Category: Publications

Hazliza Razali¹, Naresh Bhaskar Raj ²*, Wan-Arfah N³, Zakaria Yusoff⁴

Authors:

¹PhD Scholar,Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia.

³Senior Lecturer, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia.

⁴Orthopedic Surgeon, Department of Orthopaedic, Hospital Raja Perempuan Zainab, 15100 Kota Bharu, Kelantan, Malaysia.

Corresponding author:

^2*Senior Lecturer, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia. E-mail address: bnaresh@unisza.edu.my

ABSTRACT

Introduction: Carpal tunnel syndrome is the most common musculoskeletal disorder  resulting from ischemic response to the median nerve in the carpal tunnel. The thumb, index finger and middle finger are particularly affected by the compression of the median nerve through the carpal tunnel at the wrist.

Methodology: There are several methods for diagnosing CTS, including history taking, physical examinations, diagnostic questionnaires, electrodiagnostic testing, and ultrasound. Provocative tests can be a part of the CTS diagnostic tools and are crucial components of the physical examination.

Result: Physiotherapy intervention is widely applied as a conservative treatment and a non-invasive method in clinical settings.

Conclusion: For patients with mild to moderate CTS symptoms, conservative treatment is beneficial and recommended by numerous studies.  

Keywords: Carpal Tunnel Syndrome, Shock Wave Therapy, Physiotherapy intervention, symptom and hand function, Idiopathic

Jibi Paul¹, D. Chengi Kousalya²

Author:

¹Professor, Faculty of Physiotherapy, DR. MGR. Educational and Research Institute, Deemed to be University, A.C.S. Medical College and Hospital Campus, Chennai, India

Corresponding Author:

²MPT  Graduate, Faculty of Physiotherapy, DR. MGR. Educational and Research Institute, Deemed to be University, A.C.S. Medical College and Hospital Campus, Chennai, India Mail Id: chengikousalya@gmail.com

ABSTRACT

Background of the study: Migraine is serious health problem in 15% of general population. The patients with migraine exhibited active Trigger Points in their neck extensor muscles. Dry needling is a treatment using a thin filament sterile needle to puncture skin and create tiny lesions in a muscle, tendon, to help restore normal physiology function, and reduce pain. Needling has applications for myofascial pain, chronic pain, headache, migraine. Cervical Manipulation Technique has been used to reduce pain and improve range of motion and used  in the treatment of patients with head and neck disorders, including neck pain and stiffness, muscle-tension headache, and migraine.The aim of this study is to compare the effectiveness of dry needling technique versus cervical manipulation technique on patients with migraine.

Methodology: 30 patients were randomly divided into two groups; fifteen patients in the experimental group-A received cervical manipulation technique (3 times/week) and fifteen patients in the experimental group-B received Dry needling technique. The VAS and NDI were used as outcome measures.

Result: Comparing between Group A and Group B showed significant difference in effectiveness on pain and Neck disability with P value >0.0001 among patients with migraine. Group B with Dry needling technique found more effective than Group A with cervical manipulation technique with mean difference of (2.867) and (11.40) over (2.267) and (10.47) respectively.

Conclusion: Dry needling technique group is more effective over cervical manipulation technique on enhancing on pain and neck disability. Therefore, this study concludes that Dry needling technique is an effective intervention for migraine patients.   

Key words: Visual analog scale, Neck disability index,cervical manipulation technique,Dry needling technique, Trigger points.

Weeke Budhyanti*¹, Lisnaini²

Author:

²Physiotherapy Program, Faculty of Vocational Studies, Universitas Kristen Indonesia

Corresponding Author

*¹Physiotherapy Program, Faculty of Vocational Studies, Universitas Kristen Indonesia Email id: weekeb@uki.ac.id

ABSTRACT

Background: Child development measured by their body height and weight, to projected to their predicted growth. We may find profile of national children growth, but rarely find the profile of the growth increments. This study conducted to find the nutritional status of children in Kebon Pala, Jakarta.

Methods:  This study is a quantitative descriptive research that used a quantitative approach to measure children body height, body weight, and their increments 3 months after initial assessment. The data compared with WHO growth standard to classify the nutritional status.

Results: 17.14% boy and 12.5% girl were short, 11.42% boys and 17.5% were tall, 17% boys and 23% were underweight, 11% boys and 10% were overweight, 43.75% boys and 85.71% girls wasted their height, 75% girls and 43.75% boys wasted their weight.

Conclusion: Prevalence of under nutrition not significantly higher than over nutrition, and prevalence of wasted happen from failure to gain weight and height.

Keywords: Child; Growth; Development; Body Mass Index

Jibi Paul¹, D. Celin Margrate Sandhya²

Author:

¹Professor, Faculty of Physiotherapy, DR. MGR. Educational and Research Institute, Deemed to be University, A.C.S. Medical College and Hospital Campus, Chennai, India

Corresponding Author:

²MPT  Graduate, Faculty of Physiotherapy, DR. MGR. Educational and Research Institute, Deemed to be University, A.C.S. Medical College and Hospital Campus, Chennai, India  Mail Id: clndesingh@gmail.com

ABSTRACT

Background of the study: Diabetic neuropathy is one of the most common long term complications of diabetes with major impact on patient’s quality of life. The primary objective of the study is to compare the effectiveness progressive resisted exercise, proprioceptive training and Rhythmic exercise to improve quality of life among diabetic neuropathy. The secondary objective of the study is to compare the social resilience of the effectiveness progressive resisted exercise, proprioceptive training and Rhythmic exercise to improve quality of life among diabetic neuropathy.

