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    <title>IJPR-CURRENT ISSUE VOLUME 3 ISSUE 2</title>
    <link>http://www.ijmhr.org/ijpr.html</link>
    <description>INTERNATIONAL JOURNAL OF PHYSIOTHERAPY AND RESEARCH: VOLUME 3 ISSUE 2 2015</description>
    <language>en-us</language>
    <managingEditor>editor_physiotherapy@hotmail.com</managingEditor>
    <webMaster>editor_physiotherapy@hotmail.com</webMaster>
    <copyright>2015</copyright>
    <image>
      <title>IJPR-CURRENT ISSUE VOLUME 3 ISSUE 2</title>
      <link>http://www.ijmhr.org/ijpr.html</link>
      <url>http://www.ijmhr.org/RSS-FEED/ijpr.Vol.3.2.jpg</url>
      <width>120</width>
      <height>130</height>
    </image>
    <item>
      <title>VARIATIONS OF DYSMENORRHEA DURING STRESS AND NON STRESS CONDITION IN COLLEGE GOING GIRLS IN BELGAUM CITY:  A CROSS SECTIONAL STUDY</title>
      <pubDate>Sat, 11 Apr 2015 21:33:56 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.125.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Prashant Naik 1, Aashka Shailesh Tanna *2, Priyanka Nareshkumar Mudaliar 3, Asmita Damodar Tari 4.

Abstract
Background: In  India,  prevalence  of  dysmenorrhea  varies from  33% to 79.67% 1-5. Dysmenorrhea  is  the  commonest  cause  of  absenteeism  among  college  going  girls6-9.  It  is  related  to  various  factors  such  as  cigarette  smoking,  alcohol  consumption,  exercise,  dietary  habits,  physical  factors  such  as  Body  Mass  Index (BMI)  and  menstrual  factors  such  as  age  at  menarche  and  duration  of  menstrual  flow  and  emotional  factors  such  as  stress,  anxiety  and  apprehension10.  It  is  of  immense  importance  to  study  the  factors  determining  the  variations  in  dysmenorrhea  due   to  stress  related  conditions. 
Objective: To  study  the  variations  of  dysmenorrhea  during  stress  in  college  going  girls  in  Belagavi  city. With an objective to  study  the  variations  of  dysmenorrhea  during  non-stress  condition  in  college  going  girls  in  Belagavi  city and to to  study  the  variations  of  dysmenorrhea  during  stressful  and  non-stressful  conditions  among  college going  girls  in  Belagavi  city.
Methods: A total of 400 college going adolescent girls were screened for primary dysmenorrhea and pathological difficulties, malignancy and parity were excluded from the study.  Confirmation of Primary Dysmenorrhea was done using Moos Menstrual  Distress  Questionnaire. Once confirmed, all participants were subjected to councelling, taking into consideration  the  various  risk  factors  and  awareness  about diet and regular physical exercise  was conducted. 
Results:  The present study proved that  BMI was an independent risk factor among dysmenorrhic  girls  with  the  onset  of  symptoms  occurring  mostly  among  the  early  age group i.e 20.9 years. This  study  also  proved  the  alternate  hypothesis  true  i.e  there  was  a  positive  and  significant  co-relation  between  each  component  taken  in  MMDQ  with the  mean  values  peaking  mostly  in  the  stress  group  than  in non stress group  with  the values  of  124  and  76.7  respectively.
Conclusion: The present study concluded that there was a significant variation in dysmenorrhea  during  stress  and  non stress  condition  in  college  going  girls. 
