International Conference on Physiotherapies August 17-19, 2015 Chicago, Illinois, USA

Biography:

Mohammad H Hadadzadeh is an Assistant Professor of Physical Therapy at Wheeling Jesuit University in Wheeling, WV; USA. He earned his Bachelor, Master and PhD in Physical Therapy with specialization in Cardiac Rehabilitation (CR). He also earned a Professional Diploma in Clinical Research. Prior to teaching at WJU, he served as an advisor in Cardiac Rehabilitation, and organized CR Protocols for few hospitals in Iran & India. He served in WHO-ICF core sets Validation Project under Manipal University. He received 3 best paper awards in international conferences, awarded 4 grants for his projects, and received a patent for a Pain Relieving Instrument. He was invited as key speaker in many international seminars/workshops. He has couple of peer reviewed publications, and presented papers in more than 15 different international conferences. He also serves as an editorial/review board of 15 peer-reviewed journals in the field. His areas of interest are cardiac/pulmonary rehabilitation, exercise physiology, exercise immunology, and exercise prescription in geriatric population, exercise and fitness, and music therapy. He is an active member of many professional associations like American Heart Association, American Association of Cardio Vascular & Pulmonary Rehabilitation, European Association for Cardiovascular Prevention & Rehabilitation, European Acute Cardiovascular Care Association, and International Society of Exercise Immunology. mhadad@wju.edu

Abstract:

There is an established correlation between diet and physical health, however the mechanism of their interaction is still under investigation. In the malnutrition spectrum, under-nutrition at one end and obesity on the other end are today’s major public health issues. Today, two out of three U.S. adults are overweight or obese (69%) and one out of three (36%) is obese. Reports from U.S. (CDC) and rest of the world (OECD & developing countries) express doubled or tripled rate increase in the global obesity-globesity- during the past three decades. Obesity pandemic is not limited to the adult population; its increasing rate in children is a red flag and a serious public health challenge of the 21st century. Annual medical expenditures related to obesity have doubled in less than a decade. Obesity burden is not only direct, but also it is linked to other major health issues like cardiovascular disease, cancer and diabetes. Consequences of modern civilization like using automobiles, watching TV, playing computer games instead of outdoor activities and overall less physical activity, from one side and other contributing factors like environmental and psychological factors, behavioral changes; role of food industries, media, education, over-parenting, and poor regulating policies are inevitable segments of this global pandemic. Changes in eating patterns during the past 50 years like consuming processed foods, snacks, energy drinks, which are high in sugar, “empty calorie” and fat; and eating lot more frequently, which are encouraged by constant bombardment from media are few examples of such. However many governmental action task forces were implemented, but none of them are promising when considering obesity trends. Considering this failure, the organizational bodies may need to revise their approach to a more individualized weight management strategy, reaching out the families’ door-step to increase their level of knowledge and guide them.

Biography:

Susan G Klappa completed her PhD in Education, Curriculum & Instruction from the University of Minnesota and her Masters of Physical Therapy degree from St. Catherine University. She is now the chair and program director of the developing Doctor of Physical Therapy Program at Davenport University in Michigan. She has a passion for exploring how interprofessional collaboration, global health, and international community engagement influence the formation of professional identity among physical therapists. She has authored more than 53 peer reviewed papers and presentations at national and international venues. She has taught in many areas of physical therapy educationPhysical Therapy Program at Davenport University in Michigan. Dr. Klappa has a passion for exploring how interprofessional collaboration, global health, and international community engagement influence the formation of professional identity among physical therapists. She has authored more than 53 peer reviewed papers and presentations at national and international venues. Dr. Klappa has taught in many areas of physical therapy education.

Abstract:

Compassion fatigue (CF) involves demonstrating less compassion toward those being cared for by the professional. Many physiotherapists and physical therapists (PTs) love their jobs and what they do, exhibiting great compassion satisfaction (CS). However, many are subjected to the stresses of their job resulting in burnout (BO) and secondary trauma (ST) which are constructs of CF. Therapists often report being less compassionate toward their patients when feelings of CF emerge. Recognizing the signs and symptoms of CF is important for the wellbeing of therapists and in providing quality patient care. Results from three studies will be discussed examining the levels of CS, BO, ST as well as the relationship of these constructs to CF among physiotherapists and physical therapists around the world involved in various settings, disaster relief work, and among new graduates. What are the average levels of CS, CF, BO, and STS among therapists around the world? How does CF among therapists vary in regions impacted by disaster, war, and civil unrest as well as in urban versus rural areas? What strategies do therapists use for mitigating CF? Mixed methods utilizing the Professional Quality of Life (ProQOL) survey and phenomenological interviews were used to answer the questions. The experiences of our participants indicated that many PTs were aware of CF. Constructive strategies and self-care behaviors were articulated for mitigating levels of CF. By better understanding CF and the relationship with CS, BO, and ST in the healthcare environment may help PTs develop better coping strategies for mitigating CF.However, many are subjected to the stresses of their job resulting in burnout (BO) and secondary trauma (ST) which are constructs of CF. Therapists often report being less compassionate toward their patients when feelings of CF emerge. Recognizing the signs and symptoms of CF is important for the wellbeing of therapists and in providing quality patient care. Results from three studies will be discussed examining the levels of CS, BO, ST as well as the relationship of these constructs to CF among physiotherapists and physical therapists around the world involved in various settings, disaster relief work, and among new graduates. What are the average levels of CS, CF, BO, and STS among therapists around the world? How does CF among therapists vary in regions impacted by disaster, war, and civil unrest as well as in urban versus rural areas? What strategies do therapists use for mitigating CF? Mixed methods utilizing the Professional Quality of Life (ProQOL) survey and phenomenological interviews were used to answer the questions. The experiences of our participants indicated that many PTs were aware of CF. Constructive strategies and self-care behaviors were articulated for mitigating levels of CF. By better understanding CF and the relationship with CS, BO, and ST in the healthcare environment may help PTs develop better coping strategies for mitigating CF.

Biography:

Silverio Di Rocca has completed Graduate degree in Dentistry, Postgraduate degree in Functional Orthopaedics both from the University of Buenos Aires, Argentina. He has also done a degree in Dentistry and Prostethic at the University of Turin, Italy and a Doctorate in Dentistry and Prosthetic at University of Turin, Italy.

Abstract:

Posturology is the medical science that studies the body\\\'s static posture while Posturometry is the medical science used to measure the results. In medical rehabilitation they are of crucial importance from the holistic point of view in both the diagnosis and treatment. The M.P.R. (Myofunctional and Postural Rehabilitation) is a method that uses both posturology and posturometry, for a complete diagnosis, planning and treatment, in medical sciences, to treat patients with neuromuscular diseases. Posturlogy allows medical sciences, to have a global and holistic approach, whereas posturometry is used to scientifically measure posturology, transforming it into science. By using posturology and posturometry in combination, allows medical sciences, to reach the root of the problem. Combining both the results in rehabilitation will be permanent, and long lasting. The aim of this poster is to show the basis of posturology and posturometry, applied in the M.P.R. treatment. The M.P.R. (Myofunctional and Postural Rehabilitation) is a method, that uses both posturology and posturometry, for a complete diagnosis, planning and treatment, in medical sciences, to treat patients with neuromuscular deseases. Posturlogy allows medical sciences, to have a global and holistic approach, where as posturometry is used to scientifically measure posturology, transforming it into Science. By using posturology and posturometry in combination, this method allows medical sciences, to reach at the root of the problem. Combining both the results in rehabilitation will be pernanet, and longlasting. The aim of this poster, is to show the basis of posturology and posturometry, applied in the M.P.R.

