress scores among the population from North-Karnataka region.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128556400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/IJPOT.V14I4.11320
Rameeta Kumari, Muhammad Saad Khan, Yumna Ali
Objective: This cross-sectional survey research compares history, causes, and risk of fall among normalambulatory individuals and Parkinson’s disease patients aged above 50 years during the last one year.Materials and Method: This survey includes 100 participants, which were equally distributed into twogroups. Both groups were interviewed during this research study. Non-probability, purposive sampling wasused for data collection.Results: The findings of this study show that extrinsic risk factors are the major cause of fall found inthe normal ambulatory group and intrinsic factors are major causes of fall in Parkinson’s disease group.Individuals of both groups reported the loss of balance and muscle weakness as their major cause of fall.Conclusion: This study concluded that the causes of fall for both the groups were different which dependsupon individuals lifestyle, presence of any disease or pathology and individuals self cares attitude whileperforming daily life’s activities. External factors may greatly affect the risk of fall. So, there is a need topromote programs on preventable measures of fall to minimize the risk factors of fall.
{"title":"Comparative Study of History Causes and Risk of Fall among Elderly People and People with Parkinson’s Disease","authors":"Rameeta Kumari, Muhammad Saad Khan, Yumna Ali","doi":"10.37506/IJPOT.V14I4.11320","DOIUrl":"https://doi.org/10.37506/IJPOT.V14I4.11320","url":null,"abstract":"Objective: This cross-sectional survey research compares history, causes, and risk of fall among normalambulatory individuals and Parkinson’s disease patients aged above 50 years during the last one year.Materials and Method: This survey includes 100 participants, which were equally distributed into twogroups. Both groups were interviewed during this research study. Non-probability, purposive sampling wasused for data collection.Results: The findings of this study show that extrinsic risk factors are the major cause of fall found inthe normal ambulatory group and intrinsic factors are major causes of fall in Parkinson’s disease group.Individuals of both groups reported the loss of balance and muscle weakness as their major cause of fall.Conclusion: This study concluded that the causes of fall for both the groups were different which dependsupon individuals lifestyle, presence of any disease or pathology and individuals self cares attitude whileperforming daily life’s activities. External factors may greatly affect the risk of fall. So, there is a need topromote programs on preventable measures of fall to minimize the risk factors of fall.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130239522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/ijpot.v14i4.11327
{"title":"Prevalence of Carpal Tunnel Syndrome among Third Trimester Pregnant Women – An Institutional Based Study","authors":"","doi":"10.37506/ijpot.v14i4.11327","DOIUrl":"https://doi.org/10.37506/ijpot.v14i4.11327","url":null,"abstract":"","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131028254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.37506/IJPOT.V14I4.11304
Nainky Bhalla, N. Shergill
Background: The study aims to investigate the effectiveness of 6 weeks of two-channel functionalelectrical stimulation assisted hand training along with Task Oriented Training and Modified ConstraintInduced Movement Therapy on the restoration of hand function in subacute stroke patients. Trial design: AMulti–group pre test–post test design randomized controlled study was conducted with 30 individuals withupper-limb motor impairment after stroke. Method: Participants was randomly assigned into three groupsFES-TOT, FES- mCIMT and FES-Ctrl groups. All participants were treated for 90 minutes a day, 5 timesa week for 6 weeks. Hand function was assessed by Action Research Arm Test score (primary outcome),Grip strength, Pinch strength and Stroke Impact Scale (secondary outcome). Result: There was statisticalsignificance (p FES-mCIMT,) showed more improvement in ARAscore and grip strength (lateral pinch and three jaw chuck pinch) as compared to control group (FES-CTRL).Conclusion: It is concluded that training with FES along with TOT is more effective in improving Handfunction and grip strength as compared to mCIMT and conventional hand rehabilitation. However studieswith large sample size are required for generalizability of the finding based on statistical analysis.Trial registration: Clinical Trial Registration India CTRI/2019/06/019940 dated 28 June 2019.
