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Sanjay, Parmar
- Comparative Study to Determine the Hand Grip Strength in Type-II Diabetes Versus Non-Diabetic Individuals - A Cross Sectional Study
Authors
1 Dept. of Medicine, S.D.M. College of Medical Sciences & Hospital, Dharwad, IN
2 Dept. of Physiotherapy, S.D.M. College of Medical Sciences & Hospital, Dharwad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 243-246Abstract
Abstract: Background and objective: The diabeties is increasing in developing countries, many complication have been studied hand getting affected is one of them. As hand is major in human function. So objective of this study was to evaluate the grip strength in diabetic group and compare with non-diabetic individuals.Materials & Method: After obtaining ethical clearance, a pilot study was conducted and total 274 subjects 137 in each group that is diabetic and non-diabetic were assessed for hand grip strength and compared with each other. The standard method of assessment by using hand dynamometer and Body Mass Index was assessed by using stadiometer and weaning machine. After obtaining of the data analysis was done.
Results: The mean age of diabetic group was 57.63 + 6.76 year, non diabetic mean age was 57.70 + 6.48. The mean Body Mass Index was 22.81 +2.04 kg/m2 and 24.62+3.06 in non-diabetic and diabetic group was respectively. The mean grip strength for the diabetic left hand was 13 kgs while non-diabetic it was 15kgs while right hand was 14kgs in diabetics and 16kgs was in non-diabetic individuals.
Conclusions: We concluded that there is significant reduction in grip strength in diabetic group. It was increased as the duration of diabeties was increased. There fore incorporating grip strength evaluation and treatment at the earlier stages may help in preventing complication, which will also reduce the impact on functional disability in diabetic population.
Keywords
Diabetes Mellitus, Grip Strength, Hand DynamometerReferences
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- Stewart P. Diagnosis and classification of Diabetes mellitus. Diabetes care (serial online) 2008 Jan (cited 2008 Sept. 4); 31 suppl 1:55-60
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- Savas, Hakanc, et al: The effects of the diabeties related soft tissue hand legion and the reduced hand strength on function disability of hand in type 2 diabetic patient. Diabetic Research and clinical practice 2007; 77: 77-83
- Sayers, Dennison E- Type 2 diabetes, muscle strength and impaired physical function. Diabetes care (serial online) 2005 (cited 2008 August 2011); 28 (10): 2541-2.
- Goodpaster BH, Decreased muscle strength and quality in older adults with type 2 diabetes: The Health ageing and body composition study diabetes (serial online) 2006 Jun (cited 2008 October 2008); 55:1813-1818
- Study of Correlation between Hypermobility and Body Mass Index in Children aged 6-12 Years
Authors
1 Department of Physiotherapy, SDM College of Medical Sciences And Hospital, Dharwad, IN
2 Department of Pediatrics, SDM College of Medical Sciences And Hospital, Dharwad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 247-249Abstract
Objectives: Joint hypermobility indicates an increase in the range of joint movement among normal individuals. Joint hypermobility commonly occurs in school age children (8-39%). Weight gain may precipitate the onset of symptoms of hypermobility syndrome. This study was done to assess the correlation between hypermobility and body mass index in children aged 6-12 years.Design: Cross sectional study
Methods: Beighton score was used to evaluate 420 healthy children. One point was scored for each positive result (maximum: 9). Scores >4 were considered to be generalised hypermobility. Body mass index was calculated using height and weight of the children. Then, the data was evaluated statistically using SPSS 16.0 version statistical software and results were obtained.
Results: The result showed that 57.14% of hypermobile children were under weight, 35.93% of hypermobile children had normal weight, 19.15% of hypermobile children were at risk of being overweight where as 16.67% of hypermobile children were overweight. A negative correlation (-0.0008) between hyper mobility and BMI was found.
Conclusion: Hypermobility was more prevalent (57.14%) among under weight children aged 6-12 years.
Keywords
Hypermobility, Beighton Score, 6-12 Years Aged Children, Body Mass IndexReferences
- Russek LN. Hypermobility syndrome. Phys Ther 1999 Jun;79(6):591-599.
- Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005 May 2;123(3): 119-123.
- Juul Kristensen B, Rogind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility. Rheumatology (Oxford) 2007 Dec;46(12):1835-1841.
