Guillain-Barre syndrome (GBS) often leads to debilitating residual deficits, including bilateral foot drop, significantly impairing balance, and functional independence. This study aimed to evaluate the efficacy of balance training in patients with bilateral foot drop post-GBS. Eighteen patients were enrolled, and baseline assessments were conducted using the Berg Balance Scale, Functional Independence Measure, and Hughes GBS Disability Scale. Balance exercises, including swiss ball and wobble board exercises, were administered over three weeks. Significant improvements were observed in balance, functional independence, and disability scores post-intervention, suggesting the beneficial impact of balance training in enhancing outcomes for individuals with bilateral foot drop following GBS.
{"title":"Role Of Balance Training In Bilateral Foot Drop Following Guillian Barre Syndrome","authors":"B Mayuri Chandra, Nalla Kranthi Reddy, Naveen Kumar Balne, Lakshmana Prasad Gadde","doi":"10.37506/r71sqn57","DOIUrl":"https://doi.org/10.37506/r71sqn57","url":null,"abstract":"Guillain-Barre syndrome (GBS) often leads to debilitating residual deficits, including bilateral foot drop, significantly impairing balance, and functional independence. This study aimed to evaluate the efficacy of balance training in patients with bilateral foot drop post-GBS. Eighteen patients were enrolled, and baseline assessments were conducted using the Berg Balance Scale, Functional Independence Measure, and Hughes GBS Disability Scale. Balance exercises, including swiss ball and wobble board exercises, were administered over three weeks. Significant improvements were observed in balance, functional independence, and disability scores post-intervention, suggesting the beneficial impact of balance training in enhancing outcomes for individuals with bilateral foot drop following GBS.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"43 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141809725","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}
Gurpreet Singh, Adam Strizak, Lucy Simone, Alexandra Menigoz, Adesuwa N. Eguaze
Purpose: Problems with foot mechanics (insufficient heel strike) that are seen in individuals with Parkinson’s Disease (PD), result in landing with either the middle or front of the foot. This altered pattern contributes to instability. Proper dorsiflexion of the foot resulting in heel strike can improve gait mechanics in PD, therefore the purpose of this research is to quantify the effects of a novel device on spatiotemporal gait parameters in individuals with PD. Methods: 11 individuals diagnosed with Parkinson’s disease (H & Y I -III) were recruited and screened using predetermined inclusion/exclusion criteria. Each participant wore a novel device, “Striker”. All participants were tested both with and without the device in a randomly chosen order during a Six Minute Walk Test and GAITRite Mat. A researcher developed a patient survey that was provided at the end of testing to assess feasibility and confidence using the “Striker”. Results: The Wilcoxon Sign Rank test was utilized to compare within-group differences indicating an improvement in cadence (p = 0.003) and the associated decline in gait velocity (p = 0.004) while using Striker. Conclusion: Significant change in cadence, while using “Striker” was associated with better biomechanics of the foot, initiating with a heel strike, thus decreasing the number of steps taken to cover the same distance. Additionally, most of the post-research surveys provided positive qualitative feedback. “Striker” may be used to improve heel strikes to decrease fall risk in individuals with PD.
目的：帕金森病（PD）患者的足部力学（脚跟着地不足）问题会导致患者用足中部或足前部着地。 这种改变的模式会导致不稳定性。因此，本研究的目的是量化一种新型装置对帕金森病患者时空步态参数的影响。方法：招募 11 名被诊断患有帕金森病（H & Y I - III）的患者，并按照预先确定的纳入/排除标准进行筛选。每位参与者都佩戴了一种新型装置 "Striker"。在六分钟步行测试和 GAITRite Mat 测试中，所有参与者都按照随机选择的顺序接受了佩戴和不佩戴该装置的测试。研究人员编写了一份患者调查表，在测试结束时提供，以评估使用 "Striker "的可行性和信心：采用 Wilcoxon Sign Rank 检验比较组内差异，结果表明，在使用 Striker 时，步频有所改善（p = 0.003），步速有所下降（p = 0.004）：结论：在使用 "Striker "时，步频的显著变化与脚部生物力学的改善有关，即以脚跟着地开始，从而减少了相同距离所需的步数。此外，大多数研究后调查都提供了积极的定性反馈。"Striker "可用于改善脚后跟着地，从而降低老年痴呆症患者跌倒的风险。
{"title":"Effects of a Novel, Inexpensive Device “Striker” On Spatio-Temporal GaitParameters in Individuals with Parkinson’s Disease","authors":"Gurpreet Singh, Adam Strizak, Lucy Simone, Alexandra Menigoz, Adesuwa N. Eguaze","doi":"10.37506/kvmrtr73","DOIUrl":"https://doi.org/10.37506/kvmrtr73","url":null,"abstract":"Purpose: Problems with foot mechanics (insufficient heel strike) that are seen in individuals with Parkinson’s Disease (PD), result in landing with either the middle or front of the foot. This altered pattern contributes to instability. Proper dorsiflexion of the foot resulting in heel strike can improve gait mechanics in PD, therefore the purpose of this research is to quantify the effects of a novel device on spatiotemporal gait parameters in individuals with PD.\u0000Methods: 11 individuals diagnosed with Parkinson’s disease (H & Y I -III) were recruited and screened using predetermined inclusion/exclusion criteria. Each participant wore a novel device, “Striker”. All participants were tested both with and without the device in a randomly chosen order during a Six Minute Walk Test and GAITRite Mat. A researcher developed a patient survey that was provided at the end of testing to assess feasibility and confidence using the “Striker”.\u0000Results: The Wilcoxon Sign Rank test was utilized to compare within-group differences indicating an improvement in cadence (p = 0.003) and the associated decline in gait velocity (p = 0.004) while using Striker.\u0000Conclusion: Significant change in cadence, while using “Striker” was associated with better biomechanics of the foot, initiating with a heel strike, thus decreasing the number of steps taken to cover the same distance. Additionally, most of the post-research surveys provided positive qualitative feedback. “Striker” may be used to improve heel strikes to decrease fall risk in individuals with PD.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"19 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141808648","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}
