Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/839
N. Ahmad, Izham Zain, Azri Hisham Azizon, N. A. Zol, Verena Edward Cheong Abdullah, Khairul Fizi Md. Kasir, Saadatul Suhaili Abdul Latif
Background: The Anterior Cruciate Ligament (ACL) injury is the most traumatic knee joint injury. Surgical reconstruction is the common standard treatment care to ensure an early functional gain. Active quadriceps exercises were introduced at early rehabilitation to prevent muscle lag. However, patients' pain, muscle compensation from other parts of the body, and rapid development of quadriceps weakness were factors that slow down the positive progression of post ACL rehabilitation. Therefore, a new exercise instrument is needed to facilitate muscle contraction during post ACL reconstruction exercise actively. The Myo-Tech is an instrument that helps the patient contract correct muscle during the early phase of rehabilitation. The purpose of this study is to investigate the reliability of the Myo-Tech instrument measuring quadriceps contraction on post ACL reconstruction. Methods: This is a cross-sectional study design and was carried out on patients with post ACL reconstruction. The patients were required to perform static Quadriceps exercises (SQE) for 10 seconds with Myo-Tech strapped at the upper thigh around the quadriceps area. Graph of muscle contraction was measured for the highest and lowest value in the 10 seconds. Results: A total of 29 male subjects were involved in this study. The reliability of Myo Tech assist patients in quadriceps contraction is good (r = 0.67). Conclusion: This study showed that Myo Tech is a promising instrument and can be integrated into clinical practice. The Myo-Tech can be used as an assessment to determined proprioceptive deficits following muscle weakness.
{"title":"PRELIMINARY CROSS-SECTIONAL RELIABILITY OF MYO-TECH IN MEASURING QUADRICEPS CONTRACTION AMONG ACL PATIENTS","authors":"N. Ahmad, Izham Zain, Azri Hisham Azizon, N. A. Zol, Verena Edward Cheong Abdullah, Khairul Fizi Md. Kasir, Saadatul Suhaili Abdul Latif","doi":"10.15621/IJPHY/2020/V7I6/839","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/839","url":null,"abstract":"Background: The Anterior Cruciate Ligament (ACL) injury is the most traumatic knee joint injury. Surgical reconstruction is the common standard treatment care to ensure an early functional gain. Active quadriceps exercises were introduced at early rehabilitation to prevent muscle lag. However, patients' pain, muscle compensation from other parts of the body, and rapid development of quadriceps weakness were factors that slow down the positive progression of post ACL rehabilitation. Therefore, a new exercise instrument is needed to facilitate muscle contraction during post ACL reconstruction exercise actively. The Myo-Tech is an instrument that helps the patient contract correct muscle during the early phase of rehabilitation. The purpose of this study is to investigate the reliability of the Myo-Tech instrument measuring quadriceps contraction on post ACL reconstruction. Methods: This is a cross-sectional study design and was carried out on patients with post ACL reconstruction. The patients were required to perform static Quadriceps exercises (SQE) for 10 seconds with Myo-Tech strapped at the upper thigh around the quadriceps area. Graph of muscle contraction was measured for the highest and lowest value in the 10 seconds. Results: A total of 29 male subjects were involved in this study. The reliability of Myo Tech assist patients in quadriceps contraction is good (r = 0.67). Conclusion: This study showed that Myo Tech is a promising instrument and can be integrated into clinical practice. The Myo-Tech can be used as an assessment to determined proprioceptive deficits following muscle weakness.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"38 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90963308","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 : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/843
Pramila D’souza, R. Frank, A. Mathias
Background: Body mechanics is the term used to describe the efficient, coordinated, and safe use of the body to move objects and carry out the activities of daily living. Methods: A descriptive co relational survey was conducted among 100 class IV workers of a tertiary hospital. The convenience sampling technique was used to select subjects. Baseline Proforma, a knowledge questionnaire on body mechanics, and a self-reported tool were used to collect the data. Results: Revealed that 64% of the subject had poor knowledge of body mechanics, 74% of Class IV worker's Usage of Body Mechanics during the work found to be poor, and a weak positive correlation was found between knowledge and usage (r =.091) of Body Mechanics among Class IV workers. Conclusion: The class IV workers are also considered an essential member of the health care team. The management's responsibility, including nurses, is to teach them how to use these techniques to prevent musculoskeletal injuries.
