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
Joshi, Paras
- Effectiveness of PNF Stretching and Self Stretching in Patients with Adhesive Capsulitis - A Comparative Study
Authors
1 Samarpan Orthopedic Hospital, Jamnagar, IN
2 K K Sheth College of Physiotherapy, IN
3 Parul Institute of Physiotherapy, Vadodara, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 47-51Abstract
Background: Adhesive capsulitis of shoulder is characterized by insidious and progressive pain and loss of active and passive mobility of glenohumeral joint. In many physical therapy programs for subjects with adhesive capsulitis of shoulder mobilization techniques are an important part of the intervention. The purpose of this study is to compare the efficacy of PNF stretching techniques and Self stretching techniques in subjects with adhesive capsulitis.Objective: To compare the effectiveness of PNF stretching and self stretching in improving ROM, shoulder pain & disability index in patients with adhesive capsulitis.
Method: 30 subjects diagnosed by an orthopedic surgeon as having adhesive capsulitis of shoulder joint and who showed a typical restriction of external rotation and abduction were selected. Subjects were randomly taken, divided into two groups each of 15 subjects. Group A: (n=15):- Treated with PNF stretching. Group B: (n=15):- Treated with self stretching. Analysis was based on ROM and Shoulder Pain and Disability Index (SPADI) sub scores and total scores.
Outcome measures: The following outcome measures were measured at baseline, 2nd week and 4th week follow up.
1. Active ROM of shoulder External rotation and Abduction.
2. Shoulder pain and disability index (SPADI).
Results: The ROM and SPADI percentage across baseline, 2nd week and 4th week follow up showed a significant improvement statistically in their mean scores within Group A and Group B. Statistically significant greater changes in score were found in PNF Stretching (Group A) for ROM and SPADI as compared to Self Stretching (Group B).
Conclusion: The results indicate that PNF Stretching (Group A) and Self Stretching (Group B) are significantly effective in improving ROM and SPADI (sub scores and total scores). However PNF Stretching (Group A) appears to be more effective in improving glenohumeral joint mobility and reducing disability as compared to Self Stretching (Group B).
Keywords
Adhesive Capsulitis, PNF Stretching, self stretching, SPADIReferences
- Giggs SM, Ahm A and Green A. Idiopathic Adhesive Capsulitis. A Prospective Functional Out Come, Study of non operative Treatment. J Bone Joint Surg, Vol. 82, Oct-2000, 1398-1407.
- H.A. Anton. Frozen Shoulder. Can Fam Physician 1993;39:1773-1777.
- R.A Donatelli, Physical Therapy of the Shoulder, 3rd edition, CHARCHILL LIVINGSTONE. Pp 257- 278.
- Rick Sandor. Adhesive Capsulitis; Optimal Treatment Of “Frozen Shoulder”. THE PHYSICIAN AND SPORTSMEDICINE, Vol.28, No.9, SEP-200.
- Henricus M Vermeulen, Wim R Obermann, Bart J Burger, Gea J Kok, Piet M Rozing, CorneliaHMvan den Ende. End- Range Mobilization techniques in Adhesive Capsulitis of the Shoulder joint: A Multiple- Subject Case Report.
- S.B.Brotzman, K.E.Wilk, Clinical Orthopaedic Rehabilitation, 2nd edition, Shoulder Injuries, page 125-250.
- Mitchell UH, Myrer JW, Hopkins JT, Hunter I, Feland JB, Hilton SC acute stretch perception alteration contributes to the success of the PNF “contract-relax” stretch. J Sports Rehab. May 2007; 16(2):85-92.
- Godges JJ, Matson-Bell M ,Thorpe D; Shah D, The immediate effect of soft tissue mobilization with PNF on gleno humeral external rotation & overhead reach; J Orthop Sports Phys Ther, Dec 2003; 33 (12) : 713-718.
- Decico PV, Fisher MM, The effects of PNF stretching on shoulder ROM in overhead athletes. J Sports Med Phy Fitness, Jun 2005; 45(2):183-187.
