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Metgud, Santosh
- A Study on Combined effects of Progressive Muscle Relaxation and Visual Imagery Technique on Perceived Pain, Levels of Anxiety and Depression in Patients with Burns
Authors
1 KLE's Institute of Physiotherapy, Belgaum, IN
2 P.T. School & centre, Seth G.S.M.C. & K.E.M.H, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 225-228Abstract
Background: Burns are one of the most painful type of trauma and pain management for this type of injury is a well documented problem in all aspects or recovery. Specifically pain control is common obstacle limiting physiotherapy treatments. Hence progressive muscle relaxation & visual imagery can be used as an intervention to improve patient's compliance during the physical therapy interventions.Objective: To study the effect of progressive muscle relaxation & visual imagery on perceived pain during range of motion exercises and levels of anxiety and depression in patients with 20% to 50% of superficial to deep burns.
Design: Randomized control trial.
Methodology: 10 subjects with burns were randomly assigned to two groups. The Group A as the control group & Group B as the intervention group. Group A continued with conventional treatment & the Group B were given progressive muscle relaxation along with the conventional treatment.
Main outcome measures: visual analogue scale, hospital anxiety & depression scale (HADS).
Results: The mean pre-treatment VAS score for subjects in group B was 5.9 which reduced to 4.5 post treatment. The paired t-test which was statistically significant (P-value: 0.0007).The unpaired t-test of which was statistically significant( p-value. 0.0022) for anxiety & depression scores. The mean pretreatment anxiety level in subjects in group B was 12.6 i.e. abnormal which reduced to 8.8 i.e. borderline abnormal post treatment where as the mean pretreatment depression score was 12.8 i.e. abnormal which reduced to 9.6 i.e. borderline abnormal.
Conclusion: The results of the present study indicate that there was a statistically significant reduction in perceived levels of pain and in anxiety and depression during range of motion the exercises for subjects with burns receiving progressive muscle relaxation & visual imagery intervention as compared with those subjects who had not received progressive muscle relaxation & visual imagery intervention.
Keywords
Burns, Progressive Muscle Relaxation, Visual Imagery, Anxiety, Depression
References
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- 3 Weeks Continuous Passive Motion Vs Joint Mobilization and their Combination in Knee Stiffnes - A Comperative Study
Authors
1 KLE University Institute of Physiotherapy, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 1-5Abstract
Study design: Randomized clinical trial.Objectives : To determine the effect of continuous passive motion in treatment of knee joint stiffness. To determine the effect of joint mobilization in the treatment of knee joint stiffness. To determine the combined effectiveness of continuous passive motion and joint mobilization in the treatment of knee joint stiffness.
Methods : The present randomized clinical trial was conducted among 45 participants which included both male and female symptomatic individuals between the age of 18 to 50 years with knee joint stiffness. Pre-interventional and post-interventional outcome measurements were taken in the form of Range Of Motion, KOSADLS.
Results : In the present study, intra - group analysis showed that improved range of motion and functional outcome was statistically significant in all the three groups (p=0.0001) whereas considering the reliability and validity of Knee Outcome Survey Of Activity Daily Living Scale, the between group analysis revealed that Group C was significant as compared to Group A and Group B in knee range of motion and in functional outcome Group B was significant compared to Group A and C .
Conclusion : In conclusion, the present randomized clinical trial provided evidence to support the physical therapy regimen in the form of continuous passive motion with joint mobilization in improving range of motion, improving functional performance in subjects with post operative knee joint stiffness.
Keywords
Knee Joint Stiffness, Joint Mobilization, Continuous Passive Motion, ExerciseReferences
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- Comparing the effects of Manipulation of Wrist and Ultrasound, Friction Massage and Exercises on Lateral Epicondylitis: A Randomized Clinical Study
Authors
1 KLE Institute of Physiotherapy
2 Metas of Seventh Day Adventist College of Physiotherapy, Surat, Gujrat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 205-209Abstract
Background and Purpose: Lateral epicondylitis ("tennis elbow") is a common entity. Several nonoperative interventions, with varying success rates, have been described. The aim of this study was to compare the effectiveness of 2 protocols for the management of lateral epicondylitis: (1) manipulation of the wrist and (2) ultrasound, friction massage, and muscle stretching and strengthening exercises.Design: A Randomized Clinical Study.
Subjects and Method: Ten subjects with a history and examination results consistent with lateral epicondylitis participated in the study. The subjects were randomly assigned to either a group that received manipulation of the wrist (group 1) or a group that received ultrasound, friction massage, and muscle stretching and strengthening exercises (group 2). Follow-up was at 3 weeks. The primary outcome measure was a global measure of improvement, as assessed on a 10-point scale. Analysis was performed using independent t tests, Mann-Whitney U tests, and Fisher exact tests.
Results: Differences were found for 2 outcome measures: success rate and decrease in pain at 3 week. Both findings indicated manipulation was more effective than the other protocol. After 3 weeks of intervention, the success rate in group 1 was 62%, as compared with 20% in group 2. Also, improvement in pain as measured on a 10-point numeric scale was 5.2 (+ 2.4) in group 1, as compared with 3.2 (+ 2.1) in group 2.
Conclusion: Manipulation of the wrist appeared to be more effective than ultrasound, friction massage, and muscle stretching and strengthening exercises for the management of lateral epicondylitis when there was a short-term follow-up.
Keywords
Tennis Elbow, Manipulation, Ultrasound, StretchingReferences
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- Effectiveness of Plantar Fasciitis Taping and Calcaneal Taping in Plantar Heel Pain - A Randomized Clinical Trial
Authors
1 K.L.E.S, J.N. Medical College Campus, Belgaum, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 4, No 3 (2010), Pagination: 86-90Abstract
Purpose of study:
The objective was to compare the effectiveness of Plantar Fasciitis taping and Calcaneal Taping in Plantar Heel Pain in terms of pain and functional ability.
Material and methods
60 participants with plantar heel pain were randomly assigned to Group A (Therapeutic ultrasound + Stretching + Calcaneal Taping) and Group B (Therapeutic ultrasound + Stretching + Plantar Fasciitis Taping) during the study period of April 2008 to January 2009. The outcome measures were visual analogue scale (VAS) and functional ability level in terms of Foot Function Index (FFI). Pre and post session intervention values of outcome measures were noted on 1st and 7th day of intervention.
Results
In this study we found that there was significant change in pain relief as per VAS score (p<0.001) and improvement in functional ability as per FFI (p<0.0001).
Conclusion
This randomized clinical trial consisting of Plantar fasciitis taping and Calcaneal taping along with therapeutic ultrasound and stretching in plantar heel pain showed improvement following 7 days of treatment as per significant decrease in pain as per VAS and improvement in functional ability level as per FFI and can be used as an effective treatment regime in participants with plantar heel pain.