Biography:

Paul S Sung is Associate Professor in Department of Physical Therapy at the University of Scranton, Scranton Pennsylvania. He conducted his research fellowship at the Iowa Spine Research Center, Biomedical Engineering Department at the University of Iowa in Iowa City, Iowa. He is a member of the International Society for the Study of the Lumbar Spine as well as the American Physical Therapy Association. His research interests include the mechanisms of chronic low back pain, sports injury mechanism, spine biomechanics, and non-operative spine care and its clinical application to neuromuscular control.

Abstract:

This presentation is to understand comprehensive postural compensation patterns based on kinetic data on the ground as well as kinematic data from trunk motion to assess balance. Firstly, positional-dependent spinal loading with trunk motion is important to relate with center of pressure from the ground for effective rehabilitation intervention and strategies. The combined kinetic and kinematic measurements lead to a better understanding of spinal movement patterns to clarify the relationship between kinematic and kinetic changes in subjects with recurrent LBP. The first part of my presentation is to provide assessment tools for normalized kinematic and kinetic stability indices while considering visual input during one leg standing. Secondly, the shoulder and pelvis kinematics will be compared based on range of motion (ROM), angular velocity, and relative phase (RP) values during trunk axial rotation. The results of this study will be included the difference in should and pelvic girdle motion in the transverse plane during axial trunk rotation. This pattern of trunk movement could be due to possible pelvic stiffness with neuromuscular constraints. Since subjects with recurrent LBP demonstrated decreased pelvic rotation compared to the shoulder for postural control, increased pelvic flexibility could enhance coordinated movement patterns in order to integrate spinal motion.

Biography:

Maurice Mars is a medical graduate of the University of Cape Town and has a Doctorate degree in Vascular Surgery from the University of Natal, where he was Professor of Physiology and initiated a Postgraduate sports medicine program. He is currently Professor of TeleHealth at the University of KwaZulu-Natal and runs Postgraduate programs in Telemedicine and Medical Informatics, by video conference, with students in several African countries. He has published over 190 peer reviewed papers and book chapters, serves on several editorial boards and is the founding editor of the Journal of the International Society for Telemedicine and eHealth. He chairs the Education Committee of the International Society for Telemedicine and eHealth, the International SIG of the American Telemedicine Association, and chaired the eHealth Committee of the Ministerial Advisory Committee on Medical Technology in South Africa. His research interests are telemedicine implementation and skin and muscle microcirculation. Research and Education at the Foundation for Chiropractic Education and Research, the Director of Research Initiatives at Parker College, the Department Administrator in Chemistry at Brandeis University, and the Technical Director of multiple laboratories at a teaching hospital of Harvard University and of an affiliate of the Mayo Clinic. He was designated as Humanitarian of the Year in 2000 by the American Chiropractic Association and holds an Honorary Degree from the National University of Health Sciences. He obtained his PhD from Harvard in Medical Sciences/Biochemistry in 1972. arosner66@aol.com

Abstract:

Introduction: Compressed air massage (CAM) is an alternative form of massage. The addition of a daily CAM treatment to the standard treatment regime of diabetic foot ulcers significantly reduced time to healing. Proposed mechanisms for this were; alterations in microvasculature shear stress during massage promoting nitric oxide release and associated changes in the microcirculation; and the pressure produced during massage improving tissue oxygenation by reducing oedema and facilitating lymphatic drainage. Muscle injury causes local inflammation, myofibre and interstitial oedema with rising intercellular pressure causing capillary compression and a secondary ischaemic injury. We hypothesized that CAM treatment of acute muscle contusion might also facilitate muscle healing. Methods: A standardized muscle contusion injury was developed in a rabbit model and associated morphological and ultrastructural changes in muscle and capillaries described using light and electron microscopy up to 6 days after injury in 16 animals. Three zones of injury were noted with most injury noted adjacent bone. This was repeated in 32 rabbits (16 in each group) with CAM treatment at 100 kPa for 10 min administered either immediately after injury (single treatment), or immediately, 24 h and 48 h (three treatments) after injury. Results: There was significantly less evidence of injury and more advanced healing in treated animals, with three treatments more beneficial than single treatment. Conclusion: CAM treatment immediately after injury appears to reduce injury and facilitate muscle repair. Further studies are required to see if CAM is as effective as rest, ice or compression in the management of muscle injury.

Biography:

Gunnel Berry, of Swedish descent, became of member of the Chartered Society of Physiotherapy in the United Kingdom having completed her trainingat the Middlesex Hospital London in 1974. She completed an MSc degree in Advanced Physiotherapy in 1995 at University College London. Having worked in Sweden, Great Britain and Borneo, she trained as a reflexologist in 1989 at the Bayly School of Reflexology. In 1999, she participated in an audit to assess the clinical role of physiotherapy with extended scope in a GP practice. She runs courses in Adapted Reflextherapy and has presented and published papers on the subject at the World Physical Therapy Congress in Barcelona, Physiotherapy Conferences Birmingham UK and in The Journal of Complementary Therapies in Clinical Practice amongst others. Although retired from clinical practice she is the Educational Officer of the Association of Chartered Physiotherapists in Reflex Therapy, a Professional Network recognized by the Chartered Society of Physiotherapy. gunnel.berry1@gmail.com

Abstract:

One in three adults in the US suffers from chronic pain. The annual burden in economic terms was $635 bn in 2011 for medical treatments and lost productivity. Adolescents who suffer chronic pain are at social risk as they miss out on leisure activities and friendships. 20% of all whiplash injured persons end up with chronic pain displaying widespread sensory hypersensitivity in addition to signs of posttraumatic reactions. Considered a transferable therapy, Adapted Reflextherapy is a task-specific therapeutic intervention on the feet or hands, evolved, audited and researched by the author based on the rationale of reflexology in context of compromised neural plasticity and changes of qualitative, quantitative content in axonal flow post injury. Based on thousands of new patient intervention and treatment episodes over 18 years in private practice as well as within the National Health Service (UK), clinical outcomes indicate a strong link between symptoms and outcomes from tactile peripheral sensory input. Albeit enigmatic, the paucity of alternative treatments means that Adapted Reflextherapy offers, with neurophysiological reasoning, an opportunity for change in a population of patients who hitherto continue to suffer. The presentation offers an explanation of pain production, case studies and a brief explanation of the treatment techniques in context of deceleration mechanisms.

