Objectives: The aim of this study was to investigate the knowledge, attitude and behavior regarding the benefits of early mobilization and to identify perceived barriers to delivery of mobility of physiotherapy in the ICU. Methods: 120 physiotherapists were included using convenient sampling working in ICU from Ahmedabad. Questionnaire for knowledge, attitude, and behavior among physiotherapists. The questionnaire was electronically distributed among physiotherapists. The data collected was analyzed by using MS Excel 2010. Result: There were 85%(n=102) response rate. Proportion of poor, fair and good knowledge towards EM in ICU were 3%, 31% & 56% respectively, while negative, fair and positive attitude were 17%, 28% & 55% respectively, and that of negative, fair and good behavior were 10%, 16% & 74% respectively among Physiotherapists. Conclusion: There was average knowledge, attitude, and behaviour among physiotherapists in early mobilization of patients in ICU. During the study we also found that majority of physiotherapist weren’t confident with the use if vasoactive drugs and the consumption of time in mobilizing the patients were barriers during EM. Keywords: Early mobilization, ICU, Physiotherapists
{"title":"Knowledge Attitude and Behaviour among Physiotherapists in Early Mobilization of Patient in Intensive Care Unit","authors":"Aayush Parag Solanki, Apeksha Vaghasiya","doi":"10.52403/ijshr.20240303","DOIUrl":"https://doi.org/10.52403/ijshr.20240303","url":null,"abstract":"Objectives: The aim of this study was to investigate the knowledge, attitude and behavior regarding the benefits of early mobilization and to identify perceived barriers to delivery of mobility of physiotherapy in the ICU.\u0000Methods: 120 physiotherapists were included using convenient sampling working in ICU from Ahmedabad. Questionnaire for knowledge, attitude, and behavior among physiotherapists. The questionnaire was electronically distributed among physiotherapists. The data collected was analyzed by using MS Excel 2010.\u0000Result: There were 85%(n=102) response rate. Proportion of poor, fair and good knowledge towards EM in ICU were 3%, 31% & 56% respectively, while negative, fair and positive attitude were 17%, 28% & 55% respectively, and that of negative, fair and good behavior were 10%, 16% & 74% respectively among Physiotherapists.\u0000Conclusion: There was average knowledge, attitude, and behaviour among physiotherapists in early mobilization of patients in ICU. During the study we also found that majority of physiotherapist weren’t confident with the use if vasoactive drugs and the consumption of time in mobilizing the patients were barriers during EM.\u0000\u0000Keywords: Early mobilization, ICU, Physiotherapists","PeriodicalId":506640,"journal":{"name":"International Journal of Science and Healthcare Research","volume":"111 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820586","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: Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic airflow obstruction. Patients with COPD often experience reductions in lung volumes and vital capacity due to chronic respiratory muscle weakness. Additionally, they may exhibit decreased lung distensibility, leading to restrictions in lung volume. The passive recoil of the thoracic cage is influenced by gross muscle weakness, altering the neutral position at which lung and cage recoil pressures are balanced. Mobilizing rib cage joints is a specific therapeutic goal, as it aims to improve reduced rib cage mobility commonly observed in obstructive lung disease. Method: A study was conducted on COPD patients aged over 40 years, specifically including males with VC<80%. Participants with unstable vital parameters, active lung infections, or those requiring continuous oxygen therapy or mechanical ventilation were excluded. The participants were divided into two groups: Group 1 received chest mobilization and breathing exercises, while Group 2 received only breathing exercises. Chest expansion measurements were taken at the 2nd intercostal