Background: Preterm infants are vulnerable population who are at highest risk of developing respiratory distress syndrome which leads them to be dependent on ventilator support for survival. They use accessory muscle for breathing leading them to affect their oral musculature more. They are the “high risk” group as they are struggling to fulfil their basic survival need of oral feed as the suck-swallow breath co-ordination is affected in them. Prolong use of nasogastric and orogastric tube for their optimum nutrition is not advisable therefore it is important to transit to oral feed as soon as they become vitally stable. Infants who have undergone endotracheal intubation, continuous CPAP (continuous positive airway pressure) support, nasal or oral suctioning develops aversion for oral feeding due to continuous negative feedback. The preterm infant has poor oral motor control related to weaker muscle tone around the mouth, less sensitivity, less tongue strength compared to the full-term infant. Method: Total 30 preterm infant of mean age 34.67(±2.76) weeks participated in study. Subjects were screened as per inclusion and exclusion criteria. Baseline data and outcome measure was done using non-nutritive suck score and Anderson behavioural state scale(ABSS).6 sessions were given in 3 day again they were assessed with Non nutritive suck scale, ABSS. Conclusion: There were statistically and clinically significant changes observed in all of the outcome measures; there were significant difference seen in quantity of feed taken and weight gain of preterm infant. There were significant improvement in strength of suck and rhythm and co-ordination of oral structure during non nutritive suck. .
{"title":"Immediate Effects of Premature Infant Oral Motor Intervention Protocol on OromotorSkills and Neurobehavioral State Regulation of Preterm Infants","authors":"Krishna Pithadia Krishna Pithadia, Sabah Thaver","doi":"10.37506/tdndra12","DOIUrl":"https://doi.org/10.37506/tdndra12","url":null,"abstract":"Background: Preterm infants are vulnerable population who are at highest risk of developing respiratory distress syndrome which leads them to be dependent on ventilator support for survival. They use accessory muscle for breathing leading them to affect their oral musculature more. They are the “high risk” group as they are struggling to fulfil their basic survival need of oral feed as the suck-swallow breath co-ordination is affected in them. Prolong use of nasogastric and orogastric tube for their optimum nutrition is not advisable therefore it is important to transit to oral feed as soon as they become vitally stable.\u0000Infants who have undergone endotracheal intubation, continuous CPAP (continuous positive airway pressure) support, nasal or oral suctioning develops aversion for oral feeding due to continuous negative feedback. The preterm infant has poor oral motor control related to weaker muscle tone around the mouth, less sensitivity, less tongue strength compared to the full-term infant.\u0000Method: Total 30 preterm infant of mean age 34.67(±2.76) weeks participated in study. Subjects were screened as per inclusion and exclusion criteria. Baseline data and outcome measure was done using non-nutritive suck score and Anderson behavioural state scale(ABSS).6 sessions were given in 3 day again they were assessed with Non nutritive suck scale, ABSS.\u0000Conclusion: There were statistically and clinically significant changes observed in all of the outcome measures; there were significant difference seen in quantity of feed taken and weight gain of preterm infant. There were significant improvement in strength of suck and rhythm and co-ordination of oral structure during non nutritive suck.\u0000.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"60 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141808710","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}
Background and purpose: Research was done to find out the relationship between lumbar lordosis and radiologic variables, lumbar lordosis and clinical variables, which showed that lordosis itself, do not have any predisposition to low back pain. Weak abdominal muscles are also associated with low back pain. As no previous study was done to correlate vertebral column height and low back pain, this study is intended to analyze whether these variables are predisposed to low back pain. Case description (Subjects): 200 subjects were approached through systematic convenient sampling which included 100 people (50 males and 50 females) with back pain and 100 people (50 male and 50 female without back pain). Intervention and methods: Subjects for the study were assessed according to the following parameters; vertebral column height, abdominal girth measurement, bilateral SLR, hip waist ratio, VAS scale. Results: Pain scores correlated significantly to the length of spinal segment mainly cervical spine (p=0.05) and lumbar spine (p=0.01) and also to bilateral SLR hold time (p=0.01). The bilateral SLR correlates significantly to a Total spine length and length of thoracic spine (p=0.01) while there was no correlation between bilateral hold time and length of cervical spine. Conclusion: This study has found that the length of the spinal column should be given due importance when assessing the risk of developing low back pain.
