VIMS JOURNAL OF PHYSICAL THERAPY

Use of Hand Held Dynamometer for the Measurement of Neck Muscle Strength in Asymptomatic Healthy Population - A Short Instrument Review

Dod Vrushali — 2024-06-30

When diagnosing and treating patients with a range of neuromusculoskeletal diseases, clinical evaluation of muscle function yields valuable clinical information. Handheld dynamometers can be used in the clinical context to quantify muscle force output.

Isokinetic dynamometers, manual muscle testing, and hand-held dynamometry (HHD) are the instruments that can be used to measure muscular strength. A handheld dynamometer is a very useful and effective equipment in clinical settings, and it can guarantee quantitative strength assessment. Additionally, it is regarded as a valid and trustworthy instrument for determining the strength of the muscles in the upper and lower limbs

Cervical muscular strength is measured using non-standardized techniques. There have been several uses of different instrumentation, settings, constraints, push or pull techniques, and break or create tests. The objective strength values can be captured with reasonable ease and speed using HHD. A person can be tested with HHD while seated or while lying down on a table. If the individual is seated, the trunk can be placed against an immovable object, like a table, or secured with straps. There have been reports of both pushing and pulling techniques with HHD

Effect of Chin Tuck Exercise with Pectoralis Muscles Stretching Exercise v/s Chin Tuck Exercise with Scapular Retraction Strengthening Exercise on CVA, SA And Active Cervical ROM in Young Adults Patients in Text Neck Syndrome - A Randomized Clinical Trial

Khot Preeti — 2024-06-30

BACKGROUND: Text Neck Syndrome refers to repetitive stress injury, having an individual’s head hung forward looking at the mobile for a longer period of time. Most common symptoms of this syndrome are forward head posture, forward shoulder posture and reduced active cervical ranges of motion.

AIM: To find the effect of chin tuck exercise with pectoralis muscles stretching exercise versus chin tuck exercise with scapular retraction strengthening exercise on cranio-vertebral angle, shoulder angle and active cervical ROM in young adult patients in text neck syndrome.

METHOD: The study was conducted in College of Physiotherapy, Wanless hospital, Miraj Medical Centre, Miraj. It was a cross over study conducted on college going students using a simple random sampling method. Participants (n=48) who fulfilled inclusion criteria were included and were divided into two groups. The duration of the study was of 6 months. Participants were assessed using SAS-SV for pre-assessment and Smartphone protractor application and Goniometer for both pre- and post-assessment. The participants in a group A were given pectoralis muscle stretching exercise and participants in group B were given scapular retraction strengthening exercise both including chin tuck exercise over the span of 4 weeks. After which the outcome measures like CVA, SA And Active Cervical ROM were assessed again.

RESULT: Statistical analysis was done using unpaired t test between the groups and paired t test among the groups. The within-group analysis of pre- and post-treatment measurement of the techniques showed clinical and statistical significance whereas, the between group analysis showed no significant difference.

CONCLUSION: It can be concluded that chin tuck exercise with scapular retraction strengthening exercise is more effective as compared to chin tuck exercise with pectoralis muscles stretching exercise in the treatment of text neck syndrome.

Prevalence of Maternal blues in Primiparous and Multiparous Women Using Maternal Blues Suryani Scale : An Observational Study

Shaikh Mahvish — 2024-06-30

Aim- To study the prevalence of Maternal Blues in Primiparous women and Multiparous women using Maternal Blues Suryani Scale. Relevance of study - Maternal Blues if not detected and taken care off in time can progress to major clinical postpartum depression and it has adverse effects on development and health of infant and mother such as that mothers might become triggered to engage in self-injury, suicide, or abandoning their babies. Methodology- In this observational study 102 females were selected, according to the inclusion and exclusion criteria. Out of which 51 women were Primiparous and 51 were Multiparous. Written consent was taken from the subjects prior to the study. The entire procedure was explained to the participants and demographic details of the patient were taken. Participants were given printed copy of the scale in their language; Maternal Blues Suryani Scale, and a pen. Participants were asked to carefully read each statement in the scale and then tick the appropriate answer. Result- Total 102 women were the participants of this study. Out of which 51 were primiparous women and 51 were multiparous women. Mean age of Primiparopus women was 21.35 and that of Multiparous was 27.52. Mean % of Maternal Blues in Primiparous women is 55.15% and that in Multiparous women is 52.03%. Conclusion- Prevalence of Maternal Blues is slightly higher in Primiparous(55.15%) women than in Multiparous women(52.03%).

Association Between Duration and Symptoms in Patients With Diabetic Neuropathy.