space, 4th intercostal space, and xiphoid process in both groups before and after the procedures. Result: Result obtained from SPSS20. Mean-age of Group1 was (61.9+6.0) & of Group2 was (62.05+6.1). Comparison between groups found using independent t-tests. There was significant difference of chest-expansion at 2nd IC, 4th IC and xiphoid process between both the groups. Chest-expansion at 2nd IC(M=2.0), 4th IC(M=2.85) and xiphoid process (M=3.43) was increased in group1 than group2 (M=1.58), (M=2.01) & (M=2.49) having significant difference of p<0.05. Conclusion: This study concludes that Chest Wall mobilization has significant effect on Chest-expansion in COPD patients. Hence Chest-Mobilization is definite tool for the improving condition of COPD patients, so it should be included as a part of management in COPD patients with other exercise treatment-programs. Keywords: Chest mobilization, COPD, Chest expansion, Cloth tape measurement
{"title":"The Immediate Effect of Chest Mobilization Technique on Chest Expansion in Patients of COPD","authors":"Rafiah Doi, Sweety Shah","doi":"10.52403/ijshr.20240309","DOIUrl":"https://doi.org/10.52403/ijshr.20240309","url":null,"abstract":"Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic airflow obstruction. Patients with COPD often experience reductions in lung volumes and vital capacity due to chronic respiratory muscle weakness. Additionally, they may exhibit decreased lung distensibility, leading to restrictions in lung volume. The passive recoil of the thoracic cage is influenced by gross muscle weakness, altering the neutral position at which lung and cage recoil pressures are balanced. Mobilizing rib cage joints is a specific therapeutic goal, as it aims to improve reduced rib cage mobility commonly observed in obstructive lung disease.\u0000Method: A study was conducted on COPD patients aged over 40 years, specifically including males with VC<80%. Participants with unstable vital parameters, active lung infections, or those requiring continuous oxygen therapy or mechanical ventilation were excluded. The participants were divided into two groups: Group 1 received chest mobilization and breathing exercises, while Group 2 received only breathing exercises. Chest expansion measurements were taken at the 2nd intercostal space, 4th intercostal space, and xiphoid process in both groups before and after the procedures.\u0000Result: Result obtained from SPSS20. Mean-age of Group1 was (61.9+6.0) & of Group2 was (62.05+6.1). Comparison between groups found using independent t-tests. There was significant difference of chest-expansion at 2nd IC, 4th IC and xiphoid process between both the groups. Chest-expansion at 2nd IC(M=2.0), 4th IC(M=2.85) and xiphoid process (M=3.43) was increased in group1 than group2 (M=1.58), (M=2.01) & (M=2.49) having significant difference of p<0.05.\u0000Conclusion: This study concludes that Chest Wall mobilization has significant effect on Chest-expansion in COPD patients. Hence Chest-Mobilization is definite tool for the improving condition of COPD patients, so it should be included as a part of management in COPD patients with other exercise treatment-programs.\u0000\u0000Keywords: Chest mobilization, COPD, Chest expansion, Cloth tape measurement","PeriodicalId":506640,"journal":{"name":"International Journal of Science and Healthcare Research","volume":"37 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819461","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}
