Tag: Physiotherapy

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

Effect of Blood Flow Restriction Training Program on Strength of Lower Limb in Young Football Players

Jibi Paul1*, Sathya. P2, R. Santhosh Kumar3

Authors:

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

2Principal cumProfessor, College of Physiotherapy, Dayananda Sagar University, Bangalore, Karnataka, India

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

Corresponding Author:

*Faculty of Physiotherapy, Dr.MGR. Educational and Research Institute, Chennai, Tamil Nadu, India, Email id: jibipaul74@gmail.com

Abstract

Background of the Study: Football is a sport which involve running activities. The strength of the lower limb determines the efficiency of the football player. There are numeral studies that are done to improve the strength of lower limb. This study has been focussing to evaluate the effectiveness of blood flow restriction training program to improve the strength of lower limb in young football players. The intent of the study is to find out the effects of blood flow restriction training programs to improve the strength of lower limb in young football players.

Methodology: It is an experimental study with 15 football players with age group of 16-21 years were recruited from Dr.M.G.R Educational and Research Institute Velappanchavadi, Chennai. It is a simple random sampling method, collegiate male football players who are not been trained in specific lower limb strengthening program in past 6 months included in this study. Exclusion criteria; Recent fracture of players, Acute inflammation, Hypermobility of joints, any haematological condition.

Results: In this study the strength of the lower limb 1RM (in kg) has increase with mean difference of 17.60 by BFR training with P VALUE > 0.0001. 60m sprint test (in seconds) has reduced with the mean distance of 0.241 by BFR training with P value > 0.0003 both outcomes found effective after BFR training among young football players.

Conclusion: The study concluded that blood flow restriction training program yield the significant improvement in strength and speed of the young football players.

Key Words:   Muscle strength; BFR training; 1RM, 60m sprint test.

Awareness and Perception on Cardiorespiratory Physiotherapy for Covid-19 Patients among the Alumni Physiotherapists from KPJ Healthcare University College, Nilai

Pradeep Balakrishnan1*, Deepa Kalaichelvan2, Vinodhkumar Ramalingam3, Nurshazana Akmal Jamaludin4

Authors:

1,2School of Health Sciences, KPJ University College, Kota Seriemas, Nilai, Negeri Sembilan, Malaysia

3

1,2School of Health Sciences, KPJ University College, Kota Seriemas, Nilai, Negeri Sembilan, Malaysia

3Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, India

4Department of Physiotherapy, University Teknology MARA, Kampus Bertam, Pulau Pinang, Malaysia

Corresponding Author:

*Lecturer, School of Health Sciences, KPJ University College, Kota Seriemas, Nilai, Negeri Sembilan, Malaysia, Mail Id: pradeep@kpjuc.edu.my

Abstract

Introduction: In the respiratory management and physical recovery of Covid-19 cases, physical therapy may be necessary. The spectrum of cardiorespiratory physiotherapy is limited to acute provision without referral to an outpatient physiotherapy clinic for patients with cardiorespiratory problems. In community settings, a limited number of physiotherapists practicing further restricting the scope. The objective of this research is to identify the awareness and perception of cardiorespiratory physiotherapy for Covid-19 patients among the alumni physiotherapists from KPJ Healthcare University College. Method: A cross-sectional online survey study among the alumni physiotherapists from KPJ Healthcare University College. 80 male and female alumni physiotherapists from Diploma Cohort 1 to 10 are selected as they would have at least 5 years and above working experience and is considered competent and reliable scientific evidence for this study. Sampling technique used for this research is convenience sampling better known as a non-probability sampling technique. Sample size is determined by using Slovin’s Formula. Questionnaire related to research topic is distributed via Google Docs. Descriptive statistics is done using SPSS version 26.

Results: This study shows majority had good knowledge, awareness and their perceptions from their own perspectives as a physiotherapist as well as an ordinary man.

Conclusion: Chest physical therapy can help to improve physical health from an acute illness. In conclusion, this study was able to determine the awareness and gauge the perception of cardiorespiratory physiotherapy for Covid-19 patients among physiotherapists.

Key Words  Cardiorespiratory; Covid-19; Physiotherapist; Chest physiotherapy; Slovin’s Formula

Effects of Land Based Exercise Protocol in the Management of Hindlimb OA in White Gaint Rabbit

Nithyanisha R1*, Thiyageeswaran2, Mohammed Yashin B3

Corresponding Author

*1 Assistant Professor, Faculty of Physiotherapy, Dr. MGR Educational and Research Institute, Deemed to Be University, Chennai, India,  Email id: nithyanisha.physio@drmgrdu.ac.in

Co Authors:

2 Vetrenary Physician, M K.Vet Clinic, Villupuram, Tamil Nadu, India

3BPT intern, Faculty of Physiotherapy, Dr M.G.R. Educational and Research Institute, Deemed to Be University, Chennia, India

Abstract

Back ground of the study: Osteoarthritis (OA) is one of the most commonly occurring forms of arthritis in the world today. Hind limb weakness is caused by a disorder such as a break, strain, degenerative damage or other physical process, this can result in temporary or permanent inability to use the back legs. Physical therapy techniques to increase function and mobility of joints from, injury, surgery, degenerative diseases, age related diseases and obesity.

