This document contains summaries of several research articles on various topics related to physiotherapy and physical therapy. The articles discuss the effects of home exercise programs for older adults, interval bicycling interventions for Parkinson's disease, exergaming and treadmill training for Parkinson's disease, predictors of walking speed after stroke, reliability of chest x-ray interpretation by physiotherapy students, effects of home rehabilitation on activities of daily living and gait for older adults with heart failure, a model for teaching ethical reflection in service learning, and several other topics related to physiotherapy treatments and interventions.
Crimson Publishers - Efficacy of Core Strengthening Exercise on a Geriatric S...CrimsonpublishersMedical
Efficacy of Core Strengthening Exercise on a Geriatric Subject with Lumbar Spine Degeneration-Evidence Based Study by Subramanian ss* in Research in Medical & Engineering Sciences
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected by this menace irrespective to their gender and quality of life. It has become one of
the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country.
Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The
exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability
exercises other techniques like muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique are beneficial in low back pain patients but comparison of their
effect needs to be established to provide early and better relief from the disability. Therefore objective of the
study was to compare the effect of core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days with a total of 24 sessions and progression of
the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
Assessing the Relationship between Body Composition and Spinal Curvatures in ...peertechzpublication
Introduction: Although it is thought that abdominal adiposity is one of the risk factor for postural deviation, such as increased lumbar lordosis, the studies in the literature only explored the effects of body mass index on spinal alignment and postural changes. The aim of this study was to investigate the correlation with detailed body composition and spine alignment in healthy young adults.
A Study to compare the effect of Open versus Closed kinetic chain exercises i...IOSR Journals
Abstract: Background And Purpose Of The Study: Patello-femoral arthritis is the most common type of
arthritis especially older people sometimes it is called as degenerative joint disease. Patello- femoral arthritis is
one of the common causes of physical disability in adults. It is the second most common cause of chronic
conditions. 50% of older persons after 55 years are affected. Some of the young people get arthritis from the
joint injuries. Arthritis is the leading cause of disability in our nation more than other systemic diseases like
heart diseases, cancer and diabetes. There are many therapeutic interventions for the treatment of patellofemoral
arthritis. The study is to determine whether closed kinetic chain exercise offer any advantages over
open kinetic chain exercises.
Method: The patients are randomly selected based on inclusion and exclusion criteria and divided into two
groups. Group A and Group B. Group A is trained with closed kinetic chain exercise and Group B is trained
with open kinetic chain exercises for a period of 12 weeks. the pre and post treatment readings of VAS and
KUJALA scale are taken in both groups for statistical analysis.
Results: The results showed reduction in pain and improvement in functional activity in both Group A and
Group B, significant improvement has been noted in Group A after 12 weeks of training.
Conclusion: This study shows that there was significant improvement in functional ability and reduction of pain
as a result of both open and closed kinetic chain exercises program. There are only few significant differences
between closed kinetic chain exercises (GROUP-A) and open kineticchain exercises (GROUP-B). It reviles that
closed kinetic chain exercises are more effective in the treatment of patello-femoral arthritis than the
(GROUP-B) open kinetic chain exercises
Efficacy of PNF Training Vs Agility Training on Mobility and Balance in Unila...ijtsrd
Introduction According to W.H.O, there are more than one million amputations performed every year, with up to 70 of these amputations related to diabetes. There were an estimated 1.6 million individuals living with the loss of a limb in 2006, these estimation are expected to more than double to 3.6 million such individuals by the year 2050. Objective To find out the effect of two different types of training procedure on mobility and balance in unilateral transtibial amputees using prosthesis during walking. Hypothesis To measure the effect of Pnf training on mobility and balance in unilateral transtibial amputees using prosthesis during walking. To measure the effect of Agility training on mobility and balance in unilateral transtibial amputees using prosthesis during walking. Design Pretest Post test experimental study. Participants Total 30 15 numbers of subjects were taken each in the Group A Proprioceptive Neuromuscular Facilitation group , Group B Agility group .Main outcome measures Berg balance scale Amputee mobility predictor Results The group A PNF training showed significant results p value=.04 , and the group B Agility training showed significant results p value=.02 . The Group B Agility training showed more significant results as the P value was lesser than that of Group A PNF training .Thus Agility training treatment method is more effective than the PNF training treatment method.Conclusions On the basis of the finding of the study, it can be concluded that both the Proprioceptive neuromuscular facilitation and Agility training both are effective in improving mobility and balance in unilateral transtibial amputee patient. But, conventional therapy along with Agility training yields more significant improvement in balance and mobility than the Proprioceptive neuromuscular facilitation along with conventional occupational therapy. Gopal Sharan | Mrs. Eva S Kujur | Mr. Pankaj Bajpai "Efficacy of PNF Training Vs Agility Training on Mobility & Balance in Unilateral Trans Tibial Amputee" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38365.pdf Paper Url: https://www.ijtsrd.com/medicine/other/38365/efficacy-of-pnf-training-vs-agility-training-on-mobility-and-balance-in-unilateral-trans-tibial-amputee/gopal-sharan
Comparison of a strengthening programme to a proprioceptive training in impro...IOSR Journals
Abstract: Strength and proprioception are important to have a stable and functional ankle .Individuals with
ankle injuries are bound to develop a loss of either or both of these during and after the phase of
immobilization. Objectives: 1. To assess the effects of a 4 weeks strengthening programme on dynamic balance
in CAI. 2. To assess the effects of a 4 weeks proprioceptive training on dynamic balance in CAI.3. To compare
the effects of a 4 weeks strengthening programme to a proprioceptive training on dynamic balance in CAI.
