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
Bansal, Nitesh
- Hand Grip Strength: Normative Data for Young Adults
Authors
1 Amity Institute of Physiotherapy, Amity University, Sector – 44, Noida – 201301 (U.P), IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 2, No 2 (2008), Pagination: 29-33Abstract
Background: The reliable and valid evaluation of handgrip strength is of great importance in determining the affectivity of different treatment strategies and procedures. It is widely accepted that grip strength provides an objective index of the functional integrity of upper extremity. Many treatment protocols compare the strength of the injured limb with that of uninjured limb or compare with normative data of same group individuals. There are controversies regarding the difference in the handgrip strength between dominant and non-dominant hand in the left and right-hand dominant people.
Purpose of The Study: The main objective of this study is to establish the normative data of young adults for their handgrip strength.
Material and Method: Study includes 100 healthy (both Right and left-handed) subjects between the age group of 18 to 25 years with mean age 21.02 + 1.99 years. Handgrip strength of the subjects was measured using Hand held Dynamometer (ICC=0.9994).
Results: The results were analyzed using students 't' and the average dominant handgrip strength in young adults was found to be 29.30 + 9.772 kgs and for non-dominant hand 27.88 + 10.012 kgs, which was statically significant (t = 8.539, p = .001).
Conclusion: We conclude that the handgrip strength of male is greater than that of female. There was an overall handgrip strength difference of 7.2% in favor of dominant hand.
Keywords
Handgrip Strength, Hand Dominance, Jamar Dynamometer.
References
- Scott D. McPhee. Functional hand evolution: A Review. The American Journal of Occupational Therapy: 1987: 158 – 163.
- Kapandji. I.P, The Physiology of the joints, Vol 1: 5th edition: Churchill Livingston: U.K: 1995.
- Shechtman.O, Mann W. C, Justiss M.D, Tomita M; Grip strength in the frail elderly, American Journal Physical Medicine and Rehabilitation. 2004: 83: 819 – 826.
- Pamela K, Levangie, Cynthia.C Norkin, Joint Structure & Function, A Comprehensive Analysis, 3rd edition: Jaypee Brothers: New Delhi: 2001.
- Talsania J.S & Kozin S.H, Normal digital contribution to grip strength assed by a computerized digital dynamometer. Journal of Hand Surgery: 1998: 23B: 162 – 166.
- Peterson, P., Petrick, M., Connor, H. & Conklin.D. Grip strength and hand dominance: challenging the 10% rule. American Journal of Occupational Therapy: 1989: Vol 43 (7): 444-447.
- Innes .Ev, Handgrip strength tasting: A Review of Literature: The Australian Journal of occupational Therapy, 1999: 46: 120 – 140.
- Blair, S. J., McCormik, E., Bear-Lehman, J., Fess, E.E., & Rader, E. evaluation of impairment of the upper extremity. Clinical Orthopeadics and related Research.1987: 221: 42-58.
- Berryhill, B.H Returning the worker with an upper extremity injury to industry. A model for the physician and therapist. Journal of Hand Therapy. 1990: 3: 56- 63.
- Blankenship, K.L. The Blankenship system functional capacity evaluation: the procedure manual: 2nd ed. Macon: the Blankenship corporation.
- Sheehan, N. J., Sheldon, F., & Marks, D. Grip strength and torquometry in the assessment of the hand function in-patient with RA. British Journal of Rheumatology.1983: 22: 159-164.
- Balogun, J, A. Assessment of physical fitness of female physical therapy student. Journal of Orthopedic and Sports Physical Therapy.1987: 8: 525-532.
- Stokes H.M, the Seriously uninjured hand – weakness of grip. Journal of occupational Medicine. 1983: 25: 683 – 684.
- Mathiowetz. V, Reliability and validity of grip and pinch strength measurements. Critical Review in Physical and Rehabilitation Medicine, 1991: 2: 201 – 212.
- Fess, E. E. guidelines for evaluating assessment instruments. Journal of Hand Therapy. 1995: 8: 144- 148.
