Day 3 :
- Physiotherapy Specializations
Sports & Physiotherapy
Advancements in Physiotherapeutic treatments
Session Introduction
Craig Smith
Club Physio Group, Southern Africa
Title: Dry needling for myofascial trigger points
Biography:
Craig qualified from the University of Cape Town with a BSc Physio and a BSc Sports Science in 1989. His first professional sports physo iposition was as physio to the touring rebel England cricket team to South Africa in 1990 (Mike Gatting was captain), He then joined the South African cricket team from 1991 - 2002 as the lead team physio. In 2003-2010 Craig worked in county cricket in the UK with Lancashire, Nottingham (2004-2009) and as a consultant physio with Hampshire in 2010. In 2003 he start Club Physio, a seminar and courses facilitating company that now runs and facilitates physio, sports medicine and manual therapy course in Southern Africa, the UK, Ireland, Europe, India, Asia and the Middle East and the USA. Craig lives in Cape Town South Africa and Nottingham also travels extensively, enjoys golf, surfing, running and yoga. craigthephysio@gmail.com
Abstract:
Myofascial Trigger Points have been one of the most commonly overlooked causes of both acute and chronic pain. Today, evidence shows that myofascial pain may often be the primary cause of pain and dysfunction. This workshop presentation highlights recent studies in MTrP including the neurophysiology and pathology and will demonstrate the technique of de-activation of trigger point areas using dry needling with acupuncture needles. The practical demonstration of superficial and deep dry needing will also focus on needle safety and cleanliness, the effects of needling muscle, fascia and connective tissue and specifies about needling different muscles and areas of the body. This workshop is mainly but not restricted to therapists for whom dry needling is in their scope of practice.
Biography:
Cristian F Reich has completed his PT studies from University of Buenos Aires and he holds a chair in the University of Buenos Aires, Medicine School. He is the main Professor of Electrotherapy since 1996. He is an expert in thermal waters, Manual Therapeutic in RPG and POLD methods like Dry Needing, Percutaneous Electrolysis and Vestibular Rehabilitator. He was the chair in Electrotherapy from 1998 to 2008 at Entre Rios University, School of Medicine. He has been a Lecturer for many years and has delivered at least 100 talks in different countries. He has published a book and has written articles, book chapters and journals.
Abstract:
Introduction: The purpose of this study is to compare at least two different ways to treat patients who suffer, on the one hand, from soft tissue pathologies such as ulcers, arteriovenous wounds and the side effects of wound healing only by nursing care. And, on the other hand, patients who suffer from hard tissue pathologies for instance, when the bone does not heal. Subjects: Twenty patients (14 wounds) and (10 no healing bones) were randomly awed to the treatment groups. Methods: All patients received standard wound care consisting of wound cleaning twice daily, application of moist dressings and continuous relief of pressure until the wounds were healed. The ultraviolet protocol consisted of two treatments weekly using a lamp, it was calculated with National Biological Corporation devices, probe with a 400-nm. Wounds were checked every 14 days and surface areas were calculated according to some elements were calculated according to the criteria used to measure ulcers by decubitus Sessing scale, WHS scale, Sussman scale, PSST scale, PUSH scale, DESIGN scale and CODED scale, RESVECH scale and LUMT scale. Weekly percentage changes in wound area were compared. Results: Results showed that UVNA1 treatment had a greater effect on wound healing than nursing care did. The PEMF’s Protocol consisted of 90 days where doses were calculated with clinical and Montoya Scales between 90 to 15 Hz and 50 Gauss. All patients who received PEMF’s demonstrate a very high treatment for bones which have not healed in certain conditions. Conclusion & Discussion: Ultraviolet narrow band A1 and PEMF’s showed decrease healing time in soft and hard tissue and it may allow for a faster return to rehabilitation programs, work and leisure time in patents with pressure ulcers and leisure activities and for those have non healing bones.
Biography:
B J Lehecka is an Assistant Professor at Wichita State University in Wichita, KS. He is the Director of Wichita Running, a clinic for runners and sports teams. His research is focused on gluteal endurance measures and their relationship to running-related injuries. He is a PhD Candidate in Orthopedic and Sports Science at Rocky Mountain University of Health Professions. In addition to university lecturing, he has been an invited speaker for 20 continuing education conference lectures. He has published multiple articles relevant to sports physical therapy. Bryan.Lehecka@wichita.edu
Abstract:
Running is a wonderfully intricate and individualistic melding of foot, ankle, knee, hip, trunk, and upper body motion. This lecture is designed to teach attendees how to examine these intricate motions, and to communicate conclusions that can be drawn by telescoping up to a 5000- foot view of running research in its entirety. The discussion will include an exploration of the neuroscience associated with running as well as the physiological and psychological benefits of this popular activity. In-depth instruction for practical running gait analysis and the evaluation of runners will be provided, in addition to a myriad of treatment techniques. A special emphasis will be placed on the function, evaluation, and treatment of runners’ glutes. These large muscles are paramount to safe and efficient running technique. Moreover, most clinicians currently neglect the evaluation and treatment of runners’ gluteal endurance. Over 50% of the glutes’ fibers are Type I endurance fibers; therefore, it would behoove clinicians to evaluate and treat this often overlooked characteristic of these important muscles in runners.
Gunnel Berry
The Christie NHS Foundation Trust Manchester, UK
Title: Pain in children – 3 case studies
Biography:
Gunnel Berry is a member of the Chartered Society of Physiotherapy in 1974 having trained at the Middlesex Hospital London. She completed her MSc degree in Advanced Physiotherapy at the University College London in 1995. Having worked in Sweden, Great Britain and Borneo, she was trained as a Reflexologist in 1989 at the Bayly School of Reflexology. After participating in an audit into the clinical role of physiotherapy within a GP practice she developed Adapted Reflextherapy (AdRx) as a method to address pain. She has presented and published papers on AdRx at Physical Therapy Congresses in Barcelona, Birmingham, Chicago 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. gunnel.berry1@gmail.com
Abstract:
Children are expected to participate in physical activity without pain and with full function. Pain causes immobility, discomfort and misery. Children may complain of pain but are ignored, told it is growing, over- or under-use pains of muscles and bones. Children have no clear experience to differentiate pains. They react to an immediate situation. The mission of the NCHID (National Institute of Child Health and Human Development) is to ensure that all children have the chance to achieve their “…full potential for healthy and productive lives…” Abdominal pain affects 10 – 20% of school age children. Musculoskeletal dysfunction may be the cause for abdominal pain. how is this addressed? AdRx (Adapted Reflextherapy) is reported as a manual therapy applied on the feet in context of pain. The hypothesis is that sensory stimulus facilitates synaptic potentiation by nerve plasticity. This has been particularly beneficial in acute and chronic pain states. Anatomical and physiological plasticity are ongoing processes in tissue matrix ensuring continued replacement and regeneration of damaged tissue material ensuring synaptic interchanges. This presentation includes 3 case studies of children suffering from severe pain a) abdominal pain, b) Achilles tendon pain, c) pain during void and bowel evacuation procedures associated with severe dermatitis. Symptoms had severe inhibitory effects on the children’s lives. Application of AdRx offered good outcomes. An interactive debate on a common denominator of children’s pain and method of treatment in context of physiotherapy intervention is encouraged.
Paolo Ortelli
RMP International School Di Rocca Concept, Switzerland
Title: Description of a case treated in myofunctional postural rehabilitation Di Rocca (MPR)
Biography:
Paolo Ortelli is a Physiotherapist since 1986, and later, after several specializations in manual techniques studied Osteopathy in France, Italy and Switzerland, where he received his Doctorate in Osteopathy at the University Ludes-Oradea (2003). To complete his rehabilitation training, he has focused his interest on Acupuncture and became Doctor of Acupuncture at Beijing University (WFAS, 2011). In the same time, he was trained in Posturology (Orthopraxy) and Method MPR di Rocca. He has published several papers in some local journals and rehabilitation magazines. He works as Rehabilitator and teaches osteopathy and TCM in the RMP di Rocca Concept. paoloortelli@ticino.com
Abstract:
Dr. Paolo Ortelli, describes the case of a patient treated in rehabilitation following the concept of RMP di Rocca. The patient, who initially had to undergo a left hip arthroplasty surgery, preferred to take a conservative treatment. According to the parameters of Myofunctional Postural Rehabilitation, the treatment was scheduled as following: the placement of an orthodontic appliance named BED (Body Equilibrium Device) to neutralize tensions resulting from the teeth and the temporo-mandibular joints (expecially at night); interventions with homotoxicology treatments done by the Doctor and; osteopathic therapy combined with traditional Chinese medicine and physical therapy interventions on the muscles chains by the Rehabilitator. Even dietary advices and interventions for improving intestinal absorption and metabolism of sugars in general have been implemented to allow a good metabolic and postural functionality. The two professionals show with this clinical case as an example, that the RMP, without interfering on the various techniques used, can serve as a guideline for proper setting of the treatments, while identifying priorities and multidisciplinary intervention times, to achieve the best possible result in both qualitative and economic terms.
Biography:
Vandana Jaisingh is a Senior Consultant in Sports Physiotherapy and Chairperson and Founder of PHYWorld Physiotherapy and Osteopathy Clinics. With 20+ years of experience in this health industry, she worked across multiple organizations including Safdarjung Hospital, Holy Family Hospital, Northern Railway Central Hospital, GB Pant Hospital, L.N.J.P. Hospital (MAMC), Kalawati Saran Hospital (LHMC), Institute for Physically Handicapped, Amar Jyoti Institute, ESIC Hospital, Hindu Rao Hospital, and Dr. Bela Sethi, South Extension. She founded PHYAction in 1996. PHYAction was rebranded to PHYWorld in 2008. By education, she has specialized in Sports Physical Therapy from Amar Jyoti Institute (2008) and Bachelors’ in Physical Therapy from Delhi University (Gold Medallist 1994). drvandana10@gmail.com
Abstract:
Introduction: The breathing pattern (BP) and rib cage-abdominal movement are relevant factors in understanding and assessing pulmonary impairment. Thoracoabdominal asynchrony/paradox– refers to the asynchronous movement of the thorax and abdomen that can be seen with respiratory muscle dysfunction and increased work of breathing. This can be seen as a time lag/phase shift of thoracoabdominal motion or as pure paradox where the thorax and abdomen are moving in completely opposite directions at the same time. There are lot of recent studies showing the effect of breathing exercises and diaphragmatic breathing for improvement in paradoxical breathing pattern in obesity. The effect of electromyography (EMG) biofeedback to improve thoracoabdominal paradox has not been studied yet. Objective: To compare the two protocols and formulate a new treatment plan for correction of paradoxical breathing. Procedure: The subjects were assessed and divided into 2 groups group A and group B. All the subjects undergone an EMG assessment and cross sectional diameter at umbilicus level at the end of inspiration and expiration have been assessed. Group A received the biofeedback training to recruit the abdomen and manual training including diaphragmatic breathing with scooping for 20 sessions and again the diameter was assessed after end of every session and at the end of 10th and 20th session. EMG readings were assessed again. Group B received manual training including diaphragmatic scooping with diaphragmatic breathing to recruit the abdomen muscles for 20 sessions. And at the end of 10th and 20th session EMG assessment was done. At the end of 10th and 20th session the cross- sectional diameter was assessed and recorded. Results: For inter group analysis of results unpaired T-test was used and those results were considered who had a p-value of less than or equal to 0.05. The biofeedback training to correct paradoxical breathing [SDNN] = 4.5150 than control group [SDNN] = 2.7110 with p value<0.01 has been found to show significant results than manual diaphragmatic training. Conclusion: The biofeedback training can be an effective treatment for correcting the paradoxical breathing pattern in obese patients, but it can be more effective if patient is also under the weight loss programme. The diaphragmatic excursion will increase leading to significant change and patient can lead a better life without respiratory complications.
EmÃdio Jorge Santos Lima
General Hospital Roberto Santos, Brazil
Title: Percutaneous tracheostomy without bronchoscopy: A safe procedure
Biography:
Emídio 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 a Professor at University Salvador – Laureate International Universities Network and has published a book and some papers in reputed journals. Recently, he finished an international multicenter study on lung ultrasound score as one predictor of weaning from mechanical ventilation at the University of Paris – France. emidio.lima@gmail.com
Abstract:
Background: Tracheostomy is a common procedure in ICU, particularly as an approach for weaning from mechanical ventilation. In mid-1980s percutaneous tracheostomy (PCT) was introduced as a less invasive alternative for the standard surgical tracheostomy. A tracheostomy facilitates weaning from mechanical ventilation, in long-term ventilated patients, by improving airway cleaning, better patient comfort, and decreasing airway resistance. Prolonged mechanical ventilation has a main complication i.e., ventilator-associated pneumonia. In such cases early tracheostomy may reduce that complication. Methods: We analyzed prospectively 104 adult patients mean age of 53 years who underwent PCT at our ICU between 2012 and 2014. Inclusion criteria were: age >18 years and indication for tracheostomy. Exclusion criterion was technical contraindication for PCT. All the PCT were performed at bedside using Ciaglia technique. Results: Among 104 patients, reasons for PCT were: Weaning failures in 82 (78.85%) and airway protection in 22 (21.15%). The most frequent reasons for admission to the ICU were: Sepsis in 18 (17.31%), pneumonia in 17 (16.35%) and stroke in 7 (6.73%). The mean duration of preceding translaryngeal intubation was 9 days. The mean length of ICU stay was 14 days. We observed one complication in one patient; it was a tracheal stenosis. 66 patients (63%) died during their stay in the ICU. These deaths were unrelated to the PCT, but related to severe organ dysfunction. 38 patients (36.54%) survived and was discharged from the hospital, 37 was decannulated. Conclusion: PCT, in our series, was a safe and practical procedure for bedside management of critical patients.
