Category: Physiotherapy

To Compare the Effect of Acapella and Diaphragmatic Breathing Exercise in Smokers to Increase in Vital Capacity

Tharani. G1, Kamatchi. K2, Yuvarani. G3, Ranjith Kumar4

Authors:

2,3Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India

4BPT Graduate, Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India

Corresponding Author:

1Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India, Mail Id: tharani.physio@drmgrdu.ac.in

ABSTRACT

Background of the study: Vital capacity is a fundamental concept of respiratory physiology, crucial for understanding the mechanics of breathing and the overall health of the respiratory system. Vital capacity represents key measurements that help assess lung function and provide valuable insights into an individual’s respiratory health. Objective of the study is to compare and analyse the effects of Acapella and diaphragmatic breathing exercise in smokers to increase in vital capacity.

Methods: After receiving approval from the Institutions Review Board, this experimental study of a comparative type involving 40 participants was conducted for two months at the Faculty of Physiotherapy department, Dr.MGR. Educational and Research Institute. Upon receiving participation consent, smokers were chosen for the study based on the inclusion and exclusion criteria. They were then divided into two groups using the random sampling technique. Each group had 20 participants, and for an 8-week period, 5 days per week, group A practiced Acapella exercises while group B practiced breathing exercises. Spirometry was used to perform a lung function test before and after the intervention to determine vital capacity.

Result: When comparing the Pretest and Posttest results between Group A and Group B on vital capacity and the FEV1/FVC ratio, it was found that Group A, which engaged in Acapella exercises, improved more than Group B.

Conclusion: This study concludes that compared to diaphragmatic breathing exercises, the Acapella device raised vital capacity in individuals with decreased vital capacity the best. It also improved lung function. Acapella devices can therefore be used as an adjuvant therapy for smokers who have compromised cardiopulmonary functions.

Key Words: Acapella; Pulmonary Function Test; Diaphragmatic Breathing Exercise.

To Analyse the Impact of Wearing Different types of Masks and Evaluating Physiological Vital indicators

G.Vaishnavi*1, U.Elona2, Jayakumar .G3

Authors:

2BPT Graduate, Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Chennai, Tamil Nadu, India

3Assistant Professor, Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Chennai, Tamil Nadu, India

Corresponding Author

*1Assistant Professor,Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Chennai, Tamil Nadu, India

Abstract

Background of the Study: Wearing face mask is recommended as part of personal protective and public health measure to prevent the spread of disease. The analysis framed the four dimensions of the wearing face mask it appears essential for designing more effective health communication about the spread of disease or other global crises in the future. The personal protection using worldwide during this pandemic the impact of covid-19 was felt throughout the world and it’s recommended to use. Aim & Objective of the study is to analyze the impact of wearing different types of masks and evaluating the physiological vital indicators.

Methodology: This observational study was conducted in physiotherapy department of ACS Medical college and hospital. In which 40 subjects were randomly selected were based on the inclusion and exclusion criteria. Subjected selected both boys and girls, age group between 18- 30 years adults wearing mask for prolonged period and check the respiratory rate are included for the study. Included samples were with Age group between 18-30years College students, both boys and girls, person who wearing mask for prolonged period.

Result: Total 40 participants were included in the study base on specific selection criteria. Comparative ANOVA between Group A, B, C and D showed significant difference in Respiratory Rate, and no significant difference in Pulse Rate and Blood Pressure between the Groups A, B, C and D. Mean value of Respiratory Rate, Pulse Rate, Blood Pressure shows Group D is Better.

Conclusion: It is concluded there was a significant difference in group D by using ANOVA. This study confirms the impact of wearing different types of masks gives the effective respiratory rate.

Keywords: Mask; Respiratory Rate; Pulse Rate; Blood Pressure; Covid-19; Pandemic.

