https://www.i-scholar.in/index.php/ijpot/issue/feed Indian Journal of Physiotherapy & Occupational Therapy-An International Journal 2020-03-01T00:00:00+00:00 Dr. R.K. Sharma rksharma1@gmail.com Open Journal Systems <div id="i-scholarabout">The "Indian Journal of Physiotherapy and Occupational Therapy" has commenced publication since 2006. it will be published four times in a year. The journal is indexed vide ISSN 0973-5666 (print Version) and ISSN 0973-5674 (Electronic Issue). All the issues of the journal would be available in print and electronic form. The journal is a peer reviewed journal. The purpose of the journal is to bring latest research about the field of physiotherapy &amp; occupational therapy. The journal welcomes scientific articles, news, group discussions and information about latest equipments. The journal wishes to promote growing needs of scientific disciplines of physiotherapy &amp; occupational therapy.</div> https://www.i-scholar.in/index.php/ijpot/article/view/192746 Difference between Learning Style Preferences among Second Year MBBS and Second Year Engineering Students from Metropolitan City 2020-02-20T06:48:46+00:00 Aishwarya S. Parmar Pooja H. Balsara Shailaja S. Jaywant <p><strong>Background:</strong> The manner in which a student learns is considered his or her learning style. Mismatches between teaching styles and students’ learning styles can cause students to become inattentive and unproductive. Teaching methods also vary with some tutors lecturing. Since students have significantly different learning styles, their motivation and performance improves when instruction is adapted to suit their preferences. This study aims to analyze the learning preferences among MBBS and Engineering students of Mumbai.</p><p><strong>Method:</strong> The study was conducted among 2<sup>nd</sup> year medical students (group 1, n=50) and 2<sup>nd</sup> year Engineering students (group 2, n=50), from various colleges in Mumbai. After obtaining informed consent, the students were instructed to fill the “Index of Learning Styles Questionnaire” by Felder and Solomon. The questionnaire assesses preferences on four dimensions: Processing (active/reflective), Perception (sensing/ intuitive), Input (visual/verbal) and Comprehension (sequential/global). The data obtained was analyzed using descriptive statistics.</p><p><strong>Results:</strong> In group 1, there were 23 (46%) males and 27 (30%) females. In group 2, there were 35 (70%) males and 15 (30%) females. In Group 1 (MBBS), there were more Reflective learners (52%) in Procession dimension, Sensory learners (64%) in the Perception dimension, Visual learners (90%) in Input dimension, Sequential learners (54%) in Comprehension dimension. In group 2 (Engineering), there were more Active learners (58%) in Procession dimension, Sensory learners (62%) in the Perception dimension, Visual learners (88%) in Input dimension, Sequential learners (60%) in Comprehension dimension.</p><p><strong>Conclusion:</strong> It was concluded that the learning style preferences among MBBS and Engineering students is same. Students must analyze the skills required for understanding particular subject and change the learning style consciously. Similarly, teachers can be advised to be more self-reflective and understanding about the role of learning styles and this can help in making teaching more rewarding.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193386 Comparison between Surged Faradic Current and Transcutaneous Electrical Nerve Stimulation (TENS) on Myofascial Trigger Points in Trapezius 2020-02-20T06:48:48+00:00 Akanksha A. Nalawade Poonam H. Patil <p><strong>Aim:</strong> To find out the effect of surged faradic current and transcutaneous electrical nerve stimulation (TENS) on myofascial trigger points in trapezius</p><p><strong>Materials and Method:</strong> The study was conducted in clinically diagnosed subjects with myofascial trigger points present in trapezius with age group 18-25 years. Total 34 subjects were include in the study .They were randomly devided into the two groups each consisting of 17 subjects .Group A include the subjects who received Transcutaneous electrical stimulation and phonoporeis and Group B include the subjects who received surged faradic current and phonophoresis .Pre treatment outcome measures were visual analogue scale, Cervical range of motion and palpation of myofascial trigger points present in the trapezius. The specific protocol was given to the patients for 2 weeks for 4 days .At the end of the 2 weeks, past treatment outcome measures were performed for range of motion and pain. Paired T-test was used to analyse within the group statistical analysis and unpaired t test used for between the group statistical analysis and sees the result.</p><p><strong>Result:</strong> Paired t-test was used to analyze the comparison between surged faradic current and transcutaneous electrical nerve stimulation on mayofacial trigger points in trapezius. There result was extremely significant for group A and group B.</p><p>Between the group comparison the unpaired t-test was used to analyze group A and group B post treatment values and there was significant difference between outcome variables in VAS, ROM and Palpation .</p><p><strong>Conclusion:</strong> From this conducted study it concluded that, patient who treated with surged faradic current and phonophoresis had significant improvement clinically and statistically and improved in Range of Motion (ROM), Visual analogue scale and showed reduction in myofascial trigger points with palpation. So, this study accepts the alternate hypothesis</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193387 Prevalence of Myofascial Trigger Points in Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor Carpi Radialis Brevis in Lateral Epicondylitis 2020-02-20T06:48:48+00:00 Amita Aggarwal amita15pgi@gmail.com Jenit Daniel Tushar J. Palekar <p><strong>Introduction</strong>– Myofascial pain syndrome (MPS) is a myalgic condition in which muscle and musculotendinous pain are the primary symptoms. Some muscles are likely to develop Myofascial trigger points in cases of lateral epicondylitis and become possible cause of mainstay of symptoms. Hence the study was undertaken to find the prevalence of myofascial trigger points in such muscles.</p><p><strong>Methodology &amp; Results</strong> – 40 individuals aged between 20-50 years fulfilling the inclusion criteria were selected for the study with acute and chronic lateral epicondylitis. Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor carpi radialis brevis were checked for the presence of trigger point by palpation. Pressure algometer was used to check the pain threshold of each point. When the subject reports feeling pain the action of pressure is stopped and reading is recorded.</p><p>Results showed a higher prevalence in females than males. The most prevalent area for trigger point was the brachioradialis followed by biceps brachii, extensor carpi radialis, triceps brachii and the least prevalent was the supinator.</p><p><strong>Conclusion -</strong> This study provides that the relation between myofascial trigger points in lateral epicondylitis is relatively high especially in Brachioradialis, It also shows that latent trigger points don’t lead to severe functional disability.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193388 Upper Limb Fitness Testing in Gymnasium Going People 2020-02-20T06:48:48+00:00 Amita Aggarwal amita15pgi@gmail.com Benji Abraham Tushar J. Palekar <p><strong>Introduction</strong> – Fitness is important for all. To reduce the incidence of injuries in the gymnasium going people, especially in weight lifters, proper training should be given. For giving proper training, proper musculoskeletal assessment is required. This study is an effort to access various components of fitness in young gym going people.</p><p><strong>Methodology &amp; Results</strong> – 50 gymnasium going males with minimum 3 months of gymnasium training and age 18-24 years participated in present observational study.Upper limb muscular strength and muscular endurance were recorded using bench press and push up test. Also for flexibility grading, shoulder wrist elevation test was done.</p><p>For upper limb maximum participants have shown good muscular strength and above average muscular endurance though flexibility was found average only.</p><p><strong>Conclusion -</strong> The general muscular fitness was seen in the average category in young gym going people.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193389 Effect of Backward Walking in Subjects with Mechanical Neck Pain 2020-02-20T06:48:48+00:00 Anjali Yagnik Radhika Chintamani radds2009@gmail.com <p><strong>Background:</strong> Population based studies showed that a lifetime prevalence of neck pain was 70% and a point prevalence was between 12-34%. Most common causes of neck pain include:- myogenic positional faults, septic arthritis, osteomyelitis, ankylosing spondylitis, fractures, torticollis, paget’s disease, neurogenic causes as well as soft tissue injuries, vertebral tumor. Backward walking has shown potential benefits in lengthening of posterior muscular chain and stretching the posterior myofascial. There is greater amount of hip extension and knee flexion in backward walking as compared to forward walking. As there is greater amount of hip extension, there occurs greater amount of extension of lumbar spine which loads up the facet joint opening up the disc space. The unloading of the discs occurred may lead to reduction in the pain.</p><p><strong>Objectives:</strong> To study the effect of backward walking in subjects with mechanical neck pain</p><p><strong>Method:</strong> Ethical clearance was obtained from the Institutional Ethical Committee. 38 subjects were selected between the age group 20 to 40 years suffering from mechanical neck pain from 1 month. Male and female subjects were selected according to inclusion and exclusion criteria. Pre values of numeric pain rating scale and cervical lordotic index were taken. Study was carried out for 5 days for 1 week. Post data analysis was note and data analysis was done.</p><p><strong>Result:</strong> A statistical analysis using paired t test within the group comparison was done and conclusions was estimated. Result found from analysis was significant.</p><p><strong>Conclusion:</strong> There was a reduction in pain status and cervical curve between the values of pre study and post study. Hence, this study concludes that there is effectiveness in backward walking in subjects with mechanical neck pain</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193390 Effect of Structured Bladder Training in Urinary Incontinence 2020-02-20T06:48:48+00:00 Asavari J. Gaikwad Suraj B. Kanase drsurajkanase7@gmail.com <p><strong>Introduction:</strong> Urinary incontinence is considered a very distressing condition affecting multiple domains of human life i.e. social, physical, psychological, occupational, domestic, and sexual aspects experienced by all ages. However, only pathophysiology varies according to each condition, and therefore demanding different therapeutic approaches according to the mechanism of urine loss. This study was designed to find out the effect of structured bladder training in urinary incontinence. To find out effect of conventional bladder training in urinary incontinence. To compare the effect between two on the basis of demographic variables.