ABSTRACT
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, with a reported annual incidence per 100,000 persons ranging from 324 to 524 among women and 135 to 303 among men There are several treatment options which they can be broadly categorised into surgical and non-surgical. The various nonsurgical methods include: use of hand brace, splinting of the wrist, ultrasonic therapy, laser therapy, oral steroids, non-steroid anti-inflammatory drugs (NSAIDs), oral vitamin B6, local injection of corticosteroids, transcutaneous electrical nerve stimulation. There are a limited number of studies on the effectiveness of kinesiotaping in CTS. The purpose of this study was to evaluate the therapeutic efficacy of ultrasound treatment combined with nerve and tendon gliding exercises and kinesiotaping and to compare the two regimens. Materials and methods: In the present study a convenience sample of 20 individuals between 25 to 55 years suffering from mild to moderate carpel tunnel syndrome were randomly and evenly divided into 2 groups : Group A ( Tendon and Nerve gliding exercises ) & Group B ( Kinesio taping). Group A received Ultrasound over the area of carpel tunnel along with tendon and nerve gliding exercises 5 times a week for 2 weeks. Group B received Ultrasound 5 times a week over the carpel tunnel area along with kinesiotaping with 5 day interval for 2 weeks. At the end of 2 weeks the outcome measures which included VAS, Boston CTS Questionnaire assessed in both the groups and the data was statistically analysed. Results: Intragroup analysis of both groups pre and post intervention showed statistically significant values for both the outcome measures VAS and BCTS Questionnaire ( p value< 0.05). Intergroup analysis also showed statistically significant values for outcome measures inferring that Group B was better than Group A (p value< 0.05). Conclusion: The study concluded that both kinesiotaping along with Ultrasound as well as tendon and nerve gliding exercises with ultrasound are effective in reducing pain and improving functional activities in patients with Carpel Tunnel Syndrome. Kinesiotaping with Ultrasound is more effective than tendon and nerve gliding exercise
ABSTRACT
Background: Falls are most frequent cause of accident related injury and are frequently associated with accident related death in the elderly. While an individual’s risk for falling is associated with a variety of sensory, motor, cognitive and environmental variables, it ultimately depends on their frequency of loss of balance episodes and their ability to recover balance by stepping, grasping or swaying (via the ankle strategy or hip strategy). Although visual, vestibular and somatosensory functions are known to be contributing factors in maintaining balance, they are not as easily altered as muscle strength and joint range of motion and stiffness. The study aimed To assess the effects of bilateral ankle joint mobilisation on functional balance in community dwelling elderly Materials and methods: In the present study a convenience sample of 60 community dwelling elderly between the age 65 to 75 years wererandomly and evenly divided into 2 groups :The Experimental Group &Control Group.For the purpose of selecting the subject in the study they were evaluated with the Time Up And Go Test.Maitland joint mobilization three times a week for four weeks was performed for bilateral ankle joint for the experimental group.The Control group were not given any exercises during the study protocol. At the end of 4 weeks, the outcome measures Functional Reach Test (FRT) andOne leg Stance Test (OLST) were assessed pre & post intervention in both the groups and the data was statistically analysed. Results: Intragroup analysis of both groups pre and post intervention showed statistically significant values for both the outcome measures FRT and OLST ( p value< 0.05). Intergroup analysis also showed statistically significant values for outcome measures inferring that experimental group was better than the control group (p value < 0.05). Conclusion:The study concludes that Ankle joint mobilisation helps in improving the dynamic balance in elderly individuals.