International Journal of Physiotherapy and Research

751-756

Authors: K. Pujitha *1, G. Parvathi 2, K. Muni Sekhar 3.

Introduction: The change in arterial blood pressure and heart rate is one of the generally known physiological changes in aging of man. The present study was intended to evaluate BP and HR changes with age. Aim The objective of the study is to know the prevalence of orthostatic hypotension in healthy geriatric subjects. Materials and Methods: The subjects selected are 120 in number with age group 35 to >65 years of both sex and they are categorized into 4 groups based on their age. Group- I: The age of 35-45 years; Group-II: The age of 45-55 years; Group-III: The age of 55-65 Years; Group-IV: The age of >65 years. Blood Pressure is recorded by using manual sphygmomanometer and orthostatic test was conducted in all the subjects. Heart Rate was calculated by using R-R interval by ECG machine. Results: The examination of parameters, body mass index, Heart Rate, systolic and diastolic Blood Pressure during resting, immediate standing, after three minutes of standing i.e., postural variations were estimated for all subjects. The data was analyzed by using descriptive and inferential statistics. Discussion: The findings suggested that the mean SBP and DBP are higher in Group IV compared to Group I which is statistically highly significant. After immediate standing in all the subjects the SBP is decreased and DBP is increased and this variation is variable in different groups. The Heart Rate in all four Groups increases. And this variation is also variable in different groups. Conclusion: This study concluded that BP increases with increase in age due to stiffening of Blood vessels but the postural decrease in SBP in standing from lying down posture was more in elderly. Orthostatic Hypotension was found in only one elderly. So Orthostatic Hypotension was less prevalent in healthy elderly. KEYWORDS: Blood Pressure, Heart Rate, Body mass index, Orthostatic Hypotension.

762-765

Authors: Ravi B. Solanki *1, Anjali R. Bhise 2.

Arthrofibrosis following total knee arthroplasty is an uncommon complication defined as less than 80 degrees of knee flexion 6-8 weeks post operatively. It is characterized by abnormal scarring of the joint in which the formation of dense fibrous tissue and tissue metaplasia prevent normal range of motion. Clinical features include limited knee Range of motion with extension deficit, pain with activities of daily living and unusual amount of pain and swelling post operatively in the absence of infection, bleeding or mechanical complications. We present case of 55 years old female who undergone for total knee replacement before 3 months and presented to our department with complain of knee pain and swelling with activities of daily living. She was diagnosed on the basis of clinical examination. Her detailed evaluation was carried out and Physiotherapy treatment was started. KEYWORDS: Arthrofibrosis, Total knee arthroplasty, Metaplasia, Range of motion, Physical therapy treatment.

772-776

Authors: R.Vinodh Rajkumar.

For easy and clear understanding of biomechanics, the inter-relationships of simple machines and musculoskeletal functions have always been attempted and established. The masticatory biomechanics is still under research because there is wide range of findings on masticatory muscles including the lack of complete clarity on their line of actions and lever arms too. As a prospective contribution to advanced research on mastication and management of Temporomandibular joint, there are two innovative concepts discussed in this article; (1) Strong correlation between stapling mechanics and Temporomandibular joint biomechanics at molar region (2) Scope for a new unidentified lever system named as fourth class lever. The principal intent of this article is to share these two innovative concepts to be explored further for practical applications in the field of Physical therapy, Dentistry and Engineering. KEYWORDES: Stapling mechanics, Mastication at molar region, unidentified lever system.

781-786

Authors: Jeba Chitra 1, Siddharth Mishra *2.

Introduction: Stroke related hemiparesis also exhibit asymmetry in standing posture and walking. Chronic stroke survivors represent with asymmetric gait pattern due to altered weight distribution. Altered weight distribution of lower limbs that is less weight is taken on affected side, fewer excursions on the weaker side, is seen during static and dynamic balance as well as external perturbation. Objective: To evaluate the effect of Compelled Body Weight Shift Therapy on weight bearing symmetry and balance in post stroke patients. Methods: Total 22 participants were included in the study. All patients received 10mm shoe insole which is to be used on their unaffected side and along with this conventional rehabilitation program were given for 1 hour per day for 2 weeks. Results: There was significant difference in pre-post weight bearing distribution (p<0.001) and balance (p<0.001). There was also significant difference in all the component of Berg Balance Scale (p<0.001). Conclusion: Compelled Body Weight Shift Therapy can be easily administrated in the daily rehabilitation protocol, while treating stroke patients with balance problems due to asymmetrical weight bearing. With more symmetrical weight bearing, balance can be improved for better ambulation and reduced risk of falls. KEYWORDS: Compelled Body Weight Shift Therapy; stroke, weight bearing symmetry, balance, Berg Balance Scale.

793-798

Authors: Sandipkumar Parekh *1, Keyur Patel 2, Jyoti Chauhan 3.

