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
Sri Kumari, V.
- The effect of Strength Training on Normalizing the Tone and Strength of Spastic Elbow Flexors in Subjects with Stroke
Authors
1 College of Physiotherapy, SVIMS, Tirupati, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 45-49Abstract
Objectives: This study is designed to find out whether strength training can normalize the tone in spastic upper extremity muscles and improve the strength of the spastic upper extremity muscles.Materials and Method: The study was conducted on 30 subjects with elbow flexors spasticity and were divided into experimental and control groups. Both the groups received conventional physiotherapy and Experimental group received strength training in addition. The parameters like strength and spasticity were measured isokinetically.
Result: The strength training program had no statistical significant effect on tone of the spastic elbow flexors between the two groups. t value 0.48 at p value 0.636(not significant) There is a statistically significant difference between two groups in the strength with the improvement in the experimental group. t value 6.03 at p value
Conclusion: This study concludes that strengthening program has minimal effect on spasticity & effective in improving the strength without deleterious effect on spasticity.
Keywords
Stroke, Spasticity, Strength, BIODEX, Active Torque, Passive Torque
References
- Bath PMW (2005) Prostacyclin and analogues for acute ischaemic stroke [Systematic Review]. Cochrane Stroke Group Cochrane Database of Systematic Reviews 1.
- Petrasovits A, Nair C. Epidemiology of stroke in Canada. Health Rep 1994;6:39-44. Comment in: Health Rep 1994;6:9-12.
- Burke D (1988) Spasticity as an adaptation to pyramidal tractinjury. Advances in Neurology 47: 401–418.
- Louise Ada, Simone Dorsch and Colleen G Canning, Strengthening interventions increase strength and improve activity after stroke: a systematic review Australian Journal of Physiotherapy 2006 Vol. 52 pg 241-248
- Basmajian JV, Gowland C, Brandstater M, et al. EMG feedback treatment of upper limb in hemiplegic stroke patients: a pilot study. Arch phys Med Rehabil. 1982;63:613-615
- CARR, J & SHEPERD, R (1998) Neurological Rehabilitation: Optimising Motor Performance Butterworth Heinemann, Oxford pp
- M. Radlinger, Krafttraining, Stuttgart – N.Y. 1998, G-Thieme Verlag.
- Haas, B.M., Bergstrom, E., Jamous, A. & Bennie, A. 1996. The inter rater reliability of the original and of the modified Ashworth scale for the assessment of spasticity in patients with spinal cord injury. Spinal Cord 34, 560–564.
- Blackburn, M., van Vliet, P. & Mockett, S.P. 2002. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Phys Ther 82, 25–34.
- Platz, T., Eickhof, C., Nuyens, G. & Vuadens, P. 2005. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disabil Rehabil 27, 7–18.
- Knutsson & Martensson 1976, Action of dantrolele sodium in spasticity with low dependence on fusimotor drive. J Neurol Sci 29, 195-212
- Burridge, J.H., Wood, D.E., Hermens, H.J. et al. 2005. Theoretical and methodological considerations in the measurement of spasticity. Disabil Rehabil 27, 69–80.
- Luci Fuscaldi Teixeira-Salmela, Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors. J Rehab Med 2001; 33: 53–60
- Inaba M, Edberg E, Montgomery J, Gillis MK. Effectiveness of functional training, active exercise and resistive exercise for patients with hemiplegia. Phys Ther 1973;53:28-30.
- Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil 1997;78:1231-6.
- Effect of Neuro Developmental Therapy Based Trunk Protocol on Gross Motor Development of Sitting Posture and Functional Reach Ability in Cerebralpalsychildren
Authors
1 College of Physiotherapy SVIMS,Tirupati, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 167-171Abstract
Introduction: Trunk muscle co-activation that is necessary for development of sitting postural control is delayed in cerebral palsy children which is a common developmental disability that is caused by to brain damage before, during (or) after birth, prevalence of cerebral palsy is 3.3 per 1000 (or) 1 in 303 children are affected by C.P. Damage to Brain motor control centers, leading to impairment of abnormal posture and movement which may change as child grows resulting in developmental delay and give rise to importance of rehabilitation for correction of impairment.AIM: To know the efficacy of NDT based trunk protocol on Gross motor function in children with Cerebral palsy.
Objective: To evaluate the efficacy of NDT Trunk protocol on sitting postural control by GMFM and functional reach test.
Methodology: 30 C.P Children were divided in to the groups, Group 1 received NDT Trunk Coactivation protocol (n=15). It contains Trunk (Sagittal) flexion - extension, side flexion and weight shifts (Frontal) and Trunk Rotations (Transverse) for a period of 30-45 minutes for 4 weeks. Group 2 received conventional physiotherapy with activities for a period of 30-45 min, for 4 weeks.
Statistical analysis: Unpaired t-test has been carried out to observe the treatment impact between groups before and after the treatment.
Results: After 4 weeks treatment period, subjects in group 1 (NDT Trunk protocol) compared with subjects in group II (conventional therapy) had a statistically significant improvement with outcome measures at 0.05 level
Conclusion: NDT trunk activation protocol was found to be effective in improving sitting postural control and helps in enhancing functional reach ability in cerebral palsy children.