{"title":"Vertebral Column Height Andpredisposition To Low Back Pain- Observational Study","authors":"Alok Mukherjee, Kalpana Jain, Tushar Singh","doi":"10.37506/2zq7m844","DOIUrl":"https://doi.org/10.37506/2zq7m844","url":null,"abstract":"Background and purpose: Research was done to find out the relationship between lumbar lordosis and radiologic variables, lumbar lordosis and clinical variables, which showed that lordosis itself, do not have any predisposition to low back pain. Weak abdominal muscles are also associated with low back pain. As no previous study was done to correlate vertebral column height and low back pain, this study is intended to analyze whether these variables are predisposed to low back pain. \u0000Case description (Subjects): 200 subjects were approached through systematic convenient sampling which included 100 people (50 males and 50 females) with back pain and 100 people (50 male and 50 female without back pain). \u0000Intervention and methods: Subjects for the study were assessed according to the following parameters; vertebral column height, abdominal girth measurement, bilateral SLR, hip waist ratio, VAS scale. \u0000Results: Pain scores correlated significantly to the length of spinal segment mainly cervical spine (p=0.05) and lumbar spine (p=0.01) and also to bilateral SLR hold time (p=0.01). The bilateral SLR correlates significantly to a Total spine length and length of thoracic spine (p=0.01) while there was no correlation between bilateral hold time and length of cervical spine. \u0000Conclusion: This study has found that the length of the spinal column should be given due importance when assessing the risk of developing low back pain.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141808826","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}
Background: The global COVID-19 pandemic has profoundly impacted physical and mental health, often resulting in reduced sleep quality and increased fatigue. This study examines how COVID-19 affects sleep, fatigue, and academic performance in graduate students, including those in physical therapy programs, to inform support strategies during these challenging times. Methods: A cross-sectional survey was conducted among graduate students at Russell Sage College. Participants provided demographic information and reported their COVID-19 infection status, sleep quality, fatigue levels, and self-reported GPA. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), fatigue was measured with the Fatigue Assessment Scale (FAS), and academic performance was assessed via grade point average (GPA). Given the limited sample size, data analysis utilized non-parametric tests, including the Mann-Whitney test and Spearman’s Rho. Results: Sixty-two graduate students participated in the study, with 31 reporting a history of COVID-19 infection. Results showed no significant difference in sleep quality, fatigue, or GPA between students with and without a COVID-19 diagnosis. However, students with a COVID-19 diagnosis reported slightly higher scores than those without on the PSQI (7.39 vs. 6.91) and FAS general fatigue (26.17 vs. 24.17), and slightly lower GPA (3.67 vs. 3.7), although these differences were not statistically significant. The study also found a negative association between GPA and overall fatigue (r=-0.449; P=0.028) and mental fatigue (r=-0.422; P=0.04) in students with a COVID-19 infection. Conclusion: This study suggests that COVID-19 infection might affect fatigue levels in graduate students, potentially influencing academic performance. Larger sample sizes and longitudinal studies are necessary to confirm and comprehend these findings. Physical therapy students, experiencing both physiological effects and educational disruptions, may encounter challenges, including disrupted sleep patterns, heightened fatigue, and academic consequences. Educators in physical therapy programs can leverage these insights to adjust teaching methods and offer support to mitigate the pandemic's impact on student learning.