- Luís Viveiros, Marcos Doederlein Polito, Roberto Simão and Paulo Farinatti Immediate and late responses of flexibility in the shoulder extension in relation to the number of series and stretching duration. Rev Bras Med Esporte. Nov/Dec 2004; Vol 10, N 6:464-467.
- Funk DC, Swank AM, Mikla BM, Fagan TA, Farr BK. Impact of prior exercise on hamstring flexibility: a comparison of proprioceptive neuromuscular facilitation and static stretching. J Strength Cond Res. 2003 Aug; 17(3):489-92.
- Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Thera. 1998 Mar; 78(3):321-2.
- Leung MS, Cheing GL. Effects of deep and superficial heating in the management of frozen shoulder. J. Rehabil Med. 2008 Feb; 40(2):145-50.
- Murphy DR.A critical looks at static stretching; are we doing our patient harm? Chriopract sport med, 1991; 5:67-70.
- Study to Check Added effects of Electrical Stimulation with Task Oriented Training in Hand Rehabilitation among Stroke Patients
Authors
1 Shree K K Sheth Physiotherapy College, Rajkot, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 154-159Abstract
Back ground: stroke patients are having variety of disable functions, including limited hand functions which has key role to do activities of daily living.Objective: To determine the added effects of electrical stimulation combined with task oriented training in stroke patients.
Methods: 30 subjects were selectively divided in to two groups. Group A received Eletrical stimulation with Task oriented training while Group B received only task oriented training. Outcome measures were grip strength, Box and Block test, 9 hole peg and ROM.
Findings: statistical significant difference found for all the variables used in methods in between the groups.
Conclusion: Electrical stimulation with task oriented training improves hand functions more effectively compared to only task oriented training in stroke patients.
Keywords
Electrical Stimulation, Task Oriented Training, Hand RehabilitationReferences
- Susan B. O’Sullivan, Thomas Schmitz. Physical rehabilitation: assessment of treatment
- Hacke W, Kaste M,Olsen TS ,orgogozo JM, Bbogousslavsky j.empfehlumg der europaesschen schjaganfall initiative zur versorgumg and behandlung des schlaganfalls.intensivmed 2001;38:454-70
- Wade DT, Langeton-hewer R et al; The hemiplegic arm after stroke :measurement and recovery . J. neurol. Neurosurg. Psychetric. 1983;46:521-24
- Glanz M, Klawansky S ,et al; functional electrical stimulation In post of rehabilitation : a meta analysis of randomized control trials .arch phys med rehabil 1996;77:549-53
- JR de Kroon,J H Van der lee et al;theraputics electrical stimulation to improve motor functional abilities of the upper extremity after stroke clinical rehabili .2002;16:350-60
- King TI: The effect of neuro muscular electrical stimulation in reducing tone.am j occupation ther 1996; 50:62-64
- Joanna Powell, MCSP; A. David Pandyan,et al; Electrical Stimulation of Wrist Extensors in Poststroke Hemiplegia; Stroke. 1999; 30: 1384-1389.)
- De Kroon JR, Ijzerman MJ, Lankhorst GJ, Zilvold G.:electrical stimulation of upperlimb in stroke:stimulation of extensors of the hand vs.alternate stimulation of flexors and extensors.Am.J.Phys.med.rehab. 2004;83:592-600
- Green p:prombles of organization of motor system .In Rosan R,and Snell:Progress in theoretical biology. Academic press.San Diego 1972.p 304
- Alfieri V: Electrical treatment of spasticity Scand J Rehabili med. 1982;14:177-82
- Horak ,F:Assumptions underlying motor control for neurologic rehabilition .In :contemporary management of motor control problems. proceedings of the 2 step conference. APTA, Alexandri 1992
- Desrosiers J, Bravo G, Hébert R, Dutil E, Mercier L. Validation of the Box and Block Test as a measure of dexterity of elderly people: reliability, validity, and norms studies. Arch Phys Med Rehabil. 1994 Jul;75(7):751-5.
