[International Journal of Physiotherapy 2018; 5(6) : 167-206] RSS
P. Vinothini, I. Halim, R.Z. Radin Umar, Y.W.Too
DOI : 10.15621/ijphy/2018/v5i6/178053
Pages : 167-177
This review summarizes the evidence regarding the association between musculoskeletal disorders and computer users at work. Past studies had identified that musculoskeletal disorders among computer users are known to be multifactorial in origin. This includes work related and nonwork-related factors.Methods:
Literature search was conducted in various databases such as Pubmed, ScienceDirect, and Scopus. The articles were analyzed based on predetermined objectives and Medical Subject Headings (MeSH) such as computer users, musculoskeletal disorders and risk factors. Almost seventy-seven (77) articles were retrieved and analyzed to understand the occurrence of musculoskeletal disorders among computer users.Results:
Based on the previous articles, a framework of musculoskeletal disorders and computer users was proposed for a better understanding of the occurrence of musculoskeletal disorders among computer users in the workplace. The framework emphasizes the association between work-related (physical, environmental and psychosocial risk factors) and non-work related factors (individual risk factors) among computer users. It was hypothesized that an increase in the muscle activity or increase in the muscle loads were the possible early symptoms of musculoskeletal disorders
among computer users at the workplace due the interaction of individual, psychosocial and physical risk factors. Furthermore, the decrease in productivity was shown in the framework as an effect of an increase in musculoskeletal disorders among computer users.
The proposed framework may be used for better prevention and intervention of musculoskeletal disorders among computer users in the workplace.Keywords: WRMDs, Ergonomic, Computer, Office Workers, Risk Factors, Musculoskeletal disorders.
Tomoyuki Shinohara, Naoko Tsuchida, Tatsuya Yamane, Kanako Seki, Tomohiro Otani, Daisuke Ishii
DOI : 15621/ijphy/2018/v5i6/178054
Pages : 178-183
Recently, exclusive rehabilitation therapy was introduced to prevent functional decline due to hospital-associated deconditioning by managing older inpatients’ activities of daily living in Japan. However, this type of therapy does not provide one-on-one exercises similar to individual rehabilitation therapy. This study aimed to report the present ward conditions and the causes of the functional decline in elderly patients receiving individual or exclusive rehabilitation therapy.Methods:
A total of 1,636 inpatients, aged 65 years or older, were included in the study. Barthel Index at admission and discharge was assessed prospectively to analyze functional decline. We further analyzed the causes of functional decline by investigating the inpatient’s medical records.Results:
Forty-three inpatients (2.6%) had functional decline during hospitalization. There were no significant differences in age, Barthel Index at the time of admission, and the type of clinical department between inpatients with and without functional decline. The functional decline rate in individual rehabilitation therapy was 8.2%, which was significantly higher compared to exclusive rehabilitation therapy (0.8%). The most common causes of functional decline were a pain, low postoperative physical fitness, malignant neoplasm, and new-onset cerebral stroke.Conclusion:
We report the present ward conditions in elderly patients receiving either individual or exclusive rehabilitation therapies. Functional decline was correlated to the inpatients’ disease and conditions. The causes of the functional decline can be classified based on whether rehabilitation was effective or ineffective. If the functional decline was caused by hospital-associated deconditioning, we should address the functional decline by providing appropriate rehabilitation methods.Keywords: activities of daily living, functional decline, hospitalization, older adult, rehabilitation.
Marwa M. Mahfouz, Magda G. Sedhom, Mohamed M. Essa, Ragia M. Kamel, Ahmed H. Yosry
DOI : 10.15621/ijphy/2018/v5i6/178055
Pages : 184-189
Chronic LBP a frequent sign of back dysfunction. The recent literature recorded that up to 90% of the world’s population complain from LBP which cause disability in people. This study conducted to compare the efficacy of aquatic and conventional therapy on pain level, functional limitation and lumbar ROM in subjects with CLBP.Methods:
Forty CLBP were divided into two groups (A) control 20 subjects received conventional therapy. (B) experimental received 20 subjects received aquatic therapy the treatment was given for six weeks.Results:
Mixed MANOVA test showed statistically significant enhancement in values of post-treatment in either group compared with pre-treatment in pain enhancement for group A was 54.86% and 57.74% for group B (P=0.0001), functional limitation enhancement for group A was 55.46% and 58.95% for group B (p=0.0001), and lumbar ROM enhancement for group A was 46.63%, 18.79%, for lumbar flexion, and extension, and for group B was 46.96%, 22.85% (p=0.0001).Conclusion:
It is concluded that aquatic and conventional therapies have a similar result in reducing pain severity, functional limitation, and enhancing lumbar ROM in CLBP patients.Keywords: Aquatic therapy, Conventional therapy, CLBP, Functional limitation, Inclinometer, Visual analogue scale.