{"title":"COVID-19 Effects on Well-being and Academic Performance in Physical Therapy Graduate Students: A Cross-Sectional Study","authors":"Rupali Singh","doi":"10.37506/pz4p9c80","DOIUrl":"https://doi.org/10.37506/pz4p9c80","url":null,"abstract":"Background: The global COVID-19 pandemic has profoundly impacted physical and mental health, often resulting in reduced sleep quality and increased fatigue. This study examines how COVID-19 affects sleep, fatigue, and academic performance in graduate students, including those in physical therapy programs, to inform support strategies during these challenging times.\u0000Methods: A cross-sectional survey was conducted among graduate students at Russell Sage College. Participants provided demographic information and reported their COVID-19 infection status, sleep quality, fatigue levels, and self-reported GPA. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), fatigue was measured with the Fatigue Assessment Scale (FAS), and academic performance was assessed via grade point average (GPA). Given the limited sample size, data analysis utilized non-parametric tests, including the Mann-Whitney test and Spearman’s Rho.\u0000Results: Sixty-two graduate students participated in the study, with 31 reporting a history of COVID-19 infection. Results showed no significant difference in sleep quality, fatigue, or GPA between students with and without a COVID-19 diagnosis. However, students with a COVID-19 diagnosis reported slightly higher scores than those without on the PSQI (7.39 vs. 6.91) and FAS general fatigue (26.17 vs. 24.17), and slightly lower GPA (3.67 vs. 3.7), although these differences were not statistically significant. The study also found a negative association between GPA and overall fatigue (r=-0.449; P=0.028) and mental fatigue (r=-0.422; P=0.04) in students with a COVID-19 infection.\u0000Conclusion: This study suggests that COVID-19 infection might affect fatigue levels in graduate students, potentially influencing academic performance. Larger sample sizes and longitudinal studies are necessary to confirm and comprehend these findings. Physical therapy students, experiencing both physiological effects and educational disruptions, may encounter challenges, including disrupted sleep patterns, heightened fatigue, and academic consequences. Educators in physical therapy programs can leverage these insights to adjust teaching methods and offer support to mitigate the pandemic's impact on student learning.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"54 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807249","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}
Background: Mechanical low back pain refers to back pain that starts intrinsically from the spine, intervertebral discs, or surrounding soft tissues. This includes lumbosacral muscle strain, disc herniation, lumbar spondylosis, spondylolisthesis, spondylolysis, etc. and this accounts for 97% of cases. It is characterized by increased pain with motion and decreased pain with rest. Repetitive trauma and overuse are common causative factors of chronic mechanical low back pain. The suboccipital muscle inhibition technique (SMIT) has been reported to be beneficial in reducing pain, increasing hamstring extensibility and reducing functional disability in chronic low back pain patients. So, the aim was to compare the effectiveness of suboccipital muscle inhibition technique along with conventional approach and conventional approach alone on pain, physical function and range of motion in patients with chronic mechanical low back pain. Method: Total 46 patients were included and divided into two groups (23 in each group). Experimental group was treated with suboccipital muscle inhibition along with conventional approach and Control group was treated with conventional approach alone for 5 days a week for 4 weeks. Inter-group analysis by Mann Whitney U-test and Unpaired t-test showed statistically significant difference in pain, physical function and lumbar flexion range of motion (P value ≤ 0.001). Conclusion: Suboccipital muscle inhibition along with conventional approach was found to be more predominant in improving pain, physical functional and lumbar range of motion (flexion) in chronic mechanical low back pain than conventional approach. Also, suboccipital muscle inhibition and conventional approach were equally effective in improving lumbar range of motion (extension).
