P300: a cognitive evaluation tool in acute ischemic stroke: a narrative review

Cognition is the scientific term for mental processes. These processes include attention, memory, problem solving, making decisions, producing and understanding language. This cognitive function is altered by various conditions like brain damage, ageing etc. Stroke is one of the main cause of cognitive impairment with an incidence ranging between 12 and 56% of affected population. P 300 is a long latency endogenous evoked potential. And it is referred to as cognitive evoked potential or event related potentials. P 300 is a wave form appears about 300ms following task - related endogenous stimuli which require attention and patients cooperation. The P 300 reflects processes related to attention, decision - making and memory updating. Research design: Narrative Review. EEG apparatus, event related potential P 300 wave form. In general, exercise improves the cognitive function. Various types of subjective measures available to assess the cognitive function but there is no direct reliable measure to asses cognitive function in patients. There is a need to find the scientific way of measuring cognitive function. In this review, a neurophysiological measure P 300 is explained to measure the cognitive function improvement after physical therapy management in stroke. P 300 will be a novel way of measuring cognitive function improvement after physical therapy management in stroke

Efficacy of antenatal synergistic facilitation of pelvic floor muscles versus kegel exercises on pelvic floor muscle strength- a post-partum review

To compare the efficacy of antenatal synergistic muscles facilitation on pelvic floor versus kegels exercises on postpartum pelvic floor muscle strength. Quasi-experimental, Post-test only design with a comparison group. Department of Obstetrics and Gynecology, P. S. Govindasamy Hospitals, Coimbatore, Tamilnadu, India. Seventy-eight antenatal women were randomly selected. Among the 78 women, 39 each were assigned to Group A [interventional group] and to Group B [control group]. Finally 21 women in each group continued the treatment program. o Group A- synergistic muscles of pelvic floor [Diaphragm, Abdominals, Ankle dorsiflexors and pelvic floor muscles] o Group B - kegels exercises [Only pelvic floor muscles]. The pelvic floor muscle strength was measured using Perineometer after 30 days. Data from 42 women were analyzed. Independent t- test was used as statistical tool. A significant difference in the postpartum pelvic floor muscle strength was found between the interventional and the control group. The mean difference between the interventional and control group was 1.762mm hg. The calculated t value using independent t- test was 3.584 which was greater than tabulated test statistical value of the 1.960 at [p < 0.05]. The pelvic floor muscle strength was comparatively greater among the women who performed synergistic muscle re-education than kegels exercise group. Hence, antenatal Motor Relearning approach of diaphragmatic, deep abdominal and pelvic floor exercises can be implemented during a normal pregnancy unless precluded by additional risk factors

case report on phantom limb pain treated with mirror box therapy

To study and report the effect of mirror box therapy in the management of phantom limb pain after an upper limb amputation. Single Case study. Informal experimental. A diagnosed case of phantom limb pain of left upper limb was treated with mirror box therapy for 4 months with customized training protocols. 4 repeated assessments at the end of each month were performed using Verbal Rating Scale. The patient had notable clinical recovery following mirror box therapy for 4 months

Conductive education in the treatment of unilateral neglect: a case report

To determine whether motor learning using conductive education principles help: unilateral neglect. Descriptive case study - informal, motor relearning program based on the principles of conductive education through visual tracking was performed on a single case of a 62 year old unilateral neglect. Pre- to post-intervention outcome was measured on upper and lower limb function scale. Early intervention through conductive education helped in hastening the motor recovery in this case of unilateral neglect. Remarkable recovery was noted in the ista1 segments of the upper limbs and knee joint of lower limbs