Methodology: This was an Experimental study carried out in ACS Medical College and Hospital, Chennai. Sixty samples with diabetic neuropathy population were selected by simple random sampling method. Samples were equally allocated into three groups (Group A.B and C) using lottery method. The study duration was about 6 months with intervention duration of 30 minutes per day/ alternative days for a week of 4 weeks. Lower extremity functions, QOL, NPRS were used as outcome measures. Group A received resisted exercises training, group B received proprioceptive exercise training and Group C underwent Rhythmic exercise Dependent t test were used to find out the effects within the groups. ANOVA were used to compare the effectiveness between the groups.

Results:  Comparative study between Groups A, Group B, Group C showed significant difference in effectiveness of Lower extremity functional, Numerical pain rating and Quality of improvement with P value 0.0001 on functions of diabetic neuropathy patients.

Conclusion:  The study concluded that proprioceptive training could improve the lower extremity functions than the progressive resisted and Rhythmic exercise training.                    

Keywords: Balance; Diabetic neuropathy; Rhythmic exercise, LEFS, QOL, and NPRS.

S. M. Divya Mary¹, P.Priyadharshini ²

Author: 2BPT Internee, Faculty of physiotherapy, Dr. MGR. Educational and research institute University, Velappanchavadi, Chennai, Tamilnadu, India Corresponding Author: 1Assistant professor, Faculty of physiotherapy, Dr.MGR Educational and research institute University, Velappanchavadi, Chennai, Tamilnadu, India Email id: divyamary.physio@drmgrdu.ac.in

ABSTRACT

Background of the Study: The objective of the study to determine the effect of resistance exercise versus diet supplements on iron deficiency anemia in girls. Anemia is a decreased hemoglobin level and red blood cells. Iron deficiency anemia is a common nutritional disorder affecting 30% of the adolescent. Nowadays most of the teenage girls are prone to IDA and 10 million cases are reported per year in India. Resistance exercise improves the muscle strength and it also enhances the demand of oxygen level, the underlying mechanism RBCs mainly comes from the bone marrow and it stimulates the erythropoiesis along with hyperplasia in hemopoietic bone marrow. Diets supplements are higher dosage of iron content are essential. The iron rich foods such as dried fruits, whole grains, ragi, spinach, soya beans, and sunflower seeds can be prescribed.

Methodology: The experimental study was conducted in ACS Medical College and hospital, Medical Department.30 Subjects will be selected by convenient sampling method and dividing into two groups randomly. The subjects were treated 3 sessions per week for about 3 months. Girls with age of 16-25 years and hemoglobin level 6-11g/dl was been included systemic illness, congenital anomalies, recent surgeries were excluded. Hemoglobintest were the outcome measure in the study.

Results: On comparing Pre-test and Post-test within Group A & Group B on hemoglobin level shows highly significant difference in Mean values at P ≤ 0.001.

Conclusion: This study concludes that the resistance exercise along with diet supplement had considerable effect in improving the hemoglobin concentration among the subject with IDA. However, the resistance exercise along with diet group was considered to be more effective than the diet supplements alone.

Keywords: Resistance exercise; Diet supplements; Teenage girls; Lack of interest.

Hazliza Razali¹, Naresh Bhaskar RAJ², Wan-Arfah N³, Zakaria Yusoff⁴, Vinodhkumar Ramalingam⁵

Author:

¹PhD student, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia.

Co-Authors:

³Senior Lecturer,Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia.

⁴Orthopedic Surgeon, Department of Orthopaedic, Hospital Raja Perempuan Zainab, 15100 Kota Bharu, Kelantan, Malaysia.

⁵Senior Lecturer, Faculty of health and life sciences, INTI International University, Nilai, Malaysia

Corresponding Author:

²Dr.Naresh Bhaskar Raj, Senior Lecturer, Faculty of Health Science, Universiti Sultan Zainal Abidin (UniSZA), 21300 Terengganu, Malaysia. E-mail address: bnaresh@unisza.edu.my

ABSTRACT

Background of the study: Extracorporeal shock wave therapy (ESWT) has been reported as valuable and beneficial treatment for musculoskeletal disorder. Over the last few years, ESWT became more widely employed in clinical practice, with certain clinical studies confirming significant efficacy. Clinically, ESWT has been utilised to treat a variety of musculoskeletal and peripheral neuropathy disorders, including CTS. ESWT’s low energy was proven effective in mild to moderate CTS. The aim of the study is to analyse the effect of three physiotherapy intervention on symptom and hand functions in patients with carpal tunnel syndrome. Methodology: This study consisted of 52 male and female who had pain in their hands, either bilaterally or unilaterally. They were allotted into of three groups, Group A; received Ultrasound therapy (UST) combined with nerve and tendon gliding exercise,Group B; received Shock wave therapy (ESWT) combined with nerve and tendon gliding exercise and Group C; received only nerve and tendon gliding exercise, two times per week for four weeks. The outcome measure used was Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the symptom severity and functional status scale among the participants. The evaluation was performed at baseline, 2 weeks, 4 weeks and follow-up. Results: Repeated measure ANOVA shows significant improvement (p<0.005) in all comparison based on time. The overall improvement in Group B from baseline to follow-up was a reduction of 48.43% in the symptoms and 55.2% increase in the functions and was significant (p<0.005). Conclusion: This study concludes that the ESWT is an effective modality for idiopathic mild to moderate CTS. The beneficial effect of this non-invasive modality is safe and valuable to be used as one of physiotherapy modality in Malaysia.  Keywords: Carpal Tunnel Syndrome; Shock Wave Therapy; Ultrasound Therapy; Nerve and Tendon Gliding Exercise; Hand function; Idiopathic.