A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Shah, Chintan
- Prediction of Relationship of Visual Attention Deficits to Balance and Functional Outcome in Persons with Subacute Stroke
Authors
1 Spb Physiotherapy College, Surat, IN
2 U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 31-36Abstract
Background: Stroke is a focal neurological disorder lasting for more than twenty-four hours, giving rise to functional disabilities in speech, vision, balance and ADL. As stroke has been found to impair vision, balance and ADL, this study is done to predict the relationship of visual attention deficits to balance and functional outcomes in persons with subacute stroke. Awareness of such relationship may be of useful assistance to the physiotherapists in planning treatment interventions in persons with subacute stroke.Objective: To predict and estimate strength of the relationship of visual attention deficit to balance and functional outcomes in persons with subacute stroke.
Materials and Methods: 50 subjects with subacute stroke were selected for the study. All the patients were assessed on the basis of Star Cancellation Test (SCT), Berg Balance Scale (BBS) and Barthel Index (BI) for visual attention, balance and functional outcomes respectively both at the time of discharge from the hospital and also after 6 months post-stroke. At the end of the study, visual attention scores were correlated (using Pearson product correlation "r" value) with the balance scores and functional outcome scores obtained at the time of discharge from the hospital and 6 months post-stroke.
Result: Mean±SD of scores for Star Cancellation test, Berg Balance scale and Barthel index measured at the time of discharge from hospital and 6 months post stroke was 48.09±2.04, 49.86±1.91, 40.00±2.00, 42.60±1.90, 70.00±10.00, 75.10±9.92 respectively. Moreover, there was strong positive and highly significant correlation of SCT scores with BBS scores and BI scores both at the time of discharge and 6 months post stroke.
Interpretation & Conclusion: Visual attention deficit is an important factor to predict the balance and functional outcomes in persons with subacute stroke.
Keywords
Stroke, Visual Attention Deficit, Balance, Functional Outcome
References
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- A Comparative Study of effectiveness between Superficial Heat and Deep Heat along with Static Stretching to Improve the Plantar Flexors Flexibility in Females Wearing High Heel Foot Wears
Authors
1 U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, IN
2 SPB Physiotherapy College, Surat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 58-64Abstract
Background: Lower extremity overuse injuries commonly occurs due to decreased flexibility of plantar flexor muscles in females wearing high heeled foot wears. Plantar flexors shortening are treated by various physiotherapeutic techniques. Superficial heat (moist heat) and Deep heat (ultra sound) along with static stretching are treatment techniques used in physiotherapy.Objective: To compare the effectiveness of superficial heat and Deep heat in combination with static stretching in improving the plantar flexors flexibility in females wearing high heeled footwears.
Method: The study included a sample of 40 individuals those who were wearing high heel > 2 inch. Out of that 20 individuals were in superficial heating group (group A) where moist heat was administered for 15 minutes to Achilles tendon, and remaining 20 individuals were in deep heating group (group B) where continuous ultrasound with frequency of 1 MHz at an intensity of 1.5 W/Cm2 was administered for 7 minutes to the Achilles tendon. Both the groups received 30 seconds of static stretch with 4 repetitions performed 5 times per week. The duration of entire study was 3 weeks and both the group received 1 session per day. Analysis was based on the Goniometer test score.
Result: Both the group A and group B showed improvement in ankle ROM postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post difference in right ankle dorsiflexion ROM for group A was 2.90±1.37 and for group B was 4.25±0.85 and Mean±SD of pre-post difference in left ankle dorsiflexion ROM for group A was 3.60±1.04 and for group B was 4.35±0.74. 't'calculated value for pre-post ROM difference was statistically significant as it was above the 't' tabulated value of 1.96.
Interpretation & Conclusion: There was significant difference between the two groups. In conclusion both the treatment programs are highly significant and effective in improving the ankle joint ROM, but ultrasound with deep heating property was found to be more superior as compared to moist heat pack with superficial heating property in improving plantar flexors flexibility in females wearing high heel foot wears.
Keywords
Flexibility, Ultrasound Therapy, Moist Heat, Static StretchingReferences
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- Randomized Controlled trial of Group Versus Individual Physiotherapy Sessions for Genuine Stress Incontinence in Women
Authors
1 SPB Physiotherapy College, Surat, IN
2 SPB Physiotherapy College, Surat
3 U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 110-115Abstract
Background: Pelvic floor muscle exercises are used since 1948 as first-line treatment for management of genuine stress incontinence in women. This pelvic floor muscle exercises can be delivered simultaneously to a group of women or individually on a one to one basis.Objective: The purpose of this study was to compare the effects of group physiotherapy and individual physiotherapy sessions on the severity of incontinence & quality of life in patients with genuine stress incontinence.
Materials and Methods: 40 women with chronic genuine stress incontinence were randomized into Group A - where women were delivered the pelvic floor muscle exercises in a group of 10 (n=20) & Group B - where pelvic floor muscle exercise on a conventional one to one basis, the individual approach (n=20) were administered. Outcome measures which included VAS for measuring severity of incontinence & King's health questionnaire for assessing quality of life were taken at baseline & at the end of 3 months intervention program.
Results: Both the group A and group B showed improvement in severity of incontinence and quality of life postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post change in VAS for group A was 2.02±0.46 and for group B was 1.94±0.43 and King's Health Questionnaire scores for group A was 30.09±5.3 and for group B was 21.51±6.73. 't'calculated value for pre-post changes was statistically not significant as it was below the 't' tabulated value of 2.576.
Conclusion: Both group and individual physiotherapy pelvic floor muscle exercises for women with genuine stress incontinence are equally effective. One may choose anyone of it to gain benefits.
Keywords
Genuine Stress Incontinence, Pelvic Floor Muscle Exercise, Group Physiotherapy, Individual PhysiotherapyReferences
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