- Dipti B. Geete
- Bhavana Mhatre
- Madhavi Lokhande
- R. Sneha Kale
- S. Hiral Master
- V. Chhaya Verma
- Jaimala Shetye
- Swati Surkar
- amita Mehta
- Wishwas Kane Ketki
- Bhavana Suhas Mhatre
- Bhakti Kesharia
- Jigna Tanna
- R. Lakshmi Prabha
- Saraswati Iyer
- Ajit Harale
- Meenakshi Venkateswaran
- Jyotsna Thosar
- Ami Timbadia
- Archana Gore
- Laxmiprabha Rangarajan
- Uma Prabhu
- Rajashree Naik
- Bijal Dodia
- Pratibha Gaikwad
- Poonam Khachane
- Laxmi Prabha
- Manjiri Puranik
- Poorvi Shah
- Mariya Jiandani
- Lakshmi Prabha
- Rajeshwari Reddy
- Ashish Nabar
- Bhavna Mhatre
- Nilima Mote
- Asmita Karajgi
- Writer Hutoxi
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Mehta, Amita
- Analysis of Work-Related Musculoskeletal Pain in Bus Drivers - A Cross -sectional Study
Authors
1 Seth G .S. P. T. School & Centre & K.E.M. Hospital, Parel, Mumbai, IN
2 Terna Medical College, New Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 53-58Abstract
Background: Professional bus drivers have been found to be at a higher risk for developing musculoskeletal pain.Objective: To investigate the prevalence of musculoskeletal pain & to analyse the risk factors at Work-Station in Bus drivers.
Design: Cross- sectional study.
Method: 60 bus drivers were interviewed. A questionnaire was formulated on the basis of job demand analysis & ergonomic evaluation. Questions included were based on age, musculoskeletal pain, workrelated ergonomic & psychosocial stressing factors, and general health habits like addictions, exercise.
Result: Data was analysed by Logistic regression module & ODD'S ratio were calculated. Out of the 60 bus drivers, 20% reported no pain. Prevalence of musculoskeletal pain was 80%, in that most affected area was Low back (70%), neck (55%), shoulder (47.5%), Knee pain (31%) & then wrist & heel pain. The highest risk factors for back & neck pain were long term exposure to vibration & uncomfortable seat position.
Conclusion: Work related ergonomic & psychosocial factors showed a significant association with musculoskeletal pain in Bus drivers.
Keywords
Musculoskeletal Pain, Questionnaire, Bus DriversReferences
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- Exercise Training for Astronauts
Authors
1 Seth G.S.M.C. and KEM Hospital, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 77-81Abstract
The weightless environment of space imposes specific physiologic adaptations on healthy astronauts. On return to Earth, these adaptations manifest as physical impairments that necessitate a period of rehabilitation. Major post flight impairments requiring rehabilitation intervention include orthostatic intolerance, bone demineralization, muscular atrophy and neurovestibular symptoms. This paper will review and discuss existing space rehabilitation plans for major postflight impairments.Keywords
Exercise Training, Astronauts, MicrogravityReferences
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- Effect of Iliotibial Band Stretching on Pain and Functional Activities in Patients with Knee Osteoarthritis
Authors
1 P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical College and KEM hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 102-107Abstract
Background: The iliotibial band is a long, non elastic collagen structure which crosses both hip and knee joints on the lateral thigh. The normal aging process brings changes in normal muscle functions including strength, endurance, agility and flexibility. Tight muscles further contribute to early degeneration of the joint. Routine physiotherapy includes hamstring, rectus femoris, and tendoachilis in the management of osteoarthritis. Thus, study aims to evaluate & compare effects of physical therapy intervention to improve the length of tight iliotibial band with respect to improvement in functional outcomes along with conventional physical therapy intervention.Materials and Methods: 60 subjects having knee osteoarthritis with iliotibial muscle tightness participated in the study. They were divided into 2 groups: Group A and Group B, of 30 subjects each. Group A was given-iliotibial band stretching in Ober's test position and Conventional physical therapy (Ultrasound + Exercises). Group B was given- Conventional physical therapy only. Both the groups received the treatment for a period of 5 days.
Results: Results showed a statistically significant improvement on inter group comparison in the pain scores (on VAS) for walking, medial mobility of patella and Q angle. (p<0.001)
Conclusion: Conventional physical therapy is effective in improving pain and functional activities but Iliotibial band stretching has an added effect on functional activity of walking.
