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
Gupta, Pankaj
- The effect of Cawthorne and Cooksey Exercises in Patients, affecting Balance Following Vestibular Problem in Elderly
Authors
1 Department of Rehabilitation Sciences Bundelkhand University Jhansi, IN
2 TLM Community Hospital Nandnagri Delhi-93, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 147-152Abstract
Background: Vestibular rehabilitation is an increasing popular treatment options for patients with persistent dizziness or vertigo. Cawthorne and Cooksey exercises in form of habituation exercises are a simple, inexpensive treatment that may be suitable for home based exercise program.Objective: To determine the benefit of Cawthorne and Cooksey exercises with standard medical care given in case of chronic vertigo as vestibular suppressant, using a brief intervention for vertigo patients in a home based exercises program given by a trained professional.
Method: Elderly people consulting their general practitioner with dizziness or vertigo were randomly assigned to treatment or control group. Patients in both the group received the same evaluation at baseline, midsession and four week latter comprising the assessment of balance and vertigo symptoms. At base line and mid-term follow up all the patients were stimulated with habituation as Cawthorne and Cooksey exercises comprising of Eye, Head Trunk exercises designed to promote vestibular compensation and enhance skill and confidence in balance and reducing the symptoms of vertigo. While the control group as well the study group were allowed to take regular medication prescribed by their physician for their presenting symptoms.
Result: Result were calculated for the subjects who completed the study excluding patients which did not complete the study (n=10) .The treatment group (n=15) with mean age and standard deviation was 57.13 + 6.33 where as the control group (n=15) with mean age and standard deviation 56.2 + 4.47. Result calculated using paired t test demonstrated significant result in both the group but when comparison was done it was more significant ( P0.05). Where as at final result of comparison of means between different session for SRT (Sharpened Romberg test for standing)and VSS (vertigo symptom scale) showed group A showed more significance (P
Conclusion: Cawthorne and Cooksey exercises are simple, inexpensive and beneficial form of habituation exercise used to improve balance and vertigo symptoms in a home based treatment program.
Keywords
Vertigo, Balance, Cawthorne And Cooksey Exercises, Vertigo Symptom Scale, Sharpened Romberg Test, Vestibular RehabilitationReferences
- Darcy A. Umpired. Jeb Burton, edition 2001, page (618-622).
- Maria stokes, Physical management in neurological rehabilitation reprinted 2005, page (413—419).
- Susan B.O’Sullivan, EdD, PT and Thomas J. Schmitz. PhD, PT. Physical rehabilitation assessment and treatment, fourth edition. . 2001,822-24
- Terence Cawthorne. Vestibular injuries proceeding of the royal society of medicine, December 7, 1945, (270-273).
- Persons F. Hanssen. Assessment and management of vertigo and dizziness among older Cambridge University publications, 2004; 14: 229-234,
- Lucy Yardley et al. Effectiveness of primary cases—based vestibular rehablitation for Chronic Dizziness. Ann intern med, 2004; 141, 598—605.
- Yardley, Shard a beech et al. A randomized controlled trial of exercise therapy for dizziness & vertigo, British journal of practice, 1998.48, 1136 -1140.
- Kollen, Lena. Evaluation and treatment in benign paroxysmal positional vertigo (BPPV). Advances in physiotherapy volume 8, No 3, September. 2006, 106-115(10).
- Erna Kentala, Steven D. Rauehia A practical assessment algorithm for diagnosis of dizziness. Otolaryngology head neck surgery .2003; 128- 54-59.
- Hain TC Uddin M. Pharmacological treatment of vertigo. CNS Drugs, 2003; 17(2):85- 100.
- Angela dos Santos Bersot. Balance improvement & reduction of likelihood of falls in older women after Cawthorne &Cooksey exercise. Rev Bras Otorinolaryngol, 2005; 71(1):38-46.
- F.B Horak et. al. Effect of vestibular rehablitation on dizziness and imbalance. Otolaryngol Head and neck Surgery 1992; 166-175.