- van der Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of Beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001 Dec;28(12):2726-2730.
- Peter Beighton, Rodney Grahame, Howard Bird. Hypermobility of joints. 4th ed. Springer Verlag London Limited; 2012. p. 82.
- Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008 Jan-Feb;26(1):146-150.
- Clinch J, Deere K, Sayers A, Palmer S, Riddoch C, Tobias JH, Clark EM. Epidemiology of generalised joint laxity (hypermobility) in fourteen year old children from the UK. Arthritis Rheum. 2011 Sep;63(9):2819-2827.
- Importance of Screening in 0-18 Months Infants by using INFANIB at Tertiary Hospital
Authors
1 Department of Physiotherapy, SDM College of Medical Sciences and Hospital, Dharwad, IN
2 Department of Pediatrics, SDM College of Medical Sciences and Hospital, Dharwad, IN
3 Pediatric Physiotherapist, Regional Neuroscience Centre, Hubli, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 184-186Abstract
Objectives: Child development is a dynamic process and is often hard to measure by its very nature. The various streams of development, including gross motor, fine motor, language, cognitive, and adaptive behaviour, are interrelated and complex within themselves. Developmental delay refers to when a child's development lags behind established normal ranges for his or her age. The prevalence of developmental delay, deviation, disability or deformity in India is 2.5%. So the objective of this study was to screen the infants at Tertiary hospital and to categorize them as normal, transiently abnormal & abnormal neurologic development according to the INFANIB score.Design: Cross sectional study
Method: 639 subjects were included in this study. According to the INFANIB manual guidelines, screening test was administered and infants were categorized as normal, transiently abnormal and abnormal neurologic development. Then, the data was evaluated statistically and results were obtained.
Results: In Group 1(age of less than 4 months) as per INFANIB score out of 194 samples there were 161(82.99%) normal, 24(12.37%) transiently abnormal and 9(4.64%) abnormal neurologic development infants. Group 2 (age of 4-8 month) had 162(86.63%) normal, 12(6.42%) transiently abnormal and 13(6.95%) abnormal neurologic development infants out of 187 samples. In Group 3(age of 8 months or more) out of 258 samples there were 205(79.46%) normal, 18(6.98%) transiently abnormal and 35(13.57%) abnormal neurologic development infants. When all three age groups were considered, there were 528(82.63%) normal, 54(8.45%) transiently abnormal, 57(8.92%) abnormal neurologic development infants.
Conclusion: On INFANIB screening, there were 8.45% transiently abnormal and 8.92% abnormal neurologic development infants at the Tertiary hospital.
Keywords
Screening, INFANIB, 0-18 Month's ChildrenReferences
- Developmental delay. Encyclopedia of children’s health 2005 Available from URL: http:// www. e n o t e s . c o m / c h i l d r e n s - h e a l t h encyclopedia/ developmental-delay.
- Tervo R. Identifying Patterns of Developmental Delays Can Help Diagnose Neurodevelopmental Disorders. A Paediatric Perspective 2003 july;12(3):1-6.
- Soleimani F, Vameghi R, Hemmati S, Roghani RS. Perinatal and Neonatal Risk Factors for Neurodevelopmental Outcome in Infants in Karaj. Arch Iran med 2009 March;12(2):135-139.
- MKC Nair, Babu G, Padmamohan J, Sunitha RM, Resmi VR et al. Developmental delay and disability among under -5 children in a rural ICDs blocks. Indian Paediatrics 2009 Jan;46:75-77.
- Aly Z, Taj F, Ibrahim S. Missed opportunities in surveillance and screening systems to detect developmental delay: A developing country perspective. J braindev 2010;32:90-97.
- Wilhelm IJ. Physical therapy assessment in early infancy. New York: Churchill Livingstone; 1993. p.46-48.
- Sung IY, Kang W. Infant Neurological International Battery (INFANIB) as a Predictor of Neuromotor Outcome in Risk Infants. J Korean Acad Rehabil Med 1997 April;21(2):406-413.
