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Sharma, Anu
- Effect of Submaximal Aerobic Exercise on Obesity
Authors
1 Department of Medicine, Gian Sagar College of Physiotherapy, Ram Nagar, Rajpura, Distt. Patiala (Punjab), IN
2 Gian Sagar College of Physiotherapy, Ram Nagar, Rajpura, Distt. Patiala (Punjab), IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 161-165Abstract
Background and Objectives: Obesity is a condition of abnormal or excessive fat accumulation in adipose tissue to the extent that health may be impaired. The worldwide epidemic of excess weight is due to imbalance between physical activity and dietary energy intake. The present study was aimed to study the effectiveness of submaximal aerobic exercise intervention on obese population. The objectives of the study were to study the effect of the intervention on body mass index and waist to hip ratio.Materials and Method: Thirty patients with clinical diagnosis of obesity (BMI > 30 Kg/m2) were recruited. Patients were divided into two groups i.e. control group (group A) and experimental group (group B). Control group received diet modification whereas experimental group received submaximal aerobic exercise along with diet modification. Outcome measures were documented using body mass index (BMI) and waist to hip ratio (W/H) on first day pre intervention and last day post intervention.
Results: The t-test value of BMI for group A is 5.16 and for group B is 8.08. The t-test value of W/H for group A is 4.26 and for group B is 5.04. The mean values of BMI and W/H for control group are 0.93±0.70 and .052±.04. The mean values of BMI and W/H for experimental group are 1.86±0.91 and 0.11±.091. The unpaired t-test was used for between group analyses for all the outcome measures. Level of significance was defined at p < 0.05 and confidence interval of 95 % was taken. The results of unpaired t-test were as follows: BMI: 3.206 (p
Conclusion & Clinical Significance The conclusion of the study is that submaximal aerobic exercise is helpful in reduction of body mass index and waist to hip ratio in obese population.
Keywords
Body Mass Index, Diet Modification, Obesity, Submaximal Aerobic Exercise, Waist to Hip Ratio
References
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- Manipulation Versus Mobilization for Spine: a Systemic Review
Authors
1 Gian Sagar College of Physiotherapy, Ram Nagar, Rajpura, Punjab, IN
2 Gian Sagar College of Physiotherapy, Ram Nagar, Rajpura, Punjab, IN
3 Gian Sagar College of Physiotherapy, Ram Nagar, Rajpura (Punjab, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 1-4Abstract
Objectives: Objectives of the performed meta- analysis is to reaffirm the efficacy of manipulation and mobilisation and also compare between the two that which has been giving evidence based results, otherwise shown statistically significant results in randomised controlled trials and lastly to give a clear picture of manual therapy which should be applied clinically for future significant findings.
Method: Spine, Journal of manipulative and physiological therapeutics, American Journal of public health, The Spine Journal, Clinical Biomechanics, Journal of American physical therapy association, Journal Of Musculoskeletal Pain were searched for the period of 1992 to 2010. Data was extracted and assessed for methodologic quality. Pooled effects were calculated among homogenious trials using random effects model. Studies on efficacy of mobilization and manipulation on mechanical disorders of spine were included.
Results: 18 trials of high quality are included. Out of 18, in 1 trial mobilization and manipulation when given in conjunction with exercise was beneficial than exercise alone, in 10 trials manipulation gave better results, in 2 trials manipulation and mobilization when given to thoracic region cured cervical radiculopathy, 2 trials showed that both manipulation and mobilization gave beneficial results, 2 trials showed that mobilization is better than then manipulation and 1 trial evaluated negative results from both the manual therapy techniques.
Conclusion: There is some evidence that when mobilization and manipulation are given along with conventional therapy or individually have been proven beneficial so clinically worthwhile efforts are anticipated.
Keywords
Joint Manipulation, Graded Mobilisation, Manual Therapy and Mechanical Spinal DisordersReferences
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- A Study to Validate Diagnostic Strength of ULNT1 in Cervical Radiculopathy
Authors
1 Gian Sagar College of Physiotherapy, Ram Nagar, Distt. Patiala (PUNJAB), IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 111-114Abstract
Introduction: Neural tissue provocation tests (NTPT) have been increasingly incorporated into clinical practice. Unfortunately, the early terminology used in describing these tests-'neural tension test' and 'adverse mechanical tension'- did little to further the acceptance, understanding or credibility of the physical treatment of neurogenic pain.
