Category: Research

THE EFFECT OF CORE STABILITY TRAINING ON DYNAMIC BALANCE AND LOWER EXTREMITY PERFORMANCE IN YOUNG,ASYMPTOMATIC INDIVIDUALS

Co- Author: Maitri Modi

Background and Purpose: Lower extremity performance and dynamic balance are an essential component of normal daily activities such as walking, running and climbing stairs. Thus, they are a key component of injury prevention and rehabilitation in sports. Training the core muscles has been hypothesized as an intervention for improving balance and lower extremity performance. However, there is a lack of current scientific evidence to support this claim. Hence, it is essential to verify the effects of the core stability training on dynamic balance and performance of lower extremity in young, asymptomatic individuals.

Materials and Methods: 40 young, asymptomatic individuals ( n=20 control, n=20 experimental) were selected and pre training sessions were held for both the groups in which limb length, core stability, dynamic balance using Star Excursion Balance Test and lower extremity performance using T Test of agility were assessed. The subjects in the experimental group had to undergo progressive core stability training programme for 6 weeks and control group had to refrain from any form of structured core stability training for 6 weeks. After six weeks,both groups had to undergo post training session where all the parameters were assessed again.

Result: Data analysis revealed a significant increase (p<0.0001) in the core stability and dynamic balance in the experimental group as compared to control group. There was a significant increase (p<0.0001) in the lower extremity performance in both the groups individually. Whereas, there was no significant improvement (p=0.05)in the lower extremity performance on comparing the control and experimental groups.

Conclusion: The study suggested that core stability training improves dynamic balance but failed to find a significant effect of core stability training on lower extremity performance.

Clinical Implications: Core stability training can be used in patients with balance deficits so as to improve balance and reduce the risk of falls and injuries.

https://www.researchgate.net/profile/Maitri_Modi/publication/321011938_THE_EFFECT_OF_CORE_STABILITY_TRAINING_ON_DYNAMIC_BALANCE_AND_LOWER_EXTREMITY_PERFORMANCE_IN_YOUNG_ASYMPTOMATIC_INDIVIDUALS/links/5a6f1d44458515d40758acad/THE-EFFECT-OF-CORE-STABILITY-TRAINING-ON-DYNAMIC-BALANCE-AND-LOWER-EXTREMITY-PERFORMANCE-IN-YOUNG-ASYMPTOMATIC-INDIVIDUALS.pdf

Comparative Study of Immediate Effect of
Superficial Heat, Deep Heat and Cryotherapy Prior
to Stretching on Plantarflexor Extensibility

Co- Author: Bhakti Udeshi

Abstract: Plantarflexors are essential in gait and postural control, they are key components of injury prevention and rehabilitation in
sports.

Objective: To verify an immediate effect of Cryotherapy and heat on plantarflexor extensibility prior to stretching and to compare
which is more effective in young asymptomatic females.40 young female participants were taken and divided in 4 groups,10 in each
group and immediate effect was noted.

Outcome Measure: ROM.

Result: Data analyzed revealed significant increase in ROM in Group which was given Cryotherapy prior to stretching.

Conclusion: Cryotherapy prior to stretching has more of an immediate effect compared to superficial heat and deep heat on plantar flexor extensibility.

https://www.ijsr.net/archive/v7i5/ART20182644.pdf

Effect of Mental Practice on Non-dominant Side Hand Function

Co- Author: Snehal Joshi

Objectives: 1. To study the effect of mental practice using mentamove on non dominant side hand function. 2. To find the transfer of training effect of mental practice on dominant side dexterity.

Methodology: The study designed was proposed and presented in front of ethical committee of the college. After that a group of 9 individuals were selected. A pre test was done by instructing the individuals to arrange pegs in the pegboard. 4 pegs were to be arranged and this was repeated for 5 cycles for dominant as well as non-dominant hand and the time duration was measured with a stopwatch for each hand. After this 21 sessions of mental practice were given using mentamove and a re-assessment was done using pegboards in similar manner. The time-duration was measured and the difference will be calculated.

Results: Extremely significant change was observed after 21 days in the time taken to execute the task.

