Day 3 :
- 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.