{"title":"Comparison of Task Oriented Therapy and Modified Constraint Induced Movement Therapy along with Functional Electrical Stimulation to Improve Hand Function In Sub Acute Stroke survivors: a Randomized Control Trial","authors":"Nainky Bhalla, N. Shergill","doi":"10.37506/IJPOT.V14I4.11304","DOIUrl":"https://doi.org/10.37506/IJPOT.V14I4.11304","url":null,"abstract":"Background: The study aims to investigate the effectiveness of 6 weeks of two-channel functionalelectrical stimulation assisted hand training along with Task Oriented Training and Modified ConstraintInduced Movement Therapy on the restoration of hand function in subacute stroke patients. Trial design: AMulti–group pre test–post test design randomized controlled study was conducted with 30 individuals withupper-limb motor impairment after stroke. Method: Participants was randomly assigned into three groupsFES-TOT, FES- mCIMT and FES-Ctrl groups. All participants were treated for 90 minutes a day, 5 timesa week for 6 weeks. Hand function was assessed by Action Research Arm Test score (primary outcome),Grip strength, Pinch strength and Stroke Impact Scale (secondary outcome). Result: There was statisticalsignificance (p FES-mCIMT,) showed more improvement in ARAscore and grip strength (lateral pinch and three jaw chuck pinch) as compared to control group (FES-CTRL).Conclusion: It is concluded that training with FES along with TOT is more effective in improving Handfunction and grip strength as compared to mCIMT and conventional hand rehabilitation. However studieswith large sample size are required for generalizability of the finding based on statistical analysis.Trial registration: Clinical Trial Registration India CTRI/2019/06/019940 dated 28 June 2019.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124270627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-26DOI: 10.37506/IJPOT.V14I3.9665
Azliyana Azizan, I. Ishak
Falls is a major concern for elderly with diabetes peripheral neuropathy (DPN). Declines in sensory function caused by neuropathy may lead to increased risk of falls among elderly and associated with poor balance performances. Walking and turning requires integrated multiple system that includes sensorimotor, functional, and attention functions. However, any alteration in this system will impaired the gait parameters. An elderly need a cost-effective training to restore their upper and lower extremities strength and balance performances in order to reduce the risk of falling. This case illustrate the effectiveness of I-balance training for elderly who experienced DPN with fear of falling.
{"title":"Effect of I-balance Training on Balance Performances among Elderly with Diabetic Peripheral Neuropathy: A Case Study","authors":"Azliyana Azizan, I. Ishak","doi":"10.37506/IJPOT.V14I3.9665","DOIUrl":"https://doi.org/10.37506/IJPOT.V14I3.9665","url":null,"abstract":"Falls is a major concern for elderly with diabetes peripheral neuropathy (DPN). Declines in sensory \u0000function caused by neuropathy may lead to increased risk of falls among elderly and associated with poor \u0000balance performances. Walking and turning requires integrated multiple system that includes sensorimotor, \u0000functional, and attention functions. However, any alteration in this system will impaired the gait parameters. \u0000An elderly need a cost-effective training to restore their upper and lower extremities strength and balance \u0000performances in order to reduce the risk of falling. This case illustrate the effectiveness of I-balance training \u0000for elderly who experienced DPN with fear of falling.","PeriodicalId":243536,"journal":{"name":"Indian Journal of Physiotherapy and Occupational Therapy - An International Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115424505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-26DOI: 10.37506/IJPOT.V14I3.9663
Anitha M.N, Nityal Kumar Alagingi
Background: Low back pain (LBP) is an extremely common symptom and most troublesome of complaints in the general population. Pain can vary from a dull constant ache to a sudden sharp feeling. At any point in time 80% of general population will experience some type of low back pain1. Treatment efficacy for the increasing prevalence of this back pain is a great challenge for both health care providers and individuals coping with this problem3. In order to select an effective and efficient treatment in daily clinical practice, low back pain patients should be classified by symptoms during testing and physical examination. One of the main classification systems which focus individual clinical presentation is treatment based classification system. Treatment based classification system will also have impact on clinical decision-making in the management of low back pain3. Objectives: To educate all therapist working with patients with back pain to categorize each patients using treatment based classification system. To establish the consistency and accuracy of therapists in using treatment based classification system for patients with LBP. To analyze therapists opinion of the feasibility of treatment based classification system to plan the management of LBP. Study design: Observational study Method: A total of 46 patients were recruited in this observational study. Each patients was assessed and allocated to treatment based classification system. Visual analogue scale and Patient-Specific Functional Scale for first and last day of the treatment was taken and number of session also documented by the trained therapist. Results: Results were analysed by the questions obtained from the five therapists. All five agreed for the accuracy in categorization and time, 60% agreed for the consistency in usage and goal setting and only 40% agreement for the usefulness. The total feasibility level was 75%. Conclusion: The study concludes that using TBC system to plan management for low back pain is feasible in terms of categorization, accuracy and time but not cost effectiveness.
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