Conclusion: Mental practice is found to be effective to increase hand function of dominant as well as non-dominant side.

https://www.researchgate.net/publication/272867707_Effect_of_Mental_Practice_on_Non-Dominant_Side_Hand_Function

Comparison of the effectiveness of sodium salicylate iontophoresis v/s conventional TENS on pain,
function and disability in knee osteoarthritis

Co- Authors: Shraddha Rajendra Gangan, Annama Varghese

Background: Osteoarthritis is one of the common degenerative conditions. It is characterized by joint pain and stiffness, along with varying degrees of functional limitation and altered quality of life. Knee osteoarthritis is ordinarily treated by heat (superficial or deep), cryotherapy, TENS, stretching of gastrocnemius, hamstring, iliopsoas, pyriformis and strengthening of quadriceps, hamstring and VMO. salicylate iontophoresis is known for its analgesic and anti-inflammatory effect and is used in various conditions including heel pain. However its effect on osteoarthritis of knee has been found in few studies. Hence, the purpose of this study was to investigate the effectiveness of salicylate iontophoresis on knee osteoarthritis and to compare it with conventional TENS.
Aim: To compare the effectiveness of Sodium Salicylate iontophoresis v/s conventional TENS on pain, function and disability in knee osteoarthritis.
Objectives: To study the effectiveness of sodium salicylate iontophoresis on pain, function and disability in knee osteoarthritis.
To study the effectiveness of conventional TENS on pain, function and disability in knee osteoarthritis.
To compare the effectiveness of sodium salicylate iontophoresis and Conventional TENS on pain, function and disability in knee osteoarthritis.
Conclusion: There was statistically significant reduction in pain, improvement in function and in quality of life in patients treated with conventional TENS (group A).
There was statistically significant reduction in pain, improvement in function and in quality of life in patients treated with sodium salicylate iontophoresis (group B).
At 2 weeks post intervention and at 4 weeks follow-up, with home exercise program, the changes were statistically significant as compared to the pre treatment values within the groups.
When both the groups were compared the experimental group (group B) with sodium salicylate iontophoresis showed no statistical significant improvement in pain, function and quality of life over control group (group A) with conventional TENS in knee osteoarthritis.

http://www.recentscientific.com/sites/default/files/8087-A-2017.pdf

Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

Co- Author: Mayur Revadkar

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

Click to access Effect-of-acupuncture-TENS-versus-conventional-TENS-on-post-cesarean-section-incision-pain.pdf

Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

Co- Author: Priti Mehendale

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

Click to access Effect-of-acupuncture-TENS-versus-conventional-TENS-on-post-cesarean-section-incision-pain.pdf

Correlation of Low Back Pain with Core Muscle Strength in Primigravida Indian Females

Co- Authors: Devyani Zende, Apurv Shimpi, Savita Rairikar, Ashok Shyam, Parag Sancheti.

Background: Core stability of trunk is a basic function of both the local and global muscles. But there is insufficient research based data to determine the cause or ascertain how low back pain might be related to any of the particular features of pregnancy especially the core muscle strength. Objective: To study correlation between low back pain and core muscle strength amongst the pregnant females. Materials and Methods: 148 primigravida females (mean age 21.36 ± 1.54) in their 2nd trimester with complaints of backache were given VAS and Roland Morris Questionnaire to fill in. The core strength was assessed using pressure biofeedback unit while performing ‘drawing in’ maneuver in supine crook lying. Results: Study showed negative correlation between core muscle strength and intensity of low back pain [r = – 0.489, p < 0.05] and negative correlation between core muscle strength and disability related to low back pain [r = – 0.536, p < 0.05] Conclusion: Core muscle strength is an important factor for modulation of pain as well as for controlling its other associated disabilities. Thus, this may support the importance of Ante-natal exercises which includes core strengthening, to alleviate back pain and disability related to it during pregnancy. Keywords: Low back pain, Core muscle strength, Pregnancy, Roland Morris disability questionnaire.