- Mathiowetz, V., Kashman, N., et al. (1985). “Grip and pinch strength: normative data for adults.” Arch Phys Med Rehabil 66(2): 69-74
- Chronic motor dysfunction after stroke : recovering wrist and finger extension by electro myography triggered neuro muscular stimulation .Stroke 2000 June ;30 (6) :1360-1364
- Catherine M . Dean, Carol L. Richards et al .Task related circuit training improves performance of locomotor task in chronic stroke : a randomized controlled pilot trial .arch phy med rehab 2000;81:409-17
- N M Salback, N E Mayo et al.A task oriented intervention enhances walking distance and speed in the 1 st year post stroke : a randomized controlled trial.Clinical rehab 2004 ;18:509-519
- Relationship of Cognition, Mobility and Functional Performance to Fall Incidence in Recovering Stroke Patients
Authors
1 Shree K K sheth physiotherapy college, Rajkot, IN
2 Parul institute of Physiotherapy, Vadodara, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 160-164Abstract
Background: People with stroke are at risk of falls. The majorities of individual with stroke has some degree of residual impairment, but regain walking ability and will be discharged home. Three quarters fell in the first six month after their discharge from hospital. Identify increased knowledge of incremental risk factors for falling and the assumption that some of the identified risk factors can be modified may lead to development of intervention to reduce number of fallsObjective: To explore the relationship between cognition, mobility and functional performance with respect to fall incidence in recovering stroke patients.
Methods: 110 subjects with stroke completed the study. Subjects were assessed on the basis of cognition, mobility and functional performance during 4th week after stroke incidence. Information regarding number of falls and characteristic of fall gained during a personal interview after six month from stroke. Number of falls correlated with baseline scores.
Findings: There is a significant good correlation found between cognition, mobility, and functional performance to number of falls in recovering stroke patients.
Conclusion: Cognition, mobility and functional performance might contribute to fall risk and fall related injuries in recovering stroke patients.
Keywords
Stroke, Fall Incidence, Cognition, Mobility, Functional PerformanceReferences
- Susan B. O’ Sullivan, Thomas Schmitz. Physical Rehabilitation: 5th Edition.
- Wolf, C: The impact of stroke. Br Med Bul. 2000; 56: 275.
- Post stroke Rehabilitation Guideline panel: Post stroke Rehabilitation clinical practice Guideline. Aspen, Gaitherburg, MD, 1996.
- Jocelyn E Harris et al. Relationship of balance and mobility to fall incidence in people with chronic stroke, Physical therapy. 2005; 85: 150-158.
- Jorgense HS et al. Stroke. Neurologic and functional recovery- the cogenhagen stroke study. Phy med rehabil clin N Am. 1999; 10: 887-906
- Anne Forster, John young. Incidence and consequences of falls due to stroke, a systemic inquiry, BMJ. 1995; 311: 83-86.
- Nyberg L, Gustafon Y. Patients falls in stroke rehabilitation: A challenge to rehabilitation strategies. Stroke. 1995; 26: 838-842.
- Sackely CM. Falls, sway and symmetry of weight bearing after stroke. Int. Disabil Stud. 1991; 13: 1-4.
- Byers V et al. Predictive risk factors associated with stroke patients falls in acute care settings. J Neurosci Nurs. 1990; 22: 147-154.
- Tutuarima JA, Van der Mevlen Jhet al. Risk factors for falls of hospitalized stroke patients. Stroke. 1997; 28: 297- 301.
- H.C. White: Archives of orthopeadic and Trauma surgery. 1998; 107: 345- 387.
- Anna Ramnemark, Mikael Nilson et al. Stroke, a major and increasing risk factor for femoral neck fracture. Stroke. 2003; 31: 157- 168.
- Hamdy R C, Moore SW et al. Long term effects of stroke on bone mass. Am J Phys Med Rehabil. 1995; 74: 351-356.
- Grisso JA, Kelsey JL et al. Risk factors for falls as a cause of hip fracture in women. N Engli Med. 1991; 324: 1326- 1331.
