Category: Publications

Combined effect of Bobath technique and motor relearning program (MRP) over its individual effects to improve upper limb functions in stroke patients

AMJAD ANNETHATTIL1 , JIBI PAUL2 , JOSEPH SEBASTIAN3

Authors

1Stroke care Association, Physiotherapy Specialist, Assam down town University, India. E Mail: amjus2001@yahoo.co.in

2 Professor in Physiotherapy at Navodaya College of Physiotherapy, Raichur, India

Corresponding Author:

3 Lecturer in Physiotherapy at Florence College of Physiotherapy, Bangalore, India, E Mail: josephsebastian@gmail.com

ABSTRACT

Background and Objective: Functional recovery and motor control is one of the major causes of concern in stroke patients with performing activities of daily living. Upper limb impairment affects the performance of many activities of daily living. Our major objective of the study is to investigate the effectiveness of the individual and combined effect of Bobath technique and motor relearning program to improve upper limb functional recovery and motor control in stroke patients.

Methods: A random sampling method is used to select patients with Right MCA stroke. Thirty patients were included and randomly divided into three groups by using lottery method, with ten in each group A, B and C. Group A, B and C had underwent MRP, Bobath and combined of these two techniques respectively. The outcomes are measured by the Modified Ashworth Scale(MAS), Stroke Rehabilitation Assessment of Movement(STREAM) and Fugal Meyer scale to find the outcome on spasticity, voluntary control and functional recovery of the upper limb in stroke patients.

Results: Intra group analysis was done by Wilcoxon rank test. In intra group analysis, of Group A showed improvement in voluntary control & spasticity with p<0.005 but no significant improvement found in functional activities. Group B & C showed significant reduction in spasticity, improvement in voluntary control & functional recovery with p<0.005.

Conclusion: The present study concluded that individual effect of motor relearning program is more effective than Bobath technique but the combined effect of these two techniques are more effective than the individual effect in the functional recovery of the upper limb in the right MCA stroke patients.

Keywords: MCA, Stroke, Bobath technique, MRP, FMS, STREAM, MAS

DOI:10.36678/ijmaes.2018.v03i04.003

The association between demographic status and occupational related back pain among shipping port workers

IZHAM ZAIN1 , JIBI PAUL2

Corresponding Author:

1Department of Physiotherapy, School of Health Sciences, KPJ Healthcare University College,Nilai, Negeri Sembilan, Malaysia, Mail id: zainizham@gmail.com

Co-Author:

2Department of Physiotherapy, School of Health Sciences, KPJ Healthcare University College,Nilai, Negeri Sembilan, Malaysia.

ABSTRACT

Back ground and objectives:Work activities in shipping port are known to be a physically demanding task. The risk of getting occupational related back pain among them is relatively high. Currently, there is limited data that can be used to determine the status of occupational related back pain among them in local setting. The aim of study is to evaluate the prevalence of occupational related back pain among shipping port workers.

Methods:This is a cross sectional descriptive type of study. The respondents were shipping port workers receiving physiotherapy treatment for their occupational related back pain at the shipping medical center. A set of questionnaire were distributed to gather their demographic data and back pain pain intensity.

Results:A total of 81 respondent eligible to this study with mean age of is 34.9 (±8.78), maximum pain intensity recorded was 5/10. Majority (n=59) of respondent seeking physiotherapy treatment were engaged with crane maneuver. The activity that increase the incidence of back pain is driving heavy vehicle (n=27) and adopting prolong trunk bending (n=20). There is no statistically significant (p>0.005) association between pain intensity, age,  body mass index (BMI) and waist measurement.

Conclusion:This study didn’t investigate employees knowledge and their working habit at workplace. Such factors cannot be denied and should be investigated to determine its relationship with occupational related back pain. Subsequently, a constructive preventive measures should be tailored accordingly in order to curb occupational related back pain among shipping port workers.

Keywords:Shipping port workers, occupational related back pain, physiotherapy treatment.

DOI:10.36678/ijmaes.2016.v02i04.003