Comparison Of Spirometric Pulmonary Function In Subjects With Apple And Pear Shape Fat Distribution

Background: The pattern of obesity as decided by body fat distribution is an important predictor of adverse health effects such as diabetes, hypertension, hyperlipidaemia and coronary events. Waist hip ratio has been correlated with cardiovascular risk. Obesity is been known to cause restrictive respiratory impairment however; the effect of body fat distribution on the respiratory system is often underappreciated and limited evidence is available on spirometric pulmonary function in subjects with different body fat distribution. Hence here is a need to know weather pattern of obesity affects pulmonary function. Objectives: 1) To measure Waist Hip ratio (WHR) of subjects having BMI of more than 23 kg/m2 and based on this form two groups, one with apple and the other with pear shape fat distribution 2) To measure FVC and FEV1 in subjects of the above two groups.3) To compare FVC, FEV1 and %FEV1/FVC in above two groups. Methodology: In this comparative study a total of 182 subjects comprising of 91 subjects of Apple shaped and Pear shaped each were recruited in a period of 6 months. Study Settings: The study was conducted in the outpatient Physiotherapy department of a tertiary care hospital. The subjects in the study belonged to age group of 18-40 years. The mean age of the enrolled subjects was 29 years. Outcome measure: 1.FVC (L); 2. %FEV1 /FVC Results: The present study provides the evidence that FVC and %FEV1/FVC values are not statistically different in apple and pear shaped fat distribution individuals. Although both apple and pear shaped individuals showed %FEV1/FVC value more than 70% predicted, apple shaped individuals showed greater obstructive tendency i.e. reduced flow rates as compared to pear shaped individuals. Also more individuals of apple shaped showed restrictive pattern as compared to pear shaped. Conclusion: There was no statistically significant difference in the pulmonary function test in the two groups but there is a possibility of subclinical reduction in pulmonary function more in apple shaped than in pear shaped individuals

Physical fitness and physical activity level in school going adolescent children

Background: Adolescence is transitional phase between childhood and adulthood characterized by marked acceleration in growth. The objective of this study was to evaluate differences between the boys and girls in physical fitness and the variation in their physical activity at school going children at Pune.Methods: The study was carried out at various schools in Pune city. Government, government aided (semi government), and private schools were selected according to different zones of the city using random sampling method. A self-administered youth physical activity questionnaire (Y PAQ) has been given for testing their level of physical activity. Physical fitness test such as curl-up test, 90° push-up test, trunk lift, back saver sits, and reach test were performed for analysing the physical fitness of the students.Results: A total of 296 students, 142 boys (aged 13.47±0.04 years) and 154 girls (aged 13.40±0.03 years) were included in the study. The average/mean comparison demography between boys and girls for curl-up test showed 21.61±10.00 and 15.21±7.24 repetitions/min respectively. The average of 900 push-ups test between boys and girls were 12.72±7.31 and 5.12±3.25 repetitions/min respectively. The average/mean of Trunk lift test was 5.67±2.56 in boys and 5.12±2.45 inches in girls respectively.Conclusions: The study concluded that there was lower fitness level as per calculation of healthy fitness zone seen amongst the school going children and also there were lower levels of their physical activity in day to day life. Also, study results show significant difference among the boys and girls in their physical fitness level.

Effect Of Motor Control Retraining Of Scapular Stabilizers Versus Mulligan Mobilisation With Movement In Shoulder Impingement Syndrome

Background: Shoulder Impingement is one of the most common causes of shoulder pain in adults. Scapular muscle imbalances results in impaired scapular orientation with altered scapular kinematics and altered glenohumeral rhythm. Purpose of study: To study the effect of motor control retraining of scapular stabilizers versus mulligan mobilisation with movement in shoulder impingement patients. Methodology: 60 patients with positive Hawkins, kinetic medial rotation and/or Neer impingement test were taken for the study as subjects. They were then divided into two groups of 30 each- Group A and Group B. Both the groups were assessed and reassessed for(i) pain status using VAS (Visual Analogue Scale) both at rest and on internal rotation, (ii)Shoulder Flexion, Extension, Shoulder Abduction, Adduction, Internal and External Rotation Range Of Motion (ROM), (iii)Functional Scale SPADI( Shoulder Pain and Disability Index) pre and post the intervention. Group A received motor control retraining of scapular stabilizers whereas group B received Mulligan’s mobilization with movement for 6 weeks (3 times in a week). Both the groups received conventional physiotherapy. Data analysis was done using Wilcoxon sign ranked test for intragroup comparison and Manwhitney test for intergroup comparison. Results: The results showed statistically significant improvement in shoulder pain, ROM and shoulder function in motor control retraining as compared to mulligan mobilisation with movement. Conclusion: Motor control retraining of scapular stabilizers is more effective treatment technique as compared to mulligan mobilisation with movement in shoulder impingement.