- Gustasfron Y, Brannstrom B et al. A geriatric anesthesiologic program to reduce acute conghesional state in elderly patients treated for femoral neck fractures. J Am Geriatic Soc. 1991; 39: 655- 662.
- Ramnemark A, Nyberg L et al. Progressive hemiosteoporosis on paretic side and increased bone mineral density in non paretic arm the first year after sever stroke. Osteoporos Int. 1999; 9: 269- 275.
- Cahit Ugur, Demet Gucuyener et al. Chracteristics of falling in patients with storke. J Neurology Neuro surgery Psychiatry. 2000; 69: 649- 651.
- Jorgensen L, Engstad Tet al. Higher incidences of falls in long term stroke survivors than in population controls. Depressive symptoms predict falls after stroke. 2002; 33: 542- 547.
- Lamb SE, Ferrucci L et al. Risk factors for falling in home dwelling older women with stroke. The women’s health and aging study. Stroke. 2003; 34: 494- 501.
- Hyndman D, Ashburn A, Stack E. Fall events among people with stroke living in the community. Circumstances of falls and characteristics of fallers. Arch Phys Med. Rehabil. 2002; 83: 165- 170.
- Hyndman D, Ashburn A. People with stroke living in the community: attention deficits, balance, ADL ability, and falls. Disabil Rehabil. 2003; 25: 817- 822.
- Graafmans WC, Ooms Me et al. Falls in the eldery. A prospective study of risk factors and risk profiles. Am J Epidemial 1996; 143: 1129- 1136.
- Bogle Thorbahn LD et al. Use of the Berg balance test to predict falls in eldery persons. Phy. Ther. 1996; 76: 576- 586.
- Tinnetti ME, Speechley M, Ginter SF. Risk factors for falls among eldery persons living in the community. N Engl J M ed 1998; 319: 1701- 1707.
- Stalpheton T, Ashburn A, Stack E. A pilot study of attention deficits, balance control and falls in subacute stage following stroke. Clini Rehab. 2001; 15: 437- 444.
- Tea sall R, MC Rac M et al. The incidence and consequences of falls in stroke patients during inpatient rehabilitation. Factors associated with high risk. Arch Phys Med Rehabil. 2002; 83: 329- 333.
- Lars Nysberg, Yngve Gustafson. Fall prediction index for patient in stroke rehabilitation. 1997; 28: 716- 721.
- Mayo NE, Lorner Bitensky N, Kaizer F. Relationship between response time and falls among stroke patients undergoing physical rehabilitation. Int J Rehabil Res. 1990; 13: 47- 55.
- Webster JS et al. Rightward orienting bias, wheel chair maneuring, and fall risk. Archy Phy Med Rehabil. 1995; 76: 924- 928.
- Rapport LJ et al. Predictors of falls among right hemisphere stroke patients in the rehabilitation setting. Arch Phys Med Rehabil. 1993; 74: 621- 626
- Medline Plus. A service of the U. S. National library of medicine and the national institute of Health. 15th may 2008.
- Peeel N. Validating recall of falls by older people. Accidental Analysis and Prevention. 2000; 32: 371-372.
- Marjan J Faber, et al: Clinimetric properties of the POMA, physical therapy 2006; 86: 944-954.
- Hsuch I P, Lee M, Hsieh C L. Psychometric characteristics of the barthel activities of daily living index in stroke patients. J formas Med assoc. 2001; 100 (80): 526-532.
- Folstein MF et al. Mini mental state. A practical method for grading cognitive state of patients for the clinician, J psychiatr Res 1975; 12: 189
- Comparison of Stretch Glides on External Rotation Range of Motion in patients with Primary Adhesive Capsulitis
Authors
1 Shree K K Sheth Physiotherapy College, Rajkot, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 202-207Abstract
Back ground: Adhesive capsulitis, most commonly referred to as frozen shoulder (FS), is an idiopathic disease with 2 principal characteristics: pain and contracture, affecting the external rotation most. In contrast to traditional mobilization technique andrea et al found posterior glide more effective in improving external rotation ROM and pain.Objective: To find out the effective stretch glide for external rotation ROM and pain in patients with primary adhesive capsulitis.
