ABSTRACT
Background: Health care provision is facing significant burden due to osteoarthritis, which is the most common condition affecting synovial joints. Osteoarthritis of the knee causes substantial pain and disability, especially in the elderly. Purpose of the study: Our objective is to incorporate the effect of ageing and osteoarthritis of knee over temporo-spatial parameters of gait, based on a systematic review of the evidence from various articles. Method: Systemic literature search using PubMed, CINAHL, EBSCO and Willes library databases done. Articles following criteria of OA knee, gait analysis and ageing were selected. Result: Among the 272 articles identified by the literature search, 59 articles reporting one of filter criteria were selected. Three additional articles were found by manual search. After reviewing the full-texts, another 29 reports were excluded because preselected 3D kinematic data were not available. Thus, the final analysis included 30 full-length reports (19 knee OA studies, 11 OA studies including ageing individuals) studying 781 knee OA patients (weighted mean age = 64.4 years, 59% females, weighted mean BMI = 29.0 kg/m2) and 343 ageing OA patients (weighted mean age = 78.1 years, 68% females, weighted mean BMI = 27.3 kg/m2) Conclusion: Gait analysis as a noninvasive aid to clinical assessment could become an important clinical method of functional assessment in knee OA as well as arthritic changes taking place due to age. However, on the basis of the present systematic literature search, the available data concerning validity and reliability are clearly insufficient to consider kinematic parameters as quantifiable outcome measures in OA. Summary and implications: Our study finding suggests presence of altered gait parameters because of osteoarthritis of knee as well as ageing, which was supported by result of having higher grading of affection in relatively younger individual have shown less affection because of high functionality level, while in compare to that older individuals less arthritic changes have also shown more impairment in functionality because of low occupational needs.
ABSTRACT
Abstracts: Background and Objectives: Low back pain(LBP) is the leading cause of occupational injury and disability.The hamstring tightness was found to be one of the leading causes for development of LBP. Active Release Technique(ART)&PNF(Proprioceptive neuromuscular facilitation) stretchingboth the methods work on different physiological principles to increase the hamstrings flexibility. Hence objective of the study was to compare the effect of ART and PNF on hamstrings flexibility, Pain and functional disability in patients having LBP. Methodology: 30 subjects were taken in the study and divided in to 2 groups, 15 in each group.Measurement of the severity of pain by using VAS, degree of hamstrings tightness by active knee extension test and functional disability by modifies oswestry disability index was done. Group A was given modified hold relax PNF stretch and Group B was given ART for 10 sessions. Results: There was significant difference forMean of AKE (t=2.31, p=0.028), pain at activity (t=52.00, p=0.012) and functional disability (U=-2.224, p=0.026) between both groups. Conclusion: Both the techniques Modified hold-relax PNF stretch and ART improve hamstrings flexibility and reduce pain and disability over time but PNF (modified hold relax) was more effective than ART.
ABSTRACT
Post-Polio Syndrome (PPS) affects polio survivor’s years after the initial polio attack. They report new musculoskeletal symptoms. The purpose of this case report was to determine the effect of a physical therapy intervention on these symptoms in a 53 year old male subject with residual poliomyelitis of left lower limb more than right. Strengthening and aerobic exercises along with lifestyle modification advices were found to be beneficial with respect to all outcome measures taken after 4 and 12 weeks of program, with deterioration in none. This is a first case report documenting benefits of physical therapy following PPS in India. Its findings support the use of exercise in subjects with late effects of poliomyelitis and provide clinically valuable knowledge regarding the treatment efficacy of PPS exercise regimens.
ABSTRACT
Background: Osteoarthritis (OA) of knee is an important cause of pain and functional limitation in older people. Some studies show pulsed electromagnetic energy therapy (PEME) reduces pain and disability. The efficacy of PEME therapy in knee osteoarthritis is not known in Indian population. Aims & Objective: To compare the effect of PEME therapy versus conventional therapy on pain and function in participants with knee OA. Materials and Methods: A quasi experimental study of 20 participants fulfilling the inclusion and exclusion criteria, by selective sampling was conducted at college of physiotherapy. Participants were randomly allocated into 2 groups. Group A was given PEME therapy with Magnetodyne with frequency 15Hz for 30 minutes, 6 days/week for 2 weeks. Group B was given conventional physiotherapy in the form of hot pack to the knee for 10-15 minutes. Both groups also received a set of 10 repetitions of quadriceps drill and stretching of tight muscles for 30sec-3 repetitions. Visual Analogue Scale (VAS) was used to assess knee pain and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) was used to measure knee pain, stiffness and physical function. Results: Difference in VAS and WOMAC scores were calculated using t-test. Mean difference in VAS score for Group A (4.08 ± 1.10) and Group B (1.40 ± 0.21) was significant with significant difference in favor of Group A (t= 7.57, p <0.001). Mean difference in WOMAC for Group A (27.50 ± 13.80) and Group B (8.50 ± 3.71), also showed a significant difference with more difference in Group A (t= 4.20, p<0.001). Conclusion: PEME therapy reduces pain and improves physical function in participants with knee OA.
ABSTRACT
Background: Primary dysmenorrhea is a difficult menstrual flow in the absence of any pelvic pathology where pain is spasmodic in character and felt mainly in the lower abdomen. Women that participated in sports experienced fewer occurrences of symptoms of dysmenorrhea. Aims & Objective: To assess the effect of stretching exercise on primary dysmenorrhea in adult girls. Materials and Methods: The study was conducted at SBB College of physiotherapy. A convenience sample was taken consisting of 30 participants, 15 in each group. Group A received Stretching Exercises. Participants completed an active stretching exercise program for 4 weeks (6 days per week, 2 times per day) at home. They were asked to perform 9 stretching exercises. Group B was in control group. All Participants were examined for pain intensity VAS (10-point scale). Verbal Multidimensional Scoring System for Assessment of Dysmenorrhea Severity (VMS) Level of significance was kept at 5%. Results: The results of Groups A and B were analyzed by Wilcoxon Signed Rank Test. In group A-VAS showed significant improvement in pain. Pain intensity was reduced from 6 to 3.80 (difference in mean 2.2 ± 0.16, W = 120, p = 0.001). VMS also showed significant improvement in pain. VMS was reduced from 2 to 1 (difference in median 1, W = 66, p = 0.002). In group B, there was no significant improvement in pain. VAS score reduced from 6.20 to 6.10. Difference in mean VAS (0.10 ± 0.30, W = 36, p = 0.5). There was no difference in mean VMS at the end of 4 weeks. Comparison of Group A and Group B was done with Mann Whitney U Test. There was a significant difference in improvement in VAS between Groups A and B (2.30 ± 0.21, U = 31.0, p < 0.01). There was a significant difference in improvement in VMS between Groups A and B (U = 12.0, p < 0.01). Conclusion: Stretching exercises are effective in reducing pain in young females with primary dysmenorrhea.