{"title":"KNOWLEDGE AND USAGE OF BODY MECHANICS AMONG CLASS IV WORKERS","authors":"Pramila D’souza, R. Frank, A. Mathias","doi":"10.15621/IJPHY/2020/V7I6/843","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/843","url":null,"abstract":"Background: Body mechanics is the term used to describe the efficient, coordinated, and safe use of the body to move objects and carry out the activities of daily living. Methods: A descriptive co relational survey was conducted among 100 class IV workers of a tertiary hospital. The convenience sampling technique was used to select subjects. Baseline Proforma, a knowledge questionnaire on body mechanics, and a self-reported tool were used to collect the data. Results: Revealed that 64% of the subject had poor knowledge of body mechanics, 74% of Class IV worker's Usage of Body Mechanics during the work found to be poor, and a weak positive correlation was found between knowledge and usage (r =.091) of Body Mechanics among Class IV workers. Conclusion: The class IV workers are also considered an essential member of the health care team. The management's responsibility, including nurses, is to teach them how to use these techniques to prevent musculoskeletal injuries.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"29 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77866713","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/781
W. Lake, Trent Jackman
Background: The disease, Idiopathic Normal Pressure Hydrocephalus (iNPH), affects the ventricles of the brain, which causes an increase in cerebrospinal fluid pressure and presents with a triad of symptoms: dementia, gait, and urinary disturbances. These symptoms are often reversible with treatment via a surgical shunting procedure; however, not all patients are candidates for this intervention. The purpose of this case report was to examine the benefits of physical therapy treatment for a patient who was not a candidate for surgery. Case Summary: 77-year-old male with a triad of iNPH symptoms and MRI confirmation of diagnosis. 7-month history of progressive decline to the full onset of disease. Non-surgical candidate due to osteoarthritis and cervical flexion posture. PT intervention included gait training with new assistive devices, range of motion (ROM), home exercise prescription development and teaching, body weight supported treadmill training (BWSTT), and forced use techniques such as therapist paced recumbent ergometry. Outcome Measures: The patient was seen for 23 visits in an outpatient physical therapy setting, which improved his cervical ROM, and functional assistance level for walking and transfers, until final visits in an episode of care. Conclusion: Physical Therapy intervention may have reduced patient decline in functional areas addressed by therapy. However, the patient continued to decline in ADLs not addressed by therapy. Additional research is needed to evaluate the efficacy of earlier intervention following diagnosis and physical therapy to address patients who are non-surgical candidates with iNPH.