Methods: 30 subjects were divided into two groups called Anterior stretch glide (ASG) and Posterior stretch glide (PSG). Each group received ultrasound, same exercise protocol along with their designated glides for 2 weeks. Outcome measures were External Rotation ROM and VAS. Data was analyzed by using the SPSS software. Wilcoxon signed rank and rank sum tests were used to measure the differences in VAS and Paired and unpaired t tests were used for ROM evaluation.
Findings: There was a significant difference in External Rotation ROM and VAS in both the groups after the intervention, even there is a significant difference between the groups.
Conclusion: anterior stretch glide is very effective in reducing pain or unpleasantness intensity and increasing external rotation range of motion at shoulder in patients with primary adhesive capsulitis.
Keywords
Primary Adhesive Capsulitis, Stretch Glides, External RotationReferences
- Zuckerman, J. D., and Cuomo, F.: Frozen shoulder. In The Shoulder: A Balance of Mobility and Stability, pp. 253-267. Edited by F. A. Matsen, III, F. H. Fu, and R. J. Hawkins. Rosemont, Illinois, American Academy of Orthopaedic Surgeons, 1993.
- Roy, S., and Oldham, R.: Management of painful shoulder. Lancet, 1: 1322-1324, 1976.
- Ekelund, A. L., and Rydell, N.: Combination treatment for adhesive capsulitis of the shoulder. Clin. Orthop., 282: 105-109, 1992.
- Neviaser, R. J., and Neviaser, T. J.: The frozen shoulder. Diagnosis and management. Clin. Orthop., 223: 59-64, 1987.
- Ozaki, J.; Nakagawa, Y.; Sakurai, G.; and Tamai, S.: Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J. Bone and Joint Surg., 71-A: 1511-1515, Dec. 1989.
- Matsen, F. A., III; Lippitt, S. B.; Sidles, J. A.; and Harryman, D. T., II: Evaluating the shoulder. In Practical Evaluation and Management of the Shoulder, pp. 1-17. Philadelphia, W. B. Saunders, 1994.
- Novotny JE, Nicholoas CE. Normal kinematics of uncontrained glenohumeral joint under coupled moments loads. J shoulder elbow surg. 1998;629- 39.
- Wamer et al. Adhesive capsulitis of shoulder. J bone joint surgery AM. 1996; 78:1808-16
- Jurgel J, Rannama L, et al. Shoulder functions in Subjects with frozen shoulder before and after 4 week rehabilitation. Medicina 2005;41:30-38
- Curl LA, Warren RF. Glenohumeral joint stability. Selective cutting studies on static capsular restraings
- Roubal PJ et al. Glenohumeral gliding manipulation following interscalene brachial plexus block in Subjects with adhesive capsulitis.
- Andrea J, Joseph J et al. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in Subjects with adhesive capsulitis. JOSPT 2007;37;3.
- Donatelli RA, Wooden MJ. Orthopaedics physical thera. 2nd edi. :Churchill Liningstone; 1994
- Harryman DT et al. translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone joint Surg Am. 1990;72:1334-43
- Hjelm, Draper C et al. anterior inferior capsular length sufficiency in the painful shoulder. J ortho Sport Phys Ther. 1996;23:216-22
- Price DD, Mc Grath PA et al. the validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17: 45-56
- Reed B, Ashikaga T. The effects of heating with ultrasound on knee joint displacement. J Ortho Sports ther. 1997;26:131-7
- Kaltenborn FM. Manual Therapy of the Extremity joints. Oslo, Norway: Olaf Norlis, Bokhandel;1973.
- Gann N. Ultrasound: current concepts. Clin Manage1991;11:64–9.
- Obermann et al. Comparison of High-Grade and Low-Grade Mobilization Techniques in the Management of Adhesive Capsulitisof the Shoulder: RandomizedControlled Trial. Phys thera. 2006; 86:355-368.