Keywords
Osteoarthritis, Ultrasound Stretching, Ober's PositionReferences
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- Evaluation of effects of Nebulization and Breathing Control in Asthmatic Patients
Authors
1 P.T. School and Centre, Seth G.S.M.C. and K.E.M. Hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 14-20Abstract
Background: Asthma is a disease characterized by airflow limitation that is either fully or partially reversible. There is a growing realization that in asthma the airflow limitation leads to further mechanical consequences that result in dyspnea which is also a very important domain along-with airflow limitation to build up strategies to effectively cope up with asthma. To treat asthma effectively means to achieve a better level of control of asthma. Various strategies have been adopted by the patients themselves to keep their asthma level in control and avoid frequent exacerbations. Asthma has many dimensions to it rather than only airway obstruction. Asthma is affected by anxiety, cold, emotional quotient & also by the level to which other non- pharmacological means to control asthma adopted by the patient like yoga, meditation and various breathing strategies. It was seen that pharmacological measures though were very essential to treat asthma, but along-with its long term use; factors like adverse effects of medications, patient's non-compliance, cost effectiveness of treatment, patients sense of satisfaction of their disease control came into focus. Hence, various non-pharmacological measures were researched in the past trials, of which breathing control was one of the measures used.Purpose: The purpose of our study was to evaluate the effects of nebulization and breathing control (N+B combination) as against only breathing control(B) on airway obstruction [by measuring peak expiratory flow rate(PEFR), forced expiratory volume in 1st second(FEV1) and dyspnea [by measuring respiratory rate (RR) and rate of perceived exertion (RPE)] in asthmatic patients.
Method: In total, 60 patients were selected according to the inclusion and exclusion criteria. Written informed consent was taken from the patients and asthmatic patients were randomly allocated to two groups either N+B or only B. Parameters PEFR, FEV1, RR and RPE on Borg's modified 10 point category ratio scale were obtained before and after the treatment session. Data was analyzed using SPSS 15. For statistical significance, p value of
Results: There was a statistically significant improvement in PEFR, FEV1, RR and RPE in both the groups. However, there was no statistically significant difference in PEFR and FEV1 i.e. airway obstruction between the two groups. But, there was a statistically significant difference in RR and RPE i.e. dyspnea between the two groups, with breathing control showing greater improvement in dyspnea.
Conclusion: Thus, asthmatic patients not only could reverse their airway obstruction (PEFR, FEV1) with Breathing control but also improved in terms of dyspnea (RR, RPE) as compared for Nebulization and Breathing control group. Nebulization and Breathing control group though it showed statistical significant improvement in airway obstruction(PEFR,FEV1) than only Breathing control; but the overall energy expenditure and thermogenic effect of nebulization with salbutamol did not help reverse dyspnea(RR and RPE)to the effect the breathing control could to.
Keywords
Asthmatics, Nebulization, Breathing Control, Airway Obstruction, DyspneaReferences
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- Cristopher A Kellett, Jacqueline A Mullan. Breathing Control Techniques in the Management of Asthma.Volume 88, Issue 12, Pages 751-758 (December 2002).
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- Cowie RL, Conley DP, Underwood MF. A RCT of the Buteyko technique as an adjunct to conventional management of asthma. Respir Med 2008:726-732.
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- A Study of Comparison of Implicit Learning in Post Stroke and Age-Matched Elderly Subjects
Authors
1 P.T. School and Center, Seth G.S. Medical College , KEMH, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 90-96Abstract
Background: A motor skill can be learnt implicitly without awareness of what is being learnt. There is inadequate evidence available whether adults with stroke can learn a motor skill implicitly. Aim: To examine the ability of adults who had unilateral stroke to learn implicitly a perceptual motor task and to compare them with age matched elderly subjects. Settings and Design: This was a prospective experimental study. 30 subjects with unilateral stroke were compared with 30 age -matched elderly subjects for speed of performance of a serial response time task(SRT).Materials and method: Subjects were asked to perform sequences of hand movements in response to target lights in 2 conditions: a patterned sequence and a random sequence. They were not given explicit knowledge of 2 conditions. The SRT to perform both patterned and random sequence activity was measured and comparison was done between both groups. On second day SRT of patterned sequence activity was measured for both groups to test retention.
