Pub Date : 2020-07-10DOI: 10.15621/ijphy/2020/v7i3/702
G. Priya, J. Varghese
Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders, affecting up to 90% of people at some point in their lifetime. Up to 50% will have more than one episode of back pain. Previous studies have highlighted the benefits of fascial manipulation for chronic low back pain over manual therapy alone. But early detection of densification of specific points in the lateral thigh region in low back pain subjects in an acute phase itself will be of benefit in resolving the back pain as the deep friction on these points aims at restoring the physiological gliding properties of the fascia and lead to immediate pain relief in the low back, increased range of motion and improved functions. Methods: Sixty individuals were enrolled for the study and were randomly allotted to two groups using a simple random method, were samples were randomly allocated by the primary investigator before baseline assessment. Control group subjects in Group A received conventional exercises, including core stability exercises. Experimental group subjects in Group B received Fascial manipulation to the lateral aspect of the thigh region in the lower limb. Both the groups received interferential therapy for 20 minutes as a part of conventional treatment for low back pain for 15 days. The subjects were assessed for their pain level, using NPRS score, and range of motion (ROM) was assessed to find any restriction in the lumbar region due to fascial densification. The functional activities of daily life were assessed using the ODI scale. The above scores were recorded before and after the interventions for both the groups. Results: The pre-test and post-test results were analyzed using a Paired and Unpaired t-test. The outcome measures of the Numeric Pain Rating Scale, Modified Schober's test, the Oswestry Disability Index were used for the study. A comparison of post-test values between Group A and Group B using unpaired t-test revealed a significant difference of p<0.001 in terms of pain relief, improved Range of motion, and functional ability of subjects in Group B than subjects in Group A. Conclusion: Fascial manipulation technique on lateral thigh region proved to be effective than conventional exercises as it showed a clinical and significant effect in decreasing pain and disability and improving the range of motion and functional activities of daily living in subjects with mechanical low back pain.
{"title":"A STUDY TO ANALYSE THE EFFECTS OF FASCIAL MANIPULATION ON THE LATERAL THIGH REGION IN MECHANICAL LOW BACK PAIN","authors":"G. Priya, J. Varghese","doi":"10.15621/ijphy/2020/v7i3/702","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i3/702","url":null,"abstract":"Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders, affecting up to 90% of people at some point in their lifetime. Up to 50% will have more than one episode of back pain. Previous studies have highlighted the benefits of fascial manipulation for chronic low back pain over manual therapy alone. But early detection of densification of specific points in the lateral thigh region in low back pain subjects in an acute phase itself will be of benefit in resolving the back pain as the deep friction on these points aims at restoring the physiological gliding properties of the fascia and lead to immediate pain relief in the low back, increased range of motion and improved functions. Methods: Sixty individuals were enrolled for the study and were randomly allotted to two groups using a simple random method, were samples were randomly allocated by the primary investigator before baseline assessment. Control group subjects in Group A received conventional exercises, including core stability exercises. Experimental group subjects in Group B received Fascial manipulation to the lateral aspect of the thigh region in the lower limb. Both the groups received interferential therapy for 20 minutes as a part of conventional treatment for low back pain for 15 days. The subjects were assessed for their pain level, using NPRS score, and range of motion (ROM) was assessed to find any restriction in the lumbar region due to fascial densification. The functional activities of daily life were assessed using the ODI scale. The above scores were recorded before and after the interventions for both the groups. Results: The pre-test and post-test results were analyzed using a Paired and Unpaired t-test. The outcome measures of the Numeric Pain Rating Scale, Modified Schober's test, the Oswestry Disability Index were used for the study. A comparison of post-test values between Group A and Group B using unpaired t-test revealed a significant difference of p<0.001 in terms of pain relief, improved Range of motion, and functional ability of subjects in Group B than subjects in Group A. Conclusion: Fascial manipulation technique on lateral thigh region proved to be effective than conventional exercises as it showed a clinical and significant effect in decreasing pain and disability and improving the range of motion and functional activities of daily living in subjects with mechanical low back pain.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"50 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74265569","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 : 2020-07-10DOI: 10.15621/ijphy/2020/v7i3/700
