ijpr-current

Index-Vol2-3, 2014

editorphysiotherapy@gmail.com — Wed, 11 Jun 2014 08:20:14 +0500

Content of for the Volume 2 Issue 3 June 2014, International Journal of Physiotherapy and Research, Published various, Reserch / Review Articels and the case reports with the rame images in the clinical practice for more detail visit us our current issue page.

COMPARISON OF MAITLAND AND MULLIGAN MOBILIZATION IN IMPROVING NECK PAIN, ROM AND DISABILITY

kaurjagdeep83@gmail.com — Wed, 11 Jun 2014 08:24:18 +0500

Neck pain is a common problem with point prevalence of 13 % (Bovim G et al 1994)1.Two-third of the population having neck pain at some point in their lives (Binder AL 2007 )2 Neck pain is increasing in both intensity, frequency and severity of episodes as people are increasingly sedentary. Different types of mobilization are employed to treat neck pain, but limited studies are done to compare their effectiveness of two different mobilization techniques in treatment of neck pain. Total of 30 subjects were taken and divided randomly into three groups: Group A, group B, group C (each group with 10 subjects). Group A was under conventional therapy. Group B under Maitland mobilization techniques and group C under Mulligan mobilization technique. Treatment was given 4 times a week for total of 30 days. Pain, disability and ROM were assessed by numerical pain radiating scale, NDI and universal goniometer. Assessment was done at 0, 15th and 30th day of treatment. Anova and Paired t-test were used. Statistical significance was set at 5% level. This study showed that mulligan mobilization is more effective in improving pain, ROM and disability. Although both experimental groups showed decrease in pain, disability and improved ROM but Mulligan mobilization was found to be more effective in improving pain, ROM and disability.

KEYWORDS: Maitland mobilization, Mulligan mobilization, Neck pain, Range of motion, Disability, NDI (neck disability index)

COMPARISON OF ACTIVE RELEASE TECHNIQUE AND MYOFASCIAL RELEASE TECHNIQUE ON PAIN, GRIP STRENGTH & FUNCTIONAL PERFORMANCE IN PATIENTS WITH CHRONIC LATERAL EPICONDYLITIS

drparthtrivedi@live.in — Wed, 11 Jun 2014 08:32:16 +0500

Background & Purpose: Lateral epicondylitis is the most common lesion of the elbow. Tennis elbow or lateral epicondylitis is defined as a syndrome of pain in the wrist extensor muscles at or near their lateral epicondyle origin or pain directly over the lateral epicondyle. So, the aim of this study was to compare the effectiveness of Active Release Technique (ART) and Myofascial Release Technique (MFR) in the treatment of Chronic Lateral Epicondylitis (CLE).

Methodology: The study included thirty-six patients with Chronic Lateral Epicondylitis of age group range between 30 to 45 years. Patients were randomly divided into three groups: Control Group (A), Active Release Technique Group (B) and Myofascial Release Technique Group (C). The patients were treated for 4 weeks and three outcome measures: 0-10 NPRS, Hand Dynamometer and PRTEE were taken for assessment and analysis at baseline and after 4th weeks was done.

Result: In this study the result showed that Active Release Technique and Myofascial Release Technique were effective in all three outcome measures when compared to Control Group. Myofascial Release Technique was more effective in improving grip strength & reducing pain & disability when compared to Active Release Technique.(p<0.05)

Conclusion: Active Release Technique and Myofascial Release Technique are effective in patients with Chronic Lateral Epicondylitis. Myofascial Release Technique demonstrated better outcomes than Active Release Technique in the management of Chronic Lateral Epicondylitis.

KEYWORDS: Chronic Lateral Epicondylitis, ART, MFR, NPRS, PRTEE, Grip Strength, Hand Dynamometer.

EFFICACY OF POSTURAL CORRECTION SUIT ON GAIT PARAMETERS AND EXECUTIVE MOBILITY ACTIVITIES IN DIPLEGIC CHILDREN

elrahmapt@gmail.com — Wed, 11 Jun 2014 08:38:09 +0500

Background: Spastic diplegic children walk with abnormal gait pattern, suit therapy used for treatment and rehabilitation of diplegic children as it improved gross motor development and corrected abnormal posture via its elastic strapping system, but there was no suit designed especially for postural correction.

