Journal of Exercise Science & Physiotherapy

74-82

Authors: Goyal, M.,; Bhattacharjee, S.; Goyal3, K.

The purpose of the study was to find out the combined effect of end range mobilization and mobilization with movement in patients with frozen shoulder. A total of 30 patients (male =16; female=14) were selected as subjects and they were further divided into 3 groups respectively (Group A=ERM; Group B=MWM; Group C=ERM+MWM). Each group comprising of 10 subjects (Group A & B male=6, female=4; Group C male= 4, female= 6). The results of the present study suggest that there was an improvement in the mean values of Range of Motion (both active & passive) and Shoulder Pain Disability Index scores after treatment in all the 3 groups. But it was found that an improvement was statistically significant more in the group C than the group A & B respectively. It was concluded that the combination manual therapy (ERM+MWM) should be incorporated in the treatment protocol of frozen shoulder patients to achieve better gain in the ROM & SPADI scores. Keywords: ERM, MWM, Frozen Shoulder, ROM, Disability

89-96

Authors: Gajanana Prabhu, B.

The purpose of the study was to find the effects of proprioceptive exercise training on joint reposition sense and balance in athletes with knee joint injury. The subjects selected for the purpose of the study were five male post graduate students between the age group of 23 to 29 years pursuing their M. P. Ed. during the academic year 2012-13. The subjects suffered from knee injury during sporting endeavors at intercollegiate and inter University levels. All the subjects were recovering from sprained ligament of right leg that occurred within a span of one year. Tests included were Weight-Bearing Joint Reposition Sense; Non-Weight-Bearing Joint Reposition Sense; Romberg's test- Bilateral; and Romberg's test- Unilateral. The experimental design selected for the present investigation was single group pre test- post test design. The selected tests were administered to the subjects twice during pre test and post test situations. Mean, Standard Deviation ‗t‘ tests were included to statistically treat the data. The pre and post test scores of subjects on joint reposition sense test with and without weight bearing, and bilateral Romberg‘s test for balance showed significant differences. The unilateral Romberg‘s test for balance does not show significant difference. It was concluded that the proprioceptive exercise training during post injury rehabilitation has beneficial effects on joint position sense and balance of athletes with knee injury. KEY WORDS: Knee injury, Sprain, Rehabilitation, Proprioceptors, Proprioceptive exercises.

105-112

Authors: Omole J.O.; Olaogun M.O.B.; Mbada C.E.

Neurological conditions in children constitute a major source of referral and workload for physiotherapy. This study assessed the pattern of neurological conditions in children seen at the physiotherapy department of a Nigerian tertiary hospital. A five-year retrospective review (January 2008 to December 2012) of children with neurological conditions seen in the Physiotherapy Department of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria was carried out. Data were gleaned on patients‘ demographic (gender, age and residential address) and clinical (diagnosis and source of referral) variables. A total of 410 paediatric cases were reviewed out of which 294 (71.7%) constituted neurological conditions with a male to female ratio of 1.5:1.0. The mean age of the study‘s participants was 32.9± 32.5 months. Cerebral Palsy (CP) was the most common neurological condition seen (50.3%) with spastic quadriplegic type as the most common (41.9%). Other types of neurological conditions seen were traumatic sciatic nerve palsy (22.4%), obstetric brachial plexus injury (13.3%), central nervous system infection (7.1%) and facial nerve palsy (1.4%). Physicians‘ referrals from the paediatric out patient department (27.2%) and children emergency ward (20.7%) followed by self-referral (18%) constituted the most of referrals. 44.2% of the cases were referrals from other satellite towns outside the location of the clinic. In Conclusion Paediatric neurological conditions constitute a huge burden for physiotherapy in Nigeria. CP and traumatic sciatic nerve palsy were the most common neurological conditions. Demographic distribution of neurological conditions seen in this study was similar to findings from previous studies in literature. Key words: Paediatrics, Physiotherapy, Neurological condition, Workload