{"title":"PHYSICAL THERAPY MANAGEMENT OF A PATIENT WITH NONSURGICAL IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS","authors":"W. Lake, Trent Jackman","doi":"10.15621/ijphy/2020/v7i5/781","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/781","url":null,"abstract":"Background: The disease, Idiopathic Normal Pressure Hydrocephalus (iNPH), affects the ventricles of the brain, which causes an increase in cerebrospinal fluid pressure and presents with a triad of symptoms: dementia, gait, and urinary disturbances. These symptoms are often reversible with treatment via a surgical shunting procedure; however, not all patients are candidates for this intervention. The purpose of this case report was to examine the benefits of physical therapy treatment for a patient who was not a candidate for surgery. Case Summary: 77-year-old male with a triad of iNPH symptoms and MRI confirmation of diagnosis. 7-month history of progressive decline to the full onset of disease. Non-surgical candidate due to osteoarthritis and cervical flexion posture. PT intervention included gait training with new assistive devices, range of motion (ROM), home exercise prescription development and teaching, body weight supported treadmill training (BWSTT), and forced use techniques such as therapist paced recumbent ergometry. Outcome Measures: The patient was seen for 23 visits in an outpatient physical therapy setting, which improved his cervical ROM, and functional assistance level for walking and transfers, until final visits in an episode of care. Conclusion: Physical Therapy intervention may have reduced patient decline in functional areas addressed by therapy. However, the patient continued to decline in ADLs not addressed by therapy. Additional research is needed to evaluate the efficacy of earlier intervention following diagnosis and physical therapy to address patients who are non-surgical candidates with iNPH.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"50 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76464117","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/780
V. Chhaya, Kudtarkar Padmashri, V. Krishnan
Background: Knee Osteoarthritis (OA) is a major cause of chronic pain & a leading source of functional disability in many individuals. Total knee Arthroplasty/Replacement (TKR) is an effective procedure for the treatment of OA. Reduction in pain, improvement in the physical function is the main expected outcomes after TKR. However, for some patients, the outcomes are not satisfactory. The functional benefits of this surgical procedure are not as convincing as large functional deficits persist in many patients. Methods: 11 patients ( four males and seven females) undergoing TKR were randomly selected from the orthopedic wards of a tertiary public sector hospital. Post written informed consent, patients were evaluated pre-operatively using EQ-5D and Knee injury and Osteoarthritis (KOOS) outcome measures. The TKR was followed by vigorous physiotherapy treatment from post-operation day 1, followed up to 6 weeks, and then patients were re-evaluated. Results: The patients who participated had a mean age of 64.36. Analysis with a paired t-test showed statistically significant improvement (p-value < 0.05) for all the domains of KOOS and also EQ-5D. The patients responded well to physiotherapy with statistically significant improvement (p-value < 0.05) in their quality of life. Conclusion: There is a significant improvement in the quality of life of patients undergoing total knee replacement surgery post physiotherapy. More intensive rehabilitation should be promoted in the sub-acute recovery period after TKR to optimize functional outcomes.
{"title":"QUALITY OF LIFE FOLLOWING PHYSIOTHERAPY MANAGEMENT IN PATIENTS WITH TOTAL KNEE REPLACEMENT","authors":"V. Chhaya, Kudtarkar Padmashri, V. Krishnan","doi":"10.15621/ijphy/2020/v7i5/780","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/780","url":null,"abstract":"Background: Knee Osteoarthritis (OA) is a major cause of chronic pain & a leading source of functional disability in many individuals. Total knee Arthroplasty/Replacement (TKR) is an effective procedure for the treatment of OA. Reduction in pain, improvement in the physical function is the main expected outcomes after TKR. However, for some patients, the outcomes are not satisfactory. The functional benefits of this surgical procedure are not as convincing as large functional deficits persist in many patients. Methods: 11 patients ( four males and seven females) undergoing TKR were randomly selected from the orthopedic wards of a tertiary public sector hospital. Post written informed consent, patients were evaluated pre-operatively using EQ-5D and Knee injury and Osteoarthritis (KOOS) outcome measures. The TKR was followed by vigorous physiotherapy treatment from post-operation day 1, followed up to 6 weeks, and then patients were re-evaluated. Results: The patients who participated had a mean age of 64.36. Analysis with a paired t-test showed statistically significant improvement (p-value < 0.05) for all the domains of KOOS and also EQ-5D. The patients responded well to physiotherapy with statistically significant improvement (p-value < 0.05) in their quality of life. Conclusion: There is a significant improvement in the quality of life of patients undergoing total knee replacement surgery post physiotherapy. More intensive rehabilitation should be promoted in the sub-acute recovery period after TKR to optimize functional outcomes.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"11 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88398694","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/783
