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Senthil Kumar, T.
- A Study to Find Barriers for Physical Activity among Chronic Kidney Disease Patients
Authors
1 Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 450-455Abstract
Introduction: Physical inactivity has various harmful effects but in case of chronic diseases patients perceive various barriers for physical activity. This study aims to find such barriers in Chronic Kidney Disease patients.
Methodology: This is an observational study conducted in dialysis unit of a tertiary care hospital with 104 both female & male patients of age group 40–60 years undergoing hemodialysis (HD) at least for past 6 months. Patients with recent MI, stroke & with physical impairment were excluded. Consented patients participated .Human Activity Profile Questionnaire (HAP) was used to assess the patient’s physical activity level and patient related perceived barriers for physical activity .
Result: Among 104 patients, male-female ratio was 62:42, mean age was54.56 years, mean dialysis vintage was 27.85 months (range 6-120 months). Hypertension (91.3%), Diabetes (53.8%) were most frequent chronic co-morbidities. According to MAS and AAS of HAP, 55.8%, 43.3%, 1% patients were respectively impaired, moderately active & active. The most frequently reported barriers were fatigue or tiredness (54.8%), shortness of breath (51.9%) (p 0.03), fear of getting hurt (22.1%), body pain (21.2%). Other reported barriers are joint pain, family protection, lower limb swelling, foot ulcer, chest pain, less self confidence, anxiety, overstressed, depression. Shortness of breath is the most influential barrier and statistically significant (p0.04).
Conclusion: There were a number of patient related perceived barriers for physical activity were identified and among that fatigue & SOB were found to be influential factors.
Keywords
Chronic Kidney Disease, End Stage Renal Disease, Physical Activity, Barriers, Fatigue, Shortness of Breath, Hemodialysis.
- Physiotherapy Following Extensor Tendon Reconstruction in Zone 5-A Case Study
Authors
1 SRIHER, Chennai, IN
2 Department of Plastic Surgery, SRIHER, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 515-518Abstract
Background: Extensor tendon attrition in Rheumatoid arthritis is very common and if not treated properly, can lead to substantial loss of hand function. Here we present the rehabilitation of a 45 years female patient following extensor tendon reconstruction in zone 5.
Materials and Method: The motor assessment included examination of active range of motion, grip and pinch strength and hand function was done during first visit and at the end of 3rd week, 6th week and 12th week. The patient received physiotherapy (immobilization method) and the program was divided into three phases.
Results: The test results were used to find the efficacy of immobilisation method, author’s modification of the program and home based exercises. There was 60 to 80 percentile of ROM improvement in wrist joint, 50 to 90 percentile of ROM improvement in digits .By comparing 6th week and 12th week DASH there was about 47% improvement in upper limb functional activities The results show that the management combined with a comprehensive rehabilitation programme and commitment on the part of the patient makes it possible to achieve satisfactory treatment out comes enabling a return to normal daily functioning
Conclusion: The functional recovery achieved indicates the advisability of using immobilisation method in post-operative rehabilitation of patients with extensor tendon injury.