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Dabholkar, Ajit
- Efficacy of Scapular Movement with Mobilization in Patients with Shoulder Impingement
Authors
1 Pad. Dr. D. Y. Patil University, Nerul, NaviMumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 20-24Abstract
Background & Purpose of the study: Scapular kinematic alterations have been demonstrated in subjects with impingement syndrome. These scapula movement alterations are believed to decrease the subacromial space by failing to move the acromion away from the humeral head during arm elevation resulting in increased compressive loads on the tendons of rotator cuff or long head of the biceps muscle. Mulligan's movement with mobilization (M.W.M) hypothesize that positional malalignment can be corrected with appropriate gliding. Thus this research investigates the efficacy of scapular movement with mobilization in patients with shoulder impingement.Aim: Efficacy of scapular movement with mobilization in patients with shoulder impingement
Objective: Assess immediate effect of scapular movement with mobilization in shoulder impingement
Research design: Exploratory study
Methodology: Scapula M.W.M was given to the patient, 10 repetitions thrice were repeated.
Outcome measures: Visual analogue scale was used to assess pain, Range of Motion in Scaption plane was assessed by using Goniometer, Supraspinatus strength assessment was assessed in Scaption plane, Shoulder pain and disability index (SPADI) was assessed
Data collection and analysis: Baseline data recorded for the outcome measures and post intervention data was statistically analyzed for the level of significance. Paired t-test was done for the same.
Results: Significant differences were observed with respect to various outcome measures studied. Visual analogue scale Mean difference is 2.880,Standard deviation difference is 1.447,95% confidence interval difference is 2.283 to 3.477,(p
Conclusion: Scapular movement with mobilization proved to be effective in patients with shoulder impingement
Keywords
Impingement Shoulder, Scapular Alteration, Movement with Mobilization
References
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- Common Musculoskeletal Problems Faced by Recreational Runners
Authors
1 Department of Physiotherapy, Padmashree Dr. D.Y.Patil University, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 221-226Abstract
Background and Purpose: Running is not an activity without risk, and one of the likely consequences of the popularity of running is that the absolute number of injuries in this population is also increasing.It was established a 100 years ago that biological tissue adapts to the level of stress placed upon it. Repeated applied stresses that are below the tensile limit of a structure lead to positive remodeling if sufficient time is provided between stress applications, whereas inadequate time between-stress applications ultimately results in an overuse injury. Most reported injuries related to recreational running are overuse or gradual onset injuries. Thus the aim of our survey is to investigate musculoskeletal problems in recreational runners.
Objectives: • Percentage of subjects experiencing pain due to running. • Most common site of pain. • Percentage of recreational runners experiencing muscle soreness following the run. • Percentage of recreational runners taking precautionary measures while running. • Determine the percentage of recreational runners wearing specific running shoes. • Most commonly used surface for running.
Study Design: Cross-sectional survey.
Methodology: 50 recreational runners were interviewed using a validated questionnaire. The results obtained were analyzed using simple percentage.
Results: 88% of the subjects experienced pain due to running. The knee (27%) was the most commonly reported site of pain. 72% of the subjects experienced muscle soreness following the run. 60% of the subjects took care of hydration while running. 78% of the subjects wore specific running shoes. Concrete surface (80%) was the most commonly used surface for running.
Conclusion: Majority of the subjects experienced pain due to running. The knee was the most common site of pain.
Keywords
Recreational Runners, Overuse Injuries, Running Shoes, Running SurfaceReferences
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- Comparison of Dynamic Balance Between Flat Feet and Normal Individuals Using Star Excursion Balance Test
Authors
1 Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, IN
2 BPTh, Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, IN
3 Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 27-31Abstract
Objectives: 1) To compare dynamic balance between flat feet and normal individuals using Star Excursion Balance Test (SEBT). 2) To determine the most affected excursion distance.
Research Design: Cross sectional study.
Method: 30 subjects with bilateral flexible flat feet as assessed by sit to stand navicular drop test and 30 subjects with normal feet both in the age group 18-25 years were chosen for the study. The sample size therefore was 120 feet (60 flat feet and 60 normal arched feet).The outcome assessed were sit to stand navicular drop test, calcaneum angle, width of the foot, great toe extension range of motion and SEBT.
Data analysis: Unpaired't' test using Graph Pad Instat software system was used.
Results: Extremely significant mean differences in sit to stand navicular drop test, calcaneum angle, width of the foot, great toe extension range of motion and SEBT was found in individuals with flat feet. Also the lateral excursion distance was least in these individuals (p<0.0001
Conclusion: Dynamic balance is affected in flat feet individuals.
Keywords
Flat Feet, SEBT, Pronation, Navicular Drop.- A Comparative Study of Ankle and Foot Characteristics in Knee Osteoarthritis Patients and Normals
Authors
1 Dr. D. Y. Patil University, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 1-6Abstract
AIM:
To compare ankle and foot characteristics of knee osteoarthritis patients with age and gender matched normal.
METHOD:
STUDY DESIGN:
Cross Sectional Study
STUDY SETTING:
Physiotherapy OPD, Pad. Dr. D. Y. Patil Hospital and Research Centre.