Results: The mean SRT for both groups showed statistically significant decrease with patterned sequence(mean difference-elderly:3.745, stroke:5.108) increase with random sequence (mean difference-elderly:2.792, stroke:3.592) and again decrease with reintroduction of patterned sequence(mean difference-elderly:1.762,stroke:2.423). There was statistically significant retention of implicit learning in both groups. Conclusion: Implicit Learning of Serial Response Time Task is preserved in post Stroke subjects since both the groups showed the similar trend of performance in all the blocks, however, speed of performance of post stroke subjects was slower than that of normal elderly subjects.
Keywords
Implicit Learning, Serial Response Time Task, Patterned Sequence, Random Sequence, RetentionReferences
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- Comparison of Effect of Different Sensitizing Maneuvers on Slump Test between Normal and overweight Young Adults
Authors
1 Dr. Balabhai Nanavati Hospital, Vile Parle, Mumbai
2 PT School and Center, Seth GSMC & KEMH, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 59-63Abstract
Background: Slump test, a neurodynamic test was used to test the mechanical movement of the neurological tissues and to test their sensitivity to mechanical stress. Various studies have been conducted to test the responses to slump test in normal young healthy adults. There is paucity of literature on the use of slump test in overweight young adults. Therefore the current study aims at finding out if increased tissue interface due to increased tissue mass in overweight young adults had an effect on normal neural tissue mobility as compared to normal young adults.
Aims: To compare the effect of different sensitizing maneuvers on slump test between normal and overweight young adults. Objectives: To measure the active knee extension deficit angle pre and post addition of sensitizing maneuvers in normal and overweight young adults and compare them. Settings and design: One time comparative study carried out at tertiary care hospital, Mumbai.
Materials and Method: 200 young healthy adults within the age group of 20-40 years were randomly selected for the study, of which 100 had a normal B.M.I.i.e.18.5-24.9 and 100 had overweight B.M.I. i.e.25-29.9.The outcome measure used was the goniometric active knee extension deficit angle. The readings were taken in four positions namely cervical spine neutral with ankle neutral, cervical spine neutral with ankle dorsiflexion, cervical spine flexion with ankle neutral, cervical spine flexion with ankle dorsiflexion and compared on both sides.
Statistical analysis: Mann-Whitney'U' test was used to analyze the active knee extension deficit angle score between the normal and overweight groups in all four positions.
Results: The mean active knee extension deficit angle score between the normal and overweight groups in all four positions was statistically significant (p<0.0001).
Conclusion: From the study it can be concluded that the neural tissue extensibility was reduced in overweight young adults as compared to age matched normal young adults.However, in both the groups the active knee extension deficit angle was below 30 degrees which is considered clinically normal.
Keywords
Sensitizing Maneuvers, Slump Test, Normal, Overweight, Young Adults, B.m.i., Active Knee Extension Deficit AngleReferences
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- Neil Tucker, Duncan Reid, Peter McNairperformed a study on” Reliability andMeasurement Error of Active Knee ExtensionRange of Motion in a Modified Slump TestPosition: A Pilot Study “- Journal of Manual &Manipulative Therapy,2007.
- Steven Z. George performed a study on”Characteristics of Patients With Lower ExtremitySymptoms Treated With Slump Stretching: ACase Series” -Journal of orthopaedic and sportsphysical therapy, August 2008.
- Lee Herrington, Katie Bendixa, CatherineCornwella,Nicol Fieldena,Karena Hankeyaperformed a study on “What is normal responseto structural differentiation within slump test andstraight leg raise test?”-Journal of Manualtherapy-August 2008.
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- A Prospective Experimental Study of Effects of Cognitive Tasks on Balance in Stroke Individuals
Authors
1 PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-12, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 51-55Abstract
Background: Load of cognitive task increases the demands on postural control and balance in stroke patients making patients more susceptible to falls. So assessing balance under dual task conditions become important aspect of rehabilitation of stroke patients.
Aims: To see the effect of cognitive task on balance in chronic stroke patients.
Settings and design: Prospective experimental study carried out at tertiary care hospital, Mumbai.
Materials and Methods: 30 Chronic stroke patients (>6 months duration) above 50 years of age were assessed for balance with modified Clinical Test of Sensory Integration of Balance (mCTSIB) scale with and without cognitive task of calculation. Outcome measure was the balance score under four different conditions of the scale with and without cognitive task.