T. Jacob, H. Cohen, J. Bracha, R. Peleg
Background: Patients after breast cancer (BC) surgery have expressed the need for better care and instruction This need is presently more evident than ever, with post-surgical hospitalization shortened to a minimum due to the Covid-19 pandemic Online instruction may improve care for these women Purpose: To develop a standard physical therapy instruction sheet for women after BC surgery, which can also be made available online Methods: This clinical letter presents instructions based on a literature review, on recent recommendations to reduce the risk of side effects after BC surgery, and on the content of existing instruction forms Appropriate versions were prepared for patients with high and low risk for side effects after surgery The first drafts were validated by four experienced physical therapists certified in lymphedema treatments (PTCLTs) Then, pictures illustrating the exercises were added The instruction forms were posted on physical therapy, BC, and lymphedema organization websites Results: Information content includes the right of every patient to receive instruction after BC surgery followed by three sections: 1 exercise and early risk reduction for the first two days post-surgery;2 instruction on exercise progression for the third day until the drains are removed, and the surgical scar has healed;3 lifelong risk reduction recommendations Conclusion: The development of standardized instruction forms up-dated to current evidence for patients after BC surgery answers a need expressed by patients and by physical therapists working in the field The coincidence of the Covid-19 pandemic emphasized its relevance
{"title":"IMPORTANCE OF STANDARDIZED AND ONLINE INSTRUCTIONS FOR WOMEN AFTER BREAST CANCER SURGERY WAS EMPHASIZED BY THE LOCKDOWN DURING THE COVID-19 CRISIS- A CLINICAL LETTER","authors":"T. Jacob, H. Cohen, J. Bracha, R. Peleg","doi":"10.15621/ijphy/2020/v7i5/783","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/783","url":null,"abstract":"Background: Patients after breast cancer (BC) surgery have expressed the need for better care and instruction This need is presently more evident than ever, with post-surgical hospitalization shortened to a minimum due to the Covid-19 pandemic Online instruction may improve care for these women Purpose: To develop a standard physical therapy instruction sheet for women after BC surgery, which can also be made available online Methods: This clinical letter presents instructions based on a literature review, on recent recommendations to reduce the risk of side effects after BC surgery, and on the content of existing instruction forms Appropriate versions were prepared for patients with high and low risk for side effects after surgery The first drafts were validated by four experienced physical therapists certified in lymphedema treatments (PTCLTs) Then, pictures illustrating the exercises were added The instruction forms were posted on physical therapy, BC, and lymphedema organization websites Results: Information content includes the right of every patient to receive instruction after BC surgery followed by three sections: 1 exercise and early risk reduction for the first two days post-surgery;2 instruction on exercise progression for the third day until the drains are removed, and the surgical scar has healed;3 lifelong risk reduction recommendations Conclusion: The development of standardized instruction forms up-dated to current evidence for patients after BC surgery answers a need expressed by patients and by physical therapists working in the field The coincidence of the Covid-19 pandemic emphasized its relevance","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"185 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79069478","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/782
P. Shah, Waqar M. Naqvi
Background: The carrying angle is known as the acute angle created by the arm's median axis and that of the forearm, which is completely extended & supinated, and thus measures the forearm's lateral obliquity. This angle is best observed when the forearm is in full extension, elbow in supination, and the external rotation of the shoulder. The purpose of the research is to study the co-relationship between carrying angle and various parameters of height, forearm length, and age. Methods: A total of 106 asymptomatic, healthy students were selected from 18-22 years of age at Ravi Nair Physiotherapy College, DMIMS, Sawangi Meghe, Wardha. The carrying angle was measured with a goniometer. A measuring tape was used to measure the overall height of the subject and length of the subject's forearm. Results: The p-value was found p< 0.05 on comparing carrying angle with height and forearm length, which suggests significant co-relation. Thus the person's height is inversely related to the carrying angle. The forearm length & height are directly related to each other; hence the forearm length is also related to the carrying angle. The p-value was found p > 0.05 on comparing carrying angle with age, which is non-significant. Thus there is no significant variation in carrying with age since the subjects were within a limited age range. Conclusion: The carrying angle depends on the bone's length in the forearm. If the bone length is significantly greater, the angulation of the proximal articulation of the proximal articular surface is lower, hence the carrying angle is lower and vice versa.
