[International Journal of Physiotherapy 2018; 5(1) : 1-30] RSS
DOI : 10.15621/ijphy/2018/v5i1/167190
Pages : 01-06
Background: Rehabilitation for Parkinson’s disease (PD) has not been found to be an effective intervention for primary impairments caused by dopaminergic cell degeneration, such as tremor or bradykinesia. Recent reports have indicated the efficacy of home exercise on ameliorating primary impairments. However, no studies have examined the effects of aerobic rehabilitation for managing primary impairments of PD.
This study aimed to examine the effects of a home-based aerobic exercise program on primary impairments in patients with PD.
Methods: This study was conducted by before-after design. The study enrolled 25 patients (male: 7, female: 18) with PD. The intervention involved self-directed aerobic exercise performed using a commercially available pedal exercise apparatus. The participants exercised at home for 20 minutes every day, for approximately four weeks. The variables measured were walking speed, stride length, leg muscle strength, and primary impairments of PD including the Unified Parkinson’s Disease Rating Scale Part 3 (UPDRS3) score as well as the maximum distance, total path length, and movement speed in a finger tapping test.
Results: A significant improvement was found in the walking speed (p<0.05), UPDRS3 score (p<0.01), total path length (p<0.01).
Conclusions: The proposed home-based aerobic exercise program resulted in significant improvement in UPDRS3 scores, finger tapping test results, and ability to walk, suggesting that such an intervention can achieve recovery of primary impairments in PD patients. The present findings indicate that home-based aerobic exercise therapy is effective for primary impairments of PD.
Keywords: Rehabilitation, Parkinson’s disease, Aerobic exercise, Primary impairment, Neuroplasticity, Dopaminergic neuron.
Rupali Salvi, Sneha Battin
DOI : 10.15621/ijphy/2018/v5i1/167191
Pages : 07-12
Background: Mobile phone usage has become increasingly common in today’s youth. Its heavy use often leads to an addiction. Dependency on these devices could lead to postural dysfunctions as well as produce an adverse effect on psychology. Hence, this study is done to correlate mobile addiction with the craniovertebral angle, scapular index and Beck’s depression inventory score in young adults.
Methods: An observational study was performed on 100 subjects out of which 51 were males and 49 were females in the age group of 18- 25 years who were pursuing their graduation and post-graduation courses. Mobile Phone Addiction Scale was used to determine the level of addiction. Craniovertebral angle, Scapular Index, and Beck’s Depression Inventory score were measured. Correlation of Mobile Phone Addiction Scale score with the above-mentioned parameters was done using GraphPad Instat Version 3.10 (Pearson correlation coefficient and Spearman correlation coefficient).
Results: Mobile phone addiction was found low in 27%, moderate in 30% and high in 43% participants. There is significant correlation of mobile phone addiction scale score with Craniovertebral angle (r = -0.6470, p = <0.0001), Scapular Index (r = -0.4370, p = < 0.001) and Beck’s depression Inventory score (r = 0.3172, p = 0.0013).
Conclusion: This study shows that mobile phone addiction is common amongst the youth and it contributes to considerable stresses on neck and shoulder. It could even cause unfavorable repercussion on an individual’s psychological status, such as depression. Hence, it is important to create awareness amongst the youth and take preventive measures for the same.
Keywords: mobile addiction, craniovertebral angle, scapular index, depression.
Prill R, Kirschner J, Michel S, Schulz R, Hommel H
DOI : 10.15621/ijphy/2018/v5i1/167194
Pages : 13-17
Background: There continues to be a lack of evidence to support physiotherapeutic rehabilitation measures after total knee arthroplasty (TKA), especially in the area of functional test procedures, which are indispensable for assessing perioperative physiotherapeutic interventions, including their efficacy.
Objective: A multi-stage randomized controlled study design is concerned with the establishment of an evidence-based perioperative physiotherapeutic treatment programme to evaluate physical functional test procedures with regard to their predictive value and the efficacy of physiotherapeutic interventions.