KEY WORDS: Dysmenorrhea, stress , non stress , college going girls,  Menstrual Distress Questionnaire.]]></description>
    </item>
    <item>
      <title>CORRELATION OF HAND GRIP STRENGTH WITH ANTHROPOMETRIC VARIABLES AND QUANTIFYING HAND GRIP STRENGTH  IN CHILDREN OF AGE 3 - 5.5 YEARS WITH MARTIN VIGORIMETER IN INDIAN POPULATION</title>
      <pubDate>Sat, 11 Apr 2015 21:33:55 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.124.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Eruva Indira 1, Rajeswari.M *2

ABSTRACT
Background: Hand grip strength is an important quantitative measure in evaluation of hand which is also considered as a predictor of general health status. Influence of various anthropometric variables on Hand Grip Strength has been studied in adult population. Martin Vigorimeter is a simple instrument which is considered to be appropriate for measuring hand grip strength in the age group 3-5.5 years for which norms have been established in Caucasian population. This study aims to analyse the correlation of hand grip strength with anthropometric variables and to quantify grip strength in children of age 3-5.5 years using Martin Vigorimeter in Indian population.
Methods and Methodology: 211 children from five schools were included in this cross sectional study after getting consent from the principal of the schools. The anthropometric variables height, weight, BMI, hand anthropometric variables were measured. Hand grip strength was measured using Martin Vigorimeter, three trials were measured and best of the three was taken as the standard grip strength on both right and left sides.
Results: Pearson’s correlation was used to analyse the relation between hand grip strength and anthropometric variables which showed a positive correlation between BMI and hand grip strength and independent t-test was used to compare hand grip strength of Indian and Caucasian population which showed a significant decrease in hand grip strength in Indian population with a p value <0.05. 
Conclusion: The study concludes that anthropometric variables should be considered while quantifying hand grip strength. A significant decrease in hand grip strength in Indian population when compared to Caucasian population demands a need to evaluate the cultural sensitivity of such instruments prior to clinical usage and to interpret clinically.  
KEY WORDS: Hand Grip, Strength, Vigorimeter, Anthropometric Variables.]]></description>
    </item>
    <item>
      <title>ABDOMINAL EXERCISE WITH BRACING, A THERAPEUTIC EFFICACY IN REDUCING DIASTASIS-RECTI AMONG POSTPARTAL FEMALES</title>
      <pubDate>Sat, 11 Apr 2015 21:33:54 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.122.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Nisha Acharry 1, Rahul Krishnan Kutty *2.

Abstract
Background Diastasis recti abdominis (DRA) has been defined as an impairment characterized by the separation of the two rectus abdominis muscles along the linea alba , Diastasis of the rectus abdominis muscle (DRAM) is common during and after pregnancy, and has been related to lumbo-pelvic instability and pelvic floor weakness. Women with DRAM are commonly referred to physiotherapists for non surgical management, but very few found to be effective. Objectives To determine if the  effectiveness  of  Abdominal exercise with bracing  in  reducing   the  diastasis  recti  among postpartum females. 
Methodology: IP&OPD patients of Godavari hospital, Jalgaon for a period of 4 weeks. For this descriptive study a cross-sectional study design was incorporated. A number of (n=30) female patients within 1 month after delivery with Diastasis recti were selected. Each patient was screened, initially by using simple selection proforma relevant to the inclusion and exclusion criteria. 
Results: A total (n=30) subjects were included in the study, these 30 subjects all are Females and one month and more after child birth. The subjects included in this study with an age from minimal 23 years to 34 years old.  Number of off springs which is another variable used, was listed as 1(Minimum) and 4(Maximum) children’s. In this study a 26.6% of female are primiparous and 56.7% of them are multiparous. The collected information (data) was tabulated and analyzed by using appropriate statistical analysis tools. 30 Female subjects having mean age 28.8(SD=3.23) in which both primiparous and multiparous women having diastasis recti within 1 month postpartum.  Diastasis recti pretest was found to be 3.5(SD= 0.5085) Diastasis recti posttest was found to be 2.5(SD=0.5074) t value=29.00 and P value found to be less than 0.001 which is highly significant. 
Conclusion: Based on the available evidence and quality of this evidence, after the exercise regimen and bracing the Diastasis recti muscle separation by finger palpation was found to be reduced. Hence, it can be interpreted that with non-surgical interventions (Physical Therapy) can prevent or reduce DRAM in the postpartum.