Biography:

V P R Sivakumar has completed Master of Physiotherapy, specialized in Orthopaedics from SRM College of Physiotherapy, The Tamil Nadu Dr. MGR Medical University, in the year 2002 and currently pursuing PhD, in SRM University. He has been awarded Best Teacher Award by The Tamil Nadu Dr. MGR Medical University in 2011, and received Prestigious Award by Indian Association of Physiotherapists for the distinguished academic service in 2015. He has published more than 10 scientific papers in reputed journals and has been serving as Dean, SRM College of Physiotherapy, SRM University for the past 10 years from 2005. vprpt@yahoo.co.in

Abstract:

India is a country that is well-known for its cultural, traditional and ethnical diversity. Mostly the Indian population believes in traditional forms of treatments and home based remedies with rich ancestral values. A culture with such a strongly influencing traditional code for its health Management could not easily accept the entry of a totally different form of treatment base. So, the transition towards complete acceptance (One could even term it as a perfect “transition Phase”) has not been easier. The treatment of physiotherapy with its strong scientific base in its remedial and rehabilitative measures was a definitive need then. Of course there were times of inconsistent pattern in the growth trajectory of the profession. As technological transformation gained a substantial entry into the field of health related management, a parallel understanding of the tenets of physiotherapy among the populace came in as a natural factor. As a professional who has been witnessing the growth of the profession in its entirety, it is an overwhelming feel of contentment to me.

Biography:

Sahebozamani Mansour has completed his PhD in 2004 from the Russian State University of Physical Education and Tourism. He is President of the Faculty of Physical Education and Sports Science, University of Kerman and Chairman of the Department of Sport Injures and Corrective Exercises. He has published more than 30 articles in internal and external journals. Sahebozamani@yahoo.com

Abstract:

Epidemiological studies have shown that 10–28% of all sports injuries are ankle sprains, leading to the longest absence from athletic activity compared to other types of injuries. This study was conducted to evaluate the effectiveness of external ankle supports in the prevention of inversion ankle sprains andidentify which type of ankle support was superior to the other after functional fatigue. Fifteen men volleyball players (18-23 years) with unstable ankle grade I and II were recruited. They had at least 3 years experience of playing in different volleyball leagues. Four testing conditions included a no orthosis, Neoprene ankleorthosis, lace-up ankle orthosis, and Aircast ankle orthosis. Postural control test (single leg stability testing in difficult level of 12) was performed by Biodex Balance System after functional fatigue. The results show that the overall index of postural control had a significant decrease while applying either type of ankle orthoses. According to the obtained results, all three types of ankle orthoses could improve postural control (P<0.05). Neoprene ankle orthosis was more efficient than lace-up and Aircast ankle orthoses (P<0.05). Although the lace-up orthosis was more effective than Aircast ankle orthosis in ankle stability, the difference was not obviously significant (P>0.05). Consequently, in athletes with unstable ankle, allof types of ankle orthosis could prevent ankle sprain via improving the postural control index. Especially in volleyball players with unstable ankle grade I and IIafter functional fatigue.

Biography:

Geri Ann Sokell is certified in both Pilates and Yoga. She also is a former professional ballet dancer having danced with Boston, Ohio and Cleveland ballet companies and has been a licensed physical therapist for 27 years. She received her Doctor of Physical Therapy degree in 2008 from Marymount University. She is currently an assistant professor at Tennessee State University in Nashville, TN. Dr. Sokell presented a poster on her research involving Pilates/Ballet and balance in seniors this past February in Indianapolis.. Geriann58@hotmail.com

Abstract:

Yoga and Pilates are forms of exercises using the integration of mind and the body. When treating patients in rehabilitation one must treat the whole person and not just the diagnosis. Thus utilizing techniques from both Yoga and Pilates can be beneficial with augmenting traditional medicine. This course will explore the principles of Yoga and Pilates, the history of Yoga and Pilates, and delve into the uses of these practices for a variety of patient diagnoses. The course will present evidence based research of the use of both Yoga and Pilates and various diagnoses. CPT coding and documentation will be discussed during the course thus being user friendly for applicable use of these theories in everyday treatments. Yoga and Pilates have been shown to be useful treatment strategies for a variety of patient problems. Numerous studies have shown the efficacy of these techniques. These mainstream forms of exercises thus can be used very successfully for rehabilitation and prevention.

Biography:

Dr. Priyanshu V. Rathod is serving as a Director, School of Physiotherapy (SOPT) and Dean, Faculty of Medicine, RK University, Rajkot. He is mainly emphasis on active learning for students and quality of research in physiotherapy. Besides his administrative responsibilities, he is serving as a project guide for Undergraduate students and Guide for Post graduate and Ph.D. Scholars. He has shown post doc research interest in e-physiotherapy, Functional Training. Movement Science and Research (Meta-analysis). He is also serving as a chief editor for “physioforum – Quarterly Published (ISBN approved) Physiotherapy News Letter” @ RK University. He strongly believes on hands on skills, clinical reasoning and outcome based physiotherapy to improve Quality of Care (QOC) and Quality of Life of every individual (QOL) in professional practice.” Dr. Priyanshu has awarded Master of Physiotherapy (MPT) from Department of Physiotherapy, M S. Ramaiah Medical college ad Teaching Institute, Bangalore affiliated to Rajiv Gandhi University of Health Science (RGUHS) - 2004, Bangalore. He has honored PhD in Physiotherapy on “tele-physiotherapy” from Bhavnagar University, Bhavnagar - 2011. He has also completed Diploma in Nutrition and Health Education (DNHE) and Post Graduate Diploma in Patent Practice (PGDPP) from Indira Gandhi National Open University (IGNOU), New Delhi, India – 2002/ 2012. After completion of Post-Graduation Studies, He has served for more than 15 years of academic / clinical responsibilities starting as a lecture at SBB College of Physiotherapy, Sheth V S General Hospital, Ahmadabad, Assistant Professor at K M Patel Institute of Physiotherapy, Shri Krishna Hospital and Pramukh Swami Medical College, Karamsad, and present at RK University. In his tenure at RKU, the institute (SOPT) award for the best performing institute of 2012 by the Indian Association of Physiotherapy (IAP). E: priyanshu.rathod@rku.ac.in

Abstract:

KEY WORDS: Internet Based Management (IBM), Functional Disability (FD), Computer Users INTRODUCTION: Internet is one of the fastest growing media for Human Resources and Development (HRD). Computer has become an essential part of our Activities of Daily Livings (ADLs) at one hand and other hand, prolonged computer usage has increases the risk of occupational hazards. Prolonged Static work at computer system is a causative factor for poor postural ergonomic, structural derangements and dysfunction commonly at neck, shoulder and low back structures to develop functional limitation and progressively functional disabilities. The basic health education (HE) by means of ergonomic advises and exercise therapy may have efficacy to promote, prevent and cure for such FDs. However, internet itself can be a mode of HE system to be provided at workplace to cut the time & cost together. PURPOSE OF STUDY: To find the efficacy of IBM for FDs of the computer users. MATERIALS: Internet supported computer, web-site (www.ptmovements.com), web pages, basic health assessment form, Self-Reported FD Questioners, Neck Disability Index (NDI) & Back Pain Functional Scale (BPFS), STUDY DESIGN: Experimental Clinical Trial METHODOLOGY: 1256 computer users (M=867) participated online and assess for inclusive & exclusive criterions. Internet based self-reported FDs questioners used to assess FDs in prior and post to two weeks of tailor made treatment program. DATA ANALYSIS: significance of FDs and impact of IBM on FDs was analyzed with SPSS -17, LOS set at 0.05 or CI 95 % RESULT: mild to moderate prevalence of FDs was higher neck & shoulder as compared to low back structures. The IBM has shown efficiency to reduce the level of FDs at NDI, and BPFS. DISCUSSION: The internet based health education (IBHE) is well possible to deliver and to reduce the FDs. The advantage of time & cost effective approach in IBM has facilitated keen interest among computer users. CONCLUSION: The IBHE is well efficient and prospective to develop scopes of “workplace wellness” to promote, prevents, and cures for occupational diseases & disorders. E-health education has great prospectus in field of modern medicine.