Joshi Kanchan — 2024-06-30

Introduction: High blood sugar level leads to Diabetic Neuropathy.The average time gap between the onset of diabetes and its detection in an individual is 4 -7 years.^. Methodology: It was a population based cross-sectional study conducted using purposive sampling method on 50 samples of patients who were diagnosed as Diabetes Mellitus and Diabetic Neuropathy according to MNSI and HbA1C, admitted in I.P.D and Neurophysiotherapy O.P.D at tertiary care hospital for duration of 1 year. Asymptomatic diabetic patients, patients with severe neurological, musculoskeletal or cardiac problems, non-co-operative patients and the patients with poor mental status were excluded from study. Ahmednagar Neuropathy Screening Instrument Scale (ANSI) was administered on the patients. Results: Data was analyzed by using ANOVA test which shows that mean value of total score of symptoms on ANSI for the duration of 0-5 years is 6.15 which goes on increasing as the duration increases and it is 36 for the duration of 30 years of Diabetic Neuropathy which reveals that as the duration increases, the severity of symptoms also goes on increasing. So the final result is; there is association between duration and symptoms in patients with Diabetic Neuropathy. Conclusion: Diabetic Neuropathy consumes more time to show its physical symptoms on patient’s i.e. longer the duration of having diabetic neuropathy more symptoms are appears in the patients. As the coefficient is significant, the present study concluded that there is association between duration and symptoms in patients with diabetic neuropathy.

Comparison of Blood Flow Restriction Training Versus Traditional Strengthening on Handgrip Strength and Forearm Girth in Young Adults.

Uttamchandani Sakshi — 2024-06-30

Background: Blood flow restriction, a form of low intensity resistance exercise that when applied on body it demonstrates physiological changes that give positive outcomes like increased muscle growth, oxygen delivery and utilization of maximal oxygen. The purpose of this study was to examine effects of 4-week Blood flow restriction training protocol on forearm girth on grip strength in young adults.

Methods: A comparative study was carried out in 80 normal individuals ( divided in two groups) after examining inclusion and exclusion criteria with pre assessment of forearm girth and grip strength of both right and left hand.

Results: Blood flow restriction training group has shown more significant results than traditional training group.

Conclusion: This study concludes that both the groups were effective post intervention. But BFRT has shown more significant results as compared to traditional training on handgrip strength and forearm girth.

A Sequel of Integrative Neuromuscular Training to Emphasize the Sport Performance and Injury Prevention Among Tennis Players

Sohail Sameeha — 2024-06-30

Objectives: The study evaluates the effectiveness of Integrative Neuromuscular Training (INT) compared to traditional tennis training in various groups of tennis players. Specifically, it aimed to assess the impact of the INT program on dynamic balance, agility, speed, single-leg function, and core strength in tennis players. Additionally, it aimed to compare the effectiveness of the INT program in high-risk groups versus low or no-risk groups among tennis players.

Methodology: A total of 56 tennis players, including both male and female participants who met the eligibility criteria, were recruited for the study. Functional Movement Screen (FMS) tests were conducted to assess the players, after which they were categorized into Group A (high-risk), Group B (low-risk), and Group C (no risk), with 18 players in each group based on the FMS results. Prior to the intervention, assessments including the single-leg hop test, baseline speed and agility test, and abdominal endurance test were conducted.The intervention consisted of a 4-week training program, conducted twice a week, with each session lasting 40 minutes. Following the intervention, a post-test evaluation was performed.

Results:The results indicated that the Integrative Neuromuscular Training program led to a significant improvement in tennis players' abdominal endurance.

Conclusion: However, there was no significant improvement observed in dynamic balance, speed, and agility among the players.

Effect of Mat Pilates Exercises on Cardiometabolic Parameters to Improve Cardiovascular Fitness in Post Menopausal Diabetic Women

Maaz Syeeda — 2024-06-30

Aim:To determine cardiovascular fitness levels in post menopausal diabetic women, to determine how mat pilates exercises help in improving cardiovascular fitness in post menopausal diabetic women. Patients were approached with the proposal of the study.

Methodology: A total of 48 postmenopausal women with diabeties were screened based on inclusion and exclusion criteria and were randomly divided into two groups. Each group consists of 24 subjects. Group A Mat Pilatres exercises and Group B only medications. Borgs rate of percieved exertion, 3 minute step test, waist hip ratio, systolic and diastolic blood pressures, and BMI were used as outcome measures. The intervention was given 3 times per week for 8 weeks. Each session lasts for about 60 minutes. After 8 weeks post assessment is done.