</p><p><strong>Method:</strong> This was an experimental study with the total of 28 spinal cord injury patients who had urinary incontinence were selected with random allocation from the Krishna Institute of Medical Sciences, Karad in this study. Their ages were 20 years and above according to inclusion and exclusion criteria. Prior consent was taken. They were divided into two groups: group A and group B. Group A received conventional therapy and group B received structured bladder training with conventional training. Pre assessment was taken prior to the treatment. These subjects were treated for 4 weeks, 3 days per week, 30 – 45 min. After 4 weeks the post treatment assessment was taken. The outcome measures were included King’s Health Questionnaire and 1 hour Pad Test.</p><p><strong>Results:</strong> The obtained results showed a statistically highly significant improvement (p &lt; 0.0001) noted in the urinary incontinence in spinal cord injury patients.</p><p><strong>Conclusion:</strong> It was concluded that structured bladder training was effective in controlling urinary incontinence secondary to spinal cord injury.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193391 Prevalence of Foot and Ankle Pain among Housekeeping Staffs–A Cross Sectional Study 2020-02-20T06:48:48+00:00 C. M. Ayshath Munazila K. M. Shirin Shahana Merlin Rajan K. R. Sandeep Mudasir Rashid Baba mudasirrashid@yenepoya.edu.in <strong>Background:</strong> Any kind of pain or uneasiness in the ankle or foot is referred as ankle and foot pain. The housekeeping workers habitually suffer from various musculoskeletal disorders due to many of the tasks which are repetitive in nature. Foot and ankle pain is the most significant problem faced in daily work in wide range of population among hospital cleaning staff. Thus the aim of this study is to determine the prevalence of foot and ankle pain among housekeeping staffs. <strong>Objectives</strong>: To assess the prevalence of foot and ankle pain among housekeeping staffs. <strong>Study Design</strong>: A cross-sectional study. Method: Ninety six (n=96) participants who had an experience in housekeeping department for at least 6 months were included in the study. The participants were selected through convenience sampling technique. Each participants BMI was calculated. Standardized Foot and Ankle Outcome Questionnaire developed by American Academy of Orthopaedic Surgeons was used to collect the data purely on voluntarily basis. <strong>Result</strong>: Out of the (n=96) participants, 89 were females (92.7%) and 7 were males (7.3%). Majority of the housekeeping staffs had difficulty to walk on uneven surface with the prevalence of 64.5 %. This study concluded that the prevalence of foot and ankle pain that interfered with their normal life was 23.9%.<strong>Conclusion</strong>: A relationship was evidenced with mild symptoms of foot and ankle pain and reduced health related quality of life associated with uneven surfaces in the working environment. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193392 Documented Physiotherapeutic Approach in Post Corrective Osteotomy Procedure for Gunstock Deformity Caused by Old Supracondylar Fracture Malunion 2020-02-20T06:48:48+00:00 B. Niharika D. Sidharth sidharthdara@gmail.com <p><strong>Background:</strong> Physiotherapeutic intervention in a phasic manner has been in practice after orthopedic surgeries .graded physiotherapy has a great value in reducing post surgical inflammation pain and improving mobility .this work is done towards presenting the data regarding post surgical condition of corrective osteotomy for cubital varus on left side<sup>[7]</sup> the treatment techniques were choosen on the basis of phasic evaluation and post treatment evaluation was done in order to check the prognosis in terms of inflammation[8], pain and ROM .several exercise therapeutic techniques and electro therapeutic techniques have been selected periodically on a basis of pre- treatment assessment. In this data presentation electro therapeutic techniques like,faradism under tension<sup>[1]</sup> for correction of deformity, TENS,ULTRA SOUND <sup>[23]</sup>, PARAFFIN WAX BATH (pain relief and extensibility)where the treatment modalities selected.</p><p><strong>Method :</strong> Treatment techniques were selected based on the evaluation in every particular session. . faradism under tension <sup>[1]</sup>,Paraffin wax bath, TENS<sup>[23]</sup> ,muscle energy techniques<sup>[17]</sup>, cyriax deep friction massage<sup>[2]</sup> and ultrasound therapy <sup>[23]</sup>modalities were used selectively.</p><p><strong>Results : Faradism under tension ,Paraffin wax bath, TENS ,muscle energy techniques, cyriax deep friction massage</strong> and <strong>ultrasound therapy</strong> modalities were used selectively with range of movement exercise in four phases and evaluation was done in every session. each phase was of 3 days at the end of 12 days re evaluation was done and found that there was a marked decrease in pain, inflammation<sup>[9]</sup> and increased range of motion.</p><p><strong>Conclusion :</strong> after the selective physiotherapy approaches there was reduction of pain,oedema and range of motion was improved. graded physiotherapeutic intervention is important to most of the orthopedic post operative conditions in reducing pain, decreasing inflammation, increasing mobility<sup>[4]</sup>.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193393 Effect of Wobble Board Exercises on Star Excursion Balance Test in Athletes of Belagavi-An Experimental Study 2020-02-20T06:48:48+00:00 Basavaraj Motimath Sadhvi Koyande skoyande95@gmail.com <p><strong>Background:</strong> In every sporting activity, balance is important, be it static or dynamic. Balance training is a part of training sessions in sports so as to reduce the risk of injuries. Wobble board has shown effective results on decreasing the risk of falls and injuries</p><p><strong>Aim:</strong> To determine the effectiveness of wobble board exercises on star excursion balance test in athletes.</p><p><strong>Method:</strong> The study was a single group pre-post experimental design in which 32 athletes were included. The star excursion balance test was measured before and after the protocol. Wobble board training was given to the athletes for a period of 3 weeks with 3 sessions per week on alternate days.</p><p><strong>Results:</strong> The results showed significant increase in the reach distances of SEBT scores at p&lt;0.001.</p><p><strong>Conclusion:</strong> The present experimental study concluded that the three week wobble board training was effective in increasing dynamic balance in all 8 directions of the SEBT scores.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193394 The Relationship between Emotional Status, Pain, Severity of Osteoarthritis on Radiograph and Quality of Life in Patients with Knee Osteoarthritis 2020-02-20T06:48:48+00:00 Bharati Asgaonkar Neha T. Ghugare <p><strong>Background:</strong> By 2050, India’s 60 and older population is expected to encompass 323 million people, a number greater than the total US population in 2012</p><p>Osteoarthritis is the growing cause of social and economic burden to our aging society. It has been seen psychosocial status of patient with osteoarthritis have an impact on pain, functional ability and quality of life. The emotional status of osteoarthritis patient can have poor outcome on his/her Quality of life making the person disabled in their activities and functions.</p><p>The majority of osteoarthritis pharmacological and rehabilitation treatments are geared toward alleviating pain due to disease severity in the joint; therefore, it appears important to optimize treatment for people who have pain beyond peripheral sources.</p><p><strong>Objective:</strong> This study will help to understand the association of emotional status, pain, radiographic severity and quality of life in patients with knee osteoarthritis so that a more holistic approach will be developed towards osteoarthritis.</p><p><strong>Methodology:</strong> Study design was a cross sectional observational study. 100 subjects were assessed in the study. Participants were included in the study after screening for inclusion and exclusion criteria. All subjects were evaluated according to the assessment proforma for the following Pain on Visual Analogue Scale (VAS), Positive And Negative Affect Scale and Knee function on Knee Injury and Osteoarthritis Outcome Score (KOOS).</p><p><strong>Conclusion:</strong> The findings of this study suggest an association between emotional status and pain, emotional status and quality of life. But no association is seen between emotional status and Kellgren Lawrence Scale.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193395 Quality of Life using EORTC QLQ C-30 and EORTC QLQ BR-23 Marathi Version in Post-Operative Breast Cancer Women from Rural Region of Maharashtra 2020-02-20T06:48:48+00:00 Chaitali S. Shinde Aashirwad A. Mahajan Pranjal P. Sonawane <p><strong>Background:</strong> QOL (Quality of life) may be affected in most of the patients suffering from cancer irrespective of its stage. Hence, this observational study was conducted to understand the QOL in postoperative breast cancer women from rural region of Maharashtra, using Marathi versions of EORTC QLQ C-30 and EORTC QLQ BR-23 questionnaires.</p><p><strong>Methodology:</strong> Out of 112 patients screened, 100 Post-Operative Breast Cancer in-patients and out-patients from Pravara Rural Hospital, Loni, Maharashtra, between age group of 20-60 years, were included in the study and questionnaires were administered to them.</p><p><strong>Results:</strong> According to EORTC QLQ C-30, the Global QOL was 69.91± 23.4. Emotional Functioning showed the lowest score (65.01± 24.06). In the symptom scale, the highest score were of Fatigue, Insomnia, Loss of Appetite and Pain. Financial Difficulties (48.33±34.28) were faced by the patients due to medical treatment. In EORTC QLQ BR-23, score of sexual enjoyment (46.48±31.52) was lowest and Hair Loss (38.44±24.81) was the most affected symptom.</p><p><strong>Conclusion:</strong> The study concluded that post-operative women in rural region from Maharashtra had low emotional functioning, less sexual enjoyment and faced financial difficulties due to medical treatment. Participants were most affected by hair loss symptom.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193396 Effects of Proprioceptive Training on Agility Performance in Male Football Players 2020-02-20T06:48:48+00:00 Charmi Salot P. Sathya <p><strong>Background and Purpose:</strong> Football is a high intensity intermittent sport which requires the successful and effective execution of the technical skill like agility, change of direction, acceleration, deceleration, sudden stops and shots largely depends on the football players’ ability to control their balance and to adapt better and faster to their ever changing bodily postures and positions in the pitch. So to maximize the football performance the possible strategy could be proprioceptive training. Hence, the purpose of this research was to see the effects of proprioceptive training on agility performance in male football players.