Résumé
Background: Proprioceptive Neuromuscular Facilitation (PNF) A wide range of treatment techniques and approaches from different philosophical backgrounds are utilized in Neurological Rehabilitation The aim of this study is to evaluate the effectiveness of proprioceptive neuromuscular facilitation technique and conventional therapy in treating the patients with Cervical Spondylosis by improving the pain and range of motion of neck. Subjects and methods: 40 cervical Spondylosis patients of both the sexes selected on the basis of inclusion and exclusion criteria were included in the study and randomly divided into two groups A and B each of 20 persons. Group A consisting of 10 males and 10 females received PNF (Hold –relax and Contract relax) exercise for 4 weeks, 5 days/ week once in a day and Group B consisting of 11males and 9 females received conventional therapy for 4 weeks, 5 days/ week once in a day. Variables are measured pre intervention and post intervention after 4 weeks. To evaluate changes in pain, a shortened version of the McGill Questionnaire was used, Range of motion is measured. Result: Group A shows more significant improvement in all variables (Pain, ROM) in cervical spondylosis subjects than Group B. Conclusion: Analysis of the results confirmed that both PNF and conventional therapy had a statistically significant impact on reducing pain and improving the range of motion of neck in subjects suffering from spondylosis, but PNF method proved to be more effective than conventional therapy and McGill score of PNF applied group were more significant.
Résumé
Objectives To compare the clinical presentation, clinical profile and survival of two groups of endomyocardial fibrosis patients. Methods The study was a prospective cohort study, or a prospective case series, comparing all consecutive echocardiographically proven patients with endomyocardial fibrosis seen in Medical College Trivandrum with the patients seen in Medical College Hospital, Alappuzha(Alleppey) (or TD Medical College). In all patients the clinical details like age, sex, type of endomyocardial fibrosis, the presence of anaemia, eosinophilia, neutrophilia and type of rhythm(Sinus or atrial fibrillation) etc were compared by both simple X2 and by Kaplan Meier survival curves. Results The mean age and the sex distribution was same in both places Briefly the incidence of biventricular endomyocardial fibrosis was more from Trivandrum than Alleppey, 64.9% vs 14.3% (p < 0.0.001), the incidence of atrial fibrillation was more in Trivandrum 44.2% vs 16.3%. (p < 0.001)The overall survival of Trivandrum patients was poorer (p < 0.0001). The six year survival was 61% in the Trivandrum population whereas it was 91.5% in the Alleppey population. Conclusions These differences may have been due to the better nutrition of the Alleppey patients due to a higher exposure to fish compared to the Trivandrum population. Better nutrition would protect against Magnesium deficiency and prevent the absorption of Cerium in the patients from Alleppey, compared to those from Trivandrum.