Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Abstract

Background: Premature birth, commonly used as a synonym for preterm birth, refers to the birth of a baby before its organs mature enough to allow normal postnatal survival and growth and development as a child. Positioning an infant appropriately is one of the easiest ways to provide postural support that has both an immediate and lasting impact on an infant's motor development. We can prevent complications like respiratory distress syndrome, chronic lung disease, pneumonia by proper positioning of child. No relationship between these two positions with oxygen saturation is yet proved in preterm infants.

Methods: This was a comparative study between high side lying and side lying position that were randomly assigned to 40 preterm infants i.e. those who were born in less than 37 weeks gestation age and were haemodynamically stable. They were made to lie in each position in neonatal nursery under constant supervision for 3 regular hours in same day. Saturation of peripheral oxygen in infant was recorded by pulse oximeter every 15 minutes during these 3 hours and monitoring was continued till it reached the baseline again. The infant was assigned in the next position once oxygen saturation reached the baseline again. Random order of positioning was used.

Results: The influence of both positions on the saturation of peripheral oxygen (SPO2) in preterm infants was then evaluated and results formulated using paired t-test for evaluation of data. The data was collected with positioning using Pulse Oximeter as an outcome measure.

Conclusion: This highlighted that high side lying is better than side lying in improving saturation of peripheral oxygen in preterm infants.

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Abstract

Lumbar manipulation and conventional physiotherapy, both had reported significant results for low back pain (LBP) due to sacroiliac joint dysfunction (SIJD). In lumbar manipulation, Muscle Energy Techniques (MET) is frequently used for pain relief and increase range of motion. MET is an active technique in which the patient voluntarily contract specific muscle against the resistance of clinician. Unfortunately, no study has examined the effectiveness of MET in comparison to conventional physiotherapy.

This study was to compare the MET and conventional physiotherapy in treating low back pain due to SI joint dysfunction. It was a comparative study in which 30 subjects were recruited from Department of Physiotherapy, Christian Medical College and Hospital, both male and female age between 18-35 years complaining of low back pain (more than 3 months) due to SI joint dysfunction (anterior innomiate type)and fulfilling the inclusion and exclusion criteria were taken. Oswestry disability index (ODI) and numeric pain rating scale (NPRS) reading were taken before the treatment. Subjects randomly grouped into 2 groups, Group A (n=15) (MET & corrective exercises were given) Group B (n=15) (TENS & corrective exercises were given). Total 6 treatment sessions were given and then the ODI & NPRS readings were taken at the end to treatment sessions (6th day of treatment).

After data analysis with student’s ‘t’ test the mean difference ± standard deviation for ODI relief (%) for Group A and Group B were 7.49 ± 5.709 and 7.49 ± 3.391 and that for numeric pain rating relief for Group A and Group B were 0.80 ± 0.737 and 0.8. ± 0.507. The average of Oswestry Disability Index (%) relief decrease for Group A is 27.15% and for Group B it is 19.67 %and the average of numeric pain rating scale relief for Group A is 3.40and for Group B is 2.60.

The result of the study showed that along with corrective exercises, MET is moderately significant over conventional physiotherapy i.e. TENS with corrective exercises in improving functional ability and decreasing pain.

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