Izham Zain, Faizal Mohamad, Sulaiman Murad
DOI : 10.15621/ijphy/2018/v5i6/178056
Pages : 190-193
The growth development of the aviation industry in Malaysia is very encouraging to become a regional aviation center. The commitments from each engage in this industry is vital to ensure its sustainability. Fear avoidance belief is subsequent complication following an occupationally related injury. It will reduce individual performance at the workplace and hinder the positive growth of an industry. Currently, there is limited data available address such issues in Malaysia.Methods:
This study is conducted to determine the association of fear avoidance belief following occupationally related injury among aviation workers. This is a cross-sectional study involving individual working in Malaysia aviation industry and sustain an occupationally related injury. The study tools used was the Fear Avoidance Belief Questionnaire (FABQ), which consists of physical related and work-related subscale.Results:
Total number of respondents involve is 195 with a mean age of 34 years old, and the majority is male (n = 103). Most of them (31.3%) were baggage & cargo handler work category. Their work natures are varied, 37.9% were engaged with a visual display unit. There is a moderately strong association of fear avoidance belief (φc =0.26 & 0.28) between physically related subscale with respondents work categories and work nature respectively (P < 0.05).Conclusion:
The fear avoidance belief among respondents exists and cannot be denied. Preventive method of enhancing self-empowerment through education and training is the effective mean in generating self-care at a workplace.Keywords: Fear-avoidance belief, occupationally related injuries, aviation workers, FABQ.
K. Orlowski, F. Eckardt, J. Edelmann Nusser, K. Witte
DOI : 10.15621/ijphy/2018/v5i6/178057
Pages : 194-201
Feedback systems give support to athletes or patients and have a positive effect on training control. A feedback system, the virtual coach (VC), was developed.Methods:
Two different studies in both fields of application (popular sport, rehabilitation) were conducted. The pushup-study was done to investigate the effect of the VC during a 6-week-training.Results:
The results show the positive impact on different parameters, such as motion duration which is closer (EG: 3.13 (± 0.28) s, CG: 1.88 (± 0.4) s) to the three seconds motion duration prescribed in the training routine for the EG (using the VC) compared to the CG (without feedback). The second study addressed the second field of application - the rehabilitation. Eight subjects (transfemoral amputees) conducted an 8-week-training with a particular training device added by mobile sensors and the VC (com-bined system). The gait, the maximum power of hip muscles and the weight distribution war registered before and after the intervention. The results are individual as the subjects are. The improvement of the maximum power (range: 18.6 to 26 %) and the gait velocity (range: 0.05 to 12.39 %) are the most remarkable results. Positive changes in other gait parameters as well as in the weight distribution were observed for the individuals.Conclusion:
Summarizing both studies, a positive effect of using the feedback system (VC) can be found. Due to the small sample size and the heterogeneity of the amputee group, a generalized statement cannot be given from the second study with the transfemoral amputees.Keywords: feedback system, virtual coach, rehabilitation, training support, popular sports.
Anagha Mangaonkar, Anjali Puntambekar
DOI : 10.15621/ijphy/2018/v5i6/178058
Pages : 202-206
Physiotherapists are looked upon as role models for practicing a healthy lifestyle. They require a good amount of flexibility and endurance to meet the professional demands. Enhanced flexibility of hamstrings plays a crucial role for physiotherapists to maintain good fitness levels and prevent injuries. Suryanamaskar and dynamic stretching exercises have been proved effective in improving hamstring flexibility in various studies. However, no study proves which technique is better. The objective of this study was to assess the effect of Suryanamaskar and dynamic stretching on Hamstring flexibility and also to compare the effect of suryanamaskar and dynamic stretching on Hamstring flexibility.Methods:
This was a comparative experimental study done on 30 Physiotherapy students. The subjects were selected by the inclusion criteria and were equally divided into two groups. Suryanamaskar and dynamic stretching were given as intervention program for four weeks to group 1 and two respectively. The measurements of active knee extension test and back savers sit and reach test were separately assessed for both the groups pre and post four weeks.Results:
Statistical analysis proved that there was a significant effect in increasing hamstring flexibility bilaterally in both groups with a P value<0.0001. Intergroup comparison showed that suryanamaskar was more effective in improving hamstring flexibility bilaterally with a P value<0.0001.Conclusion:
This study concluded that suryanamaskar was more effective to improve hamstring flexibility compared to dynamic stretching exercises.Keywords: Physiotherapists, Hamstring muscle, Hamstring flexibility, Suryanamaskar, Dynamic stretching.