KEY WORDS: Physiotherapy, Diastasis Recti, Abdominal Exercise and Bracing, Postpartum Female, Rehabilitation Of Diastasis Recti.]]></description>
    </item>
    <item>
      <title>EFFECTIVENESS OF DIADYNAMIC CURRENT AND MENS IN HEEL PAIN: A RANDOMIZED CLINICAL TRIAL</title>
      <pubDate>Sat, 11 Apr 2015 21:33:53 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.121.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Anand B. Heggannavar *1, Preeti R. Ramannavar 2, Satyam S. Bhodaji 3.

Abstract:
Relevance: Heel pain is one of the most common conditions leading to functional disabilities seen worldwide. There are different methods to manage heel pain, conservatively, and/or surgically. Physiotherapy treatment, as a part of conservative management, involves reduction of pain and improvement of functional ability by various approaches like exercise therapy, electrotherapy and manual therapy techniques. Various studies have shown that Diadynamic current and MENS along with conventional treatments give significant beneficial effects in pain reliving. Hence the present study was undertaken to compare and see the effect of Diadynamic current and MENS in heel pain. 
Participants: 30 subjects (mean age 25.73 ± 6.56) diagnosed with heel pain were recruited from Out-Patient Department of Physiotherapy of KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi.
Method: Subjects were randomly allocated into 2 groups namely Group A (n=15) who received Diadynamic current along with conventional treatment as Therapeutic ultrasound and strengthening and stretching exercises and Group B (n=15) who received MENS with conventional treatment same as in group A for 7 days. The outcome measures were Visual Analog Scale (VAS) for pain, Pain disability index (PDI) and foot disability index (FDI) for functional disability.
Analysis: Within group and between group analyses after intervention was done to assess changes using paired t-test and unpaired t - test.
Result: Mean difference of VAS scores for Group A was 6.9 ± 1.48 and for Group B was 4.3 ± 2.43. Mean difference of PDI scores for Group A was 274 ± 117 and for Group B was 171 ± 99.Mean difference of FDI scores for Group A was 0.36 ± 0.24 and for Group B was 0.15 ± 0.15. Intra group comparison was statistically significant with p= <0.001 for both the groups in terms of VAS, PDI and FDI respectively. Inter group comparison was statistically significant with p= 0.005, 0.031, 0.007 for VAS, PDI and FDI respectively. 
Conclusion: Diadynamic current is effective in reducing pain and secondarily improving the functional ability in subjects with heel pain.
Keywords: Diadynamic current, Microcurrent Electrical Neuromuscular Stimulator or MENS, Pain Disability Index and Foot Disability Index.]]></description>
    </item>
    <item>
      <title>A STUDY TO EVALUATE RESPIRATORY SYMPTOMS AND LUNG FUNCTION IMPAIRMENT IN BEEDI WORKERS AND USEFULLNESS OF PROTECTIVE MASK IN REDUCING RESPIRATORY SYMPTOMS</title>
      <pubDate>Sat, 11 Apr 2015 21:33:52 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.120.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Mahesh V Hegde 1, Ajith S *2, Kavitha Shetty 3.

ABSTRACT
Background and Purpose: Problems of the occupational health management are posing serious challenges before the mankind globally. Occupational disease if unaddressed leads to deviation from health. The aim of the study is to study the prevalence of respiratory symptoms and lung function abnormalities and to find out the usefulness of protective mask in reducing respiratory symptoms in tobacco workers.
Materials and Methods: Quasi experimental study includes those workers exposed to tobacco dust in beedi industry recruited with minimum of three years of experience and age group of 20 to 40 years. Control group includes age and sex matched subjects who are not exposed to tobacco dust.
Results: There were significant difference exist between experimental and control group in the prevalence of respiratory symptoms. How ever there was no significant difference between FEV1 and FEF (25-75) between two groups.