</p><p><strong>Method:</strong> 90 football players participated were randomly selected and divided in two groups, experimental (n=45) and control group (n=45). Experimental group underwent Proprioceptive training on bosu ball with their regular football training program and control group underwent regular football training program. Athletes were trained for 3 times a week for 6 weeks. Agility assessment at pre and post intervention was done for all subjects using T-agility test.</p><p><strong>Results:</strong> The results revealed a significant differences in comparison between pre and post agility for experimental group with p-value 0.000 (&lt; 0.05) and insignificant difference for control group with p-value 0.220 (&gt; 0.05).</p><p><strong>Conclusion:</strong> Proprioceptive training was effective in decreasing the agility time in male football players.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193397 Rehabilitation of a Diabetic Amputee:Sequelae, Impact and Effect on the Precious Limb 2020-02-20T06:48:48+00:00 Coelho Victor Amit Tirkey Deepak Abraham George Tharion Nihal Thomas J. P. Muliyil John C. Muthusami <p><strong>Background:</strong> In a patient who has undergone a major amputation of one lower limb, the role and function of the precious limb is of paramount importance. We assume that once the patient has been rehabilitated with a prosthesis, the static plantar pressure distribution is equal over both the amputated limb and the precious limb. There is not much published literature that actually compares the distribution of the static plantar pressure over the precious limb available in India. This study aimed at studying the characteristics of static plantar pressure distribution after a major amputation in the precious foot of diabetic patients with and without prosthesis once they have been rehabilitated.</p><p><strong>Objectives:</strong></p><p>1) To compare the relationship between static plantar pressure distribution in the precious limb with and without the prosthesis in diabetic patients who have undergone a below knee amputation and have been rehabilitated.</p><p>2) To identify areas of high pressure over the precious limb and suggest appropriate modifications in the prosthetic footwear so as to reduce the static plantar pressure in those high-pressure regions.</p><p><strong>Results:</strong> The static plantar pressure distribution was found to be significantly higher without the advocated prosthetic device on the amputated limb over the 1st, 2nd, 3rd, 4th, and 5th metatarsal. . The ratio of the forefoot versus the hind foot pressures with and without a prosthesis was also noted to be significant (p = 0.002).</p><p><strong>Conclusions:</strong> This variation in the pressure distribution over the precious foot disproved our hypothesis that there is an equal spatial redistribution in static plantar peak pressures in the precious limb following rehabilitation with a prosthetic device in a diabetic patient who has undergone a below knee amputation and that a prosthesis alone is not adequate to protect the precious limb.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193398 Prevalence of Depression, Anxiety & Stress among First Year Students in Physiotherapy Colleges at Bangalore, India 2020-02-20T06:48:48+00:00 Deependra Gautam Sushil Chandra Aryal T. D. Ashini Dilhara Fernando Tasmiya Afza Tanna Rushil Deepak Yogendra Singh Airee airee.yogendra@gmail.com Diker Dev Joshi <p><strong>Introduction:</strong> Physiotherapy students are important human resource in the field of heath. Detection of potential anxiety, stress and depression developed in them during first year of academics is crucial since anxiety and stress can lead to low productivity, low quality of life, and suicidal ideas. This study was conducted to find the prevalence of depression, anxiety and stress among first year students in Padmashree Institute of Physiotherapy, Bangalore, Karnataka.</p><p><strong>Methodology:</strong> 105 students have been selected for the study purpose irrespective of age, sex and personal habits. A cross-sectional descriptive research design was used for this study. Standardized, semi-structured questionnaire named DASS 21 (Depression Anxiety and Stress Scale) was used to collect data.</p><p><strong>Results:</strong> Among all 105 students; Depression – 41.9% were reported in normal category, 21.9% of them in moderate, 18.09% in mild, 10.47% in severe and 7.61% fall in extremely severe category. The anxiety scale reported 27.61% in normal, 23.8% in moderate, 20.95% are in extremely severe, 18.09% in severe and 9.52% of them have been under mild category. The study reported 55.23% normal cases of stress scale, 19.04% were in moderate, 13.33% in mild, 11.42% in severe and 0.95% case in extremely severe score.</p><p><strong>Conclusion:</strong> This study shows that the maximum number of students have raised level of anxiety and depression, whereas the number of students having increased stress are less in number.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193399 Dynamic Sitting Exercise versus Spinal Extension Exercise on Pain, Lumbar Mobility and Quality of Life in Adults with Mechanical Low Back Pain 2020-02-20T06:48:48+00:00 Dibyadarshini Das R. Venkatesan <p><strong>Background:</strong> Now-a-days it is seen that busy work schedule and unhealthy environment leads to discontinuity in exercising despite of awareness and knowledge of its effectiveness on problems like low back pain. There are many factors including improper posture, over loading, immobility, trunk muscles weakness leads to mechanical low back pain in adults. Exercises of various types have been used in managing low back pain. Hence there is a need to find out a single functional and effective exercise for such problems so that they can be done anytime during work and without any equipment which is also economical.</p><p><strong>Methodology:</strong> Thirty adults aged between 20-30 years participated in this comparative experimental study. After underwent physical screening for selection criteria mechanical low back pain followed by simple randomization participants were divided into group A and group B. Group A and group B received dynamic sitting and spinal extension exercise respectively for thrice a week for six weeks. Pre and post values were assessed using outcome measures Visual Analog Scale for pain, MMST used for lumbar mobility and Short Form-36 Health Survey Questionnaire for quality of life.</p><p><strong>Results:</strong> In comparison of post test scores of outcome measures evidenced that the reduction of pain score, improvement in lumbar mobility and quality of life scores. There were significantly improvement among the adults with mechanical low back pain treated with Dynamic sitting exercise (DSE) than treated with Spinal extension exercise (SEE).</p><p><strong>Conclusion:</strong> 6 weeks of dynamic sitting and spinal extension exercise can prevent in pain and improvement in lumbar mobility and quality of life in adults with mechanical low back pain.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193400 Effectiveness of Instrument Assisted Soft Tissue Mobilization in Management of Athletes with Gleno-Humeral Internal Rotation Deficit 2020-02-20T06:48:48+00:00 Divya Gohil Aditi Swami Gaurang Baxi Zaid Tai Rajas Edgaonkar Tushar Palekar <strong>BACKGROUND:</strong> Athletes involved in overhead sports show limited ROM for internal rotation and increased external rotation. This condition of Gleno-humeral internal rotation deficit (GIRD) increases risk of shoulder injuries in athletes and need active management. Current interventions include static stretching, muscle energy techniques and warm-up exercises. Instrument assisted soft tissue mobilization (IASTM) has been hypothesized to lengthen the tissue and improve range by breaking adhesions in soft tissues, there is lack of research showing its effects in athletes with GIRD. This study explores the effectiveness of IASTM in athletes with GIRD following a three week protocol. <strong>METHODOLOGY:</strong> Thirty athletes with GIRD were enrolled in the study by purposive sampling. They received intervention of IASTM with M2T Blade for posterior shoulder musculature and capsule, on alternate days for three weeks. Pre and post-intervention measurements for gleno-humeral ROM for internal rotation, external rotation and horizontal adduction using goniometry; and Apley’s scratch test were noted. <strong>RESULTS:</strong> Statistical analysis was done using ANOVA test. IASTM significantly improved ROM for internal rotation from 40.1±5.76 to 74.17±8.28 (p&lt;0.001). There was significant improvement in horizontal adduction ROM from 90.47±10.12 to 105.5±8.02 (p&lt;0.001). No significant difference was found for external rotation. Statistically significant changes were found on Apley’s scratch test as well (p&lt;0.001). <strong>CONCLUSION:</strong> Three weeks intervention of IASTM using M2T Blade is effective in improving ranges and flexibility of athletes with GIRD. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193401 Effect of Fast Tempo Vocal and Instrumental Music on Cardiovascular Parameters, Perceived Exertion and Stress Rate During High Intensity Interval Training in Asymptomatic Subjects:A Randomized Clinical Trial 2020-02-20T06:48:48+00:00 B. R. Ganesh Surya Krishnanunni <p><strong>Background and Purpose:</strong> ACSM defines physical activity as bodily movement that is produced by contraction of skeletal muscle. Music is said to be a sensory modality that can have effect on exercise. purpose of study was to study outcome of music with faster tempo and instrumental type, on cardiovascular, RPE, mood, stress and enjoyment thus improving observance to HIIT in asymptomatic subjects.</p><p><strong>Methods:</strong> By random sampling method 40 subjects, male and female (20-30 years) with minimum to moderate amount of physical activity were selected and a two week trial with treadmill was done. Participants were be divided into 2 groups for HIIT: group A with fast vocal music and group B with instrumental music. Mood and stress was assessed pre and post using Abbreviated Profile Of Mood State (POMS) and Perceived Stress Scale (PSS) respectively, RPE was taken over time using Borg scale respectively, enjoyment was assessed post HIIT using Physical Activity Enjoyment Scale (PACES ).