Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Abstract

Objective: To study the effect of Swiss ball therapy & Balance board therapy on improvement of balance in geriatric age group.

Design: Randomized clinical trial.

Methodology: 30 participant of age above 65 were randomly assigned into two groups. Group A and Group B. Group A were given Swiss ball therapy and Group B were given balance board therapy. Both the group were assess with Tinetti Performance Oriented Mobility Assessment (POMA)

Results: The results of this study were analyzed in terms of age and Tinneti Performance Oriented Mobility Assessment (POMA). Pre and post statistical analysis was done within and between the two groups (p =0.001 )

Conclusion: Swiss ball therapy and balance board therapy both equally effective in improving balance in geriatric population.

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Abstract

Objective: To compare the effect of relaxation exercise and the 12 moves of yoga on anxiety in young adult students.

Background: Earlier studies have described the effect of exercise traning and yoga intervention on anxiey.There is lack of study comparing the effect of both interventions on anxiety in young adults.

Methods: Sample size of 30 young adults who were having anxiety according to the Hamilton Anxiety Rating Scale and who satisfied the inclusion criteria was taken and divided into two groups. Group A which included 15 participants were given relaxation exercise (Ost's method) and Group B consisting of 15 participants were given the 12 moves of yoga. The interventions were given for seven days to both the groups and were assessed pre and post intervention using Hamilton Anxiety Rating Scale and the difference was noted.

Results: The results of this study were analysed in terms of age, gender and Hamilton anxiety rating scale. Pre and post statistical analysis was done within and between the two groups.

Conclusion: Relaxation technique (Ost's method) and the 12 moves of yoga both were found to be equally effective in reducing anxiety in young adults.

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Abstract

Objective: The objective of the study was to evaluate and compare the reaction time of the middle aged and old age individuals with type II diabetes mellitus.

Methodology: Thirty individuals having diabetes mellitus of age 40 to 60 were randomly allotted in two groups. The individuals between 40 to 60 years were allotted to Group A and those between 60 to 80 years were allotted to Group B. The reaction time of both the groups were evaluated by using Drop Ruler Test and compared.

Results: Results showed that the reaction time in Group A was 0.19 seconds (±0.01) and in group B it was 0.21 seconds (±0.01). The reaction time was more in group B compared to group A but was not statistically significant. The co-relation co-efficient between age and reaction time of the two groups combined was r=0.605

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Abstract

Methodology: 30 individuals were recruited and randomized into two groups A and B. 14 days intervention was given in which group A received the conventional core strengthening exercise and group B underwent Swiss ball balance training program. Pre-intervention and post intervention scores of Timed Up and Go (TUG) test and Functional Reach Test (FRT) was measured and data were analyzed using t test.

Results: The pre and post comparison of TUG and FRT showed significant change in balance in both the groups (p< 0.001). Comparison of group A and group B however showed no difference in the outcome measures (p> 0.001).

Conclusion: Both conventional and Swiss ball exercise program were proved to be equally effective in improving balance in geriatrics.

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Abstract

Background and Objectives

Diabetes mellitus (DM) is a prevalent disease considered to be a Public Health problem, with high social and economic costs1. Among the clinical complications of DM there are blindness, renal insufficiency, peripheral neuropathy2,3 and many more. Peripheral neuropathy seems to develop as an autonomic and sensorial disturbance and as a progressive and irreversible motor disease4. It can interrupt the afferent and efferent functions of the lower extremities that are responsible for maintaining normal posture and normal walking5. As a consequence, proprioception is lost hence balance is lost. Little is known about possible treatment strategies. This study evaluates the effects of a customised training programme on proprioception and balance in diabetic patients.

Methodology

The present clinical trial was conducted among 20 patients (n=20) referred to K.L.E'S Institute of Physiotherapy who were clinically diagnosed with diabetes and fulfilling the inclusion criteria. Ethical clearance was obtained from the institution. Written informed consent was taken from the participants. The intervention consisted of physiotherapeutic training including proprioceptive and balance exercises (daily over 1 month). Outcome measures used in the study was Berg Balance scale, Falls Efficacy Scale International & was measured before and after completion of therapy.