Materials and methods: This was an interventional study done amongst athlete students at Deccan Education
Society college campus, Pune during November 2013 to April 2014. Total 27 college students who were known
athletes with chronic ankle instability were selected by convenient sampling. These 27 subjects were randomly
allotted, 13 to the strengthening group and 14 to the proprioceptive group. Dynamic balance was assessed
using the Functional reach test (FRT) prior to the intervention. Maximum three readings were collected and
then an average of the best two was taken while the first was considered as the trial. This was considered as the
pre intervention reading. These subjects then underwent a 4 week programme depending upon the group they
were allotted. Post intervention readings were taken of the FRT scores in the two groups and statistical analysis
was done. Results & Conclusion: Paired andUnpaired t tests were done to compare the Functional reach test
(FRT) scores pre and post in both the strengthening and proprioceptive groups and also the post training FRT
scores between the two groups. The differences in the pre and post FRT scores were found to be extremely
significant in both the groups (p value < 0.0001). However there was no significant difference between the FRT
scores post training between the two groups (p value > 0.0001). The study proves that both the strength training
as well as proprioceptive training are equally effective in improving the dynamic balance in athletes with ankle
instability. They should thus both be given to improve dynamic balance.
Keywords: Strength, Proprioceptive training, chronic ankle instability.
Sub153105.pdf my article Outcome Measurement of Electrical Stimulation on Qua...jayanta Jayanta0074U
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis
Jayanta Nath
Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis.Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
Crimson Publishers - Efficacy of Core Strengthening Exercise on a Geriatric S...CrimsonpublishersMedical
Efficacy of Core Strengthening Exercise on a Geriatric Subject with Lumbar Spine Degeneration-Evidence Based Study by Subramanian ss* in Research in Medical & Engineering Sciences
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected by this menace irrespective to their gender and quality of life. It has become one of
the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country.
Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The
exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability
exercises other techniques like muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique are beneficial in low back pain patients but comparison of their
effect needs to be established to provide early and better relief from the disability. Therefore objective of the
study was to compare the effect of core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days with a total of 24 sessions and progression of
the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
Assessing the Relationship between Body Composition and Spinal Curvatures in ...peertechzpublication
Introduction: Although it is thought that abdominal adiposity is one of the risk factor for postural deviation, such as increased lumbar lordosis, the studies in the literature only explored the effects of body mass index on spinal alignment and postural changes. The aim of this study was to investigate the correlation with detailed body composition and spine alignment in healthy young adults.
A Study to compare the effect of Open versus Closed kinetic chain exercises i...IOSR Journals
Abstract: Background And Purpose Of The Study: Patello-femoral arthritis is the most common type of
arthritis especially older people sometimes it is called as degenerative joint disease. Patello- femoral arthritis is
one of the common causes of physical disability in adults. It is the second most common cause of chronic
conditions. 50% of older persons after 55 years are affected. Some of the young people get arthritis from the
joint injuries. Arthritis is the leading cause of disability in our nation more than other systemic diseases like
heart diseases, cancer and diabetes. There are many therapeutic interventions for the treatment of patellofemoral
arthritis. The study is to determine whether closed kinetic chain exercise offer any advantages over
open kinetic chain exercises.
Method: The patients are randomly selected based on inclusion and exclusion criteria and divided into two
groups. Group A and Group B. Group A is trained with closed kinetic chain exercise and Group B is trained
with open kinetic chain exercises for a period of 12 weeks. the pre and post treatment readings of VAS and
KUJALA scale are taken in both groups for statistical analysis.
Results: The results showed reduction in pain and improvement in functional activity in both Group A and
Group B, significant improvement has been noted in Group A after 12 weeks of training.
