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Yuvarani, G.
- A Comparative Study to Analyse the Effectiveness of PNF Versus Balance Exercises in Parkinsonism
Authors
1 Dr. M.G.R. Educational and Research Institute, Vellappanchavadi, Chennai-600077, IN
2 Dr.M.G.R. Educational and Research Institute, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 536-541Abstract
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.- A Study to Analyse the Effect of Exercise in Individuals With Alcohol Withdrawal Syndrome (Aws)
Authors
1 Dr. M.G.R Educational & Research Institute, Chennai – 77, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 807-812Abstract
Objective: The aim of the study is to find out the effect of exercise along with medications in individuals with alcohol withdrawal syndrome and to compare their result with individuals taking medications alone for alcohol withdrawal syndrome.
Background of the Study: Worldwide alcohol consumption in 2010 was equal to 6.2 litres of pure alcohol which translates into 13.5 grams of pure alcohol/day. In 2012, about 3.3 million deaths were attributable to alcohol consumption. When someone stops using alcohol after a period of heavy drinking, a sought of symptoms typically includes anxiety, fast heart rate, shakiness, sweating, vomiting and a mild fever. More severe symptoms includes seizures, visual & auditory hallucination and delirium tremens (DTs). The symptoms typically begins around 6 hours following the last drink, and are worst at 24 to 72 hours. There are three stages of AWS. Stage 1(mild), stage 2(moderate) and stage 3 (severe).
The treatment for AWS includes only medical intervention and psychological therapy which has good improvement. This study aims to analysis the effect of exercise along with medical intervention and psychological therapy for better improvement.
Methodology: This was an experimental study design with comparative pre and post study type. Once the study is reviewed and approved by Institutional Review Board, 40 samples among 60 were selected from Turning Point Deaddiction Centre - Maduravoyal. The study includes the samples only if with stage 1, stage 2 AWS and those who are willing to participate in the study. Excludes those with stage 3 AWS, recurrent episodes of seizure, delirious mental state and old age people above 65 yrs. The outcome measure used was a questionnaire CIWA-Ar. After getting the consent, the 40 samples were equally divided and allocated into two groups–group A and group B. Group A received exercise in the form of relaxation exercise, breathing exercise, balance exercise (eg. Frenkel coordination) and low intensity high repetition endurance training along with medications. Group B received medications alone prescribed by consent registered medical practitioners in their rehabilitation centre. The intervention was carried out for 45 days. The exercise intervention for group A carried out for 5 days/week and 2 session/day. The endurance training was progressed once in a week. The post score was recorded. The pre and post data were analysed using SPSS version 21.0.
Result: On comparing the mean value, both the groups showed much reduction in signs and symptoms of alcohol withdrawal syndrome. The pre test mean value for group A is 38.80. After giving them exercise intervention for 45 days, the signs and symptoms reduced to greater extent with the post mean of 9.15. In Group B, the pre and post mean are 38.75 and 19.0 respectively which is significant at P ≤ 0.001. Hence Null hypothesis is rejected.
On comparing the post mean of Group A and Group B, Group A showed much reduction in the signs and symptoms of AWS than Group B.
Conclusion: Exercise along with medication shows greater improvement among the individuals with alcohol withdrawal syndrome.
Keywords
Alcohol Withdrawal Syndrome (AWS), Strengthening Exercise, Balance Exercise and CIWA-Ar.- Effectiveness of Eccentric Exercises on Selfie Elbow
Authors
1 Assistant Professor, Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute, Vellapanchavadi, Chennai, Tamilnadu, IN
2 Professor, Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute, Vellapanchavadi, Chennai, Tamilnadu, IN
3 B.P.T. Student, Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute, Vellapanchavadi, Chennai, Tamilnadu, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 683-687Abstract
Background: Selfitis is an genuine mental condition where people have an obsessive-compulsive desire to take photos of one self and post them on social media as a way to make up for the lack of self- esteem. While clicking a selfie, there is always a possibility that by incorrect stretching of the tendons, an injury can occur to joints like the elbow. Selfie elbow is more of an abnormal and repetitive loading of muscles around elbow, leading to micro ruptures, which cause inflammation and pain. Hence, this study intended to analyze the effects of eccentric exercises on selfie elbow.
Aim: To analyze the effectiveness of eccentric exercises on selfie elbow.
Method: This is an experimental study done in Faculty of physiotherapy, Dr. M.G.R Educational and Research Institute. After approval of the study by Institutional Review Board, both male and female with severe selfitis (using selfie behaviour questionnaire) between 18-21 years having pain on lateral epicondyle & lateral forearm with positive cozens were included in the study. The subjects with any musculoskeletal injuries, neurological disorders and having pain due to other reasons were excluded. Eccentric exercises protocol was given for four weeks along with patient education program. All the exercises was performed 5times/weeks, 3 sets, 1 set = 15 rep, 1 min rest between each Set.
Results: A Positive Association was found between the selfie behaviour scale & oxford elbow pain questionnaire in subjects with selfitis and on comparing the oxford elbow pain questionnaire score significant improvement in the post test mean value was seen which suggest that eccentric exercise program is effective in selfie elbow.
Conclusion: The result of this study suggests that proper patient education and eccentric exercise program among selfie takers with sefie elbow will reduce the pain over the lateral epicondyle.