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
Kadam, Namrata
- Effect of Rood’s Approach in Diabetic Polyneuropathy
Authors
1 Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
2 Department of Paediatrics, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 751-756Abstract
Objectives: The objectives of the study were as follows: (1) To find effect of rood’s approach in sensory abnormalities. (2) To find effectof rood’s approach in muscle weakness.
Method: Ethical clearance was obtained from the institutional ethical committee. A total of 23 diabetic neuropathy subjects were assessed and 20 were included in this study based on inclusion criteria, the individuals were allocated in one group: This group received Rood’s Approach, depending upon patients condition either facilitatory or inhibitory techniques were given. Diabetic neuropathy was diagnosed using Michigan Neuropathy Screening Instrument Questionnaire and Pre - and post – test were done for assessing severity of diabetic neuropathy using Visual Analogue Scale (VAS), Quantitative sensory testing (QST) and Walking impairment questionnaire (WIQ) and the outcome measures were analysed after 3 months.
Results: Within the group statistical analysis, Pre-Post VAS score was 6.43±1.628 and was extremely significant, Pre-Post QST score was 1.900±1.553 and result was extremely significant and Pre-Post WIQ score was 19.150±2.978 was also significant.
Conclusion: We found that facilitatory techniques of Rood’s Approach ( Heavy joint compression and quick stretch) were effective in improving decreased sensations and improving motor performance in patients with painful diabetic polyneuropathy.We found that inhibitory techniques of Rood’s Approach (maintained stretch and light joint compression) were effective in decreasing hypersensitivity in patients with painful diabetic polyneuropathy.We found significant improvement in pain measure (VAS), Sensory measure (quantitative sensory testing) and Motor performance measure (walking impairment questionnaire.)
Keywords
Diabetic Neuropathy, Rood’s Approach, VAS, QST, WIQ.- Effectiveness of Early Physiotherapy Interventions for Weight Gain in Low Birth Weight Neonates
Authors
1 Intern Physiotherapy, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences, Karad - 415110, Maharashtra, IN
2 Assistant Professor, Department of Pediatrics Physiotherapy, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences, Karad - 415110, Maharashtra, IN
Source
Journal of Ecophysiology and Occupational Health, Vol 20, No 1&2 (2020), Pagination: 95-99Abstract
Background: Prematurity is a leading cause of death in Indian scenario. There are lack of studies done on early physiotherapy interventions in neonates. Early care interventions in premature newborns show positive effect. Growth retardation and demineralisation of bones in newborn are thought to be caused by prolong immobilisation or lack of physical activities. In this study we are going to give combination of massage, passive movements, facilitatory techniques, joint compression and kangaroo mother care, which has not been done before. Indeed this made us to study the effectiveness of early physiotherapy intervention on weight gain in low birth weight neonates. Objectives: To determine the effectiveness of early physiotherapy intervention on weight gain in moderate premature neonates (32–37 weeks), very premature (28–32 weeks) and extremely premature neonates (less than 28 weeks). Methods: Individuals fulfilling the inclusive criteria were selected. Written consent was taken from parents and care taker of neonates. Total 20 low birth weight neonates were taken. They were differentiated into moderate premature, very premature and extremely premature neonates. The weight was measured and breast feeding frequency was noted before treatment. Then the neonates were given massage, passive movements, proprioception stimulation by individual joint compression, oral stimulation and kangaroo mother care. This was given for 25-30 minutes each session for two times per day for 7 days. After that again weight and breast feeding frequency was checked to see progression. Later evaluation and interpretation was done using statistical analysis. Results: The early physiotherapy intervention is effective in low birth weight baby for improving weight in pre mature neonates. Conclusion: On the basis of result it can be concluded that the early physiotherapy is effective in improving weight, breast feeding frequency in low birth weight neonates. Hence, early physiotherapy interventions should be considered to decrease the morbidity and mortality rate of LBW neonates.Keywords
Breast Feeding, Early Physiotherapy, Neonatal Intensive Care Unit (NICU), Physiotherapy Intervention, Premature, Weight Gain.References
- Ramesh Agarwal, Vinod K Paul, Ashok K. Deorari essential pediatrics, New Delhi, CBS publishers and distributor; 2017.
- Rangey PS, Sheth M. Comparative effect of massage therapy versus kangaroo mother care on body weight and length of hospital stay in low birth weight preterm infants. Int. J. Pediatr.2014; 2014:434060. https://doi.org/10.1155/2014/434060. PMid: 24976830, PMCid: PMC4058189.
- Rad Zahraakbarian, Mojaveri, Mohsen, Javadian, Yahya, Hajiahmadi, Mahmoud, Kazemian, Fahimeh. The effect of massage on weight gain in very low birth weight neonates. Journal of Clinical Neonatology. 2016; 5:96. https://doi.org/10.4103/22494847.179900.
- Weerapong P, Hume Pa, Kolt Gs. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005; 35(3):235‐56. https://doi.org/10.2165/00007256-200535030-00004. PMid: 15730338.
- Anderson J. Sensory intervention with the preterm infant in the neonatal intensive care unit. Am. J. Occup. Ther. 1986; 40(1):19‐26.https://doi.org/10.5014/ajot.40.1.19. PMid: 2418686.
- Sharma Neha, Samuel Asir, Aranha Vencita. Pediatric physiotherapists’ role in the neonatal intensive care unit: parent and health-care providers’ perspectives. Journal of Clinical Neonatology. 2018; 7:111. https://doi.org/10.4103/jcn.JCN_26_18.
- Cameron Emma C, Maehle Valerie, Reid, Jane, Dip. The effects of an early physical therapy intervention for very preterm, very low birth weight infants: a randomized controlled clinical trial. Pediatric Physical Therapy. 2005; 17(2):107-19 https://doi.org/10.1097/01.PEP.0000163073.50852.58. PMid: 16357661.
- Suraj Gupte. The Short Textbook of Pediatrics. Jaypee the Health Sciences Publisher, New Delhi; 2020.
- Newman LF. Social and sensory environment of low birth weight infants in a special care nursery. An anthropological investigation. The Journal of Nervous and Mental Disease. 1981; 169(7):448-55. https://doi.org/10.1097/00005053-19810700000006. PMid: 7241110.
- Jane Case Smith. An efficacy study of occupational therapy with high-risk neonates. American Journal of Occupational Therapy.1988; 42(8):499-506. https://doi.org/10.5014/ajot.42.8.499.PMid: 3228153.
- Nadar Unis, Thakkar Paresh Kumar, Shah Chaitali. Effect of specific physiotherapy interventions in comparison with multisensory stimulation on neurobehavioral outcome and weight gain in preterm infants: A randomized control trial. International Journal of Contemporary Pediatrics. 2017; 5:178. https://doi.org/10.18203/2349-3291.ijcp20175582.