Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Tanwir Ahmad ¹, Ona P. Desai ², Kamal Narayan Arya ³, K. Ramesh Arya ⁴

Affiliations
1 Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Jamia Hamdard, IN
2 HOD, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Jamia Hamdard, IN
3 PDU Institute for the Physically Handicapped, IN
4 Occupational Therapist & HOD, G.B Pant Hospital, New Delhi, IN

Abstract

Complex regional pain syndrome - 1 (CRPS-1), known by various names is a devastating condition seen as secondary complication in post stroke patients. This condition not only reduces the functional level but also making the rehabilitation process difficult and affects over all quality of life of the patient. Its prevalence has been reported from 70% to 12.5% which usually occur between 2nd and 3rd month post stroke. Being multifactorial in nature its pathophysiology is unknown and hence difficult to manage. If the associated factors are known and understood, the problem can be prevented in post stroke population. This study is an attempt to explore various factors associated with CRPS-1 in stroke patients. A cross sectional survey was done on 63 stroke patients by using a questionnaire. Factors such as pain, age, gender, type, duration and side of stroke, hand dominance, recovery stage, tone, shoulder subluxation, edema, infusion to paretic arm and psychological factors etc were studied. 10% of the subjects were diagnosed as definite, probable or doubtful CRPS-1. Shoulder subluxation, spasticity, repeated invasive procedures on affected arm were factors found to be strongly associated with this complication. In the absence of exact etiology of CRPS-1 the therapy related factors explored through the study should be understood and given utmost importance for management of post stroke patients.

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Nirupma Singh ¹, Kamal Narayan Arya ²

Affiliations
1 Jamia Hamdard, New Delhi, IN
2 PDDUIPH New Delhi, IN

Abstract

In addition to well documented effects on microvascular and macrovascular complications , functional disability is an important complication of type II Diabetes, which leads to loss of independence and ultimately diminished quality of life. Polycystic ovary syndrome and gestational diabetes are the additional factors for type II diabetes in women along with other factors.

Method: Design: Non systematic Review study. Twenty three full text articles of last 10 years were reviewed .Source : sciencedirect, pubmed, Cochrane database and google scholar

Result: Many cross sectional and longitudinal studies have proved that > 50 % of older diabetic women report difficulty in performing daily functional activities such as climbing stairs, walking, doing housework, shopping and cooking. Cause is multifactorial. Rehabilitative intervention can be of huge benefit for managing such functional disability. Identification of environmental and behavirol contributors to performance difficulties and multicomponent Rehabilitative intervention such as control enhancing strategy (like behavioral, environmental&cognitive modification) and balance&strength training has found to be effective.

Conclusion: Rehabilitative intervention has an greater and more active role in management of functional disability in type II diabetes in older women.

Keywords

Type II Diabetes, Functional Disability, Occupational Therapy, Physiotherapy, Older Women

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