Effect of Virtual Reality in Gait Parameters Among Stroke- A Systematic Narrative Review

Amjad Annethattil, Mohammad Farraj, Al-Madzhar Jundam Ahmadul

Authors:

1 Physiotherapy Specialist, Qatar Rehabilitation institute, Doha, Qatar

2 Physiotherapist, Qatar Rehabilitation institute, Doha, Qatar

3 Director of physiotherapy, Qatar Rehabilitation institute, Doha, Qatar

Corresponding Author: 1*Amjad Annethattil, Email: aannethattil@hamad.qa

Abstract

Background of the study:  Improving the lower limb (LL) motor recovery after stroke is a major task in order to improve the functional ability of the patient. We aim to complete a narrative review to determine the efficacy of virtual reality in Lower limb therapy approaches among post stroke.

Methodology: A literature search was carried out. Overall, 14 Articles with 852 participants were included in the study. The patient who has had a stroke and received intervention virtual reality during practice of the treatment session: 14 studies were included in the review. Data Sources were searched from MEDLIWE, CINAHL and Cochrane library, Physiotherapy Evidence Database (PEDro) from 2000 till 2021.

Result: The stroke patient who received VR interventions has showed improvement in their functional abilities. Various outcome measures were included in the studied Kinematic and kinetic gait parameters, 10 MWT, Functional walking ability, FUGL Meyer assessment(FMA-UE),Action reach arm test (ARAT), Wolf motor function test (WMFT), Box block test (BBT), Functional ambulation classification (FACO), Berg balance scale (BBS), Time up and go (TUG), Mini mental state examination (MMSE), Utrecht scale for evaluation of rehabilitation – participation (USER-P), Stroke specific quality of life(SS-QOL), Fatigue severity scale (FFS).

Conclusion: This systematic narrative review reveals that VR intervention is effective to improve lower limb motor function, gait and balance functions of stroke patients. Virtual reality may allow therapists to deliver more repetitive training with more regular performance feedback and improving motor learning rate.

Key words: Stroke; Balance; Virtual reality; Gait; Rehabilitation

The Effectiveness of Pilates Exercise Vs Floor Exercise on Trunk Muscle Endurance Among Cricketers

Jibi Paul, V. Soundarya, Annie Thomas

Authors:

2BPT Graduate, Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Deemed to be University, Chennai, Tamil Nadu, India

3Director Physio care and Research Coordinator, School of Health Sciences, Garden City University, Bangalore, Karnataka, India

Corresponding Author:

1*Professor, Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Deemed to be University, Chennai, Tamil Nadu, India

Abstract

Background of the Study: Cricket is the most popular and most common sport played by men and women in India. Since cricketer’s body demand is often high as players require to bat, bowl, and field at various time throughout the game core endurance plays a vital role. The main objective was to analyze the effectiveness of Pilates exercise vs floor exercise on trunk muscle endurance among cricketers.

Methodology:  30 male cricket players were recruited from Faculty of physiotherapy Dr. M.G.R Educational and Research Institute with the age group of 18-25 years. Cricket players were included after specific selection criteria for the study. Trunk muscle endurance exercises were given to the participants for 8 weeks. McGill’s torso endurance battery test used to measure the trunk muscle endurance before and after the training. The trunk exercise training was given to all cricketers. Both group A and B were independently prescribed exercise performed for alternate days in a week for 30 minutes per day and this would have been followed for 8 weeks. Paired t-test analyses were used to find the significant difference between pre and posttest measurement.

Result: After the analysis, the results revealed significant improvement of trunk muscle endurance in both the groups (P value >0.0001). The Pilates group showed significant results when compared with the floor exercise group.

Conclusion:  The study showed beneficial results in both the groups, the result reflected that the Pilates exercise group had better improvement than the floor exercise group on trunk muscle endurance among cricketers.  