Varsha Singh, Shambhovi Mitra
Background: Spinal cord injury (SCI) results in physical, autonomic, and psychological consequences. Depression is among one the most common psychological effects of SCI, with an incidence of 22%. Depression is associated with reduced heart rate variability (HRV), but it remains unclear if autonomic dysregulation possesses depression risk in SCI. Thus, this study aims to explore the association between HRV and depression in SCI. Methodology: Ninety-one spinal cord injured patients (eighty-eight males and three female) representing three levels of severity of injury (cervical, high thoracic, and low thoracic) were recruited. Basal/resting HRV was assessed using 1000Hz Polar Heart rate monitor RS800 CX and Kubios HRV software. PHQ-9 assessed the depression; a cut of 10 was used to divide the sample into patients with probable Major Depressive Disorder (MDD) and non-MDD. Results: Non-parametric tests for between-group comparisons showed a significant difference in HRV variables (p<0.05) between the probable MDD and non-MDD SCI. Significant differences in HRV were observed between the low and high thoracic (p<0.05) and low thoracic and cervical group (p<0.05), suggesting that the functioning of the autonomic nervous system might differ with level of SCI. Conclusion: Depression in SCI has been associated with injury-related factors; we use the neurovisceral theory to explain the role of the autonomic nervous system in depression in SCI.
{"title":"AUTONOMIC DYSREGULATION AND LOW HEART RATE VARIABILITY IN SPINAL CORD INJURY (SCI): A MARKER FOR DEPRESSION","authors":"Varsha Singh, Shambhovi Mitra","doi":"10.15621/ijphy/2020/v7i3/700","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i3/700","url":null,"abstract":"Background: Spinal cord injury (SCI) results in physical, autonomic, and psychological consequences. Depression is among one the most common psychological effects of SCI, with an incidence of 22%. Depression is associated with reduced heart rate variability (HRV), but it remains unclear if autonomic dysregulation possesses depression risk in SCI. Thus, this study aims to explore the association between HRV and depression in SCI. Methodology: Ninety-one spinal cord injured patients (eighty-eight males and three female) representing three levels of severity of injury (cervical, high thoracic, and low thoracic) were recruited. Basal/resting HRV was assessed using 1000Hz Polar Heart rate monitor RS800 CX and Kubios HRV software. PHQ-9 assessed the depression; a cut of 10 was used to divide the sample into patients with probable Major Depressive Disorder (MDD) and non-MDD. Results: Non-parametric tests for between-group comparisons showed a significant difference in HRV variables (p<0.05) between the probable MDD and non-MDD SCI. Significant differences in HRV were observed between the low and high thoracic (p<0.05) and low thoracic and cervical group (p<0.05), suggesting that the functioning of the autonomic nervous system might differ with level of SCI. Conclusion: Depression in SCI has been associated with injury-related factors; we use the neurovisceral theory to explain the role of the autonomic nervous system in depression in SCI.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"32 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90559816","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 : 2020-07-10DOI: 10.15621/ijphy/2020/v7i3/701
Rasika Panse Kaluskar, U. Yeole, P. Pawar, BHAGYASHREE R. Gawali
Background: Race walking significantly places stress on the lower extremity joints affecting ADLs. The gait pattern of race walking is different than normal walking that causes biomechanical alterations leading to musculoskeletal disabilities. DNS (Dynamic Neuromuscular Stabilization) therapy is based on developmental kinesiology and the integration of neurophysiology and biomechanical principles in which each purposeful movement pattern is reinforced by the coordination between every segmented required for postural stability. Parachute Resistance training works on the principle of air resistance and terminal velocity, which helps in improving lower extremity muscle strength and power, decreasing the stress put on joints during physical activity. Methods: The study was completed by using a stratified sampling technique among the race walkers between the age group of 18-29 years, a total of 40 race walkers (20 males and 20 females) were selected based on the inclusion and exclusion criteria by approaching various sports academies. Participants were divided into two groups, Group A and Group B. The groups consisted of 20 participants each. They were verbally interviewed regarding their demographics. Pre-treatment assessment of vo2max and speed was done using the Cooper test and sprint test, respectively. Participants in group A underwent Dynamic Neuromuscular Stabilization Technique, and group B underwent a Parachute resistance training program, and post-treatment assessment of all the parameters was done. Results: DNS Therapy shows significant improvement in the performance level of race walkers in group A as compared to Group B with p-value 0.003 and 0.001. Conclusion: The study concluded that DNS therapy and Parachute resistance training exercises are equally effective in improving the performance level in race walkers.