PARTICIPANTS:
In total, 60 participants:
• 30 patients with knee osteoarthritis- GROUP 1
• 30 age and gender matched normals- GROUP 2
OUTCOME MEASURES:
Foot posture index (FPI), navicular drop, calcaneal eversion angle, range of motion (ROM) of ankle dorsiflexion and first metatarsophalangeal (MTP) joint extension.
RESULTS:
Extremely significant differences in FPI scores, navicular drop, calcaneal eversion angle and ROM of ankle dorsiflexion and 1st MTP extension were seen between both the groups. Patients in group 1 had a pronated foot as compared to group 2 with mean FPI score of 7.03. Mean navicular drop in group 1 was 8.36mm and mean calcaneal angle was 15.53 degrees. Decreased ROM of ankle dorsiflexion and 1st MTP extension were observed in group 1.
CONCLUSION:
Patients with medial knee osteoarthritis have a pronated foot posture with greater navicular drop and calcaneal eversion angle. They also have a decreased ankle dorsiflexion and great toe extension as compared to normals. Thus foot assessment should be considered as an important component in the evaluation of patients with severe knee osteoarthritis. This can have implications for use of orthotics in the management of knee osteoarthritis.
Keywords
Medial Compartment Knee Osteoarthritis, Foot Posture Index, Navicular Drop, Calcaneal Eversion Angle, Ankle Dorsiflexion, First Mtp ExtensionReferences
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- Immediate Effect of Aerobic Exercise on Hand Function and Mental well being in Hypertensive Individuals
Authors
1 Department of physiotherapy, Pad. Dr. D. Y. Patil university, Nerul-Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 106-110Abstract
Background : Hypertensives often have impaired exercise tolerance and they are prone to develop coronary artery disease(CAD) which often results in functional disability. This pattern of cycle of inactivity and physical deconditioning consequently affects, daily activity and therefore quality of life is reduced.(1) person suffering from hypertension has diminished muscle strength, perceived fatigue, decrease in the sense of well being. Exercise intolerance&anti hypertensive medications may be responsible for these limitations. Research studies report that those who are on antihypertensive drugs shows decreased motor speed, mental flexibility. The purpose of this study is to find out immediate effect of aerobic exercise on grip strength, dexterity, mental well being.Keywords
Aerobic Exercise, Hand, Dexterity, Muscle Strength, Hypertensive IndividualReferences
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- Comparison of Hip Muscle Strength between Normals and Patellofemoral Pain Syndrome Patients
Authors
1 Department of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 125-130Abstract
Patellofemoral pain syndrome (PFPS) is common problem among young and active individuals. The aetiology of PFPS has been attributed to biomechanical abnormalities. Hip muscle strength is a major contributing factor for alterations in patellofemoral joint.
Purpose of the study: To compare the hip muscle strength between normals and patellofemoral pain syndrome patients using push-pull dynamometer.
Materials and methodology: 60 subjects were taken. 30 were patellofemoral pain syndrome patients and 30 were normals (age, gender, BMI matched). They were allocated to 2 study groups;
Group A : subjects with PFPS
Group B : Normals (age, gender, BMI matched).
Hip muscle strength of all the hip muscle groups was assessed by Baseline push-pull dynamometer. Outcome measure was in the form of hip muscle strength in kgs.
Results: Unpaired 't'test was used to compare the hip muscle strength in kgs between normals and PFPS patients.
There was a significant difference between all the muscle groups. Major difference was seen in abductors, extensors and external rotators.
Repeated measures ANOVA was used to compare the hip muscle strength difference amongst the patient's hip muscle groups. Muscle strength deficit was maximum in external rotators followed by internal rotators, abductors, extensors, adductors and then flexors.
Conclusion: Hip muscle strength of PFPS patients is less when compared to the normals. Majorly affected muscles are abductors, extensors and internal rotators.
Keywords
Pain Syndrome, Hip Muscle Strength, DynamometerReferences
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- Correlation of Foot Posture, Foot Function with Balance and Gait in Patients with Diabetic Neuropathy
Authors
1 Dept. of Physiotherapy, Padmashree Dr. D. Y. Patil University, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 2 (2014), Pagination: 23-28Abstract
Objective: To assess foot posture, foot function and correlate it with balance in patients with diabetic neuropathy.
Materials and Method: The presence of neuropathy was evaluated using a clinical scale. Foot posture was evaluated using foot posture index. Foot function was evaluated using foot function index. Balance was evaluated using Tinetti's Balance Scale (POMA) and Bergs Balance Scale (BBS).
Results: There is significant correlation of FFI and POMA with BBS with r value of 0.7028 and p value of 0.0008. There is a significant correlation of FFI, POMA and BBS with r value of -0.4491, - 0.4547 and -0.5892 and p value of 0.0188, 0.0172 and 0.0012.there is a significant correlation of duration of diabetes with POMA, BBS with r value of -0.3394 and -0.3504 and p value of 0.0159 and 0.0126. There is a significant correlation of severity of neuropathy with POMA and BBS with r value of - 0.2901 and -0.3165 and p value of 0.0410 and 0.0251.
Conclusion: In this study thus there was a positive correlation of pronated foot with balance, duration of diabetes with balance and severity of neuropathy with balance.