Day 1 :
- Physiotherapy World: A Modern Era of Health CarePhysiotherapy World: A Modern Era of Health Care
Sports & Physiotherapy
Experimental Techniques in Physiotherapies
Location: Room 1
Session Introduction
Mohammad H Hadadzadeh
Wheeling Jesuit University, USA
Title: Diet & physical health: The challenge of 21st century
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.
Susan G Klappa
Davenport University ,USA
Title: Compassion satisfaction- Taking care of our physios means better patient care
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.
Silverio Di Rocca
M.P.R International School, Switzerland
Title: M.P.R concept: A new era for physical rehabilitation
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.
Paul S Sung
The University of Scranton, USA
Title: A kinematic and kinetic measurement of balance and coordination in subjects with recurrent low back pain
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.
Maurice Mars
University of KwaZulu-Natal, South Africa
Title: Compressed air massage: What do we know?
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.
Gunnel A L Berry
The Christie NHS Foundation Trust Manchester, UK
Title: Adapted reflextherapy in spinal pain including whiplash
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.
V P R Sivakumar
SRM University, India
Title: Growth of physiotherapy in India in the last 2 decades – My perspective
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.
Sahebozamani Mansour
Shahid Bahonar University of Kerman, Iran
Title: The acute effects of different types of common ankle orthosis on balance after functional fatigue: A study on volleyball players with unstable ankle grade I and II
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.
Priyanshu V. Rathod
RK University,India
Title: An Internet based study on management of functional disabilities of Computer users
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.
Maruti Ram Gudavalli
Palmer Center for Chiropractic Research,USA
Title: State of the research on yoga as a self-care for low back and neck pain
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.