Biography:

Maruti Ram Gudavalli has completed his PhD at University of Cincinnati in 1989 and has been doing research on low back pain and neck pain. He is currently employed as an Associate Professor and Director of Biomechanics Core at Palmer Center for Chiropractic Research. He has received research funding from federal government agencies such as National Institutes of Health, Department of Defense, Health Resources and Services Administration. He acted as roles of principal investigator, co-leader as well as co-investigator on developmental Center grants and received funding in these roles on grants totaling more than $10M over the years. He has published more than 25 papers in reputed journals and has been serving as an editorial board member on evidence based complementary and alternative medicine journal. He has lectured all over the world on his research related to low back and neck pain.

Abstract:

Low back and neck pain are common musculoskeletal disorders that have impact on the quality of life, absenteeism from work, and are costly burden in terms of lost work days, as well as treatment costs. People suffering low back and neck pain seek care from several providers such as medical doctors, doctors of chiropractic, doctors of physical therapy, massage therapists, and other manual therapists in addition to self-care booklets. Yoga is another form of self-care that is becoming popular in United States and receiving attention for scientific investigation. Yoga is an ancient mind body approach that was originated from India, and involves physical activity, breathing exercises, relaxation, and meditation. There have been number of research studies studying yoga as an intervention comparing to usual care and exercise for low back pain and few studies for neck pain. PubMed search identified 102 articles using the key word “Yoga” AND “low back pain”, and 32 articles using the key words “yoga” AND “neck pain”. These studies demonstrated benefits of yoga for low back and neck pain in relieving pain and improve functionality. However, these studies are limited by the small scale nature, broad lack of homogeneity, lack of long-term follow-up. This presentation will highlight the strengths and limitations of the studies on yoga for low back and neck pain. Suggestions will be made how larger well designed studies with longer term follow-up as well as need for studies for prevention of low back and neck pain will be discussed.

Biography:

Tripti R A Gyan completed her BSc (Hons) and MSc in Physiotherapy at Coventry University in the UK. She has over 19 years’ clinical experience, including 12 years in Private Practice. She was a Member of the Physiotherapy Team at the London 2012 Olympic Games, the 2014 Commonwealth Games in Scotland and is hoping to be part of the 2016 Medical Team at the Rio 2016 Olympics. She is committed to raising the profile of the Physiotherapy profession, and enjoys collaborating with her international colleagues.

Abstract:

There is a misconception that evidence based practice stymie creativity and innovation. Whilst physiotherapy treatment must remain founded on the same evidence-based approach that has made effective intervention standardized, having a flexible and open mind in our approach does not infer naivety. We must stay abreast of what is being researched whilst observing the best of practice; acknowledging that our shortcomings as a profession can be viewed as an opportunity to rise to the challenges they present, and developing strategies to improve upon them. New research and innovation require knowledge to be gathered, synthesized and applied with relevance to our patients. Creativity adds professional value via ‘thinking’ differently; ‘innovation’ brings market value by ‘doing’ differently. Both involve behavioural change in practice. This shift in traditionally structured thinking requires rigour and trust in the process to achieve the desired results. Any profession that is innovative and emotionally intelligent will thrive. Innovation strategies, therefore, need to be flexible and reactive to deal with the unexpected. This is where professional resilience and agility begin to have meaning. A collaborative, resilient profession that is forward-thinking will have longevity and achieve far more. To thrive, we need to embrace possibilities, not just probabilities; be informed by research, yet not be dictated by it. We can make forecasts, but we cannot be certain what the future holds. It is inevitable that new questions regarding the efficacy of physiotherapy treatment will always be asked, with new perspectives offered in light of research continuously emerging. We need to explore whether we can make our knowledge more relevant in the modern world and increase our market value in an industry where unpredictable external imperatives exist.

Biography:

Laura Smith, PT, DPT, OCS, MTC, FAAOMPT is an Assistant Professor and Coordinator of the Orthopedic Post Professional Residency and Certificate Program at the University of Michigan-Flint. She has extensive national and international teaching and clinical experience. She is a Fellow of the American Academy of Orthopedic Manual Physical Therapists. She is completing her PhD in Adult Education with research interests in interprofessional education and orthopedic manual physical therapy. She is an active member of the American Physical Therapy Association and the American Academy of Orthopaedic Manual Physical Therapists.

Abstract:

A demand exists for the educational needs of health providers to enter the workforce and confidently meet healthcare needs in today’s culturally diverse, economically challenged society. A rising number of racial and ethnic minorities in the healthcare system and providing quality cost effective patient care has created challenges for health care providers. The proposed interventions to meet this societal need are interprofessional collaboration, interprofessional education (IPE), and collaborative teaching models. The goal of IPE is to provide an education for health care providers that will prepare them for working in a collaborative team environment to address the diverse health care needs of society. Interprofessional collaboration, IPE, and collaborative teaching practice models are of growing interest as a means of providing cost effective quality patient care. The general attitudes of faculty and students in health professions programs toward IPE are positive and well established in the literature. The overriding goal of IPE is to improve clients’ health through the education of a collaborative, practice-ready workforce that is responsive to local health needs. Collaborative practice, interprofessional education, and interprofessional teamwork will be presented and ideas for collaborative practice models will be presented. The presentation will improve knowledge and provide specific suggestions to improve the educational delivery methods in health and medical learning environments and emphasize need for interprofessional collaboration and vision for collaborative practice.

Biography:

Yuri Yoshida has completed her PhD degree from University of Delaware and Postdoctoral studies from University of Utah. She is an Assistant Professor at University of Evansville. She is currently investigating a new gait training with utilizing eccentric contraction of quadriceps for individuals after knee replacements. Yy25@evansville.edu

Abstract:

An NIH consensus statement identified a void in our understanding of the usefulness of outpatient physical therapy following total knee arthroplasty (TKA) surgery. Evidence does exist that intensive quadriceps strengthening following the in-patient and home health phases can successfully improve physical function. Collectively however, it is still not clear whether outpatient physical therapy focusing on strengthening exercise improves physical functioning in patients after TKA. This lecture describes the differences in physical function and mobility in TKA recipients that suggests it is clinically useful to undergo outpatient physical therapy. A descriptive analysis of previously published studies showed outcomes with employing outpatient physical therapy versus those studies where outpatient physical therapy was not employed reveals clinically important differences in physical function (SF-36pcs , Timed Up and Go, Stair Climbing Test, the six-minute Walk Test) 3, 6, and 12 months following surgery. After discuss the systematic review of TKA literature, a new innovative exercise protocols for individuals following TKA will be introduced. The new exercise is utilized characteristics of eccentric contraction for the quadriceps femoris, and it can successfully accelerate mobility level. Based on a successful clinical trial with using eccentric training equipment (i.e. eccentron), the author has investigating if the downhill walking exercise can provide the similar effect. The first results from a case study will be introduced in the lecture.