- Smith, R.O., & Benge, M.W, Pinch and grasp strength: standardization of terminology and protocol. American Journal of Occupational Therapy. 1985: 39: 531-535.
- Mathiowetz, V., Weber, K., Vollaqnd, G., & Kashman, N. Reliability and validity of grip and pinch strength evaluations. Journal of Hand Surgery. 1984: 9A: 222-226.
- Fess E. E, A method to check the Jamar dynamometer calibration. Journal of Hand Therapy. 1987: 1: 28 – 32.
- American Society of hand therapy. Clinical assessment recommendations: 2nd edition: Chicago: Author: 1992.
- American Medical Association; Guides to evaluation of permanent impairments: 4th edition: Chicago: Author: 1993.
- Gilbertson L & Barber-Lomax S. Power and pinch grip strength recorded using hand held Jamar dynamometer and B-L hydraulic pinch gauge: British normative data for adults, British journal of occupational therapy. 1994: 57: 483 – 488.
- Desrosiers. J, Bravo. G, Hebert. R, Dutil. E, Normative data for grip strength of elderly men and women. American journal of occupational therapy. 1995a: 49: 637 – 644.
- Armstrong C. A & Oldham J. A, A comparison of dominant and non-dominant hand strength. Journal of Hand Surgery (British). 1999: 24B: 4: 421 – 425.
- Phillips C. A; The management of patients with rheumatoid arthritis, Rehabilitation of the Hand: Surgery & Therapy: St. Louis: Mosby: 1990: 903 – 907.
- Bechtol C. O; The use of a dynamometer with adjustable handle spacing. Journal of Bone and Joint Surgery. 1954: 36A: 324 – 832.
- Mandell R. J, Nelson D. L and Clemark S. A, Differential laterality of hand function in right-handed and lefthanded boys. American journal of occupational therapy. 1984: 38: 114 – 120.
- Fess E. E, Documentation: Essential elements of an upper extremity assessment pattern. Rehabilitation of the hand: surgery and therapy. 4th edition: Vol 1: St. Louis: Mosby: 1995a: 185 – 214.
- Anita Clerke and Jonathan Clerke. A review of the effect of handedness on isometric grip strength differences of the left and right hands. American journal of occupational therapy. 2001: 55: (2): 206 – 211.
- Firrell, J. C., & Crain, G. M. Which setting of the dynamometer provides maximal grip strength? Journal of Hand Surgery.1996: 21A: 397 - 401.
- McGarvey.S.R, Morrey B.F, Askew L.J. Reliabity of isometrics strength testing: Temporal factors and strength variation. Clinical orthopedics and related research.1984: 185: 301-305.
- Johansson C.A, Kent B.E & Shepard K.F. Relationship between verbal command volume and magnitude of muscle contraction. Physical Therapy. 1983: 63: 1260-1265.
- Mathiowetz, V., Weber, K., Vollaqnd, G., & Kashman, N, Reliability and validity of grip and pinch strength evaluations. Journal of Hand Surgery. 1984: 9A: 222- 226.
- Trossman, P.B., & Li, P.W. The effect of the duration of intertrial rest periods on isometric grip strength performance in young adults. Occupational Therapy Journal of Research.1989: 9: 362-378.
- Lunde B. K, Brewer W. D and Gracia P. A. Grip strength of college women. Archives of Physical Medicine Rehabilitation. 1972: 53: 491 – 493.
- Thorgren K. G and Werner C. O. Normal grip strength. Acta Orthopaedica Scandinavica. 1979: 50: 255 – 259.
- Crosby, C.A., Wehbe, M. A., & Mawr, B. Hand strength: Normative values. Journal of Hand Surgery. 1994: 19A: 665 - 670.
- Harkonen R., Piirotomaa M. & Alaranta H. Grip strength and hand position of the dynamometer in 294 Finnish adults. Journal Hand Surgery. 1993: 18B: 129-132.
