2^nd International Conference and Expo on Novel Physiotherapies June 9-11, 2016 London, UK

Nishu Tyagi had completed her Masters from Indian Spinal Injuries Centre (ISIC) Institute of Rehabilitation Sciences, Delhi, India in 2013. Her inclination towards researches and determination attitude towards profession bring her to achieve ‘Inga-Britt Lindstrom Grant Award’ in 2013. With that she started working with her colleague on one of her most awaited dream project ‘taking rehabilitation at home through common technologies especially for neglected and rural disabled’ at ISIC in 2014. Now, her dream project has been transformed in to the department named ‘TeleHealth Unit (E-Seva Centre)’ in 2015 in which she is looking after the home rehabilitation care of patients with different diagnosis and till now rehabilitated more than 1000 patients (national and international) through TeleHealth Unit at ISIC. She has published 3 papers in reputed journals and written two chapters in the book titled ‘Research Publication and Ethics”. She has presented more than 12 papers in national and international conferences. She has been awarded with the ‘Smart City-Jan Award’ by Navbharat Times Newspaper of India for ‘Excellence in Medical Field’. Presently, she is working as a Research Associate and supervising TeleHealth Unit in India at ISIC. Now, her next target is to ‘Explore the human Brain’ and come up with new innovations in rehabilitation sciences.rnnishutyagi08@gmail.comrn

Purpose: Tourism is one of the most popular leisure activities which enhance community integration and quality of life for individuals with disabilities. Many barriers to travel still exist, requiring skill and patience on the part of the traveler. This study examined the major accessibility and attitudinal barriers that people with Spinal Cord Injury (SCI) encountered along with the recent status of tourist spots in famous metropolitan cities of India.rnrnMethods: Phase 1: List of 1531 post discharge SCI clients from Indian Spinal Injuries Centre, Delhi (August 2013 to July 2014) was obtained. 200 were randomly selected. Telephonic interview on ‘Tourism Survey Questionnaire’ addressing six domains was administered and responses were obtained from 86 (urban, rural India). Phase2: Access Audit Checklist was administered to review the current status of top five tourist spots in Delhi, Mumbai, Bangalore, Hyderabad, Calcutta and Chennai. Phase3: Booklet on Tourism Facilities for wheelchair users was developed. Phase4: Case study on C5-C6 & D10 for evaluating their satisfaction for community reintegration in Delhi via Booklet was provided.rnrnResult: 83.72% stated that their frequency of tourist visits had been reduced after injury, and only 12.79% were aware about disability tourism. Common barriers were unavailability of active wheelchair at tourist spots, negative connotations (74.4%). 76 stated unavailability of medical facilities at tourist places as main reason. Intrapersonal constraints were viewed as a major factor that reduced an individual\'s frequency, rate, or satisfaction as a participant in an activity.rnrnConclusion: This preliminary report is an initiative to have a view on disability tourism which has an impact on an individual’s motivation, independence and overall quality of life.rn

John A (cand. Master of Education degree “Sports and Mathematics”) is an assistant of the Department of Training and Movement Science at the University of Mainz, Germany.\r\n\r\nrnrnalexjohn@uni-mainz.dern

Several studies identified an influence of cycling on cognitive processes. The NeuroBike is an instable system with balance movement similar to the cross-coat of the human due to the joint in the center of the bicycle frame. According to the manufacturer it leads to positive effects on brain function. In the present study we investigated effects of training on the NeuroBike on spontaneous EEG activity and on mathematical performance. Participants performed different trainings (NeuroBike, common bicycle, daily activity) for 20 minutes three times per week in a two-week intervention. Mathematical performance (algebra, geometry, arithmetics) was assessed before and after the intervention. Spontaneous EEG was recorded before, and after the training session at rest as well as during the mathematical tests before and after the two-week intervention. Behavioural data show slightly reduced mathematical performance in geometry after the NeuroBike and common bicycle intervention in comparison to daily activity. EEG data reveal increased temporal theta power, occipital theta, alpha and beta power and parietal beta power after the two week intervention without acute influence of NeuroBike cycling at rest. Repeated NeuroBike training leads to increased frontal power in all frequency bands and temporal theta and alpha power during algebra performance. Our results demonstrate that training on the NeuroBike fosters a beneficial brain state for learning at resting state, but does not lead to an optimum brain state for active spatial processing in mathematical problem solving

Ruby Aikat has completed her Masters of Occupational Therapy in Neurosciences from Mumbai University in 2001. She is working as an Assistant Professor in Indian Spinal Injuries Center Institute of Rehabilitation Sciences, Delhi, India. She has presented many papers in national and international conferences and has won several awards. She has more than 15 publications in reputed journals and books. She is a member of editorial board and a reviewer for a couple of journals.rnruby_aikat@rediffmail.comrn