Gabriel Y F Ng
The Hong Kong Polytechnic University, Hong Kong
Title: The healing effects of nanomized Chinese herbal medicine on overuse-induced Achilles tendinopathy
Biography:
Gabriel Y F Ng publishes extensively in scientific and professional journals and has received research awards from Australia and the United States as well as the President’s Teaching Award from the Hong Kong Polytechnic University. His research interests cover Sports Physiotherapy, Knee Joint Rehabilitation and the basic science of Soft Tissue Injury/Repair. He is currently the Vice President of the Hong Kong Association of Sports Medicine and Sports Science, and is on editorial boards of several international journals. rsgng@polyu.edu.hk
Abstract:
Tendinopathy is a common clinical problem causing pain, disability and mental stress. Abnormal loading on the tendon with either overuse or underuse is believed to be a major causative factor of tendinopathy. Chinese herbal medicine has long been applied in management of soft tissue injuries. It was hypothesized in the current study that externally applied nanomized herbal medication would have higher penetration power and increased bio-viability at the tendons leading to better treatment efficacy than non-nanomized medication. Achilles tendinopathy was induced in SD rats (n=24) using the forced upper body suspended downhill running model for 8 weeks. The exercised rats were divided into 3 equal groups of exercise control, nanomized or normal herbal extract treatment groups in which the herbs comprised Dipsaci Radix, Rhizoma Notoginseng, Flos Carthami and Rhizoma Rhei (ratio=1:1:1:1). Both treatment groups received topical application of the herbs on both Achilles tendons for 6 weeks after the training. Results of biomechanical testing demonstrated that Achilles tendons of the exercise control group exhibited higher load relaxation, lower stiffness and lower ultimate tensile strength (UTS) as compared to the other 2 groups. However, both nano-herb and normal herb treated tendons showed comparable results to non-exercise control group (n=8), except the nano-herb group tended to exhibit higher UTS than normal-herb group. The results suggested, the present formula improved the healing potential for degenerative Achilles tendon and nanomization of the herbal extract have a tendency to further enhance the healing effect in terms of biomechanical properties.
Wei-L Hsu
National Taiwan University, Taiwan
Title: A novel fall prevention training using a treadmill-based balance perturbation during walking in older adults with osteopenia
Biography:
Wei-L Hsu is currently an Associate Professor and the Director of Movement Science Laboratory in the School and Graduate Institute of Physical Therapy at National Taiwan University, Taiwan. She completed her PhD in Biomechanics and Movement Science at the University of Delaware, USA and Post-doctoral studies in Neuroscience at the University of Oregon, USA. Her research interests are centered on gait and posture in older persons and individuals who has movement disorders. She also continues her clinical practice as a physical therapist to bridge the gap between bench and bedside. She has extensive experience in characterizing movement patterns in patients with spinal disease, poor balance control, characterizing muscle strength, and analyzing the effect of physical therapy and surgical interventions on movement functions. She serves as an editor and reviewer for numerous scientific journals. She has been an invited speaker at national and international scientific meetings. wlhsu@ntu.edu.tw
Abstract:
Studies have shown that muscle quality and good posture alignments are critical for balance control in older adults. People are diagnosed with osteopenia often combining with muscles weakness, and increased spine kyphosis leading vertebral fractures and poor balance control, even falls. Identifying the factors related to falls occurring within this population is essential for developing effective regimes for fall prevention. The split-belt balance perturbation treadmill has recently been developed to provide postural perturbations during walking. Treadmill-based perturbation balance training utilizes repeated unpredictable external perturbation that caused postural interference. It can generate unexpected accelerations forward or backward to simulate a slip or a trip and can also generate sideway displacements at various speeds to compromise the lateral stability of participants. The aim of this study was to develop a novel fall prevention training using a treadmill-based balance perturbation during walking. We used a split-belt balance perturbation treadmill and playware tiles to improve dynamic balance in older adults with osteopenia. External perturbations during treadmill training can activate involuntary adaptive postural responses in aging adults. The results showed that this training can improve muscle strength, bone mineral content, static and dynamic balance, thereby reducing the risk of falls in aging adults. The unique contribution of the results lies in integrating an explicit physical examination and biomechanical approach to a relevant clinical problem into a translational model. The findings provide a new paradigm of treatment approaches for balance control and might reduce the risk of falling and fracture. This research can potentially be applied to persons with poor balance who are at a high risk of falling.
Silverio Di Rocca
M.P.R International School, Switzerland
Title: Inter-relation between the cranio-facial system, the tonic-postural system and body posture
Biography:
Silverio Di Rocca has completed his Graduation in Dentistry, Post-graduate degree in Functional Orthopaedics both from the University of Buenos Aires, Argentina. He has also done a degree in Dentistry and Prosthetic at the University of Turin, Italy and a Doctorate in Dentistry and Prosthetic at University of Turin, Italy. He is the Director of the M P R International School, Vice President International representative and Founder of API Swiss (International Association of Posturology Switzerland). He is also a Professor in Amocoac Diplomate in Mexico and COMEI, College of Dentistry in Mexico, Associate Professor in I.C.O.M (International College of Osteopathic Medicine) Milan, Italy and an International Honorary member of AMOCOAC. sdirocca@gmail.com
Abstract:
The negative interference of the stomatognathic system on body posture is well known. Static posture regulation is given by the Tonic Postural System: a closed cybernetic system that regulates basic muscle tone, through its receptors (proprioception), in charge of the neuromuscular balance necessary for the body's harmony. The main receptors of this system are: Oculomotor system sistema, foot support and vestibule. Their main function is that of transferring environmental information surrounding the body, information that the nervous system then elaborates a response to. Unfortunately our central computer (Central Nervous System) has no way of knowing if the information is correct or not. The C.N.S. merely reacts to any information, however when this information is incorrect these reactions lead to chronic illnesses. The stomatognathic system can be out of sync when the jaw position is incorrect, generally due to dental malocclusion. In such situation, the oculomotor system is the main one to be affected (one of the body's main receptors), along with the vestibular system, in charge of balance, and the cervical spine, creating postural problems. It is for this very reason that the stomatognathic system is considered a postural disturber; the M.P.R. (Myofunctional Postural Rehabilitation) takes these phenomenon into account, and has made it the foundation in the development of B.E.D. (Body Equilibrium Device) that allows to cancel the negative effect of the masticatory system.
Dimitra Nikoletou
Kingston University,St. George’s University of London, UK
Title: Are there differences in adherence to home-based, inspiratory muscle training programmes between athletes and non-athletes? Implications for designing community based rehabilitation programmes for respiratory patients
Biography:
Dimitra Nikoletou is a Senior Lecturer at the Faculty of Health, Social Care and Education at Kingston University & St. George’s University of London and an honorary Senior Lecturer at the Infection and Immunity Research Institute at St. George’s University of London. Her research focuses on exercise prescription and rehabilitation in different clinical populations and is currently running an NIHR funded study. She has published in peer-reviewed journals, leads the Pulmonary and Cardiac rehabilitation component of 3 different MSc programmes and is a fellow of the Higher Education Academy having trained over 1,000 physiotherapists in the last 13 years. D.Nikoletou@sgul.kingston.ac.uk
Abstract:
Home-based exercise programmes are used in a variety of clinical conditions as part of comprehensive patient management. Inspiratory muscle training (IMT) is a rehabilitation option that has been used in patients with various respiratory conditions, to improve perception of breathlessness and exercise capacity as well as in athletes to improve performance in competitive sports. However, results from research studies vary in these 2 groups, raising questions about possible differences in motivation and adherence to home-based IMT programmes and the effectiveness of this intervention in respiratory patients as opposed to healthy athletes. This presentation will examine evidence from an exploratory study investigating differences in adherence to a four-week, high intensity, home-based IMT programme in athletes and healthy non-athletes, all of whom were physiotherapy students. It was hypothesized that healthy young volunteers should have no difference in adherence to a short IMT programme at home and their experiences following this programme should be similar. This was a mixed method study, using self-report diaries to monitor adherence and focus groups to explore participants’ experience following a 4 week IMT programme. Secondary outcomes were the maximal inspiratory and expiratory pressures (PImax and PEmax respectively), meters rowed in a rowing ergometer in 4 minutes and rate of perceived exertion (RPE) before and after rowing. Adherence is an important factor for any successful rehabilitation programme and results from this study suggest variation even in knowledgeable healthy individuals. Results will be present and discussed in the context of existing literature in this field.
Biography:
Timothy Winey has been conducting independent research on non-classical field effects on water and other liquids for the last 10 years. After a series of highly anomalous results both commercial and academic interest in his work has begun accelerating rapidly, particularly in the areas of fuels, foods and health applications, more specifically, the use of structured water for the improved uptake of phyto-compounds. timothywiney@btinternet.com
Abstract:
According to a growing body of research, the structure of water is implicated directly in, and may even be the catalyst for, inflammatory response throughout the body. Structured water (water with certain cluster sizes) has been shown to be reducing, making it a functional anti-inflammatory. I will present direct experimental (in vitro and in vivo) evidence of this reducing/anti-inflammatory effect as well as improved hydration.
Garima Gedamkar
Charotar University of Science and Technology, India
Title: Effect of cervico-thoracic mobilization on shoulder pain and functional independence in paraplegics
Biography:
Garima Gedamkar completed her Master of Physiotherapy in Neurology from Swami Vivekanand National Institute of Rehabilitation Training and Research (SVNIRTAR), under Ministry of Social Justice and Empowerment, Govt. of India. She also completed her PG Diploma in Rehabilitation Physiotherapy from All India Institute of Physical Medicine and Rehabilitation (AIIPMR), under Ministry of Health and Family Welfare, Govt. of India. She was honored by All India Institute of Physical Medicine and Rehabilitation, Society for Promotion of Medical Research (Government of India, Ministry of Health and Family Welfare) for outstanding performance. Currently, she is working as a faculty member at Ashok and Rita Patel Institute of Physiotherapy, a constituent of CHARUSAT, India. Apart from being an academician and clinical therapist, she is also involved in community survey and service. garimagedamkar87@gmail.com
Abstract:
30%-50% of the individuals with spinal cord injury (SCI) have shoulder pain of such severity that it interferes with transfers, manual wheelchair propulsion, overhead reaching, and sleep; it can also limit vocational and recreational pursuits. Wheelchair propulsion and transfers (mostly studied) are among the other factors responsible for inducing shoulder pain, which is unavoidable to be functionally independent. In the presence of pain, individuals may not perform up to the optimal level or deny doing exercises. Rest may prolong rehabilitation duration, increase financial burden, depression or reduced motivation. Also, no standardized exercise protocols are available (minimum of 6 weeks and more) due to less number of studies and home exercise programs are of longer duration. 4 weeks (5 days a week, 1 session per day) of cervico-thoracic mobilization when combined with exercises (stretching and strengthening) showed statistically significant decrease in shoulder pain and improved functional independence than exercise therapy alone. Addition of cervico-thoracic mobilization sets platform to perform the exercises optimally, facilitate rehabilitation by immediate pain reduction and maintain the effect 24 hours post-intervention. It also reduces the duration of treatment for shoulder pain as compared to the available protocols. Since level of injury, level of impairment, motivation, environmental factors influence the functional independence, comprehensive approach should be considered.
Dana Badau
University of Medicine and Pharmacy of Targu Mures, Romania
Title: The impact of kinetoprophylaxy in fitness movements
Biography:
Dana Badau is working as a full Professor at the University of Medicine and Pharmacy of Tirgu Mures, Department of Human Motor Sciences and Department of Physiokinetotherapy. She completed her PhD in 2005 at Transilvania University from Brasov and her Habilitation in 2015 at Babes-Bolyai University of Cluj-Napoca. She is the President of the Romanian Federation Sport for All and member of several national and international academic and professional associations. She has published more than 80 papers in indexing journals and conference proceedings and has been serving as an Editorial Board Member of repute. danabadau.brasov@gmail.com
Abstract:
The posture and correct movements during fitness exercises are an important goal in primary kinetoprophylaxy. The effects of physical exercise are multiple and they influence the human morphological, neuropsychical and functional levels. Primary kinetoprophylaxy in fitness movements’ aim: posturing; increase of relaxation capacity; re-establishment of the correct alignment of the body; regaining of strength and muscular endurance; recovery of coordination, motor control and balance; correction of respiratory deficit; reeducation of sensitivity and; optimizing the effort capacity. An important goal of primary kinetoprophylaxy is to make the fitness instructor aware of the importance of correct posturing and movements during workout aiming to prevent muscular and joint injuries. Primary kinetoprophylaxy in fitness must focus on performing movements related to the joint structures, length of the moving segment of the body, muscular tonus, age, complexity and 3D movements. Our study on 80 fitness instructors performed in 2015, aimed to identify and correct the fitness movements. The research applied a worksheet containing 50 fitness initial positions and movements which include the most frequent errors in execution. The study highlights a medium level knowledge of correct posture and of the instructors’ capacity to identify and correct the movement errors. The impact of primary kinetoprophylaxy targets to optimize the physical fitness and health through correct physical exercises applied to the individual particularities of the subjects.
