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Manoj Abraham, M.
- Home Based Exercise Program for Frozen Shoulder- Follow-up of 36 Idiopathic Frozen Shoulder Patients
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Authors
Affiliations
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 221-226Abstract
Introduction: Adhesive capsulitis or frozen shoulder is a condition characterized by generalized pain and stiffness with progressive global restricted motion of the shoulder1. There are many variations of physical therapy protocol .Most of the protocols are extensive and do not suite the Indian scenario as most of the patients are not involved in active sports or high end activities. Furthermore, the compliance of the patient is not good and cost of physiotherapy is high. Hence, we decided to develop and validate a Shoulder Accelerated Rehabilitation Protocol (SHARP) for patients with frozen shoulder in our Indian scenario.Method and Material: Thirty six consecutive idiopathic frozen shoulder patients with a painful shoulder of more than 4 weeks and less than 6 months duration and with limitation of active and passive range of movement greater than 25% in abduction and external rotation compared with the other shoulder were selected and subjected to the SHARP protocol.
RESULTS: The mean constant shoulder score at the start of protocol was 26.69 (SD- 8.522), which improved to 98.58 (SD-2.892) at 15 months. Maximum patients reached a constant shoulder score of 100 at 15 months (22 patients). The mean VAS score for pain at the start of the protocol was 7.14 (SD-1.222) which improved to 0 at 18 months.
Conclusion: SHARP is a non-invasive, easy to follow and reproduce, home based exercise program effective in early improvement of pain and disability in patients with frozen shoulder
Keywords
Adhesive Capsulitis, Frozen Shoulder, Shoulder Accelerated Rehabilitation Protocol (SHARP)
References
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- Reeves B. The natural history of the frozen shoulder syndrome.Scand J Rheumatol 1975;4:193-196
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- Dudkiewicz I,Oran A, Salai M, Palti R, Pritsch M. Idiopathic adhesive capsulitis : long term results of conservative treatment. Isr Med Assoc J. 2004; 6:524-6.
- Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg 2005; 14:480-4
- Simple and effective Rehabilitation Programme (SERP) for Patients Undergoing Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction in Indian Scenario
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Authors
Affiliations
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 222-228Abstract
Introduction: Rehabilitation after surgery for an Anterior Cruciate Ligament (ACL) reconstruction is a lengthy process. Return to sports and other activities take months. There are many variations of ACL rehabilitation. Most of the protocols are extensive and do not suite the Indian scenario where the compliance of the patient and cost of physiotherapy are the major limiting factors. Hence, we decided to develop and validate a Simple and Effective Rehabilitation Programme (SERP) for patients undergoing ACL reconstruction in our scenario.Materials and methodology: Fifty patients with isolated ACL tear with or without partial menisectomy were selected for this systematic review from November 2010 to July 2012. All 50 patients underwent arthroscopic ipsilateral quadruple hamstring tendon reconstruction (semitendinosis and gracilis double folded) using endobutton (Smith and Nephew) for femoral fixation and bio absorbable interference screw for tibial graft fixation. They were subjected to SERP. SERP is a home based programme consisting of 5 phases spanning over 6 months. Test- retest was done using Modified Cincinnati Rating system Questionnaire on a prospective basis. The results were than analysed.
Results: Applying the Modified Cincinnati Rating System Questionnaire, results were tabulated. 84% of the patients had excellent results and 16 % had good results at the end of 3 months. At the end of 6 months, 94 % of patients had excellent results and 6% had good results. The result remained the same after 1 year of follow-up. There were no fair or poor results.
Conclusion: SERP is a home based programme which is understandable, convenient and reliable for patients who are undergoing arthroscopic ACL reconstruction; especially in our setting with excellent functional outcome.
Keywords
SERP (Simple and Effective Rehabilitation Programme), Anterior Cruciate Ligament, Modified Cincinnati Rating System QuestionnaireReferences
- Kevin E. Wilk,Christopher Arrigo, James R. Andrews, William G. Clancy. Rehabilitation after Anterior Cruciate Ligament Reconstruction in the Female Athlete. Journal of Athletic Training 1999;34(2):177-193.
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- Jonas Isberg, Eva Faxén, Sveinbjörn Brandsson, Bengt I Eriksson, Johan Kärrholm, Jon Karlsson. Early active extension after Anterior Cruciate Ligament reconstruction does not result in increased laxity of the knee. Knee Surg Sports Traumatology Arthroscopy 2006;14:1108-1115.