Purpose: The purpose of the current study was to investigate the efficacy of the postural correction suit on gait parameters and executive mobility activities in diplegic children.

Materials and methods: Thirty ambulant spastic diplegic children, their age ranges from four to six years old participated in this study. They were randomly divided into two matched groups (control and study). The control group received a selected postural correction program includes, stretching exercises, strengthening exercises, balance exercises and posture and gait correction exercises, while the study group received the same selected postural correction program with the postural correction suit. All children received the treatment for two hours, three times weekly for three successive months. Kinematic gait parameter (hip, knee, and ankle joints angular displacement during mid stance phase) were evaluated by 3D gait analysis. Executive mobility activities at home were evaluated by MobQues28.

Results: There was a significant improvement in all measured variables for both groups in favor of the study group.

Conclusion:The postural correction suit through its elastic strapping system allows the childs body to be aligned as close to normal as possible. This restoration of the posture and proper function of postural muscles allowed the patients to learn proper patterns of movement thus improving gait patterns and excutive mobility activities in diplegic children. Brief summary: postural correction suit used to treat crouch gait pattern of spastic diplegic children, kinematic gait parameters and executive nobilities activities were measured for both groups, the result showed significant improvement for postural correction suit.

KEYWORDS: Postural Disorders, Crouch Gait, Suit Therapy, Gait Analysis, MobQues28

A STUDY ON PULMONARY FUNCTION TESTS IN COAL MINE WORKERS IN KHAMMAM DISTRICT, TELANGANA-INDIA

annepakaeliyaraju@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Respiratory system, representing an important adjunct to the various lung imaging studies. It also measures the function of lung capacity and chest wall mechanics to determine whether or not the patient has a lung problem. Spirometry gives an important clue in terms of respiratory chronic airway disorders and can predict early damage to pulmonary system. Occupational exposures to coal dust affect the different systems of the body. The present study has focused on the workers mined in coal workers (drilling and digging) who are continuously exposed to air pollutants such as coal dust during duty hours in Khammam population. Thirty healthy non – smoker male working in coal mines for more than fifteen years formed the study group, while thirty healthy non–smoker males who are not exposed to air dust pollutants from hospital staff served as control group. The pulmonary function test was assessed using computerized spirometer. The pulmonary function tests (FVC, FEV1, FEV1/FVC%, FEF25 – 75% and PEFR) were significantly decreased in coal mine workers. The results suggest that there in a need to improve control measures and the health status of workers engaged in coal mine dust Pulmonary Function Testing (PFTs) is a valuable tool for evaluating the particles.

KEYWORDS: Spiro meter, Pulmonary function test, coal mine dust particles.

EFFECT OF HIGH FREQUENCY TENS VERSUS SHAM TENS ON SPASTIC PLANTAR FLEXORS IN CHILDREN WITH CEREBRAL PALSY

arati1407@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Objective: To evaluate the Effect of high TENS with conventional therapy in comparison to sham TENS with conventional therapy on spasticity of plantar flexors in cerebral palsy children. Design: Experimental trial. Subjects: 34 patients, diagnosed as cerebral palsy were selected and randomly assigned in to two groups experimental group (n=18 ) and control group (n=16). Method: Patients included in both the groups attend regular physiotherapy session. In addition to conventional therapy, patients in experimental group received high TENS (f=100hz, pulse width =0.1ms, intensity-according to individuals sensory threshold) to the spastic plantar flexors for 15 minutes ,once per a day, 6 days in week, for 4 week. In control group everything was same only intensity was not increased. Results: Within group comparison of the variables was done with wilcoxon matched pair test and between group comparisons with mann-whitney U test. Experimental group showed statistically significant improvement in MAS score for plantar flexors at 5%level of significance then control group but not in D and E dimension of GMFM 88 and active ankle dorsiflexion ROM. Conclusion: High TENS along with other conventional therapy is more effective than conventional therapy alone in reduction of spasticity of plantar flexors in cerebral palsy children.

