Journal of Exercise Science & Physiotherapy

1-5

Authors: Kumar, Ashok

Aim-To observe the prevalence of glycemic status, obesity and waist circumference in Punjabi male Type 2 Diabetics. Materials & Methods-Two hundred forty type 2 diabetics Punjabi males with age ranging from 30 to 70 years volunteered to participate in this study as subjects. The glycemic status (fasting blood sugar & glycated haemoglobin, HbA1c), obesity (BMI) & waist circumference (WC) were recorded with standard procedures. WHO criteria determined BMI and WC categories. The statistical analysis was done by using SPSS version 16.0 and the level of significance was <.05. Results-The mean age, height, weight, fasting blood sugar (FBS), glycated haemoglobin (HbA1c), body mass index (BMI) and waist circumference (WC) of studied type 2 diabetics were 50.75±11.4 years, 166.69±7.6cm, 75.88±11.8Kg, 146.37±28.6 (mg/dl), 7.34±1.2 (%), 27.29±3.6 and 102.82±8.0 (cm) respectively. Based on fasting blood sugar, 10.4% studied type 2 diabetics had normoglycemia (FBS≤120mg/dl), 89.6% were hyperglycemia (FBS≥120mg/dl). Based on glycated haemoglobin (HbA1c), 25.4% studied type 2 diabetics had good control of blood sugar (HbA1c≤6.5), 30.4% were average control (HbA1c 6.5-7.5), 26.7% were poor control (HbA1c 7.5-8.5) and 17.5% were morbid control. Based on BMI, 26.7%, study type 2 diabetics were normal, 55% wer overweight, 14.5% was obese Class I, 3% were Obese Class II and 1.8% were Obese Class III. Based on waist circumference of the sample population of type 2 diabetics 10.9% were obese, 24.1% had increased risk for metabolic syndrome [action level I (WC ≥ 94cm)] and 61.7% had substantially increased risk [action level II (WC ≥102cm)]. Conclusion-it was concluded that prevalence of poor glycemic control and obesity exist but obesity and overweight were more prevalent in Punjabi Type 2 diabetics. Keywords: FBS, HbA1c, BMI.

11-16

Authors: Thakur, Manisha; Narkeesh, A.; & Kanimozhi

Fibromyalgia is a syndrome of widespread pain, decreased pain threshold and other characteristic symptoms. These other symptoms include undue fatigue, insomnia, joint pain, headache, chest pain, irritable bowel syndrome, jerky leg movements, numbness and tingling in various body parts. For the management of these symptoms many medical and physiotherapeutic interventions are used. Myofascial release is an important technique which is used to reduce these symptoms. Previous studies have been done to find out the effect of myofascial release in fibromyalgia. But there are not much studies which elucidate how myofascial release is effective in reducing these symptoms. The present study made an effort to find out the efficacy of myofascial release on patients with fibromyalgia and how its influence on VAS scale, Epworth Sleepiness Scale (ESS), Self Trait Anxiety Inventory (STAI) and Fibromyalgia Impact Questionnaire. (FIQ). The mean, standard deviation, t value and t test for all the variables were calculated. It was concluded that myofascial release has a significant effect on VAS scale however there is reduction in ESS, STAI, FIQ but not upto significant level. Keywords: Fibromyalgia, Fatigue, Myofascial Release.

23-30

Authors: Saini, Gagandeep Kaur.; Multani, Narinder Kaur.

Knee joint degeneration is the major cause of disability among the Indian population. The structural changes subject to differ among the sportspersons and non sportspersons. The aim of the study was to compare the structural changes in the knee between age-matched sportspersons and non sportspersons. Thirty sportspersons and thirty non sportspersons aged ≥50 years were randomly selected on the basis of selection criteria. Physical examination that included effusion, tenderness, atrophy, knee joint range, lower extremity muscle strength, physical activity levels and knee injury and osteoarthritis status was done in all the sixty subjects. Digital X ray examination was then carried out for measurement of joint space width and Kellgren Lawrence grading. Statistically significant difference was found in the joint space width and Kellgren Lawrence grades between the sportspersons and non sportspersons. Also significant difference was found in effusion, tenderness, atrophy, knee joint range, lower extremity muscle strength, physical activity levels and knee injury and osteoarthritis status between the sportspersons and non sportspersons. The study concluded that sportspersons have less worsened structural knee changes, better knee joint range of motion, muscle strength, physical activity levels and a better quality of life as compared to the age-matched non sportsperson peers. Key words: Structural changes, joint space width, sportspersons, non sportspersons.