Background: The ability to jump plays an effective and important role in volleyball, Because jump skills are greatly complicated that it is nearly the outcome of vertical force and horizontal speed besides harmony and synchronization of the work of arms and feet. There is also total harmony related to the skill and plan achievement during attack and block. The purpose of this study was to examine the Effect of Plyometric VS. Pilates Exercises on the Muscular Ability and Components of Jumping in Volleyball Players. Study Design: Experimental design. Methods: 30 subjects were selected randomly from the population using simple random sampling procedure and were divided into two equal groups. Group A was given plyomeric training and Group B was given Pilate training. Outcome measures were taken before and after the Program Schedule of 3 Sessions alternately in 1 week for 6week. Outcome measures: Vertical Jump height, Block jump, and the attack jump, Agility T test, Results: In Group-A (plyometric ) and Group-B (Pilate), all data was expressed as mean ± , SD and was statistically analyzed using paired ‘t’ test and independent ‘t’ test to determine the statistical difference among the parameters at 0.5% level of significance. Statistical data of agility t test, vertical jump height, the Block jump, and the attack jump in volley ball players showed that, there was no significantly difference between groups. And both were effective with p<0.05; i.e 95% of significance. Conclusion: In this study, we concluded that both groups (A & B) were effective in agility t test, improving vertical jump height, the Block jump, and the attack jump in volley ball players. But we recommend use of plyomertic training in volleyball players. KEYWORDS: Volleyball players, Plyometric training, Pilate training.

806-814

Authors: Mukesh Goyal *1, Salil Jandyal 2.

The present review study is carried out in order to study various practices in physiotherapy across different places. Physiotherapy is the health care profession primarily concerned with the remediation of impairments and disabilities and the promotion of mobility, functional ability, quality of life and movement potential through examination, evaluation, diagnosis and physical intervention. Physical therapy is a professional career which has many specialties including sports, neurology, woundcare, cardiopulmonary, geriatrics, orthopedic and pediatrics. The study concluded different practices in physiotherapy treatment across various places. Some authors mentioned very clearly the under utilization of physiotherapists in providing rehabilitation services and were of the strong opinion that the physiotherapists should be actively involved as they could play an important role in the implementation of a cost-effective rehabilitation service paradigm. One author examined the origin of physiotherapy and particularly its relation with the nursing. Some authors studied the trends and the desirability of specialization in physiotherapy practice, opportunities for individual practitioners to gain recognition as specialists, and the Scope for achieving greater harmonization of specialist practice and recognition across the EU. Few authors were of the view that as a profession integral to health promotion, prevention, acute care and rehabilitation, physiotherapy plays an essential role in the health care system. Some researchers pointed out the lack of evidence of use of tilt tables by physiotherapists in Intensive Care Units (ICUs) in Australian Hospitals. A group of researchers also threw a light on the practice and research of complementary and alternative medicine (CAM) in Canada and few discussed how physiotherapists might respond to the challenges of health care reform which took place in New Zealand some eight to ten years back. A group of authors brought to the limelight a very important observation which stated that the Physiotherapists are known to be prone to Work- related musculoskeletal disorders (WRMDs) but its prevalence among physiotherapists in Nigeria has not been reported. KEYWORDS: Physiotherapy & Practices, Musculoskeletal, Alternative Medicine, Health Promotion, Complementary Medicine.

824-830

Authors: Rohit Subhedar *, Vaibhavi Subhedar, Pallavi Dave, Priyanka Mishra, Ankit Kaur.

Enormous use of sophisticated technology in daily living has resulted in lifestyle disorders in form of obesity, hypertension, cardiac disorders and musculoskeletal problems in a community as a whole. This significant rise in physically unfit community prompted us to find a most cost-effective, simple, and reliable mode of physical fitness evaluation in form of Bioelectrical Impedance technology. An observational randomized experimental study was conducted at Multispecialty Department of Physiotherapy, Bombay Hospital-Indore-India. Tanita BC-418 working on the principle of Bioelectrical Impedance Technology was used for Body composition Analysis of 100 male and females with age group 40-50 years. Conclusion: BIA has proved to be an advanced diagnostic technology for evaluating human body fitness in today’s fast and rapidly advancing life style. The Body Composition Parameters important in evaluating physical fitness such as Body fat%, Fat Free Mass, Total Body Water%, BMR, segmental fat distribution can be easily assessed with this technique. Multi-frequency segmental Bioelectrical Impedance analysis identifies the Differences in segmental body fat% distribution and these differences signify the presence of regional pain, having musculoskeletal origin. KEYWORDS: Bioelectrical Impedance Technology, Human Body Composition parameters, Body Fat (BF) %, Fat Free Mass (FFM), Total Body Water (TBW) %, BMI, Basal Metabolic rate (BMR) and segmental Fat % Distribution.