{"title":"CARRYING ANGLE AND ITS CO-RELATION WITH DIFFERENT PARAMETERS HEIGHT, LENGTH OF FOREARM, AND AGE","authors":"P. Shah, Waqar M. Naqvi","doi":"10.15621/ijphy/2020/v7i5/782","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/782","url":null,"abstract":"Background: The carrying angle is known as the acute angle created by the arm's median axis and that of the forearm, which is completely extended & supinated, and thus measures the forearm's lateral obliquity. This angle is best observed when the forearm is in full extension, elbow in supination, and the external rotation of the shoulder. The purpose of the research is to study the co-relationship between carrying angle and various parameters of height, forearm length, and age. Methods: A total of 106 asymptomatic, healthy students were selected from 18-22 years of age at Ravi Nair Physiotherapy College, DMIMS, Sawangi Meghe, Wardha. The carrying angle was measured with a goniometer. A measuring tape was used to measure the overall height of the subject and length of the subject's forearm. Results: The p-value was found p< 0.05 on comparing carrying angle with height and forearm length, which suggests significant co-relation. Thus the person's height is inversely related to the carrying angle. The forearm length & height are directly related to each other; hence the forearm length is also related to the carrying angle. The p-value was found p > 0.05 on comparing carrying angle with age, which is non-significant. Thus there is no significant variation in carrying with age since the subjects were within a limited age range. Conclusion: The carrying angle depends on the bone's length in the forearm. If the bone length is significantly greater, the angulation of the proximal articulation of the proximal articular surface is lower, hence the carrying angle is lower and vice versa.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74810029","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/778
Neyran Altinkaya, S. Çağatay, E. Necati
Background: Spinal cord injuries (SCI) may cause neurological problems such as muscle weakness, sensory disorders, and incontinence. This case report aims to investigate the effectiveness of the sensorimotor rehabilitative physiotherapy program in a dog with paraparesis. Case Description: A 1-year-old, 27 kg male dog was brought to Near East University, Animal Hospital, after a motor vehicle accident. The dog was diagnosed as a T13 vertebral fracture and luxation at the T13-L1 spinal level according to the clinical and radiological examination performed by a veterinary physician. The dog showed; poor standing, weakness in the hind limbs and back muscles, urinary and fecal incontinence at the clinical examination. The physiotherapy program included; massage, sensory stimulation applications, Neuromuscular Electrical Stimulation (NMES), joint mobilizations, standing-balance exercises, and gait training. Outcome Measures: Consequently, improvements were obtained in standing and sitting balance, gait, bladder, and bowel functions at the end of the seven-week treatment period. The standing duration increased from 3 sec to >60 sec; also, thigh circumferences increased from 31cm to 36 cm in the right and 32 cm to 36 cm in the left limb. Canine Acute Pain Scale score was reduced from 2 to 1 in a positive sense. Conclusion: There were a satisfying motor and functional recovery in our case. We believe that the dog’s young age and the type of injury (neurapraxia) contributed to these positive results. Therewithal, early and active physiotherapy program plays a crucial role in maintaining functional independence, also coping with the symptoms in the dog.
