International Journal of Physiotherapy and Research

1345-1351

Authors: M.Seshagirirao *1, Sudesh Thalathoti 2, Sumaiya Kauser Shaik 3.

Background and Purpose: The most common form of meniscal injury is mechanical failure of the tissue due to degeneration or trauma resulting in a tear. In a recent study by Shaji et al (2013) states that OKC and CKC are used often in clinical settings to treat patient’s lower extremity injuries. No study is there on effect of OKC and CKC on strength and stability of knee in meniscal instability. Materials and Methods: Thirty athletes were randomly selected into two groups of fifteen each based on inclusion and exclusion criteria and were given OKC exercises in one group, CKC exercises in another for one month. Pre-treatment and post-treatment values of hamstrings and quadriceps muscle strength and knee function score were measured and analysed statistically. Results: Results showed that P value is < 0.0001 for strength in hamstrings (OKC) extremely significant and P value is 0.0080 for quadriceps (OKC) very significant and P value is 0.0004 for stability in both groups is extremely significant. Conclusion: OKC and CKC exercises both were effective in improving knee strength and stability, but in OKC strength improvement is better than CKC and in CKC stability is better improved. KEYWORDS: OKC, CKC, Knee Strength, Lysholm knee scoring system, Meniscal instability.

1360-1364

Authors: Shah Ravi Jyotikant

Background: Neuromuscular Electrical Stimulation (NMES), splinting and Neurodevelopmental Therapy techniques are frequently used by the physiotherapist as an intervention for patients with stroke ( Cerebrovascular accident )with limited or impaired functional ability, ROM and pain. Hence the present study was done to compare the effectiveness between NMES and splinting, both administered along with NDT for improving hand function in hemiplegic patients. Materials and Methods: Out of 30 subjects who were diagnosed as having sub acute stroke and who showed a typical restriction of functional ability, ROM and pain of hand, 15 were administered NMES along with NDT for 4weeks and the other 15 were administered splinting along with NDT for 4weeks. Analysis was based on the improvement of the motor function of hand using ARAT Score. Results: The improvement in functional outcome showed a mean of 15.133 with t-value 18.824 in Group A ( NMES along with NDT ) and a mean of 18.0000 with t-value 31.632 in Group B ( splinting along with NDT ); comparison showed to be highly significant with p=0.007. The result indicates that both NMES and Splinting with NDT are effective in improving motor function of hand in patients with stroke, however, Splinting with NDT seems to be better compared to NMES with NDT. Conclusion: In conclusion the treatment programme consisting of Splinting with NDT may be more effective in improving motor and functional recovery of hemiplegics than NMES with NDT KEY WORDS: Hemiplegia, motor recovery, electrical stimulation.

1370-1377

Authors: Sam Thamburaj A1, Karthikeyan Rajendran *2, Rajeev Kuppalagan Rajendran 3.

Objective: The objective of this study was to find out whether there is any significant difference between the functional training program and standardized rehabilitation program in improving functional performance of anterior cruciate ligament reconstructed (ACLR) football players. Methods: A total of 30 subjects who met the selection criteria were divided into two groups respectively (15 per group). Subjects were randomly assigned in to two groups: a functional training group A (FTG, n = 15) and a control group B (CG, n = 15) at 3 months post- Anterior Cruciate Ligament Reconstruction (ACLR). The FTG participated twice per week in the functional training program (4hrs/week) including: a variety of intense, more aggressive and complex exercises designed to specifically increase neuromuscular control, muscle strength and power, proprioception, speed, and agility of the lower limbs, combined with an aerobic running training. The CG did not participate in any exercises performed by the FTG, following the standardized rehabilitation protocol, i.e., 3 sessions per week (6hrs/week) (consisting of running and strengthening, a few plyometric exercises with low intensity and slow progression, very few exercises of directional changing but no horizontal jump nor agility exercises. The two groups were assessed at 3rd and 6th month post-ACLR and the effects of training were measured using the following assessments: the functional performance done by standing long jump test and 3 hop test. Results: Paired t-test was used to compare the effect within the group and paired t-test of statistical analysis shows that the pre and post comparison for the standing long jump score (Group A: p=0.000, Group B: p=0.000) and three hop test score (Group A: p=0.000, Group B: p=0.000) shows significant difference (p<0.05). Independent ‘t’ test used to compare the difference between two groups. Result shows that there is statistical significant difference in the result in which the p-value is less than 0.05. This indicates that the functional training group have more effect on physical performance of subjects than the control group. Conclusion: The results of the study made us to conclude that functional training program was effective than the standardized rehabilitation program in improving functional performance of anterior cruciate ligament reconstructed (ACLR) of football players. KEY WORDS: ACL reconstruction, Knee Injury, Functional Training, Functional Performance.