There is only a little available empirical research on the psychological distress experienced due to sexual dysfunctions and post spinal cord injury (SCI). This ‘Clinimetric’ study was done in two phases: Phase 1 includes the development of perceived sexual distress scale (PSDS) in Hindi language (PSDS-H) for persons with SCI, and establishment of content validity, internal consistency and test-retest reliability. Following a comprehensive literature review and semi-structured interviews, a 43-item questionnaire was drafted with a 5-point Likert scale. Content validity was established by expert panel, both qualitatively and quantitatively by content validity ratio (CVR) method. Five items were dropped because of low CVR, resulting in a 38-item questionnaire. Inter-item, item total correlations, internal consistency and test-retest reliability were calculated. Internal consistency reliability (Cronbach’s alpha) was 0.965. The test-retest reliability was 0.647. Phase 2 - Following this, English translation and cross-cultural adaptation of PSDS-H was performed using standardized guidelines of American Academy of Orthopaedic Surgeons (AAOS) Outcomes Committee. The procedure involved 6 stages comprising of forward translation, synthesis of translations, back translation, expert committee, pre-testing on 30 subjects and submission of document. The content validity of English version was estimated by CVR method. The finalized English version of PSDS was approved by all the translators, expert panel members, persons with spinal cord injury and by the developer of the original Hindi version PSDS-H. The PSDS-H is a valid, self/interviewer-rated tool that can help inform the rehabilitation team about the level of an individual’s perceived sexual distress post SCI. It also provides an outcome measure to evaluate the efficacy of interventions related to sexuality post injury. The English translated version is also a valid scale with widespread utility.

A Hekinian is currently employed by an occupational health care service in Brest. She studied Medicine at the University of Western Brittany (UBO - Brest) where she obtained her medical degree with a specialisation in the Care of Alcohol and Drug Dependent Patients as well as a Diploma in the specialization of the Practice of Acupuncture from the University of Nantes Medical School.rnrnA.HEKINIAN@metrabrest.comrn

Chronic back pain (CBP) is a major problem in the workplace and is responsible for considerable economic costs as well as serious social repercussions in our society. This report presents the results of a four-year study combining the findings of two different medical teams involved in the treatment of CBP : the service of the Occupational Health Department in Brest (Service de Santé au Travail en Iroise) and a service of functional re-education, physical education and rehabilitation in Roscoff, France (Centre de Rééducation Fonctionnelle de Perharidy). Our model is based on diagnosis of CBP in various workers proposed by occupational health doctors in Brest, based on a specific protocol that covers workers suffering from CBP for more than 3 months, where there is an obvious consequence on the quality of their work. Each case was subsequently evaluated by a joint medical committee composed of doctors specialized in occupational health and doctors specialized in physical rehabilitation. On the basis of the committee\'s findings, it may have been possible to offer a series of physical therapy and functional re-education sessions for the back-pain suffers, as well as a study of their workstations and/or their job situation by a specialist in Ergonomics. One year later, a new evaluation of the patients\' situation was systematically undertaken by comparing each individual\'s ODI, HAD and Karasek tests. 183 workers were presented to the joint committee of occupational health and physical rehabilitation specialists between 2010 and 2013. Only 90 cases were accepted in a programme of physical therapy by the physical re-education centre. 71 of these cases were re-evaluated by the medical committee one year later. Concerning these cases, 18 workers were declared unable to work and were not asked to return to their jobs. 7 of the original 90 cases were “lost from sight”. 78.9% of the subjects included in the program were working after one year, whereas only 55.7% of them were on their jobs at the beginning of the study. 67.9% of the workers declared feeling a physical improvement and were suffering less back pain. 75% of the patients were labelled as being “disabled workers”. There was a 10 point improvement of their average ODI Score and their psychological profile improved since they suffered less depression and anxiety. We compared this model to other types of health care offered to patients afflicted by CBP, especially the Sherbrooke model. The importance of multidisciplinary care based on the psycho-social-physical well-being profile is confirmed. On the other hand, we have not been able to attest to the apparent benefits of an ergonomic adaptation of the work station, unlike other studies. The benefits of physical rehabilitation/re-adaptation (and sports) are confirmed. A global approach using a well-defined protocol for patients (workers) diagnosed as suffering from CBP by an occupational health service and then enrolling these patients in a rehabilitation programme that involves a close relationship with a physical rehabilitation centre has provided encouraging results.