KEYWORDS:Spasticity, Cerebral palsy, TENS (transcutaneous electrical nerve stimulation)

FAMILY AWARENESS OF LEGISLATIVE ISSUES ON CHILD WITH CEREBRAL PALSY: CROSS SECTIONAL SURVEY

vannu6686@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

A disability is restriction or lack of ability to perform an activity in a manner or within the range considered normal for a human being. The prevalence of disability is 7 per 1000 live births in India. 20% are not awareabout the legal issues for person with disability in developing countries. It has never received adequate attention from society. Ignorance, lack of awareness and lack of knowledge make the disability invisible. Most of the authorities appointed the legislation are not fully functional.This study was to find out family awareness of legal rights of person with disability to ensure dignity and legal rights. 224 legal adult family members were surveyed through schedule method with a questionnaire about disability and acts (Person with disability act, mental health act, united nation convention of person with disability and national trust act) of Indian constitution including awareness. The questionnaire consisting of 20 questions about these acts were content validated for these purpose. The data were analyzed by using percentage values to make interpretation. Out of 224 surveyed 72.32% (162) did not know about the Indian constitution for disabled people. Remaining 27.67% (62) knew about the acts and only 11.60% were getting benefitted from such acts. Family awareness about legislation in child with disability is less and needs immediate attention to improve quality of life and rehabilitation of persons with disabilities.

KEYWORDS: Person with disability, Legal rights

EVALUATING THE EFFECTIVENESS OF COMMUNITY PHYSIOTHERAPY IN TERMS OF FUNCTIONAL INDEPENDENCE FOR LOCOMOTOR DISABLED THROUGH REHABILITATION CAMPS IN HIMACHAL PRADESH

pardeep_pahwa@yahoo.com — Wed, 11 Jun 2014 11:59:46 +0800

Background & Purpose: People with disabilities are estimated to form 7-10% of the population in any country, and around 2% would need some form of rehabilitation services. Yet only 0.01% to 0.02% of the population in developing countries actually get such services. The purpose of this article has been to draw the attention of World Health Organization (WHO) and other international organizations to the existing situation of physiotherapy in developing countries in general. The objective of this study is to examine the effectiveness of community physiotherapy services in relation to progress in ADLs of the locomotor disabled persons. Method: The subjects for the study were selected using the criteria used in 58th Round National Sample Survey Organisation to identify individuals with locomotor disability. The persons with co-morbid psychiatric illness except depression were excluded. In total nine conditions leading to physical disability were selected. The age group taken was 18 years and above. The physical therapy advice includes muscle strengthening /stretching exercises, relaxation exercise, bladder and bowel training, transfer training was demonstrated to patients at camps. They were given a questionnaire of FIM (Functional independence measure) in a local Hindi language to assess the improvement in the ADLs. The filled questionnaires were collected in the next camp held after 4 to 6 months. Results: The mean change in the score of FIM in case of SCI was (43.16 ± 13.75), stroke (40.12 ± 14.96), polio (13.94 ± 3.46), amputee (9.92 ± 5.95), burns (8.76 ± 4.54), cerebral palsy (28 ± 8.15), muscular dystrophy (17.76 ± 9.39), patello-femoral syndrome (27.23 ± 8.85) and other miscellaneous was (12.71 ± 3.05). The t-test score of all the nine parameters showed a highly significant difference between the scores. Conclusion: Community based physiotherapy plays a highly significant role in improving the ADLs of the locomotor disabled persons and should be highly encouraged.

KEYWORDS:Rehabilitation, Disability, Locomotor, Activities of Daily Living (ADL), Community Physiotheray

A STUDY TO ANALYSE THE EFFICACY OF MODIFIED PILATES BASED EXERCISES AND THERAPEUTIC EXERCISES IN INDIVIDUALS WITH CHRONIC NON SPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRAIL

albertmpt@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Background: Chronic low back pain is an expensive and difficult condition to treat. Low back pain is the most common musculoskeletal symptoms seen in 85 % of individuals in their life time. One of the interventions widely used by physiotherapists in the treatment of chronic non-specific low back pain (CNLBP) is exercise therapy based upon the Pilates principles. Objective: The purpose of the study was to find out the effect of Modified Pilates based exercises for patients with Chronic Non Specific Low Back Pain. Design: A randomized controlled trial, pre test-post test design Setting: The study was conducted in Out Patient Department of physiotherapy, K.G Hospital, Coimbatore, India. Patients: Fifty– two physically active subjects between 18 – 60 years old with Chronic Non specific Low Specific Pain of more than 12 weeks’ duration were randomly assigned into 2 groups. Interventions: Group A subjects underwent a Modified specific Pilates based exercises with Flexibility Exercises & Group B Subjects underwent a Therapeutic Exercises with Flexibility Exercises were conducted over of 8 weeks. Measurements: Back specific Functional Status outcome were measured with the Oswestry Disability Index and pain intensity were measured with Visual analogue scale. Conclusion: The study concluded that the Modified specific Pilates based exercises helps in reducing the pain, improve the back specific function, improve general health, personal Care, Social Life and flexibility in individuals with non specific chronic low back pain than the therapeutic exercise group.

KEYWORDS:Modified Pilates Based Exercises, Therapeutic Exercises, Low Back Pain

ROLE OF SMOKING AND ALCOHOLISM IN CEREBROVASCULAR ACCIDENTS

yindira2014@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Though previously stroke was considered an old man disease, it is increasing among the young and middle aged people are not likely to die of stroke as they are of heart attack, but they are likely to be disabled for rest of their lives. As the cases of stroke admitted to medical wards, formed nearly 1/10th to 1/8th of total bed strength at any time, and their prolonged stay at hospital attracted our attention. To study the etiological factors for the present study we have thoroughly evaluated 50 pts, with acute cerebrovascular disease and focused more attention in the revaluation of physiological variants of clinical importance by examining the blood for complete blood picture, which may help a long way in near future to predict the risk group in developing an acute cerebrovascular stroke and to avoid risk factors and to take measures to rectify the variations so as to minimize the mortality due to stroke.

KEYWORDS:Cerebrovascular Accidents, Stroke, Mortality, Heart Attack.

COMPARISON OF HEART RATE AND BLOOD PRESSURE CHANGES DURING WALKING AND RUNNING BEFORE AND AFTER TRAINING IN HEALTHY ADULT WOMEN

muniphysilogy81@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

AIM: Physical exercise has been associated with heart rate and blood pressure in observational studies and individual clinical trails. The purpose of these study was to asses heart rate and blood pressure changes in healthy adult women students before and after training during walking and running. MATERIALS and METHODS: Fourty healthy women were taken as the subjects. Heart rate and blood pressure recorded before and after training during waking and running. In these study 1600 metres track measured using PCV reel tape was used for walking and running. The durational training programme five months. Every day 15-20 minutes walking and running. RESULT: The examination at parameters BMI, Heart rate, Blood pressure, and SBP, DBP and study statistical analysis was estimated for all subjects. The data were analysed by disruptive and intervention studies. DISCUSION: The finding suggested a significant decrease in heart rate and blood pressure in healthy adult women after training as compared to before training for both during walking and running show that heart rate and blood pressure changes. CONCLUSION: The present study should that physical activity has the ability to decrease the heart rate and arterial blood pressure in healthy adult women. After training physical activity reduce the risk of heart diseases.

KEYWORDS: BMI, Heart rate and Blood pressure

EFFICACY OF WEIGHT BEARING DISTAL TIBIOFIBULAR JOINT MOBILIZATION WITH MOVEMENT (MWM) IN IMPROVING PAIN, DORSIFLEXION RANGE AND FUNCTION IN PATIENTS WITH POSTACUTE LATERAL ANKLE SPRAIN