背景：机械性腰痛是指由脊柱、椎间盘或周围软组织引起的腰痛。这包括腰骶部肌肉劳损、椎间盘突出症、腰椎病、椎体滑脱症、椎体溶解症等，占病例的 97%。其特点是活动时疼痛加剧，休息时疼痛减轻。重复性创伤和过度使用是慢性机械性腰痛的常见致病因素。据报道，枕下肌抑制技术（SMIT）对减轻慢性腰痛患者的疼痛、增加腘绳肌的伸展性和减少功能性残疾有益。因此，该研究旨在比较枕下肌抑制技术与传统方法和单独使用传统方法对慢性机械性腰背痛患者的疼痛、身体功能和活动范围的影响：共纳入 46 名患者，分为两组（每组 23 人）。实验组采用枕下肌抑制疗法和传统疗法，对照组仅采用传统疗法，每周 5 天，共 4 周。通过曼-惠特尼 U 检验和非配对 t 检验进行的组间分析表明，实验组和对照组在疼痛、身体功能和腰部屈曲活动范围方面的差异具有统计学意义（P 值≤ 0.001）：在改善慢性机械性腰背痛患者的疼痛、身体功能和腰部活动范围（屈曲）方面，枕下肌抑制与传统方法相比更具优势。此外，枕下肌抑制疗法和传统疗法在改善腰部活动范围（伸展）方面同样有效。
{"title":"Additional Effects Of Suboccipital Muscle Inhibition Along With Conventional Approach On Pain, Physical Function and Range of Motion in Patients with Chronic Mechanical Low Back Pain: An Experimental Study","authors":"Maitri Chonker, Vinit Mody","doi":"10.37506/34ke2z69","DOIUrl":"https://doi.org/10.37506/34ke2z69","url":null,"abstract":"Background: Mechanical low back pain refers to back pain that starts intrinsically from the spine, intervertebral discs, or surrounding soft tissues. This includes lumbosacral muscle strain, disc herniation, lumbar spondylosis, spondylolisthesis, spondylolysis, etc. and this accounts for 97% of cases. It is characterized by increased pain with motion and decreased pain with rest. Repetitive trauma and overuse are common causative factors of chronic mechanical low back pain. The suboccipital muscle inhibition technique (SMIT) has been reported to be beneficial in reducing pain, increasing hamstring extensibility and reducing functional disability in chronic low back pain patients. So, the aim was to compare the effectiveness of suboccipital muscle inhibition technique along with conventional approach and conventional approach alone on pain, physical function and range of motion in patients with chronic mechanical low back pain.\u0000Method: Total 46 patients were included and divided into two groups (23 in each group). Experimental group was treated with suboccipital muscle inhibition along with conventional approach and Control group was treated with conventional approach alone for 5 days a week for 4 weeks. Inter-group analysis by Mann Whitney U-test and Unpaired t-test showed statistically significant difference in pain, physical function and lumbar flexion range of motion (P value ≤ 0.001).\u0000Conclusion: Suboccipital muscle inhibition along with conventional approach was found to be more predominant in improving pain, physical functional and lumbar range of motion (flexion) in chronic mechanical low back pain than conventional approach. Also, suboccipital muscle inhibition and conventional approach were equally effective in improving lumbar range of motion (extension).","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"66 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141806604","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}
Background: Sericulture is a labor-oriented agro-based industry that significantly elevates India's rural economy. During weaving operations, workers adopt awkward postures and work long hours, which is one of the most important factors in their poor working efficiency and prevalence of musculoskeletal disorders. Objectives: This study aimed to find the correlation between grip strength, the Michigan hand outcome questionnaire (MHQ), and work-related postural disorders among power loom silk weavers. Design: Correlation study. Methods: This study was conducted in a community setting. 120 power loom silk weavers were screened for work-related musculoskeletal disorders. A face-to-face interview was conducted to assess Grip strength, hand function, and work-related musculoskeletal disorders using the Hand dynamometer, MHQ, and RULA scales, respectively. Results: By Spearman's correlation, the correlation between Bilateral Hand grip strength and MHQ was statistically significant p<0.001 and shows a strong positive correlation (r = 0.787) for right hand and (r = 0.741), a strong negative correlation (r = -0.594) for right hand and ( r = -0.538) for left hand was found between bilateral hand grip strength and RULA and the correlation between MHQ and RULA scores were statistically significant (p<0.001) shows a strong negative correlation (r = -0.583).The intercept is 8.298. An increase in MHQ (-0.022) and right-hand grip strength (- 0.030) will decrease RULA scores. Conclusion: The study concluded that subjects with reduced hand grip strength and hand function were at higher risks of developing work-related musculoskeletal disorders, and hand grip strength and MHQ are equally good predictors of these disorders.
