Category: Publications

A study to analyze the effects of global postural re-education method on pulmonary function and thoracic expansion in individuals with moderate chronic obstructive pulmonary disease

ISHWARYA VARDHINI C1, DENNIS ROBINSON2, JIBI PAUL3

Corresponding Author:
1Asst.Professor, Faculty of Physiotherapy,  Dr. MGR Educational and Research Institute, Dr.MGR. Deemed to be University, Chennai, Tamilnadu, India. Mail id:  ishphysio@gmail.com

Authors:
2Professor, Department of Physiotherapy, KG College of Physiotherpy, Coimbatore, Tamilnadu, India.
3Professor, Faculty of Physiotherapy, Dr.MGR. Deemed to be University, Chennai, Tamilnadu, India.

ABSTRACT

Background of the study: Chronic obstructive pulmonary disease (COPD) is the 5th cause of mortality and morbidity in the world and represents an economic and social burden.  Chronic obstructive pulmonary disease is a chronic pulmonary disorder affecting 10%-15% individuals over age of 45 years. Objective of the study is to compare the effect of conventional pulmonary rehabilitation and Global Postural Re-education method on pulmonary function and thoracic expansion in patients with moderate chronic obstructive pulmonary disease.
Methodology: Thiswas an experimental Study of two groups’ with pre-post comparative study design.The study was conducted for a period of six months in the department of Pulmonology, K.G.Hospital and postgraduate research and medical institute, Coimbatore. All adult patients attending the Pulmonology department of the hospital were assessed and selected for the study. A total of 20 patients with moderate chronic obstructive pulmonary disease were selected by random sampling method and were divided into 2 groups A and B. Pulmonary function test (FEV1/FVC) and Thoracic expansion at Axillary and Xiphoid level was measured and recorded. Unpaired ‘t’test used to find the difference between two groups.
Result:  Tvalue for FEV1/FVC was 7.313, thoracic expansion was 11.90 and 16.39 at Axillary & Xiphoid respectively between two groups with ‘P’ value <0.05. The study showed that there is a significant difference in improvement of FEV1/FVC ratio and thoracic expansion in Group-B, who underwent Global postural re-education method.
Conclusion: Global postural re-education method is better intervention in the improvement of pulmonary function, thoracic expansion in patients with moderate chronic obstructive pulmonary disease.

Keywords: Chronic Obstructive Pulmonary Disease, Global Postural Re-education (GPR), Pulmonary function, Thoracic expansion.  

International Journal of Medical and Exercise Science (IJMAES) Issues on March, June, September and December months of every year

An Analysis on the effect of Buteyko Breathing and relaxed postures over the chest exapnsion of asthmatic collegiate population- An experimental study

S. GLADIES KAMALAM1 , G. SRIVIDYA2 , J. ANDREWS MILTON3

Corresponding Author:

1 Associate Professor, Bethany Navajeevan College of Physiotherapy, Kerala, India. Mail id: mail2drsgk@gmail.com

Co Authors:

2 Research Guide, Department of PMR, Annamalai University, Tamilnadu, India. 3 Research Co- Guide, Bethany Navajeevan College of Physiotherapy, Kerala, India.

ABSTRACT

Background: Over ages; bronchial asthma and its adverse physiological, psychological impacts upon varied group of age, people, and health remains a searchable quest in its depth. Behaviour modification as an emerging outlook of Physical therapy helps to exhibit positive changes in this broad spectrum of asthma. This study aimed to identify the possible potential factors to improve chest expansion by analysing the effect of buteyko breathing and relaxed postures.

Methods: Experimental study design; 20 patients of the age group 17-19 years were selected using simple random sampling method. Group A; consisting 10 patients were advocated buteyko relaxation training. Group B; consisting of 10 patients were advocated relaxed postures along with the conventional asthma management. Stop watch, nose clip, inch tape, pediatric asthma quality of life questionnaire [PAQLQ] were used as the operational tools. Paired and Unpaired “t” testing was used to analyze the pre- test and the post- test values after a period of 6 months.

Results: Analysis of the peak expiratory flow rate and the quality of life over Group “A” and Group “B” at 0.05% level of significance showed positive results for Group “A” when compared with the ‘t’ value.

Conclusion: The findings support the multidimensional positive effects of behavior modification over the physiological and psychological parameters that lead to the onset of bronchial asthma.

