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
Singh, Pankaj Preet
- A Study on the Efficacy of Muscle Energy Technique as Compared to Conventional Therapy in Chronic Low Back Pain Due to Sacroiliac Joint Dysfunction
Authors
1 MPT
2 Punjabi University, Patiala
3 Gian Sagar College of Physiotherapy, Banur, Patiala
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 1 (2012), Pagination: 200-203Abstract
Purpose of the Study
To determine the relative efficacy of Muscle Energy Technique (MET) as compared to Conventional Therapy in chronic low back pain due to Sacroiliac joint dysfunction.
Materials and Methods
30 patients 24 females and 6 males aged 30 - 50 yrs (41 ± 7.61), with a height of 158 ± 7.34 cm and weight of 66.2 ± 10.59 kg whose primary reported symptom was chronic low back pain were included for the study. The study was conducted in two phases: Phase 1 involved screening of Sacroiliac joint (SIJD) in the subjects having chronic low back pain (LBP) of greater than 3 months duration on the basis of subjective history and assessment criteria. The subjects who were tested positive for SIJD were made to sign an informed consent and included in the Phase 2 where they were randomly divided in to two groups: Group I Experimental Group (MET) Group II Conventional Therapy Group
Dependent Variables
(1) Pain perception on VAS, (2) Disability score on Revised Oswestry Disability Index, (3) Apparent functional leg length measurement using tape measure. The subjects in both the groups were treated for 6 days and Post treatment measurements (Day 6) were compared with Pre treatment (Day 1) measurements using appropriate statistical analysis.
Results
The apparent functional leg length difference found in SIJD could be restored to near normal in MET group. As far as reduction in pain and disability are concerned, both the groups showed almost similar results.
Conclusion
The present study concludes that SIJD (hypomobility) is a significant contributor and must be ruled out in each and every subject suffering from chronic LBP. It can be diagnosed on the basis of history and cluster of physical tests and can be successfully managed using MET alongwith Conventional Therapy.
Keywords
Chronic Low Back Pain, Sacroiliac Joint Dysfunction, Apparent Functional Leg Length Difference, Conventional Therapy, Muscle Energy Technique
- Effect of Nerve Mobilization on Vibration Perception Threshold in Diabetic Peripheral Neuropathy
Authors
1 Punjabi University, Patiala, IN
2 Amar Hospital, Patiala, IN
3 Gian Sagar College of Physiotherapy, Banur, Patiala, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 189-195Abstract
Purpose of the study: To determine the effects of Nerve Mobilisation on Vibration Perception Threshold (VPT) in Diabetic Peripheral Neuropathy.
Materials and Methods: 30 male subjects with VPT > 25, mean height of 175.93 and mean weight of 82.53 kg on the basis of thorough assessment and after signing informed consent were randomly divided into experimental and control group. The vibration perception Threshold was measured on all the four points on the plantar aspect of the foot i.e. pulp of the toe and 1st, 3rd and 5th metatarsal heads bilaterally for both the groups on Day 1 prior to treatment.
The subjects in the experimental group were given Tibial nerve mobilization bilaterally. This procedure was continued for a total of 21 days. The subjects in the control group were not given any intervention.
Dependent Variables: VPT readings at great toe and 1st, 3rd and 5th metatarsal head.
The subjects in both the groups were reassessed for Vibration Perception Threshold on the 21st Day. The post- test measurements of VPT were then compared with the pre - test ones and the appropriate data analysis was done.
Results: It was found that the subjects who were given tibial nerve mobilization showed reduction in VPT scores .
Conclusion: Nerve mobilisation may be an effective technique for delaying the diabetes related peripheral neuropathy, if detected at its earlier stages. This will ultimately help in preservation of the vibration sense of the foot and consequently reduce or delay the incidence of the devastating effects such as foot ulceration which may lead to foot amputation.
Keywords
Diabetic Peripheral Neuropathy, Vibration Perception Threshold, Nerve MobilizationReferences
- Boulton AJ (1997) Foot Problems in Patient With Diabetes Mellitus. In: Pickup J, Williams G ed. Textbook of Diabetes. London. United Kingdom: Blackwell Science: 1-58.
- Boulton AJM., Kubrusly DB, Bowker JH, Skyler JS and Sosenko JM (1986) Impaired vibratory perception and diabetic foot ulceration. Diabet Med. 3: 335-337.
- Vinik AL, Master RE, Mitchell BD and Freeman R (2003) Diabetic Autonomic Neuropathy. Diabet Care. 26: 1553-1579.
- Vinik AL, Park TS, Stansberry KB and Pitteneger GL (2000) Diabetic neuropathies. Diabetolgia: 43: 957-973.
- Apelqvist J, Larsson J and Agardh CD (1993) Long-term prognosis for diabetic patients with foot ulcers. J inter med. 233, 485-491.
- Singh N, David G and Benjamin A (2005) Preventing Foot Ulcers in Patient with Diabetes. JAMA. 293: 217-228.
- Baker PF, Ladds M and Rubinson KA (1977) Measurement of the flow properties of isolated axoplasm in a defined chemical environment Journal Physiology. 269(1): 10-11.
- Robert J and David Butler (2006) Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamic and clinical evidence. Physical Therapy in Sports.7: 36-49.
- Gary D, Hall GD, Van Way CW and Kung FT (1993) Peripheral nerve elongation with tissue expansion techniques, J Trauma, 34(3): 401-405.
- Michal D, Dariusz B, Izabela K and Zbigniew W (2007) Principles of neuromobilization for treating musculoskeletal disease. Medsportpress, 2(6); 9: 111-121.
- Lundborg G and Dahlin LB (1992) The pathophysiology of nerve compression. Hand Clinic, 8(2): 215-27.
- Lundborg G and Ryedvik B (1973) Effects of stretching the tibial nerve of the rabbit: a prelimnary study of the intraneural circulation and the barrier circulation of the perineurium. J Bone Joint Surg. 55: 390-401.
- Lundborg G (1988) Intraneural microcirculation. Journal Orthop Clin North Am,19(1): 1-12.
- Sarkari E and Multani NK (2007) Efficacy of Neural mobilisation in India. J Execise Science Physiother. 3(2): 136-141.
- Colette R, Jane G and Nicola J (2004) Effect of straight leg raise examination and treatment on vibration thresholds in the lower limb: a pilot study in asymptomatic subjects, Manual Therapy, 10: 2: 136-143.
- Antonella C, Hau P, Johan M, David G and Aristidis V (2002) The Forefoot to Rearfoot Plantar pressure Ratio is increased in severe Diabetic Neuropathy and Can predict Foot Ulceration. Diabet Care 25: 1066-1071.
- Abe Y, Doi K and Kawai (2005) An experimental model of Nerve adhesion in rabbits. British Journal of Plastic Surgery, 58(4): 533-540.
- Andrew JM, Boulto, RA, Malik, JC and Jay M S (2004) Diabetic Somatic Neuropathies. Diabet Care. 27: 1458-1486.
- Butler D (2005) The neurodynamic techniques. Adelaide, Australia: Noigroup Publication.
- Butler D (1991) Mobilisation of the nervous system Melbourne, Australia: Churchill Livingstone.
- Cade WT (2008) Diabetes related Microvascular and Macrovascular disease in the Physical Therapy setting. Physical therapy, 88: 1322-1335.
- Young MJ, Breddy JL, Veves A and Boulton AJ (1994) The Diabetic Neuropathic Foot Ulceration using Vibration Perception Thresholds. A prospective study. Diabet Care. 17(6): 557-560.