Click to access Correlation-of-Low-Back-Pain-with-Core-Muscle-Strength-in-Primigravida-Indian-Females.pdf

COMPARISON OF THE EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) VS. INTERFERENTIAL THERAPY (IFT) FOR RELIEF OF PAIN IN PRIMARY DYSMENORRHEA

Co- Author: Trineta Bhojwani

Background: Dysmenorrhea or pain during menstruation is commonly seen in young women and largely impacts their quality of life. Pain medications are largely used to tackle this situation; however, they have side effects with regular use. Safe, effective pain-relieving modalities are crucial to help women cope with this situation. There is extensive literature proving the effectiveness of TENS for relieving the pain in primary dysmenorrhea; however, literature proving the same for IFT is sparse. Thus this research aims to investigate and compare the effectiveness of both the modalities in primary dysmenorrhea.
Methods: 30 samples(17-25) were included in this study. Using the Simple Random Sampling method, the subjects were divided into two groups. One group received therapy through TENS(80-120 Hz, 20mins, Intensity as per tolerance) and the other through IFT(4PV,80-150HZ, 20 mins, Intensity as per tolerance). Electrical stimulation was given in the region of maximal pain. The Intensity of pain before and after treatment was recorded using the Numerical Pain Scale. The duration of pain relief and the need for analgesic post the therapy was also noted.
Results: TENS and IFT are both extremely effective for the relief of pain in primary dysmenorrhea (P<0.0001). There is no significant difference in their effect on the comparison (P=0.422). And most of the subjects in both groups did not need analgesics after therapy.
Conclusion: Both TENS and IFT are equally effective in the relief of pain in primary dysmenorrhea. However, tolerance to IFT currents is better among young women as they are medium frequency currents.

https://www.ijphy.org/index.php/journal/article/download/539/448

Correlation between Pronated Foot and Pelvic Inclination, Femoral Anteversion, Quadriceps Angle and Tibial Torsion

Co- Author: Nishita Gandhi

Background: A pronated foot can produce changes in the lower limb kinetic chain. This can affect the gait and increase energy expenditure. However, the relationship between pronated foot and other static alignment factors remains poorly understood. Hence, the objective was to correlate pronated foot with pelvic inclination, femoral anteversion, Q-angle and tibial torsion. Method: An observational study was performed on 60 subjects in the age group of 18-30 years with a BMI of not more than 30. Foot Posture Index was performed on the subjects, and people with a score of +6 or more were selected. Pelvic inclination, femoral anteversion, Q-angle and tibial torsion were measured. Correlation between the Foot Posture Index score and the above four static alignment factors was done using Graph Pad Prism 7 (Pearson’s correlation coefficient and Spearman’s correlation coefficient). Results: There was no significant correlation between Pronated foot and Pelvic inclination (r-value = 0.03309, p-value = 0.8018), Pronated foot and Femoral anteversion (r-value = 0.2185, p-value = 0.0934) Pronated foot and Q-angle (r-value = 0.1801, p-value = 0.1685), Pronated foot and Tibial torsion (r- value = -0.1285, p-value = 0.3277). Conclusion: There is no significant correlation between foot pronation and pelvic inclination, femoral anteversion, Q-angle and tibial torsion. However, the correlation between these factors cannot be completely ignored, and thus, further studies and literature are required to prove the same.

https://www.researchgate.net/publication/318903031_Correlation_between_Pronated_Foot_and_Pelvic_Inclination_Femoral_Anteversion_Quadriceps_Angle_and_Tibial_Torsion/fulltext/5df9543192851c83648548b4/Correlation-between-Pronated-Foot-and-Pelvic-Inclination-Femoral-Anteversion-Quadriceps-Angle-and-Tibial-Torsion.pdf

CORRELATION OF MOBILE PHONE ADDICTION SCALE (MPAS) SCORE WITH CRANIOVERTEBRAL ANGLE, SCAPULAR INDEX AND BECKS DEPRESSION INVENTORY SCORE IN YOUNG ADULTS

