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Background: Balance is essential for maintaining postural stability while performing functional activities and for falls avoidance in patients with TKA.There are very few RCTs done to assess functional improvement after TKA. Hence, this study was undertaken to find out evidence on physiotherapy treatment in TKA and analyze it.Methods: We searched Medline, CINAHL, PEDro from the year 2001 to 2015 for RCT involving evaluations of physiotherapy exer-cise in adults with a knee replacement. Search criteria’s were pain, stiffness, adherence and attrition. The inclusion criteria were studies which included physiotherapy exercise for balance specific exercises which compared various functional training and functional training with balance exercise in TKA. Result: Searches identified 20 randomized trials related to TKA and physiotherapy. Only three were fulfilled the inclusion criteria. Functional training with bal-ance exercises found to be effective in patients with total knee arthroplasty. Conclusion: After total knee replacement, interventions including physiotherapy along with balance exercises showed improvement in pain, stiffness and func-tional performance in mobility.
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Background: Osteoarthritis (OA) of knee is one of the major causes in musculoskeletal condition leading to func-tional loss in patients. Determining the progression of the disease is a useful tool which will help in planning of exer-cise programme to slow or halt the disease progression. Measuring the joint space width of the tibio-femoral joint is one of the best options for knowing the disease progression and helps in designing exercise programme. Aim:Retro-spective measurement of joint space width in patients with bilateral tibiofemoral osteoarthritis of knee joint. Method-ology: Data was retrieved from the picture archiving and communication system (PACS) from 1stof February to 22ndof June 2018. Radiographs that were showing OA knee features by using Kellegren Lawrence (KL) grading system were considered and the joint space between the tibial and femoral compartment were measured. Result: The joint space width showed more reduction in the medial compartment of the joint as compared to the lateral compartment. Conclusion: In rural population of Maharashtra the medial joint space is markedly decreased as compared to the lat-eral compartment of the tibiofemoral joint and as the KL grade increases the joint space width decreased.
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Introduction: The present study was aimed to study clinic-investigative profile of foot lesions in diabetics in patients presenting in Pravara Rural Hospital, Loni. Materials and Methods: This prospective cross sectional study was under-taken in 50 patients carried out over a period of 2 years. Patients, irrespective of their age and gender, admitted in the inpatient department of surgery with Diabetes mellitus having foot problem and consenting for taking part in the study were included. All patients were evaluated by taking detailed history, clinical examination and necessary inves-tigation done. Results: Most patients present with diabetic foot lesion were in 7th decade of life. females were more commonly affected with male to female ratio 1:1.5. Ulcer was the common lesion seen here which was present in 24(48%) patients while abscess seen in 3 (6%) patients, was the least common lesion. There were many anaemic pa-tients (74%) in current study. Staphylococcus aureus was the commonest grown organism form the pus sample of foot lesions. Of the 50 patients, only 24 (48%) were known diabetics. Also, 18 (36%) patients were known smokers, 12 (24%) were alcoholic. Most patients (35 i.e, 70%) walked bare foot while only 15(30%) patients were using foot-wear. Cardiovascular diseases were common (10 i.e, 20%) associated conditions. Peripheral neuropathy was present in 21 (42%) patients. On staging the patients according to Wagner staging, most of the patients belonged to stage III (23) and IV (14). Doppler study in select patients revealed that 8(16%) patients were detected as impaired blood flow in peripheral vessels, 3(6%) patients showed complete stenosis and 5(10%) patients showed partial stenosis. Conclu-sion: Diabetic foot lesions were common in elderly patients. The most common presentation of foot lesions was ul-cer. The foot lesions were associated with poor blood sugar control, peripheral neuropathy, cardiovascular diseases, anemia, smoking and alcohol addiction. Most patients belonged to Wagner stages III and IV. Staphylococcus aureuswas the commonest grown organism form the pus sample of foot lesions .
ABSTRACT
Osteoarthritis (OA) is the most common joint disease causing disability. Current Physical therapy management for knee OA is aiming to increase range of motion and improve functional performance. So the purpose of this study to assess the effectiveness of Mulligan Mobilization along with Conventional Physiotherapy in Knee osteoarthritis patients. Method: Patients of knee pain who fulfilled inclusion criteria were taken in study. Outcome like The Knee Injury & osteoarthritis Outcome Score (KOOS) Index, ROM with the help of Universal Goniometer, Manual muscle testing with Medical Research Council (MRC) scale &time up and Go test were taken at baseline and after 4 wks. Mulligan Mobilization along with conventional Physiotherapy was given to all patients for 4 wks. Result: Showed there was significant improvement 25.08% in Koos Index, while in knee flexion ROM, improvement on right side was 9.94% or in left side 6.20%. while muscle strength in MMT with 25% on right side or 4% on left side improvement seen for knee flexor and 5% on right side or no any improvement seen on left side for knee extensor. Time up and go test also showed 10.89% improvement compared to baseline. Conclusion: Improvement is seen in patients with knee osteoarthritis by Mulligan Mobilization along with Conventional Physiotherapy.
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Background: To assess prevalence facet-joint arthropathy in chronic low back pain using computed tomography. Methods: A retrospective study profiled and analysed objective data from patients CT scans and previous records. Results: Facetal arthropathy was graded by Pathria’s criteria.102 joints (33.12%) were grade 1, 113 (36.69%) grade 2, 63 (20.45%) grade 3, and 30 (9.74. %) grade 4. Final result showed that females were affected more than the male in Grade II, III and IV. Age group more affected was between 46-85 years. Conclusions: Our study on chronic low back pain revealed prevalence of facet-joint involvement 66.88% (206 patients) in rural population with age group involved more than 46 years.
ABSTRACT
Nurses have one of the highest rates of MSD of any occupation. Although en number of studies were done to find out prevalence of Work related musculoskeletal disorders (WMSDs) among nurses across the world, there is limited information on its prevalence in Rural Maharashtra. This study investigated prevalence of WMSDs, job risk factors and the coping strategies towards reducing the risk of development of WMSDs among nurses from selected hospitals in rural Maharashtra, India. Validated questionnaires were distributed to 250 nurses working rural hospitals across Maharashtra but only 228 questionnaires were returned and 212 complete questionnaires were included for study. On Analysis we found that 89.1% nurses had experienced work-related musculoskeletal pain or discomfort at sometime in their occupational lives. WMSDs was highest in the low back (48.2%), followed by the shoulder (34.6%), neck (33.1) and knee (29 %). Other regions with less prevalence were Thoracic (10.5%), Feet and ankle (7.6%), Elbow ( 1.88%) and Hip (1.6 %). Priority was given to getting help to handle heavy patients ( 57.1 %), nursing procedure modification in order to avoid stress injury ( 50.2 %) coping strategies. Our study Concluded that high prevalence of LBP, Shoulder, neck and Knee pain over a 12-month period among nurses working in Rural hospitals in Maharashtra state , and certain risk factors like working in same position for long time, bending, twisting, lifting and treating excessive number of patients were strongly associated with WMSDs.