Statistical analysis: Wilcoxson Signrank test and paired t- test were used to analyze the difference between the balance scores with and without cognitive task.
Results: Balance decreased significantly with cognitive tasks in all four conditions of the mCTSIB scale. Condition 1- EOFI: (20.4 +7.32 - 17.5 +9.099) (p <0.001). Condition 2-ECFI: (12.7+7.29 - 9.25+7.196) (p <0.001); condition 3- EOFO: (11+7.87 - 10+9.099) (p <0.001); condition 4- ECFO: (3.4+ 4.95 - 2.1+ 4.65) (p <0.001).
Conclusion: Balance decreases under different conditions with concurrent cognitive task in chronic stroke patients. Hence treatment under dual task conditions in different environments should be an integral part of balance rehabilitation in stroke patients.
Keywords
Stroke, Cognition, Postural Control, Modified CTSIB- A Randomised Controlled Trial of Stimulation of Triceps as an Adjunct to Motor Training of Paretic Arm in Stroke Patients
Authors
1 Lilavati Hospital, Bandra, Mumbai, IN
2 PT school and center, Seth GSMC and KEMH, IN
3 PT LTMMC, Sion Hospital, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 82-86Abstract
Backrground: 30-60% of patients with stroke have no arm function.Spasticity causes hyperactivity in those muscles that can lead to decreased activity of their antagonists. Thus biceps spasticity can cause reduced control of triceps amounting to reduced reach function which is usually an important therapeutic goal. Some studies have evaluated efficacy of electrical stimulation (ES) on spasticity.
Aims: Purpose of the trial was to assess effect of stimulation of triceps on forward reach distancein stroke patients.
Settings and Design: Prospective, analytical, experimental, randomized and open trial done in Physiotherapy OPD of a tertiary care hospital.
Methods and Material: 50 post stroke patients, in the age group of 30 to 60year withspasticity of shoulder, elbow, wrist and hand muscles of affected extremity up to grade 2 on Ashworth Scale and Brunnstrom sequential recovery stage 3 or 4; were assessed for modified Tardieu Scale(MTS), active elbow extension range at elbow(AROM) and forward reach distance(FRD). They were randomly assigned to either of the Conventional (CG) or Experimental Group (EG). CG received motor training only whereas the EG received motor training and ES to triceps on affected upper extremity. After 3 weeks they were evaluated again for the above outcomes. Statistical tests were non-parametric tests as the data obtained was not normally distributed, as analyzed using Shapiro-Wilk test for normality. Wilcoxon Sign rank test for comparing medians in all 3 outcome measures. Mann Whitney test was also used to compare percent mean differences in both groups for all 3 outcome measures.
Results: FRD, AROM and MTS improved after 3 weeks in CG with significance of p-value of 0.0122 each and in experimental group with significance of p-value of 0.0121 each. FRD showed insignificant change between groups with p-value of 0.207. The mean percent difference in MTS, AROM and FRD was 0.007, 0.007 and 0.977 respectively.
Conclusions: Electrical Stimulation when given to the triceps muscle as an adjunct to the motor training has shown additional improvement in reducing the biceps spasticity, improving AROM but not significantly improving the FRD.
Keywords
Stroke, Motor Training, Electrical Stimulation- Effect of Unsupported Upper Limb Endurance Training Versus Lower Limb Endurance Training in Patients with Chronic Obstructive Pulmonary Disease
Authors
1 PT School & Centre, Seth G.S. Medical college & KEM Hospital
2 PT School & Centre, Seth G.S. Medical college & KEM Hospital, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 38-43Abstract
Back ground: This clinical trial was carried out to compare the effect of Unsupported upper limb endurance training (USULET) and Lower limb endurance training (LLET) in patients with chronic obstructive pulmonary disease (COPD).
Subjects: 40 patients with COPD.
Method: All subjects were randomly assigned to either Group1: USULET or Group2: LLET. Both groups were assessed for six minute walk test distance (6MWTD)&quality of life (by chronic respiratory disease questionnaire - CRDQ) at baseline&after 6 weeks of endurance training program, as the outcome measures.