Co- Author: Sneha Battin

Background: Mobile phone usage has become increasingly common in today’s youth. Its heavy use often leads to an addiction. Dependency on these devices could lead to postural dysfunctions as well as produce an adverse effect on psychology. Hence, this study is done to correlate mobile addiction with the craniovertebral angle, scapular index and Beck’s depression inventory score in young adults.
Methods: An observational study was performed on 100 subjects out of which 51 were males and 49 were females in the age group of 18- 25 years who were pursuing their graduation and post-graduation courses. Mobile Phone Addiction Scale was used to determine the level of addiction. Craniovertebral angle, Scapular Index, and Beck’s Depression Inventory score were measured. Correlation of Mobile Phone Addiction Scale score with the above-mentioned parameters was done using GraphPad Instat Version 3.10 (Pearson correlation coefficient and Spearman correlation coefficient).
Results: Mobile phone addiction was found low in 27%, moderate in 30% and high in 43% participants. There is significant correlation of mobile phone addiction scale score with Craniovertebral angle (r = -0.6470, p = <0.0001), Scapular Index (r = -0.4370, p = < 0.001) and Beck’s depression Inventory score (r = 0.3172, p = 0.0013).
Conclusion: This study shows that mobile phone addiction is common amongst the youth and it contributes to considerable stresses on neck and shoulder. It could even cause unfavorable repercussion on an individual’s psychological status, such as depression. Hence, it is important to create awareness amongst the youth and take preventive measures for the same.

https://www.ijphy.org/index.php/journal/article/download/340/328

Correlation of Back Extensor Muscle Endurance
with Oswestry Disability Index in Middle Aged
Females with Chronic Low Back Pain

Co- Author: Arham Jain

Abstract: The back extensor endurance is important to maintain ideal posture. There is paucity of literature on back extensor endurance in subjects with chronic low back pain in middle aged female population. The objective of our study was to compare the back extensor endurance in middle aged females with and without chronic low back pain and correlating it with the oswestry disability index. Total 30 participants were taken 15 in each group. Biering psorensons test and oswestry disability index was performed. The results showed subjects without low back pain had significantly better endurance(p<0.0004).Significant negative correlation (p<0.0099) was found between back extensor endurance and oswestry disability index.

Click to access ART20181017.pdf

Correlation of Baecke’s Habitual Physical Activity
with Blood Sugar Levels in Type II Diabetes
Mellitus

Co- Author: Isha Shah

Abstract: Physical exercises is known to improve insulin sensitivity and blood sugar levels. In busy schedule people may find it
difficult to dedicate time for exercises. Hence its important to evaluate the routine physical activity and its effect on blood sugar. T he
objective of the study was to correlate Baecke’s Physical activity with fasting and post prandial blood sugar in Type II Diabetes Mellitus.
60 participants both males and females between 30-60 years were given Baecke’s scale and blood sugar levels were noted. The results
showed significant correlation of Baecke’s total index with fasting(r=-0.4467,p=0.0003) and Post Prandial level (r=-0.4467,p=0.0001).

Click to access ART2019971.pdf

EFFECT OF STRENGTH TRAINING, FUNCTIONAL TASK RELATED TRAINING AND COMBINED STRENGTH AND FUNCTIONAL TASK RELATED TRAINING ON UPPER EXTREMITY IN POST STROKE PATIENTS

Co- Author: Vivek Kulkarni

Background: Weakness presents serious compromise to movement function in hemiplegics. Despite the correlation between weakness and impaired function, a clear relationship between strength and function needs more exploration. This study evaluated compared to strength and functional training alone with combined strength and functional training in rehabilitation of upper extremity in stroke patients.
Methods: Forty-five patients with history of stroke of duration 3weeks-6months who could initiate shoulder flexion, abduction, elbow flexion and extension, wrist and finger movements were included in the study and randomized into three groups
Group-I – Strength-training
Group-II – Functional-task-related training
Group-III – Combined Strength and Functional-task-related training for the upper extremity
Patients with cognitive impairments, musculoskeletal complications and with the previous history of hemiplegia were
excluded.
Outcome Measures used: Fugl-Meyer, Chedoke-Arm and Hand-Inventory, Dynamometer and MMT Interventions were given 3days/week for 6weeks. Subjects were evaluated at 0, 3 and 6weeks.
Result: All the three groups showed improvements in Fugl-Meyer (p<0.005). Group, I showed improvements in Dynamometer and MMT (p<0.005), but less functional gain, whereas group II showed improvement in Chedoke (p<0.005), but without adequate strength gain. Group III showed improvements in MMT (p<0.005), Dynamometer (p<0.005) and Chedoke (p<0.005), suggesting increased strength with improved functional performance.
Conclusion: Combined strength and functional task related training improved both functional motor performance and strength and led to more effective rehabilitation.

