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Senthil Kumar, P.
- Efficacy of Balance and Mobility Exercises on Gait Speed and Energy Expenditure in Ageing Adults: A Quasi- Experimental Interventional Clinical Trial
Authors
1 Pioneer Physiotherapy College, Vadodara, IN
2 Department of Physiotherapy, KMC, Mangalore, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 172-176Abstract
Objective: To determine the effects of balance and mobility exercises on gait speed and energy expenditure (Physiological Cost Index) during walking in aging adults 65 years and older).Design: A quasi-experimental interventional clinical trial, using pretest-posttest design to test the effect of the intervention on gait-speed and energy expenditure.
Participants: 35 subjects (14 male and 21 female) were recruited using Convenience sampling from a day care centre. The mean age of subjects was 70.03 (S.D=4.71) years; range 65 to 87 years.
Intervention: Subjects participated in a program of structured balance and mobility exercises, sixty minutes per day, five days a week, for six weeks. This was a group based program supervised by a physiotherapist.
Main outcome measures: Gait speed (in meters per minute) and Physiological Cost Index (in beats per meter) during walking on 20 meter walkway.
Results: When the subjects were compared for improvement in gait speed between pre-exercise (46.79±09.96) to post-exercise (51.09±11.16) and Physiological Cost Index (PCI) between pre-exercise (0.36±0.10) to post-exercise (0.27±0.09), a significant difference obtained (p=.001).
Conclusion: The balance and mobility exercise intervention resulted in a significant improvement in gait-speed and reduction in the energy expenditure during walking in healthy ageing adults.
Keywords
Ageing Adult, Exercises, Gait-Speed, Physiological Cost IndexReferences
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- Efficacy of Tibial Nerve Neurodynamic Mobilization for Neuropathic Pain in Type II Diabetes Mellitus- A Randomized Controlled Trial
Authors
1 Musculoskeletal and Manual Therapy, Dept. of Physiotherapy, Kasturba Medical College, Mangalore, IN
2 Dept. of Medicine Unit-I, Kasturba Medical College, Mangalore, IN
3 Shri Ramashakti Mission Charitable Trust and Hospital, Shakti Nagar, Mangalore, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 189-192Abstract
To study the efficacy of tibial nerve neurodynamic mobilization as compared to control intervention on vibration thresholds, neuropathic pain severity, tibial nerve neurodynamic test range of motion and neuropathy specific quality of life (NeuroQoL) in type-II Diabetes Mellitus (DM) with neuropathic pain.
MethodsThirty two patients of age (60.12 ± 11.41years), both gender (13 male, 19 female) were selected on convenient sampling. Subjects were selected based on following: Physician diagnosed type-II DM of atleast two years duration; complaint of neuropathic pain (screened using neuropathic pain questionnaire- NPQ) in the legs and feet; mechanical behavior of neuropathic pain (aggravated and/or relieved by movements); ability to understand and co-operate for instructions of tester. The independent blinded observer then recorded neuropathic pain intensity on NPQ, tibial nerve neurodynamic test range of motion at initial resistance R1, vibration thresholds by Biothesiometry and NeuroQoL. The subjects then were randomized to receive either of two interventions- control and experimental. The control group received drugs for glycemic control, analgesics for neuropathic pain, lifestyle modification and walking exercise prescription. The experimental group received in addition, tibial nerve neurodynamic mobilization consisting of nerve massage, sliders and tensioners. The treatment session was of 45 min duration on five sessions (one session per week) for total study duration of five weeks. Data was collected twice- pre and post intervention and analyzed using students’ t-test.
ResultsThe experimental group showed significant improvements post treatment in all the four study outcomes. The betweengroup mean differences were NPQ (18.89 ± 2.46), neurodynamic range of motion (4.00 ± 3.85 degrees), vibration threshold (5.94 ± 1.12 volts) and NeuroQoL (15.93 ± 2.85) in favour of experimental group.
ConclusionTibial nerve neurodynamic mobilization comprising of nerve massage, sliders and tensioners was shown to be an effective treatment adjunct for diabetic peripheral neuropathic pain.