- Järvinen M, Natri A, Lehto M, Kannus P. Reconstruction of chronic anterior cruciate ligament insufficiency in athletes using a bonepatellar tendon-bone autograft. A two-year follow up study. Int Orthop 1995;19:1-6.
- Shelbourne KD, Klootwyk M, Wilckens J, Decarlo M. Ligament stability two to six years after anterior cruciate ligament reconstruction with autogenous patellar tendon graft and participation in accelerated program. Am J Sports Med 1995;23:575-579.
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- Bynum EB, Barrack RL, Alexander AH. Open versus closed chain kinetic exercises after anterior cruciate ligament reconstruction - a prospective randomized study. Am J Sports Med 1995;23: 401-406.
- Fitzgerald GK. Open versus closed kinetic chain exercise: issues in rehabilitation after anterior cruciate ligament reconstructive surgery. Phys Ther. 1997 Dec;77(12):1747-54.
- Morrisey MC, Drechsler WI, Morrisey D, Knight PR, Armstrong P, McAuliffe T. Effects of distally fixated versus non-distally fixated leg extensor resistance training on knee pain in the early period after anterior cruciate ligament reconstruction. Physical Therapy 2002;82:35-43.
- Morrisey MC, Hudson ZL, Drechsler WI, Coutts FJ, Knight PR, Ki JB. Effects of open versus closed kinetic chain training on knee laxity in the early period after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatology Arthroscopy 2000;8:343-348.
- Yack HJ, Collins CE, Whieldon TJ. Comparison of closed and open kinetic chain exercise in the anterior cruciate ligament-deficient knee. Am J Sports Med. 1993;21:49-54.
- Delay BS, Smolinski R, Wind WM, Bowman DS. Current practices and opinions in ACL reconstruction and rehabilitation: Results of a survey of the American Orthopaedic Society for Sports Medicine (Summary). Am J of Knee Surgery, 2001; 14(2): 85-91.
- Ochi M, Iwasa J, Uchio Y, Adachi N, Sumen Y. The regeneration of sensory neurons in the reconstruction of the anterior cruciate ligament. Journal of Bone and Joint Surgery (Br).1999;81: 902-906.
- Natri A, Jarvinen M, Latvala K, Kannus P. Isokinetic muscle performance after anterior cruciate ligament surgery. Long-term results and outcome predicting factors after primary surgery and late-phase reconstruction. International Journal of Sports edicine.1996;17(223-228).
- DeVita P, Hortobagyi T, Barrier J. Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation. Medicine and Science in Sports and Exercise. 1998;30(10): 1481-1488.
- Keays SL, Bullcok-Saxton JE, Newcombe P, Bullock MI. The effectiveness of a preoperative home-based physiotherapy programme for chronic anterior cruciate ligament deficiency. Physiotherapy Research International. 2006;11(4): 204-218.
- Effectiveness of Modified Trunk Dissociation Retrainer in Improving Trunk Control in Subjects with Infantile Hemiplegia
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Authors
Affiliations
1 Saveetha College of Physiotherapy, Saveetha University, Chennai, IN
2 Madhav College of Physiotherapy, Madhav University, IN
1 Saveetha College of Physiotherapy, Saveetha University, Chennai, IN
2 Madhav College of Physiotherapy, Madhav University, IN
Source
Research Journal of Pharmacy and Technology, Vol 12, No 3 (2019), Pagination: 1141-1144Abstract
Aim of the study is to find the effectiveness of Modified Trunk Dissociation Retrainer in improving trunk control in infantile hemiplegic subjects and objective is to determine trunk control following trunk dissociation retraining in infantile hemiplegic subjects. Sample size is 10 selected based on inclusion and exclusion criteria with convenient sampling method from out-patient department of SMCH, Chennai. Study design: Quasi experimental study. Materials required: Modified Trunk Dissociation Retrainer. Outcome measures: trunk control measurement scale. A baseline measurement of trunk control is taken before intervention. Intervention was given by researcher for a duration of 3 weeks as 5 days/week. After the 3rd week of intervention first post-test was taken and second post-test in the 6th week. Analysis of post-test values showed that there was significant difference between pre-test and post-test values and also the results sustained from post-test I and post-test II values. Hence the conclusion the study was that the Modified Trunk Dissociation Retrainer is an effective tool to improve trunk control in subjects with infantile hemiplegia.Keywords
Modified Trunk Dissociation Retrainer, Infantile Hemiplegia, Trunk Control Measurement.References
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- Awareness and Knowledge of Physiotherapy among Medical and Health Sciences Students:A Cross-Sectional Study
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Authors
Affiliations
1 Universiti Tunku Abdul Rahman, Sungai Long Campus, MY