Keywords: Bronchial asthma, behavior modification, buteyko breathing, relaxed postures, peadiatric asthma quality of life questionnaire

An analytical study of Vo2 Max, resting heart rate, waist hip ratio and flexibility changes on combined effects of dynamic core stability exercises and stretching in middle aged overweight men population in Chennai

RADHAKRISHNAN. R1 , VENKATESAN. R 2 , KIRAN.V3 , SENTHIL. P4 , SHARMILA. K5

Corresponding Author: 1 Research scholar, Tamilnadu Physical Education and Sports University, Chennai, Tamilnadu, India. Mail id: rraaddss@yahoo.com

Co-Authors: 2 Asst. Professor, Tamilnadu Physical Education and Sports University, Chennai, Tamilnadu, India.

3 Research scholar, Tamilnadu Physical Education and Sports University, Chennai, Tamilnadu, India.

4 Professor, School of Physiotherapy, VISTAS, Chennai, Tamilnadu, India. 5 Physiotherapist, Tagore Medical College and Hospital, Chennai, Tamilnadu, India.

ABSTRACT

Purpose: To investigate the changes that occurs in the cardiovascular system and to measure the anthropometric changes on administering combined dynamic core stability exercises and flexibility exercises in middle aged overweight men population in Chennai.

Methodology: Overweight middle aged male subjects (n = 15) who were desk bourne working for long hours in their office and had not been into regular exercising and lack flexibility were selected based on the BMI who scored more than 25. All were treated with dynamic core stability exercises, stretching exercises of hamstring muscles and
treadmill training without elevation for four weeks. Outcomes was measured for Vo2 max, resting heart rate, sit and reach test values, and waist to hip ratio (WHR). At the end of four weeks of training again post test measurement was made and the results were compared using ttest.

Results: The pretest and postest mean difference of sit and reach test for flexibility is 4.6, resting heart rate is 3.73, while Vo2 max had moderate difference of 1.77 and a very minimal difference of 0.03 in waist to hip ratio. It was
found that the results of flexibility, resting heart rate were more statistically significant with (p<0.001)
whereas Vo2 max and waist to hip ratio were marginally significant.

Conclusion: It is concluded that Dynamic core stability exercises, treadmill exercises and stretching was found to be useful in improving the muscle strength and flexibility. The training was effective in controlling the resting heart rate, however the anthropometric values of WHR and Vo2 max needs to be focused for better improvement.

Keywords: BMI, VO2 max, Resting Heart Rate, Flexibility, Dynamic Core Stability Exercises

Impact of exercising with Acapella on peak expiratory flow rate of chronic asthmatics

S.SATHYA 1 , K.ANISH FATHIMA 2 , JIBI PAUL3

Authors:

1,3Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai,India

Corresponding Author:

2 Intern Physiotherapy Student, DR MGR Educational and Research Institute, Velappanchavadi, Chennai,India

Background Of The Study: Asthma is the clinical syndrome characterized by wheeze. It occurs in younger age group and is caused by trigger factors such as specific allergens (Pollen grain, Dust, Drug). Acapella combines the benefits of both Positive Expiratory Therapy and airway vibrations to mobilize pulmonary secretions and can be used in virtually any position allowing patients to move freely and sit, stand or recline. Objective of the study was to analyse the impact of exercising with Acapella on the PEFR of Chronic Asthmatics.

Methodology: This was an experimental study conducted among 50 subjects of adoloscent age with chronic asthmatics. They were given exercise with Acapella for a frequency of 10 minutes, single session in a day, for 2 weeks duration. The study was conducted in department of Physiotherapy, ACS MedicalCollege and Hospital. Only chronic asthmatics had been selected in this study. The PEFR was used as a outcome measure for this study. The outcome was measured through PEFR values.

Result:The results were analysed for 50 subjects at the end of the study. The improvement was highly significant in chronic asthmatics who exercised with Acapella.

Conclusion: It was concluded from this experimental study the Acapella had more effect on chronic asthmatics and hence prevent premature collapse of alveoli. As it combines the benefits of positive expiratory pressure or PEP therapy with airway vibrations, which makes exhalation against resistance.