Sunday R Akinbo
University of Lagos, Nigeria
Title: Relationship between pain intensity and sleep (index) parameters in patients with chronic low back pain
Biography:
Sunday R Akinbo, his academic and professional qualifications include BSc Physiotherapy, MSc & PhD Musculoskeletal Anatomy, University of Lagos, Nigeria and FPC, Nigeria. He is a Member of several national and international academic and professional associations among which are, Nigeria Society of Physiotherapy (NSP), Society for the Study of Pain, Nigeria (SSPN), International Association for the Study of Pain (IASP), International Society of Physiotherapy Journal Editors (ISPJE). He has also served as external assessor for Physiotherapy promotion exercise in several hospitals in Nigeria, and Chairman and Member of several academic and professional accreditation panels in Nigeria and Ghana. He is a recipient of several academic, professional and community distinction awards. He has attended well over 100 conferences locally and internationally, and has presented papers in all the conferences attended, and has also served as a Guest/Keynote Speaker in over 40 meetings (Conferences and Workshops). He has published well over 80 full research studies and 100 research abstracts in peered reviewed journals and conferences proceedings. His professional areas of specialization are Musculoskeletal & Orthopedics Physiotherapy and Sports Physiotherapy. He is presently the Head (Chairman), Department of Physiotherapy, College of Medicine of the University of Lagos and also; the Head (Chairman) and Consultant Physiotherapist, Department of Physiotherapy, Lagos University Teaching Hospital both in Lagos Nigeria. sraakinbo@cmul.edu.ng
Abstract:
Background & Objective: Chronic Low back pain (CLBP) is a common problem that most people experience at some point in their lifetime. It is associated with various physical, emotional, economical and psychological dysfunctions that eventually cause deterioration in quality of life (QoL). This study investigated the relationship between pain intensity and sleep disturbance in patients with CLBP. Methods: The study is a cross-sectional survey in which 112 patients attending 3 tertiary hospitals in Lagos, Nigeria were evaluated for LBP of duration greater than 3 months. The survey employed a visual analogue scale (VAS) and the Pittsburgh Sleep Quality Index (PSQI) to determine pain intensity and explore sleep variables respectively. The results were analyzed using Pearson product-moment correlation coefficient, independent t-test and Mann-Whitney U. Level of statistical significance was set at p<0.05. Results: There was a statistically significant correlation between pain intensity and overall sleep index (r=0.22, p=0.02). Furthermore, there was a significant correlation between pain intensity and sleep latency (r=0.26, p=0.00) and sleep disturbance (r=0.27, p=0.00). Conclusion: The study significantly established the adverse effect of CLBP on quality of sleep on patients. Therefore, sleep problems should be addressed as an essential part of management in patients with CLBP
Mansour Sahebozamani
Shahid Bahonar University of Kerman, Iran
Title: Effects of functional fatigue on position sense of elbow and shoulder joints in elite female table tennis players with upper crossed syndrome
Biography:
Mansour Sahebozamani has completed his PhD in 2004 from Sport Medicine Department of Russian State University of Physical Education and Tourism. He is the Dean of the Faculty of Physical Education & Sport Scinces in SBUK and Chairman of the Department of Sport Injures and Corrective Exercises. He has published more than 50 papers in scintific journals. sahebozamani@yahoo.com
Abstract:
Muscle fatigue due to physical activity occurs in different parts of neuromuscular structures including the central nervous system, and neural control of muscle that cause reducing efficiency and increasing muscle injury. The present study aimed to assess the effects of functional fatigue as a risk factor for injury on position sense at the elbow and the shoulder girdle joints in the elite female table tennis players with upper crossed syndrome and also to compare with healthy players. This semi-experimental study was performed on 24 elite female table tennis players (age: 24.66±3.28 years) participating in the students Olympiad in 2014. The presence of upper crossed syndrome was diagnosed based on increased forward head angle and rounded shoulders angle. The group with upper crossed syndrome experienced higher increase in position sense at the elbow following fatigue protocol compared to healthy players (5.58 degrees versus 2.38 degrees, main effect of 0.67, p<0.001). The results showed no significant difference in the mean of angle reconstruction error between the two groups with and without abnormality after fatigue protocol before that (9.58 to 6.75 in group with upper crossed syndrome and 9.00 to 6.58 in healthy group, main effect of 0.01, p=0.53). Fatigue can decrease proprioception in the elbow joint, but this reduction was not seen in shoulder so the shoulder joint position sense may be increased after functional fatigue.
Ketan Bhatikar
Indian Association Of Physiotherapist , India
Title: Spastic diplegia- Effectiveness of aquatic therapy and treadmill walking, is there a role of surgery? - A single case study
Biography:
Ketan Bhatikar completed his Masters of Physiotherapy from City College of Physiotherapy Mangalore. He worked as an Consultant physiotherapist and HOD at Bits Pilani, Goa. He is Youngest and the 1St Physio of India with administrative post in BCCI; Co-opted as Member of Goa cricket Association, affiliated body of BCCI. He Had the cover page of physiotimes magzine also he published Effects of myofascial release technique in subjects with subacute trapezius spasm. He awarded as PHYSIOCON, Bangalore and Young Achiever Award at AIIMS, Delhi Physiotherapist of super six cricket matches where he been a physio for the bollywood stars. He Played Active Part of Massive Satyagraha at Delhi, jantar mantar for formation of central physiotherapy council. ketanbhatikar@gmail.com
Abstract:
In India, prevalence of cerebral palsy (CP) is estimated over 25 lakh individuals, whereas incidence is up to 3 cases per 1,000 live births and spastic diplegia accounts for 57%. Describing a single case study of 13 years old boy, diagnosed with spastic diplegia. Case ‘P’ was on regular physiotherapy at the age of 2 years 10 months, as the child was unable to sit and walk, had undergone surgical release for bilateral lower limbs. After which, child was presented with crouch gait and bilateral planovalgus. He is on regular aquatic and treadmill walking since 1 year and shows a better posture in standing as a descriptive analysis. It raises a doubt about surgical interventions at early age and remnants of the same.
- Manual Physiotherapy Strategies
Artificial Physiotherapy Methods
Womens Health & Palliative Care
Session Introduction
Umasankar Mohanty
Manual Therapy Foundation of India,The Indian Association of Physiotherapists India
Title: Manual therapy for the cervical and thoracic region dysfunctions
Biography:
Umasankar Mohanty, BPT (HONS), MPT (Manual Therapy), PhD, MISEP, MIAP, FAGE, is the President of Manual Therapy Foundation of India® and 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 Master’s 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 37 publications in international reputed journals and magazines. He has one million visitors in Youtube for his manual therapy videos. He is the author of the books titled “Manual Therapy of the Pelvic Complex, A compendium of illustrated manual therapy techniques” and “Manual Therapy of The Shoulder Complex”. He is an international acclaimed Manual Therapy Teacher and has trained 13,762 Physiotherapists across the globe and PhD guide at Lovely Professional University, India. umasankar_mohanty@yahoo.co.in
Abstract:
Cervical and thoracic region dysfunctions are more prevalent in society in present era. It is primarily due to the position adapted in the work place and also the sedentary life style of the individuals. Neck pain is a common condition, with a 12-month prevalence of 30% to 50% and rates of activity-limiting pain of 1.7% to 11.5%. Recent interest in the thorax from a clinical perspective has been related to the recognition of the thoracic spine and ribs not only as a source of local and referred pain but also the influence of thoracic spine mobility on movement patterns in other regions of the spine and the shoulder girdle. Spinal manipulation/mobilization combined with exercise is effective for chronic non-specific neck pain. Thoracic spinal manipulation/mobilization is effective for acute/ sub-acute non-specific neck pain. In the workshop manual therapy techniques for the cervical region comprising of central P-A glide, cervical A-P glide, lateral P-A glide, transverse glide, high velocity low amplitude thrust techniques (HVLAT) will be demonstrated. For the thoracic region thoracic P-A glide, lateral glide, rib cage mobilization and thoracic region high velocity thrust techniques (HVT) will be demonstrated in the workshop.
Biography:
Steve Bitticker has completed his Physical Therapy Training at The Ohio State University. He has more than 30 years of experience combining clinical practice, teaching and research. He presently teaches at the Doctor of Physical Therapy Program at Gannon University. His interests include study of clinical effects of selected musculoskeletal interventions. bitticke001@gannon.edu
Abstract:
Current evidence supports changes in heart rate (HR) and respiration after thoracic mobilization, however, there is a minimal research, investigating any potential impact on activity tolerance. The purpose of this study was to examine effects of Grade V thoracic mobilization (TM) on exercise capacity of asymptomatic individuals through metabolic analysis during a 6 minute walk (SMW) test. Thirty-one volunteers (age range 21-27) were randomly assigned to a control group (CG) or an intervention group (IG). Participants underwent baseline trial on day 1 by resting supine 5 minutes prior to SMW test. Researchers, blinded to subject group, recorded metabolic output, HR and respiratory rate (RR) during a SMW test. On day two, participants in the IG underwent 4 posterior-anterior HVLA (high velocity-low amplitude) TM. Immediately after intervention participants resumed day one protocol. The CG repeated day 1 protocol only. Statistical significance was detected within the IG mean difference using a paired t-test for HR, (p=0.0141), and for (RR) (p=0.0452) comparing day 1 with day 2, and for mean difference (between groups) value using a two-sample t-test for mean highest VO2 (p=0.0423). Statistical significance was detected in the IG suggesting an association between Grade V HVLA TM and lowered HR and RR. Clinical relevance is that, improvements in exercise capacity post-mobilization directly relate to physical tolerance to sub-maximal activity.
Tomasz Karski
Vincent Pol University in Lublin, Poland
Title: Biomechanical etiology of the so - called idiopathic scoliosis- Observation from the years (1984)/1995 – 2009: Three groups and four types of spine deformity in new classification
Biography:
Tomasz Karski MD PhD studied at Medical University in Lublin has completed his Medical Doctor degree and PhD. He served as a Head of Chair and Department of Pediatric Orthopedics and Rehabilitation of Medical University in Lublin/Poland. He is a Member of Polish Orthopedic and Traumatology Association, Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) from 2002 and also honorary member of Hungarian, Slovak and Czech Orthopedic and Traumatology Association. His research lies in orthopedics: spine, hips, knee, feet, CP and others. He has published 479 articles and 5 books. t.karski@neostrada.pl
Abstract:
Introduction: The lecture describes the biomechanical etiology of the so-called idiopathic scoliosis (1995 – 2007), known as an adolescent idiopathic scoliosis (AIS). The first lecture dealing with the issue was delivered in Hungary in 1995. The first publication was made in Germany in 1996 (Orthopädische Praxis). Biomechanical Development of Scoliosis: Scoliosis appears as the secondary deformity originating in the asymmetry of hips’ movement while walking and while standing ‘at ease’ on the right leg (asymmetry of time left versus right leg). The research proves that the right leg is preferred for standing over the years. Every type of scoliosis starts to develop at the time when the child starts to stand and walk. Material: In the years between 1985 and 2015, 1950 children with scoliosis were examined and 360 children constituted the control group. The children from the control group were presented by parents as ones with the problem of scoliosis but there were without any visible spine deformity. Classification: There are 3 groups and 4 types of scoliosis: “S” double scoliosis with stiff spine (3D - I epg), connected with gait and standing ‘at ease’ on the right leg; “C” and “S” scoliosis with flexible spine (II/A - 1D & II/B - 2D epg), connected only with standing ‘at ease’ on the right leg in “C” II/A epg and with additionally of laxity of joints and / or harmful previous exercises in “S” II/B epg; and “I” scoliosis (III epg – 2D) with stiff spine and scoliosis without curves or with minimal ones, connected with gait only. The Necessity of Causal Prophylaxis: The new classification clarifies the need for therapeutic approach to each etiopathological group of scoliosis and provides the possibility to introduce causative prophylaxis.
Mikel H-G Hoff
Ludwig Maximilian University of Munich, Germany
Title: The nervous system and its ability to control and prioritise our resources in pain and inflammation rehabilitation
Biography:
Mikel H-G Hoff has completed his PhD 25 years ago from LMU Faculty of Medicine in Munich in International Medical Biochemistry carried out on diverse range of universities though out EU. He has worked with German and Italian tennis professionals on the ATP tour as Coach, Manuel Therapist and Mental Trainer. Further, he had tennis schools in Spain and Portugal. He is an educated Sports Performance Psychologist, Manuel Therapists with speciality in nervous system and the body‘s biochemistry reaction. He is the Founder and Inventor of Amino BioFrequency Therapy/AminoAcademy.com owned by Amino HealthCare ApS in Denmark. mikel@aminoclinic.com
Abstract:
It has been known for decades that the body communicates with the use of frequencies, but is it electric or radio frequencies, or a mix? Do various body functions work on different frequencies? When we are injured or get an illness, it is known that some frequencies become weak and the signal strength decreases. Why? Also sport achievements stress the body and cortisol and other necessary hormones are released, which courses free radicals to be formed in a larger scale. It also activates the body's defense mechanism resulting in the antioxidants fighting the free radicals. All which have a positive effect as they release energy in the proteins. As our body is one system and cannot prioritize several things at once, does it mean that the nervous system reprioritize our resources? What happens if it becomes possible to strengthen the frequencies in the body that are not strong enough or not responding as intended? Injuries and chronic pain: can this be healed/stopped by directing the body's focus, strengthening frequencies and thereby increase the healing process? Answer yes. Scientists have known for decades that this is possible in theory, but till now such therapy has not been available. Mikel H-G Hoff has spent 3 to 5 years developing this groundbreaking Amino BioFrequency Therapy which is so far developed for performance enhancement, pain & inflammation and chronic pain treatment.
