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
Khatri, S. M.
- Utility of Checklist for Low Back Pain History
Authors
1 Pravara Institute of Medical Sciences, Loni, Maharashtra state, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 113-115Abstract
Background: Traditionally, clinical teaching pertaining to history taking skills from patient with lowback pain is taught to postgraduate physiotherapy students. However, history obtained by various
students may differ and hence there is need for an instrument that can be used to obtain standard
history.
<p>Objectives: Primary objective of this study was to find out the utility of investigator developed
checklist in low back pain history taking by Postgraduate Physiotherapy students. Secondary objective
of this study was to find out students perception about this checklist.</p>
<p>Methods: Postgraduate students were asked to take focused history about low back pain from a
standardised patient and their performance was recorded with the 28 items checklist. After this, they
were provided a copy of checklist to read and then they were requested to re-obtain the history.</p>
<p>Results: An average score without reading the checklist was 17/28 and after reading the checklist
and this score was 22/28 when they re-obtained the history. 100% of students liked this way of
obtaining the history from low back pain patients and 17% of students felt that this will increase
paper work dependency and will limit creative thinking.</p>
<p>Conclusion: The use of checklist may serve as a valuable tool in low back pain history taking skills.</p>
Keywords
Low Back Pain, Checklist, Standardised Patient, History and, Clinical Skill
References
- Peter Lekkas et al. No model of clinical education for physiotherapy students is superior to another: a systematic review. Australian Journal of Physiotherapy 2007; 53:19.
- Robert W Jarski. Clinical teaching in physical therapy: student and teacher perceptions. Physical therapy 1990;70(3):36-41.
- Robert M. Rippey. The evaluation of teaching in medical schools. Springer series on medical education ,Vol 2.
- Medical Teacher ,Henry Brodaty.
- David A. Nardone, James B. Reuler, Donald E. Girard. Teaching History-Taking: Where Are We?The Yale Journal Of Biology And Medicine 1980;53:233-250.
- Emery MJ: Effectiveness of the clinical instructor: Students’ perspecrive. Phys Ther 1984; 64: 1079-1083.
- Scully RM, Shepard KF: Clinical teaching in physical therapy education: An ethnographic study. Phys Ther 1983;63:349-358.
- Gjerde CL, Coble RJ: Resident and faculty perceptions of effective clinical teaching in family practice. J Fam Pract 1982;14323-327.
- lrby DM: Clinical teacher effectiveness in medicine. J Med Educ 1978;53:80;815.
- Stritter IT, Hain JD, Grimes DA: Clinical teaching reexamined. J Med Educ 1975;50;87&882.
- Henry N. Wagner. Videotape in the teaching medical history taking. Journal of Medical Education 1967; vol 42:1055-58.
- Immediate Effect of Jacobson's Progressive Muscular Relaxation in Hypertension
Authors
1 College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Ahmednagar, District, Maharashtra State, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 234-237Abstract
Objective: To study the effectiveness of Jacobson's relaxation techniques as an adjunct therapy in control of hypertension.Design: A Experimental study.
Setting: Constituent colleges of Pravara Institute of Medical Sciences (Deemed University) and the colleges of Pravara Rural Education Society in the vicinity. Cardio-respiratory Physiotherapy Department, College of Physiotherapy & Pravara Rural Hospital (Tertiary Hospital), Loni, Tal- Rahata, Dist- Ahmednagar , Maharashtra State, India- 413 736.
Participants: A total of 250 college teachers were screened for hypertension. Out of which 105 subjects were found suitable and willing for participation in the study.
Interventions: Jacobson's progressive muscle relaxation lying in supine position for 30 minutes.
Main outcome measures: Blood pressure and Heart rate.
Results: Significant difference was noted in systolic & diastolic blood pressure and heart rate immediately after 30 minutes of Jacobson's progressive muscular relaxation technique.
