[International Journal of Physiotherapy 2014; 1(3) : 100-168] RSS

Dr. K. Madhavi, M.P.T, Ph.D


Pages : 100

Vinod Babu. K, Lisa Michael Pereira, Sai Kumar. N, Ayyappan. V.R

DOI : 10.15621/ijphy/2014/v1i3/53462

Pages : 101-111

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Background: Instrumental assisted soft tissue mobilization and static stretching found to be effective in plantar fasciitis, however the combined effectiveness of these techniques were unknown. The purpose of this study is to find the effect of Instrumental assisted soft tissue mobilization technique for plantar fascia combined with static stretching of triceps surae for subjects with chronic stage of Plantar Fasciitis on pain intensity, ankle dorsiflexion range of motion and functional disability.
Methods: An experimental study design, selected subjects with chronic Plantar Fasciitis randomized subjects into each Study and Control group. Total of 40 subject’s data who completed study, 20 in each group, was used for analysis. Control group received conventional exercise while Study group received conventional exercises with Instrumental assisted soft tissue mobilization combined with static stretching of triceps surae muscle. Outcome measurements such as Intensity of pain using Numerical Pain Rating Scale-101 (NPRS-101), function disability using Foot Function Index Pain Subscale (FFI) and ankle dorsiflexion active range of motion using Goniometer was measured before and after 2 weeks of intervention.
Results: There is statistically significant improvement in means of NRS-101, ankle dorsiflexion active range of motion and Foot Function Index Pain Subscale after intervention in both groups. When the post-intervention means were compared between Study and Control group after 2 weeks of treatment there is statistically significant difference in means between the groups whereas study group showed greater percentage of improvement than control group.
Conclusion: It is concluded that Instrumental assisted soft tissue mobilization technique combined with static stretching of triceps surae muscle is significantly effective than conventional exercises on reducing pain, improving ankle dorsiflexion range of motion and functional disability for subjects with chronic Plantar Fasciitis. 


Achyutha Kiran Kumar, Kattela Suneel Kumar, G Hari Babu, Keertana.

DOI : 10.15621/ijphy/2014/v1i3/53463

Pages : 112-115

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Background: People with vestibular dysfunction complain of problems with balance and dizziness which creates a negative impact on the people and affects their quality of life. Medications help in the control of symptoms. There has been an increase in the implementation of many protocols for the rehabilitation of vestibular patients with follow up exercises for the treatment of BPPV.
Methods: Thirty BPPV patients were identified by doing Dix- Hall pike positioning and their DHI scores were recorded. All patients were exclusively treated with Semont Liberatory maneuver. The effectiveness of the treatment was documented at 1 week and 1 month. Repeated procedures were performed if necessary.
Results: After the treatment session of Semont Liberatory maneuver, the symptoms disappeared in 20 patients and have negative DHI test by 1st week, and of patients have negative DHI test by 1 month. The first success rate was 78% and the total success rate was 89%. Semont Liberatory maneuver also showed decrease in score of DHI [post-test] in 1 month duration. The patient who visited within one week after the onset of symptoms had good prognosis with Semont Liberatory maneuver. This protocol was ineffective in 4 patients.
Conclusion: The Semont Liberatory maneuver is a safe and effective technique for treating BPPV patients. 

Gauri Mayank Afle, Sumeeta Khaund Grover.

DOI : 10.15621/ijphy/2014/v1i3/53464

Pages : 116-119

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Background:Asthma is one of the most common chronic diseases in the world. It is estimated that around 300 million people in the world currently have asthma In Asthmatics dysfunctional breathing pattern is common. Breathing pattern is the basis of abnormal patterns in asthma. The purpose of this study was to find out the effectiveness of Buteyko breathing technique versus diaphragmatic breathing in asthmatics.
Methods: 46 patients with asthma aged 20-65 years were taken. The duration of the study was 2 weeks & data was collected on day zero and at the end of 2nd week. The subjects were divided into two groups A & B 23 patients of asthma in each group were distributed by convenient sampling. Each subject was assessed according to FEV1, FEV1/FVC and PEFR Statistics were applied by using SPSS 11.
Results: Results were calculated by using 0.05 level of significance. On the basis of above statistical analysis the p value for group A is less than 0.05. So the intervention on group A is effective than intervention on group B.
Conclusion: So Buteyko breathing technique proves to be more effective than diaphragmatic breathing technique in asthmatics.  