{"title":"NEUROLOGICAL PHYSIOTHERAPY IN LABRADOR RETRIEVER DOG WITH PARAPARESIS: A CASE REPORT","authors":"Neyran Altinkaya, S. Çağatay, E. Necati","doi":"10.15621/ijphy/2020/v7i5/778","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/778","url":null,"abstract":"Background: Spinal cord injuries (SCI) may cause neurological problems such as muscle weakness, sensory disorders, and incontinence. This case report aims to investigate the effectiveness of the sensorimotor rehabilitative physiotherapy program in a dog with paraparesis. Case Description: A 1-year-old, 27 kg male dog was brought to Near East University, Animal Hospital, after a motor vehicle accident. The dog was diagnosed as a T13 vertebral fracture and luxation at the T13-L1 spinal level according to the clinical and radiological examination performed by a veterinary physician. The dog showed; poor standing, weakness in the hind limbs and back muscles, urinary and fecal incontinence at the clinical examination. The physiotherapy program included; massage, sensory stimulation applications, Neuromuscular Electrical Stimulation (NMES), joint mobilizations, standing-balance exercises, and gait training. Outcome Measures: Consequently, improvements were obtained in standing and sitting balance, gait, bladder, and bowel functions at the end of the seven-week treatment period. The standing duration increased from 3 sec to >60 sec; also, thigh circumferences increased from 31cm to 36 cm in the right and 32 cm to 36 cm in the left limb. Canine Acute Pain Scale score was reduced from 2 to 1 in a positive sense. Conclusion: There were a satisfying motor and functional recovery in our case. We believe that the dog’s young age and the type of injury (neurapraxia) contributed to these positive results. Therewithal, early and active physiotherapy program plays a crucial role in maintaining functional independence, also coping with the symptoms in the dog.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"24 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77954336","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 : 2020-10-01DOI: 10.15621/ijphy/2020/v7i5/779
Khadijeh J. Menai, A. Irani
Background: The ability to tackle and dribble the ball swiftly past the rival player forms an important ball based football skill. Agility plays a crucial role for the players to gain good control over the ball. A combination of good agility with good sprint time is undoubtedly a distinguishing characteristic of elite level players. Football as a sport requires a rapid change of directions and speed several times during a match. This particular action requires the player to apply force rapidly into the ground, thereby putting a lot of stress on the adductor muscles. This research paper focuses on the impact of hip adductor exercises and their influence on agility and sprint time in football players. Methods: This interventional study was carried out on 131 male elite level football players playing from clubs and football academies in and around Mumbai city. All the players were assessed for 30 M sprint test, T-Test, and Dribble time test to assess sprint and agility pre and post-intervention. An adductor strengthening intervention consisting of 8 exercises were performed for over four weeks. Results: Paired T-test was used to analyze the data, which showed statically significant improvement with p-value 0.000 (<0.05) in the 30M sprint test, T-Test, and Dribble time post four weeks of intervention. Conclusion: We concluded that the adductor training intervention helped improve the sprint time and agility in football players. As the intervention helped improving performance in football players, it should be introduced in the routine conditioning program of the players.
{"title":"IMPACT OF ADDUCTOR STRENGTHENING ON SPRINT TIME AND AGILITY IN FOOTBALL PLAYERS","authors":"Khadijeh J. Menai, A. Irani","doi":"10.15621/ijphy/2020/v7i5/779","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i5/779","url":null,"abstract":"Background: The ability to tackle and dribble the ball swiftly past the rival player forms an important ball based football skill. Agility plays a crucial role for the players to gain good control over the ball. A combination of good agility with good sprint time is undoubtedly a distinguishing characteristic of elite level players. Football as a sport requires a rapid change of directions and speed several times during a match. This particular action requires the player to apply force rapidly into the ground, thereby putting a lot of stress on the adductor muscles. This research paper focuses on the impact of hip adductor exercises and their influence on agility and sprint time in football players. Methods: This interventional study was carried out on 131 male elite level football players playing from clubs and football academies in and around Mumbai city. All the players were assessed for 30 M sprint test, T-Test, and Dribble time test to assess sprint and agility pre and post-intervention. An adductor strengthening intervention consisting of 8 exercises were performed for over four weeks. Results: Paired T-test was used to analyze the data, which showed statically significant improvement with p-value 0.000 (<0.05) in the 30M sprint test, T-Test, and Dribble time post four weeks of intervention. Conclusion: We concluded that the adductor training intervention helped improve the sprint time and agility in football players. As the intervention helped improving performance in football players, it should be introduced in the routine conditioning program of the players.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"21 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87243467","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 : 2020-09-18DOI: 10.20944/PREPRINTS202009.0430.V1