Conclusion: This study shows that there was significant improvement in functional ability and reduction of pain
as a result of both open and closed kinetic chain exercises program. There are only few significant differences
between closed kinetic chain exercises (GROUP-A) and open kineticchain exercises (GROUP-B). It reviles that
closed kinetic chain exercises are more effective in the treatment of patello-femoral arthritis than the
(GROUP-B) open kinetic chain exercises
Efficacy of PNF Training Vs Agility Training on Mobility and Balance in Unila...ijtsrd
Introduction According to W.H.O, there are more than one million amputations performed every year, with up to 70 of these amputations related to diabetes. There were an estimated 1.6 million individuals living with the loss of a limb in 2006, these estimation are expected to more than double to 3.6 million such individuals by the year 2050. Objective To find out the effect of two different types of training procedure on mobility and balance in unilateral transtibial amputees using prosthesis during walking. Hypothesis To measure the effect of Pnf training on mobility and balance in unilateral transtibial amputees using prosthesis during walking. To measure the effect of Agility training on mobility and balance in unilateral transtibial amputees using prosthesis during walking. Design Pretest Post test experimental study. Participants Total 30 15 numbers of subjects were taken each in the Group A Proprioceptive Neuromuscular Facilitation group , Group B Agility group .Main outcome measures Berg balance scale Amputee mobility predictor Results The group A PNF training showed significant results p value=.04 , and the group B Agility training showed significant results p value=.02 . The Group B Agility training showed more significant results as the P value was lesser than that of Group A PNF training .Thus Agility training treatment method is more effective than the PNF training treatment method.Conclusions On the basis of the finding of the study, it can be concluded that both the Proprioceptive neuromuscular facilitation and Agility training both are effective in improving mobility and balance in unilateral transtibial amputee patient. But, conventional therapy along with Agility training yields more significant improvement in balance and mobility than the Proprioceptive neuromuscular facilitation along with conventional occupational therapy. Gopal Sharan | Mrs. Eva S Kujur | Mr. Pankaj Bajpai "Efficacy of PNF Training Vs Agility Training on Mobility & Balance in Unilateral Trans Tibial Amputee" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38365.pdf Paper Url: https://www.ijtsrd.com/medicine/other/38365/efficacy-of-pnf-training-vs-agility-training-on-mobility-and-balance-in-unilateral-trans-tibial-amputee/gopal-sharan
Comparison of a strengthening programme to a proprioceptive training in impro...IOSR Journals
Abstract: Strength and proprioception are important to have a stable and functional ankle .Individuals with
ankle injuries are bound to develop a loss of either or both of these during and after the phase of
immobilization. Objectives: 1. To assess the effects of a 4 weeks strengthening programme on dynamic balance
in CAI. 2. To assess the effects of a 4 weeks proprioceptive training on dynamic balance in CAI.3. To compare
the effects of a 4 weeks strengthening programme to a proprioceptive training on dynamic balance in CAI.
Materials and methods: This was an interventional study done amongst athlete students at Deccan Education
Society college campus, Pune during November 2013 to April 2014. Total 27 college students who were known
athletes with chronic ankle instability were selected by convenient sampling. These 27 subjects were randomly
allotted, 13 to the strengthening group and 14 to the proprioceptive group. Dynamic balance was assessed
using the Functional reach test (FRT) prior to the intervention. Maximum three readings were collected and
then an average of the best two was taken while the first was considered as the trial. This was considered as the
pre intervention reading. These subjects then underwent a 4 week programme depending upon the group they
were allotted. Post intervention readings were taken of the FRT scores in the two groups and statistical analysis
was done. Results & Conclusion: Paired andUnpaired t tests were done to compare the Functional reach test
(FRT) scores pre and post in both the strengthening and proprioceptive groups and also the post training FRT
scores between the two groups. The differences in the pre and post FRT scores were found to be extremely
significant in both the groups (p value < 0.0001). However there was no significant difference between the FRT
scores post training between the two groups (p value > 0.0001). The study proves that both the strength training
as well as proprioceptive training are equally effective in improving the dynamic balance in athletes with ankle
instability. They should thus both be given to improve dynamic balance.
Keywords: Strength, Proprioceptive training, chronic ankle instability.