{"title":"EFFECT OF DYNAMIC NEUROMUSCULAR STABILIZATION THERAPY VS PARACHUTE RESISTANCE TRAINING ON PERFORMANCE LEVEL IN RACE WALKERS: COMPARATIVE STUDY","authors":"Rasika Panse Kaluskar, U. Yeole, P. Pawar, BHAGYASHREE R. Gawali","doi":"10.15621/ijphy/2020/v7i3/701","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i3/701","url":null,"abstract":"Background: Race walking significantly places stress on the lower extremity joints affecting ADLs. The gait pattern of race walking is different than normal walking that causes biomechanical alterations leading to musculoskeletal disabilities. DNS (Dynamic Neuromuscular Stabilization) therapy is based on developmental kinesiology and the integration of neurophysiology and biomechanical principles in which each purposeful movement pattern is reinforced by the coordination between every segmented required for postural stability. Parachute Resistance training works on the principle of air resistance and terminal velocity, which helps in improving lower extremity muscle strength and power, decreasing the stress put on joints during physical activity. Methods: The study was completed by using a stratified sampling technique among the race walkers between the age group of 18-29 years, a total of 40 race walkers (20 males and 20 females) were selected based on the inclusion and exclusion criteria by approaching various sports academies. Participants were divided into two groups, Group A and Group B. The groups consisted of 20 participants each. They were verbally interviewed regarding their demographics. Pre-treatment assessment of vo2max and speed was done using the Cooper test and sprint test, respectively. Participants in group A underwent Dynamic Neuromuscular Stabilization Technique, and group B underwent a Parachute resistance training program, and post-treatment assessment of all the parameters was done. Results: DNS Therapy shows significant improvement in the performance level of race walkers in group A as compared to Group B with p-value 0.003 and 0.001. Conclusion: The study concluded that DNS therapy and Parachute resistance training exercises are equally effective in improving the performance level in race walkers.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86341757","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 : 2020-07-10DOI: 10.15621/ijphy/2020/v7i3/703
Qasid Naveed, Muhammad Zia Ul Haq, Hafsah Ahmad, Sofia Naz, M. Haghighi, Iqra Hassan
{"title":"ANTHROPOMETRIC, PHYSICAL FITNESS AND KINEMATICS ANALYSIS OF THE JUMP SHOT OF FEMALE HANDBALL PLAYERS - A CASE STUDY OF THE ISLAMIA UNIVERSITY BAHAWALPUR, PAKISTAN","authors":"Qasid Naveed, Muhammad Zia Ul Haq, Hafsah Ahmad, Sofia Naz, M. Haghighi, Iqra Hassan","doi":"10.15621/ijphy/2020/v7i3/703","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i3/703","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"01 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86260519","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 : 2020-07-10DOI: 10.15621/ijphy/2020/v7i3/704
Muhammad Nazeer, Muhammad Zia Ul Haq, M. B. Habib, Muhammad Qasid Naveed, Muhammad Awais Saeed, Sumeira Rajab
{"title":"THE ROLE OF MORPHOLOGICAL TRAITS ON THE BATTING PERFORMANCE OF CRICKET BATSMEN – A REVIEW STUDY","authors":"Muhammad Nazeer, Muhammad Zia Ul Haq, M. B. Habib, Muhammad Qasid Naveed, Muhammad Awais Saeed, Sumeira Rajab","doi":"10.15621/ijphy/2020/v7i3/704","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i3/704","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"36 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83839091","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 : 2020-04-01DOI: 10.15621/ijphy/2020/v7i2/655
Asha H. Wettasinghe, D. Dissanayake, P. Katulanda, S. Lord
Background: The Timed up and Go Test (TUG) is often used as a mobility measure in older people. However, it is unclear whether the TUG is useful for identifying fall risk in people with diabetes mellitus (DM) and which physical and cognitive/psychological factors influence the performance of this test. Objectives: To investigate whether slow TUG times (standard test and when performed with a secondary cognitive task (c-TUG)) are a risk factor for falls in older people with DM and to determine the relative contributions of a range of sensorimotor, balance and cognitive/psychological factors to TUG performance in this population. Methods: Community-dwelling people (n=103, mean age 61.57, SD=6.3) underwent the TUG and c-TUG tests as well as quantitative tests of vision, peripheral sensation, strength, reaction time, balance, cognition, and fear of falling. Participants were then followed up for falls for six months. Results: Negative binomial regression analyses revealed that each 1s increase in TUG and c-TUG times increased the risk of falling by 29% and 13%, respectively. Multiple regression analyses identified vibration sense (p<0.001), knee extension strength (p=0.001, r2=0.430), edge contrast sensitivity (p=0.002), neuropathy examination score (p=0.001, r2=0.498) and controlled leaning balance (p=0.033) as significant and independent explanatory predictors of TUG performance. The regression model for c-TUG was similar, vibration sense (p=0.042), knee extension strength (p=0.009, r2=0.256), neuropathy examination score (p=0.156, r2=0.272) and sway path-floor (p=0.042) except that the MOCA cognitive assessment (p=0.015) was included instead of edge contrast sensitivity. The combined explanatory variable models explained 43% and 26% of the variance in TUG and c-TUG times, respectively. Conclusions: Slow TUG and c-TUG times significantly increased the risk of falls in community-dwelling older people with DM. Poor TUG and c-TUG performances were related independently to decreased vibration sense, lower limb weakness, and poor balance, with the c-TUG additionally influenced by cognitive function.
{"title":"TIMED UP AND GO PERFORMANCE IN OLDER PEOPLE WITH DIABETES MELLITUS: ASSOCIATIONS WITH SENSORIMOTOR FUNCTION, BALANCE, COGNITION, AND FALLS","authors":"Asha H. Wettasinghe, D. Dissanayake, P. Katulanda, S. Lord","doi":"10.15621/ijphy/2020/v7i2/655","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i2/655","url":null,"abstract":"Background: The Timed up and Go Test (TUG) is often used as a mobility measure in older people. However, it is unclear whether the TUG is useful for identifying fall risk in people with diabetes mellitus (DM) and which physical and cognitive/psychological factors influence the performance of this test. Objectives: To investigate whether slow TUG times (standard test and when performed with a secondary cognitive task (c-TUG)) are a risk factor for falls in older people with DM and to determine the relative contributions of a range of sensorimotor, balance and cognitive/psychological factors to TUG performance in this population. Methods: Community-dwelling people (n=103, mean age 61.57, SD=6.3) underwent the TUG and c-TUG tests as well as quantitative tests of vision, peripheral sensation, strength, reaction time, balance, cognition, and fear of falling. Participants were then followed up for falls for six months. Results: Negative binomial regression analyses revealed that each 1s increase in TUG and c-TUG times increased the risk of falling by 29% and 13%, respectively. Multiple regression analyses identified vibration sense (p<0.001), knee extension strength (p=0.001, r2=0.430), edge contrast sensitivity (p=0.002), neuropathy examination score (p=0.001, r2=0.498) and controlled leaning balance (p=0.033) as significant and independent explanatory predictors of TUG performance. The regression model for c-TUG was similar, vibration sense (p=0.042), knee extension strength (p=0.009, r2=0.256), neuropathy examination score (p=0.156, r2=0.272) and sway path-floor (p=0.042) except that the MOCA cognitive assessment (p=0.015) was included instead of edge contrast sensitivity. The combined explanatory variable models explained 43% and 26% of the variance in TUG and c-TUG times, respectively. Conclusions: Slow TUG and c-TUG times significantly increased the risk of falls in community-dwelling older people with DM. Poor TUG and c-TUG performances were related independently to decreased vibration sense, lower limb weakness, and poor balance, with the c-TUG additionally influenced by cognitive function.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"98 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81375200","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 : 2020-04-01DOI: 10.15621/ijphy/2020/v7i2/658
A. Aggarwal, P. Paranjape, T. Palekar, Gurjit Singh, T. Rao
Background: Knee osteoarthritis causes pain, functional limitation, and disability in the elderly. Whole-body vibration has gained a lot of attention in recent years. It is currently used in alleviating pain and improve physical function along with strength and balance. Methods: 34 individuals aged between 50-70 years fulfilling the inclusion criteria were selected and randomized into two groups. Baseline assessment was done using the VAS scale, WOMAC scale, Berg Balance Scale, and 30seconds chair stand test. Group A received whole-body vibration, and knee strengthening exercises, and group B received only strengthening exercises. The treatment was given thrice in a week for four weeks. The assessment was done by the end of the 2nd and 4th weeks. Results: Whole body vibration had shown greater improvement of VAS on rest (p<0.05) compared to VAS on activity. Also, the WOMAC score was statistically improved between and within the group with p<0.05. Conclusion: Whole body vibration, along with strengthening exercises, showed superior effects in reducing pain, stiffness, physical function, balance, and lower limb strength in osteoarthritis knee patients.