https://www.ijphy.org/index.php/journal/article/download/301/290

INFLUENCE OF FEAR OF FALL ON SPATIAL AND TEMPORAL
PARAMETERS OF GAIT IN COMMUNITY-DWELLING ELDERLY

Co- Author: Riddhi Doshi

Background: Aging is a gradual deterioration of physiological function.It is a multidimensional process involving various systems of the body.Out of the various problems faced by the geriatric age group “falls” are one of the
major problems faced by the elderly.Fear of fall and associated avoidance of activity may lead to functional decline, restriction of social participation and hence affection of quality of life.This fear can also affect the gait pattern of an individual.Therefore the purpose of this study was to find out the influence of fear of fall on the spatial and temporal gait parameters in elderly.
Materials and Methods: 100 community dwelling elderly were made to walk 10 meters and their gait parameters
were noted.The participants were classified into fearful and fearless groups on the basis of the MFES, before the test.
Result: The statistical analysis of the study was done using the mann-whitney test and a significant difference was found between the gait parameters of the fearless and fearful group.
Conclusion: There is an influence of fear of fall on the gait parameters of elderly. Fearful participants were shown
to have a significantly slower gait speed,shorter stride length and step length,lesser cadence and increased stride width when compared to fearless participants.

Click to access 260caa1664948a2c73d052507901489d2708.pdf

AWARENESS OF PHYSIOTHERAPY AMONG GENERAL PRACTITIONERS: A PILOT STUDY

Co- Author: Sneha Battin

Background: Physiotherapy is a form of rehabilitation science which helps to make a difference in an individual’s ability to live an active and healthy lifestyle. For many physiotherapists working in India, the primary source of reference is a physician. An aware physician can timely refer patients for physiotherapy who can in turn plan an effective management without making the rehabilitation journey taxing. This article will serve us to know about the interest and acceptance of physiotherapy and also to determine the extent of awareness among general practitioners.
Methods: A sample size of 150 subjects were randomly chosen. The study was conducted in a questionnaire based interview format. All willing general practitioners from various streams along with super specialists were included, whereas interns and unwilling practitioners were excluded.
Subjects were briefed about the study, written consent was taken before hand, and a validated questionnaire was personally given to fill in the details. The response thus obtained, was taken up for further analysis.
Result: From the study, it was learned that there is awareness regarding physiotherapy among general practitioners. With regards to the different streams of physiotherapy, the Orthopedic (36%) and Neurological fields (24%) are the most popular, followed by Cardio respiratory (16%), Sports rehabilitation (14%) and only 6% aware of community-based rehabilitation.
Conclusion: The study revealed that there is full awareness of physiotherapy among general practitioners. Musculoskeletal Physiotherapy showed good awareness among the study subjects. This was followed by NeuroPhysiotherapy, Cardio respiratory and Sports Physiotherapy. However, community-based rehabilitation was least known. Also, physicians believe that prescribing exercises is the main intervention used by a therapist and there is less information regarding the recent advances in rehabilitation.

https://www.ijphy.org/index.php/journal/article/download/374/362

Impact of Caregiver Strain on the Quality of Life of
Stroke Patients

Co- Author: Kamilah Lokhandwala

Background: Stroke patients may remain physically or cognitively impaired. Caring for a family member takes time and can
be burdensome, resulting in feelings of depression and stress. Hence from study we try to find out if there is a correlation between
burden on the care taker and quality of life of the stroke patient.

Aim: To study the impact of caregiver strain on the Quality Of Life of
stroke patients.

Objectives: To assess the quality of life in stroke patients, strain on the caregiver of the stroke patient and find the
correlation of caregiver strain on the quality of life of stroke patients. Outcome Measures: Functional independence measure, Modified
caregiver strain index, SF 36. Methodology: SF-36 was performed on the stroke patient (FIM 18-90) and modified caregiver strain
index on the informal caregiver of the patient.

Results: There is mild correlation between care giver strain and the quality of lives of
stroke patients.

Conclusion: This study found a mild correlation between caregiver strain and quality of life of stroke patients. A shift
from patient-centered approach to a patient- and caregiver-centered approach will have better long-term outcomes.