Conclusion: Prevalence of respiratory symptoms was found to be in beedi workers and the ventilatory capacity data were similar in both the groups.
KEY WORDS: Respiratory function, Spirometer, tobacco dust, Lung function.]]></description>
    </item>
    <item>
      <title>UTILIZATION OF PULSED ELECTROMAGNETIC FIELD AND TRADITIONAL PHYSIOTHERAPY IN KNEE OSTEOARTHRITIS MANAGEMENT  </title>
      <pubDate>Sat, 11 Apr 2015 21:33:51 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.119.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Kadrya H. Battecha 1, Elsadat Saad Soliman  *2.

Abstract
Background and Objectives: Pulsed electromagnetic field (PEMF) has been suggested as a treatment method for musculoskeletal system disorders. The present study was conducted to determine whether the addition of PEMF to traditional physiotherapy produces better clinical outcomes than traditional physiotherapy alone in the management of moderate knee osteoarthritis (OA). 
Design: A single-blinded, randomized controlled study
Methods: Twenty subjects (5 men and 15 women) with unilateral moderate knee OA (Kellgren-Lawrence criteria grade 2). They were randomly allocated in 2 groups to receive: group (A) PEMF plus ultrasound plus exercises; or (B) ultrasound plus exercises. Both groups received the respective treatments 3 times per week for 4 weeks and underwent the same pretreatment and post treatment evaluation that included active knee range of motion (ROM) by universal goniometer, knee pain score by visual analogue scale (VAS) and knee functional performance by Western Ontario and McMaster Universities osteoarthritis index (WOMAC).
Result: There was an improvement in both groups in active knee flexion ROM, reduced VAS score and improved WOMAC index , however, all outcomes were significantly better in  group (A) (p <0.05). Moreover, the percentages of outcomes improvement were in favor of group (A).  
Conclusion: The addition of PEMF to traditional physiotherapy in managing Knee OA produced a greater improvement in pain relief, range of motion and resulted in better functional performance than did traditional physiotherapy alone. The improvement in current study should be limited to short term outcomes of PEMF.
KEY WORDS:  Knee osteoarthritis, Pulsed electromagnetic field, Traditional physiotherapy.]]></description>
    </item>
    <item>
      <title>RISK ASSESSMENT OF DECUBITUS ULCERS USING FOUR SCALES AMONG PATIENTS ADMITTED IN MEDICAL AND SURGICAL INTENSIVE CARE UNITS IN A TERTIARY CARE SET UP: A CROSS-SECTIONAL STUDY </title>
      <pubDate>Sat, 11 Apr 2015 21:33:50 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.117.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Renu B. Pattanshetty *1,   Pooja M. Prasade 2, Aradhana K.M 3.

Abstract:
Background and objectives: Pressure ulcers  are  the  third  most  expensive  disorder  after  cancer  and cardiovascular  diseases. For  predicting  the  risk  factors  early  among  patients  admitted  in  intensive  care units,  all  critically  ill  patient  should  be  screened  for  presence  of  all  possible  risk  factors.  There is  no  single  specific  tool  for  risk  assessment  which  can  predict  almost  all  risk factors. Least studies have  been done in Indian scenario to compare and suggest a better predictor of risk assessment for presence of pressure ulcers. The objectives of the present study was to assess & predict the risk for decubitus ulcer using Braden, Norton, Waterlow and Cubbin & Jackson scale as well as to compare better predictor score / tool among these four scales in patients admitted in M.I.C.U. & S.I.C.U. in Indian scenario. 
Materials and Methodology: A total of one hundred fifty (150) subjects adult males and females admitted in I.C.U  within 48 hours were included in the study. Braden scale, Norton scale, Waterlow scale and Cubbin & Jackson scale were administered by two physiotherapy interns. 