Keywords: Peek Expiratory Flow Rate, Chronic Asthmatics, ACAPELLA, trigger factors

A study to find out the effectiveness of dynamic core stability exercises and stretching in improving flexibility among middle aged overweight men

RADHAKRISHNAN. R1 , VENKATESAN. R2 , SENTHIL. P3 , KIRAN.V4

Authors:

2 Asst. Professor, Tamilnadu Physical Education and Sports University, Chennai, Tamilnadu, India. 3 Research scholar, Tamilnadu Physical Education and Sports University,Chennai, Tamilnadu, India. 4 Associate Professor, School of Physiotherapy, Vels Institute of Science & Technology, Chennai, Tamilnadu, India.

Corresponding Author:

1Research scholar, Tamilnadu Physical Education and Sports University , Chennai, Tamilnadu, India, Mail id: rraaddss@yahoo.com

ABSTRACT

Purpose: The purpose of this study was to find out the effectiveness of Dynamic Core Stability Exercises and stretching in improving the flexibility of overweight persons who lack flexibility.

Methods: Fifteen   (N=15) overweight middle aged male subjects who had not been into regular exercising and lack flexibility were selected based on the BMI who scored more than 25.  All were basically screened out for their lifestyle and work related factors.  All the samples were put into flexibility test by using modified sit and reach test.  All had received dynamic core stability exercises and stretching of hamstring muscles and the outcome measure was measured using manual muscle testing and modified sit and reach test.

Results: The outcome measures of muscle power assessed using manual muscle testing (MMT) method 0-5 grading scale system.  The mean value of Pre test MMT score is 3.7 and that of the post test mean value is 4.4 which shows a significant improvement (P<0.0001).The flexibility was measured using modified sit and reach test and its mean pre test value is 9.3 and that of the post test value is 12.3 which shows a highly significant improvement in the flexibility (P<0.0001).

Conclusion: This study showed that person who was identified as overweight based on BMI, were found to be lacking of their body flexibility mainly of back muscles and hamstring muscles.  It is concluded that Dynamic core stability exercises and stretching was found to be useful in improving the muscle strength and flexibility.

Keywords: Overweight, BMI, Lack of Flexibility, Dynamic Core Stability Exercises, Stretching, Modified Sit and Reach Test

The relationship between smart phone addiction and upper body discomfort among youth

IZHAM ZAIN1*, THAM SZE KEI1

Author

1 Physiotherapy Department, School of Health Sciences, KPJ Healthcare University College, 71800 Nilai, Negeri Sembilan, Malaysia.

Corresponding Author:

1* Physiotherapy Department, School of Health Sciences, KPJ Healthcare University College, 71800 Nilai, Negeri Sembilan, Malaysia.Email: izham@kpjuc.edu.my

ABSTRACT

Background and objectives: Smartphone is ubiquitous in this digital era and the remarkably evolved of technologies is an evident of heavy usage of such gadget in daily life. Recent evidence indicate that there is significant association between upper arm discomfort and smart phone user. However, there is limited finding on the smart phone addiction on upper body discomfort. Therefore, this study aimed to investigate level of smartphone addiction among Kuala Lumpur young adults.

Methods: This is a cross sectional analytical type of study. Self-administer questionnaire is used to determine the level of smartphone addiction level and body discomfort.

Results: A total of 290 subjects (80.7% females and 19.3% males) are involve in this study. Majority of respondents (69.7%) suffer mild smartphone addiction and there is significant association with neck and shoulder discomfort (p<0.05). Respondent’s belief that the discomfort experience were due to prolonged smartphone usage (74.1%).   Furthermore, 84.5% of respondents noted that discomfort experienced was relieved when not using smartphone. There is significant differences between between time spent on smartphone with age categories, gender, occupation and smartphone addiction level (p<0.05).

Conclusion: Time spent on smartphone is consistent to smartphone addiction level. A higher level of smartphone addiction will increase the risk in developing upper body discomfort.

Keywords: Smartphone Addiction, upper body, Young Adults.