Setting: The RCT will be realized in a medical clinic in the department of orthopaedics, sports medicine and rehabilitation.Participants: A first stage will include young, healthy subjects (Group A) and subjects who are due to undergo TKA and are then to be treated with a standard rehabilitation programme (Group B).
Design: Selected promising physical functional test procedures will be tested for their reliability. Inter-tester reliability will be determined in Group A. The test-retest reliability at different perioperative timepoints will be determined in Group B.
Measurements: The following test procedures will be investigated for reliability: 10-m walk test, timed up and go, three times sit to stand, the isometric maximal force of knee extension, stair climbing and the cumulative leg circumference. In addition, these test procedures will be correlated with each other and with the WOMAC and KSS for selected aspects of validity. In a second stage, the reliable test procedures will be applied to investigate selected promising physiotherapeutic
Conclusions: The investigation could change perioperative assessments and physiotherapeutic treatment in patients who have undergone TKA.
Keywords: Total Joint Replacement, knee, arthroplasty, Patient related outcomes, functional outcomes, trial.
Abhijit Diwate, Subhash Khatri, Sunil Mhaske
DOI : 10.15621/ijphy/2018/v5i1/167195
Pages : 18-22
Background: Chest physiotherapy (CPT) and positioning of neonates has been used in many developed countries around the world to improve airway clearance and avoid lung complications, but the combined effect of both techniques is less documented. The objective of the study was to compare the effectiveness of chest physiotherapy in prone position versus conventional chest physiotherapy in ventilated neonates on respiratory outcomes.
Methods: The study design was randomized controlled pilot study. Participants: 12 ventilated neonates fitting in Inclusion Criteria. They were randomly divided into two groups (n=6 in each group) using simple random sampling i.e. Experimental group (4female and 2male) (Chest Physiotherapy and Prone Positioning) and the Control group (3 females and 3males) (Conventional Chest Physiotherapy). Primary outcome measures were SpO2 saturation, Partial Pressure of Arterial Oxygen (PaO2) & Peak Inspiratory Pressure (P.I.P.). Outcomes were recorded Pre & Post of every 120 minutes session of Intervention twice daily with a gap of 6 hours for consecutive three days for the experimental group while for the control group, parameters were measured at the same time of the day.
Result: Total 10 participants completed the study protocol. On comparison of three parameters in two groups using the unpaired t-test, we found that there was a significant difference (p< 0.05) in SpO2 and PaO2 in both groups but no difference ( p >0.05) in P.I.P. levels.
Conclusion: Chest physiotherapy in the prone position for ventilated neonate concluded with a higher oxygen saturation (SpO2) and partial pressure of oxygen in the arterial blood (PaO2) when compared to conventional chest physiotherapy.
Keywords: Chest Physiotherapy, Ventilated neonates, Prone positioning, Arterial Oxygen, Peak Inspiratory Pressure, partial pressure of oxygen.
Ammar Fadil, Nada Aldawsary, Mansour Abdullah Alshehri
DOI : 10.15621/ijphy/2018/v5i1/167196
Pages : 23-30
Background: Lymphoedema is generally defined as the formation of fluid or fluid retention causing swelling. It can be divided into primary or secondary lymphoedema based on its cause, as well as into three stages based on its pathology and severity of occurrence. Breast cancer among women is considered as the main cause of lymphoedema, but the condition occurs in both men and women.
Objective: To provide a comprehensive, up-to-date literature review of lymphoedema management and the effect of compression therapy on lymphoedema reduction.
Methods: A literature review was conducted utilizing the following databases PubMed, Medline, PEDro, and Science Direct.
Results: The current evidence supports the use of compression therapy for lymphoedema reduction, but its mechanism of action is still not well understood.
Conclusion: Although many studies recommend the use of compression therapy as an effective method for treating lymphoedema in both stages, the optimum treatment methods for lymphoedema are still unknown.
Keywords: Lymphoedema, Lymphatic Oedema, Lymphatic System, Compression Therapy, Compression Techniques.