- Helen S Cohen et al .Decreased ataxia and improved balance after vestibular Rehabilitation. Otolaryngology head, neck surgery 2004; 130: 18-25.
- Weiss LS, Amedee RG. Vestibular rehabilitation. La State Med Soc.1993 May 145 ;( 5); 187-9.
- Davis LE, J. Dizziness in elderly men. Am Geriatric soc 1994 NOV 42(11); 1184-8.
- Magnus Johansson et al. Randomized controlled trial of vestibular rehabilitation combined with Cognitive Behavior therapy for dizziness in older people. Otolaryngology head, neck surgery 2001; 125-151-6.
- F.S.Cooksey. Rehabilitation in vestibular injuries. Proceedings of royal societies of medicine. 1945; 273-78.
- Stefano Corna et al .Comparison of Cawthorne & Cooksey exercise & sinusoidal support surface translation to improve balance in patient with unilateral vestibular deficit. .Arch Phys Med Rehabilitation: 2003; 84; 1173-84.
- Cohen H .Vestibular rehabilitation reduces functional disability, Otolaryngeal Head Neck Surgery .1992Nov; 107(5):638-43.
- Hansson EE et. al. Effect of specific rehabilitation for dizziness among patients in primary health care .A randomized controlled trial. Clinical Rehabilitation 2004, Aug; 18 (5):558-65.
- B. Mendel et. al. The sense of coherence: a tool for evaluating the patients with peripheral vestibular disorder. 2001, clinical Otolaryngol 26, 19-24.
- Sales N, Kressig R ,et al. Management of chronic dizziness in elderly people.. Z Gerontol Geriatr , 2003 Feb 36(1) 10-5.
- Prasansuk.S (et. al ) .Balance disorder in the elderly and the benefit of balance exercise. J Med Assoc Thi 2004; 87(10):1225-33.
- Barona De Guzman, et. al. Vestibular compensation. Rehabilitation of a patient with Vertigo .Acta Otorrinolaringol Esp. 1994, Nov- Dec, 45(6):401-5.
- Schmal F, Stoll W, drug treatment for vertigo. Laryngorhinootologic. 2003; 82(1):44-61.
- Stakk W. Otogenic vertigo .Differentiation and therapy, Laryngorhinootologic.1993; 72(6):311-5.
- Fitzgeiald B. A review of the sharpened Romberg test in diving medicine. SPUMS 1996; 26(3): 142-146.
- Brigg RC et. al .Balance performance among non institutionalized elderly women. Phy Ther 1989; 69(9):748-56.
- Badke MB et. al .Outcome after rehabilitation for adults with balance dysfunction .Arch Phys Med rehabilitation .2004,85;(2)227-33.
- A Study of Evaluation of Neck Circumference as a Predictability Parameter for Pulmonary Function in Young Females
Authors
1 Banarsidas Chandiwala Institute of Physiotherapy, Chandiwala Estate, Maa Anandmai Marg, Kalkaji, New Delhi, IN
2 Department of Ocular Pharmacology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 284-287Abstract
Context: Obesity is nowadays becoming a serious health problem especially in the developed and developing countries. Overweight and obesity mainly include abnormal or excessive fat accumulation that may impair health. Neck circumference is a simple and time saving screening measure that can be used to identify overweight's. Therefore, the present study aimed to determine the correlation of neck circumference with pulmonary function variables in young Indian adult adults with or without excess body weight.
Objective: To determine the correlation of neck circumference (NC) with Forced Vital Capacity (FVC) and Forced Expiratory Volume in first second (FEV1) in young Indian adult females with or without excess body weight.
Design: correlational
Conclusion: Neck circumference showed a positive correlation with FEV1 and FVC in normal weight subjects. However in the overweight subjects, neck circumference was observed to have negative correlations with both FEV1 and FVC.
Keywords
Young Indian Adult Females, Neck Circumference, BMI, FEV1, FVCReferences
- Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:1–253.
