Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Namrata Mehta ¹, R. V. Vijayakumar ²

Affiliations
1 The Oxford College of Physiotherapy, Begur Road, Hogasandra, Bangalore, IN
2 Department of Musculoskeletal Disorders and Sports, The Oxford College of Physiotherapy, Bangalore, IN

Abstract

Multi-touch smartphones are used for a wide variety of tasks, including accessing the Internet, social media, etc. Trigger points (TrPs), causes referred pain in characteristic areas for hand and forearm muscles. Latent TrPs cause stiffness and limitation of ROM but no pain. Self Myofascial release (SMFR) is a simple and effective technique in which the therapy is done by the patient themselves often using a tool. Objectives: To find out the effectiveness of Self Myofascial Release therapy and Educational booklet among college students with latent trigger points. Methodology: 120 subjects, male and female having latent TrPs with mean age 22.3 (±2.36), fulfilling the selection criteria were included. Subjects were examined to find out latent trigger point PPT with help of Pressure Algometer on muscles of hand. Subjects were instructed SMFR therapy via tennis ball (2 mins, twice a day for 2 weeks) on the affected muscles. Post test examination of PPT was taken. Result: The mean age was calculated to be 22.3 (±2.36) were analyzed. Right hand Adductor Pollicis muscle and Left hand 1^st dorsal interrosei muscle was found to be most affected (p < .00001) and Opponens pollicis on both sides were least affected. Educational booklet was given for creating awareness and was found to be helpful. Conclusion: Smartphones with greater dimensions promotes predominant usage of thumb while typing. SMFR and Educational booklet appears to be effective in reducing pain and addictive behaviour among Smartphone users.

Keywords

Myofascial Release, Latent Trigger Points, Pain Pressure Threshold (PPT).

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Sukanya Baruah ¹, R. V. Vijayakumar ²

Affiliations
1 MPT in Musculoskeletal Disorders and Sports, IN
2 The Oxford College of Physiotherapy, Begur Road, Hongasandra, Bangalore, IN

Abstract

Running causes overuse injuries and ITBS (Iliotibial band syndrome) is one of the most common injury. Risk factors of ITBS includes ITB tightness, abductor weakness and biomechanical differences. People using treadmill without ruling out faulty biomechanics leads to ITBS. Objectives: i) To find the causative factor for ITBS among treadmill runners. ii) To find out the impact of ITBS in functional activities among treadmill runners. Methodology: 120 samples fulfilling the selection criteria were included. Age, lateral knee pain, speed of running, number of days running per week, since how many months, for how many minutes were collected. Participants with lateral knee pain were assessed using NCT (Noble compression test). Subjects were assessed with hip abductor strength test, NPT (Navicular position test), TT test (tibial torsion test) and Q angle measurement. Common cause for ITBS among treadmill runners was evaluated. Participants were screened for their functional activity using the LEFS (lower extremity functional scale) and scored accordingly. Result: Mean age calculated is 27.88±3.91 yrs, running since 12.08±5.82 months, for 23.58±4.91 minutes, 4.06±0.8 days a weeks, with a speed of 6.75±0.57 m/sec. 40.83% of the subjects had ITBS due to hip abductor weakness, 15.83% of the subjects had a FF(flat feet) and int.TT while 14.17 % had int.TT. Increased Q angle and ext.TT was found in 9.17%. 5 % had hip abductor weakness and increased Q angle whereas 2.5% of the subjects had all the four components present. The mean score obtained by all the subjects with ITBS in the LEFS scale is 63.12±5.33. Conclusion: Study concludes that hip abductor weakness alone is the major cause of ITBS among treadmill runners. FF and int.TT being second most important cause. Mean score of ITBS in LEFS scale is 63.12±5.33

Keywords

ITBS, Tibial Torsion, Flat Feet, Hip Abductor Weakness, Q Angle, LEFS Scale.

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