Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Abhay Kumar ¹, K. Soman Sharad ², Anwer Shahnawaz ³

Affiliations
1 Department of Physiotherapy, National Institute for the Orthopaedically Handicapped (NIOH), Kolkata (WB), IN
2 M.P.T. (Orthopaedics), Asst. Professor (Physiotherapy), Department of Physiotherapy, NIOH, Kolkata (WB, IN
3 M.P.T. (Orthopaedics), Physical Therapist, Department of Physiotherapy, NIOH, Kolkata (WB), IN

Abstract

A barrier-free environment is one which enables people with disabilities to move about safely and freely and to be independent functioning member of the society in everyday activities such as procurement of goods and services, community living, employment, and leisure. In India the C.P.W.D Ministry of Urban affairs and employment has detailed the guidelines for making the environment barrier free for People with disability. This case study was carried out to assess the extent of application of these guidelines at an Automatic Teller Machine by evaluating the accessibility for a wheel chair user. Certain specifications were found as per guidelines but problems were identified in ramp slope, ATM height, absence of horizontal surface near entrance and difficulty in leg clearance. A few modifications and use of FACT V like models could enable wheelchair users to be independent in using an ATM.

Keywords

Barrier Free Environment, Wheel Chair Users, ATM

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Anwer Shahnawaz ¹, Equebal Ameed ²

Affiliations
1 M.P.T. (Orthopaedics), Physiotherapist, Department of Physiotherapy, IN
2 MD (PMR), Assistant Director (Training), Department of Physical Medicine & Rehabilitation, National Institute for the Orthopaedically Handicapped (NIOH), B.T.Road, Bonhoogly, Kolkata (WB), IN

Abstract

Patients with rheumatoid arthritis have an increased risk of cardiovascular disease (CVD). Cardiovascular event rates are markedly increased in rheumatoid arthritis (RA). Data from populationand clinic-based epidemiologic studies of rheumatoid arthritis patients suggest that individuals with rheumatoid arthritis are at risk for developing clinically evident congestive heart failure (CHF). The vasculature plays a crucial role in inflammation, angiogenesis, and atherosclerosis associated with the pathogenesis of inflammatory rheumatic diseases. There is overwhelming evidence that, in the general population and several at risk subpopulations, exercise provides significant physical and psychosocial benefits, and facilitates management and improvements of outcome in Rheumatic disease. There is increased recognition of the need for structured preventive strategies to reduce the risk of CVD in patients with RA. In this review, the research agenda for understanding and preventing CVD co-morbidity in patients with rheumatoid arthritis is discussed.

Keywords

Rheumatoid Arthritis, Cardiovascular Disease, Inflammation, Exercise

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