{"title":"Grip Strength Assessed Using A Hand Grip Dynamometer And Michigan Hand Outcome Questionnaire As Predictors Of Work-Related Musculoskeletal Disorders Using Rapid Upper Limb Assessment Among Power Loom Silk Weavers","authors":"Pavana, Karrishma Karampure","doi":"10.37506/rrjjf209","DOIUrl":"https://doi.org/10.37506/rrjjf209","url":null,"abstract":"Background: Sericulture is a labor-oriented agro-based industry that significantly elevates India's rural economy. During weaving operations, workers adopt awkward postures and work long hours, which is one of the most important factors in their poor working efficiency and prevalence of musculoskeletal disorders. \u0000Objectives: This study aimed to find the correlation between grip strength, the Michigan hand outcome questionnaire (MHQ), and work-related postural disorders among power loom silk weavers. \u0000Design: Correlation study. \u0000Methods: This study was conducted in a community setting. 120 power loom silk weavers were screened for work-related musculoskeletal disorders. A face-to-face interview was conducted to assess Grip strength, hand function, and work-related musculoskeletal disorders using the Hand dynamometer, MHQ, and RULA scales, respectively. \u0000Results: By Spearman's correlation, the correlation between Bilateral Hand grip strength and MHQ was statistically significant p<0.001 and shows a strong positive correlation (r = 0.787) for right hand and (r = 0.741), a strong negative correlation (r = -0.594) for right hand and ( r = -0.538) for left hand was found between bilateral hand grip strength and RULA and the correlation between MHQ and RULA scores were statistically significant (p<0.001) shows a strong negative correlation (r = -0.583).The intercept is 8.298. An increase in MHQ (-0.022) and right-hand grip strength (- 0.030) will decrease RULA scores. \u0000Conclusion: The study concluded that subjects with reduced hand grip strength and hand function were at higher risks of developing work-related musculoskeletal disorders, and hand grip strength and MHQ are equally good predictors of these disorders.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"97 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807930","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}
Background:Anterior Cruciate Ligament (ACL) injury is most common in sports players such as soccer, basketball, sprinters, which causes alleviated strength in quadriceps muscles, and Range of Motion (ROM) of Knee Joint, and along with this, decrease in efficiency of knee that impacts person’s Activity of daily living (ADL). So, after ACL injury, Rehabilitation protocol plays a great role in maintaining knee ROM, increases the strength of quadriceps muscles. This study aims to compare the effect of open kinetic chain exercises and closed kinetic chain exercises and compare to asses which type of protocol is much efficient for ACL-Injury rehab protocol. Methodology: A comparative study was done over 50 male sprinters of 18-25 years old to assess the effect of Open Kinetic chain exercises (OKC) and closed kinetic chain exercises (CKC). Study was divided into 2 groups: OKC group and CKC group. In OKC Group, subject has to do flexor-extensor bench, isotonic quadriceps exercise and long leg press-off exercises with the conventional physiotherapy whereas in CKC group, subjects has to do wall sits exercises, standing weight shift, one-legged dips exercise, and squatting lunges along with the conventional physiotherapy. Each exercise was performed with 3 sets of 20 repetition, 3 days/week for 45 days. The data was collected from various academies of Satara, Maharashtra after obtaining the ethical permission. Subjects were explained about the procedure and protocol of research. ROM, Numeric Pain Rating Scale (NPRS) and Knee Injury and Osteoarthritis Outcome Score (KOOS) scale were used as Outcome measures. Readings were noted on Day 0 and Day 45. The data was analyzed by using JASP Software. Results: 25 subjects were there in both groups, with the mean age of 23.4 years in CKC group whereas the mean age is 23.44 in OKC group. The mean value of NPRS in OKC group is 4.280±0.843 and that of CKC groups is 4.160±0.624. And the mean value of Knee ROM in CKC group is 118±5 while that of in OKC group is 107.2±4.52. Conclusion: In summary, this study highlights the importance of a tailored rehabilitation program combining OKC and CKC exercises for Grade-I ACL injuries in sprinters. Both exercise types play a crucial role in restoring knee function and strength. As per our study, CKC exercises are better than OKC exercises. So, CKC exercises should be incorporated into rehabilitation program of grade-I ACL injuries.
