{"title":"EXAMINATION OF CHARACTERISTICS OF DIABETIC PATIENTS REQUIRING FREQUENT EXERCISE INTERVENTION BASED ON THE TRANSTHEORETICAL MODEL","authors":"Nobumasa Matsui, M. Yokogawa, Kei Washida","doi":"10.15621/ijphy/2020/v7i1/193668","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i1/193668","url":null,"abstract":"Background: Frequent intervention has been strongly recommended for diabetic patients undergoing exercise therapy. However, high-frequency interventions for all patients are inefficient. The purpose of this study is to examine the characteristics of groups divided based on changes in exercise behaviors. Methods: The participants comprised 42 diabetic patients who completed a two-week program to improve their glycemic control and receive diabetes education. Their change in exercise behavior, self-efficacy of exercise, and diabetes and social statuses were collected at the time of discharge and 12 and 24 weeks after discharge. Based on such data, the participants were divided into five groups: (1) the IW12 group whose exercise habits were interrupted within 12 weeks; (2) the IW24 group whose exercise habits were interrupted within 24 weeks; (3) the CO24 group who continued exercising after 24 weeks; (4) the Action group that actively exercised at the time of discharge; and (5) the Maintenance group that maintained same level of exercise at the time of discharge. Results: The total score of self-efficacy of exercise at the time of discharge was 13.7 ± 2.1 (the IW12 group), 11.3 ± 2.5 (the IW24 group), 16.2 ± 3.2 (the CO24 group), 16.7 ± 3.1 (the Action group), and 15.9 ± 2.3 (the Maintenance group). The scores for the IW24 group were significantly lower compared with the Action and Maintenance Patients groups (p < 0.01). Conclusion: Our findings suggest that intervention should be performed frequently, especially in a diabetic patient who is the preparation stage under low self-efficacy of exercise.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"43 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76591841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Gandhi, A. Sterba, M. Kate, Himani Khatter, J. Pandian
{"title":"COMPUTER GAME-BASED REHABILITATION FOR POSTSTROKE UPPER LIMB DEFICITS- SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"D. Gandhi, A. Sterba, M. Kate, Himani Khatter, J. Pandian","doi":"10.15621/ijphy/2020/v7i1/193674","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i1/193674","url":null,"abstract":"Background: The need for intense rehabilitation protocols with easy applicability to improve for patient adherence and harness the potential neuroplasticity leading to improvement in the quality of life (QOL) in post-stroke patients. Several studies have described the benefits of virtual reality and video games in rehabilitation. Aims: To explore and determine if Computer game-based rehabilitation for post-stroke upper limb deficits after stroke is superior to conventional therapy in terms of (1) ICIDH based outcomes (2) Intervention duration (3) acceptability and adherence to the intervention. Methods: This systematic review and meta-analysis followed PRISMA guidelines. Several electronic databases were searched using specific keywords, to measure the effects of computer-game-based therapy in post-stroke patients compared to conventional therapy. Results: 14 studies were included after a systematic review, out of which 11 were included for analysis. Studies recording Wolf motor function test and box and block test have shown improvements with Computer-game-based therapy in addition to conventional therapy. No improvements were recorded in impairments and patient participation/Quality of life. CGBT was acceptable and reported no adverse effects. Conclusions: Computer-game-based therapy or non-immersive virtual rehabilitation is effective and acceptable for upper limb rehabilitation after stroke. With significant improvement in ‘activity-limitation,’ this mode of rehabilitation can be adapted for patient-specific needs. Its effects on impairment and quality of life need further exploration.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"282 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76823435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EFFECTIVENESS OF MULLIGAN’S SQUEEZE TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL THERAPY TO DECREASE PAIN AND IMPROVE RANGE OF MOTION IN MENISCAL TEAR-A RANDOMIZED CONTROLLED TRIAL","authors":"S. Kasturi, NAGA SRAVANA KUMAR Jampa, Lalit Mohan","doi":"10.15621/ijphy/2020/v7i1/193669","DOIUrl":"https://doi.org/10.15621/ijphy/2020/v7i1/193669","url":null,"abstract":"Background: Serious, major meniscal fractures are the most common knee injuries. In the management of meniscal tears, physical therapy has shown positive results, and additional medication is required to reduce the effects of meniscal tears. This study aimed to evaluate the feasibility of the mulligan squeeze procedure in combination with conventional pain relief therapy and to increase the range of movement and functional ability of meniscal tear patients. The study aims at reviving pain, increasing ROM and stability, and improving the quality of their lives. Methods: In this randomized controlled trial, 40 patients were chosen and randomly assigned to two groups, A and B, clinically diagnosed with a meniscal tear. The Numeric Pain Rating Scale (NPRS), the Patient-Specific Functional Scale (PSFS), and knee range of motion were reported to determine the pain level and functional capability of the","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"13 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79127854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PREVALENCE OF