Results: The data was analyzed using student's paired t test, Chi square test and single way ANOVA. Statistically significant differences were noted when the test scores were compared to age (58-77) years (p=0.0308) nutritional status(underweight & obesity) (p=0.0174), mechanical ventilation (p=0.00001), musculoskeletal problems (p=0.0333), type II Diabetes Mellitus (p=0.0003) that have shown to contribute higher risk for development of decubitus ulcers. Cubbin & Jackson scale have shown to be the best predictive value with 99.3% sensitivity and 55.5% specificity compared to other scores. 
Conclusion: The present cross-sectional study concluded that the Cubbin and Jackson scale is a better predictor of risk of pressure ulcer in Indian scenario. In addition, Nutritional status, age group of 58-77 years, Type II diabetes mellitus and musculoskeletal problems have demonstrated to be risk factors for development of pressure ulcers in ICU admitted patients. 
KEY WORDS:  Decubitus ulcer,  risk assessment, Braden scale, Norton scale, Waterlow scale, Cubbin and Jackson scale.]]></description>
    </item>
    <item>
      <title>THE INFLUENCE OF CEREBRAL INFARCT LOCATION AND VOLUME ON MOTOR AND FUNCTIONAL RECOVERY AFTER STROKE: A NARRATIVE REVIEW</title>
      <pubDate>Sat, 11 Apr 2015 21:33:43 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.116.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Sivakumar.R *1, Meenakshisundaram. U 2, Shankar. V 3, Arun Maiya 4, Rajeswaran. R 5.

ABSTRACT
Introduction: The knowledge on effect of location of infarct and volume of infarct on motor and functional outcomes is ambiguous due to variations in methodology and outcome measures used. This narrative review is aimed to summaries the studies on infarct location and volume related to motor and functional outcome, for a better understanding of the conclusions and limitation of the studies.
Methodology: Literature search was done with key words of location of infarcts, size of infarct, motor recovery and functional recovery with Boolean term AND. Studies using outcome measures of multiple domain was not considered for inclusion.
Results: 13 studies were identified in an extensive search without a time limit. Studies were categorized under location and volume with motor and functional recovery as variables. Majority of studies were done in isolation to any two variables, location outnumbered volume. The relationship with location and motor outcome was inconclusive, though two studies concluded that cortical infarcts had better scores than sub cortical. Volume was moderately associated with motor and functional recovery. Majority of the studies concluded a relationship between location and functional outcome, however the results are variable.
Conclusion: Only few studies have analyzed the impact of infarct in different location and results were inconclusive. Outcome measures were summative in nature, not reflecting recovery in upper and lower extremities in isolation. The amount of recovery is analysed with initial deficits. We suggest more studies are required in this area to provide clarity.
KEY WORDS: Rehabilitation, Motor recovery, Functional recovery.]]></description>
    </item>
    <item>
      <title>COMPARATIVE  STUDY  ON  EFFECT OF  SLOW  AND  FAST  PHASED  PRANAYAMA  ON  QUALITY  OF  LIFE  AND  PAIN  IN  PHYSIOTHERAPY  GIRLS  WITH  PRIMARY  DYSMENORRHOEA: RANDOMIZED  CLINICAL  TRIAL</title>
      <pubDate>Sat, 11 Apr 2015 21:33:28 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.115.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Ganesh B.R 1, Madhushree Pradeep Donde *2, Andrea Ramesh Hegde 3.

ABSTRACT
Objective: Few studies have been done on pranayama as therapy to improve pain and quality of life for primary dysmenorrhoea. Hence, this study is aimed at understanding the effect of slow and fast pranayama on primary dysmenorrhoea among Physiotherapy girl students.
Methods: Unmarried girls (n=90) under the age group of 18-25 with primary dysmenorrhoea were randomly assigned to the study, Group A (n=45) Group B (n=45). Moos menstrual distress questionnaire (MMDQ), Numerical pain rating scale for pain, Quality of life scale by American chronic pain association were administered at baseline, after 1st menstrual cycle and follow-up after 2nd menstrual cycle. Group A was subjected to slow pranayama (Nadi Shodhan) and Group B was subjected to fast pranayama (Kapalbhati). 