119-124

Authors: Kumar, Ashok; & Reena

The purpose of this study was to observe the relationship between effects of different workload and load volume (i.e. 3 RM, 6 RM, 9 RM) of power clean on blood lactate production in female weight lifters. A total of six weight lifters with mean age, height and weight of 20.5 ±2.8 years, 161± 6.5cm and 70±7.4Kg respectively volunteered to participate in this study. Each subject‘s blood lactate was measured at rest and after 3RM, 6RM & 9RM with the help of a digital portable lactate analyzer (Lactate Scout) and the data were analyzed using Mean ±SD, T-test and correlation (Pearson).The maximum mean of relative absolute and %percent increase of blood lactate was 8.7±2.3mmol and 370.0±109.3% (3RM) followed by 7.4±2.0mmol & 349.8±112.0% (6RM) and 5.33±1.96mmol &33.3±81.3% (9RM).The difference in blood lactate at rest and after the execution of different work load volume was statistical significantly (p < .05). Insignificant correlation was found between the load lifted, load volume and posttest blood lactate in 3 RM, 6 RM and 9 RM. But when the data of different work load volume pattern was pooled together, there was a statistical significant negative correlation between load volume, posttest blood lactate (r = -0.63, p<.01), relative absolute (r = -0.61 p<.01) and percent increase in blood lactate (r = -0.57, p<.05). It was concluded that the blood lactate response depends upon the maximum absolute load lifted by the weight lifters as compared to the volume of load lifted. In other words, we can say that blood lactate production was largely dependent on the percentage of 1RM lifted. Key words: Lactate, 1RM, Power clean

129-134

Authors: Singh, Shinku Kumar

The primary aim of the present study was to compare the incidence of injuries sustained due to causes among three groups of competitive football players. The investigator has made an attempt to classify or define the groups of football players based on the aged of the football players. Accordingly three groups of football players were targeted; Junior, Young and Senior groups football players aged between 14 to 30 years. The investigator personally contacted the players and the purpose of the study was explained to them. Further instructions were given by the investigator to the players for the completion of questionnaire. A questionnaire prepared by Cromwell & Gromely (2000) for elite Gaelic football players and modified by the investigator was used. The information of injuries was collected from 685 elite football players of three groups. Total 480 injuries out of 388 football players were found out over the one year of the period. Means, Standard deviations, one way analysis of variance and post hoc test were utilized to compare the incidence of injuries among three groups of football players. The result reveals that there was statistically significant difference of incidence of injuries with respect to causes found in Stumble ( F=6.68,<.05) and Tackle ( F=13.30,<.05) However, there were insignificant difference of incidence of injuries found in Collision (F=.90), Running (F=.1.25), Contact with Ball (F=1.93), Foul play (F=0.25), Twist (F=2.23) and Kicking the Ball (F=0.75). Key words: Health related physical fitness, reaction ability, Rural, Urban

140-145

Authors: Kumar, Ashok; Shergill, Navkaran; & Jairaman

The purpose of this study was to observe the practice of physiotherapy in Neonatal and Paediatric Intensive Care Units (NICU and PICU) in Punjab state. The design of the study was exploratory cross sectional survey. Data was collected with the help of standardized questionnaire, which was sent to one hundred thirty therapists who worked in thirty eight different hospitals in Punjab and these hospitals have claimed physiotherapy facilities in their NICU and PICU premises. A period of two weeks was given to the therapists for the completion of questionnaire. If the therapists were not able to send the filled questionnaire within two weeks, then a reminder call was given to them for the next two consecutive weeks. It was found that only eighty-four (i.e. 64.61%) completed questionnaires was received from the twenty five hospitals. Results revealed that 60% of hospitals were having physiotherapists and out of which 51.2% therapists were graduate in nursing (B.Sc.), 41.7% graduate in physiotherapy (BPT) and 7.1% Master in Physiotherapy (MPT). It was concluded that not all of the patients get routine physiotherapy from the professionally qualified physiotherapists as part of their NICU and PICU stay in hospitals located in Punjab. Key words: ICU, Neonatal, Paediatric, Physiotherapy, Punjab

150

Authors: Sawant, P.J.

Author name correction: J. Exercise Science & Physiotherapy 2013 June; 9(1):6-11. Effect of aerobic dance on the body fat distribution and cardiovascular in middle aged women. Jaywant, P. J. Asst. Professor, Dept of Physiology, Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai 400008. Email drpallavisawnt@yahoo.in Erratum in: J. Exercise Science & Physiotherapy 2013 June; 9(2):150. Jaywant, P.J. [corrected to Sawant, P.J.].

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