Keyword:  Cricketers; Floor exercises; Pilates exercises; Trunk muscle endurance

A Comparative Study to Find the Effectiveness of Swiss Ball and Thera Band Exercise on Abdominal Girth and Quality of Life of Obese Children

K. Kamatchi, S. Balaji, Binita Maria James, Ritheeka.V, Asmath Fathima K.A

Authors:

2Physiotherapist, Balaji physiotherapy clinic and rehabilitation center, Avadi, Chennai, Tamil Nadu, India

3,4,5BPT Intern, Faculty of physiotherapy, Dr. MGR Educational and Research Institute, Deemed to be University, Chennai, Tamil Nadu, India

Corresponding Author: 1Assistant professor, Faculty of physiotherapy, Dr. MGR Educational and Research Institute, Deemed to be University, Chennai, Tamil Nadu, India

Abstract

Background of study: Obesity refers to a condition of having excessive amount of body fat. The WHO has described obesity as one of today’s most neglected public health problem, affecting every region of the country. The intra-abdominal fat carries a greater health risk than that stored elsewhere in the body. The study was attempted to compare the effectiveness of Swiss ball and Thera band exercise on abdominal girth and quality of life of obesity children. The objective of the study is to find the effectiveness of Swiss ball and Thera band exercise on abdominal girth and quality of life of obesity children.

Methodology: This study is an experimental type design, comparative pre-post type. 30 children with obesity were selected and randomly divided into two groups. Children aged 8-12 and whose BMI values were 30-34.9 kg/m², children who had not continued a diet program for 3 months were included in the study. The children with any psychological conditions, or any other weight reduction plan, who cannot do exercise, above 12 and below 8 aged children were excluded in the study. The waist circumference, waist hip ratio and the pediatric   quality of life inventory (Peds QL) was used as outcome measures. The study duration was up to 12 weeks.

Result: Group A Swiss ball exercises showed marked improved than the Group B TheraBand exercises.

Conclusion. The result of this study showed an improvement in reduction of abdominal girth of obese children.

Keyword: Obese child; Waist circumference; Hip -waist ratio; The pediatric quality of life inventory

Effect of Plank Exercise and Dead Bug Exercise Among Patients with Low Back Pain

Jibi Paul, Mariselvam. T, Sathya P, Annie Thomas

Authors:

2BPT Graduate, Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India

3Principal cum Professor, College of Physiotherapy, Dayananda Sagar University, Bangalore, Karnataka, India

4Director Physio care and Research Coordinator, School of Health Sciences, Garden City University, Bangalore, Karnataka, India

Corresponding Author:

1Professor,PhD-Program Convenor, Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India, Mail Id: physiojibi@gmail.com

Abstract

Background of the Study:  Lower back   pain is menace of today’s worlds influencing about 80 % of the   population is affected from   low back pain at least once or   twice in their    life span. Dead bug exercise is effective exercise   for promoting   stabilization of   trunk    and   pelvis.  The    study   to   compare   the    effect   of   plank exercise   and   Dead bug   exercise   to reduce    the   low   back    pain.  Aim of the study is to find the Comparative the effect of plank exercise versus dead bug exercise among patients with low back pain.

Methodology:  This is   an experimental comparative type study with 30 subjects conducted at ACS Medical College and Hospital, Chennai for five weeks. The subjects selected for the study got consent   for   participation, the   subjects   were selected based on inclusion and exclusion    criteria, they were assigned into 2 groups, 15   in   each   group   for a duration   of 3   days   per week for 5week, age group between 18-30 years with low back pain more than 2 weeks were included in study.  Group A with plank exercise and group B with   Dead bug   exercise. Pain and function were measured by visual   analogue   scale and   Oswestry disability index. 

Result: On comparing pre-test and Post-test within Group A & Group B on Visual analogue scale   and ODI scale score shows highly significant difference in Mean values at P ≤ 0.001. Group A shows higher effect than the group B.