Conclusion:The present study shows that Mat Pilates exercises helped in improving cardiovascular fitness in post menopausal diabetic women

Effectiveness of Mindfulness Meditation on Improving Mental Well Being of Undergraduate Physiotherapy Students - A Quasi Experimental Study

Gandhare Srushti — 2024-06-30

Aim- To study the effectiveness of mindfulness meditation on the mental well-being of undergraduate physiotherapy students. Objective- To see the improvement in the mental well-being after the mindfulness meditation by using Warwick Edinburg mental well-being scale in undergraduate physiotherapy students. Methodology - A pre-test post-test Quasi experimental study was done in underground physiotherapy students in Jalgaon. A total of 56 participants were taken in a group by purposive sampling method according to inclusion and exclusion criteria. Warwick- Edinburg scale was used to check the mindfulness of the participant. Result- the mean difference of the pre and post intervention was 6.786. The t and p values were 39.823 and < 0.0001 respectively. Conclusion- There was significant improvement in the mental well-being of the undergraduate physiotherapy students following one month mindfulness meditation.

Prevalence Of Urinary Incontinence in Post Natal C- Section Women in Age Group (21- 45 Years) - A Cross-Sectional Observational Study

Jodh Rucha — 2024-06-30

Background- According to the ICS (International Continence Society), urinary incontinence (UI) is characterized by any loss of involuntary urine associated or not with efforts . It is more frequent in women, due to anatomical reasons and hormonal changes, as well as births and pregnancies that can generate overload and favour structural damage to the pelvic floor tissues. The purpose of the study was to assess the postpartum prevalence of urinary incontinence following ceasarean section in women with age group 21-45yrs. Methodology and analysis - A cross-sectional study was conducted among 94 postnatal caesarean section women aged 21 – 45 years using convenient sampling. Women with any Recent abdominal surgery , any neurological pathology ,Obesity , prenatal women were excluded . Their urinary incontinence symptoms were investigated using QUID questionnaire. Result- The findings revealed that urinary incontinence was prevalent in post natal c-section women in age group 21-45years where stress incontinence was more prevalent than urge incontinence. Conclusion- The study concluded the prevalence of urinary incontinence by 31.91% in post c-section women age group of 21-45yrs. In which 27.65% women show positive result for stress incontinence and 4.25% for urge incontinence so elective ceasarean section did not prevent urinary incontinence.

Combined Effect of Myofascial Release and Muscle Energy Technique in a College Going Student With Trapezitis at a Single Session – A Case Study

Bhattacharyya Datri — 2024-06-30

Background: Improper neck posture for a prolonged time and stressful neck movements can result in a painful condition of neck, commonly known as Trapezitis. Muscle Energy Technique (MET) and Myofascial Release (MFR) technique are commonly used physiotherapeutic maneuvers to treat stressful muscle and fascia.

Methods: Thorough assessment was done for a college-going, 28 years old female student with neck pain, painful neck movement and headache and was diagnosed with ‘trapezitis’. The case study was conducted to find the effect of both MFR and MET after a single session in Trapezitis. Outcome measures were assessed for both headache and neck pain separately using a Numeric pain rating scale-11 (NPRS-11), and cervical lateral flexion ROM using a goniometer. Pre- and post-intervention data were collected. Qualitative analyses of outcome variables were done.

Results: Study results showed improvement after intervention in NPRS-11 for neck pain, NPRS-11 for headache, and cervical lateral flexion ROM.

Conclusion: The study concluded that the single session of MFR and MET is effective in decreasing pain, and increasing ROM in trapezius.

The Characteristics of Longitudinal Studies Analysing Functional Recovery in Patients with Stroke - A Systematic Review

Mukund Shubhangi — 2024-06-30

Background- Stroke is a common neurological disorder that represents a major cause of disability. Stroke is a major cause of short-term functional impairment in developed countries, in absence of adequate treatment and rehabilitation which can lead to significant long-term functional impairment. Objectives- This present systematic review is aimed to explore the literature-related longitudinal studies conducted on patients with Stroke concerning the number of subjects included, follow-up time, number of centers involved, percentage of dropouts, and type of outcome measures used to assess the effect of treatment. Methods- PubMed databases were searched to identify eligible studies using the keywords Stroke, Functional recovery, and longitudinal studies. Only longitudinal studies published in the last 12 years (2010-2022) were included in this review. Results- Nine studies were included in the review conducted on functional recovery in Stroke patients. All studies investigated Functional recovery over a longer period using different outcome measures with different follow-up times. It was found that functional recovery occurs over a longer period. Conclusion- This review concludes that multicentric longitudinal studies with specifically related outcome measures focus on activity & participation as stated in ICF guidelines with an option of telerehabilitation in the chronic stage to reduce attrition rate may be undertaken by the researcher in the field of Stroke rehabilitation.

Keywords: Functional recovery, Longitudinal study, Stroke.

BOOK REVIEW - Disability and Rehabilitation

Ganvir Shyam — 2024-06-30

Unexplored Avenues of Research in Primary Care Physiotherapy

Ganvir Suvarna — 2024-06-30