{"title":"EFFECT OF WHOLE BODY VIBRATION ON LOWER BODY STRENGTH AND BALANCE IN OSTEOARTHRITIS KNEE","authors":"A. Aggarwal, P. Paranjape, T. Palekar, Gurjit Singh, T. Rao","doi":"10.15621/ijphy/2020/v7i2/658","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i2/658","url":null,"abstract":"Background: Knee osteoarthritis causes pain, functional limitation, and disability in the elderly. Whole-body vibration has gained a lot of attention in recent years. It is currently used in alleviating pain and improve physical function along with strength and balance. Methods: 34 individuals aged between 50-70 years fulfilling the inclusion criteria were selected and randomized into two groups. Baseline assessment was done using the VAS scale, WOMAC scale, Berg Balance Scale, and 30seconds chair stand test. Group A received whole-body vibration, and knee strengthening exercises, and group B received only strengthening exercises. The treatment was given thrice in a week for four weeks. The assessment was done by the end of the 2nd and 4th weeks. Results: Whole body vibration had shown greater improvement of VAS on rest (p<0.05) compared to VAS on activity. Also, the WOMAC score was statistically improved between and within the group with p<0.05. Conclusion: Whole body vibration, along with strengthening exercises, showed superior effects in reducing pain, stiffness, physical function, balance, and lower limb strength in osteoarthritis knee patients.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"50 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88353562","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 : 2020-04-01DOI: 10.15621/ijphy/2020/v7i2/657
R. Manickam, D. Laubscher, AMJAD MOIFFAK Moreden
Background: Cervical disc herniation is one of the major conditions resulting in neck pain, which in turn affects the patient's activities of daily living. The Conservative approach is always being challenging among these patients due to the feeling of insecurity and the related severity of symptoms. McKenzie's approach has been used worldwide for slipped disc issues in providing relief by reducing the disc pressure and radiating symptoms. Deep Cervical Flexors strengthening plays a vital role in providing neck stability and thereby improving the posture. Case Summary: A case of neck pain with radiation into the left upper extremity going down to the left hand in a 47-year-old female was presented to physical therapy and has been referred by an orthopedic surgeon with a diagnosis of acute cervical disc prolapse at the C5-6 level. After the initial evaluation, muscle energy techniques were initially given to increase the ROM of the cervical spine as the neck was stiff. Mckenzie techniques were executed, including manual traction for 15 days along with basic ROM, neck isometrics, and DCF strengthening. Outcome measures: Numeric Pain Rating Scale (NPRS), Cervical ROM, Neck Disability Index (NDI), Tampa Scale for Kinesiophobia (TSK) were used. Conclusion: Mckenzie protocols combined with Muscle Energy Techniques (MET) and DCF strengthening exercises revealed that there was a significant improvement in the patient's functional ADL with a marked reduction in disc herniation and its associated symptoms.