Results

After intervention, the subjects showed improved balance (p=0.000) and the FES-I score (p=0.000) which were highly significant. Results of the study are highly significant and confirmed that approach to balance in diabetes mellitus patients should be customised. Customised Proprioception&Balance training is effective in diabetic patients which (BBS score, p =.0000) reduced risk of falls (FES, p= .000) in diabetics. Findings are being well co related with previous findings of balance and proprioceptive trainings which proved to be effective1-6.

Conclusion

A customized proprioceptive and balance training programme based on a individual needs and functional limitations can improve proprioception and balance and also decrease the risk of falls.

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Abstract

Introduction

Guillian Barre Syndrome (GBS) is an acute inflammatory demyelinating polyradiculopathy that affects nerve ischolar_mains and peripheral nerves leading to motor neuropathy and flaccid paralysis. Rehabilitation helps an individual become functionally independent.

Objective

1. To evaluate the effectiveness of functional mobility training and strengthening exercises in GBS patients. 2. To evaluate the effectiveness of strengthening exercises alone in GBS patients. 3. To compare the effectiveness of combined functional mobility training and strengthening exercises and strengthening exercises alone in GBS patients.

Material and Methods

Data was collected from KLES Dr. Prabhakar Kore hospital, Belgaum. 8 patients both males and females diagnosed with GBS were conveniently taken into the study. 2 groups were done consisting of 4 patients in each group. Group A received only strengthening exercises only and group B received combined functional mobility training and strengthening exercises. Outcome measures Overall Disability Sum Score and MMT will be measured before and after completion of therapy.

Result

After 15 days of treatment, after comparing both the groups, group B showed higher significance than group A for ODSS (P 0.003) but MMT showed no significant difference in the p values.

Conclusion

Hence, combined functional mobility training and strengthening exercises showed improvement in GBS patients.

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Objective

To assess the therapeutic effect of Mackenzie manipulation, Neural mobilization and conventional method, and to compare their efficacy for treatment of cervical radiculopathy.

Design

Arandomized controlled trial comparing Mackenzie manipulation, Neural mobilization and conventional method.

Setting

OPD of 3different center Sample 30 participants with cervical radiculopathy randomly allotted to 3 different groups.

Method

All three groups were given SWD and ICT. And also Group A undergone Mackenzie manipulation, group B given with Neural mobilization and controlled group was exposed to SWD and ICT only.

Result

Group A after 5 days of treatment shown mean reduction of pain in neck 65 % ±8.17%&by 10th day 91.5 % ±6.68%. Mean percentage of reduction in pain for right arm was 72.85% on 5th day and 97.14 % on 10th days with t value 9.552 and p less than 0.001.Mean percentage of improvement in left arm for group A was 73 % on 5th day and 96 % in 10th day with t value 3.467 and p value less than 0.02. Group B achieved mean reduction in their pain in neck by 50% ±16.67% and by 10th day the relief of pain was 75.50% ± 17.71%, 50% reduction in right arm pain on 5th day and 85.83 % on 10th day with t value 14.628 and p less than 0.0001. Mean percentage of improvement in left arm for group B was 44.71 % on fifth day and 87.27 % in tenth day with t value 8.708 and p value less than 0.001. Group C got 50.50 % ±13.43% after 5th day of treatment and 88.6% with 8.83 % neck pain reduction by tenth day of treatment. In this group right arm pain reduced by 48.33% on 5th day and85.83 % by 10th day with t value 10.434 and p value less than 0.001. Mean percentage of improvement in left arm for group C was 57.5 % on 5th day and 96.67 % in 10th day with t value 9.400 and p value less than 0.001. It is clear that Group A achieved maximum improvement in 5 days and group C achieved better improvement between 5th to tenth day compared to other two groups. For establishing the statistical significance paired t test was performed which gave following result; Group A resulted t value was 10.24 with p value) 0.0001, Group B with t value 5.106 with p value 0.001 and group C with t value 14.596 and p value) 0.0001.All these readings shows that treatment model of A group was most effective followed by treatment model of group C. The recovery of range of motion is even in all these methods Improvement level is between 90 to 100%.

Conclusion

Pain reduction and symptoms were maximum in first 5 days in the patients treated with McKenzie method Conventional method gave more relief between 5th and 10th day of treatment, Range of motion recovery was even in all the methods used in this study.

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