International Journal of Physiotherapy and Research

839-844

Authors: Rashi Goel, Ganesh Balthilaya, Ravi Shankar Reddy

Lateral epicondylalgia is a degenerative musculoskeletal pain state characterised by pain over the lateral humeral epicondyle resulting in absenteeism from work and daily living activities. It is most prevalent in jobs requiring repetitive manual activities of the upper extremity. Literature describes different treatment options for lateral Epicondylalgia but there is no consensus about the most efficacious intervention strategy. Taping (athletic/kinesio) has been used successfully in various musculoskeletal conditions with successful results. To date, no study has investigated the effect of kinesio taping in lateral epicondylalgia. The purpose of the study was to investigate and compare the effects of kinesio taping and athletic taping on pain and muscle performance in patients with lateral epicondylalgia. 16 patients (9 males, 7 females) within age group of 18 – 50 years participated in the study. It was a cross over design. VAS, digital al goniometer and Jamar Dynamometer were used to quantify pain, pressure pain threshold and pain free grip strength. These were evaluated pre taping, immediately after taping and after 30 minutes of each taping application selected randomly for two consecutive days. Repeated measures ANOVA and percentage change were used to examine differences in outcome measures. Bonferroni correction was applied to correct for repeated testing. The results showed significant pain reduction and increase in grip strength after both the taping techniques but no statistically significant differences for any outcome measure between the two taping techniques (p>0.05). Also the immediate pain reduction was more after athletic taping (21%) than kinesio taping (10%) that corresponded to the immediate increase in pain free grip strength more after athletic taping (14.5%) than kinesio taping (9.7%). 30 minutes later both the outcome measures gave similar percentage changes . The present study concludes with the recommendation of both athletic taping as well as kinesio taping for gaining short term improvements in pain and muscle performance in patients with lateral epicondylalgia.

855-862

Authors: R.Vinodh Rajkumar

Physiotherapists must learn the biomechanics of lunge in detail to clearly understand its significance in human life and implement effective training measures to overcome the limiting factors of proper lunge of their clientele. To understand the biomechanical value of every movement, interesting experimental learning methods must be employed to kindle the Physiotherapists to actively take part in research activities from the under-graduate level onwards. Lungeometry is a novel, simple and inexpensive experimental investigation of lunge, applying basic geometrical methods taking near normal lower limb length dimensions and rationale approaches into consideration. Lungeometry can give a foundation to learn other forms of lunges like forward lunge, weighted lunges, lateral lunges. This model of learning biomechanics of movements using fundamental geometry techniques is expected to strongly connect with any futuristic Physiotherapy curricular structure.

868-874

Authors: R.Vinodh Rajkumar.

Humeral head spinning styles on glenoid fossa during various upper extremity movements are not fully explored. Multiple strengthening exercises and hands-on techniques have been evolved in treating shoulder joint dysfunctions to reestablish the axis of humeral spinning and kinetic maneuvers for normal shoulder joint functions. This innovative article elucidates the scopes of different types of perfect humeral head spinning to give new researching foundation for valid exercise innovations in the domain of shoulder strengthening and rehabilitation.

885-888

Authors: Gokarakonda Sree Vamsi, Antony Leo Aseer.P

Background: The most common approaches used in Total Knee Replacement surgery are Midvastus, subvastus, median parapetellar, lateral patellar and trivector approach. There is uncertainty as to the best surgical approach to the knee joint for knee replacement. Median parapetellar approach is the standard of practice, but off late quadriceps sparing approaches as like subvastus and midvastus are performed. Subvastus approach has its own limitation of less joint exposure. In our clinical setup, orthopaedic surgeons perform median parapetellar and midvastus approach. The present study has compared outcome of knee function between a standard median parapetellar arthrotomy and mid vastus arthrotomy for patients undergone primary total knee arthroplasty. The post op quadriceps function depend on the type of surgical approach Materials and methods: 30 subjects were recruited who had undergone Total knee arthroplasty with Median parapetellar and Midvastus approach at Sri Ramachandra medical hospital; received standard physiotherapy care. The pre-op and post quadriceps angle were measured and the quadriceps, hamstrings isometric muscle strength and 6 minute walk test of the patients were recorded at the time of discharge and after one month of follow-up, and the data were statistically analyzed. Results: Median parapetellar and Midvastus approach were significant within the groups; with respect to quadriceps angle (QA) (p<0.05), isometric strength of quadriceps (QS) (p<0.05) and 6 minute walk test (WT) (p<0.05). On comparing between the groups at one month follow-up isometric strength of hamstrings (HS) (p<0.01) and 6 minute walk test (p<0.01) were found to be significant. Discussion: Findings show that Mid-vastus approach provides better results in terms of quadriceps angle, isometric strength of quadriceps and 6 minute walk test compared to median parapetellar approach. Conclusion: Study concludes that, the isometric strength of quadriceps and hamstrings has improved at the time of discharge and after one month of follow up (within the group). However no much significant changes seen between the groups.

894-904

Authors: Jayanta Nath

Background and Objectives: The study was carried out to find out the effect of hip abductor strengthening among non-professional cyclists with iliotibial band friction syndrome. Subjects: 40 non-professional cyclists with ipsilateral ITBFS subject including male and female age between 18 to 50 with positive ober’s and nobble test were included in this study. Methods: 40 subject were selected according to the inclusion criteria and they were assessed pre and post for ROM (hip adduction, IR), hip abductor strength and pain using goniometer,sphygmomanometer and VAS. Subject were assign experimental group(group A 20 subject) who received IT band stretching,US,and hip abductor strengthening exercise and control group (group B 20 subject) who received same treatment except hip abductor strengthening. Data Analysis and Results: Based on statistical analysis using Wilcoxon test to compare the pre and post test pain in both group,Mann- whitney U- test to compare the post test pain scores of between groups ,Paired t - test to compare the pre and post ROM and strength in both groups, Unpaired t – test to compare post test ROM in between groups showed that pre post difference within group A there was significant difference for adduction ROM (p value <.0001),IR (p value <.0001),VAS(p value <.0001),and strength improve pre mean 40.80 to post mean 66.30 (p value <.0001).However in group B adduction ROM and VAS were found to be significant. In comparision in difference between groups it was found that adduction ROM,IR ROM,VAS and strength all were significant. Baseline data for outcome variable were not statistically significant. Conclusion: Based on outcome variable there was significant difference of hip abductor strengthening among non-professional cyclist with iliotibial band friction syndrome.