Sub153105.pdf my article Outcome Measurement of Electrical Stimulation on Qua...jayanta Jayanta0074U
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis
Jayanta Nath
Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis.Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
To Compare The Effect Of Proprioceptive Neuromuscular Facilitation Program Ve...IOSR Journals
Abstract: Low back pain has been a matter of concern, affecting up to 90% of population at some point in
their lifetime, up to 50% have more than one episode. People of all age group can be affected by this menace
irrespective to their gender and quality of life. It has become one of the leading causes for the visit to physician
thus also puts a heavy burden on the currency of the country. Physiotherapy is the most widely used form of
treatment adopted for gaining relief from low back pain. The exercises include stretching, strengthening, range
of motion exercises, McKenzie therapy and core stability exercises other techniques like Proprioceptive
neuromuscular facilitation program etc. It has been concluded in various studies core stability exercises and
Proprioceptive neuromuscular facilitation are beneficial in low back pain patients but comparison of their effect
needs to be established to provide early and better relief from the disability. Therefore objective of the study was
to compare the effect of Proprioceptive neuromuscular facilitation program and Core stabilization exercises on
low back pain patients. 40 subjects aged 30 – 50 years with low back pain for more than 4 weeks were made
part of the study based on inclusion and exclusion criteria and were then divided into two groups named A, B.
Group A received Proprioceptive neuromuscular facilitation and group B received Core stabilization exercises
and hot pack given initially for 10-15 minutes to the lower back. The exercise program was given for 4 weeks
with a total of 24 sessions and progression of the activity was made within the tolerance of the patient. Pre and
post treatment readings were taken of pain, Oswestry Disability Questionnaire and Functional Reach Test.
Results were analyzed using paired, unpaired t- test. Results showed that there is significant effect on pain,
Oswestry Disability Questionnaire and Functional Reach Test in the two groups but group A was clinically
more significant than groups B. The study concluded that patients with low back pain are benefitted more by
Proprioceptive neuromuscular facilitation program. So, Proprioceptive neuromuscular facilitation program
should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Proprioceptive Neuromuscular Facilitation.
The effect of instability training on knee joint proprioception and core stre...Fernando Farias
A general 10-week IT program utilizing Swiss balls and body mass as a resistance proved effective for improving knee proprioception as well as trunk flexion and extension strength in previously inactive individuals. The present study demonstrates that the use of body weight as a resis- tance under unstable conditions can provide significant improvements in knee proprioception (for as long as 9 months after training) and trunk strength for the untrained population that should contribute to general health and functionality.
If you have ever treated runners, having them stop or modify activity during rehabilita- tion is nearly impossible. As someone who specializes in the treatment of endurance
athletes, I am always looking for an edge
to return them to activity as soon as possible.
Long-Term Effect of Exercise Therapyand Patient Education on.docxwkyra78
Long-Term Effect of Exercise Therapy
and Patient Education on Impairments
and Activity Limitations in People
With Hip Osteoarthritis: Secondary
Outcome Analysis of a Randomized
Clinical Trial
Ida Svege, Linda Fernandes, Lars Nordsletten, Inger Holm, May Arna Risberg
Background. The effect of exercise on specific impairments and activity limitations in
people with hip osteoarthritis (OA) is limited.
Objective. The study objective was to evaluate the long-term effect of exercise therapy and
patient education on range of motion (ROM), muscle strength, physical fitness, walking
capacity, and pain during walking in people with hip OA.
Design. This was a secondary outcome analysis of a randomized clinical trial.
Setting. The setting was a university hospital.
Participants. One hundred nine people with clinically and radiographically evident hip
OA were randomly allocated to receive both exercise therapy and patient education (exercise
group) or patient education only (control group).
Intervention. All participants attended a patient education program consisting of 3 group
meetings led by 2 physical therapists. Two other physical therapists were responsible for
providing the exercise therapy program, consisting of 2 or 3 weekly sessions of strengthening,
functional, and stretching exercises over 12 weeks. Both interventions were conducted at a
sports medicine clinic.
Measurements. Outcome measures included ROM, isokinetic muscle strength, predicted
maximal oxygen consumption determined with the Astrand bicycle ergometer test, and
distance and pain during the Six-Minute Walk Test (6MWT). Follow-up assessments were
conducted 4, 10, and 29 months after enrollment by 5 physical therapists who were unaware
of group allocations.
Results. No significant group differences were found for ROM, muscle strength, predicted
maximal oxygen consumption, or distance during the 6MWT over the follow-up period, but
the exercise group had less pain during the 6MWT than the control group at 10 months (mean
difference��8.5 mm; 95% confidence interval��16.1, �0.9) and 29 months (mean differ-
ence��9.3 mm; 95% confidence interval��18.1, �0.6).
Limitations. Limitations of the study were reduced statistical power and 53% rate of
adherence to the exercise therapy program.
Conclusions. The previously described effect of exercise on self-reported function was
not reflected by beneficial results for ROM, muscle strength, physical fitness, and walking
capacity, but exercise in addition to patient education resulted in less pain during walking in
the long term.
I. Svege, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
Kirkeveien 166, 0450 Oslo, Nor-
way. Address all correspondence
to Dr Svege at: [email protected]
ous-hf.no.
L. Fernandes, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
and Department of Orthopaedic
Surgery and T.