Keywords
Trunk Postural Control, Reflex Inhibitory Patterns, Cerebral Palsy, Neuro Developmental Therapy, Gross Motor, Functional Reach Balance Scale, Key Points of ControlReferences
- Laura K. Vogtle : Cerebral palsy the Neuro developmental treatment approach and paediatric therapy role of performance components and the Relation of posture to upper extremity function.
- Rita snell (1977) : Gross motor development in infants with multiple impairments
- Kyrakane, John Barden : Contributions of trunk muscles to anticipatory postural control in children with and with out developmental coordination disorder.
- Heidis veistrup : Effectiveness of Task Oriented Intervention and trunk restrain on upper limb movement quality in children with cerebral palsy, Dev ned child neurol ; 2010 ; 52; 242-53.
- Shumway – Cook, C.P. Definition, classification, etiology and early diagnosis. woolacott – Normal postural control, Development of Postural control and Abnormal postural control
- Russell D, Rosenbaum P, Gowland c : GMFM Manual : a measures of Gross motor function cerebral palsy, 2nd Edi Hamilton, Canada :
- www. Neuro Rehab measures. Org : A scale for functional Reach test and modified functional Reach test
- Sherry W.Arudt, Lynette S.chandler, effects of Neuro developmental treatment based Trunk protocol for Infants with posture and movement days function.
- Howle – 2002. Cateaor …. In NDT enablement classification of health and disability Table 2.1, Pg, 82, NDT Treatment Approach.
- Chitra Sankar, Nandini Mundkur – Indian Journal of pediatric 2005; 72: 865-868 : C.P. Definition, classification, etiology and early diagnosis
- Sophie Levilt - Campbell – Treatment of Cerebral palsy and Motor delay -Paediatric physical therapy .
- Bobath k, Boboth B (1984) – NDT, In scruttors D Management motor disorders of children
- Janet M Howle, NDTA Theory committee Neuro developmental treatment approach theoretical foundations and principles of clinical practice.
- Effect of Low Frequency Vibratory Stimulation on Biceps Brachii Spasticity in Subjects with Hemiplegia
Authors
1 College of Physiotherapy, Sri Venkateswara Institute of Medical Sciences (SVIMS), Tirupati, Andhra Pradesh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 192-196Abstract
Objective of the Study:• To evaluate the effect of low frequency vibratory stimulation on biceps brachii spasticity in subjects with hemiplegia through Modified Ashworth Scale (MAS).
• To evaluate the effect of low frequency vibratory stimulation on biceps brachii spasticity in subjects with hemiplegia through Passive elbow extension Range of Motion (PROM).
Materialsandmethod: 30 hemiplegic subjects were divided into two groups, experimental group received Vibration treatment in addition to the daily sessions of conventional physiotherapy which includes weight bearing exercises of upper limb, stretching of biceps brachii muscle and cryotherapy,where as control group received only daily sessions of conventional physiotherapy treatment for a duration of 30-45 minutes, six days per week for a total of 4 weeks.
Results: After a 4 week treatment period, the subjects in the experimental group compared with the subjects in the control group had shown a statistically significant improvement with outcome measures at 0.05 level.
Conclusion: Vibratory stimulation along with conventional physiotherapy was found much effective in reducing biceps brachii spasticity in the subjects with hemiplegia
Keywords
ROM, Vibratory Motor Stimulation(VMS), Spasticity, VibrationReferences
- Sommerfield DK, Eek EU Svensson AK, Holmqvist LW, von Arbin MH. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke 2004; 35:134-9.
- World health report – 2007, from WHO, a publication from AHA – 2007.
- Consultant neurologist, stroke in India, Neurosciences today; 2002:6(3).
- Physical treatment interventions for managing spasticity after stroke. Cochrane stroke group, July 2011.
- Susan B O’ Sullivan, Thomas J Schmitz: Physical rehabilitation. Ed 5, FA Davis, Philadelphia, 2001.
- Peter P Urban, Thomas wolf, et al, Occurance and clinical predictors of spasticity after ischaemic stroke, Stroke 2010; 41:2016-20.
- Lance JW, Feldman RG, Young RR, Koeller C et al. spasticity: disordered motor control. Chicago:year book Medical, 1980;485-94.
- Catherine A Trombly: Occupational therapy for physical dysfunction. Ed 4, 1995.
- Tommaso Scirra, Reduction of upper limb flexion spasticity in hemiplegic subjects by the application of 100 Hz vibration to the triceps brachii. UNIVERSIATA DEGLI STUDI DI ROMA “TOR VERGATA” 2009/2010.
- Lockley W, Buchanan K. Physical management of spasticity. A practical multidisciplinary guide, Informa health care, 2006; 37-58.
- National stroke assosciation .Stroke 101 fact sheet, Stroke June 2008.
- Tapas Kumar BANERJEE, Shyamal kumar DAS, Epedemiology of stroke in India, Neurology ASIA 2006; 11:1-4.