Result: Significant (P<0.0001) improvement in quality of life and pain scores after intervention was seen in Group A (Nadi Shodan) as compared to Group B (Kapalbhati) . Prevalence of  Primary Dysmenorrhoea was found to be high between the age group of 18-22.
Conclusion: With Slow pranayama (Nadi Shodhan) the quality of life and pain scores improved when compared to Fast pranayama (Kapalbhati) indicating the benefits of Slow pranayama on Primary Dysmenorrhoea. Pranayama improves quality of life and reduces absenteeism and stress levels, so it should be implemented in college students to augment their menstrual wellbeing and should be inculcated as a routine practice to improve quality of life.
KEY WORDS: Dysmenorrhoea, Slow And Fast Phased Pranayama, Physiotherapy Girls Students.]]></description>
    </item>
    <item>
      <title>A STUDY EVALUATING THE EFFECTS OF BOMBAY HOSPITAL PHYSIOTHERAPY PROGRAM AND CONVENTIONAL PHYSIOTHERAPY EXERCISE PROGRAM ON GERIATRIC PATIENTS PRESENTING WITH CALF PAIN</title>
      <pubDate>Sat, 11 Apr 2015 21:33:17 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.114.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Rohit Subhedar *1, Pallavi Dave 2, Priyanka Mishra 3, Shailee Jain 4.                     
ABSTRACT:
Objective: To investigate the effects of (BHP-Program) on geriatric patients with calf pain. 
Method:  This research was designed by evaluating the progress report of Geriatric Physiotherapy patients at Multi-specialty Department of Physiotherapy- Bombay Hospital-Indore. The subjects were the patients receiving Physiotherapy at Multi specialty Physiotherapy Department - Bombay Hospital, Indore. VAS scale was used for the pain evaluation. Pain Scale parameters of 30 Patients of age group 60-65 years presenting with calf pain and treated at our Department were included in Data Collection and Data Analysis. 
Results: Statistical analysis showed highly significant (p<0.001, t = 6.81) reduction in pain among Treated group compared to control group with 5.13 ± 0.91 and 1.93 ± 1.57 mean pain score of control and treated group respectively. 
Conclusion: It has been concluded from the results that BHP Program is more effective and beneficial in reducing calf pain among geriatric population. BHP Program, which includes specialized exercises in form of Dr. Subhedar’s Dynamic Combined Quadriceps and calf Drills with ankle toe exercises, isometric and isotonic quadriceps & straight leg raise, proved to be an important protocol for geriatric patients presenting with calf pain.
KEY WORDS: BHP Program, Calf pain, Dr. Subhedar’s Dynamic Quadriceps and Calf Drills, Geriatrics.                           ]]></description>
    </item>
    <item>
      <title>EFFECT OF SENSORY INTEGRATION THERAPY AND COGNITIVE BEHAVIORAL THERAPY ON ATTENTION DEFICIT HYPERACTIVITY DISORDER: SINGLE BLINDED STUDY </title>
      <pubDate>Sat, 11 Apr 2015 21:33:05 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.112.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Vandana J Rathod *1, Vyoma Shah 2, Jagatheesan Alagesan 3, Poongundran Paranthaman 4, Soundararajan P 5.  

ABSTRACT
Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral developmental disorder. Cognitive behavior therapy is effective in children with ADHD. But data are lacking to prove efficacy of sensory integration therapy in treating the children with ADHD.
Method: This multi-center experimental study was done at three physiotherapy colleges in India. 60 patients with ADHD are included in the study. They are randomly assigned into three different groups. Group A: 20 (subjects receiving sensory integration therapy), group B: 20 (subjects receiving cognitive behavior therapy) and group C: 20 (subjects receiving sensory integration therapy and cognitive behavior therapy). The outcome measure used is Conner’s Teacher Rating Scale before and after six months of intervention. 