Conclusions: Jacobson's progressive muscular relaxation may be used as an adjuvant therapy for immediate control of hypertension. Clinical Trial Registration Number: (PMT/PIMS/RC/ 2012/06)
Keywords
Hypertension, Relaxation, Blood Pressure and Heart RateReferences
- Khadilkar HA, Ghattargi CH, Thite GH.(2004) Study of Prevalence of hypertension and sociodemographic factors in a rural community of Maharashtra. South Asian Journal of Preventive Cardiology; 8(4): 205-210
- Contractor A.(Jul-Sep 2002) Role of exercise in prevention and treatment of hypertension. Hypertension India; 18(3):52-63
- Maiya M.(2002) Improving Hypertension Control: A Challenge. Hypertension India;17(4):83-88
- Gupta R. Hypertension in Indian Scenario. Hypertension India; 15(1):5-12
- Wallace JP.(2003) Exercise in Hypertension: A Clinical Review. Sports Med;33(8):1-12.
- Khatri SM, Singharvelan RM, Romi HN(2012): Effectiveness of Jacobson’s Relaxation Technique in Hypertension: IJHSR:1:2:16-21.
- Sheu, Sheila RN, PhD; Irvin, Barbara L. RN, PhD(2003); Lin, Huey-Shyan; Mar, Chun-Lin: Effects of Progressive Muscle Relaxation on Blood Pressure and Psychosocial Status for Clients with Essential Hypertension in Taiwan: Holistic Nursing Practices:17:1:41-47.
- Linda Brookers, Robert Rowan, Constance Schrader,(1997) Control of Hypertension, Community health Science. DASH Collaborative Research Group. NEJM ;336:1117-24.
- NC VI- (1997) The sixth Report of the Joint National Committee on prevention,. Detection, Evaluation and Treatment of High Blood Pressure. Arch Intern Med.; 15fl4 13-46.
- George M. Manesh,(2000) Bombardier C. et at Clinical Approach to Hypertension. Harvard publication. 43:1520-1528.
- Pescatello, Linda S, Franklin, Barry A. (March 2004) Exercise and Hypertension. Medicine & Science in Sports & Exercise. 36(3):533-553.
- Lesniak, Karen T.; Dubbert, (November 2001) Exercise and hypertension Patricia Current Opinion in Cardiology. 16(6):356-359.
- Stephen Archer, MD; Stuart Rich, MD (2000) Primary Pulmonary Hypertension. A Vascular Biology and Translational Research “Work in Progress”. Clinical Cardiology: New Frontiers; Circulation; 102:2781-2791.
- Gupta R. (1999) Hypertension in India–definition, prevalence and evaluation. Journal of Indian Medical Association ; 97(3): 74-80.
- F.Ranjbar, F. Akbarzadeh, B. Kazemi, A. Safaeiyan, (Feburary 11,2007,Accepted:May 1,2007) Relaxation therapy in the background of standard antihypertensive drug treatment is effective in management of moderate to severe essential hypertension.
- Bernstein PL, Jacobson BF, Connor MD, Becker PJ. (Epub Nov 2008,Feb 15, 2009)
- Aspirin resistance in South African Caucasian patients with thrombotic cerebrovascular events. J Neurol Sci.;277(1-2):80-2.
- Yung P, French P, Leung B.(2001) Relaxation training as complementary case for mild hypertension control and the implications of evidence-based medicine. Complementary Therapy Nursing Midwifery ;7:59- 65.
- Gregory L. (1997): Exercise Management for Persons with Chronic Diseases and Disabilities. American College of Sports Medicine. Human Kinetics: Illinois, pp. 59-63.
- David Zieve, MD, MHA, and David R. Eltz. (Sept 26,2010) Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, , AZ. Review provided by VeriMed Healthcare Network , Phoenix.