n.physiotherapist@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Background: Various treatments in physiotherapy are available for ankle sprain with no consensus like taping, bracing, splinting, cryotherapy, electrotherapy modality like ultrasound, laser therapy, interferential therapy and HVGS, joint mobilization. Mulligan’s mobilizations-with movement (MWM) have been proposed as novel manual therapy technique to improve joint ROM by combining physiological and accessory joint movements. He developed a suite of treatment techniques on the basis of his theory of positional faults and altered joint kinematics following injuries affecting spinal and peripheral joints. Objective: To find out the efficacy of distal tibiofibular joint MWM in conjunction with conventional treatment over conventional treatment alone for improving pain , dorsiflexion range and lower extremity function in patients with post acute lateral ankle sprain. Subject and methods: 30 lateral ankle sprain subjects were randomized into 2 groups:- Group 1(n=15) were received distal tibiofibular joint MWM along with conventional treatment and Group 2 (n=15) subjects were received conventional treatment only. Treatment consist of 3 sessions spread over 1 week, each session 48 hours apart and data is recorded at beginning and end of treatment regimen. Results: Independent t-test showed statistical significant improvement in only weight bearing lunge measure for dorsiflexion (p=0.008) in group 1 over group 2 and paired t-test was used for within group analysis which showed significant improvement in both the groups in all the outcome variables (p=0.000) Discussion and conclusion: Both the groups demonstrated significant improvement in pain, range and lower extremity function in lateral ankle sprain and distal tibiofibular joint mobilization with movement in conjunction with conventional treatment will be significantly more effective than conventional treatment alone in improving weight bearing ankle dorsiflexion range (Weight bearing lunge measure) in post acute lateral ankle sprain. So distal tibiofibular joint mobilization with movement is worth considering for further exploration in lateral ankle sprain patients.

KEYWORDS:Lateral ankle sprain, Distal tibiofibular joint MWM, Weight bearing lunge measure of dorsiflexion

A RANDOMIZED CONTROLLED TRIAL TO COMPARE THE EFFECT OF MUSCLE ENERGY TECHNIQUE WITH CONVENTIONAL THERAPY IN STAGE II ADHESIVE CAPSULITIS

bangaru.chakradhar@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Background and Objectives: Adhesive capsulitis is a clinical diagnosis made from a history of the gradual onset of severe shoulder pain with the progressive limitation of active and passive glenohumeral movements. Muscle energy technique helps to mobilize restricted joints by stretching hypertonic muscles, capsules, ligaments, and fascia. The aim of the study is to find out and compare the effect of MET and Conventional therapy to reduce pain, improve the shoulder range of motion and function in stage 2 of adhesive capsulitis. Materials and Method: The present randomized controlled trial was conducted among 30 participants who included both male and female symptomatic individuals from the age group of 40 years and above. Participants were randomly assigned into two groups of 15 each. Physical therapy treatment protocol which included Conventional therapy (group A) and MET along with conventional therapy (group B) was given for 15 days. The outcome measures recorded were pre and post 15th day of intervention using visual analogue scale, shoulder range of motion of flexion, abduction, External rotation and functional evaluation by Disability of Arm Shoulder Hand. Result: In the present study, within group analysis showed that pain relief, improved range of motion and reduced disability was statistically significant in both the groups (p< 0.0001) whereas the between group analysis revealed that Conventional group (group A) and MET group (group B) both are effective in reducing pain, improving range of motion and function. Conclusion: Hence, it can be concluded that Conventional therapy and MET along with Conventional therapy both are equally effective in treatment of Adhesive Capsulitis.

KEYWORDS:Muscle Energy Technique, Stage II Adhesive Capsulitis, Pain and Function.

EFFECT OF RUSSIAN CURRENT ON QUADRICEPS MUSCLE STRENGTH IN SUBJECTS WITH PRIMARY OSTEOARTHRITIS OF KNEE: A RANDOMIZED CONTROL TRIAL