Olufunke Adewumi Ajiboye
University of Lagos, Nigeria
Title: Therapeutic exercises improves quality of life of individuals with bi-ventricular heart failure
Biography:
Olufunke Adewumi Ajiboye is the Director/Head of Physiotherapy Services in Lagos University Teaching Hospital, Lagos Nigeria. She has published more than 15 papers in peer reviewed journals of international standard and has presented her research outcomes in more than 12 conferences both at national and international level. Her PhD thesis won the best from the College of Medicine/Faculty of Pharmacy, University of Lagos during 2013/2014 Convocation. Part of her research outcome won the best poster presentation award in Singapore at WCPT Congress in May 2015. 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 and won Award of Excellence from Nigeria Society of Physiotherapy.
Abstract:
Despite remarkable progress in heart failure management, fatigue, breathlessness, exercise intolerance and muscle wasting remain the hallmarks of the disease leading to impaired quality of life (QoL) and capacity for activities of daily living (ADLs). The aim of this study was to investigate the effects of exercise training on the quality of life of individuals with bi-ventricular heart failure (BVF). 66 subjects with chronic BVF in Class II and III of New York Heart Association (mean age 54.0±1.6 years) recruited from a Nigerian tertiary hospital participated in the study. They were randomized into exercise group and control group. They were on their prescribed medications and underwent education/counseling sessions. In addition, subjects in the exercise group performed aerobic and resistance training thrice weekly for 12 weeks. The disease-specific QoL was assessed using Kansas City Cardiomyopathy Questionnaire (KCCQ) while SF-36 was used to assess the generic form of QoL. Data was analysed using the SPSS package version 17 and presented using descriptive statistics of Mean±SEM. Level of significance was set at p<0.05. The results showed that subjects in exercise group had significant improvement in all domains of QoL while significant improvement was observed only in knowledge and perception domains of subjects in control group after 12 weeks of exercise training. Therapeutic exercise improves both the general health and symptoms experienced by individuals with chronic Bi-ventricular heart failure.
R Harihara Prakash
Sardar Patel University, India
Title: Comparison of Mini-BESTest versus Berg Balance Scale to evaluate balance disorders in Parkinson’s disease
Biography:
R Harihara Prakash is the Principal and Professor at K M Patel Institute of Physiotherapy, Karamsad. He has 18 years of professional experience in clinical as well as academics. He is a Doctorate in Physical Therapy from National University of Medical Sciences, Spain. He was awarded with “Rashtriya Vidhya Saraswathi Puraskar Award” for his excellent contribution in academics. He was former Dean, Faculty of Physiotherapy, Baba Farid University of Health Sciences, Punjab. He is in the editorial board and peer reviewer for some international journals. He is also in the panel of NAAC. He has obtained various skills by certification in the field of neurology, osteopathy, manual therapy from various countries. He has published and presented research papers in various national and international conferences. He is an eminent speaker and an academician.
Abstract:
Aim: The purpose of this study was to explore the usefulness of the Mini-BESTest compared to the Berg Balance Scale in evaluating balance in people with Parkinson's Disease (PD) of varying severity. Evaluation was done to obtain (1) the distribution of patients scores to look for ceiling effects, (2) concurrent validity with severity of disease, and (3) the sensitivity & specificity of separating people with or without postural response deficits. To Compare the Mini-BESTest versus Berg Balance Scale and to evaluate balance disorders in Parkinson's Disease. Settings & Design: A cross sectional study was conducted at K M Patel Institute of Physiotherapy (KMPIP), Shree Krishna Hospital, Karamsad. Material & Methods: Seventy-seven (77) people with Parkinson's Disease were tested for balance deficits using the Berg Balance Scale, Mini-BESTest. Unified Parkinson’s Disease Rating Scale (UPDRS) III and the Hoehn & Yahr (H&Y) disease severity scales were used for classification. Materials used in this study were case record sheet, chair without arm rests or wheels, incline ramp, stopwatch, a box, 3 meter distance measured out and marked on the floor with tape [from chair]. Statistical analysis was done by multiple linear regression whcih was carried out of UPDRS jointly on the two scores for the Berg and Mini-BESTest. Receiver operating characteristic curves for classifying people into two groups based on a threshold for the H&Y score, to discriminate between mild PD versus more severe PD. Correlation co-efficient was used to find relativeness between the two variables. Results: The Mini-BESTest is highly correlated with the Berg (r=0.732, P<0.001), but avoids the ceiling compression effect of the Berg for mild PD (skewness −0.714 Berg, −0.512 Mini-BESTest). Consequently, the Mini-BESTest is more effective than the Berg for predicting UPDRS Motor score (P<0.001 Mini-BESTest versus P=0.72 Berg), and for discriminating between those with and without postural response deficits as measured by the H&Y (ROC). Conclusions: The Mini-BESTest is a promising tool for identifying balance deficits in patients with Parkinson's disease, most importantly those with deficits which are more difficult to analyze.
Magdy Shabana
College of Applied Sciences, Saudi Arabia
Title: Immediate unrestricted versus graduated weight bearing after primary cementless total hip arthroplasty: A randomized controlled trial
Biography:
Magdy Shabana is working as an Assistance Professor at Buraydah Private College, KSA. He has completed his PhD in Physical Therapy at Cairo University in 2013, Masters in Physical Therapy in 2009, Bachelor’s degree in Physical Therapy at Cairo University, Egypt in1990. He served as a Registered Physical Therapist in South Carolina and New York State (license #015288-1) and practiced as a Physical Therapist with 26 years of experience in the field between Egypt and United States of America dealing with all Medicare PT and all changes in coverage specially PPS and RUG. mmashabana@hotmail.com
Abstract:
Introduction: Few guidelines indicate immediate unrestricted weight bearing after cementless total hip arthroplasty (THA). Stability and ingrowth may be jeopardized by immediate loading of the implant while functional recovery may be promoted. Patients & Methods: This is a prospective study on 20 patients who managed with cementless THA and then randomized into immediate unrestricted group and graduated weight-bearing group. Clinical assessments used Harris hip score (HHS) and short physical performance battery (SPPB) immediately after surgery (initial assessment) and then 6 and 12 weeks postoperatively. Radiographs were evaluated for vertical migration of femoral stem. Results: There was no statistically significant difference between the HHS and SPPB measured at different times of assessment in the 2 studied groups. In unrestricted weight-bearing group, no statistically significant difference in radiological vertical micro-migration of femoral stem between different assessment times was found; while in graduated weight bearing, there was statistically significant increase in the radiological vertical micro-migration of femoral stem measured at 6 and 12 weeks when compared to initial assessment. Conclusion: No adverse effect of immediate unrestricted weight bearing with cementless THA was found.
Sandra Isabella Schütz
RMP International School, Switzerland
Title: Description of a case treated in Myofunctional Postural Rehabilitation DI ROCCA (MPR)
Biography:
Sandra Isabella Schütz has completed her graduation in Medicine at the University of Pavia, Italy, in 1991, she specialized in Physical Medicine and Rehabilitation at the same University in 1997. She focuses her interest on integrated medicine, nutrition homotoxicology and regulation medicine, obtaining different masters. In 2012, she completed the course of musculoskeletal ultrasound. Since 2013, she is working following the RMP method. In 2015, she has completed her International Diploma in Mesotherapy, which gave her the possibility to develop her own strategy within the RMP concept. She is serving as a Counselor in the Swiss Society of Mesotherapy, President and Cofounder of API swiss, and serving as a teacher in the medical area of RMP International School. dr.sandra.schuetz@gmail.com
Abstract:
Dr. Sandra Schütz, presents the witness and describes the case of a patient treated in rehabilitation following the concept of RMP di Rocca. The patient has been subjected for years to several symptomatic treatments, finally switchover to RMP method turned out to be the right solution. According to the parameters of Myofunctional Postural Rehabilitation, the treatment was scheduled as following: Treatment in mesotherapy of scars, as disruptors of the tonic-postural system; interventions with homotoxicologcal treatments, in mesotherapy, following RMP diagnosis; osteopathic therapy combined with physical therapy interventions on the muscle chains by the Rehabilitator; the placement of an orthodontic appliance named BED (Body Equilibrium Device) to neutralize tensions resulting from the teeth and the temporo-mandibular joints (expecially at night) and; proposals for drainage, detoxication and regulation of the autonomous nerve system, also food supplements and dietary advices for improving detoxification and intestinal rehabilitation with the aim of optimizing the metabolism and the osteoarticular and muscular state. With this clinical case it will be shown, that the RMP, without interfering on the various techniques used, can serve as a guideline for proper setting of the treatments, while identifying priorities and multidisciplinary intervention times, to achieve the best possible result in both qualitative and economic terms
Dharam P Pandey
BLK Super Specialty Hospital, India
Title: Integrated functional movement analysis treatment strategy approach for stroke rehabilitation
Biography:
Dharam P Pandey is serving in the field of Physiotherapy and Rehabilitation for more than 16 years. He did his specialization in Neurological Sciences and completed his PhD in Neurological Physiotherapy. He is actively involved in research in physiotherapy and having various research papers to his credit. He is a Member of various national and international professional organizations. He is also a National Advisory Board Member of Physiotherapy and Occupational Therapy Journal also Scientific Committee Member of Indian Journal of physiotherapy & occupational therapy. dharam.pandey@blkhospital.com drdprehab@gmail.com
Abstract:
This course enables therapists to become expert stroke rehabilitation clinicians. The program is deductive, inductive and practical hands on training based stroke rehabilitation educational program. Physical and Occupational Therapists treat patients and their impairments, not the diagnosis. Understanding the underlying mechanisms of a stroke diagnosis will enhance the therapist’s ability to determine specific rehab needs of the patient. This course, with applications for patients in all therapy settings, will focus on the problem solving and improving maximum possible meaningful functional restoration. This course provides a systematic movement evaluation and re-education treatment approach. Concepts presented will teach participants how to utilize the knowledge of fundamental movement patterns to view mobility and static/dynamic stability problems in a more isolated setting. Participants will learn how to identify a patient’s most dysfunctional movement pattern following stroke or any other movement disorder, myofascial restrictions, other musculoskeletal causes of movement restrictions and reduce that pattern into its many underlying mobilizing and stabilizing actions to constitute maximum possible normal function. Participants will be demonstrated during inductive practical session about how movement patterns can be assisted and facilitated, corrected with task specific motor control therapeutic exercises, problem solving neurodevelopment therapy approach, manual therapy and prescribed proprioceptive enriched therapeutic exercise, also how various emerging technology assists clinician to achieve principle goal of movement restoration after stroke. After completion of this course, the participant will have the information needed to evaluate and treat movement dysfunction and using evidence based therapeutic tools following stroke.
Denise Jagroo
Veterans Hospital, USA
Title: Drama queen? or Central sensitization? : Understanding pain sensitivity and its effects on the pelvic floor
Biography:
Denise Jagroo earned her Doctoral degree from New York University in 2002. She is the only one of 300 Board Certified Clinical Specialists in Women’s Health Physical Therapy in the United States. She is the Author of Your Best Pregnancy as well as a featured Medical Expert in the media. She hosts her own web series on YouTube called The Real Story with Denise Jagroo featuring interviews with other health experts and patients about women’s health topics. She pioneered a Pelvic Clinic at the Manhattan Veterans Hospital where she treats male and female soldiers for pelvic dysfunction. She writes monthly women’s health articles for several websites as well as creates her own monthly women’s health Enewsletter. denise@drjagroo.com
Abstract:
Patients can sometimes develop multiple chronic pain and chronic pelvic pain syndromes. This can be due to changes that occur in the central nervous system that allow for heightened sensitivity to nerve stimulation. Patients with visceral pain syndromes, such as painful bladder syndrome and irritable bowel syndrome, demonstrate influences of central sensitization. The development of several different pelvic pain conditions, such as these, can exist due to ‘neural cross talk’. This neural wind up explains the interface and interaction of chronic pelvic pain conditions. The results of these conditions are visceral pain, muscular instability and overactive pelvic floor muscles. Learn about these processes and how to manage/treat the patients who present with overactive pelvic floor syndrome and understand the neural process of central sensitization; learn about how conditions involving pelvic organs can increase central sensitization effects; learn how visceral pain and the viscera-muscular reflex can lead to muscular instability; and learn how to manage and treat patients with central sensitization and overactive pelvic floor syndrome with this presentation.