Click to access efaddbd8088a4b6cc8b304c6264255c98820.pdf

Effect of Mulligan Bent Leg Raise Versus PNF
Agonist Contraction on Hamstrings Flexibility in
Healthy Females

Co- Author: Varsha Venkitaraman

Aim & Objective: To compare the effect of Mulligan Bent leg raise versus PNF Agonist contraction on hamstring extensibility in healthy adult females. Methodology: Interventional study was done on 30 healthy adult females, aged 20-30 yrs with an inclusion criteria of <75̊Active Knee Extension measurement. The measurement was taken pre and post intervention bilaterally. The subjects were divided in 2 groups, first group being given Mulligan bent leg raise and second group being given Agonist Contraction technique(Proprioceptive Neuromuscular Facilitation) The treatment was given for 6 days. Pre and post AKE readings intra-group and inter-group were analyzed statistically. Results & Conclusion: The study concludes that Mulligan Bent Leg Raise and PNF Agonist contraction interventions both significantly improve hamstrings flexibility confirmed by appropriate statistical tests, with a P value of < 0.0001. Also inter-group comparisons showed that Mulligan BLR technique had better efficacy than PNF Agonist contraction in improving hamstrings flexibility. Clinical Implication: Mulligan BLR and PNF Agonist contraction can be good adjuncts for improving hamstrings flexibility.

Click to access ART20176893.pdf

Effect of Core Training Using Stable V/S Unstable
Surface on Strength, Balance and Endurance in
Normal Individual

Co- Author: Manasi G. Srivastav

: Background: Core is the kinetic link that facilitates transfer of torques and angular momentum between lower and upper
extremities. Objective: To study the effect of core training on core strength, endurance and balance using stable v/s unstable surface.
Outcome measure: Biofeedback, SEBT. Methodology: 30 participants were divided in two groups for stable and unstable training, 4
weeks intervention was carried out. Result: statistically significant improvement of core strength, endurance and balance was seen on
stable and unstable surface training. Conclusion: Stable and unstable surface training both are effect in improving strength, endurance
and balance , unstable surface training was better.

Click to access ART2018164.pdf

Impact of knee osteoarthritis and its correlation with balance, fear of falls and quality of life – a pilot study

 Co- Author: Priyanka Purohit

Impact of knee osteoarthritis and its correlation with balance, fear of falls and quality of life – a pilot study
Objective: To correlate balance, fear of falls and quality of life in individuals with knee Osteoarthritis and age – matched controls using CBMS, FES, SF-36.
Methods: Fifty participants in the age group of 40 – 60 years were divided into Group A with diagnosed participants with knee OA using Kellgren-Lawrence scale and American college of Rheumatology (ACR) guidelines and Group B with age matched controls. The balance, fear of falls and quality of life was assessed using CBMS (Community Balance and Mobility scale), FES (Falls Efficacy Scale) and SF-36 respectively.
Results: Balance was affected more in Group A (p value- 0.165). Group A participants depicted more fear of falls (p value- <0.0001).The quality of life was poorer in Group A participants rather than matched controls (P value- <0.0001). Significant correlation was found between balance and fear of falling (r value: -0.4191). The affection of mental domain could be related to poor balance scores (r value: 0.01049). The fear of falling could be related to poorer quality of life (r value: -0.1352).
Conclusion: Knee osteoarthritis causes significant changes in the patient’s balance which is directly related to fear of falling which in turn has a negative impact on quality of life.

Click to access 6324-A-018.pdf

Early Intervention as an Agent for Recovery of Function After Spinal Cord Injury- A Single Case Study

Co- Author: Ankita Bhanushali

This case study describes a task-specific training program for working and functional recovery in a young man with incomplete cervical spinal cord injury. The subject was 20 year old male with traumatic spinal cord injury after a fall from height. Prior to intervention, he was quadriplegic with severe motor and sensory impairment. Our goal was to recover the function. The subject underwent disectomy for anterolisthesis of C6 over C7. Acute spinal cord management was started followed by locomotor training, electrical stimulation, orthoses, specialised assistive devices. Outcome measures used were ASIA scale, walking index for SCI, SCIM, Fatigue severity scale, Beck depression scale, SCI-FAI. It was found that specific interventions were intentionally selected in the development of treatment program which helped in the functional recovery of the patient. After 3 and half months treatment, the subject was able to walk with the assistance of AFOs and walker, and was able to perform ADLs independently. The magnitude of his functional improvements could be attributed to early intervention and neuroplasticity.

Click to access 10.11648.j.ijnpt.20180402.12.pdf