- Computerised Dynography in Hemiparesis: Case Study
Authors
1 College of Physiotherapy, Pravara Institute of Medical Sciences (PIMS), Loni, Maharashtra State-413736, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 1 (2012), Pagination: 5-7Abstract
The purpose of this study was to assess the gait asymmetries in terms of temporal and force gait parameters using Computer Dynography (CDG) system in a hemiparetic person. A 72 year male patient diagnosed as right sided cerebrovascular accident was referred to physiotherapy department with complaints of weakness in left upper&lower limbs and difficulty in walking in terms of impaired foot clearance since one and half year. His computerised gait dynography was done with Computer DynoGraphy (CDG)® system (Infotronic, Netherlands, http://www.infotronic.nl). It was found that there was asymmetry in his cyclogram, gait line, histogram, force gait line, force graphic, step times which included gait cycle, frequency, symmetry ratio, single support time, double support time, single swing, stance time and step time. Hence, it was concluded that CDG may be considered as one of the useful clinical tool for the assessment of gait asymmetries in hemiparetic patient so as to plan therapeutic interventions.- Physiotherapist’s Emotional Quotient and Patient Satisfaction
Authors
1 College of Physiotherapy, Pravara Institute of Medical Sciences, Loni 413 736, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 1 (2012), Pagination: 149-151Abstract
Physiotherapist's emotional quotient and patient satisfaction
Background
Emotional intelligence and job satisfaction are an important personal attributes involved in physiotherapy practice. However, there is hardly any study that has compared the relationship between physiotherapist's emotional quotient, job satisfaction and patient satisfaction.
Design
A cross sectional and co- relational survey research design.
Objectives
The main objective of this study was to find out any associations between Physiotherapist's emotional quotient, job satisfaction and patient physiotherapist relationship in terms of patient satisfaction at Pravara Hospital, Loni, Tal: Rahata, Dist: Ahmednagar, Maharashtra state, 413 736.
Methods
A total of forty outpatients reporting to orthopedic, neurology, pediatrics and community physiotherapy departments and 18 physiotherapists who were treating these patients were surveyed. Data were collected by means of emotional intelligence questionnaire, Minnesota satisfaction questionnaire and physiotherapy patient satisfaction questionnaire.
Results
There was no significant correlation coefficient between physiotherapist's emotional quotient, job satisfaction and patient satisfaction (p = 0.3936).
Conclusion
It can be concluded that patient satisfaction may not depend on emotional quotient and job satisfaction of physiotherapist but probably depend on multiple factors like their knowledge, skills, experience and clinical expertise.
Keywords
Physiotherapists, Emotions, Intelligence, Patient Satisfaction, Job Satisfaction, Psychology, Trust- Subscapularis a Hidden Culprit in Shoulder Pain: A Case Report
Authors
1 College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra state, India- 413 736, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 1 (2012), Pagination: 170-171Abstract
The Purpose of This Study was to Evaluate the Effectiveness of Subscapularis Release in a Patient with Shoulder Pain. a 50 Year Old Male Patient (mr.s.g.) who was Diagnosed of having Left Sided Frozen Shoulder was Referred to Physiotherapy Department. the Patient had Complains of Pain and Difficulty in Shoulder Movement since Five Months. he Experienced Severe Pain (8.3/10 on Visual Analogue Scale) on Active Left Shoulder External Rotation and the Range of his Active External Rotation was 38 Degree. on Physical Examination, Subscapularis Tenderness was Found. Hence, an Attempt was Done to Find out an Immediate Effectiveness of Subscapularis Release on Intensity of Pain and Active Range of External Rotation. Subscapularis Release was Done for Seven Minutes. we Found that there was a Significant Improvement in the Range of Active External Rotation from 38 to 52 Degree and Decrease in the Intensity of Pain from 8.3/10 to 6.5/10 Immediately after the Subscapularis Release.Keywords
Subscapularis Muscle, Active External Rotation, Soft Tissue Release And Shoulder PainReferences
- http://www.marksdailyapple.com/ (accessed on 20th June 2010).
- www.aafp.org/990401ap/1843.html (accessed on 25th June 2010).
- www.nmtcentre.com/subscapularis.pdf (accessed on 30th June 2010)
- Fairbank JCT Couper J, Davies JB: The Oswestry low back pain questionnaire, Physiotherapy 1980; 66: 271-273.