- A Study to Evaluate Growth in Mentally Retarded Children Aged 5 - 15 Years in Dharwad Urban, India
Authors
1 SDM College of Physiotherapy, Dharwad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 18-21Abstract
Background and Objectives: Many studies had been done to find the prevalence of overweight and obesity among mentally retarded children in different parts of the world. But none were conducted in India and this part of Karnataka. The objective of our study was to evaluate the growth among the mentally retarded children aged between 5 to 15 years.
Methods: A sample size of 205 was chosen. A signed informed consent was received by the parents. Height (measured on stadiometer) and weight (measured on digital weighing scales) of the samples who met the inclusion criteria were taken and their BMI was calculated.
Results: Data analysis and results show that there 4.65% were overweight and 2.79% were obesity among the children aged 5 to 15 years boys and girls. However there was 76.28% were underweight among the samples and 16.28% were normal BMI among the samples. When growth was considered among the boys, 2.67% were obese, 6% were overweight, 16.00% was normal and 75.33% were underweight. Similar results were found among girls samples also; 3.08% obese, 1.54% overweight, 16.92% normal and 78.46% underweight.
Conclusion: We conclude that there is 76.28%, 16.28%, 4.65% and 2.79% were underweight, normal, overweight and obesity respectively among the mentally retarded children aged between 5 to 15 years.
Keywords
Mental Retardation, Weight, Bmi, Growth, Urban DharwadReferences
- Icd-10 Guide for Mental Retardation: Who/Mnh/ 96.3 Division of Mental Health and Prevention of Substance Abuse. World Health Organization. Geneva
- Behrman, Kliegman, Jenson; Nelson Textbook of paediatrics 17th ed; Saunders an imprint of Elsevier,p. 138-149
- Sazann K. Campbell; decision Making in Paediatric Neurologic Physical Therapy; 2nd ed; p.141-172
- Towards A Common Language For Functioning, Disability And Health, ICF. Who/Eip/Gpe/Cas/01.3. Who Geneva 2002. P.1-3
- J Sa´nchez-Lastres, J Eirý´s-Pun˜al, JL Otero-Cepeda1, P Pavo´n-Belincho´n and M Castro-Gago. Nutritional status of mentally retarded children in north-west Spain. I. Anthropometric indicators. Acta Paediatrics. 92, 2003, 747-753
- Mouridsen SE, Rich B, Isager T. Body mass index in male and female children with pervasive developmental disorders. Pediatr int. 2008 aug; 50(4); 569-571
- To Assess the Prevalence of Generalised Hypermobility in School Children of Dharwad (urban), Karnataka
Authors
1 SDM College of Physiotherapy, Dharwad, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 87-90Abstract
Objectives: The term generalised joint hypermobility indicates that the range of motion in general is increased compared with the mean range of motion of the general population. Generalised joint hypermobility is claimed to be present in 5-15% of general population. Children possess an inherently greater range of motion in their joints than adults, with a gradual reduction in this range observed with age. This study was done to assess the prevalence of generalized hypermobility in 6-12 years aged school children of Dharwad (Urban).
Design: Cross sectional study
Methods: 420 healthy children were evaluated using Beighton score. Passive extension of fifth finger (>90º), passive apposition of thumb to forearm, active extension of elbow and knee (>10º) and anterior trunk flexion placing flat hand on ground were assessed. One point was scored for each positive result (maximum: 9). Scores>4 were considered to be generalised hypermobility. The data were evaluated statistically using SPSS 16.0 version statistical software and results were obtained.
Results: Generalised hypermobility was found to be 34.29% of the children. Hypermobility was more among girls (35.12%) than boys (33.73%). Hypermobility was 41.94% in the age group of 6-6.11 years, 30% in 7-7.11 years of age group, 26.23% in 8-8.11 years of age group, 18.97% in 9-9.11 years of age group, 54.84% in 10-10.11 years of age group, 38.60% in 11-11.11 years of age group and 33.33% in 12 years of age group.
Conclusion: The prevalence of generalised hypermobility was 34.29% in 6-12 years school children of Dharwad (Urban).
Keywords
Hypermobility, Beighton Score, 6-12 Years Children, Dharwad (urban)References
- Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005 May 2;123(3): 119-23.
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- Tofts LJ, Elliott EJ, Munns C, Pacey V, Sillence DO. The differential diagnosis of children with joint hypermobility: a review of the literature. Pediatr Rheumatol Online J 2009 Jan 5;7:1.
