Indian Journal of Public Health Research & Development

K. Kamatchi ¹, S. Priya ², C. V. Senthilnathan ², G. Mohan Kumar ², G. Tharani ², G. Yuvarani ²

Affiliations
1 Dr. M.G.R. Educational and Research Institute, Vellappanchavadi, Chennai-600077, IN
2 Dr.M.G.R. Educational and Research Institute, IN

Abstract

Objective: The aim of the study is to analyse the effectiveness of PNF techniques and balance exercises in Parkinsonism.

Background: Parkinson’s disease is a progressive neurodegenerative disorder that affects neurophysiologic function, movement abilities and quality of life (QOL). It commonly presents with postural instability, hypokinesia, rigidity and tremor. These symptoms decreases physical activity (PA) and increases time spent in sedentary behaviours. This inturn leads to a cycle of poor balance, muscle weakness, fear of falling and a sedentary life style.The background of the study is to find out the effectiveness ofPNF techniques and balance exercises in Parkinsonism patients for the improvement of balance and improve the quality of life.

Materials and Method: Once the study is approved by institutional review board 30 patients both male and female were selected from clinically diagnosed parkinsonism. The study setting was in the Physiotherapy outpatient department of ACS Medical College and hospital, velappanchavadi, Chennai. The study includes patients with clear history of parkinsonism. Both male and female patients age group within 55-70 years. Subjects in the 1.5-3 HOEHN and YAHR stages. The study population excludes Dementia, Cardiovascular conditions, Musculoskeletal conditions, and subjects in the 4 & 5 stages of H & Y scale. The samples were fully explained about the benefits of participating in the study. They were asked to fill the consent form duly signed by the samples and therapist. Data regarding the balance were collected using berg balance scale and unified parkinsons’s disease rating scale.

Result: Result of this study shows that both the PNF techniques and balance exercises is effective in improving balance. However PNF techniques was better than balance exercises in improving the balance among parkinson’s diseased patients.

Keywords

PNF, Balance Exercise, Hoehn and Yahr Scale.

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G. Mohan Kumar ¹, Jibi Paul ¹, M. S. Sundaram ², P. Mahendranath ³, C. Priya ⁴, Premnathmargabandhu ⁵

Affiliations
1 Dr. MGR Educational & Research Institute, Chennai, IN
2 School of Physiotherapy, Vels Institute of Science, Technology & Advanced Studies, Chennai, IN
3 ACS Medical College & Hospital, Chennai, IN
4 Department of Bio Technology, Dr. MGR Educational & Research Institute, Chennai, IN
5 Physiotherapy Department, Health Service Executive, HSE, IE

Abstract

Introduction: Over the previous decade, musculoskeletal disorders have turned into a noteworthy ailment causing disability and expanded burden around the world. This burden will probably develop consistently, impacted by the accompanying variables, for example, age, occupation, way of life, general wellbeing, replacement, wellbeing history and so on. Earlier examinations have officially shown that age amass somewhere in the range of 34 and 51 years of age of office workers have encountered non specific low back pain in the first investigation for a year was up to 20 to 23% of office specialists.

Aim of Study: Evaluating the commonness of NSLBP among individuals of age group 18-60 years in like manner populations to contemplate the pervasiveness of NSLBP in relationship with occupational posture and way of life factors. Likewise we indent to make a self administratorquestionnaire for the examination populations utilizing computerized correspondence frameworks (Survey monkey application)

Material and Method: A cluster sample of over 480 subjects in like manner populations changing age groups between 18-60 years, where haphazardly got from office workers and drivers to be taken an interest in the examination. Overview through a survey for investigating general wellbeing, Body mass index, age, gender, occupation, rate and span of non specific LBP taken after by examination of information utilizing reasonable factual devices. We needed to reject couple of reactions from our investigation as they were either from individuals younger than 18 years old or more seasoned than 60 years old.

Conclusion: The vast majority of the members had no past history of lower back pain. Some of them could have bring down back pain because of their wellbeing conditions, some because of inactive way of life, some because of movement and so forth. Smoking and liquor addiction likewise could conceivably prompt lower back pain that is nonspecific. For this to be demonstrated, more surveys must be led taking a bigger example of around 1000 subjects.

Keywords

Non Specific, Lower Back Pain, Prevalence, Population.

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G. Mohan Kumar ¹, Jibi Paul ², M.S. Sundaram ³, P. Mahendranath ⁴

Affiliations
1 Research Scholar/Professor, Faculty of Physiotherapy, Dr. MGR Educational & Research Institute, IN
2 Professor, Faculty of Physiotherapy, Dr. MGR Educational & Research Institute, IN
3 Professor, School of Physiotherapy, Vels Institute of Science, Technology & Advanced Studies, IN
4 Associate Professor, ACS Medical College & Hospital, Chennai, IN

Abstract

Objectives: Objective of the study is to investigate the comparative effect of mulligan’s mobilization over stabilization exercise among nonspecific low back pain patients,to reduce the pain intensity, to improve the functional ability, endurance,strength of spinal extensor muscles,lumbar spinal mobility among nonspecific low back pain patients. Methodology: It is an Experimental study design which was done in Outpatient physiotherapy department, faculty of physiotherapy, Dr. MGR Educational & research institute and Abinaya physiotherapy clinics with the comparative pre and post type. 45 samples with Chronic Nonspecific Low Back Pain have been taken by Systematic Random Sampling method and allocated with 15 subjects in each group. The subjects in Group A (n=15) received Mulligan’s mobilization, the subjects in Group B (n=15) received Stabilization exercises and control group C (n=15). The study duration was 6 months (Base line with 3 follows up). Result: On comparing Mean values of Group A, Group B & Group C there is a significant difference in the Post test Mean values at 4^th week,12^th week & 24^th week but stabilization exercises (Group B) which has the Lower Mean value is effective than Mulligan MWM (Group A) and followed by conventional (Group C) at P ≤ 0.05.

Keywords

Nonspecific low back pain, Endurance, Strength, Pain, Dynamometer

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