- Grubbs N: Frozen shoulder syndrome- a review of literature. JOSPT: 1993:18:3
- www.KentHealth.com (accessed on 1st July 2010).
- Cynthia C. Norkin: Joint Structure and Function, 3rd Ed. Jaypee Brothers, New Delhi, 2001; 10: 220.
- Joseph J. Godges, Melodie Mattson-Bell, Donna Thorpe, Drashti Shah: The Immediate Effects of Soft Tissue Mobilization with Proprioceptive Neuromuscular Facilitation on Glenohumeral External Rotation and Overhead Reach. JOSPT: 2003:33:12:713-718.
- Effectiveness of Therapeutic Ultrasound in Identification of Tibial Stress Fractures
Authors
1 Department of Sports Medicine and Physiotherapy, G.N.D.U. Amritsar , Professor and Principal, KLES Institute of Physiotherapy, J.N.M.C. campus, Belgaum 590010, Karnataka, IN
2 Department of Sport Medicine & Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, IN
3 Department of Radio-Diagnosis, J. N. Medical College, Belgaum, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 2, No 1 (2008), Pagination: 51-53Abstract
Objective: To determine how accurately continuous wave therapeutic ultrasound with 3 MHz frequency could identify tibial stress fractures as revealed by X-ray and Magnetic resonance imaging.
Materials and Methods: One hundred - fifty patients with suspected unilateral tibial stress fracture volunteered for this study from March 2003 to December 2006. Continuous, 3MHz ultrasound was applied to uninvolved (control) and involved tibias with 2w/cm2 intensity for 30 seconds. Pain responses to ultrasound was noted in terms of visual analogue scale and investigating physiotherapist put up one of the two responses such as no stress fracture (VAS 0 to 5) and stress fracture (VAS 5 to 10). Results of ultrasound test were compared with X-ray and MRI findings to determine if continuous therapeutic ultrasound could predict whether subject had tibial stress fracture or no tibial stress fracture.
Results: Therapeutic ultrasound has better sensitivity, less specificity and accuracy as that of X - ray when compared with magnetic resonance imaging as a gold standard. The predicted sensitivity, specificity and accuracy of therapeutic ultrasound were 43.03%, 32.39% and 38% respectively.
Conclusion: Ultrasound is not accurate enough to serve at present as a substitute for MRI, particularly because of the considerable proportion of false positives.
Keywords
Stress Fracture, Bone Remodeling, Ultrasound, Radiograph- Effect of Passive Pelvic Fixation on Non-Specific lumbopelvic Pain: A Case Report
Authors
1 College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra State, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 47-50Abstract
The purpose of this study was to evaluate the efficacy of passive pelvic fixation in a patient with lumbopelvic pain. A 35 year old male patient (Mr A. T) came to the Physiotherapy Department with the complaint of lumbopelvic pain and difficulty in forward bending since 30 days. He experienced severe pain which was 7.1/10 on Visual Analogue Scale on active lumbar flexion. On physical examination, paraspinal muscle spasm was present in the lumbopelvic area. Range of active lumbar flexion was 2cm as per Schober's method. Active Straight Leg Raising (ASLR) on right side was painful and range was 70 degrees. Hence, an attempt was made to find out an immediate effect of passive pelvic fixation on intensity of pain and active range of lumbar flexion. Pelvis was stabilised manually and patient performed active lumbar flexion 10 times. Patient was re-evaluated after every set of 10 repetitions. Total three sets of the above were given. There was remarkable relief of pain by 3.2/10 and 0.5cm increase in lumbar forward flexion range as per Schober's method. ASLR on right side increased to 85 degrees after the treatment. Hence, it was concluded that passive pelvic fixation can be used as an adjunct to routine physiotherapy interventions for immediate relief of low back pain and increase in spinal mobility.Keywords
Active Lumbar Movements, Lumbopelvic Pain, Passive Pelvic Fixation- Efficacy of Active Release Technique in Tennis Elbow – A Randomized Control Trial
Authors
1 Pravara Institute of Medical Sciences, Loni- 413 736, Maharashtra state, IN