International Journal of Physiotherapy and Research

677-680

Authors: Jayalath J.L.R., Dassanayake T.D.M.S.B., Dissanayake M.M.

Osteoarthritis is one of the most common chronic diseases which increase the individual’s disability and affects the patients gait as the disease progress. Thus identifying the changes in gait variables in knee osteoarthritis patients is important. Objectives: To compare the gait variables such as walking velocity, cadence, step length, walking base, and single support time, in both control group of people and in the disease group. Method: This descriptive cross sectional study conducted at physical therapy department National Hospital Sri Lanka. 120 participants were included for the study if they fulfill the inclusion criteria. The participants were divided in to Osteoarthritis and a control group. A walk way was used to collect data from the subjects. Participants were asked to walk once in a single direction in the walkway in their normal speed. Results: The group of females with knee osteoarthritis had significant levels between means of single support time, step length, walking velocity and cadence. Males with osteoarthritis showed significance in walking velocity. Healthy males and females showed a significant gait variation in step length and walking velocity. Osteoarthritis has an effect on the group of patients compared to healthy females. The single support time (15.62%), step length (8.5%), walking velocity (15.19%) and cadence (9.25%) showed reductions in gait parameters. Males with osteoarthritis showed a significant reduction in walking velocity (10.91%). Females with osteoarthritis has reduce single support time, step length, walking velocity and cadence and increase walking base compared to healthy control group of females. In the comparison among males, males with osteoarthritis have reduced step length, walking velocity, cadence and walking base but have same single support time, compared to healthy control group of males Conclusion: Osteoarthritis shows different patterns of affection in gait between genders.

689-694

Authors: Khajamohinuddin. Shaik, M.P.T (Cardio Respiratory).

Introduction: Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation leading to reduced ventilatory capacity and is associated with shortness of breath. COPD have become increasingly important cause of morbidity and mortality in modern world. Objectives: Objective of the study is to assess the effect of PR on exercise tolerance and health related quality of life in COPD patients. Methodology: The study is carried with 30 subjects and they were randomly selected based on inclusion and exclusion criteria. They are divided into two groups. Experimental group and control group. The experimental group is under went two months pulmonary rehabilitation program in addition to medication and control group patients using medications only. Results: Results showed the Experimental group showed significant improvement in the exercise tolerance and quality of life. Conclusion: Early Pulmonary rehabilitation after discharge from hospital leads to additional notable improvements in exercise capacity and health status at two months compared with usual care.

699-705

Authors: Preeti S. Christian (M.P.T Cardiopulmonary Conditions)

In the normal lung, secretions are removed by Mucociliary activity, normal breathing cycles, and cough. In disease, increased secretion viscosity and volume, dyskinesia of the cilia, and ineffective cough combine to reduce the ability to clear secretions, and may increase exacerbations and infections. Many chest physiotherapy techniques like postural drainage, percussion and vibration are used since many years. These techniques are derived from adult studies but these techniques are quite stressful for the infants as the infant respiratory system is different from the adult respiratory system. Advance chest physiotherapy techniques were developed specifically for infants; in accordance with their physiological characteristics. So this review is to introduce some new chest physiotherapy helpful for newborn infants.

712-718

Authors: Sahiba Yadav, Megha Arora Nijhawan, Paresh Panda

Background: Various manual therapy techniques are known to treat discogenic pain. Research is limited and controversial in the effectiveness of manual therapy for treatment of lumbar radiculopathy due to lumbar disc disease. In manual therapy, Mulligan has described spinal mobilisation with leg movement technique, for improvement in lumbar lesion resulting in pain and other signs below knee. Purpose of the study: To find out if Mulligan’s Spinal Mobilisation with Leg Movement technique (SMWLM) in conjunction with conventional treatment is better than conventional treatment alone in improving leg pain intensity (VAS), localization of leg pain (body diagram by Donelson), back specific disability (RMQ) in patients with lumbar radiculopathy (L5/ S1 nerve root) in lumbar disc herniation. Methods: The study is a randomized controlled trial performed on 30 patients with lumbar radiculopathy. Both the groups received back extension exercises, hot pack, precautions and ergonomic advice. The experimental group received SMWLM technique in addition to the conventional treatment. Outcomes included leg pain intensity, Roland Morris Questionnaire and body diagram by Donelson. Results: There was significant improvement in VAS (p=0.000), body diagram (p=0.000 for experimental group and p=0.003 for conventional group) and Roland Morris Questionnaire score (p=0.000) within the groups. Between group analysis showed significant improvement in VAS (p=0.000), body diagram score (p=0.000). Although there was significant improvement in Roland Morris Questionnaire score within the groups but there no significant difference between the group (p=0.070). Conclusion: Spinal Mobilization with Leg Movement technique in addition to conventional physical therapy produced significant improvement in leg pain intensity, location of pain and back specific disability in patients with lumbar radiculopathy in lumbar disc herniation.

725-732

Authors: Divan Mohaideen Abbas, Bilques Sultana.

Introduction: Various stretching methods are available to improve the flexibility of the muscles which is proven to produce effects on the muscles. The purpose of this study was to find out the effectiveness of sum of the techniques used to improve the flexibility of the muscles. Both these stretching techniques are used to improve the flexibility. But the purpose of the study is to find the existing difference between these two stretching techniques (active stretching and passive stretching) in the improvement of flexibility in foot ball. Study design: Experimental study design with pre and post test design. Procedure: As per the selection criteria sixty subjects are selected, they are divides into two groups each group consists of thirty subjects, the tightness of the hamstring muscles are measured by using the Goniometer. Where in Group A administered the active stretching with with 30 seconds hold time and In the Group B administrated passive stretching with 30 seconds hold time. Both of stretches are given for five times per day. The post test measurements are taken after the successful course of six weeks of stretching. Statistical tools: The paired t-test was used for the comparison within two groups. The comparison of both the Pre and Post test results of each groups are statistically analyzed. Result: When comparing the pre test measurements in both the groups there is no significance, the value is 0.865 “p” value is greater than 0.05, so there is no significance. When comparing the post and pre test results of Group A and Group B, the values shows there is significance in the results, the value of 0.002 is less than that of the “p” value of 0.05 so there is significance. This results shows that the active stretching is more effective than the passive stretching Conclusion: The present study helps to conclude that the patient treated with active stretching will have the better improvement in the flexibility of hamstring muscles, so while treating the football players either for training or for rehabilitation active stretching is more effective method for flexibility.