Result: There was a significant decrease in scores of Conner’s Teacher Rating Scale (p<0.001) in children with ADHD who received sensory integration therapy and Cognitive Behavior Therapy alone and combined therapies of Sensory Integration Therapy and Cognitive Behavior Therapy.
Conclusion: Combined therapies of Sensory Integration Therapy and Cognitive Behavior Therapy are effective in reducing symptoms of ADHD as assed by Conner’s Teacher Rating Scale.  
KEY WORDS: Attention Deficit Hyperactivity Disorder, Cognitive Behavior Therapy, Sensory Integration Therapy. ]]></description>
    </item>
    <item>
      <title>EXTRACORPOREAL SHOCKWAVE THERAPY FOR POST BURN CARPAL TUNNEL SYNDROME</title>
      <pubDate>Sat, 11 Apr 2015 21:32:59 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.111.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Hesham Galal Mahran *1, Ashraf Hassan Mohammed 2, Shimaa Nabil Aboelazm 3.

Abstract
Background: Carpal tunnel syndrome is considered the most common compression neuropathy of the upper extremity. It may lead to work disability and functional impairment. Burns are associated with swelling and eschar which forms a tight band constricting the circulation distally. Purpose: To investigate the effect of shockwave therapy on the carpal tunnel syndrome post burn. Subjects: Thirty male and female patients selected with manifestation of carpal tunnel syndrome post burn evaluated by electromyography, patients were divided randomly into two equal groups (A & B); group (A) received shockwave therapy plus traditional physical therapy, while group (B) received only traditional physical therapy (heating and stretching); Shock wave therapy protocol was two sessions per week for 12 weeks.  Traditional physiotherapy was applied for both groups, 20 min for session 3times per week for 12 weeks. 
Evaluation: Electro diagnostic evaluation was done before treatment, one and three months post treatment. 
Results: There were improvement and significant increase in motor and sensory conduction velocities in shockwave group compared to those in the control group (p<0.05), also there were improvement and significant decrease in motor and sensory latencies in shockwave group compared to those in control group (p<0.05). 
Conclusion: Extracorporeal shockwave therapy provided a non-invasive, satisfied treatment option for carpal tunnel syndrome post burn.
KEY WORDS: Shockwave therapy, Carpal tunnel Syndrome, Post Burn.]]></description>
    </item>
    <item>
      <title>IMPACT OF PHYSIOTHERAPIST-DESIGNED SUPERVISED EXERCISE PROTOCOL ON MUSCLE STRENGTH, AND AUTONOMIC PARAMETERS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: A CLINICAL TRIAL</title>
      <pubDate>Sat, 11 Apr 2015 21:32:49 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.108.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Renu B. Pattanshetty *1, Santosh P. Dobhal 2.

ABSTRACT
Background and Objectives: Type 2 diabetes mellitus is a heterogeneous group of disorders characterized by variable degree of insulin resistance, impaired insulin secretion, and increased glucose production.  Physical activity is central to the management type 2 diabetes. There is less evidence to suggest the efficacy of combined effect of physiotherapist- designed supervised exercise protocol on muscle strength and autonomic parameters in such subjects. Hence, the present study was designed to evaluate effect of physiotherapist designed supervised exercise protocol of muscle strength and autonomic parameters in this subject population. 
Material and Methods: This clinical trial was conducted in thirty (30) adult subjects with type 2 diabetes mellitus including both males and females in the age group of 18 to 65 years. All subjects received physiotherapist designed supervised exercise training protocol consisting of aerobic, resistance & flexibility training. Pre-exercise and post-exercise outcome measurements were taken at baseline, 7th & 14th day in the form of 1-RM for muscle strength and autonomic parameters. 
Results: Statistical analysis of outcomes at baseline, 7th day and 14th day showed statistically significant difference in strength (p=0.0001), and reduction in autonomic parameters (p=0.0001) 
Conclusion: The therapist designed exercise protocol has shown to improve muscle strength , mean systolic blood pressure, diastolic blood pressure, pulse rate, pulse pressure, mean arterial pressure, rate pressure product. The protocol has also proved to be safe since no adverse event was noted post exercise.