Biography:

Cristy Phillips is an Assistant Professor of Physical Therapy at Arkansas State University in Jonesboro, AR. She is also CEO of Kids and Company, LLC., a pediatric physical therapy provider. She has over 16 years of experience in working with individuals with neurological and cognitive impairment. Her main research interests pertain to how physical activity can be deployed to mitigate impairments associated with neurodevelopmental and neurodegenerative disorders, particularly Down syndrome and Alzheimer's disease. cphillips@astate.edu

Abstract:

A wealth of evidence suggests that regular physical activity (PA) promotes neural mechanisms requisite for the maintenance of cognition in aging persons at risk for Alzheimer’s disease (AD). Preclinical and clinical studies demonstrate that PA can be deployed to optimize synaptic number and function, neurogenesis, neurotrophin levels, and circadian rhythm while simultaneously mitigating processes involved in plaque and neurofibrillary tangle formation. Nevertheless, more than one-third of the world adult population fails to meet recommended activity guidelines. Given that many of the pathological features of AD precede cognitive decline by decades, ample time exists to harness these health-related benefits. In this session, we will discuss the protocols previously used to alter the progression of AD-related neuropathology before highlighting current implications for physical therapist practice.

Biography:

Abstract:

Relevance: OA knee is one of the most common conditions leading functional disabilities seen worldwide. Clinically, it is characterized by pain, tenderness, functional limitation, crepitus, occasional effusion, swelling of the joint, weakness and atrophy of the muscles. There are different methods to manage osteoarthritis, conservatively, and/or surgically. Physiotherapy treatment, as a part of conservative management, involves reduction of pain, improvement of muscle strength and improvement of functional ability by various approaches like exercise therapy, electrotherapy and manual therapy techniques. Quadriceps muscle weakness is one of the main features seen in OA knee. Russian current stimulation has been successfully used to increase muscle strength in healthy athletes but its effect on quadriceps muscle strength in OA knee has not been studied. Hence the present study was undertaken to know the effect of Russian current stimulation on quadriceps muscle strength in patients with primary OA knee. Purpose: The purpose of study was to determine the effects of Russian Current stimulation on quadriceps muscle strength and function of the knee in subjects with primary osteoarthritis (OA) of knee. Participants: 30 subjects (mean age 50.25±6.35 years) diagnosed with primary OA knee were recruited from Out-Patient Department of Physiotherapy of KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. Method: Subjects were randomly allocated into 2 groups namely Group A (n=15) who received Short Wave Diathermy (SWD) and exercises and Group B (n=15) who received SWD, exercises and Russian current stimulation for 10 days. The outcome measures were Visual Analog Scale (VAS) for pain, muscle strength by using Hand-held dynamometer, and WOMAC osteoarthritis index for functional disability. Analysis: Within group and between groups, analysis after intervention was done to assess changes using paired t-test and unpaired t-tests. Result: The VAS scores for group A reduced from 6.8±1.49 (baseline) to1.4±0.91 (post-intervention) and for group B from 6.3±1.29 (baseline) to 1±1.14 (post-intervention). The WOMAC score of group A decreased from 59.7±11.56 (baseline) to 24.1±6.01 (post-intervention) and of group B decreased from 50.4±22.30 (baseline) to 12.5±7.54 (post-intervention). The muscle strength of group A increased from 7.9±0.94 (baseline) to 8.6±0.95 (post-intervention) and of group B it increased from 8.3±0.67 (baseline) to 10.6±0.89 (post-intervention). Group B showed better improvement in muscle strength and function than group A. The intra group and between group comparison was statistically significant with p=<0.001 for both the groups. Conclusion: Russian current stimulation is effective in increasing quadriceps muscle strength and secondarily improving the functional ability in subjects with primary OA knee. Implications: Russian current stimulation can be added in the management protocol of OA knee along with conventional therapy for reducing pain, increasing quadriceps muscle strength and improving function of the knee.

Biography:

Olufunke Adewumi Ajiboye obtained her BSc in Physiotherapy from University of Ibadan in 1988. After a compulsory one year national youth service, she opted for a clinical job with Specialist Hospital Yola. She eventually moved to Lagos University Teaching Hospital (LUTH) as a clinician in 1997 and climbed steadily through the ranks to her present position of Deputy Director Physiotherapy Services. Though an accomplished clinician, she went back to school and obtained her MSc and PhD in Physiology from University of Lagos, Nigeria in 2002 and 2014 respectively. A clinician per excellence and a researcher, she has published more than 13 papers in peer reviewed journals of international standard and presented her research outcomes in more than 10 conferences both at national and international level. Many of her research outcomes had won awards both at national and international level. Recently she was conferred with Fellowship Award from National Postgraduate Physiotherapy College of Nigeria

Abstract:

The hallmarks of chronic heart failure are fatigue, breathlessness and exercise intolerance leading to impaired quality of life and capacity for activities of daily living. Exercise training (ET) has been recommended as an adjunctive therapy but ET role in CHF has not been explored in Nigeria. The aim of this study was therefore to investigate the role of ET in the management of Nigerians with bi-ventricular heart failure (BVF). Sixty six Nigerians with mean age 54.1±1.6 years, in New York Heart Association functional class II and III, recruited from Cardiology Unit of Lagos University Teaching Hospital Nigeria with BVF participated in the study. They were consecutively randomized into exercise group (EG) and control group (CG). They were monitored on their drug therapy and went through education /counselling sessions. Subjects in the EG, performed 12 weeks aerobic and resistance ET three times weekly. Assessment of functional walking capacity and muscle strength was carried out pre and post ET. Data was analyzed using the SPSS Package version 17 and presented using descriptive statistics of mean±SEM. Paired t test and Independent t test were used to compare pre and post test variables within and between the groups. Level of significance was set at p<0.05. A significant improvement was observed in all components of functional walking capacity and muscle strength (p<0.001) in EG while no significant improvement was observed in CG. Supervised and structured exercise training is safe and beneficial for patients with BVF.

Biography:

Diana Veneri is an Associate Professor at the University of Hartford, teaching the adult neurologic rehabilitation content. She earned her Neurology Clinical Specialist credentials in 2008 and is currently serving as a Clinical Content Expert for the Specialization Academy of Clinical Experts (SACE). She earned her EdD from the University of Hartford. She has been a physical therapist since 1986. veneri@hartford.edu

Abstract:

The purpose of this single subject case report was to explore the use of Thera-Band® Elastic Band in combination with body weight support treadmill training during locomotor training of a person with chronic stroke. Inclusion and exclusion criteria were established and Institutional Review Board approvals were obtained. During training, the Thera-Band® was configured around the subject’s hemiparetic leg in a figure-8 fashion and attached to the harness of the body weight support; its purpose was to assist with hip, knee and ankle dorsiflexion during swing and proper foot placement during stance, avoiding excessive inversion. The protocol consisted of three, ten-minute intervals with five-minute rest periods in between, three times per week for a total of ten weeks. Outcome measures included fast gait speed, spatiotemporal variables of gait, endurance and ankle eversion strength. Data collection occurred at baseline, weeks five and ten and six weeks post intervention. All 90 training trials were completed. Mean gait speed increased from .625m/s at baseline to 1.10m/s at week sixteen. Gait distance increased from 191m at baseline to 367m at week 16; ankle eversion strength increased from 4.67±0.45 to 5.90±0.59 force/Kg. GAITRite data demonstrated a more symmetrical gait pattern, with a more equal step length and stance time when comparing left and right limbs, and an increased stride length bilaterally. The results of this case report demonstrated significant improvement in the fast walking speed, gait endurance, gait symmetry and spatiotemporal gait variables and ankle eversion strength. Several limitations and suggestions for further research were identified.

