RESUMEN
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.
RESUMEN
A síndrome do pterígio poplíteo (SPP) é uma doença congênita rara cujo tratamento fisioterapêutico visa independência funcional. O objetivo deste estudo foi verificar o efeito de um plano fisioterapêutico sobre a amplitude de movimento, o desempenho motor e o equilíbrio de uma criança com SPP. Menina de 4 anos realizou um programa interventivo com 20 sessões de fisioterapia de 40 minutos cada, uma vez por semana. Para avaliação dos resultados do programa, foram utilizados a Escala de Desenvolvimento Motor, a Escala de Equilíbrio Pediátrica e o Teste de Goniometria Manual. Ao término do período interventivo, e após 1 mês, a criança foi reavaliada, constando-se incrementos no desempenho motor, no equilíbrio e na amplitude de movimento, principalmente na extensão de joelhos. Demais ganhos podem não ter sido alcançados devido à adaptação prévia da criança à sua condição. Os resultados apresentados evidenciam a contribuição da fisioterapia para a melhora da independência funcional e da qualidade de vida do paciente com SPP (AU)
Popliteal pterygium syndrome (PPS) is a rare congenital disease whose physical therapy (PT) treatment aims at functional independence. The objective of this study was to investigate the effect of a PT plan on range of motion, motor performance, and balance of a child with PPS. A 4-year-old girl underwent an interventional program with 20 PT sessions of 40 minutes each, once a week. The Motor Development Scale, the Pediatric Balance Scale, and the Manual Goniometry Test were used to evaluate the results of the program. At the end of the intervention period, and after 1 month, the child was reassessed, showing increases in motor performance, balance, and range of motion, especially in knee extension. Other gains may not have been achieved due to the child's prior adjustment to her condition. The results presented here emphasize the contribution of PT to the improvement of the functional independence and quality of life of patients with PPS (AU)