KEYWORDS: Type 2 diabetes mellitus, muscle strength, blood pressure, rate pressure product, aerobic exercise, resistance training, stretching.]]></description>
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      <title>IMPROVING FUNCTIONAL CAPACITY AND QUALITY OF LIFE WITH COMPREHENSIVE PULMONARY REHABILITATION IN PATIENT WITH COPD</title>
      <pubDate>Sat, 11 Apr 2015 21:32:21 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.107.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Archana C. Mehta *1, Sonia Bhatia 2. 

ABSTRACT:
Objective:	 To evaluate the effects of short – term comprehensive pulmonary rehabilitation program in improving Exercise Capacity & Quality of Life in patients with severe COPD.
To compare effectiveness of comprehensive pulmonary rehabilitation over education based program in patients with severe COPD.
Method: 14 Subjects in group A with mean age 60.64±3.23 received comprehensive pulmonary rehabilitation with education based program and 15Subjects in group B with mean age 60.64±3.09 received education program for 5days per week for 4weeks. The outcome was measured in terms of 6MWT and CRQ.
Result: Unpaired student t-test and paired t-test was used for statistical analysis. Statistically significant improvement in 6MWT and the quality of life measures found in group A than group B.
Conclusion: Short-term Comprehensive pulmonary rehabilitation program will be more effective than education based program in patients with severe COPD      
KEY WORDS: 6MWT (six minute walk test), CRQ (chronic respiratory questionnaire), Borg Scale.	]]></description>
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      <title>A  STUDY ON THE EFFECTIVENESS OF BOBATH APPROACH    VERSUS CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT) TO IMPROVE THE ARM MOTOR FUNCTION AND THE HAND DEXTERITY FUNCTION IN POST STROKE PATIENTS</title>
      <pubDate>Sat, 11 Apr 2015 21:29:55 +0800</pubDate>
      <link>http://www.ijmhr.org/ijpr.3.2/IJPR.2015.102.pdf</link>
      <author>editor_physiotherapy@hotmail.com</author>
      <comments>http://www.ijmhr.org/ijpr_contact.html</comments>
      <category>Science</category>
      <description><![CDATA[Bushra Rehman 1, Praveen Rawat 2 , Vaibhav Agarwal *3, Shiv Kumar Verma 4. 

ABSTRACT:
Objective: To compare the effects of the Bobath Therapy and Constraint-Induced Movement Therapy on arm motor function and hand dexterity function among stroke patients with a high level of function on the affected side.
Materials and Methods:  Study has conducted at the Outpatient physiotherapy department of a stroke unit. With a total of 30 patients were conveniently recruited and then randomized to Bobath Concept group and constraint-induced movement therapy group. Intervention included were the Bobath Concept group was treated for 1.5 hours per day during 5 consecutive weekdays for 4 weeks whereas the constraint-induced movement therapy group received training for 2 hours per day during 5 consecutive weekdays for 3 weeks. Outcome measures by the Wolf Motor Function Test, and Jebsen Taylor Hand Function Test.
Results: The two groups were found to be homogeneous based on demographic variables and baseline measurements. There were no significant differences in Wolf Motor Function Test at post test (p = 0.861) and at follow up (p = 0.395). There is a significant improvement in JTHFT in both the groups with sight better improvement in group B (except writing components post test p=0.752and checkers at post test p=0.197 and follow up p=0.167)) as compared to Group A.
Conclusions: Bobath therapy and the Constraint-induced movement therapy have similar efficiencies in improving arm motor function in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving hand dexterity function.
KEYWORDS: Stroke, Rehabilitation, Learned Nonuse, Bobath Therapy, Upper Extremity, Arm, Dexterity Function, Gross Arm Motor Functions.]]></description>
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