{"title":"A Comparison Between Open Kinetic and Closed Kinetic Chain Exercises Along with Conservative Treatment in Grade-I ACL Injury in Sprinters: A Randomized Controlled Trail","authors":"Mohit Kumar, Vani Madaan","doi":"10.37506/c68mhb51","DOIUrl":"https://doi.org/10.37506/c68mhb51","url":null,"abstract":"Background:Anterior Cruciate Ligament (ACL) injury is most common in sports players such as soccer, basketball, sprinters, which causes alleviated strength in quadriceps muscles, and Range of Motion (ROM) of Knee Joint, and along with this, decrease in efficiency of knee that impacts person’s Activity of daily living (ADL). So, after ACL injury, Rehabilitation protocol plays a great role in maintaining knee ROM, increases the strength of quadriceps muscles. This study aims to compare the effect of open kinetic chain exercises and closed kinetic chain exercises and compare to asses which type of protocol is much efficient for ACL-Injury rehab protocol.\u0000Methodology: A comparative study was done over 50 male sprinters of 18-25 years old to assess the effect of Open Kinetic chain exercises (OKC) and closed kinetic chain exercises (CKC). Study was divided into 2 groups: OKC group and CKC group. In OKC Group, subject has to do flexor-extensor bench, isotonic quadriceps exercise and long leg press-off exercises with the conventional physiotherapy whereas in CKC group, subjects has to do wall sits exercises, standing weight shift, one-legged dips exercise, and squatting lunges along with the conventional physiotherapy. Each exercise was performed with 3 sets of 20 repetition, 3 days/week for 45 days. The data was collected from various academies of Satara, Maharashtra after obtaining the ethical permission. Subjects were explained about the procedure and protocol of research. ROM, Numeric Pain Rating Scale (NPRS) and Knee Injury and Osteoarthritis Outcome Score (KOOS) scale were used as Outcome measures. Readings were noted on Day 0 and Day 45. The data was analyzed by using JASP Software. \u0000Results: 25 subjects were there in both groups, with the mean age of 23.4 years in CKC group whereas the mean age is 23.44 in OKC group. The mean value of NPRS in OKC group is 4.280±0.843 and that of CKC groups is 4.160±0.624. And the mean value of Knee ROM in CKC group is 118±5 while that of in OKC group is 107.2±4.52.\u0000Conclusion: In summary, this study highlights the importance of a tailored rehabilitation program combining OKC and CKC exercises for Grade-I ACL injuries in sprinters. Both exercise types play a crucial role in restoring knee function and strength. As per our study, CKC exercises are better than OKC exercises. So, CKC exercises should be incorporated into rehabilitation program of grade-I ACL injuries.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"2 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141808832","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}
It was accounted for ABI as damage to the brain which brings about disintegration in subjective, physical, enthusiastic and autonomous working. Acquired brain injury can occur due to injury, hypoxia, contamination, tumor, substance manhandle, degenerative neurological sickness and stroke1,2. Serious ABI is characterized as a GCS of 3-8 after cardiopulmonary revival in a patient with an irregular computer tomography (CT) output of the head which shows haematomas, wounds, oedema, and compacted basal cisterns3,4. The definitions gave in this passage were embraced for use in this ABI investigation. The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The Glasgow Coma Scale divides into three parameters: best eye response (E), best verbal response (V) and best motor response (M). The levels of response in the components of the Glasgow Coma Scale are ‘scored’ from 1, for no response, up to normal values of 4 (Eye-opening response) 5 ( Verbal response) and 6 (Motor response). The total Coma Score thus has values between three and 15, three being the worst and 15 being the highest. The score is the sum of the scores as well as the individual elements. For example, a score of 10 might be expressed as GCS10 = E3V4M3. The Rancho Los Amigos (RLA-R) Levels of Cognitive Functioning Scale is a renowned clinical tool used to rate how people with brain injury are recovering. The ten levels of recovery noted in the scale also help to decide when a patient is ready for rehabilitation. As patients "wake up" after a head injury, they go through different levels of recovery on the Rancho Scale. Each level describes a general pattern of recovery, with a focus on cognition and behavior. Methods: Respiratory physiotherapy procedures assists to expand lung volumes, enhance gas diffuson, reduce work of breathing, reduce MV stay of patients and induce optimum recovery. In this the respiratory physiotherapy applications involved a regimen of Positioning, Manual Hyperinflation (MH), Airway Suctioning, PNF for Respiration, Passive Limb Movement protocol and Early Mobilisation protocol. Results: The results shows that the Conscious level (GCS) and Cognitive level (RLA-R) Score improved from at the time of admission to at the time of discharge the significance of P<.005 Conclusion: Respiratory physiotherapy managed Conscious level (GCS) and Cognitive level (RLA-R) Score improved from at the time of admission to at the time of discharge and improved the outcome of the ABI patients.