2 Vinayaka Missions University, Salem, IN
1 Universiti Tunku Abdul Rahman, Sungai Long Campus, MY
2 Vinayaka Missions University, Salem, IN
Source
Research Journal of Pharmacy and Technology, Vol 12, No 4 (2019), Pagination: 1695-1706Abstract
Background and Objectives: Inter-disciplinary collaboration between members of the health care team is an emerging importance in today’s context. It is therefore fundamental for health professional students to have a good understanding of the roles of health professions other than their own to achieve better outcomes in the delivery of health care when they begin to practice. The purposes of the study were: (1) to ascertain the level of awareness and knowledge of physiotherapy among medical and health sciences students and (2) to assess the need to emphasize inter-professional education in their curriculum. Methods: A total of 198 students from the Faculty of Medicine and Health Sciences of UTAR Sungai Long Campus participated in the study. The method for sampling applied was non-probability sampling using convenient sampling technique. A pre-validated printed questionnaire was distributed to Medical, Traditional Chinese Medicine, and Nursing students. Data collected were analyzed using frequency and percentage analysis. The statistical tests used in this study were Mann-Whitney U test and chi-square test. Results: 98.5% of the students reported that they knew what physiotherapy is. However, only 37.4% of the students had adequate awareness of physiotherapist work setting, and 4% had adequate awareness of sub-specialties in physiotherapy. A high number of students had inadequate knowledge on the cases seen by physiotherapists (87.9%) and the conditions treated by physiotherapists (90.9%). About 57.6% students had inadequate knowledge of the examination procedures conducted by physiotherapists, and 98% had inadequate knowledge of physiotherapy modalities. Conclusion: The study concluded that there is lack of awareness and knowledge of physiotherapy among medical and health sciences undergraduates. Appropriate strategies must be taken to enhance their knowledge about physiotherapy. This can be done through the emphasis of inter-professional education during their undergraduate program of study.Keywords
Physiotherapy, Awareness, Knowledge, Health Sciences Students.References
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- Influence of Medial and Lateral Hamstring Strengthening Exercises in women with Osteoarthritis knee:A Randomized trail
Abstract Views :217 |
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Authors
Affiliations
1 Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai-602105, IN
2 S10 Health, Guindy, Chennai, IN
3 Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai, 602105, IN
1 Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai-602105, IN
2 S10 Health, Guindy, Chennai, IN
3 Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai, 602105, IN
Source
Research Journal of Pharmacy and Technology, Vol 12, No 4 (2019), Pagination: 1721-1725Abstract
OA is a progressive degenerative disease that affects the joint cartilage, subchondral bone, and the synovial joint capsule. It has a multifactorial etiology and affects approximately 60% of individuals older than 50 years of age2. The knee is the most common weight-bearing joint affected by OA with the disease predominantly affecting the medial compartment of the tibiofemoral joint2. Patients with OA frequently report symptoms of knee pain and stiffness as well as difficulty with activities of daily living such as walking, stair climbing and housekeeping. Many forces acting in the knee joint cause biomechanical imbalance due to the joint loading which cause early degeneration of the joint which leads to OA knee18. The method of experimental study design was used, 30 OA knee patients aged between 40 and 60 were selected. Group A (n=15) receive both medial and lateral hamstring strengthening exercise and group B (n=9) receive only lateral hamstring strengthening. The outcome measures numeric pain rating scale (NPRS), WOMAC disability index scale, Q angle measurement with X-ray (Kelgren Lawrence method), maximum isometric voluntary contraction (MIVC) of pre and post measurements were done and statistical data was analysed. The study results states that there is a high significant difference in NRPS, WOMAC, Maximum Isometric Voluntary Contraction in group B compared with group A. The findings of the present study support the use of lateral hamstring strengthening exercise is effective in women with osteoarthritis kneeKeywords
OA Knee, Lateral Hamstring Strengthening Exercise, Q-Angle, Knee Pain, Maximum Isometric Voluntary Contraction.References
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