- Harth A. & Vetter W.R. Grip and pinch strength among selected adult occupational groups. Occupational Therapy International. 1994: 1: 13-28.
- Jarjour. N, Lathrop. J, Meller. T.E, Roberts. K.S, Sopezak. J.M, Van Genderen. K .J & Moyers. P. The 10% rule: Grip strength and hand dominance in a factory population. Work.1997: 8: 83-91.
- Agnew .P & Mass .F. Hand function related to age and sex. Archives of Physical Medicine and Rehabilitation. 1982: 63: 269-271.
- Robertson .L.D, Mullinax .C.M, Brodowiez .G.R, Swafford. A.R. Muscular fatigue patterning power grip assessment. Journal of Occupational Rehabilitation. 1996: 6: 71-85.
- Comparative Analysis on the Efficacy of G.d. Maitland's Concept of Mobilization & muscle Energy Technique in Treating Sacroiliac Joint Dysfunction
Authors
1 Amity University, Uttar Pradesh, IN
2 Physiotherapy Department, Amar Jyoti Institute of Physiotherapy, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 2 (2009), Pagination: 18-21Abstract
Study Design
A randomized experimental study. Objective The following study is a comparative analysis to check the efficacy of Muscle energy technique & G.D. Maitland’s concept of mobilization in decreasing pain and improving functional ability in patients with sacroiliac joint dysfunction. Hence prove the effectiveness of either technique as a treatment option to treat Sacroiliac Joint Dysfunction.
Methods and Measures
A total of 45 subjects with chronic low back pain were recruited in the study, with total mean age of 22.82. Subjects were randomly grouped into 3 group’s viz. Group I (n=15) Muscle energy technique and exercises, Group II (n=15) G. D. Maitland mobilization and Exercises and Group III (n=15) control. The 2 experimental groups participated in a 6 session of Muscle energy technique and G. D. Maitland mobilization respectively. The outcome measures were based on self evaluated pain (thermometer pain rating scale), disability (Oswestry disability index) and hip range of motion (Goniometry)
Results
Mean+SD decrease of visual analogue thermometer at base line for group treated with muscle energy technique was from 3.53+0.51 at base line to 0.20+0.41 post 6 sessions. Similarly for Group II decreased from 3.73+0.7 at baseline to 0.33+0.48 post 6 sessions. The mean Oswestry disability index score within the three groups at base line are, Group I=0.296+0.05, Group II= 0.27+0.05, Control= 0.28+0.05, the mean decrease post 6 sessions was 0.024, 0.067 and 0.23. Medial rotation of hip was significantly improved in subjects in Group I from 21.27+4.5 at base line to 37.93+2.05 post 6 sessions of treatment.
Conclusion
The results of this study showed that along with active exercises Muscle energy technique (MET) is moderately significant over the G.D.Maitland’s technique of mobilization in improving functional ability and increasing the medial rotation of hip joint in mechanical chronic low back pain caused due to sacroiliac joint dysfunction, while both the experimental groups were highly significant in decreasing pain and improving functional ability.
References
- Stoddard A. Condition of sacroiliac joint and their treatment. Physiotherapy;1958, 97-101.
- Bogduk N. Low back pain. Australian Family Physician.1985, 14:1168.
- Mens J, Vleeming A, Snijders c, and Stam H. Active Straight leg raising: A clinical approach to the load transfer function of the pelvic girdle, 2nd interdisciplinary world congress on low back pain, 1,207- 219, 1995.
- Donatelli Wooden. Orthopeadic physical thearapy, 3rd edition.
- Cibulka MT, Koldehoff R. Clinical usefulness of cluster of sacroiliac joint tests in patients with and without low back pain. J Orthop Sports Phys Ther.1999; 29(2): 83.
- Stoddard A. Condition of sacroiliac joint and their treatment.Physiotherapy.1958, 97-101.
- Bogduk N. Low back pain. Australian family Physician.1985, 14:1168.
- Richard Don Tigny. Evaluation, Manipulation and management of anterior dysfunction of SI joint. 1973 Sept, 14; 1-8.