anandhegs@yahoo.co.in — Wed, 11 Jun 2014 11:59:46 +0800

Relevance: OA knee is one of the most common conditions leading functional disabilities seen worldwide. There are different methods to manage osteoarthritis, conservatively, and/or surgically. Physiotherapy treatment, as a part of conservative management, involves reduction of pain, improvement of muscle strength and improvement of functional ability by various approaches like exercise therapy, electrotherapy and manual therapy techniques. Quadriceps muscle weakness is one of the main features seen in OA knee. Russian current stimulation has been successfully used to increase muscle strength in healthy athletes but its effect on quadriceps muscle strength in OA knee has not been studied. Hence the present study was undertaken to know the effect of Russian current stimulation on quadriceps muscle strength in patients with primary OA knee. Participants: 30 subjects (mean age 50.25±6.35 years) diagnosed with primary OA knee were recruited from Out-Patient Department of Physiotherapy of KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. Method: Subjects were randomly allocated into 2 groups namely Group A (n=15) who received Short Wave Diathermy (SWD) and exercises and Group B (n=15) who received SWD, exercises and Russian current stimulation for 10 days. The outcome measures were Visual Analog Scale (VAS) for pain, muscle strength by using Handheld dynamometer, and WOMAC osteoarthritis index for functional disability. Analysis: Within group and between group analysis after intervention was done to assess changes using paired t-test and unpaired t - tests. Result: The VAS scores for group A reduced from 6.8±1.49 (baseline) to1.4±0.91 (post-intervention) and for group B from 6.3±1.29 (baseline) to 1±1.14 (post-intervention). The WOMAC score of group A decreased from 59.7±11.56 (baseline) to 24.1±6.01 (post-intervention) and of group B decreased from 50.4±22.30 (baseline) to 12.5±7.54 (post-intervention). The muscle strength of group A increased from 7.9±0.94 (baseline) to 8.6±0.95 (post-intervention) and of group B it increased from 8.3±0.67 (baseline) to 10.6±0.89 (post-intervention).Group B showed better improvement in muscle strength and function than group A. The intra group and between group comparison was statistically significant with p= <0.001 for both the groups. Conclusion: Russian current stimulation is effective in increasing quadriceps muscle strength and secondarily improving the functional ability in subjects with primary OA knee.

KEYWORDS: Primary Osteoarthritis, Russian electrical stimulation, Quadriceps muscle strength, Hand-held dynamometer, Knee

A STUDY OF MYOCARDIAL FUNCTION BY ECHOCARDIOGRAPHY IN ELDERLY SUBJECTS

vmaheshgandhavalla@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Back ground and Objectives: Age related changes in cardiovascular function are known to occur in elderly subjects and the prevalence of diastolic abnormality is substantially higher than systolic component. The prevalence rate is about 3% in normal population. Due to various age related changes myocardial stiffness occurs which manifests as failure of myocardium to relax fully. This results in diastolic dysfunction, which may even progress to diastolic failure. This study was undertaken to determine age related changes in myocardial function in elderly subjects by Doppler echocardiography. Methods: 100 subjects in the age group of 25 years to 65 years and above underwent 2D Echocardiography and Doppler testing. Results: The results showed that there is a decrease in velocity of early diastolic filling (MF - E wave), ejection fraction, heart rate, and increase in velocity of late diastolic filling (MF - A wave), diameter of left atrium, left ventricle end systolic and end diastolic diameters, thickness of inter ventricular septum and posterior wall of left ventricle, systolic and diastolic blood pressures and pulse pressure, (P value < 0.0001 for all parameters). interpretation and Conclusion: All these changes indicate the presence of diastolic dysfunction in elderly age group which is a prelude to diastolic failure. Early interventions at this stage may prove to be more beneficial.

KEYWORDS: Doppler, 2D-Echocardiograhpy, diastolic dysfunction, elderly, myocardial function.

INFLUENCE OF CONTACT ULTRASONIC WITH DIFFERENT POWER DENSITIES ON FULL-THICKNESS WOUNDS HEALING: AN EXPERIMENTAL STUDY

heshammahran75@yahoo.com — Wed, 11 Jun 2014 11:59:46 +0800

Effect of ultrasound power density on wound-healing process in rats was investigated. Forty five adult albino male albino rats were divided into 3 equal groups (15 rats in each group); one was used as a control group while the others were subjected to ultrasound treatment of power density of 0.5 W/cm2 and 1 W/cm2. All rats were anesthetized by inhalation (diethyl ether) and a 2 x 2.5 cm area wound was made on the dorsum. Rats in groups A and B were treated with pulsed therapeutic ultrasound for 10 min, 3 times a week at a frequency of 1 MHz and at a power density of 0.5 W/cm2 and 1 W/cm2, respectively, while rats in group C received sham ultrasound. Subsequently, the wound was captured by digital camera and was measured using transparent film, metric graph paper and flexible ruler 3 times a week until closure was complete. Significant reduction of the wound area, and linear dimensions in all three groups of rats was observed. After 14 days of treatment, wound area reduction as well as wound dimensions reduction were more pronounced in group A and to a lesser extent in group B in comparison to group C. Results indicated that ultrasound at 0.5 W/cm2 and 1 W/cm2 caused positive changes in the healing process with ultrasound at 0.5 W/cm2 being more effective.