Long-Term Effect of Exercise Therapyand Patient Education on.docxcroysierkathey
Long-Term Effect of Exercise Therapy
and Patient Education on Impairments
and Activity Limitations in People
With Hip Osteoarthritis: Secondary
Outcome Analysis of a Randomized
Clinical Trial
Ida Svege, Linda Fernandes, Lars Nordsletten, Inger Holm, May Arna Risberg
Background. The effect of exercise on specific impairments and activity limitations in
people with hip osteoarthritis (OA) is limited.
Objective. The study objective was to evaluate the long-term effect of exercise therapy and
patient education on range of motion (ROM), muscle strength, physical fitness, walking
capacity, and pain during walking in people with hip OA.
Design. This was a secondary outcome analysis of a randomized clinical trial.
Setting. The setting was a university hospital.
Participants. One hundred nine people with clinically and radiographically evident hip
OA were randomly allocated to receive both exercise therapy and patient education (exercise
group) or patient education only (control group).
Intervention. All participants attended a patient education program consisting of 3 group
meetings led by 2 physical therapists. Two other physical therapists were responsible for
providing the exercise therapy program, consisting of 2 or 3 weekly sessions of strengthening,
functional, and stretching exercises over 12 weeks. Both interventions were conducted at a
sports medicine clinic.
Measurements. Outcome measures included ROM, isokinetic muscle strength, predicted
maximal oxygen consumption determined with the Astrand bicycle ergometer test, and
distance and pain during the Six-Minute Walk Test (6MWT). Follow-up assessments were
conducted 4, 10, and 29 months after enrollment by 5 physical therapists who were unaware
of group allocations.
Results. No significant group differences were found for ROM, muscle strength, predicted
maximal oxygen consumption, or distance during the 6MWT over the follow-up period, but
the exercise group had less pain during the 6MWT than the control group at 10 months (mean
difference��8.5 mm; 95% confidence interval��16.1, �0.9) and 29 months (mean differ-
ence��9.3 mm; 95% confidence interval��18.1, �0.6).
Limitations. Limitations of the study were reduced statistical power and 53% rate of
adherence to the exercise therapy program.
Conclusions. The previously described effect of exercise on self-reported function was
not reflected by beneficial results for ROM, muscle strength, physical fitness, and walking
capacity, but exercise in addition to patient education resulted in less pain during walking in
the long term.
I. Svege, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
Kirkeveien 166, 0450 Oslo, Nor-
way. Address all correspondence
to Dr Svege at: [email protected]
ous-hf.no.
L. Fernandes, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
and Department of Orthopaedic
Surgery and T ...
Comparison of Task Oriented Approach Versus Proprioceptive Neuromuscular Faci...ijtsrd
INTRODUCTION Stroke rehabilitation is an organized endeavour to help patients to maximize all opportunities for returning to an active lifestyle. Early intervention in acute stroke rehabilitation plays a major role in restoration of function and reducing the degree of disability and dependence for ADL’s and ambulation. Neuro rehabilitation is a method for relearning a previously learned task in a different way, either by compensatory strategies or by adaptively recruiting alternative pathway. Selection of appropriate and best neuro rehabilitation is critical.OBJECTIVE To compare whether task oriented approach is better than propioceptive neuromuscular facilitation on functional ambulation of stroke patients.DESIGN Single centre randomized control trial.SETTING Occupational Therapy department, Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Odisha, 754010PARTICIPANTS All participants who fulfill the inclusion criteria randomly assigned to two groups. Following this a baseline assessment of Functional gait assessment scale was done at the beginning of the study.INTERVENTION All participants continued to receive conventional occupational therapy throughout the entire duration of study. Participants received an additional specific intervention one group task oriented approach and the second group PNF approach .Subjects of both the group were provided therapy sessions 45minutes per session 5 days a week for two months.OUTCOME MEASURE Functional Gait Assessment ScaleRESULT From the statistical result of this study, it is seen that there is no significance difference in FGA scale between two groups. This data suggests that TOA and PNF approaches are equally efficacious in treating functional ambulation in stroke patients and there is a significant improvement within the two experimental group.CONCLUSION There has been considerable debate regarding the comparative effectiveness of various treatment approaches with stroke patients. This study is not able to identify any differences between the groups that received Task oriented approach and the group that received Propioceptive neuromuscular facilitation treatment .On the basis of the finding s of this study occupational therapist can consider using either approach in planning treatment for functional ambulation in stroke patients. Rakesh Mahapatra | Mr. Rama Kumar Sahu "Comparison of Task Oriented Approach Versus Proprioceptive Neuromuscular Facilitation Technique on Functional Ambulation in Stroke Patients" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-1 , December 2020, URL: https://www.ijtsrd.com/papers/ijtsrd38237.pdf Paper URL : https://www.ijtsrd.com/medicine/other/38237/comparison-of-task-oriented-approach-versus-proprioceptive-neuromuscular-facilitation-technique-on-functional-ambulation-in-stroke-patients/rakesh-mahapatra