- Maigne JY, Aivalikis A. Results of sacroiliac joint dysfunction and value of SI joint Provocation tests in 54 patients with low back pain. Spine.1996; 21:1889- 1892.
- Mooney V. understanding, examining and treating sacroiliac pain. J Musculosk. Med. 1993: 37- 47.
- Strusson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Goldwait K.Spine.2000; vol.3, 364-368.
- Luo X, Pietrobon R, Sun SX, Hey L. Estimates and patterns of direct health care expenditure among individuals with low back pain in the United States.Spine.2004;29(1): 79- 86.
- Gold wait JE, Osgood RB. A consideration of the pelvic articulations from an anatomical, pathological, and clinical stand point. Boston Med Surg J.1905; 152: 593- 601.
- Kapandji IA: The physiology of the joints.2nd Ed. Vol. III. The trunk and the vertebral column. Churchill Livingstone, Edinburgh, 1974.
- Cibulka MT, Sinacore DR, Cromer GS, Delitto A. Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain. Spine.1998, 23, 9; 1009- 1015.
- Don Tigny, Richard L. Dysfunction of the sacroiliac joint and its treatment. The Journal of Orthopedic and Sports Physical Therapy.1979, 1(1):22-35.
- Diane Lee.The Pelvic girdle: An approach to the examination and treatment of the lumbopelvic hip region. Churchill Livingstone publishers, 1989.
- Physiotherapy Central Council: An update
Authors
1 Amity Physiotherapy College, Noida, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 2 (2009), Pagination: 37-38Abstract
No abstractKeywords
No keywords- Assessment of the Cardiovascular Fitness of Non-exercising Subjects Using Six Minute Walk Test
Authors
1 Amity Physiotherapy College, AMITY Campus, K Block, Ground Floor, Sector 44, Noida, Uttar Pradesh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 1 (2009), Pagination: 10-13Abstract
In order to assess the cardiovascular fitness of non exercising healthy adults, a standardized 6- min walk test was conducted on 15 healthy men and 15 healthy women, aged 40 to 50 years. Heart rate, blood pressure, respiratory rate and the degree of dyspnea (Borg scale) were determined before and after the test. Mean 6MWD+/- SD was 611m+/-33.45 for males and 550m+/-45.4 for females. The 6MWD was significantly less for men and women who were heavier and shorter. The difference in observed cardiovascular parameters before and after the test was also higher in females than males. The subjective sensation of dyspnea as measured by Borg Scale was also higher in females than males. These differences may be used to individualize the exercise protocols for males and females and also to highlight the importance of regular exercise.Keywords
Cardiovascular Fitness, Heart Rate, Blood Pressure, 6MWT, 6MWDReferences
- Wasserman K, Hansen JE, Sue DY, Casaburi R, Whipp
- BJ. Principles of exercise testing and interpretation, 3rd
- edition. Philadelphia: Lippincott, Williams & Wilkins;
- Balke B. A simple field test for the assessment of
- physical fitness. CARI Report 1963; 63:18.
- Cooper KH. A means of assessing maximal oxygen
- intake: correlation between field and treadmill testing.
- JAMA 1968;203:201–204
- McGavin CR, Gupta SP, Mc Hardy GJR. Twelve-minute
- walking test for assessing disability in chronic bronchitis.
- BMJ 1976;1:822–823
- Butland RJA, Pang J, Gross ER, Woodcock AA, Geddes
- DM. Two-, six-, and 12-minute walking tests in
- respiratory disease. BMJ 1982; 284:1607–1608.
- Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative
- systematic overview of the measurement properties
- functional walk tests used in the cardio respiratory
- domain. Chest 2001; 119:256–270.
- Cooper KH. A means of assessing maximal oxygen
- intake: correlation between field and treadmill testing.