Sreekar Kumar Reddy .R, B. Siva Kumar, N. Vamsidhar, G. Haribabu

DOI : 10.15621/ijphy/2014/v1i3/53465

Pages : 120-126

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Background: Patellofemoral pain syndrome is a very common disorder. 90% of the general population has some degree of pathologic changes of the patellofemoral joint. Knowledge regarding the cause and prevention of patellofemoral pain syndrome is essential. Therefore the purpose of this study is intended to know whether different foot positions alter Vastus Medialis Oblique and Vastus Lateralis that leads to dysfunctions of knee joint.
Method: 30 subjects are included in study and investigated foot in different foot positions are in neutral, pronated and supinated foot positions and performed maximum voluntary isometric contractions are recorded with electromyography.
Results: EMG amplitudes (microvolts) of VL and VMO at three different weight bearing positions of foot during maximum voluntary contraction analysis by using one-way Analysis of Variance. Mean amplitudes of foot positions in pronation shown significant difference while comparing with neutral and supination.
Conclusion: The VMO and VL activity shows significant difference in the pronated foot weight bearing position compared to the neutral and supinated foot. Performing the maximum voluntary isometric contractions of VMO and VL with pronated foot elicited significantly higher EMG activity compared to Neutral or supinated weight bearing positions of foot. The results of this study also suggested that for patellofemoral pain which is caused by pronated foot can be treat with by using the soft foot orthoses.  

V. Diwakar, A. Viswanath Reddy, K. Madhavi.

DOI : 10.15621/ijphy/2014/v1i3/53466

Pages : 127-134

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Background: Volleyball is a sportive modality that requires strength in the upper and lower extremities along with the trunk musculature. The improvement of muscular strength is very important along with agility and flexibility for a volleyball player. Aim of the study to find the effectiveness of resistance training on the strength of scapulo-humeral muscles and abdominals in male volley ball players. Objectives of this study is find out the effect of resistance training on the strength of the scapulo-humeral muscles by measuring peak torque by using an isokinetic dynamometer and to find out the effect of resistance training on strength of abdominals through 1RM test.
Methods: A group of 30 male volleyball players who have fulfilled the inclusion criteria were assigned into two groups control and experimental groups each consisting of 15 subjects. The subjects of the experimental group underwent resistance training under my supervision and the subjects of the control group done the same protocol unsupervised for 6 weeks.
Results: There was significant improvement in the strength of scapula-humeral muscles and abdominals in the experimental group when compared to the control group when the pre and post intervention values were measured (p=0.05).
Conclusion: Resistance training under supervision of the therapist resulted in significant improvement in strength of the scapulo-humeral muscles and abdominals in the male volleyball players. 

M. Harshitha, K. Senthil kumar, K. Madhavi.

DOI : 10.15621/ijphy/2014/v1i3/53467

Pages : 135-143

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Background: Patello femoral Osteoarthritis is the most common degenerative disease in older age group, causing pain, physical disability, and decreased quality of life.As many treatment options available, kinesiotaping is an efficacious treatment for management of pain & disability in patellofemoral joint osteoarthritis. Previous studies have shown that kinesiotaping as well as quadriceps strengthening significantly yields functional benefits. But there is lack of evidence revealing combined effectiveness & effects of kinesiotaping along with quadriceps strengthening in subjects with patellofemoral joint osteoarthritis.
Methods: 30 subjects with symptoms of patellofemoral osteoarthritis fulfilled the inclusion criteria were randomly assigned into 2 groups of 15 in each group. Taping along with quadriceps strengthening program is compared to the quadriceps strengthening program alone. Pain were measured by Visual Analogue Scale (VAS), knee ROM were measured by Goniometer, Functional status were measured by Western Ontario McMaster Universities index (WOMAC), score. Measurements were taken pre & post intervention.
Results: The results indicated that kinesiotaping along with quadriceps strengthening exercises showed there was statistically significant improvement in pain (<0.05), knee ROM (<0.05) and functional activities (<0.05) after 6 weeks compared to quadriceps strengthening alone.
Conclusion: Subjects with kinesiotaping along with quadriceps strengthening showed significant improvement in reducing pain, in improving ROM & functional activities at the end of 6th week treatment when compared to subjects with patellofemoral osteoarthritis underwent quadriceps strengthening exercises alone. 

A.Thiruppathi, Dr.B.Prasana, E.Mastaniah, N.Vamsidhar, P.Himabindu.