Marine Gaignon, J. Mazeas, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, Forelli Florian
Today, rupture of the anterior cruciate ligament is the most common heavy injury in athletes, but it can also occur in sedentary subjects. Its treatment, always adapted to the lifestyle, age and will of the patient, often remains surgical. However, despite its frequency and universality, there are still walking disorders following the operation. These disorders sometimes persist for several months, or even several years after surgery. The present study is therefore interested in determining the risk factors linked to walking disorders following reconstruction of the anterior cruciate ligament. The objective of this study is to determine what risk factors associated with walking disorders are after reconstruction of the anterior cruciate ligament by hamstring graft. This study focused on factors that may exist at 3 and 6 months postoperatively. Two populations participated in this study, a healthy population and a population having benefited from reconstruction of the anterior cruciate ligament. The operated test group is divided into two subgroups, one with a postoperative period of 3 months and the second at 6 months. All subjects were subjected to the same protocol, their gait on the treadmill was analyzed and evaluated with an Optogait® analysis system. A univariate analysis was carried out first. Then, a multivariate analysis by adjustment method was carried out in order to eliminate the potential confounding factors. The comparison of the results between the populations in the univariate analysis shows an absence of significant results however there are trends. The statistical results of the multivariate analysis showed interactions in the two subgroups of the operated population.In fact, it turns out that at 3 months there is a tendency to worse gait disorders in subjects with a high BMI reflecting overweight, when an associated surgical procedure has taken place on the meniscus, in subjects over 35 years of age and males. On the other hand, at 6 months, the tendency to worsening is visible only in the strata represented by subjects with a BMI corresponding to overweight, as well as in subjects having benefited from a meniscal suture associated with ACL reconstruction. .The results of the present study show that there are certain factors which tend to increase the risk of these walking disorders after reconstruction of the anterior cruciate ligament by hamstring graft, these factors are different depending on the time postoperative.
{"title":"DETERMINATION OF RISK FACTORS ASSOCIATED WITH WALKING DISORDERS AFTER ANTERIOR CRUCIATE LIGAMENT SURGERY WITH HAMSTRING GRAFT : A CONTROLLED MULTICENTER STUDY","authors":"Marine Gaignon, J. Mazeas, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, Forelli Florian","doi":"10.20944/PREPRINTS202009.0430.V1","DOIUrl":"https://doi.org/10.20944/PREPRINTS202009.0430.V1","url":null,"abstract":"Today, rupture of the anterior cruciate ligament is the most common heavy injury in athletes, but it can also occur in sedentary subjects. Its treatment, always adapted to the lifestyle, age and will of the patient, often remains surgical. However, despite its frequency and universality, there are still walking disorders following the operation. These disorders sometimes persist for several months, or even several years after surgery. The present study is therefore interested in determining the risk factors linked to walking disorders following reconstruction of the anterior cruciate ligament. The objective of this study is to determine what risk factors associated with walking disorders are after reconstruction of the anterior cruciate ligament by hamstring graft. This study focused on factors that may exist at 3 and 6 months postoperatively. Two populations participated in this study, a healthy population and a population having benefited from reconstruction of the anterior cruciate ligament. The operated test group is divided into two subgroups, one with a postoperative period of 3 months and the second at 6 months. All subjects were subjected to the same protocol, their gait on the treadmill was analyzed and evaluated with an Optogait® analysis system. A univariate analysis was carried out first. Then, a multivariate analysis by adjustment method was carried out in order to eliminate the potential confounding factors. The comparison of the results between the populations in the univariate analysis shows an absence of significant results however there are trends. The statistical results of the multivariate analysis showed interactions in the two subgroups of the operated population.In fact, it turns out that at 3 months there is a tendency to worse gait disorders in subjects with a high BMI reflecting overweight, when an associated surgical procedure has taken place on the meniscus, in subjects over 35 years of age and males. On the other hand, at 6 months, the tendency to worsening is visible only in the strata represented by subjects with a BMI corresponding to overweight, as well as in subjects having benefited from a meniscal suture associated with ACL reconstruction. .The results of the present study show that there are certain factors which tend to increase the risk of these walking disorders after reconstruction of the anterior cruciate ligament by hamstring graft, these factors are different depending on the time postoperative.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"13 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84814014","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 : 2020-09-16DOI: 10.20944/PREPRINTS202009.0350.V1