- Juul Kristensen B, Rogind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility. Rheumatology (Oxford) 2007 Dec;46(12):1835-41.
- Hanewinkel van Kleef YB, Helders PJ, Takken T, Engelbert RH. Motor performance in children with generalized hypermobility: the influence of muscle strength and exercise capacity. Pediatr Phys Ther 2009 Summer;21(2):194-200.
- van der Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of Beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001 Dec;28(12):2726-30.
- Erkula G, Kiter AE, Kilic BA, Er E, Demirkan F, Sponseller PD. The relation of joint laxity and trunk rotation. J Pediatr Orthop B 2005 Jan;14(1):38-41.
- EI Metwally A, Salminen JJ, Auvinen A, Macfarlane G, Mikkelsson M. Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1- year follow-up study. BMC Musculoskelet disord 2007 May 23;8:46.
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- Russek LN. Hypermobility syndrome. Phys Ther1999 Jun;79(6):591-99.
- Subramanyam V, Janaki KV. Joint hypermobility in south Indian children. Indian Pediatr 1996 Sep;33(9):771-2.
- Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008 Jan-Feb;26(1):146-50.
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- A Study to Compare the Effectiveness of Aerobic Exercises Versus Resistance Training in overweight and Obese Adolescents
Authors
1 SDM College of Physiotherapy, Dharwad, Karnataka, IN
2 MPT (Ped), Viveka Centre, Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 244-248Abstract
Background and Objective: Childhood obesity is a chronic pediatric disease with possible complication. There is a reduction in natural physical activity levels and with increase in sedentary life style among children. Various forms of exercise are effective and helpful in obesity management.
This study was carried out to study the effectiveness of resistance training in overweight and obese adolescents, to study the effectiveness of aerobic exercise in overweight and obese adolescents and to study the effectiveness of resistance training versus aerobic training in overweight and obese adolescents.
Design: Experimental Design
Methods: A sample of 25 subjects between ages of 10 to 16 years was obtained from outpatient department of Physiotherapy, SDM College of Medical Sciences and Hospital, Dharwad.
The study duration was one year. The study was briefly explained to parents / guardian of children diagnosed to have overweight / obesity and written consent was obtained. Routine evaluation including demographic data, BMI, Waist Circumference and Waist Hip Ratio was calculated pre and post interventions.
The intervention was done for 45 minutes for 3 days per week for 12 weeks. Adolescents were engaged in two types of structured practice during the intervention. The appropriate warm up and cool down exercise were given before and after the individualized resistance and aerobic exercise program.
Results: Results showed a reduction in outcome measures pre and post values with p= 0.000 in both the groups. On comparison reduction was found more in aerobic group than the resistance group.
Conclusion: Aerobic exercise is more effective than the resistance exercise in adolescent with overweight and obesity.
Keywords
And Obesity, Resistance, Aerobic, AdolescentsReferences
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- A Computer Game- Assisted Repetitive Task Practice based Upper Extremity Therapy Program for Children with Spastic Unilateral Cerebral Palsy:A Single Case Study
Authors
1 Shri Dharmasthala Manjunatheshwara University, SDM College of Physiotherapy, Dharwad, IN
2 Department of Applied Health Sciences, University of Manitoba, CA
3 College of Rehabilitation Sciences, University of Manitoba, CA
4 Keshav Seva Sadhana School for Special Children – Valpoi, IN
5 Dandeli, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 14, No 1 (2020), Pagination: 160-166Abstract
A case study is to provide evidence of the feasibility, acceptance, and benefits of a computer game-assisted repetitive task practice platform (G-RTP) in Upper extremity (UE) motor function of a child with Cerebral Palsy (CP).
Method: 4 year old left spastic CP was provided an individualized game-assisted therapy of 16 weeks. Outcome measures included PDMS-2, QUEST, computerized assessment of a broad range of object manipulation tasks.
Results: Findings demonstrated the feasibility and acceptability of the G-RTP program for use by children with UE motor impairment
Conclusion: The findings are positive and support a future definitive RCT needed to prove the efficacy and applicability.
Keywords
Repetitive Task Practice, Cerebral Palsy, Game Based Exercises.References
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