Journal of Ecophysiology and Occupational Health

Divya S. Gupta ¹, Suraj B. Kanase ²

Affiliations
1 BPT, Department of Physiotherapy, Krishna Institute of Medical Sciences "Deemed To Be University", Karad, Maharashtra, IN
2 Associate Professor, Department of Neurosciences, Department of Physiotherapy, Krishna Institute of Medical Sciences "Deemed to be University", Karad, Maharashtra, IN

Abstract

Background: Migraine is a common episodic neurological disorder with complex pathophysiology that manifests as recurrent attacks of typically throbbing and unilateral, often severe headache with associated features such as nausea, phonophobia, and photophobia. It has been found that neck pain has a significant link with migraine headaches. It is necessary to provide an adjunctive treatment to help reduce the occurrence and adverse effects of migraine headaches. This study aims to establish the effect of neck muscles activation on migraine headaches in students. Aim: To determine the immediate effect of deep neck muscles activation on migraine headaches in students. Methods: A total 35 subjects between 18–25 years diagnosed with migraine were selected for study. Subjects received exercises for deep neck muscle activation. Each session was conducted for 30 minutes duration, 4 days per week for 3 weeks. Outcome measure used was Migraine Disability Index scale (MIDAS). Statiscal Analysis: Statistical analysis was done using unpaired t test. Results: The results of the study demonstrate that there was a significant effect of the deep neck muscles activation on MIDAS scores (p = 0.0031), frequency of headaches (p = 0.0138) and intensity of pain experienced during migraine headaches (p<0.0001) during the pre and post intervention assessment. Conclusion: Activation of deep neck muscles effectively reduced the disability caused by migraine, frequency of headaches and intensity of pain experienced during migraine headaches in students.

Keywords

Deep Neck Muscles Activation, Migraine, Migraine Disability Index Scale, Students.

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Suraj B. Kanase ¹, Sanjay Kumar Patil ²

Affiliations
1 Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad – 415110, Maharashtra, IN
2 Department of Obg. and Gynaecology, Krishna Institute of Medical Sciences Deemed to be University, Karad – 415110, Maharashtra, IN

Abstract

Background: Post-partum period is challenging for every woman. It usually starts from delivery and ends by 42 days. In majority of women, complications like hemorrhage, DVT, pulmonary embolism, edema in hand and ankle joints, puerperal infection, problems in breast feeding, kypho-scoliosis and backache arise. Postnatal low back pain and pelvic pain are common problems in the post-partum period; these could vary from mild problems to disability. The incidence of postnatal LBP is very high from 21% to 82% in the fisco year post-partum. Remission of pain occurred in 51% at 1 month and 78% at 6 months in CS group, while in the normal vaginal delivery group 55% at 1 month and 85% in the 6th month had remission of pain. Reoccurrence of pain is common in postnatal period. Physiotherapy has shown to have influence on various problems arising in post-natal period. Health literature listed out various conventional treatment approaches for back pain which includes exercises, yoga, core stability, walking, running, aquatic exercise and aerobics. Pilate therapy focuses on improving the body’s core and makes it more flexible and stronger. Pilates has been found to be effective in neuromuscular problems. Its effect in post natal women is a research area. Its effect over conventional therapy needs to be evaluated for better patient care. Method: 494 subjects were included according to criteria. Subjects were allotted into two groups. Group A: Pilates and Group B: Conventional. Interventions were given for 6 weeks and changes in Visual Analogue Scale, Modified Schober Test, Manual Muscle Testing, Oswestry Low Back Disability were noted. Result: For pre and post interventional analysis between the groups, student’s t-test was used. The results showed significant improvement with Pilates therapy than conventional training in reducing back pain, increasing abdominal muscle strength and improving quality of life. Conclusion: Pilates therapy reduced back pain than conventional therapy in post natal women.

Keywords

Back Pain, Conventional Therapy, Pilates, Post Natal.

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Pooja P. Jain ¹, Suraj B. Kanase ²

Affiliations
1 Intern, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences “Deemed to be University”, Karad – 415110, Maharashtra, IN
2 Head of Department of Neurosciences, Department of Physiotherapy, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences “Deemed to be University”, Karad – 415110, Maharashtra, IN