Indonesia, located near the convergence of major tectonic plates, often experiences significant earthquakes that impact buildings. Many houses damaged by earthquakes are simple structures with red brick masonry. This study analyzes the seismic performance of masonry houses using ETABS software, assuming the houses are in seismic zone 4 and built on soft soil. The analysis focuses on the correlation between lateral loads, displacement, and structural stiffness. The results indicate that the maximum lateral load occurs in the X direction, while the maximum displacement occurs in the Y direction, indicating higher flexibility in the Y direction. Higher structural stiffness reduces displacement but also increases inertia forces. The nonlinear correlation between lateral loads and displacement, as well as the decrease in effective structural stiffness with increasing lateral loads, underscores the importance of balancing stiffness and flexibility in structural design. This study provides valuable insights for earthquake-resistant building design, particularly for masonry houses in earthquake-prone areas of Indonesia. The analysis emphasizes the importance of reinforcing critical areas and ensuring a more uniform distribution of lateral loads to enhance structural resilience to earthquakes. Keywords: ETABS, House, Life Safety, Performance, Seismic
印度尼西亚位于主要构造板块交汇处附近,经常发生影响建筑物的重大地震。许多在地震中受损的房屋都是由红砖砌成的简单结构。本研究使用 ETABS 软件分析了砌体房屋的抗震性能,假设这些房屋位于地震带 4 区,并建在软土上。分析的重点是横向荷载、位移和结构刚度之间的相关性。结果表明,最大侧向荷载出现在 X 方向,而最大位移出现在 Y 方向,这表明 Y 方向的柔韧性更高。结构刚度越高,位移越小,但惯性力也越大。侧向荷载与位移之间的非线性相关性,以及有效结构刚度随侧向荷载增加而降低的现象,都强调了在结构设计中平衡刚度与柔性的重要性。这项研究为抗震建筑设计,尤其是印度尼西亚地震多发地区的砌体房屋设计提供了宝贵的启示。分析强调了加固关键部位和确保侧向荷载分布更加均匀以提高结构抗震能力的重要性。 关键词:ETABS 房屋 生命安全 性能 地震
{"title":"Parametric Study of Structural Seismic Response: Correlation Between Lateral Load, Displacement, and Stiffness","authors":"S. A. R. Sidik Hasibuan","doi":"10.52403/ijshr.20240304","DOIUrl":"https://doi.org/10.52403/ijshr.20240304","url":null,"abstract":"Indonesia, located near the convergence of major tectonic plates, often experiences significant earthquakes that impact buildings. Many houses damaged by earthquakes are simple structures with red brick masonry. This study analyzes the seismic performance of masonry houses using ETABS software, assuming the houses are in seismic zone 4 and built on soft soil. The analysis focuses on the correlation between lateral loads, displacement, and structural stiffness. The results indicate that the maximum lateral load occurs in the X direction, while the maximum displacement occurs in the Y direction, indicating higher flexibility in the Y direction. Higher structural stiffness reduces displacement but also increases inertia forces. The nonlinear correlation between lateral loads and displacement, as well as the decrease in effective structural stiffness with increasing lateral loads, underscores the importance of balancing stiffness and flexibility in structural design. This study provides valuable insights for earthquake-resistant building design, particularly for masonry houses in earthquake-prone areas of Indonesia. The analysis emphasizes the importance of reinforcing critical areas and ensuring a more uniform distribution of lateral loads to enhance structural resilience to earthquakes.\u0000\u0000Keywords:\u0000\u0000ETABS, House, Life Safety, Performance, Seismic","PeriodicalId":506640,"journal":{"name":"International Journal of Science and Healthcare Research","volume":"119 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820119","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}
Vakil Drashtant Ketanbhai, Jariwala Kunj, Solanki Nilesh
Background: Osteoarthritis also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. OA is the most common form of arthritis. There are two form of OA, Primary and Secondary OA. Kinesiophobia is a condition in which a patient has an excessive, irritational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re injury. The influence of biological (exa-gray changes) as well as severity of pain, Kinesiophobia in individual physical functioning. There are less evidences showing the association of kinesiophobia and pain among school teachers with OA knee. So, this study was designed to find out the association of kinesiophobia and pain among school teachers with OA knee. Methodology: A cross-sectional observational study was conducted. 