Biography:
Abhijit Dutta has completed his Bachelor’s in Physiotherapy in 2003 from Rajiv Gandhi University of Health Sciences, Karnataka, India. He then joined as a full time Clinical Therapist at Down Town Hospitals Pvt. Ltd. in 2004 and worked in the Dept. of Physiotherapy till 2007. He has completed his Master’s in Physiotherapy from 2007-2009 from Rajiv Gandhi University of Health Sciences, Karnataka, India. In 2009, he joined as a Lecturer and as a Clinical Therapist in the same organization. At present, he is working as an Associate Professor and as Head of the Department of Physiotherapy in Assam Down Town University with a total experience of 10yrs of both clinical and academics. He is also pursuing PhD from the same university. He has around 15 publications in International Journal of Physiotherapy and has guided around 12 PG students in their research work. He is a life time member of Indian Association of Physiotherapists and an executive member of All Assam Physiotherapy Association. He has been awarded with Significant Contribution award at Agartala India in August 2015 and Young Achiever Award at AIIMS, New Delhi. abhijitdpt@gmail.com
Abstract:
Background: Mechanical neck pain is a common problem within our society. Neck pain as defined by Mersky is the pain “anywhere within the region bounded superiorly by superior nuchal line, inferiorly by an imaginary line through the tip of first thoracic spinous process and laterally by saggital plane tangential to the lateral borders of the neck. Upper trapezius and the levator scapulae are the most common postural muscles that tend to get shorten leading to restricted neck mobility. Objectives: To evaluate the comparative effectiveness of muscle energy technique (MFT) and myofascial trigger (MFTr) point release of upper trapezius in mechanical neck pain. Methods: It was a comparative experimental study. This study includes (N=40) subjects with mechanical neck pain within age group of 25-45 years. They were randomly assigned into 2 groups (Group A and B). Group A had 20 (N=20) subjects who are treated with myofascial trigger point release, Group B had 20 (N=20) who are treated with muscle energy technique. The subjects were given intervention 3 sessions per week for 4 weeks. Results: Paired sample t-test was used for within group analysis. Independent sample t-test was done to analyze between group variables. No significant difference was found in NDI (p<1.18), SFMPQ (p<1.17), ROM (p<1.91) between MET and MFTr groups while within the groups all outcome measures shows significant difference in both MET and MFTr groups (p=0.00). Conclusion: This study concluded that both the treatment techniques, MET and MFTr were effective in alleviating the mechanical neck pain in terms of decreasing pain intensity, increasing functional ability and increasing active cervical range of motion as there was no significant difference between the two groups, however MET was superior than MFTr in decreasing pain intensity, increasing the functional ability and increasing the active cervical range of motion.
Biography:
Mohammed Rawashdeh has completed his MSc and awarded with best master thesis in the field of Management in 2012. He is presently working as a Senior Biomedical Equipment Specialist in one of most reputable hospitals designing and construction companies in Kuwait. He has published more than 10 papers in reputed journals. m_rawashdeh2004@yahoo.com
Abstract:
It is a splendid conducted research involving a smashing combination between seven specialties in two countries: Kuwait and Amman. The specialties are rehabilitation doctors, physiotherapists, biomedical engineers, staff nurses, chemical engineers, architectural engineering and industrial engineers. This research represents a case study of designing and building a new specialized rehabilitation and physiotherapy hospital. In the concept design stage we utilized the industrial engineering principles representing by QFD, Kano Model to collect information about the required departments and medical equipment to be installed. We applied QC tools representing by control chart, histogram and pareto chart to verify the accuracy of the provided information before presenting it to the architect to prepare the concept design drawings. By applying QFD and Kano Model, we build a so called house of quality (HOQ).This HOQ represents the perspectives of rehabilitation doctors, physiotherapists, biomedical engineers, staff nurses and chemical engineers regarding the departments and medical pieces of equipment quantities in the hospital. This novel approach deeply illustrated the end users necessities and reflected an efficient design and project time saving.
Jacek Karski
Vincent Pol University in Lublin, Poland
Title: New tests in screening of the so called idiopathic scoliosis: Rules of prophylaxis, new treatment, results
Biography:
Jacek Karski MD, PhD is working as an Assistant Professor in the Pediatric Orthopedic and Rehabilitation Department of Medial University in Lublin, Poland. He has completed his MD degree and PhD degree with distinction for his research thesis: “Role of contracture of iliotibial band in etiopathogenesis of the patella dislocation in children and adolescent”. He was employed in the Pediatric Orthopedic and Rehabilitation Department of Medical University of Lublin. In November 2001, he qualified as a fully trained specialist orthopedic surgeon in National Specialty Examination. In January 2002, he received the title of Assistant Professor and started taking classes and lectures for students of Medical University of Lublin in pediatric orthopedic surgery themes. He is a member of European Pediatric Orthopedic Society, Polish Orthopedic and Trauma Society, Polish Pediatric Orthopedic Society, Polish Podology Association and Polish Geothermal Association. His research interest include early ultrasound diagnostics of pediatric hip joint, knee problems in children and adolescent, foot deformities and podology, cerebral palsy, pediatric orthopedic oncology, and children traumatology. He is the author and co-author of 94 full articles published in medical professional literature and 83 articles published as Congress materials. He took active part in many Meetings and Congresses, which include Fifth SICOT/SIROT Annual International Conference 2007 in Marrakech, Effort Congress 2009 in Vienna, Epos Symposium 2012 in Helsinki, 2013 in Athens. tmkarski@gmail.com j.karski@vp.pl t.karski@neostrada.pl
Abstract:
New tests for scoliosis and new exercises were invented for therapy we used during 1985/1995. In the diagnosis of so-called idiopathic scoliosis, we should use widely known old tests such as Adams & Meyer test and symmetry or asymmetry of waist test, but also new tests like – the side bending test for scoliosis, a test checking the habit of standing ‘at ease’– the right versus the left leg, Dunkan Elly - test, pelvis rotation test (a new test since 2006), the adduction of hips test (similar to Ober test) and many other tests presented in the lecture. List of tests include: 1) Bending test for scoliosis - Adams/Meyer test and Flexion test/bent spine. If the shape is round it is good, if stiff and straight, it shows the beginning of scoliosis; 2) Side bending test for scoliosis (bending to the left and to the right leg during standing in abduction), also called Karski or Lublin test, it is a modified Adams/Meyer test – more sensible as Adams test; 3) Rotation movements of the body test (new test since 2006); 4) Permanent standing ‘at ease’ test – checking the right versus the left leg. The children with scoliosis stand only/mostly on the right leg. Important “cumulative time of standing”; 5) The symmetry or asymmetry of the waist test (an old test, but still very important); 6) Presence of an illnesses (e.g. rickets), which increase oncoming of scoliosis; 7) Anatomical anomalies of the spine (spina biffida occulta, pectus infundibuliforme, pectus carinatum). If present – rapid progression of scoliosis like in acceleration period of growths (confirmation of biomechanical aetiology); 8) Body build type - asthenic and picnic (bad), athletic (good); 9) Willingness to participate in sports, if yes - good, if no - bad. New rehabilitations exercises/new treatment results include proper solution to the problem of scoliosis is an early prophylactics. The new rehabilitation exercises should remove the contracture in the pelvis, the hips and in the whole spine. The flexion - rotation exercises should be introduced/performed by very young children, already with 3 and 4 years of age. It is also important to change the standing, sitting and sleeping positions. The “stretching exercises” typical for “far – east sports” like karate, tae-kwondo, aikido, kung fu are very profitable for therapy and prophylaxis. The results of such treatment has proved beneficial in years 1985 – 2015. The lecture present example and results of new therapy.
Biography:
Beulah Jebakani is working as an Associate Professor in Physiotherapy at Mother Theresa Post Graduate & Research Institute of Health Sciences. She received her Doctoral degree in Physiotherapy from Saveetha University, Chennai and is an Alumni of CMC & H Vellore, India. She also has MPhil degree in Psychology. Currently, she teaches Biomechanics, Educational technology, Obstetrics and Gynecological physiotherapy. She has published in indexed journals and presented papers and has also received professional award. She is also InSPA founder member and interested in health psychology. She has more than 20 years of professional and 17 years of teaching and research experience. mother2014@rediffmail.com
Abstract:
Knee osteoarthritis causing physical disability in aging adult can lead to restrained attendance in exercise and practice of their interests. As the prevalence of this problem is high, it becomes necessary to find low-priced, easy-to-administer, non-pharmacological intervention to manage the symptoms. Hence an experimental research with a pretest-posttest control group design, among subjects aged between 50-65 years with knee osteoarthritis based on the American College of Rheumatology criteria and Kellegran-Lawrence classification (n=186) were randomized into three groups namely therapeutic exercise, yoga, and control groups was conducted in clinical set up. Therapeutic exercise group subjects received therapeutic exercise and hot packs; yoga group received yoga and hot packs, and the control group received routine physiotherapy for a period of four weeks, three times in a week. Physical disability scores (KOOS) in the therapeutic exercise group were higher than the yoga and control group. Compared to the yoga and control group, the effect size was large in the therapeutic group in physical disability scores. Large effect size in therapeutic group in Psychological wellbeing showed the substantial effect of therapeutic exercise among patients. In post test, pain scores (VAS) decreased in the therapeutic exercise group significantly. Psychological wellbeing scores improved in the therapeutic exercise group and yoga group. In the therapeutic exercise group, the mobility scores differed significantly between pre and post test showing effect of therapeutic exercise. Various factors like age, occupation, duration, and BMI had statistically significant effect on physical disability, pain, psychological well being and mobility in knee osteoarthritis.
Areerat Suputtitada
1Chulalongkorn University, Thailand 2King Chulalongkorn Memorial Hospital, Thailand
Title: Novel of extracorporeal shockwave therapy (ESWT) in musculoskeletal pain
Biography:
Areerat Suputtitada is a Professor of Physical and Rehabilitation Medicine. She is the Chairperson of Neurorehabilitation Research Unit at Chulalongkorn University and Chairperson of Excellent Center for Gait and Motion at King Chulalongkorn Memorial Hospital in Thailand. She was invited as international speaker for more than 60 times around the world. She has received 18 international and national awards and published more than 60 international and national articles in the areas of her expertise including neurological rehabilitation, spasticity and dystonia, gait and motion and pain. She is an expert clinician in ESWT for various indications in the field of physical and rehabilitation medicine. She has been elected and appointed to important positions at ISPRM such as the Chair of Women and Health Task Force and the International Exchange Committee. prof.areerat@gmail.com
Abstract:
Extracorporeal Shock Wave Therapy (ESWT) can be currently considered an effective, safe, versatile, repeatable, non-invasive therapy for the treatment of various musculoskeletal conditions where regenerative effects are desirable. It seems possible to foresee new interesting and promising applications in the fields of regenerative medicine, tissue engineering and cell therapies. The proposed mechanisms for the benefit of ESWT on regeneration of musculoskeletal tissues and effective for pain relief include direct effects on tissue calcification, alteration of cell activity through cavitation, acoustic micro streaming, hyper vascularity and blood flow increment, alteration of cell membrane permeability and effects on nociceptors through hyper stimulation, blocking the gate control mechanism. The effect of ESWT in myofascial pain syndrome (MPS), may by mechanotransduction effects, including increase perfusion, promote angiogenesis and alter the pain signaling in ischemic tissues caused by the influx of calcium, produce transient dysfunction of nerve excitability at the neuromuscular junction by bringing about the degeneration of AChR and finally, a pure mechanistic with break-up the actin myosin links. The pain relief with ESWT might work by means of hyper stimulation analgesia. Overstimulation of the treated site would lead to a diminished transmission of signals to the brainstem. Animal studies show that ESWT has an influence on pain transmission by acting on substance P, calcitonin gene-related peptide (CGRP) expression in the dorsal root ganglion and on neurovascular sprouting. In animal models of osteoarthritis (OA), ESWT was found to improve motor dysfunction and ameliorate pain and may prevent and slow joint degeneration in vivo. It has been suggested that ESWT may inhibit the production of NO in knee synovia and reduce chondrocyte apoptosis. Accordingly, ESWT for OA may have disease-modifying activity. Several studies have reported effects of ESWT on osteoarthritis in animals. Cartilage degradation biomarkers reduce as following: Mankin score, Safranin O strain, MMP-13, collagen II, nitric oxide, DKK-1. Subchondral bone remodeling biomarkers increase as following: VEGF, vWF, BMP-2, osteocalcin, PCNA. Ultimately, ESWT may become a non-invasive, low-risk alternative to artificial joint replacement in many cases. The indications for ESWT for the top athlete including all the follows; Plantar Fasciitis, Tennis or Golfer's elbow, Patellar Tendinopathy (jumper's knee), Rotator Cuff Tendinopathy (In the shoulder), Achilles Enthesiopathy and Tendinopathy. It is thought that the shockwaves for the top athletes trigger the body's repair mechanism through the local release of various growth factors and over-stimulates pain transmitting nerve endings. This leads to a short-term reduction in pain and sensitivity and also early return of the function and performance. In conclusion, ESWT has become one of the best investigated treatment modalities for musculoskeletal pain.
Aybuke Ersin
Ä°stanbul Medipol University, Turkey
Title: Physical activity awareness and changes during pregnancy
Biography:
Aybuke Ersin is a Physiotherapist. She graduated from Baskent University, Ankara, Turkey. She completed her MSc in December, 2014 from Yeditepe University, Istanbul. She is a PhD student in Istanbul Medipol University since February, 2015. In addition, she is a Lecturer in Medipol University, Faculty of Health Science, Department of Physiotherapy and Rehabilitation. She is interested in Obstetrics & Urogynecologic rehabilitation. aybukeuzun@hotmail.com.tr
Abstract:
Physical activity during pregnancy is important for the health of the mother and child and may reduce the risk of adverse maternal, fetal, and neonatal outcomes. At least 30 minutes of moderate activity or 8,000 steps per day, equivalent to approximately 7.5 metabolic equivalent (MET) hr/wk is recommended by the American College of Obstetricians and Gynecologists for beneficial results. The aim of this study was to investigate changes in physical activity level during period of gestation and relationship between physical activity awareness and doing exercise. 130 healthy pregnant women were included in the study. Pregnant women information form was filled to inquire about the sociodemographic characteristics; to determine their level of physical activity and Physical Activity Questionnaire (PPAQ) was used. The average age of participants was determined as 27.99±5.21 years and the average weeks of gestation was 30.36±5.33. No relationship was found between physical activity level and weeks of gestation (r =-0.06, p>0.05). There was no difference between the second and third trimester physical activity level. The correlation was found between doing exercise during pregnancy with who thought that physical activity is beneficial at pregnancy (r=0.210, p=0.008). Doing exercise during pregnancy and pre-gravid period had correlation (r=0.199, p=0.01). Pregnant women, who think exercise is effective, do exercise during their pregnancy. Women who do exercise before pregnancy also do exercise at their pregnancy. It is very important for the mother and baby to do physical activity before and during pregnancy time. Physical activity awareness should be increased in both pregnant women and women thinking of pregnancy.
