Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Divya Gohil ¹, Aditi Swami ¹, Gaurang Baxi ¹, Zaid Tai ¹, Rajas Edgaonkar ¹, Tushar Palekar ¹

Affiliations
1 Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, IN

Abstract

BACKGROUND: 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. METHODOLOGY: 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. RESULTS: 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<0.001). There was significant improvement in horizontal adduction ROM from 90.47±10.12 to 105.5±8.02 (p<0.001). No significant difference was found for external rotation. Statistically significant changes were found on Apley’s scratch test as well (p<0.001). CONCLUSION: Three weeks intervention of IASTM using M2T Blade is effective in improving ranges and flexibility of athletes with GIRD.

Keywords

Gleno-humeral Internal Rotation Deficit (GIRD), Instrument Assisted Soft Tissue Mobilization (IASTM), Apley’s Test.

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Soumik Basu ¹, Rajas Edgaonkar ¹, Gaurang Baxi ¹, Tushar J. Palekar ¹, M. Vijayakumar ¹, Aditi Swami ¹, Mohammad Zaid Tai ¹

Affiliations
1 Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth,Sant Tukaram Nagar, Pimpri, Pune, IN

Abstract

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.

Keywords

Trapezius, Trigger Points, Instrument Assisted Soft Tissue Mobilization (IASTM), Ischemic Compression.

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Gaurang Baxi ¹, Pooja Singh ¹, Soumik Basu ¹, Mohammed Ubaid Khan ¹, Tushar Palekar ¹

Affiliations
1 Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, IN

Abstract

Background: 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. Methodology: 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. Results: 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<0.05) for FEV₁, FVC and PEFR. Pre and post comparison ofrespiratory rate and SpO2 between the groups showed significant improvement (p<0.05). Conclusion: 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.

Keywords

COPD, Dyspnoea, Kinesio Taping, Lung Functions, Oxygen Saturation.

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