Biography:

Umasankar Mohanty, BPT (Hons), MPT (Manual Therapy), SRP (London), MISEP, MIAP, FAGE, PhD is the founder and President of Manual Therapy Foundation of India®. He is the Elected President of The Indian Association of Physiotherapists. He has completed his Bachelor’s degree in Physiotherapy from premier Institute of India SVNIRTAR, Cuttack in 1998 and completed Masters in Manipulative Therapy from Manipal College of Allied Health Sciences, Manipal in 2001. He has completed his PhD from Mangalore University from the Dept of Physical Education and Sports in 2012. He has 32 publications in international reputed journals and magazines. He has one million visitors in You tube for his manual therapy videos. He is author of the book titled “Manual Therapy of the Pelvic Complex, A compendium of illustrated manual therapy techniques”. He is an international acclaimed Manual Therapy teacher and has trained 12,536 physiotherapists across the globe. He is PhD guide at Lovely Professional University, India. umasankar_mohanty@yahoo.co.in

Abstract:

The development of bipedal plantigrade progression is a purely human accomplishment. We share two-legged locomotion with some flightless birds, such as the ostrich, and an arched plantigrade foot with the bear. However, the orthograde position is exclusively human and permits us, literally, to view the world in an upright manner, although not always acting in an upright way. It is this orthograde position primarily responsible for the enigma called Low Back Pain. Eighty per cent of the population suffers a disabling episode of low back pain at least once during their lives and at any one time 35% will be suffering from low back pain. Manual Therapy Techniques are very useful for the treatment of Disc Prolapse, Facet Syndrome, Muscular Assymetry, Sacroiliac Joint involvement and Piriformis syndrome. In Disc prolapse for effective prognosis and treatment the centralisation phenomenon is very important. The useful techniques are 1) Manipulation Extension (Cyriax) 2) Dallison Technique for Lateral Shift Correction 3) Springing Technique. In Facet syndrome manipulation therapy is believed to solve the problem by separating the apposed articular cartilages and releasing the trapped apex. The sacroiliac joint (SIJ) has been implicated as the primary pain source in 10% to 25% of the patients with low back pain. The innominate dysfunctions (up slip, anterior rotation and out flare) give rise to SIJ pain. Correcting the position of innominate helps in amelioration of pain associated with the Sacroiliac Joint.

Biography:

Bonni received a bachelor’s degree in biomedical sciences at Western Michigan University in 1984, a master’s degree in exercise science at Western Michigan University in 1985, and a master’s degree in physical therapy at Grand Valley State University in 1994. In addition, she will be receiving her doctor of health sciences degree at A. T. Still University in December. She is an assistant professor in the department of physical therapy at Grand Valley State University. She has taught vestibular rehabilitation courses across the United States since 1996, and she has recently published a book chapter and five peer-reviewed research articles.

Abstract:

The purpose of this case report is to describe the treatment of anterior canal Benign Paroxysmal Positional Vertigo (BPPV) using a “reverse” Parnes particle repositioning maneuver. The participant was a 93-year-old female who was initially diagnosed with left-sided posterior canal BPPV and was treated with the Parnes particle repositioning maneuver. This technique was unsuccessful after two attempts. After the second attempt, she demonstrated downbeating right torsional nystagmus when she rolled over onto her left side. As a result, she was subsequently diagnosed with right-sided anterior canal BPPV. After the Kim, Shin, and Chung anterior canal BPPV technique was unsuccessful, a “reverse” Parnes particle repositioning maneuver was performed. Three days after she had been treated with this repositioning technique, the participant no longer reported any vertigo or functional problems. Three months later, these positive outcomes remained. Therefore, a “reverse” Parnes particle repositioning maneuver should be considered a viable alternative in the management of anterior canal BPPV.

Biography:

Emidio Jorge Santos Lima is a MD, Master in Computer Modeling and PhD in Knowledge Diffusion. He has developed clinical studies, in the last 9 years, on weaning from mechanical ventilation. He is Professor at University Salvador – Laureate International Universities Network and has published Book and papers in reputed journals. Recently he started, with The University of Paris – France, an international multicenter study on lung ultrasound score as one predictor of weaning from mechanical ventilation. emidio.lima@gmail.com

Abstract:

Background: There is not an ideal predictor of weaning from mechanical ventilation (MV). In a large meta-analysis, despite methodological limitation, respiratory rate (RR) was considered a promising predictor. I have published one study that evaluates RR as a predictor of weaning failure from MV in 2012. Methods: We prospectively evaluated 166 patients scheduled for weaning from MV. RR was compared with the following outcomes: weaning success/failure or extubation failure. Results: Weaning success was present in 76.5% and weaning failure in 17.5% of patients. There were 6% of reintubations. The predictive power for RR weaning failure, RR best cut-off point > 24 breaths per minute (bpm), was: sensitivity 100%, specificity 85%, and accuracy 88% (ROC curve, p<0.0001). Of the patients with weaning failure, 100% were identified by RR during screening (RR cut-off >24 bpm). There were 15% false positives, weaning successes with RR>24 bpm. Conclusion: RR was an effective predictor of weaning failure. The best cut-off point was RR >24 bpm, which differed from those reported in the literature (35 and 38 bpm). Only 6% of patients were reintubated, but RR or other weaning criteria did not identify them.

Biography:

Ali Rafaqat has completed his Bachelor of Physiotherapy from Jinnah Post Graduate Medical Centre Karachi University and Post Professional Doctor of Physiotherapy from Isra University, Islamabad Campus. He is the Director of Rehabilitation Sciences COMWAVE Institute of Sciences and IT

Abstract:

The purpose of this study is to determine the effects of pulmonary rehabilitation (treadmill training, stationary cycle) dyspnea in COPD patients. This was an experimental study. Sample was drawn on the basis of purposive convenient sampling technique. A structured questionnaire was used to gather the information. Sample was further sub-divided into two groups: experimental and control group. Experimental group was provided with pulmonary rehabilitation (treadmill training, stationary cycle and other respiratory exercises) and control group was only provided with breathing exercises. The descriptive analysis through frequency tables and cross tabulation is shown through the IBM SPSS statistics V 20.0. Results show that in the control group (COPD patients), 96% patients did not show any improvement while 4% patients showed improvement in 6 min walk test on tread mill after respiratory therapy by use of incentive spirometer. In the experimental group, 52% patients showed complete improvement in dyspnea on tread mill while 36% patients showed mild improvement in dyspnea on tread mill and 12% cannot complete 6 min walk test on tread mill because of dyspnea. From the results, it is concluded that pulmonary rehabilitation (treadmill training and stationary cycle) along with respiratory exercises is beneficial for the patients, as compared to respiratory exercises alone.