Results: Intra group comparison showed a statistically significant difference in 6MWTD&CRDQ score before and after the training program in both the groups. LLET as compared to USULET showed statistically significant improvement in 6MWTD, emotional and mastery score of CRDQ. However the dyspnoea&fatigue score of CRDQ showed equal improvements in both the groups
Conclusion: Both the training modes caused significant improvement in functional capacity&Quality of life, but LLET caused statistically significant improvement as compared to USLLET in functional capacity&emotional&mastery score of CRDQ.
Keywords
COPD, USULET, LLET, 6MWTD, CRDQReferences
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- The Effect of Triceps Brachii Vibration on Proprioception, during Motor Performance of Elbow Joint - a Normative Study
Authors
1 P.T School and Centre, Seth G.S.Medical College and KEM Hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 81-86Abstract
The purpose of the study was to find the effect of triceps brachii vibration on proprioception, during motor performance of elbow joint. 150 healthy young participants within the age group of 18 - 26 years were selected. To confirm that the method of vibration alters proprioceptive sensation, testing the limb position matching during both passive and active movements, without and with vibration was carried out. Vibration was applied directly over the triceps brachii tendon and visual feedback was restricted for all participants. Ranges of motion for both elbow joints were documented. The data obtained was analyzed statistically and results were displayed graphically.
During the vibration trials, a significant difference was found in the scores obtained by the matching limb, in the passive driven condition and active matching condition. This finding confirms that a vibratory stimulus applied to the triceps brachii, during elbow flexion, induced a illusory response resulting in a movement perceived in the direction of elbow flexion.
Thus it can be concluded that, vibration given to a muscle tendon effectively produces kinaesthetic illusion of a movement.
Keywords
Vibration, Proprioception, Kinaesthetic IllusionReferences
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- Roll JP, Vedel JP. Kinesthetic role of muscle afferents in man, studied by tendon vibration and microneurography. Experimental brain research 2006;174: 45- 52.
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- Daniel J. Goble and Susan H. Brown. Upper Limb Asymmetries in the Matching of Proprioceptive Versus Visual Targets. J Neurophysiol 2008; 99: 3063–3074.
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- Efficacy of Structured Exercise Training Programme on Quality of Life and Six Minute Walk Distance in Patients with Chronic Respiratory Diseases
Authors
1 Lilavati Hospital and Research Centre, Bandra(w), IN
2 P.T School and Centre Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical college and KEM hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 217-223Abstract
A prospective study wherein 30 chronic respiratory disease patients fulfilling the inclusion criterion were enrolled and 8 weeks of outpatient structured exercise program was designed,outcome measures 6MWD and CRDQ were assessed at 0, 2nd, 4th and 8th week .
The mean 6MWD increased from 392.80 to 518.24 at the end of program and difference was statistically significant on applying repeat measure ANNOVA(F value=42.030,p=0.00000000054) indicating improvement in exercise performance . All 3 components of CRDQ, except Mastery component showed statistically significant improvement suggestive of improved quality of life.
Keywords
6 Minute Walk Test Distance(6MWTD), Chronic Respiratory Disease Questionnaire (CRDQ), Quality Of LifeReferences
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- Effect of Sensory-specific Balance Training in Elderly
Authors
1 PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 162-166Abstract
Background: Postural control depends upon the ability to extract peripheral sensory inputs, integrating this information within the central nervous system (CNS), coordinate and execute an appropriate motor response. Age related changes in the ability to adjust to alteration in sensory information contribute to impaired postural stability. The purpose of this study was to investigate the effect of sensory-specific balance training on balance in elderly.
Aims: To study the effect of sensory-specific balance training on the balance in elderly.
Settings and design: Prospective longitudinal comparative study carried out at tertiary care hospital, Mumbai.
Materials and Methods: 60 healthy elders were randomly assigned balance training and fall prevention education group. Sensory specific balance training was given for period of 4 weeks. Participants were reassessed at end of 4 weeks. Outcome measures were modified: Clinical Test for Sensory Interaction on Balance, Fullerton advanced balance score, activities specific balance confidence scale and 1 RM.
Statistical analysis: Wilcoxson Signed rank test and Mann Whitney test were used to analyze the difference between the balance scores within group and intergroup
Results: Balance improved significantly in all four conditions of mCTSIB scale following sensory specific balance training(p<0.001) Improvements were seen in Fullerton Advanced Balance score(p<0.001) and Activities Specific Balance Confidence Scale score(p<0.001) but there was no improvement in 1 RM(p>0.001)
Conclusion: From the study it can be concluded that sensory-specific balance training can bring about a significant improvement in balance without any change in the muscle strength.