Parental perception of quality of life in children following cardiac surgery

Background: Congenital heart disease (CHD) is one of the major causes of mortality in the pediatric population of both the developing and developed countries. Along with medical and surgical treatment, access to quality care is equally essential in children operated with CHD. This study aims at assessing how the parents perceive quality of life in the child post-operatively and the impact on family.Methods: About 185 parents of children operated for CHD were interviewed using Pediatric Quality of Life Inventory' 3.0 Cardiac, Paediatric Quality of Life Inventory' (PedsQL') Family Impact Module scale and Participation Measure using International Classification of Functioning, Disability and Health-Child Youth by World Health Organization-2007 (ICF-CY) after three months of surgery.Results: CHD was found to be more common among males (57.8%) with commonest surgery being ventricular septal defect (36.8%) followed by tetralogy of fallot and others. Overall 44.8% parents perceived their child had problem following surgery, cognition being the most affected domain. Problems in communication were perceived by 47.6% parents and were worried about the future. Using ICF-CY, 55.1% perceived complains of mild difficulty in mobility and moderate difficulty in self-care and schooling for the child.Conclusions: The overall quality of life of children operated for congenital heart disease was perceived as not affected by parents except for cognitive problems. Parental worry and communication were the most affected domains. As far as schooling and self-care is concerned there was moderate difficulty. There is need for parental counselling and rehabilitation to function for children operated for cardiac surgery post operatively.

Effect Of Taping On Scapular Posture And Shoulder Range Of Motion In Subacromial Impingement Syndrome

Background: Alteration in upper body posture is associated with shoulder impingement due to changes in scapular orientation, increased thoracic kyphosis and concomitant imbalance of glenohumeral and scapulothoracic muscles. Mechanical correction of scaular and thoracic posture can reduce impingement. Recently use of kinesiotapes has been increasingly popular. There have been some studies reporting the effect of kinesiotapes on muscle activation and pain reduction in subacromial impingement syndrome. Kinesiotapes can also be used to correct scapular and thoracic posture in Subacromial Impingement Syndrome. Purpose of study: To study the effect of scapula and thoracic taping using kinesiotapes in addition of conventional treatment on scapular posture and shoulder range of motion in Subacromial Impingement Syndrome. Materials and Methods: 60 subjects with Subacromial Impingement Syndrome were randomly assigned to two groups. Experimental group received scapula and thoracic taping using kinesiotape for 24hrs along with conventional physiotherapy treatment. Control group received conventional physiotherapy. Subjects were assessed pre, immediate post intervention and 24hr post intervention for scapular posture, shoulder range of motion and pain. Results: Experimental group showed statistical significant improvement(p<0.001) in scapular posture, shoulder range of motion and pain (on medial rotation, and reaching the back) scores both immediately and 24hour post intervention compared to control group. Also greater improvement was seen in pain and range of motion post 24 hour as compared to immediate post intervention in experimental group. Conclusion: Taping as an adjunct to conventional treatment is much more effective for short term improvement in scapular postures, range of motion and reduction in pain as compared to only conventional treatment in subjects with Subacromial Impingement Syndrome.

Clinical Evaluation of Balance in Adults with Traumatic Brachial Plexus Injury

Objectives: The study aimed to find if the balance was impaired in patients of traumatic brachial plexus injury. The objectives were to assess the static balance using single leg stance test time and dynamic balance using the time component of modified dynamic gait index in adults with partial or complete brachial plexus injury (study group) and compare it with healthy normal adults (control group). Methodology: It was a cross-sectional, comparative, observational, single-center study carried out for a period of 6 months including statistical analysis. Total 20 patients with partial or complete traumatic brachial plexus injury and 20 age and gender-matched healthy normal adults were recruited from 18-45 years of age, of either gender who were willing to participate in the study. Individuals with any congenital, cognitive, vascular, neurological issues or with injuries to lower limb were excluded. Static balance was measured using single leg stance test time (in seconds) thrice for each leg (its average was then taken) and the dynamic balance was measured using the score out of 24 for time variable of modified dynamic gait index. Results: No statistical difference in left (p=0.3141) or right (p=0.1572) single leg stance test time was observed, however, there was a statistical difference in ‘time’ component of modified dynamic gait index between the 2 groups (p<0.001). Conclusion: The study shows that the static balance was not affected but the dynamic balance was affected in patients with traumatic brachial plexus injury.