Abstract

Background: As women gets pregnant, many changes take place in her body like physiological changes, hormonal changes leading to increase in joint laxity, experiences increase in weight gain which leads to many of the musculoskeletal disorders. Pregnant women experience many musculoskeletal problems which are common like lower back pain, leg pain, foot pain etc. Among all of the musculoskeletal dysfunctions, foot of pregnant women has many problems and which is not known to the people. As we all know that, various foot dysfunctions like calf muscle cramps, foot pain, swelling around ankles, heel pain on standing occur most commonly during second and third trimester of pregnancy. There is lack of knowledge seen whether there is any correlation seen among foot dysfunctions and body mass index during the pregnancy. Purpose: This study was done to check whether these incidences of various foot dysfunctions with increase in the body mass index of the pregnant women are correlated. Aim: To identify the correlation of foot dysfunctions and increase in body mass index during pregnancy. Methods: In this study, 160 participants between 20-35 years were selected for this study. According to the inclusion criteria, women who were pregnant for the first time were included in this study whereas pregnant women with complications such as polyhydraminos, fibroid complicating pregnancy were excluded in this study. Participants were given written as well as verbal informed consent. They were divided into group of four according to World Health organization of the body mass index categories. Statistics: Pearson’s correlation of Instat software was used to calculate statistics. Results: According to the data, it could be seen that extremely strong relation seen between pain and obese women (p = 0.0008) whereas no significant relation was found in underweight (p = 0.1501) and normal (p = 0.1420) women. Also very significant correlation was found between disability and women who was obese (p = 0.0084) whereas, no relation was found in women who were underweight, normal and overweight (p = 0.3390, 0.1919, 0.1513). Women’s with normal body mass index found extremely significant relation (p = 0.0001) with activity limitation, whereas, significant relation with underweight, obese and overweight (p = 0.0413, 0.0010, 0.0114) pregnant women. Visual Analogue Scale (VAS) also showed significant correlation with all of the pregnant women. And overall total score of Foot Function Index (FFI) found extremely significant relation with women who were overweight (p = <0.0001). Conclusions: This study concludes that there is strong correlation between the foot dysfunction and body mass index in pregnant women who are overweight. As the weight gain increases during pregnancy there is more incidence of foot dysfunctions and which affects the ability of the women to do the daily activities. By seeing this correlation, proper preventive plans must be executed.

Keywords

Foot Dysfunctions, Foot Function Index, Overweight, Pregnancy, Visual Analogue Scale

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Suraj B. Kanase ¹, Sanjay Kumar Patil ²

Affiliations
1 HOD/Associate Professor, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed University, Karad – 415539, Maharashtra, IN
2 Professor, Department of OBG & Gynecology, Krishna Institute of Medical Sciences Deemed to be University, Karad – 415539, Maharashtra, IN

Abstract

Background: Post-partum period brings joy as well as pain for women. It is period after delivery till 42 days. In most of women, problems like leg pain, back pain, floppiness of abdominal muscles, edema and extremities, spinal problems, problems in breast feeding arise. Postnatal back pain including lumbosacral region, pelvic girdle and sacroiliac pain is very common presentation. Evidences show that post natal low back pain is very common. Various studies show that in first year after delivery it ranges from 21% to 82%. It also has on and off period. Re-occurrence of pain is seen in first 6 months. In caesarean section, 51% of women noticed pain back by 1 month and 78% by 6 months. In vaginal delivery it reoccurred in 55% women at 1 month and 85% in 6th month. Conventional physiotherapy interventions are worldwide accepted one and practiced on large scales in various circumstances. Conventional approaches for back pain which includes core muscle exercises, yogic postures, walks, runs, hydrotherapy exercises and cardiorespiratory fitness training. Role of physiotherapy for women’s health is an upcoming area in developing country like India. It needs to be evaluated in both rural and urban set ups. Method: 494 subjects fulfilling inclusion and exclusion criteria were included. Conventional training was given for 6 weeks. Outcome measures used were focusing on Pain (Visual Analogue Scale), Range of motion (Modified Schober Test), abdominal muscle strength (Manual Muscle Testing) and quality of life (Oswestry Low Back Disability). Result: Student t-test was used for statistical analysis. The results showed significant changes in all the outcome measures but was time consuming lacked in establishing confirm evidences. Conclusion: Conventional therapy reduced back pain and improved quality of life but was time constrained. Further evaluation needs to be done for better results.

Keywords

Back Pain, Conventional Training, Physiotherapy, Post Natal

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Suraj B. Kanase ¹

Affiliations
1 Head of Department/Associate Professor, Department of Neuro physiotherapy, Krishna College of Physiotherapy, Krishna Vishwavidyapeeth, Karad – 415539, Maharastra, IN

Abstract

Background: Stroke is one of the leading causes of dependency and mortality in India. Chronic stroke is defined as 6 months to years from the time of onset. Structural impairment which occurs in stroke lead to the complex nature of functional limitations. High blood pressure, diabetes mellitus, blood vessel diseases, and obesity are a few risk factors that can cause stroke. Once the patient goes into the chronic phase, a wide range of problems in functional mobility, gait, and Quality of Life may occur. Majority of times the patient survives their remaining life with these disabilities. The survival rate decreases with an increase in time. Only 1% survive 20 years after stroke. Physiotherapy has shown a positive effect on functional outcomes in acute stroke. Its efficacy should be tried on chronic survivors. Method: 36 subjects were included as per the inclusion and exclusion criteria. The treatment protocol was given for 42 days. Pre and post-changes in subjects were analyzed on a modified Barthel index and stroke-specific Quality of Life scale. Result: Data was analyzed using the student’s t-test. Findings showed significant change in outcome measures interns of mobility and quality. Conclusion: Endurance training improves functional mobility and standard of living in chronic stroke survivors.

Keywords

Chronic Stroke, Endurance, Quality of Life (QOL)

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