Gajanan Vithalrao Bhalerao
Sancheti Hospital, India
Title: Current clinical practices in hemiplegic rehabilitation among physiotherapist in India
Biography:
Gajanan Vithalrao Bhalerao is currently working as an Associate Professor and Head of Department of Physiotherapy in Neurosciences at Sancheti Institute College of Physiotherapy, India. He is pursuing PhD in Physiotherapy from Maharashtra University of Health Sciences (MUHS) and completed Master of Physiotherapy (Neurosciences) from Pune University. He has also completed Basic & Advance NDT certificate course from NDTA, USA and done certified training in Basic and Advance research methodology, Basic and Advance Medical education teaching technology and in 2D & 3D gait analysis. He is a Member of Indian Association of Physiotherapy & Maharashtra State Occupational and Physiotherapy Council, India. gajanan_bhalerao@yahoo.com
Abstract:
This study was aimed at understanding the current physical therapy practices in stroke rehabilitation in the India. A cross sectional study of questionnaire of 37 items was developed through literature review. These questions were sent to therapists who have treated stoke patients. A total of 459 participant’s point of view was analyzed for the study. Result showed that more than 90% the physotherapist had similar understanding about aim of treatment, tone management and neurotherapeutic approaches. There was lot of variation about the upper and lower limb splints. A majority of the therapists ranked functional performance (92%) as the most important aspect which is appreciable followed by speed, accuracy, strength and number of reputations. More than 95% use NMES in hand rehabilitation along with functional tasks NMES. Shoulder sling is used the maximum in case of shoulder pain (86%) followed by heating modalities, NMES. Walker and cane is most frequently used ambulatory device. The most preferred lower limb orthosis was dynamic AFO and static AFO. Only 9% are doing research based practice.
Basak Polat
Ä°stanbul Medipol University, Turkey
Title: Urinary incontinence awareness among pregnant women
Biography:
Basak Polat is a Physiotherapist. She graduated from Istanbul University, Istanbul, Turkey. She is an MSc student in Hacettepe University since 2013. She continued her thesis work “The Effect of Pelvic Floor Muscles Training on Female Sexual Function, Quality of Life”. In addition, she is a Research Assistant in Medipol University, Department of Physiotherapy and Rehabilitation. She is interested in obstetrics & n.urogynecologic rehabilitatio
Abstract:
Urinary incontinence is a common problem that can develop as a result of various factors. Increased age and number of births are among the risk factors of urinary incontinence, so from young age and from the onset of pregnancy, it is important to create urinary incontinence awareness. The aim of our study was to investigate urinary incontinence awareness of pregnant women. In our study, the questionnaire awareness of urinary incontinence that the researchers created was applied. 123 of 130 pregnant women participating in pregnancy education answered this questionnaire. The mean age of pregnant women participating in our study is 27.9 and 5.7% of them had completed a university degree while 42.3% of primary school. 82.1% of participants stated that the problem of urinary incontinence in adults previously heard and 18.8% of them had knowledge of risk factors causing urinary incontinence. While 111 pregnant women expressed that “urinary incontinence is treatable problem”, only 22 pregnant women of them had knowledge of treatment of urinary incontinence. 66 pregnant women expressed that “I know the surgical operations applies in treatment urinary incontinence” and 37 pregnant women of participants said that the exercise applies are effective in treatment of urinary incontinence. Only 10 pregnant women of 123 had knowledge of physiotherapy applies used in the treatment of urinary incontinence. For the question “Do you know which department you need to go in the presence of urinary incontinence?” 44 pregnant women replied yes and 11 of them expressed that the department must be urology or obstetrics and gynecologic. Although a large proportion of the participants heard urinary incontinence before, but majority of them were not informed of treatment.
- Neurological Rehabilitation
Physiotherapy in Treatment & Care
Physiotherapy methods and Instrumentation>>
Session Introduction
Anand Shetty
University of St. Mary, USA
Title: Three Dimensional Force Analysis of a Patient with Transfemoral Prosthesis
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 has 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:
Background: Prosthetic devices should provide proper alignment of segments and joints for efficient gait. Rehabilitation specialists should carefully assess the best fit of prosthesis for proper force distribution and comfort. The purpose of this paper was to examine the three-dimensional forces of a permanent prosthesis compared with the temporary prosthesis of an amputee during gait. Case Description: A 58 years old female, transfemoral amputee, who was diagnosed with kidney disease, diabetes and heart disease, consented to be a subject. The patient was tested for three-dimensional forces of gait wearing temporary prosthesis and the same test was performed three months later with a newly designed (permanent) prosthesis. Results: The results indicated that the patient had increased anterio-posterior and push-off forces with the permanent prosthesis. In addition, the medio-lateral forces were reduced which resulted in better balance during gait. Conclusions: Rehabilitation specialists should fit the prosthetic devices to the patients rather than fitting the patients to the prosthesis. In this study, the force analysis of gait was beneficial in assessing the best fit of prosthesis. Therefore, motion analysis should be performed to observe any deviations in balance, gait and force distribution.
Vikrant Bhardwaj
Manav Rachna University, India
Title: Dry needling: A new method in treating plantar fasciitis with long lasting effects
Biography:
Vikrant Bhardwaj is pursuing his PhD at Manav Rachna International University, Faridabad, Haryana, India. He is a qualified Physiotherapist with more than 14 years of clinical experience in Physiotherapy. He has done Master’s in Physiotherapy, MPT in Orthopedics & Post-graduate course in Sports Physiotherapy. He is a member of American College of Sports Medicine. He is India’s 1st Physio who completed all Advanced Levels (Level 1, 2, 3) in Dry Needling from GEMt (Australia). He possesses an experience and in-depth knowledge of Dry Needling in treatment of ortho-sports conditions. He has represented the country at international conferences & conducted various workshops in India & Abroad. He has introduced Dry Needling as a Physiotherapy tool in India to treat various musculoskeletal conditions. With a mission to propagate the knowledge & skills of Dry Needling technique, he is regularly conducting low cost Dry Needling Courses in India and Abroad. vikrantbhardwaj@yahoo.com
Abstract:
Background: Plantar heel pain (plantar fasciitis) is a common and disabling condition, which has a detrimental impact on health-related quality of life. Despite the optimal treatment options available, a high prevalence of reoccurrence of plantar heel pain is common and the relief lasts only for short periods of time.
Biography:
Jee-Soo Jang is the President of Suwon Nanoori Hospital (Spine and Joint). He is specialised in areas of complex multiplanar spinal deformity: adult deformity, anterior and/or posterior approaches, osteotomies, spinal tumor. He has completed his Bachelor’s degree and PhD in Medicine from Chung-ang University. He had successively filled as a President in Seoul Wooridul Hospital, Cheongdam Wooridul Hospital and Gwangju Wooridul Hospital. He became a Senior Editor in Chief in The Journal of Critical Spine Cases (JCSC).
Abstract:
Up to date, it is not easy to find out the studies proving what kind of sitting posture is helpful to maintain balanced spine and how to sit on a chair without heavy load concentration at specific part of elower lumbar spin. Also, it is very important to understand the morphological trends of lumbar spine in sitting posture on a chair. Therefore, this study is aimed to compare the morphological trends of lumbar spine and their changes by using 3 types of sitting support devices (SSD) in normal individuals. Total 30 normal subjects (f:10; m:20) among 55 volunteers were included in this study after obtaining informed consent. Under intensive medical screening, 11 subjects were excluded because of severe back pain history, back surgery history and the other 4 subjects were ruled out for mild or severe lumbar kyphosis. Radiographic measurements were performed by 2 independent researchers on x-ray images. Whole lumbar lordosis (WLL), segmental lordosis (SL) between L1 and S1, lumbar tilt (LT), sacral slop (SS), pelvic tilt (PT) and pelvic incidence (PI) were measured on x-ray images when sitting on a chair with/without 3 different types of SSD leading anterior tilting of pelvis. Standing lumbar lordosis and sitting posture lumbar lordosis were the reference values. IBM SPSS Statistics version 20 was used for one-way ANOVA comparing 5 different situations such as standing, sitting just on a chair, sitting on the chair using sitting supporting device 1, 2 and 3. The mean value was 32.4 (SD, 7.13) in age, 171.43 (SD, 5.98) in height, 65.63 (SD, 10.03) in weight and 22.25 (SD, 2.70) in BMI. In one-way ANOVA, there were significant differences (p<0.05) between sitting lumbar lordosis without SSD and with sitting support devices in WLL and SL (L2-3, L3-4, L4-5 and L5-S1). It is concluded that sitting supporting device making pelvic anterior tilting has the significant restoration effect of lumbar lordosis on sitting posture closed to that on standing posture. It is needed to conduct larger sample size study in future.
Biography:
Timothy Winey has been conducting independent research on non-classical field effects on water and other liquids for the last 10 years. After a series of highly anomalous results both commercial and academic interest in his work has begun accelerating rapidly, particularly in the areas of fuels, foods and health applications, more specifically, the use of structured water for the improved uptake of phyto-compounds. timothywiney@btinternet.com
Abstract:
According to a growing body of research, the structure of water is implicated directly in, and may even be the catalyst for, inflammatory response throughout the body. Structured water (water with certain cluster sizes) has been shown to be reducing, making it a functional anti-inflammatory. I will present direct experimental (in vitro and in vivo) evidence of this reducing/anti-inflammatory effect as well as improved hydration.
Afsaneh Nikjooy
Iran University of Medical Sciences, Iran
Title: Accurate differentiation of dyssynergic defecation patients from normal subjects based on abnormal anorectal angle in MR Defecography
Biography:
Afsaneh Nikjooy, PhD is an Assistant Professor of Physical Therapy, Department of Physical Therapy, in Iran University of Medical Sciences, Tehran, Iran. She is a member of International Continence Society (I.C.S) as well as the Iranian Continence Society (Ir.C.S). She worked in pelvic floor physiotherapy for more than 12 years and has managed several courses of pelvic floor physiotherapy for master students in this field in the faculty of rehabilitation, Iran University of Medical Sciences. afsanehnikjooy@yahoo.com
Abstract:
We aimed to study the differences between the dynamic indices of the pelvic floor, i.e. anorectal angle and perineal descent, in dyssynergic defecation patients in comparison with healthy controls, based on MR Defecography. 22 constipated patients with dyssynergic defecation and 14 healthy asymptomatic subjects were included in the study. 4 MR Defecography dynamic indices, including paradox (abnormal anorectal angle change), perineal descent during straining, perineal ascent, and narrowing of anorectal angle at squeeze, were measured in patients and healthy subjects. Paradox Index had the highest sensitivity (95.45%) and specificity (92.86%) for detection of dyssynergic defecation, with an R2 value of near 1 (0.902). The sensitivity and specificity of other indices were not high; therefore, no significant improvement could be achieved using other indices along with Paradox Index. Negative Predictive Value (92.85%) and Positive Predictive Value (95.45%) were only high in Paradox Index. Paradox Index was indicated to be the best finding of MR Defecography for identifying dyssynergic defecation patients from healthy controls. Hence, MR Defecography could be exploited as a reliable tool to show the patients the paradoxical function of their pelvic floor muscles, which could enhance their imagination of the correct defecation pattern during their therapy.
Orhan Öztürk
Marmara University, Turkey
Title: The relationship between plantar flexor spasticity and swing phase of gait cycle in children with hemiplegic cerebral palsy
Biography:
Orhan Öztürk has completed his graduation from Trakya University Health Science Faculty in 2013. He is currently pursuing his Master’s degree program in Marmara University Health Science Institute. fzt.orhanozturk@gmail.com
Abstract:
Background: Gait cycle consist of two main periods which are stance phase and swing phase. Swing phase is, in average, 40% of the gait cycle. Prolonged swing period leads contralateral limb to carry more weight than normal and that causes to occur secondary problems in children with hemiplegic cerebral palsy (CP) in later periods. Our aim in this study is determination of the relationship between plantar flexor spasticity and duration of swing phase of gait cycle in children with hemiplegic CP. Method: 20 children (mean age: 7.3±1.89 years, 10 girls, 10 boys) who are matching with classification of hemiplegic pathologic gait Type 1 and Type 2 made by Winters an al. recruited in this study. Firstly, 3-D gait analysis was made and then plantar flexor spasticity was evaluated. The correlation between plantar flexor spasticity and swing phase duration was analysed with Spearman Test. Result: The affected limb swing phase in gait cycle was, in average, 57.19±7.37% in children with hemiplegic CP recruited to study. According to analysis, there was a positive statistically significant correlation (p: 0.011) between plantar flexor spasticity and swing phase duration of affected limb. Discussion: It thought that asymmetrical limb loading due to plantar flexor spasticity caused alteration of proportion of gait cycle phases. The body weight was mainly supported by unaffected lower limb in hemiplegic CP and thus, it took longer time to transfer the body weight from unaffected side to affected side. This asymmetrical limb loading should be taken into account while planning rehabilitation programme and also the exercise should be done to gain symmetrical limb loading. Long term follow-up will give an opportunity to determine secondary problems of this situation in future.