- WHO, Obesity and overweight fact sheet No.311,september 2006 .Available at http://www.who.int/mediacentre/factsheets/fs311/en/index.html
- Chen Y, Breithaupt K, Muhajarine N. Occurrence of chronic obstructive pulmonary disease among Canadians and sex-related risk factors. J Clin Epidemiol 2000;53:755-61.
- NIH, NHLBI Obesity Education Initiative. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Available online: http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf
- Chinn DJ, Cotes JE, Reed JW. Longitudinal effects of change in body mass on measurements of ventilatory capacity. Thorax 1996;51:699–704.
- Chen Y, Horne SL, Dosman JA. Body weight and weight gain related to pulmonary function decline in adults: a six year follow up study. Thorax1993;48:375– 80.
- Dockery DW, Ware JH, Ferris BG Jr, et al. Distribution of forced expiratory volume in one second and forced vital capacity in healthy, white, adult never-smokers in six U.S. cities. Am Rev Respir Dis 1985;131: 511-20.
- Carey IM, Cook DG, Strachan DP. The effects of adiposity and weight change on forced expiratory volume decline in a longitudinal study of adults. Int J Obes Relat Metab Disord 1999;23:979–85.
- McKay RT, Levin LS, Lockey JE, et al. Weight change and lung function: implications for workplace surveillance studies. J Occup Environ Med 1999;41:596–604.
- Dontas AS, Jacobs DR Jr, Corcondilas A, Keys A, Hannan P. Longitudinal versus cross-sectional vital capacity changes and affecting factors. J Gerontol 1984;39:430.
- Liubov (Louba ) Ben-Noun,Ezra Sohar and Arie Laor ..Neck circumference as a simple measure for identifying overweight and obese patients. Obesity Research (2001) 9, 470–477
- Helena Santana, Elena Zoico, Emanuela Turcato, Paolo Tosoni, Luisa Bissoli, Mario Olivieri, Ottavio Bosello and Mauro Zamboni.Relation between body circumference, fat distribution and lung function in man.American Journal of Clinical Nutrition, Vol. 73, No. 4, 827-831, April 2001.
- WHO ,measuring obesity ,classification and distribution of Anthropometric data, Copenhagen, Denmark , WHO,1989.
- Anne-Marie Gabrielsen & May Brit Lund & Johny Kongerud & Karl Erik Viken & Jo Røislien & Jøran Hjelmesæth The Relationship Between Anthropometric Measures, Blood Gases, and Lung Function in Morbidly Obese White Subjects (DOI 10.1007/s11695-010-0306-9, 2010).
- Marize Jácome Gonçalves, Sheyla Thatiane Santos do Lago, Eudes de Paiva Godoy, Guilherme Augusto de Freitas Fregonezi, and Selma Sousa Bruno. Influence of Neck Circumference on Respiratory Endurance and Muscle Strength in the Morbidly Obese .OBES SURG (2011) 21: 1250–1256
- S Lioret1, B Maire2, J-L Volatier1 and M-A Charles Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status. European Journal of Clinical Nutrition (2007) 61, 509–516.
- Stanley .P. Brown,Wayne C Miller, Jane M.Eason, Exercise physiology- basis of human movement in health and disease,2007.
- Yue Chen, Donna Rennie, Yvon F Cormier, and James Dosman Waist circumference is associated with pulmonary function in normal-weight, overweight, and obese subjects. American Journal of Clinical Nutrition, Vol. 85, No. 1, 35-39, January 2007
- The Effect of Body Fat Distribution on Pulmonary Function Tests Lynell C. Collins,Phillip D. Hoberty, Jerome F. Walker, Eugene C. Fletcher, and Alan N. Peiris. Chest 1995;107;1298-1302
- Altan Onat et al , Neck circumference as a measure of central obesity: Associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference .Journal of Clinical Nutrition Volume 28, Issue 1 , Pages 46-51, February 2009.