PERIPHERAL NEUROPATHY IN CHRONIC MUSCULOSKELETAL OEDEMATOUS CONDITIONS","authors":"Chelcy S Jaju, S. Shinde","doi":"10.15621/ijphy/2019/v6i6/190226","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190226","url":null,"abstract":"Background: Neuropathic pain is a compound, persistent pain condition that results from illness or damage to the peripheral nervous system, central nervous system, or both. The nerve might get compressed due to various factors but one of the causes is an increase in oncotic pressure of interstitial fluid which may lead to neuropraxia. So, this may lead to symptoms of peripheral neuropathy. The objectives of the study were to determine the prevalence of peripheral neuropathy in chronic musculoskeletal oedematous conditions and to study the association of peripheral neuropathy in chronic musculoskeletal oedematous conditions with demographic variables. Methods: A total of 52 subjects were assessed and all were included in the study based on inclusion criteria. Peripheral neuropathy was diagnosed using Modified Total Neuropathy Score (mTNS) and pain assessment using Visual Analogue Scale (VAS), oedema assessment and also musculoskeletal assessment was done for assessing the severity of peripheral neuropathy. Results: Statistical results suggests that the prevalence of peripheral neuropathy in chronic musculoskeletal oedematous conditions having moderate neuropathy symptoms is 0.8445, the prevalence of minor neuropathy symptoms is <0.0001 and moderately severe symptoms is <0.0001. As the maximum population has moderate neuropathy symptoms, the prevalence of peripheral neuropathy in chronic musculoskeletal oedematous conditions is 0.8445. Conclusion: Among the fifty-two subjects having oedema, twenty-seven subjects had moderate neuropathy symptoms, fourteen subjects had minor neuropathy symptoms and eleven subjects had moderately severe symptoms. Thus, it clarifies that subjects having oedema are likely to get neuropathic symptoms at a later stage.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"7 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79662205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Besios, A. Nikolaos, Gourgoulis Vassilios, Mauromatis Giorgos
{"title":"COMPARATIVE RELIABILITY OF TINETTI MOBILITY TEST AND TUG TESTS IN PEOPLE WITH NEUROLOGICAL DISORDERS","authors":"Thomas Besios, A. Nikolaos, Gourgoulis Vassilios, Mauromatis Giorgos","doi":"10.15621/ijphy/2019/v6i6/190221","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190221","url":null,"abstract":"Background: In recent years, many tests have been developed to evaluate the mobility and functional capacity of people with neurological disorders (Hemiplegia, MS). The purpose of this study was to test the reliability and additionally to determine the measurement error of TMT and TUG in adults with neurological disorders (hemiplegia, MS). Methods: In the study of tests 20 adults (11 with multiple sclerosis and 9 with hemiplegia) who were retrospectively registered participated. The average age of adults was 38.7 ± 13.9 years old and their average body mass was 65.1 ± 13.1 kg. The Greek version of the tests and a Nikon 5300 digital camera for video recording were used for data collection. ICC was calculated by means of a two-way ANOVA model. Results: The results showed that there were no statistically significant differences between the two independent evaluators and that the TMT (ICC > 0,936 ) and TUG (ICC> 0,996) had strong reliability. Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that the tests TMT and TUG are reliable and can be used to evaluate kinetic and balance disorders. Therefore, it was concluded that the tests should be applied to reliably estimate the mobility and functional ability of adults with neurological disorders.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"20 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79648705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COMPARISON OF THE EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) VS. INTERFERENTIAL THERAPY (IFT) FOR RELIEF OF PAIN IN PRIMARY DYSMENORRHEA","authors":"Mayur Revadkar, Trineta M. Bhojwani","doi":"10.15621/ijphy/2019/v6i6/190223","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190223","url":null,"abstract":"Background: Dysmenorrhea or pain during menstruation is commonly seen in young women and largely impacts their quality of life. Pain medications are largely used to tackle this situation; however, they have side effects with regular use. Safe, effective pain-relieving modalities are crucial to help women cope with this situation. There is extensive literature proving the effectiveness of TENS for relieving the pain in primary dysmenorrhea; however, literature proving the same for IFT is sparse. Thus this research aims to investigate and compare the effectiveness of both the modalities in primary dysmenorrhea. Methods: 30 samples(17-25) were included in this study. Using the Simple Random Sampling method, the subjects were divided into two groups. One group received therapy through TENS(80-120 Hz, 20mins, Intensity as per tolerance)and the other through IFT(4PV,80-150HZ, 20 mins, Intensity as per tolerance). Electrical stimulation was given in the region of maximal pain. The Intensity of pain before and after treatment was recorded using the Numerical Pain Scale. The duration of pain relief and the need for analgesic post the therapy was also noted. Results: TENS and IFT are both extremely effective for the relief of pain in primary dysmenorrhea (P<0.0001). There is no significant difference in their effect on the comparison (P=0.422). And most of the subjects in both groups did not need analgesics after therapy. Conclusion: Both TENS and IFT are equally effective in the relief of pain in primary dysmenorrhea. However, tolerance to IFT currents is better among young women as they are medium frequency currents.