</p><p><strong>Results:</strong> Statistical significance was found in heart rate in vocal group, mood and enjoyment in both groups with a p value of &lt; 0.005</p><p><strong>Conclusion:</strong> present study of 2 weeks concluded that vocal and instrumental music had significant effect on heart rate, stress, enjoyment, mood during high intensity interval training</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193430 Immediate Effects of Kinesio Taping on Lung Functions, Chest Expansion and Dyspnoea in COPD Patients 2020-02-20T06:48:49+00:00 Gaurang Baxi Pooja Singh poojassinghdpu@gmail.com Soumik Basu Mohammed Ubaid Khan Tushar Palekar <strong>Background:</strong> Dyspnoea is a major symptom of COPD and an independent predictor of mortality. It is caused by mechanical alterations adapted by shortened or deconditioned musculature.There is insufficient evidenceregarding the efficacy of kinesio taping on the symptoms posed by respiratory conditions like COPD. This study investigates the immediate effects of kinesiology taping done for pectoralis major and rhomboid major, on chest expansion and lung functions along with dyspnoea. <strong>Methodology</strong>: By convenient sampling, 30 stable COPD patients with mild to moderate stage affection as per GOLD criteria, and having complaints of dyspnoea were randomly divided in two groups. Group A received kinesio taping along with conventional physiotherapy, group B was the control group where only conventional physiotherapy exercises were given twice a day for 3 days. Eligible patients were assessed for their lung functions, chest expansion and dyspnea. <strong>Results</strong>: Data analysis within the groups as well as between the groups was done using the WINPEPI and PRIMERsoftware.Between groups comparison for lung functions showed significant improvement (p&lt;0.05) for FEV<sub>1</sub>, FVC and PEFR. Pre and post comparison ofrespiratory rate and SpO2 between the groups showed significant improvement (p&lt;0.05). <strong>Conclusion</strong>: There was a significant improvement in the experimental group which suggest that kinesio tape application is beneficial in improving lung function and reducing rate of perceived exertion. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193431 Health Related Quality of Life among Bank Workers in Punjab:A Comparison with Normal Healthy Subjects 2020-02-20T06:48:49+00:00 Japinderjit Kaur Ramesh Chandra Patra rameshbmc22@gmail.com Animesh Hazari Biswajit Kanungo <strong>Objective:</strong> Health related problems can restrict with even the most elementary aspects of daily living. It is a significant reason of occupational complaint and diminished quality of life for the staffs. Health-related quality of life (HRQOL) is an assessment of the person’s well-being. The purpose of this research is to determine HRQOL among the employees of the bank in India. <strong>Method</strong>: HRQOL were cross-sectionally measured over and done with short form of SF-36 questionnaire. Total 400 Subjects aged between 25-45 years who met the inclusion criteria were selected for the study where 200 bank emplyees and 200 normal healthy population. Results: HRQOL were significantly lower in bank employees as compare to the normal population (P&lt;.001). <strong>Conclusion</strong>: The result of the study ascertained that HRQOL appears to be lower among bank workers in Punjab. Therefor it is essential for interventions aimed at justifying the HRQOL among employees of the banking sector. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193432 Comparison of Endurance between Trained University Level Cricketers, Untrained University Level Cricketers and Non-Cricketers 2020-02-20T06:48:49+00:00 Jyoti S. Jeevannavar drjyotisj@gmail.com K. Meheboob Sheik Jahagirdar Shivani Sanjeev <p><strong>Background:</strong> Endurance plays a significant role for sustaining the physical demand for the various formats of cricket. In relation to cricket, endurance is the ability of a player to sustain maximum speed, agility, and power in each play for an entire game. This study intended to check the levels of endurance among the various groups of trained university level cricketers, untrained university level cricketers and non cricketers.</p><p><strong>Method:</strong> The study included 3 groups consisting of 10 individuals in each group. Group A – Trained cricketers playing club level and/or university level cricket; Group B – Untrained cricketers playing club level and/or university level sport. Group C – non-cricketers. The participants who met the inclusion and exclusion criteria performed the Yo-Yo intermittent recovery test. The levels completed, Vo<sub>2</sub>max, Speed and distance covered obtained through the test were compared across the 3 groups for statistical significance.</p><p><strong>Result:</strong> The performance of the participants in Group A was significantly better than those in both Groups B and C at a p value of &lt;0.05 across all the components of the test. Participants in Group A were significantly better in distance covered, Vo<sub>2</sub>max and levels completed, than those in Group B, at a p value of 0.003, 0.003 and 0.002 respectively. Participants in Group A were significantly better than those in group C in distance covered, speed, Vo<sub>2</sub>max, levels completed at a p value of 0.001, 0.002, 0.001 and 0.001 respectively. When Vo<sub>2</sub>max was correlated with distance the results showed r=0.987 at p &lt;0.0001.</p><p><strong>Discussion:</strong> This study showed that participants in Group A had better Vo<sub>2</sub>max, completed more Levels and covered more distance as compared to participants in Groups B and C. A correlation of Vo<sub>2</sub>max with distance covered showed that as Vo<sub>2</sub>max improves, the distance covered will improve.</p><p><strong>Conclusion:</strong> The results of the study conclude that regular Training would influence the performance.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193433 Obstetric Brachial Plexus Palsy – A Retrospective Data Analysis 2020-02-20T06:48:49+00:00 Jyoti S. Jeevannavar Sangeeta Appannavar Sushma Kulkarni <p><strong>Background:</strong> Obstetric brachial plexus palsy is the condition seen during birth due to any injury to the nerves. There are mainly 3 type’s brachial plexus injuries (BPI), namely Erb’s palsy, Klumpke’s palsy and total plexus palsy. The injury can cause paralysis of upper limb and may lead to deformity. Thus this study aimed at analyzing the prevalence and influences of few physical factors noticed during the clinical practice.</p><p><strong>Method:</strong> Retrospective data of 28 children with obstetric brachial plexus injury (OBPI) was subjected to statistical analysis. The collected data included age, gender, weight, side of affection, type of delivery and the instrumentation used.</p><p><strong>Result:</strong> Statistical analysis of the data showed that there was more affection in boys than girls. The frequency of non instrument assisted deliveries was higher in the sample included. There was only one child born through LSCS. Right sided brachial palsy was more in frequency as compared to left sided and bilateral plexus injury. Erb’s palsy was most commonly reported than Klumpke’s palsy and total plexus palsy. The mean weight of boys was relatively higher than the girls.</p><p><strong>Conclusion:</strong> The study concluded that gender and birth weight of the new born along with mode of delivery and instrument assisted deliveries influenced the occurrence of OBPI.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193402 The Prevalence of Musculoskeletal Problems in Architects 2020-02-20T06:48:49+00:00 Manasi Desai manasi.desai@dypatil.edu Prachi Kapdule <p><strong>Aim:</strong> Architects are required to work on a computer for several hours a day which mainly requires sitting in prolonged static postures, along with bending and flexing the neck which might put strain on the back, cervical and wrist area.[1]The purpose of the study was to identify the prevalence of common musculoskeletal problems in Architects.</p><p><strong>Methodology:</strong> A community based cross-sectional survey was conducted on 106 architects working for more than 2 years by administering the Extended Nordic Musculoskeletal Questionnaire to quantify the musculoskeletal pain and activity limitations in 9 body regions. A Self-Designed Questionnaire was administered aiming at getting information regarding the various musculoskeletal problems faced by architects, various postured attained and activities performed throughout the day.</p><p><strong>Results:</strong> Out of total architects investigated, 80% architects experienced musculoskeletal pain. Neck, lower back and shoulders were the most commonly affected body regions. The results showed that the work-related risk factors like arms below shoulder activities (77.4%), frequent bending (41.5%), arms above shoulder activities (25.5%), twisting (17.9%) and awkward postures were highly associated with musculoskeletal disorders.</p><p><strong>Conclusion:</strong> The study concluded that there was 80% prevalence of musculoskeletal problems in Architects. Neck was the most commonly affected body region followed by low-back, shoulder and upper back. Majority of architects required to work on computer in continuous sitting and also required to perform arm activity below shoulder level and bending constantly which may have contributed to the high prevalence of workrelated musculoskeletal disorders in this population. The study also concluded that the implementation of ergonomic intervention strategies at the workplace may eliminate ergonomic hazards and minimize the risk of work-related musculoskeletal disorders.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193403 Relationship between Anthropometric Parameters and Jumping ability among Male Undergraudate College Students-A Cross Sectional Study 2020-02-20T06:48:49+00:00 C. T. Muhammad Jabir S. Padmakumar principalypc@yenepoya.edu.in <p><strong>Background:</strong> Vertical Jump (VJ) is a key skill for many athletes. Whether its basketball, volleyball, football or tennis, it is very important in many sports. There are very limited studies on the topic and those available are mainly conducted on sports specific events and athletes. In this study, the subjects selected were non-sports healthy individuals. The purpose of this study was to investigate the relationship between anthropometric parameters and jumping ability among undergraduate college students.</p><p><strong>Method:</strong> Undergraduate college students (n=62) aged between 18-25 years were included in the study. Twenty six parameters of International Society for Advancement of Kineanthropometry(ISAK) were selected along with lower limb Manual Muscle Testing(MMT) and Range Of Motion(ROM) prior to the study. The participants were evaluated for their jumping ability. Data was analyzed using Pearson’s correlation .Level of significance was set at p &lt;0.05.</p><p><strong>Result:</strong> Out of the 58 parameters, 1 parameter showed excellent negative correlation (weight), 17 parameters showed good negative correlation, 12 parameters showed moderate correlation, 16 parameters showed poor negative correlation and 12 parameters showed poor positive correlation.</p><p><strong>Conclusion:</strong> There exist a significant relationship between the anthropometric parameters and jumping ability. The most significant parameter affecting jumping height was found to be Weight, which gave an excellent negative correlation and the other parameter were muscle girth and skin fold.