Biography:

Anand Shetty is a Professor in the Department of Physical Therapy at the University of St. Mary. He is also the Co-Director of Research in the department. Currently he teaches anatomy, exercise physiology, and a series of research courses. He received his doctoral degree in physical education from the University of Northern Colorado. He has published and presented numerous articles on obesity and a frequent invited speaker on obesity and nutrition. He has more than 25 years of teaching and research experience. anand.shetty@yahoo.com

Abstract:

Obesity in children has doubled in the last decade, so the search is on for enjoyable, safe, and effective weight-loss solutions for youth. Pranayama and vegan nutrition are two potential solutions. Both the programs have proven effective in controlling obesity in teens. The purpose of this paper is to provide research basis for these strategies. Two separate research studies will be discussed. Pranayama is associated with breathing exercises and vegan nutrition is associated with low calorie diet providing all nutritional requirements. Pranayama, a form of yoga, involves “quiet, deep and forced breathing” exercises that provide oxygen to the system. Teens performing pranayama for 12 weeks reduced their body weight by an average 4.5 lbs. and lower BMI. Pranayama has been associated with changes in blood flow to different regions of the brain and changes in metabolic activities of the brain and control hunger. It was very effective in reducing BMI of teens. The research on vegan nutrition concluded that teens who consumed vegan diet had lower BMI than who are non-vegans. Therefore, it is important that a novel strategy to prevent obesity is to involve daily activities of 30 minutes pranayama in schools and encourage vegan diet. Thirty minutes of pranayama activities daily will help with controlling hunger and reduction in obesity.

Biography:

Micro-current treatment means conducting electricity of intensity one millionth of an ampere to our body to generate therapeutic regenerative response. Why so many times minute? Isn't it the stronger the better? It is the kind of current comparative to our own body current. Being alive means we have current running through our body. Not the electric current from the wall socket but electric current of a millionth of an ampere intensity generated by the heart pump. So when the heart stops functioning, one would die. And this electric current runs flat. If we sustained an injury, the body will heal but form scars. It can be scar on the skin that you can see or it can be scar of the tendon that becomes fibrotic that leads to limitation of range that you can feel or it can be a neuroma that gives you pain. By applying micro-current, the current of regeneration to the injured site, the current would be able to sense what is wrong. This correction is so powerful that very often we can see the result right after the moment of treatment. The reason is that it changes the nature of the scar tissue from fibrous to become normal, i.e., elastic and rejuvenated. So, what sort of tissue in our body would be able to benefit? Virtually any kind, i.e., muscle, tendon, ligament, nerve, bone, hair follicles, cells in the eyes, etc. Why am I so sure? Because I have 23 years of clinical experience on treating conditions that conventional medicine would have thought there is no cure. The most famous of the conventional methods is the non-surgical correction of bunion. According to protocol of NHS of UK, the only cure for Hallux Valgus Bunion is surgery by cutting the excess bone at the first metatarsal joint. I would say that this is only a cosmetic correction. In order to attain a functional correction, one should be able to go back to the normal daily activities after the correction, and have the same exercise tolerance with no problem. One should be able to continue wearing high heels, run, play tennis, etc., with no pain and limitation. I have experience of treating a 6 years old boy, who has been virtually blind since he was a few months old, back to normal vision in 15 sessions of treatment within 1.5 months. I treated a case of severely crushed industrial injury of the hand with 2 fingers shredded off (which means there is complete cut nerve, cut tendon, cut ligament, crushed cartilage and fractured bones) to near 100% recovery with full ROM, full muscle power including fine and gross motor control, normal sensation and normal circulation even after 10 years. I treated cases of total hearing loss to hear again on the spot during the treatment. I treated decades old baldness to grow hair on the spot of treatment. I treated nasal allergy to unblock the nostril on the spot of treatment. I also treated significantly correct severe scoliosis that was decades old in 10 sessions, mild scoliosis in 12 min., treated hip necrosis due to side effect of heavy steroid for teenage acne vulgaris who has scheduled appointment for total hip replacement to full recovery in 7 sessions of 7 days period with X-Ray evidence, treated a case of C4 level spinal cord injury to manage to stand upright with walking frame after one month intensive micro-current. Conclusion: This treatment modality is absolutely non-invasive with no side effects and no down-time showing instant results. I would be happy to co-operate to do more medical research to substantiate the clinical efficacy so that it can be more widely used on various fields to save patients from unnecessary suffering and improve the quality of life. It can also elevate our status to being a Physiotherapist having this powerful technique that from now on we can make full use our sound knowledge in anatomy, physiology and kinesiology (if possible combine with acupuncture knowledge) to effectively regenerate any damage or injury of the human body in the shortest period of time.

Abstract:

Milly N G has 23 years of experience in micro-current therapy. She was the mentee of Dr Thomas Wing, the inventor of micro-current since 1993 – 2013. She won the first place for presentation in the 2nd micro-current conference in 2009 in Arizona. She was co-hosted a seminar with The America College of Physical Medicine in Chicago in 2013. She is now residing in UK and is continuing her private practice. ngmilly@gmail.com

Biography:

Diana Veneri is an Associate Professor at the University of Hartford, teaching the adult neurologic rehabilitation content. She earned her Neurology Clinical Specialist credentials in 2008 and is currently serving as a Clinical Content Expert for the Specialization Academy of Clinical Experts (SACE). She earned her EdD from the University of Hartford. She has been a physical therapist since 1986. veneri@hartford.edu

Abstract:

The purpose of this single subject case report was to explore the use of Thera-Band® Elastic Band in combination with body weight support treadmill training during locomotor training of a person with chronic stroke. Inclusion and exclusion criteria were established and Institutional Review Board approvals were obtained. During training, the Thera-Band® was configured around the subject’s hemiparetic leg in a figure-8 fashion and attached to the harness of the body weight support; its purpose was to assist with hip, knee and ankle dorsiflexion during swing and proper foot placement during stance, avoiding excessive inversion. The protocol consisted of three, ten-minute intervals with five-minute rest periods in between, three times per week for a total of ten weeks. Outcome measures included fast gait speed, spatiotemporal variables of gait, endurance and ankle eversion strength. Data collection occurred at baseline, weeks five and ten and six weeks post intervention. All 90 training trials were completed. Mean gait speed increased from 0.625m/s at baseline to 1.10m/s at week sixteen. Gait distance increased from 191m at baseline to 367 m at week 16; ankle eversion strength increased from 4.67±0.45 to 5.90±0.59 force/Kg. GAITRite data demonstrated a more symmetrical gait pattern, with a more equal step length and stance time when comparing left and right limbs, and an increased stride length bilaterally. The results of this case report demonstrated significant improvement in the fast walking speed, gait endurance, gait symmetry and spatiotemporal gait variables and ankle eversion strength. Several limitations and suggestions for further research were identified.