DOI : 10.15621/ijphy/2014/v1i3/53468

Pages : 144-151

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Background: First time mothers in particular may feel anxious about how they are going to cope with looking after themselves and their newborn. Most Indian women believe that they have little or no control over their pregnancies or outcomes. The aim of this study was to evaluate the effect of a Structured Physical Activity and Health Care Education program on the psychological well-being for Primipara mothers in postpartum period.
Methods: This study was a Randomized Controlled Trail. Primipara mothers who were ready for discharge from The Narayana Medical College & General Hospital in postnatal ward were eligible for this study. Forty one (41) Primipara mothers randomized onto the trail. The experimental group(n=20) received an 4 week “Structured Physical Activity” (SPA) program, including Structured Physical Activity provided by a team of health care professionals combined with parenting education & counseling. The other group (n=21) Health Care Education Only (HCEO) received only the same educational material as the experimental group. In pre and post schedule outcome measures of both SPA&HCEO groups were assessed with Psychological well-being (Positive Affect Balance Scale), Depressive symptoms (Edinburgh Postpartum Depression Scale), and Physical activity were assessed at baseline, 4th week and then 8th week later.
Results: The improvement was significantly high in well-being scores, depressive symptoms and physical activity of the (SPA) group compared with the (HCEO) group over the study period and this effect was maintained 8 weeks after completion of the program.
Conclusion: A Structured Physical Activity and Health Care Education program is effective in improving the well-being for Primipara mothers in postpartum period. Continuous use of this program may reduce long-term problems such as postpartum depression and it will change the women’s Physical, emotional and social health. 

D. Manjusha, K. Madhavi.

DOI : 10.15621/ijphy/2014/v1i3/53470

Pages : 152-157

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Background: Peri-menopause is the stage immediately preceding menopause & lasts on average 4yrs. The hormonal changes in peri-menopausal women alter the cardiovascular status & increase the incidence of obesity. The purpose of this study is to improve physical activity of women to combat this risk in peri-menopausal women by using structured exercise protocol.
Methods: A total of thirty peri-menopausal women who met inclusive criteria participated in this study with age between 35-45yrs. They were randomly divided into 2 groups-experimental group (group 1, n=15) and control group (group 2, n=15), a 12-week exercise protocol were given under supervision for experimental group. The experimental group underwent the protocol of warm up for 10min following 25min exercise protocol and 10min of cool down period. The same exercise protocols were followed by control group without supervision.
Results: According to data analysis, a significant difference was found between pre and post values of BMI, WHR, Physical activity level and vo2 peak in both experimental and control groups(p<0.05), but comparatively more significant changes were found in experimental rather than control group(p<0.05).
Conclusion: There was a significant change in physical factors like BMI, WHR and physical activity level and functional factors like vo2 peak. Hence, it is concluded that 12weeks exercise protocol is effective in peri-menopausal women. 

M. Sandhya kiran, Dr. V. Sri Kumari, Dr. K. Madhavi.

DOI : 10.15621/ijphy/2014/v1i3/53469

Pages : 158-168

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Background: Stroke is a major disabling health problem in developing countries like India & causes long term disability. Long term disability furthers leads to global burden and other psychological problems.The FAME i.e., fitness and mobility exercise program has been designed to improve mobility, fitness and muscle strength. This protocol is community based protocol and helps in patients independent lifestyle.Objective is to examine the effect of supervised FAME protocol on fitness with 6minutes walk test, on mobility with timed up go test & on hamstrings muscle strength measured as hamstrings peak torque with isokinetic analyzer.
Methods: Stroke participants were recruited into the study as per the inclusion and exclusion criteria and randomized into intervention group (n = 15) and control group (n = 15).The intervention group underwent supervised fitness and mobility exercise program & the control group underwent home exercises with printed FAME material (telugu & English version).This program was designed for 8 weeks (3 sessions / week). 6MWT- used to evaluate cardio respiratory fitness, TUG test- used to evaluate mobility, Isokinetic analyzer- used to evaluate hamstrings peak torque. Base line measurements are taken prior to the intervention and post intervention values taken after the 8 weeks of intervention.
Results: Variables within the groups were compared by using paired t test and between the groups by using independent t test. According to obtained values, the pre & posttest values of 6MWT, TUG test & hamstrings peak toque had a significant effect on p-values <0.05 in experimental group.
Conclusion: After 8 weeks of intervention program, the present study concludes that the supervised FAME protocol had showed statistically significant improvement in fitness, mobility & leg muscle strength in intervention group.