Methods: This is an experimental study conducted at M. K. Vet. Clinic, Villupuram for a duration of 3 sessions per week for about 4 weeks (1 month) for a sample size of 15 subjects. Random sampling method used to allocate the samples in two groups. White Giant Rabbits with Age group between 3-4years and CANCRS (composite pain score of 2-4) were included for this study.  age group   between 4-6 years. White Giant Rabbit-breeds irrespective of gender with duly vaccinated. Rabbits’ intervention included land-based exercises.  Outcome measures of the study was cancrs.

Result: On comparing the mean values of Group A & Group B on Multidimensional Composite Pain Scale score, it shows a significant decrease in the post test mean values in both groups, but Group A shows mean difference of 5.90 which has the more effective than Group B with mean difference of 3.90 at P ≤ 0.05.

Conclusion: The study concluded that land-based exercise protocol is more effective on management of hind limb OA in White Giant Rabbits.

Key Words CANCRS (Composite pain scale for Assessing and quantifying Pain in Rabbit’s); White Giant Rabbit; Hindlimb Osteoarthritis; Land-Based Exercises

To Study the Impact of Socioeconomic Status on Bone Mineral Density Among South Indian Women

Gladia R1, T. Ashrin2*, Jibi Paul3

Authors:

1,3Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India

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

Corresponding Author:

*BPT Graduate,Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, Chennai, Tamil Nadu, India, Email id: ashrinthurab@gmail.com

Abstract

Background of the study: Osteoporosis is a worldwide disease characterized by reduction of bone mass and alteration of bone architecture resulting in increased bone fragility and increased fracture risk. It mainly affects premenopausal and postmenopausal women. In Indian women prevalence of osteoporosis mainly because of low calcium intake, vitamin D deficiency, sex in equality, early menopause, genetic predisposition, lack of diagnostic facilities and poor knowledge on bone health. The aim of the study is to find out the impact of socioeconomic status on bone mineral density in south Indian women.

Methodology: It is an observational study and non-experimental type. 100 subjects taken for this study. The age group between 35-60 years and women only selected for this study. The study duration is 2 months. The material used are paper and pen. Modified BG prasad socioeconomic classification. Self-administrated socioeconomic status questionnaire. The participants were given self-administered socioeconomic questionnaire and classified according to their socioeconomic status based on Modified BG Prasad socioeconomic classification to find the (SES) of an individual. The mineral density was corelated using Quantitative calcaneal ultrasound and recorded. The recorded data were analysed and interpreted.

Result: Quantitative calcaneal ultrasound T score bone mineral density has shown significantly lower mean value -2.66 (osteoporotic) and as a whole,5% osteoporosis in subjects with lower economic status.

Conclusion: The study concluded that low SES is risk for Osteoporosis. So, the awareness among people is essential for good healthy lifestyles and prevent the dangers of osteoporosis.

Key Words:  Osteoporosis; Socioeconomic status; Bone Mineral Density; BG Prasad SES

Effectiveness of Post Isometric Relaxation Technique Over Post Facilitation Stretching Technique For Patients With Trapezitis

Sathyaraja. R1*, Prabhuraja.R2, Mohan Kumar. G 3, Jibi Paul4, Sarala R5 Dhanabakiyam.l6

Authors

2,5Assistant Professor, Madha College of Physiotherapy, MadhaNagar,  Kundrathur, Chennai, T N, India.

3,4Professor, Faculty of Physiotherapy, Dr.M.G.R.Educational and Research Institute, Maduravoyal, Chennai, Tamil Nadu, India.

6BPT Student, Faculty of Physiotherapy, Dr. M. G. R. Educational and Research Institute, T N, India.

Corresponding Author

1Assistant Professor, Faculty of Physiotherapy, Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai, Tamil Nadu, India. E-mail: sathyaraja.physio@drmgrdu.ac.in

ABSTRACT

Introduction: Trapezitis is an inflammation caused in the Trapezius Muscle which further leads to pain and spasm in the neck. It increases commonly among people who are work at desk and computers, drivers, tailors, painters who uses their neck muscles a lot. MET is an active muscle based treatment approach that involves the voluntary contraction of a muscle in a controlled direction against the counterforce provided by the therapist.

Methodology: This is a comparative experimental study conducted at physiotherapy OPD, ACS Medical College and Hospital. Study duration was 2 weeks with 4 session .Patient aged between 20-45 years. The sampling was chosen on purposive sampling. The pre and post test were Visual Analogue Scale (VAS), Neck Disability Index (NDI) and cervical lateral flexion ROM. In this study, 30 subjects are characterised into 2 groups of 15 subject each .Group A received post isometric relaxation technique and Group B received post facilitation stretching  technique.Both pre and post test were measured using VAS,NDI and cervical lateral flexion ROM.Inclusion criteria are age of patient 20-45 years,pain,muscle spasm and tenderness.Exclusion criteria are patient age below 20 years,any cervical injury,recent surgery over cervical region.

Result: On comparing pre and post test for both group on VAS,NDI and cervical lateral flexion ROM,post facilitation streching technique show better result than post isometric relaxation technique in reducing pain,neck disability and improve neck ROM.

Conclusion: The study concluded that post facilitation stretching technique was more effective than post isometric relaxation technique  for patient with Trapezitis.

Carpal Tunnel Syndrome-A Narrative Review

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