100 school teachers with unilateral or bilateral OA knee were selected who matched the selection criteria. Both male and female were included. For gradings of OA knee KL grade was taken, for kinesiophobia TAMPA scale was taken, for pain NPRS was taken as an outcome measures. Result: Spearman co-efficient between KL grade and TAMPA scale is 0.835, which indicates there is moderate to high positive correlation between KL grade and TAMPA scale. Spearman co-efficient between NPRS and TAMPA scale is 0.923, which indicates there is high positive (strong positive) correlation between NPRS and TAMPA scale. Spearman co-efficient between NPRS and KL grade is 0.784 which indicates there is moderate positive correlation between NPRS and KL grade. Conclusion: This study concludes that there is positive correlation between gradings of OA knee and kinesiophobia among teachers with OA knee. There is moderate positive correlation between gradings of OA and pain among teachers with OA knee. There is very high positive (Strong positive) correlation between kinesiophobia and pain among teachers with OA knee. Keywords: KL Gradings of OA Knee, OA knee, kinesiophobia, osteoarthritis
背景:骨关节炎又称退行性关节炎或退行性关节病,是一组涉及关节退化(包括关节软骨和软骨下骨)的机械性异常。OA 是最常见的关节炎。OA 有两种形式,即原发性和继发性 OA。运动恐惧(Kinesiophobia)是指患者对身体运动和活动产生过度的、刺激性的和使人衰弱的恐惧,这种恐惧是由于感觉容易受到疼痛伤害或再次伤害而产生的。生理(外灰色变化)以及疼痛的严重程度、运动恐惧对个人身体机能的影响。在患有膝关节 OA 的学校教师中,很少有证据表明运动恐惧与疼痛有关联。因此,本研究旨在找出患有膝关节 OA 的学校教师中运动恐惧与疼痛之间的关联:方法:本研究采用横断面观察法。研究选择了 100 名符合选择标准的单侧或双侧膝关节 OA 的学校教师。研究对象包括男性和女性。对膝关节 OA 的分级采用 KL 分级,运动恐惧采用 TAMPA 量表,疼痛采用 NPRS 作为结果测量指标:KL分级与TAMPA量表之间的斯皮尔曼系数为0.835,表明KL分级与TAMPA量表之间存在中度到高度的正相关。NPRS 与 TAMPA 量表之间的 Spearman 系数为 0.923,表明 NPRS 与 TAMPA 量表之间存在高度正相关(强正相关)。NPRS 与 KL 等级之间的斯皮尔曼系数为 0.784,表明 NPRS 与 KL 等级之间存在中度正相关:本研究得出结论,膝关节 OA 等级与膝关节 OA 教师运动恐惧之间存在正相关。膝关节 OA 分级与膝关节 OA 教师的疼痛呈中度正相关。膝关节OA教师的运动恐惧与疼痛之间存在很高的正相关(强正相关):膝关节 OA 的 KL 分级 膝关节 OA 运动恐惧 骨关节炎
{"title":"Correlation Between KL Gradings of OA Knee, Kinesiophobia and Pain Among School Teachers: \u0000A Cross-Sectional Study","authors":"Vakil Drashtant Ketanbhai, Jariwala Kunj, Solanki Nilesh","doi":"10.52403/ijshr.20240301","DOIUrl":"https://doi.org/10.52403/ijshr.20240301","url":null,"abstract":"Background: Osteoarthritis also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. OA is the most common form of arthritis. There are two form of OA, Primary and Secondary OA. Kinesiophobia is a condition in which a patient has an excessive, irritational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re injury. The influence of biological (exa-gray changes) as well as severity of pain, Kinesiophobia in individual physical functioning. There are less evidences showing the association of kinesiophobia and pain among school teachers with OA knee. So, this study was designed to find out the association of kinesiophobia and pain among school teachers with OA knee.\u0000Methodology: A cross-sectional observational study was conducted. 100 school teachers with unilateral or bilateral OA knee were selected who matched the selection criteria. Both male and female were included. For gradings of OA knee KL grade was taken, for kinesiophobia TAMPA scale was taken, for pain NPRS was taken as an outcome measures.\u0000Result: Spearman co-efficient between KL grade and TAMPA scale is 0.835, which indicates there is moderate to high positive correlation between KL grade and TAMPA scale. Spearman co-efficient between NPRS and TAMPA scale is 0.923, which indicates there is high positive (strong positive) correlation between NPRS and TAMPA scale. Spearman co-efficient between NPRS and KL grade is 0.784 which indicates there is moderate positive correlation between NPRS and KL grade.\u0000Conclusion: This study concludes that there is positive correlation between gradings of OA knee and kinesiophobia among teachers with OA knee. There is moderate positive correlation between gradings of OA and pain among teachers with OA knee. There is very high positive (Strong positive) correlation between kinesiophobia and pain among teachers with OA knee.\u0000\u0000Keywords: KL Gradings of OA Knee, OA knee, kinesiophobia, osteoarthritis","PeriodicalId":506640,"journal":{"name":"International Journal of Science and Healthcare Research","volume":"110 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820636","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}