KEYWORDS: Full thickness Wounds, Rats, Ultrasonic, Power Density, Physiotherapy

NEURAL MOBILIZATION A THERAPEUTIC EFFICACY IN A PIRIFORMIS SYNDROME MODEL:AN EXPERIMENTAL STUDY

physioraul@gmail.com — Wed, 11 Jun 2014 11:59:46 +0800

Piriformis syndrome is a neuromuscular disorder that occurs when the sciatic nerve is compressed or otherwise irritated by the piriformis muscle causing pain, tingling and numbness in the buttocks and along the sciatic nerve. Traditional exercise therapy program for sciatica primarily focuses on pain relief but, neural mobilization should be viewed as another form of manual therapy similar to joint mobilization. The focus of this study is to see the effectiveness of neural mobilization on individuals with Piriformis syndrome and to assess the effectiveness over the conventional physical therapy treatment. The sample consisted of 42 subjects, from both sexes, ranging from 30 to 50-years-old. Parameters used are the Visual Analogue Scale (VAS) and Goniometry measurement for diagnosis and prognosis of the condition. An experimental design was used in this study. The initial 21 participants were assigned to a group I; receive Neural Mobilization and conventional physical therapy; while a second group of 21 participants were assigned as Group II to receive only conventional physical therapy. The median (IQR) of VAS pain in Experiment group is 0(0-0) whereas it is 1(0-1) in the Control group. The Median (IQR) of ROM hip for the Experimental group is 40(39-45) whereas it is 35(32-38 for the Control group. Hence, VAS pain score and ROM hip score depicted statistically significant difference (p<0.001) in the average range of VAS pain score and ROM hip score in Experimental group (treated with neural mobilization and conventional physical therapy treatment) than control group (treated with conventional physical therapy treatment alone. In this study it is concluded that there is a significant difference with in the Experimental group (neural mobilization and conventional physical therapy treatment) Setting-1(initial treatment) and setting 3(final treatment).

KEYWORDS: Physiotherapy, Neural mobilization, Piriformis Syndrome, Treatment for Piriformis syndrome.

EVIDENCE BASED PROGRESSIVE CORE STABILIZATION EXERCISE FORMATION FOR LOW CORE ENDURANCE INDIVIDUALS

tryhard2024@yahoo.co.in — Wed, 11 Jun 2014 11:59:46 +0800

Low back pain (LBP) is the commonest pain among individuals affecting more than half of the population. Segmental stabilization exercises gaining popularity among many treatment choices available to the therapist. Transverses abdominis (TA) and Multifidi (MF) are the two core muscles that were affected by LBP. This descriptive partial review study examines how various exercises recruits TA and MF? Then how do one to prognoses them progressively over short period of time? And what is the dose, volume needed? This review put an attempt to solve the above questions based on recent evidence based practice. Finally we have given exercise schedule for physiotherapists to follow.

KEYWORDS:Low Back Pain, Transverses abdominis, Multifidi, Evidence based Physiotherapy, EBM.

IDIOPATHIC CHONDROLYSIS OF HIP

shanmugampt@rediffmail.com — Wed, 11 Jun 2014 11:59:46 +0800

A 13 Year old girl with history of pain in the left hip, stiffness, walking difficulty for one month. There was no history of trauma, fever and weight loss. Physical examination revealed left side antalgic gait and pelvic obliquity. There was restriction of abduction, flexion and external rotation on the affected side. Laboratory investigations for C - reactive protein, Rheumatoid factor and serum complement were normal. The complete blood profile was normal. Conventional Radiography of the left hip showed decrease in the joint space, decrease femoral head height, sclerosis and irregularities in articular margins. Her pelvis was tilted towards femoral side, femoral head was small and flattened with irregular margins. The young girl was treated initially with bed rest, traction, physiotherapy treatment including positioning, passive mobilization exercise, active range of motion exercise, static quadriceps contraction and Gait retraining. This case of idiopathic chondrolysis of hip is a rare clinical entity.