Biography:

Priyanshu V Rathod, PT, PhD, is serving as a Director, School of Physiotherapy (SOPT) and Dean, Faculty of Medicine, RK University, Rajkot. He mainly emphasizes on active learning for students and quality of research in physiotherapy. Besides his administrative responsibilities, he is serving as a Project Guide for Undergraduate students and Guide for Post-graduate and PhD scholars. He is also serving as a Chief Editor for “Physioforum – Quarterly Published (ISBN approved) Physiotherapy News Letter” at RK University. He was awarded Master of Physiotherapy (MPT) from Department of Physiotherapy, M S. Ramaiah Medical College and Teaching Institute, affiliated to Rajiv Gandhi University of Health Science, 2004, Bangalore. He was honored PhD in Physiotherapy on “tele-physiotherapy” from Bhavnagar University, Bhavnagar, 2011. He has also completed Diploma in Nutrition and Health Education (DNHE) and Post Graduate Diploma in Patent Practice (PGDPP) from Indira Gandhi National Open University (IGNOU), New Delhi, India, 2002/ 2012. After completion of Post-graduation studies, he has served for more than 15 years of academic / clinical responsibilities starting as a Lecturer at SBB College of Physiotherapy, Sheth V S General Hospital, Ahmadabad, and Assistant Professor at K M Patel Institute of Physiotherapy, Shri Krishna Hospital and Pramukh Swami Medical College, and presently at RK University. priyanshu.rathod@rku.ac.in

Abstract:

Introduction: Internet is one of the fastest growing media for Human Resources and Development (HRD). Computer has become an essential part of our Activities of Daily Livings (ADLs) at one hand and other hand, prolonged computer usage has increases the risk of occupational hazards. Prolonged Static work at computer system is a causative factor for poor postural ergonomic, structural derangements and dysfunction commonly at neck, shoulder and low back structures to develop functional limitation and progressively functional disabilities. The basic health education (HE) by means of ergonomic advises and exercise therapy may have efficacy to promote, prevent and cure for such FDs. However, internet itself can be a mode of HE system to be provided at workplace to cut the time & cost together. Purpose of Study: To find the efficacy of IBM for FDs of the computer users. Materials: Internet supported computer, web-site (www.ptmovements.com), web pages, basic health assessment form, Self-Reported FD Questioners, Neck Disability Index (NDI) & Back Pain Functional Scale (BPFS). Study Design: Experimental Clinical Trial Methodology: 1256 computer users (M=867) participated online and assess for inclusive & exclusive criterions. Internet based self-reported FDs questioners used to assess FDs in prior and post to two weeks of tailor made treatment program. Data Analysis: Significance of FDs and impact of IBM on FDs was analyzed with SPSS -17, LOS set at 0.05 or CI 95%. Result: Mild to moderate prevalence of FDs was higher neck & shoulder as compared to low back structures. The IBM has shown efficiency to reduce the level of FDs at NDI, and BPFS. Discussion: The internet based health education (IBHE) is well possible to deliver and to reduce the FDs. The advantage of time & cost effective approach in IBM has facilitated keen interest among computer users. Conclusion: The IBHE is well efficient and prospective to develop scopes of “workplace wellness” to promote, prevents, and cures for occupational diseases & disorders. E-health education has great prospectus in field of modern medicine.

Biography:

Yeonjung Lee has completed her BA in Social Welfare from University of California, Berkeley in 2011 and MA in Social Welfare from Seoul National University in 2014. Currently, she is a second year doctoral student at Boston University School of Social Work. white4535@gmail.com / lee0905@bu.edu

Abstract:

Current study examines how functional limitations are related to mental health represented by both depression and anxiety among a sample of the young-old and old-old persons with disabilities in South Korea. The moderating effect of age on the relationship between functional limitation and mental health among the older adults were also examined. Survey responses from a total of 491 older Koreans with disabilities who are age 65 or over were collected from the National Pension Panel in 2009. Multiple regression analyses were used to test the hypotheses. The findings of this study are presented as the following: First, consistent with the previous study, the current study shows that functional limitations (ADLs and IADLs) have a positive association with depressive and anxiety symptoms. Second, there is a significant moderating effect of age; it is surprising that the old-old persons with high functional limitations are less depressed and less anxious than their younger counterparts. In spite of the aging process, older age had a buffering effect on the relationship between functional limitations and mental health. The present study suggests the need to concentrate on the interrelationship between physical and mental health to promote older adult’s healthy later life. Moreover, the significant moderating effect of age provides insights on developing a health age index (considering both their physical age as well as their chronological age) every decade expecting the cohort effects.

Biography:

Emidio Jorge Santos Lima is a MD, Master in Computer Modeling and PhD in Knowledge Diffusion. He has developed clinical studies, in the last 9 years, on weaning from mechanical ventilation. He is Professor at University Salvador – Laureate International Universities Network and has published Book and papers in reputed journals. Recently he started, with The University of Paris – France, an international multicenter study on lung ultrasound score as one predictor of weaning from mechanical ventilation. emidio.lima@gmail.com

Abstract:

Background: There is not an ideal predictor of weaning from mechanical ventilation (MV). In a large meta-analysis, despite methodological limitation, respiratory rate (RR) was considered a promising predictor. I have published one study that evaluates RR as a predictor of weaning failure from MV in 2012. Methods: We prospectively evaluated 166 patients scheduled for weaning from MV. RR was compared with the following outcomes: weaning success/failure or extubation failure. Results: Weaning success was present in 76.5% and weaning failure in 17.5% of patients. There were 6% of reintubations. The predictive power for RR weaning failure, RR best cut-off point > 24 breaths per minute (bpm), was: sensitivity 100%, specificity 85%, and accuracy 88% (ROC curve, p<0.0001). Of the patients with weaning failure, 100% were identified by RR during screening (RR cut-off >24 bpm). There were 15% false positives, weaning successes with RR>24 bpm. Conclusion: RR was an effective predictor of weaning failure. The best cut-off point was RR >24 bpm, which differed from those reported in the literature (35 and 38 bpm). Only 6% of patients were reintubated, but RR or other weaning criteria did not identify them

Biography:

Parita Desai is a student, pursuing her Master”s in Physical Therapy specialized in musculoskeletal disorders and sports from Srinivas College of Physiotherapy and Research Centre, Mangalore, Karnataka affiliated to Rajiv Gandhi University of health science, Bangalore, India. She has obtained certification for various fitness instructors training like aerobics, spinning, diet and nutrition, primary and advanced pilates, pre and postnatal fitness and advanced fitness from IAFT- Indian Academy of Fitness training. She has worked as a physio trainer for 3 months at Maximum Fitness Center, Baroda. She has also attended several workshops related to physiotherapy treatment and rehabilitation.

Abstract:

Ageing commonly disrupts the balance control and compensatory postural responses that contribute to maintaining balance and preventing falls during perturbation of posture due to the weakness of lower limb muscles. For prevention of fall, certain fall prevention programs has to be given to the patients which will mainly focus on the stimulation of primary muscle groups of lower limb that will help in activating the normal balance strategies. The purpose of the study was to establish the effect of PBBT (Perturbation Based Balance Training) added to strengthening and balance exercises in improving balance and to reduce falls among older adults. Forty elderly patients aged 65 to 80 years were randomized in two groups by using block randomization. To the group 1 treatment given was standardized OET which is a set of leg muscle strengthening and balance retraining exercises designed specifically to prevent falls. Group 2 was given PBBT along with OET (Otago Exercise Training). Outcome variables measured on force plate are maximum CoP excursion, minimum CoP excursion and stability score. Other then force plate variables the outcome measure taken was TUG (Timed Up & Go Test). The results were checked after two months. Treatment effect was checked within the group by using paired t test and between the groups by using unpaired t test. The results showed significant difference in values of maximum CoP excursion, minimum CoP excursion and stability score in all the four conditions which are NS EO (Normal Stability Eyes Open), NS EC (Normal Stability Eyes Closed), PS EO (Perturbation Stability Eyes Open) & PS EC (Perturbation Stability Eyes closed) within the group. There was also a significant reduction in the values of TUG. Between groups analysis also show significant effect between both the groups. Findings of this study showed better results in the patients belong to group 2 which were given PBBT along with OET. The PBBT is a useful program for fall prevention. It is also inexpensive and compact commercial perturbation-delivery system which would promote widespread clinical application.