S Jayawardene
University of Colombo, Sri Lanka
Title: Risk for musculoskeletal disorders following snake envenoming
Biography:
S Jayawardene has completed her Diploma in Physiotherapy from the School of Physiotherapy at the National Hospital, Colombo in 1995 and first degree in Bachelor of Science from the University of Kelaniya, Sri Lanka in 2001. She has worked as a senior Physiotherapist at the Department of Physiotherapy, General Hospital, Chilaw, Sri Lanka for 11 years. Since 2009, she has been working as a Lecturer in Physiotherapy at the University of Colombo, Sri Lanka. In 2013, she has started her Post-graduate studies (PhD) to assess disabilities following snake envenoming. She was awarded as the best scientific poster presentation at Singapore Physiotherapy Association Conference in 2014 and scholarship travel grant from the Asia Pacific Association of Medical Toxicology to present an abstract in China in 2014. subashinikl@gmail.com
Abstract:
Introduction: The late effects of snake envenoming on the locomotor system of human beings were not systematically studied. Objective: To evaluate the relative risk for musculoskeletal disorders following snake envenoming. Method: The study design was a retrospective cohort study. 80 snake bite victims who have documented evidence for snake envenoming by highly venomous snakes were recruited as the exposed group and age, sex and occupation matched healthy individuals were recruited as non exposed group. Comprehensive physical examination was done on the study subjects of both groups at the end of 4 months and 7 months of the incident of snake envenoming to identify disorders occurring in the locomotor system. Result: Among 80 snake bite victims who were bitten by highly venomous snakes, 4 victims were identified with musculoskeletal disorders at the end of 4 months of the incident and those disorders persisted for over 7 months. None were identified with musculoskeletal disorders in the non exposed group. From snake bite victims four people (5%) complained pain and swelling over the bitten site. Two (2.5%) have had chronic non healing wounds and 3 (3.75%) had stiff ankle joint and balance impairments. Three (3.75%) had lost muscle mass over the lower limb and foot. Three (3.75%) had demonstrated gait abnormalities. There is a positive association (Relative Risk >1) among snake bite victims for musculoskeletal disorders. Conclusion: Appropriate physical therapy strategies have to be implemented on snake bite victims to prevent long term physical disabilities following snake bite.
Vinothini Padmanathan
National University of Malaysia, Malaysia
Title: Occupational and psychosocial risk factors as predictors for shoulder pain among electricity linemen- A cross sectional study
Biography:
Vinothini Padmanathan has completed her Bachelor’s degree in Physiotherapy from Manipal College of Allied Health Science, India in 2005. Currently, she is pursuing her Master’s in Allied Health Science from National University of Malaysia. In addition, she is also working as an Assistant Lecturer in the faculty of Medicine and Health Science, Physiotherapy Department at University Tunku Abdul Rahman Malaysia. During her Post-graduation studies, she had published several papers and has been serving as reviewer in reputed journals. Her research interests are occupational health and rehabilitation. vinothini.padmanathan@gmail.com
Abstract:
Shoulder pain is a common problem among linemen working in the electrical industry. However, the prevalence and causative risk factors of shoulder pain have not been studied extensively among electricity linemen. Therefore, the objective of the current study was to determine the relationship between occupational and psychosocial risk factors on the development of shoulder pain among electricity linemen. This cross sectional study was conducted among 88 electricity linemen working in private sub Contract Company. The Malay version Job Content Questionnaire (M- JCQ) and Quick Exposure Check List (QEC) were utilized to assess the psychosocial and occupational risk factors for shoulder pain in electricity linemen profession. Data were analyzed using SPSS 21 version. Multiple logistic regression was used to estimate the odds ratio (OR) for all the relevant risk factors. Approximately, 68.2% of linemen were suffering from shoulder pain. Occupational risk factors such as vibration [OR: 4.26 (95% 1.85-6.12) p<0.05] and work pace [OR: 2.87 (95% 1.17- 4.33) p<0.05] were found as a strong predictors for the occurrence of shoulder pain among linemen. In addition, decision latitude [OR: 1.5 (95% 0.97-2.11) p>0.05] was significantly associated with the development of shoulder pain in linemen profession. The occurrence of shoulder pain among linemen is strongly associated with physical and psychosocial risk factors such as vibration, work pace and decision latitude. Therefore, an immediate preventive strategies need to be taken to prevent the occurrence of shoulder pain among electricity linemen profession.
Biography:
Himanshu Gupta has qualified from the University of Uttarakhand with B P T in 2004 and Master of Physiotherapy in 2006 in Musculoskeletal Disorders. He then joined Netaji Subhash Chandra Bose Medical College Jabalpur in 2007 as Assistant Professor in Physiotherapy Department. He is working as a senior Physiotherapist in Dr. Himanshu Gupta Physiotherapy Centre in Jabalpur. He has also completed his D P T (Doctor in Physical Therapy) in 2015 from NUMMS Spain. He is the President of Jabalpur Association of Physiotherapy. His professional skills include musculoskeletal and orthopaedics disorders evaluation and management, injury prevention, pain management and wellness and stress management. He has trained over 900 physiotherapists in the last 9 years. guptadrhimanshu@yahoo.com
Abstract:
A total of 39 patients were taken in this study and they all had localised pain in their neck and Headache. Their chief complain was localised neck pain and headache. Inclusion criteria include neck pain and headache, chief complain less than 1 month. Exclusion criteria include radiculopathy pain, numbness and tingling paraesthesia, complain more than 1 month. By the time of their first visit they were having mild constant neck pain and headache which where made worse i.e., aggravating factor by reading or computer work and relieving factor i.e., eased by warmth. After full examination including blood pressure, pulse, sensation reflex and muscle test, all were normal other than pain on their neck and headache. Vas pain scale revealed 6 or 7 on scale. Informed consent to manual osteopathic care form was filled and signed by all 39 patients. Due to patients’ acute presentation the first treatment was osteopathic mobilization and stretching for their neck pain. It takes only 9 to 10 minutes for the session. At the second visit the patient reported that neck pain had decreased in intensity from 6 to 1 on pain scale and the muscles seemed to be somewhat looser in feel. Second day treatment consists of frontal release, suboccipital release, temporal release ear pull and CV4 techniques of cranial osteopathy. During the 24 hours followup all patient reported that they had no headache for the first time. Their symptoms returned but less severely and a treatment plan was agreed. As treatment continued they experienced increasing improvement. They all had a total of 6 to 9 visits after which their symptoms were 95% better. To conclude, results showed a significant improvement from cranial osteopathy suggesting that cranial osteopathy techniques can be considered as a valid procedure for the management of patients with headache.
Yannis Dionyssiotis
Singular Logic,SPC, Greece
Title: Deployment of technologies for the reduction of falls: The European project I-DONT-FALL
Biography:
Yannis Dionyssiotis is specialized in Physical Medicine and Rehabilitation. He has clinical experience as physiatrist in a variety of clinical settings as clinician, researcher, clinical instructor and consultant in Greece and Germany. He also holds a thesis in SCI induced Osteoporosis and Metabolic Bone Diseases from Athens University and a Senior European Board Certification in PRM (certified 2005). He has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute. He won the Heim Ring Silver award in 2010 and the European Board PRM award in Bruges in 2008. yannis_dionyssiotis@hotmail.com
Abstract:
I DONT FALL (Integrated prevention and Detection solutions Tailored to the population and risk factors associated with falls) aims to develop, implement and evaluate individualized services for old people for the prevention of falls, with the application of physical and cognitive exercise programs, using modern technologies. This clinical trial started in May 2012 involving 500 users across seven pilot sites in four countries. Subjects (fallers or sedentary old people aged all above 65 years), were randomized into 4 groups of 125 subjects in the form of individual sessions twice weekly of cognitive and/or motor training according to the subgroup to which they were randomized (each one 24 sessions/in 3 months). The principal outcome for the study is reduction of number of falls, risk of falling and fear of falling between experimental and control group. On outcome of fear of falling measured by Falls Efficacy Scale (FES) we found a significant reduction for groups that per-formed the mixed and motor treatment (p=0.05; p=0.004). On the outcome of risk of falling measured by Tinetti scale, we found a significant reduction for groups that performed the mixed treatment (p=0.04). Mobility measured by 6 minutes walking test (6MWT) and cognitive executive functions measured by Trail Making Test part B (TMT B) were generally improved by any kind of treatment (p=0.06; p=0.04) but not by the placebo. Finally, we observed no changes on global cognition and functional abilities for any condition.
Taiane Do Socorro Silva Natividade
Federal University of Para, Brazil
Title: Cerebral palsy: The caregiver’s point of view about physiotherapy in children
Biography:
Taiane do Socorro Silva Natividade is currently an Undergraduate Student at Federal University of Para, Brazil and also an exchange student at Semmelweis University, Hungary. ts.natividade@gmail.com
Abstract:
Background: Cerebral palsy is described as a group of movement and posture disorders as a result of non-progressive lesions, which occur in the still maturing nervous system. It is also called childhood chronic non-progressive encephalopathy, being a health condition that results in changes of the structure and function of the neuromusculoskeletal system. Several studies have already stated that caregivers approve services and therapists who can talk clearly and explain what they are doing during therapy. Objective: The aim of this study was to assess the overall knowledge of the caregiver regarding cerebral palsy (CP) and aspects of the physiotherapeutic treatment used in children with CP. Methods: For this, a qualitative study was conducted at the Bettina Ferro de Souza University Hospital (HUBFS) of the Federal University of Para, Brazil. The data collection method chosen was the semi-structured interview, due to this methodology five caregivers of children (maximum of thirteen years) diagnosed with cerebral palsy; who had regularly performed physiotherapy in the department for at least three months were included in the study interviewed. The questions explored the caregiver’s knowledge about the disease and the role of physiotherapy in cerebral palsy with a total of five questions. The interviews were recorded and later transcribed. The data analysis was performed through contents analysis. The results obtained from the interviews were organized and discussed according to the order of the questions asked in the study with the statements of the caregivers categorized and grouped according to theme. Results: Even though caregivers observe great improve regarding motor function, the low level of knowledge of caregivers about the disease and its physiotherapeutic treatment can be observed in the results, which can compromise the treatment and the evolution of the children, given that continuous treatment is required in this condition for improving quality of life of children with CP. Conclusion: As a conclusion, caregivers expressed satisfaction about the service, however more professional caregiver patient learning and teaching interaction is necessary to increase the caregiver’s knowledge of the disease and physiotherapeutic treatment.
Ali Rafaqat
Europian University of Lefke , Cyprus
Title: Comparison between balloon blowing exercise and incentive spirometry in patients with chest intubation after truma
Biography:
Ali Rafaqat has completed his Bechlor’s degree in Physiotherapy from Jinnah Post Graduate Medical Centre Karachi University and Post Professional Doctor of Physiotherapy studies from Isra University Islambad. Currently, he is pursuing his Master in Health Management from Europian University of Lefke, North cyprus, prior to this he worked as the Director of Rehabilitation Sciences in Comwave Institute of Sciences & IT, Islamabad, Pakistan. He has published papers in reputed journals and has been serving as an Editorial Board Member of reputed journals. alirafaqat64@gmail.com
Abstract:
Purpose of study: The purpose of this study was to compare the effectiveness of Balloon Blowing exercise and Incentive Spirometry in patients with chest intubation after trauma. Methodology: This study was conducted in the Department of Surgery in Sheikh Zayed, Medical College and Hospital, from 1st September 2014 to 15th october 2014. It was a randomized controlled trial study. This study included 60 patients (30 in each group). Both groups were selected on the basis of chest trauma with chest intubation. A questionnaire which consisted of demographic (age and gender) data and measuring variables (Force vital capacity, forced expiratory volume in 1 second, oxygen saturation, respiration rate and chest expansionhttp://novelphysiotherapies.conferenceseries.com/) was filled by the participants. Group 1 used incentive spirometry method and group 2 used balloon blowing exercise method. Results: Concluded that the pre and post treatment differences are found statistically significant. The pre and post differences in incentive spirometry group and balloon blowing group found a significant improvement in breathlessness with the p-value 0.00 for FVC, FEV1, SPO, RR and chest expansion. The post treatment differences between 2 groups are found statistically insignificant. The p-values for FVC, FEV1, SPO, RR and chest expansion were 0.660, 1.00, 0.216, 0.927 and 0.636 respectively. Comparing these p-values at significance level 0.05 are insignificant. Conclusion: The study implies that both incentive spirometry and balloon blowing exercise are equally effective.