- JAMA 1968;203:201–204
- Nixon PA, Joswiak ML, Fricker FJ. A six-minute walk
- test for assessing exercise tolerance in severely ill
- children. J Pediatr 1996;129:362–366
- Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative
- systemic overview of the measurement properties of
- functional walk tests used in the cardio respiratory
- domain. Chest 2001;119:256–270
- Enright PL. The six-minute walk test. Respir Care
- ;48:783–785
- Fletcher GF, Balady G, Froelicher VF, Hartley LH,
- Haskell WL, Pollock ML. Exercise standards: a
- statement for healthcare professionals from the
- American Heart Association: writing group. Circulation
- ; 91:580–615
- Enright PL, McBurnie MA, Bittner V, Tracy RP,
- McNamara R, Newman AB, the Cardiovascular Health
- Study. The six minute walk test: a quick measure of
- functional status in elderly adults
- Guyatt GH, Pugsley SO, Sullivan MJ, Thompson PJ,
- Berman LB, Jones NL, Fallen EL, Taylor DW. Effect of
- encouragement on walking test performance. Thorax
- ;39:818–822
- Roberts CM, Bell J, Wedzicha JA. Comparison of the
- efficacy of a demand oxygen delivery system with
- continuous low flow oxygen in subjects with stable
- COPD and severe oxygen desaturation on walking.
- Thorax 1996;51:831–834
- Troosters T, Gosselink R, Decramer M. Six minute
- walking distance in healthy elderly subjects. Eur Respir
- J 1999;14:270–274
- Bland JM, Altman DG. Measuring agreement in method
- comparison studies. Stat Methods Med Res
- ;8:135–160
- ATS statement: guidelines for the six-minute walk test.
- Am J Respir Crit Care Med 2002;166:111–117
- Peeters, P, Mets, T The Six minute walk as an appropriate exercise test in elderly patients with CHF. J Gerontol 1996.51A, M147- M151
- Solway S, Brooks D, Lacasse Y, Thomas S, A qualitative systemic overview of the measurement properties of functional walk tests used in cardio respiratory domain. Chest 2001; 119: 256-270
- Mini Mental State Examination for Cognitive Screening in Indian Child Population: An Association with Intelligence Quotient
Authors
1 Amity Institute of Physiotherapy, Amity University, Noida, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 1 (2012), Pagination: 103-106Abstract
Background and Objectives
Several screening instruments are available for the assessment of cognitive disorders in children but most of them usually require long administration times and considerable training of the examiner. Therefore, simple screening tests are needed to allow the assessment of a wider range of cognitive functions in children in a short period of time, which would assist in early detection of higher cognitive defects. Present study assess the relationship between the Mini Mental State Examination total scores and the Intelligence Quotient in order to see the adaptability of the test in Indian child population.
Methods and Material
A total of 211 school going children between the age group of 6-12 years participated in the study. The scores were obtained for both Mini Mental State Examination and Standard Progressive Matrices and the data obtained was correlated.
Results
A significant correlation was found between the Mini Mental State Examination total scores and Intelligence Quotient in Indian child population using Pearson Correlation.
Conclusion
Mini Mental State Examination can be used as a cognitive screening tool in Indian child population.
Keywords
Mini Mental State Examination, Cognition, Intelligence Quotient- Effect of Segmental Breathing Exercises on Chest Expansion in Empyema Patients
Authors
1 Amity Physiotherapy College, NODIA, Uttar Pradesh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 4, No 3 (2010), Pagination: 17-20Abstract
Objective
To prove that segmental breathing exercises help in increasing the chest expansion in empyema patients having decreased lung expansion.
Methods
40 empyema patients of both genders were taken in this study. Chest expansion at axillary level, 4th costal cartilage and 10th costal cartilage levels were measured before and after performing segmental breathing exercises.
Results
An increase in mean chest expansion at all the three levels was observed before and after exercise. It was highly significant at all the three levels (p < 0.001). The increase in chest expansions after segmental breathing exercises was found to be more in middle level than the apical and lower level.
Conclusion
We conclude from this study that segmental breathing exercises play an important role in early re-expansion of lungs and hence should be an integral part in early rehabilitation of restrictive lung diseases as empyema.