Indian Journal of Public Health Research & Development

Fahad Shahul Hameed ¹, Saumya Srivastava ²

Affiliations
1 Post Graduate Student, Nitte Institute of Physiotherapy, Derlakatte, Mangalore, Karnataka, IN
2 Assistant Professor, Nitte Institute of Physiotherapy, Derlakatte, Mangalore, Karnataka, IN

Abstract

Background: Plantar fasciitis is a repetitive micro trauma overloaded injury of the attachment of plantar fascia at the inferior aspect of the calcaneum. It results into inflammation and thickening of the fascia causing heel pain. Myofascial release (MFR)is a manual therapy technique which can be used to release the tension developed in the thickened fascia. Self-Myofascial Release (SMFR) can be given with a variety of tools such as foam rollers and tennis ball. They are easy, harmless and cost effective method of giving SMFR. However, the efficacy of the technique in plantar fasciitis is not yet clear.

Objective: To compare the effect of SMFR technique using foam roller and tennis ball in subjects with plantar fasciitis.

Method: Thirty-twoeligible patients were recruited for the study. They were allocated into either group A (n = 16) and group B (n=16). Group A was given SMFR with Foam roller and group B was given SMFR with tennis ball. The intervention was given for 2 weeks (5 days/week). Visual analogue scale (VAS) and Foot and Ankle Disability Index (FADI) outcome measures were taken both at baseline and after 2 weeks of intervention.

Results: Both group A and group B showed significant improvement in VAS and FADI after two weeks of interventions (p value <0.05). However between groups comparison were statistically insignificant (p value>0.05) for both the outcome measures.

Conclusion: This study concludes that SMFR with both foam roller and tennis ball showed improvement in pain and muscle function i.e. both interventions were equally effective. Neither of the method was found superior than the other.

Keywords

Heel Pain, Plantar Fasciitis, Foam Roller, Tennis Ball, Self-Myofascial Release, Manual Therapy.

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Mistry Nirali ¹, Saumya Srivastava ²

Affiliations
1 Post Graduate Student, NITTE Institute of Physiotherapy, Derlakatte, Mangalore, Karnataka, IN
2 Assistant Professor, NITTE Institute of Physiotherapy, Derlakatte, Mangalore, Karnataka, IN

Abstract

“Added Effect of Deep Breathing and Diaphragmatic Breathing Exercise in Upper Abdominal Surgery Patients: A Randomised Clinical Trial” Background: PPC complication like at elect as is, reduced lung capacity, secretions, etc. are the most common complications seen in the patients undergoing upper abdominal surgery patients. Literature suggests that deep breathing and diaphragmatic breathing exercise is effective in reducing these complications. Aim: To evaluate the added effect of deep breathing and diaphragmatic breathing exercise in upper abdominal surgery patients. Method/Design: Thirty six patients with upper abdominal surgery were randomised into 3 groups by block randomization opaque sealed envelope method. Group A, B and C were given diaphragmatic breathing, deep breathing and combined deep and diaphragmatic breathing exercises respectively. Outcomes were taken on post-operative day 2 and day 7 for pulmonary function test (FVC, FEV1), chest expansion measurement with inch tape, and AMPAC6-click scale. Results: Between the groups analysis using ANOVA showed that there was no significant difference between the groups in pre-and post-values (>0.05). Within the group analysis using paired t- test showed a significant difference (p<0.05) in the pre-and post-vales of chest expansion measurement and AMPAC scale but not in pulmonary function test. Conclusion: We concluded that combine application of diaphragmatic breathing and deep breathing exercise did not yield a statistically significant improvement but diaphragmatic breathing and the deep breathing exercise can be given individually. This gave a significant improvement in the post-operative pulmonary complication in the upper abdominal surgery.

Keywords

Respiratory physiotherapy, abdominal surgery, pulmonary function, deep breathing, pulmonary complications, physiotherapy.

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