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193404 Latent Trigger Point Therapy for Smartphone Users 2020-02-20T06:48:49+00:00 Namrata Mehta R. V. Vijayakumar Multi-touch smartphones are used for a wide variety of tasks, including accessing the Internet, social media, etc. Trigger points (TrPs), causes referred pain in characteristic areas for hand and forearm muscles. Latent TrPs cause stiffness and limitation of ROM but no pain. Self Myofascial release (SMFR) is a simple and effective technique in which the therapy is done by the patient themselves often using a tool. Objectives: To find out the effectiveness of Self Myofascial Release therapy and Educational booklet among college students with latent trigger points. Methodology: 120 subjects, male and female having latent TrPs with mean age 22.3 (±2.36), fulfilling the selection criteria were included. Subjects were examined to find out latent trigger point PPT with help of Pressure Algometer on muscles of hand. Subjects were instructed SMFR therapy via tennis ball (2 mins, twice a day for 2 weeks) on the affected muscles. Post test examination of PPT was taken. Result: The mean age was calculated to be 22.3 (±2.36) were analyzed. Right hand Adductor Pollicis muscle and Left hand 1<sup>st</sup> dorsal interrosei muscle was found to be most affected (p &lt; .00001) and Opponens pollicis on both sides were least affected. Educational booklet was given for creating awareness and was found to be helpful. Conclusion: Smartphones with greater dimensions promotes predominant usage of thumb while typing. SMFR and Educational booklet appears to be effective in reducing pain and addictive behaviour among Smartphone users. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193405 Comparison of Handwriting Legibility and Visual Motor Integration in Different Age Groups 2020-02-20T06:48:49+00:00 Nanaki Singh Shubha Arora Comparison of handwriting legibility and visual motor integration in different age groups was performed on adults and old age person . Three group were formulated of 20-39, 40-59 and 60-79. Handwriting Assessment Battery for Adults and Bender Visual Motor Gestalt Test were assessed for all three groups. It was analysed that Handwriting Legibility decreases with age. The most affected factors were Word Legibility and Letter Legibility. Whereas Visual motor integration is maximum in 40-59 and least in Group 60-79. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193406 A Study to Compare the Effect of Inverse Ratio Breathing and Diaphragmatic Breathing on Pulmonary Functions in Obese Female–An Interventional Study 2020-02-20T06:48:49+00:00 Nidhi Ved nidhi.ved@rku.ac.in Pragna Gondaliya Nikhil Aggarwal <p><strong>INTRODUCTION:</strong> Obesity has becomes a major public health concern in many parts of the world. Obese individual have alteration in respiratory mechanics, decreased chest wall and lung compliance, decreased respiratory muscle strength and endurance, decreased pulmonary gaseous exchange and limitation in exercise capacity. In Inverse ratio breathing, the ratio of inspiration to expiration becomes 2:1, While diaphragmatic breathing involves slow and rhythmic breathing.</p><p><strong>AIM OF THE STUDY:</strong> To compare the effect of inverse ratio breathing and diaphragmatic breathing on pulmonary functions in obese female.</p><p><strong>METHOD:</strong> This study was carried out in and around Rajkot city. Subjects who fulfil exclusion and inclusion criteria were selected by purposive sampling and were assigned to group A and group B by simple random sampling .They were explained about the study, its usefulness and written consent were taken.30 subjects were divide into two Groups :Group A: 15 subjects were given diaphragmatic breathing, Group B: 15 subjects were given inverse ratio breathing.</p><p><strong>DATA ANALYSIS:</strong> Data were analysed using SPSS 20 software by applying Paired and Unpaired t-test.</p><p><strong>RESULT:</strong> Pre-treatment and post-treatment FVC, FEV1 and FEV1/FVC ratio were analysed, it was statistically significant (P value &lt; 0.05) in both the group but when comparison was done between two groups, it was statistically non-significant (P value &gt; 0.05).</p><p><strong>OUTCOME MEASURE:</strong> FVC, FEV1 and FEV1/FVC ratio.</p><p><strong>CONCLUSION:</strong> Inverse ratio breathing and Diaphragmatic breathing both were effective in improving pulmonary functions in Obese female after performing breathing techniques for consecutive 3 days (once a day). But there was no significant difference between the two Groups in improving pulmonary function in obese female.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193407 Effect of Muscle Energy Technique with Deep Friction Massage on Pain, Disability and Internal Rotation Range of Motion of Hip Joint in Individuals with Piriformis Syndrome 2020-02-20T06:48:49+00:00 Nithya Narayanan Kutty nithyankutty@yahoo.co.in Saad Siddeeque Heiskrujam Tamphaibema Azharuddin Nishanth Othayoth C. P. Bineesh <p><strong>Background:</strong> Piriformis Syndrome (pseudo sciatica) is caused by pressure of an injured or irritated piriformis muscle which leads to neuritis of branches of the sciatic nerve; mimics the signs and symptoms of low back pain. Due to high incidence of low back pain in our society, P.S frequently goes unrecognized or misdiagnosed in clinical settings.</p><p><strong>Method:</strong> Patients with piriformis syndrome were screened for inclusion and exclusion criteria after detailed assessment. 30 patients who meet the inclusion criteria were grouped into 2groups (15 patients in each group). Control group received UST and piriformis muscle stretching and experimental group received MET with DFM. Treatment period was about 30-40min each session in regular period of 6 days for a week for both groups.</p><p><strong>Outcome Measures:</strong> Oswestry Disability Index, Visual Analogue Scale, Standard Goniometer</p><p><strong>Results:</strong> Statistical analysis of intergroup significance by Mann Whitney U-test for IR ROM (sig.0.000 &lt; p = 0.05) and independent sample t-test for VAS (t = 2.895 &gt; table value, t = 2.048) and ODI (t = 4.842 &gt; table value, t = 2.048) reveals that experimental group shows significant difference between pre test and post test values of IR ROM, VAS and ODI than that in the control group.</p><p><strong>Conclusion:</strong> experimental group who received MET along with DFM shows greater improvement on pain, disability and IR ROM in individuals with piriformis syndrome than those in the control group who received U.S.T and piriformis muscle stretching.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193408 Effect of Secondary Motor Task on Performance of Stair Descent in People with Idiopathic Parkinson’s Disease 2020-02-20T06:48:49+00:00 Paliwal Chetali In people with Parkinson’s disease (PD), dual tasking is difficult because of the impaired motor functions of the basal ganglia. It causes postural instability, reduction in gait speed, decreased stride length, increased festination and freezing. So it can also influence performance on stair ambulation. This creates a need to study the effect of dual tasks on stair ambulation, especially stair descent. 30 subjects were selected from various hospitals in Delhi. After taking the informed consent, the subjects were made to descend down the stairs under two conditions: stairs descent only and stairs descent with secondary motor task. The time taken in both the activities was recorded along with the scores on Observational Stair Parameter Scoring System (OSPS). Time taken by the subjects and the scores on OSPS for performing secondary task was more than the normal stair descent. The performance of stair descent with secondary task became more difficult than descent without the secondary task. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193409 A Computer Game- Assisted Repetitive Task Practice based Upper Extremity Therapy Program for Children with Spastic Unilateral Cerebral Palsy:A Single Case Study 2020-02-20T06:48:49+00:00 Parmar Sanjay sanjaytparmar777@gmail.com Anuprita Kanitkar Tony Szturm Neha Gaonkar Bhavana Ankolekar <p>A case study is to provide evidence of the feasibility, acceptance, and benefits of a computer game-assisted repetitive task practice platform (G-RTP) in Upper extremity (UE) motor function of a child with Cerebral Palsy (CP).</p><p><strong>Method:</strong> 4 year old left spastic CP was provided an individualized game-assisted therapy of 16 weeks. Outcome measures included PDMS-2, QUEST, computerized assessment of a broad range of object manipulation tasks.</p><p><strong>Results:</strong> Findings demonstrated the feasibility and acceptability of the G-RTP program for use by children with UE motor impairment</p><p><strong>Conclusion:</strong> The findings are positive and support a future definitive RCT needed to prove the efficacy and applicability.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193410 Effect of Combined Pallof Press and Kegels Training for Urinary Incontinence in Multigravida Women and Quality of Life 2020-02-20T06:48:49+00:00 Pinky Maria Jose R. V. Vijaya Kumar Urinary incontinence has become one of the main health issue faced by women after pregnancy. It’s mainly due to inadequate care and neglect to the pelvic floor muscles in regaining strength leading to muscle weakness and Urinary incontinence. Traditional Kegel’s focus only on pelvic floor muscles while core stability and abdominal strength also plays important role in preventing the occurrence of urinary incontinence.Aim and objective: The aim of the study was to find out the effects of combined Pallof press and Kegel’s exercise for urinary incontinence in multigravida women and quality of life.Methodology:30 women(group A-15,group B-15) of age group between 30 - 40years, participated in simple experimental study for a duration of 8 weeks. Subjects were assessed by RUIS - Revised urinary incontinence scale and IIQ7 –Incontinence impact questionnaire. Result : The critical value of U at p&lt;0.5is 64 which means its statistically significant in controlling incontinence and critical value is not significant for IIQ7. Urinary incontinence occurrence frequency is high in women without core stability and abdominal strength. The study also revealed group of Kegel’s exercise’s alone still faces the occurrence of urinary incontinence more than those practiced both pallof press and kegels. If the core muscles doesn’t have adequate strength and stability Kegels can’t alone control the issue in a successful and satisfactory way. Conclusion:Subjects who practiced both Kegel’s &amp; Pallof press exercise shows less frequency of Urinary incontinence. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193411 Role of Early Physiotherapy to Enhance Functional Ability in a Patient with Bipolar Latissimus Dorsi Myocutaneous Flap Transfer at the Elbow:A Case Report 2020-02-20T06:48:49+00:00 Pooja Sethi Mukesh Kumar Sharma Shivani Ahuja <p><strong>Background</strong> – Elbow flexion is often lacking in patients with neuro- vascular injuries post trauma to the arm. Option for functional reconstruction is often limited in such patients due to delayed presentation and unavailability of suitable nerves and blood vessels. Many a times the only available option is regional (Latissimus dorsi) or Free (gracilis) functional muscle transfer. Physiotherapy in the form of exercises and electrical stimulation, muscle re-education form an important part of post-operative protocol which helps in regaining the functional ability after bipolar latissimus dorsi transfer.</p><p><strong>Case Description</strong> – A 17 year old male met with a road traffic accident which led to injury to his right arm because of which his radial, ulnar, median and musculocutaneous nerve got injured. Patient was unable to flex the elbow because of this injury. Surgeons performed bipolar latissimus dorsi myocutaneous flap transfer at the elbow and after the surgery patient was referred for the postoperative rehabilitation. Method – A case of post-bipolar latissimus dorsi transfer with reduced strength and range of motion has been presented.</p><p><strong>Intervention</strong> – Pulsed short wave diathermy at the axilla for 15 minutes. Electrical stimulation over the transferred latissimus dorsi, lumbricals, flexor carpi radialis, flexor carpi ulnaris, flexor digitorum profundus and superficialis for 10 minutes each. Tapping was done over the transferred latissimus dorsi muscle with range of motion exercises. The subject was treated 1 hour per day, 3 days a week for 3 months.</p><p><strong>Outcome Measures</strong> – Right shoulder/elbow/wrist muscular strength measured by manual muscle test, Right shoulder/elbow/wrist active and passive range of motion, Functional ability measured by Disabilities of arm, shoulder and hand scale.</p><p><strong>Results</strong> – Physiotherapy can effectively improve the range and strength of the elbow muscles thus improving the functional capacity.</p><p><strong>Conclusion</strong> – Elbow and arm function post operatively can significantly improve through various physiotherapeutic interventions.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193412 Immediate Effect of Muscle Energy Technique on Quadratus Lumborum Muscle in Patients with Non-Specific Low Back Pain 2020-02-20T06:48:49+00:00 Poonam Tawrej Ravinder Kaur Snehal Ghodey [Purpose] The aim of this study was to evaluate the immediate effect of Muscle Energy Technique on Quadratus Lumborum Muscle on pain level and active Lumbar Range of motion in patients with acute and sub acute nonspecific Low back pain. [Subjects and Method] Sixty patients with nonspecific low back pain and limited lumbar ROM were selected. The subjects were randomly assigned to an experimental group(n=30), which received treatment consisting of Muscle Energy Technique to Quadratus Lumborum muscle and hot pack, while that of control group received only hot pack to lower back. Pain levels using NPRS and Lumbar ROM using Modified Schober’s test were measured before and immediately after the interventions in both groups. [Results] Both the groups showed significant improvement in outcome measures. However, the Experimental group showed better results on comparing with control group. [Conclusion] The combination of Muscle Energy Technique to Quadratus Lumborum muscle along with hot pack treatment was found to be effective in reducing pain and improving lumbar ROM after a single intervention session. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193413 Assessment of Body Coordination, Strength and Agility Using Bruininks- Oseretsky Test of Motor Proficiency (BOT-2) in Overweight and Obese Children Aged 7-12 Years 2020-02-20T06:48:49+00:00 Preeti Gazbare Shivani Deshmukh Tushar J. Palekar Neena Varghese Blessy Abraham Gurjit Singh Roopa Desai <p><strong>Background -</strong> Childhood obesity is a major health problem in many developing countries, including India. As a result, overweight and obese children achieve fewer opportunities to develop proficient motor skills. Early assessment should be done to evaluate children having poor coordination problem and early intervention should be given to avoid risk of any neuromotor disturbances later. This study is done to find out the level of motor proficiency in terms of Body coordination, strength and agility in overweight and obese school going children aged 7-12 years using BOT-2 test.</p><p><strong>Method:</strong> A cross sectional analytical study was conducted using BOT-2 long form. Purposive sampling of 54 overweight and obese children (32 males and 22 females) aged 7-12 years who met the inclusion criteria were taken for the study and assessed under 2 motor area composite of BOT -2. The study was conducted after the ethical clearance obtained by the institutional ethical committee. Each task was explained verbally and demonstrated to each student, to ensure proper understanding of the task.</p><p><strong>Results:</strong> 54 children were assessed (59.2% males and 40.8% females) and standard score of the BOT -2 test was calculated which signifies the level of proficiency. For Body coordination component mean standard score of 45.07 and for strength and agility component it was 37.79.</p><p><strong>Conclusion:</strong> This study concludes that according to Descriptive Category of BOT -2 test in Body coordination 33%, in Strength and agility 74% of overweight and obese children aged 7-12 years has motor deficits.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193415 The Effect of Mobilization of an Asymptomatic Cervical Spine on Shoulder Pain, Shoulder Range of Motion and Shoulder disability in Patients with Shoulder Pain 2020-02-20T06:48:49+00:00 Ronika Agrawal Gayatri Karandikar- Agashe gayatri.karandikar@gmail.com <p><strong>Introduction:</strong> Shoulder pain is a common complaint for individuals of all ages and activity levels with a prevalence ranging from 7% to 34%.Along with involvement of shoulder joint, dysfunction at the cervicothoracic spine and the adjacent ribs (also called the shoulder girdle) is considered to predict the recurrence and poor outcome of shoulder complaints. When shoulder joint is highly irritable, manual therapy cannot be given to it directly. Changes in the axio-scapular muscle activity during low-load functional tasks have been shown in individuals with chronic neck pain, which play an indirect role in shoulder biomechanics. Therefore, cervical spine mobilization techniques could be used during therapy to affect the more peripheral symptoms.</p><p><strong>Materials and method:</strong> 60 patients with shoulder pain were randomly divided into 2 groups of 30 patients each. Group A received lateral and postero-anterior Maitland’s mobilization of the C5, C6 and C7 spinous processes along with Short Wave Diathermy (SWD) to the shoulder while Group B received SWD to the shoulder alone for 5 days. Passive range of motion of the shoulder using a universal goniometer, Pain on VAS and a Shoulder Pain and Disability Index scale were assessed pre and post treatment.</p><p><strong>Conclusion:</strong> Mobilization of the asymptomatic cervical spine lead to a significant reduction of pain, significant increase in the overall shoulder ROM and a reduction in the functional disability after 5 days of treatment in individuals with shoulder pain. It has a lasting effect on improvement in functional disability. When two groups were compared (SWD + mobilization v/s SWD alone), no one group was statistically better than the other.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193416 Age and Gender- Related Test Performance in Community Dwelling Elderly Population: Six-Minute Step Test and Four Square Step Test 2020-02-20T06:48:49+00:00 Ruchi Choudhary <p><strong>Background and purpose:</strong> Aging is associated with a decrease in the efficiency of several functions, among which are posture control and functional capacity, even in the absence of diseases. There is little data available in literature describing variation in test performance for older adults who are functioning independently. The available data are less and often difficult for clinicians to use as a basis of comparison in documentation because they are not presented in terms of age and gender groupings. The purpose of this study is to investigate aging related changes in balance and functional capacity performance in community dwelling elderly people.</p><p><strong>Method:</strong> Total 60 subjects were included and divided into 3 groups according to age groups. Group 1 (60- 69), Group 2 (70-79), Group 3 (80-89) in each group 20 subjects with 10 males and 10 females. The informed consent was taken. Six Minute Step Test (6MST) and Four Square Step Test (FSST) were performed on them. The number of steps taken by the subjects in 6 minutes were recorded in 6MST and the time taken by the subjects to complete the FSST were recorded using stopwatch. The data obtained was analyzed using independent t- test and one way ANOVA.</p><p><strong>Result:</strong> 6MST and FSST scores were significantly different in all 3 age groups. The results showed that there is a progressive decrease in the 6MST and progressive increase in the time taken to complete FSST with increasing age. However, there was no significant difference between males and females performance in 6MST and FSST.</p><p><strong>Conclusion:</strong> From the results it can be concluded that there is a progressive decrease in the test performance (6MST &amp; FSST) with age in community dwelling elderly people.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193417 To Evaluate Scapulohumeral Rhythm in Scapular Dyskinesia in Software Professionals with Neck Pain 2020-02-20T06:48:49+00:00 S. Devi Sree Neck Pain a musculoskeletal condition which is increasing commonly throughout the World having considerable impact on individuals that affects their social, physical and psychological aspects. Neck Pain is more prevalent in office workers than in general community. Computers have become an epitome of modern life, being used in every aspect of life. Work related Neck pain is leading cause of disability and absenteeism. Evaluation, treatment planning for Neck Pain rehabilitation often fails to include an objective assessment of scapular motion. Methodology: A cross-sectional study,120 subjects with Neck Pain. Convenient sampling method was done. Subjects were screened for Scapular Dyskinesia using Lateral Scapular Slide Test(LSST) those fulfilling the inclusion criteria, further Scapular Upward Rotation(SUR) assessed by Digital Inclinometer at 00,450,900,1200 of Gleno-Humeral abduction and assessed for Scapulohumeral rhythm(SH rhythm). NDI questionnaire was asked to fill. Results: The results showed statistically significant correlation between all the variables. SUR is more in dominance hand and SH rhythm is more in non-dominance hand and is altered in all the angles and none were closely related to the clinically accepted ratio. SH rhythm is more in starting angles of humeral elevation and is less when reaching to full range. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193414 To Compare the Skilled based Physical Fitness Such as Agility, Power and Speed between the Young College Male Basketball and Football Players 2020-02-20T06:48:49+00:00 Rajal B. Sukhiyaji rajal.sukhiyaji@utu.ac.in Zeel Patel <p><strong>Background:</strong> Football and basketball players need good fitness, flexibility, power, strength, agility, endurance and vertical jumping ability to achieve sporting targets. Physical fitness is important for top class performance in sports and also for injury prevention.</p><p><strong>Objective</strong>: To compare the skilled based physical fitness such as Agility, Power and Speed between the Young college male Basketball and Football players.</p><p><strong>Method:</strong> 60 players (only males), playing football and basketball since 1 year, age between 17-25 years from different colleges in Surat and Bardoli were included for the study. From these 30 players were football players and 30 players were basketball players. All players had filled up the informed consent form and the self-administered questionnaire. The physical fitness tests were carried out such as Illinois Agility Test (IAT), 20 meter sprint, and Vertical Jump Height (VJH) for all 60 players. The comparison was done between the football and the basketball players for each of the physical fitness tests.</p><p><strong>Results:</strong> All statistical analysis was performed using SPSS version 16. The independent t-test was used for comparing means between two groups. Results were considered to be significant at p&lt;0.05 and confidence interval was set at 95 %. Significant differences was found between players for IAT and VJH with p=0.000 (p&lt;0.05). There was no significant difference found between players for 20 Meter Sprint Test with p=0.590.</p><p><strong>Conclusion:</strong> Agility was better in football players than basketball players. VJH was more in basketball players than football players. There was no difference found in 20 meter sprint test between basketball and football players.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193418 Prevalence of Recreational Interest in Geriatric Population 2020-02-20T06:48:49+00:00 Sanket R. Thorat Suraj Kanase drsurajkanase7@rediffmail.com <strong>Background:</strong> Recreational therapy “means a treatment services designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness. As well as reduce or eliminate the activity limitations and restrictions to participation in life situations caused by an illness or disabling condition. Recreational therapy especially in senior citizens is important because senior citizens can suffer from loneliness, depression and anxiety which can lead to loss of physical functioning and can contribute to early death. <strong>Objectives</strong>: Objectives of the study were to determine the prevalence of Recreational interest in geriatric population <strong>Material and Method</strong>: In this observational study, 100 subjects were assessed using Recreational Activity Interest Questionnaire and Recreational Activity Interest Scale. <strong>Results</strong>: Statistical analysis of Recreational Activity Interest Questionnaire and Recreational Activity Interest Scale were found to be extremely significant. <strong>Conclusion</strong>: The study concluded that majority of population were aware of recreational activities and those who were not aware of recreational activities should be made aware of the same. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193420 Perception of Physiotherapists about the Effectiveness of Therapeutic Ultrasound 2020-02-20T06:48:49+00:00 Sapna Bachani Muhammad Saad Khan Muhammad Riaz Baig Chughtai <p><strong>Objective:</strong> To determine the perception of physiotherapists about the effectiveness of therapeutic ultrasound as a treatment modality. <strong>Study design:</strong> descriptive cross-sectional study. <strong>Period</strong> 6 months after the approval of synopsis from June 2017 to November 2017. <strong>Material &amp; Method:</strong> A self-administered questionnaire was distributed among the physiotherapists working in the clinical practice, 25-60 years of age of both genders. Questionnaire employing of both open and closed ended questions. Questions were asked regarding the usage, their knowledge of appropriate dosages and their perception of its effectiveness for various conditions. Perception was evaluated using Visual analogue Scale. <strong>Results:</strong> One hundred and twenty questionnaires were completed and returned a response rate of 87.5%. Physiotherapists perceived ultrasound to be effective in acute tendinitis, acute bursitis and chronic muscle strain. Respondents believe that therapeutic ultrasound become more effective when used in conjunction with other techniques at appropriate dosages, However, the placebo qualities of ultrasound were not perceived to be effective by most of the physiotherapists. <strong>Conclusion:</strong> Therapeutic ultrasound is perceived to be most commonly used electro physical agent among the physiotherapists. The findings suggest that ultrasound was thought to be as an effective treatment tool when applied appropriately. The results of this study will be useful for the clinicians however, further experimental studies investigating ultrasound efficacy are indicated.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193419 Improving Upper Limb Function in a Person with Stroke Using Proprioceptive Neuromuscular Facilitation Approach:A Case Study 2020-02-20T06:48:49+00:00 Santhakumar Haripriya Samuel Sanjay Eapen Sanil Rashmi Raghu sanil.rashmi06@gmail.com A sixty-six-year-old male presented with right upper limb weakness of three years duration. Radiological studies identified an acute infarct with haemorrhagic component and absence of flow in the left middle cerebral artery. This case report discusses his presentation and effect of proprioceptive neuromuscular facilitation (PNF) approach in stroke to improve upper limb function 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193421 Comparison of Immidiate Effect of Hold-Relax Proprioceptive Neuromuscular Facilitation and Foam Roller Exercise on Tight Hamstring Muscle in School Going Children”–An Experimental Study 2020-02-20T06:48:49+00:00 Sarfraj Khan saffu786.sk@gmail.com Harmisha Kanpariya Dixita Nanda <p><strong>Context:</strong> Hamstring tightness occurs in early childhood and tends to increase with age. Hold-relax PNF technique and foam roller exercise technique are used to improve flexibility of hamstring muscle.</p><p><strong>Aim:</strong> Comparison of immidiate effect of hold-relax proprioceptive neuromuscular facilitation and foam roller exercise on tight hamstring muscle in school going children.</p><p><strong>Settings and Design:</strong> The interventional study was carried out in various primary schools of Aburoad.</p><p><strong>Method and Material:</strong> 60 subjects were included on the basis of inclusion and exclusion criteria and divided into 2 groups with 30 participants in each group. One group received hold-relax PNF and other group received foam roller exercise.</p><p><strong>Statistical analysis:</strong> Data was analyzed by using SPSS version 20. Wilcoxon signed-rank test was used for the pre treatment and post treatment comparison within both the groups and Mann-Whitney U test was used for the inter group comparison.</p><p><strong>Results:</strong> Statistically is significant(p&lt;0.05) the result showed high significant diffrence within and between the two groups. There was more effect of hold-relax PNF technique compared to foam roller exercise.</p><p><strong>Conclusion:</strong> The above study concluded that both the technique showed marked improvement but holdrelax PNF more effective in school going children with hamstring tightness.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193422 Effect of Accu Tens with Accu Band on Nausea, Vomiting, Retching and Quality of Life in Early Pregnancy 2020-02-20T06:48:53+00:00 Shital Babruwan Ghule T. Sureshkumar <p><strong>Background:</strong> Nausea and vomiting are basic human preventive reflexes against the absorption of toxins, as well as responses to correct stimuli. They are often used together, although each phenomenon should be assessed separately.1 Nausea and vomiting in pregnancy (NVP) is repeatedly experienced in early pregnancy, most frequently between 6 and 12 weeks.its important to find out Accu tens and bands and related techniques have potential for nonpharmacologic relief of nausea and vomiting in pregnancy</p><p><strong>Methodology:</strong> Subjects were randomized into two groups. 124 subjects of above 18 years old subjects were recruited in each group. Accu (TENS) Transcutaneous Electrical Nerve Stimulation with accu band at P6 point or Neiguan acupuncture point of dominant hand was administered to experimental group while control group was subjected to placebo (TENS) Transcutaneous Electrical Nerve Stimulation with Accu band on dorsum of wrist joint. Both the groups received interventions for 5 days in a week for 3 weeks. The outcome of study assessed by Rhodex index,Nausea Vomiting of Pregnancy Quality of Life (NVPQOL) questionnaire, which was assessed before treatment and after treatment session regimen.</p><p><strong>Result:</strong> Rhodex index scores shows that there is comparison between group A and group B mean value of group A and group B 18.61 and 12.29 respectively. The t-value were 6.66 and p&lt;0.0001. NVPQOL scores shows that there is comparison between group A and group B mean value of group A and group B 115.23 and 80.58 respectively. The t-value were 7.25 and p&lt;0.0001.</p><p><strong>Conclusion:</strong> The results obtained from this study showed that the Accu TENS with Accu band can be easy to perform, least expensive, feasible and most efficient management strategy for reducing nausea, vomiting and retching, weight gain and enhancing the quality of life of individuals with early pregnancy.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193423 Effect of Dynamo-Static Splint on Post Operative Knee Stiffness 2020-02-20T06:48:53+00:00 Shubham Kamble Trupti Yadav <p><strong>Aim:</strong> To Study the effect of Dynamo-Static Splint on Post-operative knee stiffness</p><p><strong>Objectives:</strong> The Objectives of the study are as follows: (1) To find the effect of Dynamo-Static Splinting on Pain (2) To find the effect of Dynamo-Static Splinting on Knee Range of Motion</p><p><strong>Methods:</strong> This study was conducted for the duration of 6 months. 20 subjects of age 20 to 60 years were screened out of which 10 subjects were selected for the study depending on the inclusive and exclusive criteria. Condylar Fracture of Femur and Tibial Plateau Fractures referred to Physiotherapy Department Between 4 to 5 weeks. These subjects were then divided into 2 groups Pre-treatment assessment and Posttreatment assessment were recorded.</p><p><strong>Results:</strong> Statistically significant differences in the VAS at rest and activity, Pre and Post range of motion were seen between the two groups. Post treatment Range of motion It indicated that it was significant (p &lt; 0.0001) and (p = 0.0460) in the interventional group subjects. VAS at rest. It indicated that it was significant (p &lt; 0.0001) and (p = 0.0203) in the interventional group subjects. Intra group analysis of these values within the group was done using Wilcoxon test and the Inter group analysis between the groups was done by Mann- Whitney test.