{"title":"The Role Of Respiratoy Physiotherapy In Improvement Of Consious Level (GCS) And Cognitive Level (RLA-R) Score In Acquired Brain Injury Patients Admitted In Intensive Care Unit: A Comparative Study","authors":"Sachin Agarwal, Rajasekar S","doi":"10.37506/c2x99j03","DOIUrl":"https://doi.org/10.37506/c2x99j03","url":null,"abstract":"It was accounted for ABI as damage to the brain which brings about disintegration in subjective, physical, enthusiastic and autonomous working. Acquired brain injury can occur due to injury, hypoxia, contamination, tumor, substance manhandle, degenerative neurological sickness and stroke1,2. Serious ABI is characterized as a GCS of 3-8 after cardiopulmonary revival in a patient with an irregular computer tomography (CT) output of the head which shows haematomas, wounds, oedema, and compacted basal cisterns3,4. The definitions gave in this passage were embraced for use in this ABI investigation. \u0000The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The Glasgow Coma Scale divides into three parameters: best eye response (E), best verbal response (V) and best motor response (M). The levels of response in the components of the Glasgow Coma Scale are ‘scored’ from 1, for no response, up to normal values of 4 (Eye-opening response) 5 ( Verbal response) and 6 (Motor response). The total Coma Score thus has values between three and 15, three being the worst and 15 being the highest. The score is the sum of the scores as well as the individual elements. For example, a score of 10 might be expressed as GCS10 = E3V4M3. \u0000The Rancho Los Amigos (RLA-R) Levels of Cognitive Functioning Scale is a renowned clinical tool used to rate how people with brain injury are recovering. The ten levels of recovery noted in the scale also help to decide when a patient is ready for rehabilitation. As patients \"wake up\" after a head injury, they go through different levels of recovery on the Rancho Scale. Each level describes a general pattern of recovery, with a focus on cognition and behavior. \u0000Methods: Respiratory physiotherapy procedures assists to expand lung volumes, enhance gas diffuson, reduce work of breathing, reduce MV stay of patients and induce optimum recovery. In this the respiratory physiotherapy applications involved a regimen of Positioning, Manual Hyperinflation (MH), Airway Suctioning, PNF for Respiration, Passive Limb Movement protocol and Early Mobilisation protocol. \u0000Results: The results shows that the Conscious level (GCS) and Cognitive level (RLA-R) Score improved from at the time of admission to at the time of discharge the significance of P<.005 \u0000Conclusion: Respiratory physiotherapy managed Conscious level (GCS) and Cognitive level (RLA-R) Score improved from at the time of admission to at the time of discharge and improved the outcome of the ABI patients.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"47 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141809837","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}
Background: Respiratory infections, particularly bronchopneumonia, pose a significant health challenge in paediatric populations, often leading to respiratory distress and compromised well-being. In the context of managing bronchopneumonia in children, exploring non-invasive interventions becomes beneficial. The application of thoracic kinesiotaping is hypothesized to positively impact lung volumes by assisting respiratory function and facilitating breathing pattern. Methodology: To determine the effectiveness of thoracic kinesiotaping on the functional capacities in children with bronchopneumonia, a group of 32 children aged 5 to 12 years were selected adhering to specific inclusion criteria. These participants were then randomly assigned to two groups. Group A underwent conventional respiratory physiotherapy exclusively while Group B participants received a combination of thoracic kinesiotaping and conventional respiratory physiotherapy. Pre-intervention assessment included baseline data, pulmonary function tests (PFT), Paediatric Dyspnea Scale (PDS) and Chest expansion. The treatment protocol spanned a period of three days. Analysis of data was done through Instat software. Conclusion: The analysis revealed a notable increase in Forced Expiratory Volume in 1 second (FEV1) and the FEV1/Forced Vital Capacity (FVC) Ratio during pulmonary function testing (PFT), accompanied by a marginal improvement in chest expansion. These findings suggest a positive impact of kinesiotaping on respiratory parameters, indicating potential benefits for children with pulmonary conditions.
{"title":"Short-term Effects of Thoracic Kinesiotaping in Children with Bronchopneumonia:A Randomized Controlled Trial","authors":"Sakshi Shah, T. Borkar","doi":"10.37506/fmcc6s15","DOIUrl":"https://doi.org/10.37506/fmcc6s15","url":null,"abstract":"Background: Respiratory infections, particularly bronchopneumonia, pose a significant health challenge in paediatric populations, often leading to respiratory distress and compromised well-being. In the context of managing bronchopneumonia in children, exploring non-invasive interventions becomes beneficial. The application of thoracic kinesiotaping is hypothesized to positively impact lung volumes by assisting respiratory function and facilitating breathing pattern.\u0000Methodology: To determine the effectiveness of thoracic kinesiotaping on the functional capacities in children with bronchopneumonia, a group of 32 children aged 5 to 12 years were selected adhering to specific inclusion criteria. These participants were then randomly assigned to two groups. Group A underwent conventional respiratory physiotherapy exclusively while Group B participants received a combination of thoracic kinesiotaping and conventional respiratory physiotherapy. Pre-intervention assessment included baseline data, pulmonary function tests (PFT), Paediatric Dyspnea Scale (PDS) and Chest expansion. The treatment protocol spanned a period of three days. Analysis of data was done through Instat software.\u0000Conclusion: The analysis revealed a notable increase in Forced Expiratory Volume in 1 second (FEV1) and the FEV1/Forced Vital Capacity (FVC) Ratio during pulmonary function testing (PFT), accompanied by a marginal improvement in chest expansion. These findings suggest a positive impact of kinesiotaping on respiratory parameters, indicating potential benefits for children with pulmonary conditions.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"22 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810312","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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