Conclusion: In our study we found that plank exercise had a significant difference in decreasing a low back pain concluded that plank exercise improves body alignment, flexibility, metabolism, build core strength, balance and coordination

Keywords: Plank exercise; Dead bug exercise; Low back Pain; Core stability

Prevalence of Low Back Ache and Plantar Heel Pain Among College Students: A Cross- Sectional Study

Judy Ann Jays1, Jomi John 2, Kadija Fursana N3, Megha J4,Kashmeera V Pramod5
Authors:
2Assist.Professor, Department of Physiotherapy, CPAS School of Medical Education, Gandhinagar, Kottayam, Kerala, India
3,4BPT Intern, Department of Physiotherapy, CPAS School of Medical Education, Gandhinagar, Kerala, Kottayam, Kerala, India
5Assistant Professor, department of physiotherapy, CPAS School of Medical Education, Angamaly, Kerala, India
Corresponding Author:
1BPT Intern, Department of Physiotherapy, CPAS School of Medical Education, Gandhinagar, Kerala, Kottayam, Kerala, India, Mail id:  praise1806@gmail.com

Abstract

Background of the study: Low back pain (LBP) is one of the common global health problems and the major cause of disability affecting performance at work and general wellbeing. Hamstring stiffness could be a possible contributory factor of low back pain. There is increased risk of plantar heel pain when the hamstring is tight. The purpose of the study is to find out whether the young adults have any prevalence of low back pain and plantar heel pain due to hamstring tightness.

Methods: 105 subjects of age group 18–25 year those satisfying the inclusion criteria were recruited for study. After screening the subjects, a written consent form was obtained from each of the subject. The students are sorted on the basis of hamstring tightness using Active knee extension test and the data was collected using valid questionnaire. Low back pain was assessed using Oswestry low back pain disability questionnaire and Foot Ankle Ability Measure (FAAM) to measure physical function of foot and ankle. Numeric pain rating scale is used to measure the severity of plantar heel pain.

Result: The result of the study shows that, individual with hamstring tightness and plantar heel pain had a greater prevalence of low back pain and there is no significant association between hamstring tightness and plantar heel pain.

Conclusion: The study concluded that hamstring tightness is observed in most of the college students. The present investigation revealed that half of the subjects experience low back pain due to hamstring tightness. Individual with low back pain have an increased incidence of plantar heel pain. The study resulted that there is no relation between hamstring tightness and plantar heel pain in student population.

Key Words: Cross-sectional study; Hamstring tightness; Low Back Ache; Plantar Heel Pain

Effectiveness of Muscle Energy Technique on Rectus Femoris Muscle to Reduce Pain and Functional Disability in Patients with Low Back Pain

Kashmeera V Pramod1, Jince Auguestine2, Deepu C.B3
Authors:
2Professor, Department of Physiotherapy, CPAS School of Medical Education, Gandhinagar, Kottayam, Kerala, India
3Assistant Professor, Department of Physiotherapy, CPAS School of Medical Education, Angamaly, Kerala, India  
Corresponding Author:
1Assistant Professor, department of physiotherapy, CPAS School of Medical Education, Angamaly, Kerala, India, Mail id: kashmeerapramod12@gmail.com

Abstract

Background and objectives: Low back pain is a highly disabling medical condition characterized by pain and discomfort localized to area between the costal margin and inferior gluteal folds, with or without leg pain. The present study aims to investigate the effectiveness of muscle energy technique on rectus femoris muscle to reduce pain and functional disability in patients with low back pain.

Methods: 30 subjects those fulfilling the inclusion criteria were recruited for the study. Subjects were then allocated to two groups- Group A (Control group) and Group B (Experimental group). Subjects in group A received William’s Flexion exercises and subjects in group B received experimental treatment of muscle energy technique on rectus femoris and William’s flexion exercises. Pain and functional disability were measured using Numeric Pain Rating Scale and Oswestry Disability Index before and after the intervention period respectively.

Results: the post test scores of NPRS and ODI of control and experimental group were analysed using two sample t test and paired t test. The data analysed showed statistically significant difference in the post test scores of NPRS and ODI of experimental group over control group at 5% significance level.

Conclusion: The study concluded that muscle energy technique on rectus femoris is effective in reducing pain and functional disability in patients with low back pain.

