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Nar, Nishant H.
- Comparison of VMO/VL Ratio in Patello-Femoral Pain Syndrome (PFPS) Patients: A Surface EMG Study
Authors
1 Consultant Physiotherapist Wockhardt Hospital, Rajkot, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 148-153Abstract
Background: PFPS describes anterior and retro patellar knee pain in the absence of other pathology. PFPS is one of the most common disorders of the knee accounts for 25% of knee injuries in sports medicine clinics. Prevalence rate is 20% in USA students and morbidity is directly related to activity of patients. EMG studies of normal subject have revealed that VMO /VL ratio is about 1:1 (power CM et al)Objective: To study the VMO/VL ratio during ECCENTRIC, CONCENTRIC, ISOMETRIC exercise and Q-angle in PFPS patients and control groups.
Materials & Method: SUBJECTS; 25 diagnosed with PFPS and 25 asymptomatic control were recruited for study. EMG activity of VMO VL was recorded by surface electrodes.EMG data were analyzed in three activities for both groups, ISOMETRIC, CONCENTRIC and ECCENTRIC exercise. Outcome measure was EMG MUAP amplitude and Q-angle.
Results: Results showed that VMO/VL ratio is lower in PFPS subjects. And static and dynamic Qangle is higher for PFPS groups.
Conclusion: There was significant difference in VMO/VL ratio and Q-angle in both groups.
Keywords
VMO, Surface EMG, Q-angleReferences
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- Effect of Abductor Muscle Strengthening in Osteoarthritis Patients: A Randomized Control Trial
Authors
1 Wockhardt Hospital, Rajkot, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 185-190Abstract
Background: Osteoarthritis is a chronic, localized joint disease affecting approximately one-third of adults, with the disease prevalence increasing with advancing age. OA affects many joints including the large, weight bearing joints of the hips and knees and also the spine, hands, feet and shoulders. The knee is the most common weight bearing joint affected by OA, with the disease predominantly affecting the medial compartment of the tibio-femoral joint. Patients with knee OA frequently report symptoms of knee pain and stiffness as well as difficulty with activities of daily living such as walking, stairclimbing and house keeping.Objectives: To compare the effectiveness of hip abductor muscle strengthening exercises and conventional physiotherapy treatment with conventional physiotherapy treatment alone in people with unilateral medial compartment knee osteoarthritis.
Materials and Methodology: Study included 30 (Thirty) subjects with unilateral medial compartment knee OA, aged 45 years or above. The subjects were randomly divided into 2 groups: Group -A and Group -B. The subjects were treated for a period of 6 weeks, 6 days a week, once daily. Pain was assessed by VAS score and physical function was assessed by WOMAC Index of Osteoarthritis.
Results: The results were analyzed by Wilcoxon Signed Rank Test. Group A showed significant improvement in pain (T=120, p<0.0004).
Conclusion: Hip abductor muscle strengthening exercises showed over all improvement in pain and physical function and is a useful adjunct exercise therapy in treating patients with unilateral medial compartment knee osteoarthritis.
Keywords
Shortwave Diathermy (SWD), Visual Analoge Scale (VAS), WOMACReferences
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- Effect of Neural Tissue Mobilization on Pain in Cervical Radiculopathy Patients
Authors
1 Consultant Physiotherapist, Wockhardt Hospitals, Rajkot, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 144-148Abstract
Background: Cervical radiculopathy is a dysfunction of a nerve ischolar_main of the cervical spine. The seventh (C7; 60%) and sixth (C6 25%) cervical nerve ischolar_mains are the most commonly affected. In the younger population, cervical radiculopathy is a result of a disc herniation or an acute injury causing foraminal impingement of exiting nerve. Disc herniation accounts for 20-25% of the cases of cervical radiculopathy. In the older patient, cervical radiculopathy is often a result of foraminal narrowing from osteophyte formation, decreased disc space, degenerative changes of the uncovertebral joints anteriorly and of the facet joint posteriorly.
Objective: To study the effectiveness of Neural tissue Mobilization in relieving pain in patients with cervical radiculopathy.
Materials & Method: Study included 30 (Thirty) patients with Chronic case of cervical radiculopathy between age group of 30-60 years. The patients were treated for a period of 10 days, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and Functional Disability was measured by Neck Disability Index Scale. Experimental group received neural mobilization and conventional therapy while control group received conventional therapy alone.
Results: The results were analyzed by Wilcoxon Signed Rank Test and paired t-test. Group A showed significant improvement in Pain (T= 120, p < 0.01) Comparision of Group A and Group B was done with Wilcoxon Rank sum test ( Mann Whitney U test ) . Results showed significant improvement in Pain (Z = 4.35 , p <0.0001) Conclusion: Neural mobilization along with other conventional therapy may be useful in bringing about improvement in pain and functional disability in patients with cervical radiculopathy.
Keywords
Neural Tissue Mobilization, VAS, IFTReferences
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