Changes in eating habits among youth: A study on college students in Chennai City

LEENA VS1*, LAZAR.S2, JIBI PAUL1

Author

1Professor, Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai

2 Coordinator, Department of medical sociology Loyola College, Nungambakkam, Chennai

Corresponding Author:

1* Assistant Professor, Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai Email: v.s.leena.seba@gmail.com

ABSTRACT

Back ground of the study: As the adolescence grows the food habits also changes accordingly. Eating healthy food promotes good healthy development among the young citizen called youth.  Physical, mental, emotional and social behaviors also get altered due to the junk food habit. This study was aimed to examine the extent which the youth seek junk food, reasons for this craving among youth, impact of junk food eating habit and to study the efforts made to respond the problem of obesity.

Methodology:  Exploratory research design with the aims to establish the most basic criteria of the research topic, often before the actual study was started. Convenient sampling method was used for different group of samples. Seventy (70) subjects were participated in the study. Samples selected from college students of 2 different cities in Chennai; Nungambakkam and Avadi. Validated questionnaire were used to find the outcome of the study.

Result: Many responded that the junk food is a solid food it is clearly found with the ratio (65.71%), many finding were observed that the junk food culture and that changes in eating pattern.

Conclusion: The complex and evolving nature of youth attitudes towards obesity prevention efforts and their understanding of the causes and consequences of obesity.

Keywords: Junk food habit, good health, social behaviors, obesity

Efficacy of watermelon procedure on an “alpha” setting in avazzia pro-sporttm device to have a calming effect on the autistic children – A pilot study

PURNIMA SINGH

Corresponding Author: Purnima Singh, Former Head of the Department, Department of Physiotherapy,VIMS & RC Bangalore-66. Email id: purnimasingh29@gmail.com

ABSTRACT

Objectives: Given the severe and chronic problems associated with Autism Spectrum Disorders (ASD) and the limitations of available treatments for hyperactivity, impulsivity and inattention, there exists a large public health need for additional interventions. In Avazzia BESTTM (Bio-Electric Stimulation Technology) device, one of the modes has “alpha waves” frequency (7-12 Hz). The beginning of relaxation occurs during this wave length.

Materials and methods: In the study, 4 special school children age 5-12 years with autism were selected. They were given watermelon procedure on an “Alpha” setting (in Pro- SportTM) once daily for a period of 6 weeks. Hyperactivity/impulsivity subscale of the Conner’s’ Parent/Teachers Ratings Scale and ATEC were used prior to beginning of treatment and at the end of six- week period.

Results: After 6 weeks of treatment, the children showed no statistically significant improvements in target symptoms, but mild improvement was noted in their ATEC scores. Parents and teachers both reported mild improvements in restlessness and impulsivity, emotional liability, and hyperactivity.

Conclusion: The children with autism have many problems, so parents and teachers feel that any small improvement is worth it. With a small improvement, they are more manageable in the classroom, and able to benefit from other psychosocial and educational interventions.

Keywords: Autism, Alpha Waves, Pro-SportTM, Hyperactivity

Effects of plyometric training and conventional training on agility performance in tennis players

V.P.LAKSHMIKANTH1 , JIBI PAUL2 , BERNARD EBENEZER2 , RAMANATHAN2

Authors:

2 Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamilnadu, India.

Corresponding Author:

1 Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamilnadu, India. Mail id: laksh.anee@gmail.com

ABSTRACT

Introduction: Recreational collegiate and professional level tennis players are at risk of musculo skeletal injuries. Plyometric training enhances balance and body control during movement, which promotes improvement in agility. Aim of this study is to find out the effectiveness of plyometric training on improving agility in tennis player.

Methodology: This study conducted at Madha medical college and hospital, Chennai.Total 30 subjects were selected from population of tennis players by convenience sampling procedure. The samples were divided into two groups with plyometric training cum conventional training and conventional training program alone. The subjects include both genders with age group of 18 to 22 years based on the selection criteria. The training program consists 6 weeks of plyometric training and conventional training. Illinois agility test score and Tennis specific agility test score were used to evaluate the outcome measures.

Result: Dependent t test was used to analyze the difference in effect within the group. Pre and post test scores for plyometric training with conventional training and conventional training alone found significance difference in improvement  in agility  with  p< 0.0001.The mean difference value of plyometric training with conventional training program is 2.5, which is more than the mean difference value of conventional training program 1.58.

Conclusion: The study concluded that plyometric training and conventional training are effective to improve agility, yet plyometric training is more effective to improve agility among tennis players.

Keywords: Tennis players, plyometric training, agilty, Illinois agility test and Tennis specific agility test.