ABSTRACT
Background: Prediabetes is the preceding stage of diabetes which puts an individual to induce complications same as that of diabetes; hence, it should be treated to prevent its progression to diabetes and other consequences. However, there is very less literature about impact of home-based physical therapy on glycemic control and quality of life in Indian prediabetic population. Aims and Objectives: The aims of this study were to evaluate whether the home-based physical therapy shows effect on glycemic control and individual’s quality of life after a 3-month intervention. Materials and Methods: The study was conducted on 55 individuals who were diagnosed with prediabetes (36 males and 19 females) on basis of HbA1c level ranging from 5.7% to 6.4%. A 12-week exercise protocol was made which includes warm up exercises, main exercise program (aerobic and strengthening training), and cool down exercises along with dietary changes. SF-36 and HbA1c level is taken at baseline and at the end of 12 weeks for quality of life and glycemic control measures in participants, respectively. Results: The difference in HbA1c levels before and after treatment was found to be statistically significant. The HbA1c levels after the 3-month intervention showed significant reduction (P < 0.008) along with significant difference in all domain of SF-36 except in domain 3 (role limitation due to emotional problem) and domain 6 (social functioning). Conclusion: The home-based physical therapy program is effective in glycemic control and quality of life in adults with prediabetes.
ABSTRACT
Background: The least attention is given to the real heroes of the hospital is the Class 4 workers are associated with a lot of duties of lifting and transferring patients and are at risk of work-related musculoskeletal disorders (WMSDs). Aim and Objectives: The aim of the study was to find the prevalence of WMSDs in 9 body regions among Class 4 workers of tertiary care hospitals and ergonomics assessment of their exposure to risk factors for the development of WMSDs. Materials and Methods: This cross-sectional study was conducted among 148 Class 4 workers (male: 99; female: 49 Age: >23 years) from tertiary care hospitals. A structured questionnaire comprises demographic questions, Nordic Musculoskeletal Questionnaire-Extended for WMSDs assessment in nine body parts and quick exposure check (QEC) method for ergonomic assessment, and new job stress scale for assessing job-related stress. The prevalence of WMSDs for each body region was determined. Results: Respondents’ mean age was 31.3 years (SD = 9). Point prevalence for WMSDs was high in regions like the lower back (43.8%), followed by the knee (40.8%), and shoulder (34.4%). Among 49 female respondents, 25 reported lower back pain (51%), and 20 reported neck pain (41.6%). Among 99 male respondents, 25 reported lower back pain (25.5%) while 22 reported knee pain (22.2%). QEC assessment showed that level of exposure to WMSDs risk was high among 50% of the study population. Conclusion: The lower back and knee were the most affected areas among Class 4 workers. Moreover, QEC findings warned the level of exposure to WMSDs risks is high.