To Compare The Effect Of Proprioceptive Neuromuscular Facilitation and Static...ijtsrd
Background: Flexibility is an important physiological component of physical fitness and reduced flexibility can cause inefficiency in the workplace and is also a risk factor for low back pain. Increasing hamstring flexibility was reported to be an effective method for increasing hamstring muscle performance.Objective: To compare the effects of modified hold-relax proprioceptive neuromuscular facilitation stretching technique and static stretching on flexibility of hamstring muscle.Materials and Methods: In this comparative study 60 subjects were selected by convenience sampling and research design was comparative and experiment in nature. Subjects were selected on the basis of inclusion criteria. Subjects were divided into two groups, group A and group B allocating alternate subjects to group A and group B, 30 in each group. Group A was treated with Proprioceptive Neuromuscular Facilitation with cryotherapy and Group B was treated with Static Stretching with cryotherapy. Baseline assessment was taken on pre stretch, post stretch and after 24 hours using Active Knee Extension test and Modified back saver sit and reach test.Results: Both the groups showed significant improvement in hamstring flexibility. (p0.05).Conclusion: Thus we concluded that the Proprioceptive Neuromuscular Facilitation Stretching Technique and Static Stretching both are effective to improve flexibility of hamstring muscle and clinically both the interventions are equally effective. Tanu Kapila | Dilpreet Kaur | Jaspinder Kaur"To Compare The Effect Of Proprioceptive Neuromuscular Facilitation and Static Stretching on Flexibility of Hamstring Muscle: A Comparative Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2266.pdf http://www.ijtsrd.com/other-scientific-research-area/other/2266/to-compare-the-effect-of-proprioceptive-neuromuscular-facilitation-and-static-stretching-on-flexibility-of-hamstring-muscle-a-comparative-study/tanu-kapila
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1. Physiotherapy Theory and Practice
Articles
Older Persons' Experiences of a Home-Based Exercise Program With
Behavioral Change Support
M Arkkukangas et al. Physiother Theory Pract 33 (12), 905-913. 2017 Aug
16.
With support from physiotherapists (PTs), home-based exercise can be
adapted to individual circumstances in a meaningful way. Including
exercises in everyday life and daily routines could support the experience of
being stronger, result in better physical functioning, and give hope for an
extended a ...
Effects of a Low-Resistance, Interval Bicycling Intervention in Parkinson's
Disease
M Uygur et al. Physiother Theory Pract 33 (12), 897-904. 2017 Aug 16.
Previous studies have shown that people with Parkinson's disease (PD)
benefit from a variety of exercise modalities with respect to symptom
management and function. Among the possible exercise modalities,
speedwork has been identified as a promising strategy, with direct
implications for the rate an ...
The Effects of Exergaming and Treadmill Training on Gait, Balance, and
Cognition in a Person With Parkinson's Disease: A Case Study
S Vallabhajosula et al. Physiother Theory Pract 33 (12), 920-931. 2017 Aug
16.
Eight weeks of treadmill and exergaming intervention with a person with PD
improved static and dynamic postural control measures, but not gait,
cognition, endurance, and clinical measures of balance. Longer and more
intense multimodal intervention may be warranted.
A Longitudinal Study Investigating How Stroke Severity, Disability, and
Physical Function the First Week Post-Stroke Are Associated With Walking
Speed Six Months Post-Stroke
MK Aaslund et al. Physiother Theory Pract 33 (12), 932-942. 2017 Aug 17.
PASS, PWS, and age the first week predicted PWS at 6 months post-stroke
for participants with the best walking ability, and PASS alone predicted PWS
at 6 months post-stroke for participants with the poorest walking ability.
Final Year Physiotherapy Student's Reliability in Chest X-Ray Interpretation
V Ball et al. Physiother Theory Pract 34 (1), 54-57. 2017 Aug 17.
Final year physiotherapy students were not able to reliably interpret CXRs.
These findings were consistent with previous published research involving
medical students. Therefore on graduation before starting "on call" duties it
is recommended newly qualified physiotherapists receive additional train ...
2. Effect of Home-Based Rehabilitation on Activities of Daily Living and Gait in
Older Adults With Heart Failure at Risk for Falling: A Retrospective Cohort
Study
FY Asiri et al. Physiother Theory Pract 33 (12), 943-953. 2017 Aug 21.
Patients with heart failure receiving home-based rehabilitation services make
significant improvements in ADL function and gait performance. Greater ADL
improvements are associated with younger age, faster gait speed at
baseline, and greater impairment of baseline ADL scores. Age, baseline gait
spee ...