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"97 10 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87698408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PREVALENCE OF MYOFASCIAL DYSFUNCTIONS IN BREAST CANCER SURVIVORS","authors":"Sapana Namadev Jare, S. Shinde, S. Patil","doi":"10.15621/ijphy/2019/v6i6/190227","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190227","url":null,"abstract":"Background: After breast cancer treatment, many complications are seen in breast cancer survivors (BCS). In that musculoskeletal dysfunctions are common. These dysfunctions are one of the common sources of pain and disability. A recent study states that extreme pain after breast cancer treatment is often. Severe pain can be a source of a lot of limitations and psychological distress. Before the time assessment and rehabilitation can be inserted to reduce pain level, improve strength and mobility which will be helpful in minimize restrictions in daily living and improve quality of life (QOL). The objectives of the study were as follows: To determine the prevalence of myofascial dysfunctions in BCS. To study the association of myofascial dysfunctions and demographic variables in BCS. Methods: A total of 74 females who underwent breast cancer surgeries along with chemotherapy or radiotherapy or hormone therapy, were included based on inclusion criteria. Subjects were assessed for pectoralis tightness, postmastectomy pain syndrome (PMPS), rotator cuff diseases, adhesive capsulitis, lymphedema and axillary web syndrome (AWS) by using Visual Analogue Scale (VAS), Musculoskeletal Assessment and pectoral tightness test. Results: Primary outcomes used for the result were Musculoskeletal Assessment, Visual Analogue Scale, posture Assessment, pectoral tightness test. The most common type of myofascial dysfunctions were Pectoral tightness (p= 0.1344), post-mastectomy pain syndrome (p=0.0116), rotator cuff disease (p= 0.1344), adhesive capsulitis (p= 0.9388) and axillary web syndrome (p= 0.9193) and the result was extremely significant. Conclusion: The major postoperative myofascial dysfunctions above the age of 50 years are pectoralis tightness, rotator cuff, and then by adhesive capsulitis and that of below 50 years was adhesive capsulitis followed by lymphedema and the by rotator cuff disease.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"86 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87684019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DOES MOTOR CONTROL EXERCISE DECREASES LUMBAR PAIN, IMPROVES MUSCLE ACTIVITY AND REGIONAL FUNCTION IN INDIVIDUALS WITH ACUTE AND SUB ACUTE NON-SPECIFIC LOW BACK PAIN","authors":"H AnsarBasha, Subbiah Kanthanathan, Shankar","doi":"10.15621/ijphy/2019/v6i6/190220","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190220","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"9 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77656075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mads Bprup, Anna Hesby, Karina B. Poulsen, Anne Høyer, Mads Holten, T. Strøm
{"title":"ENDURANCE TRAINING OF THE RESPIRATORY MUSCLES IN CRITICAL ILL PATIENTS ON MECHANICAL VENTILATION","authors":"Mads Bprup, Anna Hesby, Karina B. Poulsen, Anne Høyer, Mads Holten, T. Strøm","doi":"10.15621/ijphy/2019/v6i6/190219","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190219","url":null,"abstract":"Introduction: Atrophy of the diaphragm muscle has been reported after no more than 18 hours on mechanical ventilation. Inspiratory muscle training and spontaneous breathing trials can be seen as intrusive weaning. We, therefore, hypothesized that endurance training of the diaphragm muscle by systematically reducing pressure support would prepare the patient for weaning. Method: Adult critically ill patients, mechanically ventilated for more than 24 hours and expected intubated for more than 48 hours in the ICU of Odense University Hospital were enrolled. Demographic data, blood gas, and respiratory function parameters were among the data recorded at the beginning, during and after the training session. A physiotherapist led the intervention and during training, pressure support was reduced with a maximum of 50%. Results: 20 patients were enrolled. The mean APACHE II score was 21.7. Before training, the pressure support level was 8.5 (5-10) H2O. 120 minutes after training, the median value remained lower than 7 (5-10) H2O. The RASS level during the training was 0 (0 to -1). After three days, 16 out of the 20 (80%) patients were successfully extubated and after five days, additionally, two patients were extubated. During the intervention period, two patients died of other causes. Conclusion: A physiotherapist driven training program is both safe and feasible and could identify patients ready to wean. Reduction in pressure support levels obtained during training could be maintained afterward.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"4 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87559649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE IMPACT OF MANUAL THERAPY TECHNIQUES ON PAIN, DISABILITY AND IL-1B LEVELS IN PATIENTS WITH CHRONIC CERVICAL PAIN","authors":"Zemadanis Konstantinos, Betsos Theodoros, Philippou Anastasios, Koutsilieris Michalis","doi":"10.15621/ijphy/2019/v6i6/190224","DOIUrl":"https://doi.org/10.15621/ijphy/2019/v6i6/190224","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"31 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84373256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}