Keywords: Low Back Pain; Rectus Femoris; Williams Flexion Exercise; Muscle Energy Technique; Oswestry Disability Index

Evaluation of Performance Based Impairment of Stroke Patients

  G. Velmurugan1, S. Viswanathan2, J. Andrews Milton3, U. Niyamathulla4  

Authors:
2Lecturer in Physiotherapy, Division of Physical Medicine and Rehabilitation, Raja Muthiah Medical College and Hospital, Annamalai University, Tamil Nadu, India
3Professor and Principal, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala, India
4Assoc.Professor, School of Allied Health Sciences, Karaikal, Tamil Nadu, India  
Corresponding Author:
1PhD Scholar, Annamalai University, Chidambaram, Tamil Nadu and Professor, Shanmuga College of Physiotherapy, Karaikal, Tamil Nadu, India, Email id: physiovelkavin66@gmail.com

Abstract

Background: Stroke is the leading cause of physical dysfunction. It is imperative to identify the current level of physical activities of stroke patients to plan for effective rehabilitation strategies. Aim of the study was to evaluate the severity of performance impairment of stroke patients using Fugl-Meyer Assessment and Total motor score.

Methods: Thirty-seven stroke patients were selected. The performance impairment was evaluated by FMA motor score. Both upper limb (UL) and lower limb (LL) motor function was evaluated. The maximum UL score was 66 and LL score was 34. The relationship of age and duration of condition with FMA motor score was studied by Pearson’s correlation coefficients. The difference in the gender and type of stroke with the FMA motor score was analysed by Mann-Whitney ‘U’ test.

Result: The mean FMA total score was 43.81 ± 7.12. The relationship between age and total motor score was not significant with, r = 0.004, p = 0.980. There was no significant relationship between duration of the condition and motor recovery, r = 0.46, p = 0.304 > 0.05. The difference in the gender (z = 0.55, p = 0.579) and type of stroke (z = 0.06, p = 0.956) was not significant with the total motor score.

Conclusion: It is concluded that stroke patients have severe performance impairment evaluated by FMA and Total motor score. Motor recovery was not dependent on the age and gender of patients.

Keywords: Stroke; Fugl-Meyer Assessment; Upper limb; Lower limb

Effect of Taping and Foot exercise on Great Toe Angle and Foot Function in subjects with Hallux Valgus

M. Manoj Abraham1,V. Pradhap Sankar2, R. Arputha Roja3, R. Nivethitha4

Authors:

1Principal, K G College of Physiotherapy, Coimbatore, Tamil Nadu, India

3BPT Intern, K G College of Physiotherapy, Coimbatore, Tamil Nadu, India

4PG Student, K G College of Physiotherapy, Coimbatore, Tamil Nadu, India

Corresponding Author:

2AssistantProfessor, K G College of Physiotherapy, Coimbatore, Tamil Nadu, India,

Email id: pradhapsankar3@gmail.com

Abstract

Background: Hallux valgus (HV) is a progressive foot deformity manifested with the medial orientation of the first metatarsal bone, lateral deviation of greater toe. The prevalence of hallux valgus is 23%, both male and female are affected. The function of Hallux is to resist the overpronation of foot during the normal foot mechanics. Hallux serves as a fulcrum for forward propulsion. Cause of hallux valgus is multifactorial. Various treatment methods available such as foot exercise, manual therapy techniques, kinesiology taping techniques. In this study subjects provided with Taping techniques and Foot exercise. Objective of the study was to determine the effect of Tapping and Foot exercise on great toe angle and foot function in subjects with Hallux valgus.

Methods: A total of 20 Subjects with Hallux Valgus of both genders, in the age group of 18-65 years were conveniently assigned into 2 groups. Group A (n = 10) received Taping and Foot exercise and Group B (n = 10) received Foot exercise alone, 3 sessions a week for 8 weeks. Foot function were evaluated with Foot function index and Finger Goniometer.

Results: The difference in the post-test mean scores of group A and group B in Foot Function Index was 18.75 and 15.71 and Goniometer was 17.17 and 13.416 respectively. The result showed a significant improvement in Group A than in Group B at p < 0.0001.

Conclusion: The study concludes that the Taping along with foot exercise is better management to improve the Foot Function in subjects with Hallux Valgus.  

Keywords: Foot Exercise; Foot Function Index; Foot Taping; Goniometer; Hallux valgus