- Bohannon RW , Smith MB. Inter - rater reliability of a modified Ashworth scale of muscle spasticity. Physical therapy 1987; 67(2):206-7.
- Mitchell, An evaluation of goniometry as an objective parameter for measuring joint motion. Scottish medical journal 1975; 20(2): 57-9.
- Narda Murillo et al, Decrease of spasticity with muscle vibration in patients with spinal cord injury. Clinical Neurophysiology 122:1183-89, 2011.
- A Comparative Study on the Effectiveness of Epleys Maneuver over Semont Maneuver in Improving the Quality of Life in Subjects with Benign Paroxysmal Positional Vertigo
Authors
1 SVIMS, Tirupati, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 99-104Abstract
Objectives of The Study
1. To know the efficacy of Epley's maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 2. To know the efficacy of Semont maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 3. To know the efficacy of Epley's maneuver over Semont maneuver.
Methodology: 50 subjects with BPPV were randomly divided into two groups, group I received Epley's maneuver (n=25), and group II received Semont maneuver (n=25). Both maneuvers were given therapy with respective procedure for three repetitions per session, one session per day and were given for 5 days in a week for 3 weeks. The questionnaire of DHI and VADL were evaluated on day 1, day7and day21 in both the groups.
Results: After 3 weeks of treatment period, the subjects in group I [Epley's maneuver] had shown statistically significant improvement with the outcome measures at 2.18 F-table value compared with subjects in group II [Semont maneuver].
Conclusion: Epley's maneuver was found to be much effective in improving the quality of life in subjects with PC_BPPV than Semont maneuver.
Keywords
Bppv, Dhi, Vadls, DizzinessReferences
- Katsarkas A. BPPV: idiopathic versus posttraumatic. Acta otolaryngol. 1999; 119(7):759-9.
- Von Brevern M, Radtke A, Leizuis F, et al. Epidemiology of benign paroxysmal positionalvertigo: a population based study. J NeurolNeurosurg Psychiatry. 2007; 78: 710-15.
- Brandt T, daroff’s RB. Physical Therapy for BPPV.Arch otolaryngol 1980 Aug; 106(8):484-5.
- Oghalai JS, Manolodis S, Barth JL, et al.unrecognized benign paroxysmal positionalvertigo in elderly patients. Otolaryngol HeadNeck Surg. 2000; 122:630-34.
- Herdman SJ. Phys the 1990; 70: 381.
- Bhattacharya N, Baugh RF, Orvidas L, et al.Clinical Practice guidline benign paroxysmalpositional vertigo. Otolaryngol Head Neck Surg.2008; 139 (5 supple 4): s47-s81.
- Fife TD, Iverson DJ, Lempert T, et al. Practiceparameter: therapies for benign paroxysmalpositional vertigo (an evidence based review):report of the quality standards subcommittee ifthe American Academy of Neurology. Neurology.2008; 70: 2067-74.
- Brandt T, Steddein. Current view of mechanismof BPPV cupulolithiasis or canalithiasis. J.Vestibular Res 1993; 3(4): 373-82.
- Harada Y. Metabolic disorder, absorption areaand formation area of the statoconia, j clinElectron Microsc. 1982; 18: 1-18.
- Lim DJ. Formation and fate of the otoconia:Scanning and transmission electron microscopy.Ann Otol Rhinol Laryngol. 1973; 82: 23-35.
- Baarsma EA. Vestibular testing in Meniere’ssyndrome [in Dutch]. Acta OtorhinolaryngolBelg. 1979; 33: 254-63.
- Hain TC, Squires TM, Stone HA. Clinicalimplications of a mathematical model of benignparoxysmal positional vertigo. Ann N Y Acad Sci.2005; 1039: 384-94.
- Von Brevern M, Seeling T, Radtke A, et al. Shortterm efficacy of Epley’s maneuver: a doubleblindrandomized trial. J Neurol NeurosurgPsychiatry. 2006; 77: 980-82.
- Lopez-Escamez JA, Gamiz MJ, Fernandez PerezA, Gamez-Finana M. Long-term outcome andhealth- related quality of life in benignparoxysmal positional vertigo. Eur ArchOtorhinolaryngol. 2005; 262: 507-11.
- Helen S. Cohen, EdD, OTR; Kay T. Kimball, PhD,Development of the Vestibular DisordersActivities of Daily Living Scale. Arch OtolaryngolHead Neck Surg, 2000 Jul; 126(7): 881-7.
- Cohen H. Defining disablement inotolaryngology. Ear Nose Throat J. 1995; 74:233-237.
- Woodworth BA, Gillespie MP, Lambert PR. Thecanalith repositioning procedure for benignpositional vertigo: a meta-analysis.Laryngoscope. 2004; 114: 1143-46.
- Dr. P. Banerji. Benign Positional Vertigo. The bestand safest cure. 2010 Aug.
- Froehling DA, Bowen JM, Mohr DN, et al. thecanalith repositioning procedure for thetreatment of benign paroxysmal positionalvertigo: a randomized controlled trail. Mayo ClinProc. 2000; 75: 695-700.