{"title":"ESSENTIAL ASPECTS OF PHYSIOTHERAPY IN THE SUCCESSFUL TREATMENT OF A PATIENT WITH CERVICAL DISC HERNIATION: A CASE REPORT","authors":"R. Manickam, D. Laubscher, AMJAD MOIFFAK Moreden","doi":"10.15621/ijphy/2020/v7i2/657","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i2/657","url":null,"abstract":"Background: Cervical disc herniation is one of the major conditions resulting in neck pain, which in turn affects the patient's activities of daily living. The Conservative approach is always being challenging among these patients due to the feeling of insecurity and the related severity of symptoms. McKenzie's approach has been used worldwide for slipped disc issues in providing relief by reducing the disc pressure and radiating symptoms. Deep Cervical Flexors strengthening plays a vital role in providing neck stability and thereby improving the posture. Case Summary: A case of neck pain with radiation into the left upper extremity going down to the left hand in a 47-year-old female was presented to physical therapy and has been referred by an orthopedic surgeon with a diagnosis of acute cervical disc prolapse at the C5-6 level. After the initial evaluation, muscle energy techniques were initially given to increase the ROM of the cervical spine as the neck was stiff. Mckenzie techniques were executed, including manual traction for 15 days along with basic ROM, neck isometrics, and DCF strengthening. Outcome measures: Numeric Pain Rating Scale (NPRS), Cervical ROM, Neck Disability Index (NDI), Tampa Scale for Kinesiophobia (TSK) were used. Conclusion: Mckenzie protocols combined with Muscle Energy Techniques (MET) and DCF strengthening exercises revealed that there was a significant improvement in the patient's functional ADL with a marked reduction in disc herniation and its associated symptoms.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"18 3","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72571249","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 : 2020-04-01DOI: 10.15621/ijphy/2020/v7i2/662
Yavanika, M. Meena
Background: Adhesive Capsulitis usually involves the posterior capsule tightness, which can be stretched either by sleepers or cross-body stretch techniques. The present study aimed to compare and see the effectiveness of two stretching techniques on horizontal adduction and internal rotation range of motion along with pain and disability. Methodology: The study was conducted on 30 subjects diagnosed with adhesive capsulitis (12 females and 18 males) of age group 40-65 years and meeting the inclusion as well as the exclusion criteria. Subjects were divided into three groupsCross body stretch group (Group 1), Sleeper Stretch group (Group 2), and Control group (Group 3) randomly. Both groups 1 & 2 received the intervention given to group 3 along with the different stretching techniques three times a week for four weeks. Clinical outcome measures were horizontal adduction and internal rotation as measured with a goniometer, pain intensity on a numeric pain rating scale, and shoulder disability with the help of shoulder pain and disability index. Result: Data was collected at baseline and after four weeks of intervention in all three groups. Data were checked for normal distribution. For non-normally distributed data, Kruskal Wallis test-Pain (p-value> 0.419) and Function (p-value>0.665) and for normally distributed data, one-way repeated measure ANOVA-Shoulder Horizontal Adduction (p-value>0.284) and Internal Rotation (p-value>0.334) was used and the p-value was fixed to < 0.05. Conclusion: Both the type of stretches were equally effective for four weeks.
{"title":"COMPARATIVE EFFECTIVENESS OF SLEEPER STRETCH AND CROSS BODY STRETCH FOR IMPROVING POSTERIOR SHOULDER TIGHTNESS, PAIN AND FUNCTION IN PATIENTS WITH ADHESIVE CAPSULITIS – A RANDOMIZED CONTROLLED TRIAL\"","authors":"Yavanika, M. Meena","doi":"10.15621/ijphy/2020/v7i2/662","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i2/662","url":null,"abstract":"Background: Adhesive Capsulitis usually involves the posterior capsule tightness, which can be stretched either by sleepers or cross-body stretch techniques. The present study aimed to compare and see the effectiveness of two stretching techniques on horizontal adduction and internal rotation range of motion along with pain and disability. Methodology: The study was conducted on 30 subjects diagnosed with adhesive capsulitis (12 females and 18 males) of age group 40-65 years and meeting the inclusion as well as the exclusion criteria. Subjects were divided into three groupsCross body stretch group (Group 1), Sleeper Stretch group (Group 2), and Control group (Group 3) randomly. Both groups 1 & 2 received the intervention given to group 3 along with the different stretching techniques three times a week for four weeks. Clinical outcome measures were horizontal adduction and internal rotation as measured with a goniometer, pain intensity on a numeric pain rating scale, and shoulder disability with the help of shoulder pain and disability index. Result: Data was collected at baseline and after four weeks of intervention in all three groups. Data were checked for normal distribution. For non-normally distributed data, Kruskal Wallis test-Pain (p-value> 0.419) and Function (p-value>0.665) and for normally distributed data, one-way repeated measure ANOVA-Shoulder Horizontal Adduction (p-value>0.284) and Internal Rotation (p-value>0.334) was used and the p-value was fixed to < 0.05. Conclusion: Both the type of stretches were equally effective for four weeks.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"7 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88670985","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 : 2020-04-01DOI: 10.15621/ijphy/2020/v7i2/652