</p><p><strong>Conclusion:</strong> The present study provided evidence to support the use of dynamo static splint for postoperative knee joint stiffness. In addition, results supported splinting exercises were significantly effective in reducing the quality of pain and improving range of motion in post-operative knee stiffness.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193424 Fall Prevention by Otago Exercise Program based on Health Belief Model in Community-Dwelling Older Persons 2020-02-20T06:48:53+00:00 Songvut Punlomso Phitthaya Srimuang Kukiat Tudpor kukiat.t@msu.ac.th Health belief model (HBM) has been widely used to communicate with older persons in order to change their behaviors. This group of people have a higher risk of fall due to poor postural balance and inappropriate fall-related behaviors. Home-exercise programs like Otago exercise program (OEP) can ameliorate postural balance, but most of the older persons do not well comply with the program. This mixed methods research study was aimed to investigate effects of a 12-week HBM-based OEP (HBM-OEP) on postural balance (Berg balance scale, BBS) and quadriceps torque in 72 healthy community-dwelling older persons (control group, n = 36 and HBM-OEP group, n = 36). Levels of fall-related HBM domains (knowledge, perception, and behaviors) were also recorded at baseline and 12-week post-intervention. Results showed that the BBS increased from 51.3±0.4 to 53.2±0.3 (p &lt; 0.05). The quadriceps torque between baseline and post-intervention were not significantly different (181.7±12.2 vs 188.2±9.9 Nm). In contrast, the quadriceps torque in the HBM-OEP group significantly increased from 176.8±10.6 to 220.0±9.2 Nm (p &lt; 0.05). Both quadriceps torque and BBS were positively correlated with the levels of knowledge, perception, and behavior scores. In conclusion, the 12-week HBM-based OEP was effective to improve postural balance and the levels fallrelated health beliefs. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193425 Comparative Study of Instrument Assisted Soft Tissue Mobilisation Vs Ischemic Compression in Myofascial Trigger Points on Upper Trapezius Muscle in Professional Badminton Players 2020-02-20T06:48:53+00:00 Soumik Basu Rajas Edgaonkar Gaurang Baxi Tushar J. Palekar M. Vijayakumar Aditi Swami Mohammad Zaid Tai Study design: Pre-post experimental study design. Background: The presence of trigger points over trapezius muscle is one of the major reasons of injuries in badminton players. Trigger points affect the flexibility of muscles which if untreated leads to dysfunctions. This alters the biomechanics of badminton gameplay. Objective: Hence, present study was undertaken to find out and compare the effects of Instrument Assisted Soft Tissue Mobilization and ischemic compression in trapezius trigger points in badminton players. Procedure: In this study, 30 participants were recruited based on inclusion and exclusion criteria. They were divided in 2 groups of 15 each. Each intervention was administered to them for a period of 2 weeks, 2 sessions per week in respective groups. Pre and post assessment was taken using following outcome measures-NPRS, pain pressure threshold and cervical range of motion. Results: There was significant increase in the pain pressure threshold of the players and the cervical range of motion in the IASTM group. There was decrease in the NPRS findings in the IASTM group. Conclusion: The results suggested that IASTM showed better results than ischemic compression in relieving trapezius trigger points. 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193426 Proprioceptive and Functional Outcome of the Knee in Arthroscopic Anterior Cruciate Ligament Reconstruction of a Preserved Remnant Tissue 2020-02-20T06:48:53+00:00 I. Srikanth srikanth19804@gmail.com S. M. Shishir S. Yamamalini Najimudeen Syed <p><strong>Background:</strong> Injury to the ACL(Anterior Cruciate Ligament) not only causes mechanical instability but also leads to functional deficit in the form of diminished proprioception of the knee joint. This study analyzes and reviews our understanding of the sensory element of ACL deficiency, with specific reference to proprioception as an important component of functional knee stability.</p><p><strong>Method:</strong> 100 patients who underwent ACL reconstruction surgery and completed Simple and Effective Rehabilitation Protocol(SERP) with minimum duration of 2 years from surgery to follow up, were all assessed for proprioception, stability and functional outcome of the reconstructed knee. They were assessed by the knee joint position sense, single leg hop test for both the normal and reconstructed knee and KOOS questionnaire respectively.</p><p><strong>Result:</strong> Chi square table value for 1degree freedom at 0.05 was 3.84, hence the calculated Chi square values of proprioception knee in supine lying, proprioception knee in standing and single leg hop are less than table value of the accepted hypothesis which concludes that, there is no significant difference between the scores of selected outcome variables among reconstructed knee and normal knee subjects. The calculated paired‘t’ and ‘t’ table value with respect to the functional outcome of knee in operated and normal subjects was 6.53 and 2.66 respectively at 0.005 level.</p><p><strong>Conclusion:</strong> There was no significant difference of Proprioception between the scores of selected outcome variables among reconstructed knee and normal knee in supine lying, standing and single leg hop. But it shows that there is significant difference of 2.66 at 0.005 level between reconstructed knee and normal knee groups with respect to the functional outcome of knee after two years of follow-up in ACL reconstructed knees.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193427 Cross-Sectional Study to Identify Iliotibial Band Syndrome Causes among Treadmill Runners and Its Impact on Functional Activities 2020-02-20T06:48:53+00:00 Sukanya Baruah R. V. Vijayakumar Running causes overuse injuries and ITBS (Iliotibial band syndrome) is one of the most common injury. Risk factors of ITBS includes ITB tightness, abductor weakness and biomechanical differences. People using treadmill without ruling out faulty biomechanics leads to ITBS. Objectives: i) To find the causative factor for ITBS among treadmill runners. ii) To find out the impact of ITBS in functional activities among treadmill runners. Methodology: 120 samples fulfilling the selection criteria were included. Age, lateral knee pain, speed of running, number of days running per week, since how many months, for how many minutes were collected. Participants with lateral knee pain were assessed using NCT (Noble compression test). Subjects were assessed with hip abductor strength test, NPT (Navicular position test), TT test (tibial torsion test) and Q angle measurement. Common cause for ITBS among treadmill runners was evaluated. Participants were screened for their functional activity using the LEFS (lower extremity functional scale) and scored accordingly. Result: Mean age calculated is 27.88±3.91 yrs, running since 12.08±5.82 months, for 23.58±4.91 minutes, 4.06±0.8 days a weeks, with a speed of 6.75±0.57 m/sec. 40.83% of the subjects had ITBS due to hip abductor weakness, 15.83% of the subjects had a FF(flat feet) and int.TT while 14.17 % had int.TT. Increased Q angle and ext.TT was found in 9.17%. 5 % had hip abductor weakness and increased Q angle whereas 2.5% of the subjects had all the four components present. The mean score obtained by all the subjects with ITBS in the LEFS scale is 63.12±5.33. Conclusion: Study concludes that hip abductor weakness alone is the major cause of ITBS among treadmill runners. FF and int.TT being second most important cause. Mean score of ITBS in LEFS scale is 63.12±5.33 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193428 Effect of Chalk Dust Exposure on PEFR and CAT in School Teachers 2020-02-20T06:48:53+00:00 Sukhada Prabhu Manasi Desai Samiksha Harer <p>In teachers, occupational exposure to chalk dust is very common. Classrooms contain of fine particulate matter that source from chalk dust.</p><p>To further evaluate and study the symptoms of respiratory illness in school teachers, the present study was conducted in order to evaluate individual’s degree of obstruction using the PEFR, and its impact on their overall health, using COPD assessment test.</p><p>This comparative study was conducted in 40 School teachers and 40 normal healthy individuals. The data for this study was collected using mini Bell’s PEFR device and the COPD Assessment test (CAT). An analysis of the data showed that the mean CAT score of group A (teachers) was significantly higher (p=0.001) than group B (normal individuals). The mean PEFR for group B was higher than group A, although the difference was not statistically significant.</p><p>Hence, the study concluded that respiratory symptoms significantly impacted the health of school teachers. They also showed signs of airway obstruction as compared to normal individuals.</p> 2020-03-01T00:00:00+00:00 https://www.i-scholar.in/index.php/ijpot/article/view/193429 Effectiveness of Reaction Time Training & Physical Exercises on Rt & Quality of Life of Epileptics-A Case Series 2020-02-20T06:48:53+00:00 Vaijanti Jain <p><strong>Aim:</strong> To study Effectiveness of Reaction time training &amp; physical exercises on RT &amp; quality of life of Epileptics- a case series.</p><p><strong>Objectives:</strong> Finding the effect of RT training &amp; physical exercises on Reaction time (RT) &amp; quality of life (QOL) in Complex partial seizures (CPS)</p><p><strong>Methodology:</strong> 4 subjects (OPD patients,OT dept KEMH) age 20-40 yrs, of Refractory CPS with or without secondary generalization with atleast three years of period of onset were included in a 4 week study. The Outcome was measured on RT machine, WHO BREF QOL questionnaire, Mini Mental status examination (MMSE) &amp; neurological evaluation. Pre &amp; post intervention changes were assessed with RT machine &amp; WHO BREF QOL questionnaire. The Occupational therapy intervention consisted of 30-45 mins of training on 1) RT simulated machine &amp; activities &amp; 2)physical activities twice a week with home programme.</p><p><strong>Results:</strong> The (paired) t value of post intervention RT is 4.0691 (significant at p=0.05). The (paired) t values of differences in individual domain scores for physical domain =23.0638 (significant at p=0.001),psychological =5.6949 (significant at p=0.02) &amp; social =3.4762 ((significant at p=0.05). The study suggests a definite avenue for OT intervention in patients with epilepsy.</p><p><strong>Conclusion:</strong> RT &amp; QOL can be improved using RT training &amp; Physical exercises. However a study has to be done on larger sample size with a longer follow up to confirm the efficacy of the study.</p> 2020-03-01T00:00:00+00:00