The Active Engagement Model of Applied Ethics as a Structure for Ethical
Reflection in the Context of Course-Based Service Learning
KC Nesbit et al. Physiother Theory Pract 34 (1), 1-12. 2017 Aug 30.
This case report illustrates attributes of the active engagement model which
have implications for teaching ethical reflection: scaffolding for ethical
reflection, use of narrative for reflection, reflection in action, and illumination
of relevant themes. Each of these attributes leads to the develo ...
Treatment of Axillary Web Syndrome Using Instrument Assisted Soft Tissue
Mobilization and Thoracic Manipulation for Associated Thoracic Rotation
Dysfunction
P Crane et al. Physiother Theory Pract 34 (1), 74-78. 2017 Aug 30.
Utilization of an impairment-based physical therapy approach to treat a
patient with AWS and thoracic dysfunction yielded positive outcomes.
Further research on the efficacy of IASTM and physical therapy
management of AWS is warranted.
An Algorithmic Approach to Rehabilitation Following Arthroscopic Surgery
for Arthrofibrosis of the Knee
BJ Eckenrode. Physiother Theory Pract 34 (1), 66-74. 2017 Sep 01.
Arthroscopic debridement of knee joint arthrofibrosis after ACLR in
conjunction with a postoperative physical therapy algorithmic approach to
maximizing knee joint extension ROM can be beneficial in gaining
symmetrical knee extension range of motion and improved function. Further
studies may help to ...
Unisensory and Multisensory Self-Referential Stimulation of the Lower Limb:
An Exploratory fMRI Study on Healthy Subjects
AI Vieira et al. Physiother Theory Pract 34 (1), 22-40. 2017 Sep 01.
This specific multisensory stimulation produces a brain activation map in
regions that are responsible for multisensory Self-processing and may
represent the Core-Self. We recommend the use of this specific
multisensory stimulation as a physiotherapy intervention strategy that might
promote the Self ...
Improvements in Cardiometabolic Risk Markers, Aerobic Fitness, and
Functional Performance Following a Physical Therapy Weight Loss Program
A Sabbahi et al. Physiother Theory Pract 34 (1), 13-21. 2017 Sep 01.
3. This study indicates the importance and significance of weight loss in
improving physical function and cardiometabolic risk profiles across a cohort
of outpatient physical therapy patients. Our study also suggests that weight
loss can be achieved in a comprehensive exercise intensive physical therap
...
Physiotherapy Clinical Educators' Perspectives on a Fitness to Practice
Initiative
K Lo et al. Physiother Theory Pract 34 (1), 41-53. 2017 Sep 01.
The benefits of a student-centered FTP approach included clarity and
consistency in managing FTP issues and facilitation of student awareness
through active engagement in maintaining their FTP. To our knowledge, this
paper is the first to report a comprehensive approach to the range of FTP
issues in ...
Home-Based Circuit Training Program for an Adolescent Female With
Severe Traumatic Brain Injury: A Case Report
D Tiwari et al. Physiother Theory Pract 34 (2), 137-145. 2017 Sep 06.
Adolescents with traumatic brain injury (TBI) are often discharged from
physical therapy (PT) services without transitioning into exertional
conditioning programs. Active participation in physical activities with peers at
school is essential to achieve a sense of accomplishment and acceptance.
Facto ...
Abdominal Draw-In Maneuver Combined With Simulated Weight Bearing
Increases Transversus Abdominis and Internal Oblique Thickness
JS Kim et al. Physiother Theory Pract 33 (12), 954-958. 2017 Sep 06.
The abdominal draw-in maneuver (ADIM) is a method commonly used to
reestablish neuromuscular control of the deep spine muscles among
individuals with musculoskeletal problems. The purpose of this study was to
evaluate the effect of ADIM combined with simulated weight-bearing (SWB)
activities in the ...
Concurrent Validity of Inclinometer Measures of Scapular and Clavicular
Positions in Arm Elevation
PR Camargo et al. Physiother Theory Pract 34 (2), 121-130. 2017 Sep 06.
Concurrent validity in assessing scapular upward rotation and clavicle
elevation with an inclinometer was shown when compared with
electromagnetic tracking. However, the inclinometer method may not have
adequate concurrent validity to clinically measure scapular anterior/posterior
tilting.
Vestibular Rehabilitation Following Surgical Repair for Superior Canal
Dehiscence Syndrome: A Complicated Case Report
WJ Carender et al. Physiother Theory Pract 34 (2), 146-156. 2017 Sep 11.
Superior Canal Dehiscence Syndrome (SCDS) causes auditory and
vestibular symptoms. Following surgical repair of the dehiscence, patients
often experience dizziness and imbalance. This case report describes a
4. postoperative vestibular exercise program, focusing on the principles of
central compensatio ...