A more appropriate term is 'neural tissue provocation tests' as they are passive test applied in a manner to selectively stress different neural tissues in order to assess their sensitivity to mechanical provocation. Many experts in the field of neurodynamics have clearly stated the importance of the reproduction of a patient's symptoms, which implies the presence of pathology. The other feature which is vital to the interpretation of any neuromusculoskeletal clinical measure is the comparison between sides. It is essential to compare sides for there is tremendous variation in flexibility of the peripheral nervous system in both the lower and upper quarter.
Objectives: While there has been considerable research on neurodynamics, there has been little research investigating the diagnostic validity of such tests. The purpose of this study was to find out the rate of true positive (sensitivity) Upper limb neurodynamic test for median nerve (ULNT1) in patients with cervical spine mediated neural symptoms. This research also attempted to find bilateral variability, that is, difference in the angles of elbow extension within the range at which the responses were provoked, between the asymptomatic and symptomatic side of the patient.
Methods: Experimental same subject study design with 30 randomly selected patients in the age group of 20-60 years. Sample population was drawn from physiotherapy out-patient department of Gian Sagar Medical College and Hospital and New Hope Physiotherapy Centre, based on inclusion and exclusion criteria. Subjects with cervical pain and associated neural signs and symptoms (unilateral) went through ULNT1.
Results: Out of 30 patients, 26 were tested positive with ULNT1. True positive rate (sensitivity) was calculated using simple percentage. To find difference in the angles of elbow extension between asymptomatic and symptomatic side, paired t-test was used.
Conclusion: It was concluded that Neural tissue provocation test (ULNT1) is highly sensitive in diagnosing the patients with cervical spine mediated neural signs and symptoms. Significant difference in the angles of elbow extension existed between the asymptomatic and symptomatic sides.
Keywords
NTPT, Sensitivity, ULNT1, Range of Motion, Bilateral VariabilityReferences
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- A Study to Validate Diagnostic Strength of Modified Slump Test in Lumbar Radiculopathy
Authors
1 Gian Sagar College of Physiotherapy, Ram Nagar, Distt. Patiala (PUNJAB), IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 275-278Abstract
Introduction: Neural tissue provocation tests (NTPT) have been increasingly incorporated into clinical practice. Unfortunately, the early terminology used in describing these tests-'neural tension test' and 'adverse mechanical tension'- did little to further the acceptance, understanding or credibility of the physical treatment of neurogenic pain. A more appropriate term is 'neural tissue provocation tests' as they are passive test applied in a manner to selectively stress different neural tissues in order to assess their sensitivity to mechanical provocation. Many experts in the field of neurodynamics have clearly stated the importance of the reproduction of a patient's symptoms, which implies the presence of pathology. The other feature which is vital to the interpretation of any neuromusculoskeletal clinical measure is the comparison between sides. It is essential to compare sides for there is tremendous variation in flexibility of the peripheral nervous system in both the lower and upper quarter.
Objectives: While there has been considerable research on neurodynamics, there has been little research investigating the diagnostic validity of such tests. The purpose of this study was to find out the rate of true positive (sensitivity) Slump Test (modified) in patients with lumbar spine mediated neural symptoms. This research also attempted to find bilateral variability, that is, difference in the angles of knee extension within the range at which the responses were provoked, between the asymptomatic and symptomatic side of the patient.
Methods: Experimental same subject study design with 30 randomly selected patients in the age group of 20-60 years. Sample population was drawn from physiotherapy out-patient department of Gian Sagar Medical College and Hospital and New Hope Physiotherapy Centre, based on inclusion and exclusion criteria. Subjects with lumbar pain and associated neural signs and symptoms (unilateral) went through modified Slump Test (ST1). The test was performed bilaterally, first on asymptomatic and then on the symptomatic side of the patient.
Results: Out of 30 patients, 28 were tested positive with ST1. True positive rate (sensitivity) was calculated using simple percentage. To find difference in the angles of knee extension between asymptomatic and symptomatic side, paired t-test was used.
Conclusion: It was concluded that Neural tissue provocation test (ST1) is highly sensitive in diagnosing the patients with lumbar spine mediated neural signs and symptoms. Significant difference in the angles of knee extension existed between the asymptomatic and symptomatic sides.
Keywords
Neural Tissue Provocation Test, Sensitivity, ST1, Range of Motion, Bilateral VariabilityReferences
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