Morgan Belloir, J. Mazeas, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, Florian Forelli
Rehabilitation following anterior cruciate ligament reconstruction with hamstring graft allows the patient to regain his functional capacities and to support him in the resumption of sports activities. Rehabilitation also aims to minimize the risk of recurrence, which is why it ensures that the patient's muscular capacities develop properly until they return to sport. Isokinetics helps strengthen and assess the strength of muscle groups in the thigh, but controversy exists as to its use by resistance to the open kinetic chain knee extension that would cause the transplant to distend. The objective of this study is to determine the influence of isokinetic muscle strengthening on the possible laxity of the anterior cruciate ligament and to be able to determine risk factors. The study relates to a population having benefited from anterior cruciate ligament reconstruction with hamstring graft from 3 to 6 months after surgery. Two groups are differentiated, one group exposed to isokinetism during rehabilitation, the other group, named unexposed, undergoes rehabilitation without the use of isokinetism. An anterior knee laxity test is performed 6 months postoperatively using the GNRB® machine for all subjects according to the same protocol. The test results were statistically analyzed to determine a relative risk of transplant distension for each group in the study. Comparison of the results of each group by univariate analysis did not reveal any significant result. Multivariate analysis showed interactions in the two strata of the study. It was argued that the use of isokinetics seems to have no effect on the risk of developing distension for the majority of subjects in the exposed group. A tendency towards transplant protection was perceived for each variable except the age under 25 years (RRa = 1.07). The use of isokinetics does not appear to be a cause of transplant distension in patients undergoing an anterior cruciate ligament reconstruction when this method is introduced 3 months postoperatively.
{"title":"INFLUENCE OF THE OPEN KINETIC CHAIN ON THE DISTENSION OF THE TRANSPLANT AFTER ANTERIOR CRUCIATE LIGAMENT SURGERY WITH HAMSTRING GRAFT: SEARCH FOR RISK FACTORS","authors":"Morgan Belloir, J. Mazeas, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, Florian Forelli","doi":"10.20944/PREPRINTS202009.0350.V1","DOIUrl":"https://doi.org/10.20944/PREPRINTS202009.0350.V1","url":null,"abstract":"Rehabilitation following anterior cruciate ligament reconstruction with hamstring graft allows the patient to regain his functional capacities and to support him in the resumption of sports activities. Rehabilitation also aims to minimize the risk of recurrence, which is why it ensures that the patient's muscular capacities develop properly until they return to sport. Isokinetics helps strengthen and assess the strength of muscle groups in the thigh, but controversy exists as to its use by resistance to the open kinetic chain knee extension that would cause the transplant to distend. The objective of this study is to determine the influence of isokinetic muscle strengthening on the possible laxity of the anterior cruciate ligament and to be able to determine risk factors. The study relates to a population having benefited from anterior cruciate ligament reconstruction with hamstring graft from 3 to 6 months after surgery. Two groups are differentiated, one group exposed to isokinetism during rehabilitation, the other group, named unexposed, undergoes rehabilitation without the use of isokinetism. An anterior knee laxity test is performed 6 months postoperatively using the GNRB® machine for all subjects according to the same protocol. The test results were statistically analyzed to determine a relative risk of transplant distension for each group in the study. Comparison of the results of each group by univariate analysis did not reveal any significant result. Multivariate analysis showed interactions in the two strata of the study. It was argued that the use of isokinetics seems to have no effect on the risk of developing distension for the majority of subjects in the exposed group. A tendency towards transplant protection was perceived for each variable except the age under 25 years (RRa = 1.07). The use of isokinetics does not appear to be a cause of transplant distension in patients undergoing an anterior cruciate ligament reconstruction when this method is introduced 3 months postoperatively.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"11 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84616699","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}
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