Clarissa Giselle MartÃnez Gómez
MedicalNet,Dominican Republic
Title: Effectiveness of the physiotherapist's role in cardiac rehabilitation as an adjunctive therapy in cardiac patients
Biography:
Clarissa Giselle MartÃnez Gómez is the In-charge of the Physical Therapy Department at Rehabnet in Medicalnet- A highly regarded entity in optimal cardiac, metabolic and pulmonary rehabilitation of patients, in collaboration with a renowned medical team for their excellences and skills at their different specialties. She has completed her studies as a Physical Therapist (PT) at the Pontificia Universidad Católica Madre y Maestra (PUCMM) later on she strengthened her knowledge with a Post-graduate degree on Cardiac Rehabilitation endorsed by the American Society of Exercise Physiologist (ASEP) and a Master in Business Administration in the field of Management of Physiotherapy’s clinical areas. She has participated voluntarily, as an Advisor and Counselor, in numerous research projects related to physical therapy. She is an acclaimed Cardiac Rehabilitation Instructor, training over a thousand patients in less than 3 years throughout the national territory of the Dominican Republic. clarissamgomez@gmail.com
Abstract:
The main objective of Cardiac Rehabilitation (CR) is to accomplish the optimal cardiac functional status of patients, based on continuous monitoring of standardized exercise, which induces and enhances the patient's confidence, thus maintaining their independence and improves their quality of life. A study published by Pichardo R. et al in our country in 2011 at the Congress, determined a high prevalence of cardiovascular risk factors including inadequate lifestyle changes such as a sedentary existence, making a direct effect on cardiometabolic diseases. Now there is a sufficient evidence to ascertain the effectiveness of cardiac rehabilitation in reducing the long-term mortality (20-30%) of the patients who assist to this type of adjuvant treatment. Since 1940s’ the focus of the CR has had productive changes. Nowadays, this type of program with physical exercises requires the presence of a physiotherapist as a part of care providing team, knowing that their expertise relies on a vast musculoskeletal knowledge supporting the optimal performance of cardiac routine exercises and at the same time avoiding possible injuries that could affect their physical performance in activities of daily living. The patients who referred to a cardiac rehabilitation program have shown dramatic positive outcomes like improvement in functional status, psychological status and cardiovascular risk factors improved by inducing a better quality of life and conversely decreasing mortality and morbidity.
Dharam Pani Pandey
BLK Super Speciality Hospital, India
Title: Role of electrical muscle stimulation (EMS) in treatment and prevention of critical illness associated weakness
Biography:
Dharam Pani Pandey is serving in field of Physiotherapy and Rehabilitation for more than 16 years. He did his specialization in neurological sciences and completed his PhD in Neurological Physiotherapy. He has actively involved in research in physiotherapy and has various research papers to his credit. He is a Member of various national and international professional organizations. He is also a National Advisory Board Member of Physiotherapy and Occupational Therapy Journal also Scientific Committee Member of Indian Journal of physiotherapy & occupational therapy. dharam.pandey@blkhospital.com drdprehab@gmail.com
Abstract:
Critical illness associated neuromuscular weakness is very common in patient population those who are admitted in intensive care unit and mechanically ventilated. It has been evident in various research studies that patients mechanically ventilated for more than 7 days develops electrophysiological abnormalities and about 25-33% patients acquires neuromuscular weakness that may prolong post intensive care rehabilitation. Despite advances in critical care medicine in past few decade clinicians face challenges in rehabilitating these patients. Neuromuscular weakness associated critical illness has various risk factors such as multi organ failure, systemic inflammatory response, high catabolic state, use of neuromuscular blocking agents, poor glycemic control, use of sedative and immobility. This study was designed to investigate the effect of electrical muscle stimulation in treatment and prevention of acquired neuromuscular weakness in critically ill patients. Result of this study suggests that electrical muscle stimulation may play significant role in minimizing incidence of critical illness associated neuromuscular weakness.
Sunday R Akinbo
University of Lagos, Nigeria
Title: Sport participation and sport injuries among youth and young adults in Nigeria
Biography:
Sunday R Akinbo is a recipient of several academic, professional and community distinctions awards. His academic and professional qualifications include BSc in Physiotherapy, MSc and PhD in Musculoskeletal Anatomy, University of Lagos, Nigeria and FPC, Nigeria. He is a member of several national and international academic and professional associations among which are, Nigeria Society of Physiotherapy (NSP), Society for the Study of Pain, Nigeria (SSPN), International Association for the Study of Pain (IASP), International Society of Physiotherapy Journal Editors (ISPJE). He has served as an external assessor for physiotherapy promotion exercise in several hospitals in Nigeria, and chairman and member of several academic and professional accreditation panels in Nigeria and Ghana. His professional skills include; Musculoskeletal and Orthopaedics Disorders Evaluation and Management, Sports Injury Preventions and Management, Injury Prevention, Pain Management, Wellness and Stress Management, Education and Research. He has published well over 80 full research articles and 100 research abstracts in peered reviewed journals and conferences proceedings. His professional areas of specialization are Musculoskeletal and Orthopaedics Physiotherapy and Sports Physiotherapy. He is presently the Head/Chairman, Department of Physiotherapy, College of Medicine of the University of Lagos (CMUL) and also; the Head/Chairman and Consultant Physiotherapist, Department of Physiotherapy, Lagos University Teaching Hospital. sraakinbo@cmul.edu.ng
Abstract:
Background: Participation in sports is a healthy behavior, but not without risk of injuries. Extent of recreational sports participation and information on sports injuries among Nigerian youth and young adults is presently unknown. Objective: To evaluate the prevalence and pattern of sport participation and injuries among youth and young adults in Nigeria. Methods: The study was a cross-sectional survey, which involved the use of a validated questionnaire to collect information on sports participation, associated factors, and sports injuries among a representative sample of 433 (276 male and 197 female) undergraduate students of the University of Lagos in Nigeria. Results: A total of 278 (68%) students (aged 16 – 39 years) participated in at least one sport in the previous year, of which football (53.2%) had the highest participation rate. Male students participated more frequently (p<0.001). Injury rate was 33.7 injuries/100 students in one year. The prevalence of injury was 45.7% in male students and 12.7% in female students. About half (49.3%) of reported injuries resulted in time loss. The lower leg (20.5%) and ankle (15.1%) were the most frequently injured body parts. Football (73.8%) recorded the highest prevalence of injury. Conclusion: Sports participation among youth and young adults in Nigeria is fair and sports injury rate is considerably high; mostly affecting the lower extremity and most injuries resulting from football participation. Injury pattern is similar to those of regular athletes.
Sue Klappa
Davenport University Doctor of Physical Therapy Program,USA
Title: Making Waves in Aquatic Therapy: Post-Surgical Management of Open Shoulder Procedures
Biography:
Susan Klappa PT, PhD 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 Chair/Program Director of the developing Doctor of Physical Therapy Program at Davenport University in Michigan, USA. 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 56 peer reviewed papers and presentations at national and international venues. Dr. Klappa has taught in many areas of physical therapy education.
Abstract:
The use of aquatic therapy is a novel and successful method for regaining mobility and function in the management of shoulder impairments. Aquatic therapy should also be considered after open shoulder procedures such as rotator cuff repairs, shoulder decompressions, and total shoulder arthroplasty (TSA). Aquatic therapy aids in the recovery of mobility early in the post-operative period. This method of treatment minimizes pain induced by post-operative rehabilitation efforts while improving function. Hydrotherapy stimulates proprioceptive feedback while minimizing nociceptive function. A protocol of aquatic exercises may be commenced within 6 days after surgery with no adverse effects. This presentation will discuss the indications, contraindications, and outcomes for aquatic therapy from a clinical practice utilizing aquatic therapy with regard to the recovery of function in the post-surgical management of open shoulder procedures. The use of aquatic therapy in treating adhesive capsulitis is promising and will also be discussed. Biomechanical considerations regarding traditional physical therapy options will be contrasted with the novel approach of aquatic therapy for post-surgical management of open shoulder procedures and adhesive capsulitis in clinical practice.
Biography:
Il-Tae Jang is the Founder and Chairman of Nanoori Hospital (Spine and Joint). His special areas of interest is spinal diseases and geriatric spinal diseases. He has completed his Bachelor’s degree and PhD in Medicine from Korea University. He is an adjunct Professor in the Neurosurgery Dept. in the Medical School of Korea, Ewha Women’s and Yonsei University. He acquired the educational commission for foreign medical graduates (ECFMG) certification, and became an Executive Director of the Korean Neurosurgical Society (KNS) and the Korean Spinal Neurosurgery Society (KSNS).
Abstract:
There have been a few studies about cervical alignment up to now. However, it is still needed to understand comprehensively the morphological trends of cervical alignment and its range of motion (ROM) on x-ray images. The aim of this study is to identify the morphological trends of cervical alignment and the correlation between ROM on cervical spine x-ray and pre-operative outcomes in the patients underwent cervical spinal surgeries. Total 354 patients who had cervical spinal surgeries from January 1st, 2013 to December 31st, 2014 were included in this study and 56 patients were excluded because they didn’t have all types of x-ray images (flexion, extension and lateral positions), T1 vertebral body could not be detected or vertebral fracture was found on x-ray images. They were divided into 4 groups based on cervical alignment types (lordotic, straight, sigmoid and kyphotic types). We measured cervical alignment parameters and clinical outcomes preoperatively. Especially ROM based evaluations were conducted between radiographical variables and clinical outcomes. Radiographical measurment was performed by 2 independent researchers. IBM SPSS Statistics version 22 was used for correlation analysis and one-way analysis of variance (ANOVA). There were significant differences among 4 groups for whole cervical lordosis (WCL) ROM, lower cervical lordosis (LCL) ROM and cervical tilt (CT) ROM (p<0.001, p<0.000 and p<0.028, respectively) and there were significant correlation between WCL ROM and VAS shoulder/neck disability index (NDI) (p<0.002/0.014), LCL ROM and VAS shoulder/NDI (p<0.002/0.015), CT ROM and VAS shoulder/NDI (p<0.003/0.001). This research is a part of cervical alignment big data accumulation and it was identified that cervical ROM and pre-operative clinical outcomes were correlated and also 4 morphological cervical types have each ROM trend. However, x-ray image has several limitations in evaluating pain or disability.
Veena Raigangar
University of Sharjah, UAE
Title: Perceived exercise benefits to the University of Sharjah community, United Arab Emirates
Biography:
Veena Raigangar has been working as a lecturer with the Department of Physiotherapy at the University of Sharjah, U.A.E for the last nine years. In addition to her Master's in Physiotherapy, she has completed her master's and has a keen interest in educational research. She has presented a number of lectures/ seminars in International educational conferences and has published many research papers in international peer reviewed journals. She wishes to further pursue her Ph.D. and work as a volunteer for nonprofit bodies. veena@sharjah.ac.ae
Abstract:
Background & Aim: The United Arab Emirates (UAE) is a rapidly developing country with high incomes and increased consumption of fast food including sugar loaded drinks and a multinational population. These factors combined with low levels of physical activity put the UAE population at high risk for obesity and its related comorbidities. This needs to be explored further to identify if it is due to the perception of engaging in regular physical activity. Hence, the aim of this study was to examine the perceived exercise benefits of the University of Sharjah community. Methods: Cross-sectional study using the exercise benefits/barriers scale (EBBS) questionnaire. This was sent to faculty, staff and students at the University of Sharjah. Ethical approval was obtained from the Research and Ethics Committee at the University of Sharjah. A total of 205 responses were obtained over a two weeks period. Responses were recorded on a Likert scale from 4 (strongly agree) to 1 (strongly disagree). Results: The perceived exercise benefit items sub-scales with a highest score was observed in the physical performance subscale (3.47±0.55), while the social interaction subscale showed the lowest score (2.87±0.71). The participants had significantly greater total perceived benefits than perceived barriers of exercise with a mean of 3.28±0.22 vs. 2.21±0.3 (p<0.001) and a benefit/barrier ratio of 1.48 (3.28/2.21). Conclusions: Participants from the University community perceived greater benefits than barriers towards exercising, with the predominant benefit being enhanced physical fitness. Community programs especially in order to encourage social inclusion by involving family and friends need to be designed in light of these findings to improve participation in physical activity.
Mehul Raval
Consultant Physiotherapist, India
Title: Ayurvedic guggulu formulations – A support therapy to physiotherapy in treating nuerological disorders
Biography:
Mehul Raval holds Physiotherapy degree from Himalaya University. Besides, he also holds Diploma in Homeopathy and Panchkarma, and Yoga. He has keen interest in Ayurvedic formulations. He is a Conslutant Physiotherapist as well as a Panchkarma practitioner. He has delivered many talks and lectures on above subjects. He has also lead students to take up various challenging practicums in Ayurvedic formulations.
Abstract:
Ayurveda is an ancient system medicine from India. There are various time tested formulations in Ayurveda, which are extreamly useful in treating nuerophysical disorders. There are six types of treatments offered by Ayurveda of which we discuss Rasayana here as support therapy. It works along with physiotherapy in treating nuerological disorders. Rasayana helps in promoting strenght and vitality, in general it promotes general wellness and optimises senses. One of the major benifit of Rasayana is that it treats wear and tear of the body and help rebuilding it. Paralysis, Hemiplegia, Parkinsons, Alzheimer’s, Stroke are most commonly treated besides various motor nueron disesases, inter-vertebral disc prolapse, facial paralysis, poly neuropathy and many such conditions can be treated with various Guggulu Rasayanas. Guggul, or Bdellium is a gum resin, produced by the stem of a small shrub (Commiphora wiighti). It was found in dry/arid forests of India. There are various forms of each of above herbs; for example Guggulu to be Trayodashng Guggulu, Yograj Guggulu, Maharasanadi Guggulu, Punarnavadi Guggulu. This rasayana in combination with other herbs helps strengthning nerves, bones, joints, muscles and ligaments. Though Ayurveda is a person specific therapy, Guggulu formulation being administered over 1000s of years can be generalized; above Ayurvedic formulations of Guggulu has helped treating conditions giving an alternate support to the petients. The paper describes various formulations of Guggulu and other herbs. It discusses in detail, the effects thereof to the petients. It concludes saying neorological conditions can be treated with the help of Guggulu Rasayan.