34-39

Authors: Goyal, M.; Kumar, Ashok; Mahajan, N.; and Moitra, M.

The purpose of the study was to observe the effect of combination of a Taping and Iontophoresis or Taping alone in the treatment of Plantar Fasciitis pain. A total of 30 patients (male =16; female=14) were selected as subjects and they were further divided into two groups. Each group comprising of 15 subjects (male=8; female=7). The results of the present study show an improvement in the mean values of Visual Analog Scale, and Foot Functional Index scores after treatment in both groups. But it was found that an improvement was statistical significant more in Taping and Iontophoresis group than Taping group alone. It was concluded that if the patients of plantar fasciitis were treated with combination therapy (Taping & Iontophoresis) then there was noticed significant recovery from pain and disability in them. Keywords: Plantar Fasciitis, Iontophoresis, Taping, Pain

46-50

Authors: Singh, Gurdeep; & Kumar, Ashok

Aim: To study the impact of chronicity of type 2 diabetes on lipid profile in type 2 diabetics. Material & Methods: This study was conducted on 120 Punjabi male type 2 diabetics. Their age ranged from 30 to 70 years. The subjects were categorized into three groups, on the basis of the duration of detection of type 2 diabetes- group 1(below 4 years), group 2 (between 4 to 8 years) and group 3(above 8 years).Results: There was sharp and definite increase in the percentage of patients having >200mg/dl total cholesterol after four years of diabetes mellitus from 16% to 25% and then to 55% after 8 years of duration. The percentage of patients having >150mg/dl of low density lipoproteins (LDL) after 8 years of diabetes mellitus was much high (67%) as compared to group 1 (29%) and group 2 (49%) . There was also an increase in the percentage of patients having <160mg/dl of triglycerides after four years of diabetes mellitus from 14% to 37% of diabetes and then to 56% after 8 years. Conclusion: The chronicity of Type 2 Diabetes mellitus disturb the normal levels of lipid profile that is dyslipidemia if unchecked this may lead to atherosclerosis and ultimately Cardio-Vascular Disease (CVD) and it is the commonest cause of death in type 2 diabetics. Key words: Type 2 Diabetes Mellitus, Lipid profile, Dyslipidemia.

57-68

Authors: Antony Leo Aseer. P.; Iyer Lakshmi, Subramanian

The experimental study is aimed to analyze the effectiveness of integrated soft tissue mobilization on the pain, lumbar spine mobility and the outcome on functions in chronic low back pain (CLBP). Irrespective of low back pathologies, soft tissues are vulnerable for dysfunction and paves way for pain-spasm vicious cycle. Very few studies in CLBP are being performed to explore its effect and integrated approaches in soft tissue mobilization were not studied. Totally sixty participants were randomized into control and experimental groups in the present study. Baseline measurements of pain severity, lumbar spine mobility and Oswestry disability Index (ODI) were measured. The control group received treatment in the form of strengthening program and stretching maneuvers. The experimental group received the all form of soft tissue mobilization. After three weeks of follow up, all the measurements were taken again. The experimental group showed significant improvement as compared to the control group in terms of lumbar spine mobility, reduction of disability and moderate improvement in pain severity. This study adds the importance of integrated soft tissue mobilization in recovery from CLBP. It further establishes soft tissue mobilization as a part of functional mobilization in rehabilitating CLBP. Keywords: chronic low back pain, soft tissue mobilization, lumbar spine mobility, ODI