The Validity and Reliability of the Sphygmomanometer for Hip Strength
Assessment in Australian Football Players
LA Toohey et al. Physiother Theory Pract 34 (2), 131-136. 2017 Sep 11.
A sphygmomanometer is a cost-efficient device that appears to be both
reliable and valid for the assessment of hip strength, offering clinicians an
alternate and easily accessible option to obtain objective strength data. A
ceiling effect may limit the application of the sphygmomanometer as a streng
...
Effects of Kinesio Tape in Individuals With Lateral Epicondylitis: A Deceptive
Crossover Trial
IPH Au et al. Physiother Theory Pract 33 (12), 914-919. 2017 Sep 12.
Neither facilitatory nor inhibitory effects were observed between different
application techniques of KT in patients with LE. Hence, alternative
intervention should be used to manage LE.
The Efficacy of Stretching Exercises to Reduce Posterior Shoulder
Tightness Acutely in the Postoperative Population: A Single Blinded
Randomized Controlled Trial
PA Salamh et al. Physiother Theory Pract 34 (2), 111-120. 2017 Sep 13.
The horizontal adduction stretch is more effective at reducing acute PST in
the postoperative shoulder population when compared to the supine sleeper
stretch and no stretch at all. Knowledge of efficacious stretching methods
may serve to reduce the potential morbidity associated with postoperative s
...
Repeated Split-Belt Treadmill Walking Improved Gait Ability in Individuals
With Chronic Stroke: A Pilot Study
M Betschart et al. Physiother Theory Pract 34 (2), 81-90. 2017 Sep 13.
This study investigated the effects of repeated split-belt treadmill (SBT)
walking on gait ability in individuals poststroke. Twelve individuals with a first
unilateral cerebral stroke (10 males; mean age 53 (SD 8.74); mean time
poststroke 25 months (SD 23.5); 9 left-sided stroke) and initial step l ...
Reliability and Criterion Validity of Measurements Using a Smart Phone-
Based Measurement Tool for the Transverse Rotation Angle of the Pelvis
During Single-Leg Lifting
SH Jung et al. Physiother Theory Pract 34 (1), 58-65. 2017 Sep 18.
Measurement of the transverse rotation angle of the pelvis using the SBMT
showed excellent reliability and criterion validity compared with the 3DMAS.
Supraorbital Electrical Stimulation in Management of Chronic Type Tension
Headache: A Randomized Controlled Study
NS Hamed. Physiother Theory Pract 34 (2), 101-110. 2017 Sep 18.
SOES had positive therapeutic results for treatment of CTTH.
5. Effect of Dry Needling on Myofascial Pain Syndrome of the Quadratus
Femoris: A Case Report
S Anandkumar. Physiother Theory Pract 34 (2), 157-164. 2017 Sep 18.
This case report describes a 40-year-old male who presented with posterior
thigh pain managed unsuccessfully with massage therapy, chiropractic
adjustments, and physical therapy. The diagnosis of myofascial pain
syndrome (MPS) involving the quadratus femoris (QF) was purely clinical,
based on palpat ...
Magnitudes of Muscle Activation of Spine Stabilizers in Healthy Adults
During Prone on Elbow Planking Exercises With and Without a Fitness Ball
JW Youdas et al. Physiother Theory Pract 34 (3), 212-222. 2017 Sep 18.
Prone planking exercises have been used by rehabilitation professionals to
activate torso muscles in healthy persons and those with low back pain. The
aim of this study was to compare the magnitude of electromyographic (EMG)
muscle activation from 10 right-sided muscles as demonstrated by the
percen ...
Clinical Outcomes Following Conservative Management of Chronic
Traumatic Cervical Myelopathy: A Case Report
J Bridges et al. Physiother Theory Pract 34 (3), 231-240. 2017 Sep 18.
This case report suggests that conservative management of chronic
traumatic cervical myelopathy was effective in helping to improve pain,
sleep, and function in this patient with a traumatic mechanism of injury.
Lung Function, Functional Capacity, and Respiratory Symptoms at
Discharge From Hospital in Patients With Acute Pulmonary Embolism: A
Cross-Sectional Study
JS Danielsbacka et al. Physiother Theory Pract 34 (3), 194-201. 2017 Sep
22.
This study indicates that patients with PE have a reduced lung function,
reduced functional capacity, and experience respiratory symptoms as pain
and dyspnea at discharge. Further studies are needed concerning long-term
follow-up of lung function, functional capacity, and symptoms after PE.
Neurodynamic Mobilization in a Collegiate Long Jumper With Exercise-
Induced Lateral Leg and Ankle Pain: A Case Report