Day 2 :
- Advancements in Physiotherapeutic Treatment
Manual & Artificial Physiotherapy Strategies
Womens Health & Palliative Care
Session Introduction
Anand Shetty
University of St. Mary, USA
Title: A novel approach to prevent obesity: Pranayama and nutritional approach
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.
Priyanshu V Rathod
RK University, India
Title: An internet based study on management of functional disabilities of computer users
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.
Emidio Jorge Santos Lima
Salvador University, Brazil
Title: Respiratory rate as an important predictor of weaning from mechanical ventilation
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
Parita Desai
Rajiv Gandhi University of Health Sciences, India
Title: Effectiveness of perturbation based balance training in older individuals
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.