J. Varghese, V. Venugopal, V. Srinivasan, G. Priya
Background: A normal Finger Flexion Cascade (FFC) is formed by the fingers of the hand when the hand in a relaxed position. Usually, the fingers of the hand assume a flexed position; gender may influence the normative values of the resting hand due to differences in the anatomical structure of hand and frequency of usage of joints of hand in their respective occupation and habitual activities of daily living. Hence the study aims to find the difference in the FFC between men and women in power grip and nonpower grip occupational activities. Methods: A cross-sectional study was conducted in a mixed population of five hundred active individuals aged between 25 and 40 years belonging to various occupations of industrial work and individuals working with software companies. Individuals who fulfilled the inclusion criteria participated in the study. After completing a questionnaire based on occupation, the subjects were grouped into power grip users and nonpower grip users. The range of motion of the joints of all the fingers, namely, metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints of both dominant hand and nondominant hand was measured using universal finger goniometer, and the composite finger flexion was recorded using a geometric ruler. The results were analyzed, and Un-paired T-test was used to compare the FFC between the power grip and the nonpower grip group. Results: The FFC variations in both the hands of male and female subjects in power grip users (PGU) and nonpower grip users(NPGU) were recorded. In the dominant hand, it was found that the DIP joint of 5th digit in female subjects had a greater ROM values than male subjects, but greater ROM values in MCP joints of the hand in males were found. The comparison between the range of values of both groups revealed that the values in the PGU group were more than the NPGU group with a statistical significance of p<0.001. Conclusion: The finger flexion cascade was found to be more closed in female subjects than males in both the dominant and nondominant hands of in the power grip users than in the nonpower grip users.
{"title":"GENDER ORIENTED VARIATIONS IN THE FINGER FLEXION CASCADE IN NORMAL INDIVIDUALS","authors":"J. Varghese, V. Venugopal, V. Srinivasan, G. Priya","doi":"10.15621/ijphy/2020/v7i2/652","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i2/652","url":null,"abstract":"Background: A normal Finger Flexion Cascade (FFC) is formed by the fingers of the hand when the hand in a relaxed position. Usually, the fingers of the hand assume a flexed position; gender may influence the normative values of the resting hand due to differences in the anatomical structure of hand and frequency of usage of joints of hand in their respective occupation and habitual activities of daily living. Hence the study aims to find the difference in the FFC between men and women in power grip and nonpower grip occupational activities. Methods: A cross-sectional study was conducted in a mixed population of five hundred active individuals aged between 25 and 40 years belonging to various occupations of industrial work and individuals working with software companies. Individuals who fulfilled the inclusion criteria participated in the study. After completing a questionnaire based on occupation, the subjects were grouped into power grip users and nonpower grip users. The range of motion of the joints of all the fingers, namely, metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints of both dominant hand and nondominant hand was measured using universal finger goniometer, and the composite finger flexion was recorded using a geometric ruler. The results were analyzed, and Un-paired T-test was used to compare the FFC between the power grip and the nonpower grip group. Results: The FFC variations in both the hands of male and female subjects in power grip users (PGU) and nonpower grip users(NPGU) were recorded. In the dominant hand, it was found that the DIP joint of 5th digit in female subjects had a greater ROM values than male subjects, but greater ROM values in MCP joints of the hand in males were found. The comparison between the range of values of both groups revealed that the values in the PGU group were more than the NPGU group with a statistical significance of p<0.001. Conclusion: The finger flexion cascade was found to be more closed in female subjects than males in both the dominant and nondominant hands of in the power grip users than in the nonpower grip users.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"18 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89916211","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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