Keywords
Modified CTSIB, Healthy Elderly, Sensory Specific Balance TrainingReferences
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- Effect of Home Based Low Intensity Walking Programme on Quality of Life and Functional Capacity in Left Ventricular Failure Patients - a Randomized Control Trial
Authors
1 P.T School and Centre Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S. Medical College and KEM Hospital Parel, Mumbai, IN
2 Department of cardiology Seth G.S. Medical College and KEM Hospital, Parel, Mumbai 400012, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 179-183Abstract
A randomized control trial wherein 50 Left ventricular failure patients were included with ejection fraction15-40%. A home based exercise programme was designed on the basis of 6MWD for the training group and the control group carried out usual activities with no specified programme for 8 weeks. Outcome measures were 6MWD and QOL using LVD36 pre and post programme. In the training group, 6MWD increased from 329.6±120.63 mts to 394 ± 122.82mts (p<.001). This increase is highly statistically significant and indicates improvement in exercise performance. In control and training groups, LVD-36 score decreased (p=0.011 and <0.001) suggestive of improved quality of life. On comparison training group showed greater improvement in quality of life (p=0.001).Keywords
Left Ventricular Failure, Exercise, Walking, QOLReferences
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- Effects of Maitland's Joint Mobilization Versus Shacklock's Neurodynamic Mobilization Techniques in Low Back Pain
Authors
1 Seth GSMC & KEMH, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 2 (2014), Pagination: 248-255Abstract
Low back pain due to facet joint arthritis can give rise to a sliding dysfunction of the lumbar nerve ischolar_mains. This could be attributed to a decrease in the joint space as a result of inflammation or fibrosis and hypertrophy; giving rise to pain and reduction in range of motion i.e. dysfunction of the lumbar spine.Maitland's joint mobilization aims to improve the mechanics of facet joints i.e. the mechanical interface which is primarily affected. This in turn would probably improve the neurodynamics.
On the other hand Shacklock's neurodynamic mobilization techniques are directed to improve the mechanics of the mechanical interface i.e. facet joints along with neural tissue which may be secondarily affected due to the primary affection of facet joints.
Hence the objective of this study is to compare the effects of Maitland's joint mobilization versus Shacklocks neurodynamic mobilization in patients with low back pain. 50 subjects in the age group of 30-55 years with sub-acute low back pain having capsular pattern of restriction were randomly divided in two groups:
Group A: Maitland's Joint Mobilization
Group B: Shacklock's Neurodynamic Mobilization
Treatment was given on alternate days for 3 weeks with follow-up on week 4.
The study showed that Maitland's Joint Mobilization and Shacklock's Neurodynamic Mobilization were effective in the treatment of low back pain with Group B showing a significant early improvement.
Keywords
Facetal Arthritis, Neurodynamic Mobilization, Maitland's Mobilization- Evaluating Two Scales, Fembaf (Fast Evaluation of Mobility, Balance and Fear) & DGI (Dynamic Gait Index) to Test Balance in Fallers and Non Fallers in Geriatric Population
Authors
1 Dept. of Physiotherapy, Pad. Dr. D. Y. Patil University, Navi Mumbai, IN
2 Dept. of Physiotherapy, T. N. Medical College, Mumbai, IN
3 Dept. of Physiotherapy, G. S. Medical College, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 141-145Abstract
Introduction: Comprehensive balance evaluation along with identification of significant risk factors ia an important step towards fall prevention in geriatric population.
Objective: To evaluate efficacy of two available scales to test balance in fallers and nonfallers in Indian geriatric population.
Methodology: After the ethics committee approval an informed consent was taken from the participants. 70 elderly people above 65 years participated in the study. Group A had fallers and Group B had non fallers(no history of falls.They were evaluated for Fast evaluation of mobility , balance and fear(FEMBAF) and Dynamic gait index (DGI)
Results: There was a significant difference of mean scores between fallers and nonfallers.(P<0.001)Fallers have more number of risk factors with fewer scores on both the scales.
Conclusion: Fast evaluation of mobility, balance and fear (FEMBAF) and Dynamic gait index (DGI) are effective in differentiating between fallers and non fallers.