Indian Journal of Public Health Research & Development

Tejashree S. Kumbhar ¹, G. Varadharajulu ¹

Affiliations
1 Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN

Abstract

Objective: To determine the morphological changes of coracoacromial arch in various shoulder disorders.

Method: An observational study was done, which included 100 subjects. They were selected by simple random sampling method as per the inclusion and exclusion criteria of the study. The inclusion criteria were, all clinically diagnosed shoulder disorders. The exclusion criteria were, coracoacromial ligament injury, post‑traumatic stiffness of shoulder, post‑operative conditions, recurrent dislocations and subluxations. The study was conducted at physiotherapy OPD of Krishna institute of medical sciences deemed to be university karad for a duration of 6 months. The ethical clearance for the study was taken from institutional ethical committee of KIMSDU Karad.

Result:

1. Shape of acromion‑out of 100 subjects 34 subjects were having flat morphology, 35 subjects were having curved morphology and 31 subjects were having hooked morphology.

2. Acromionangle‑In this study 34 subjects with flat morphology were studied and 100% subjects showed alteration in acromion angle. 100 % subjects were having acromion angle greater than 12 degrees where normal range is 0‑12 degrees. 35 subjects with curved morphology were studied and 91% subjects showed alteration in acromion angle. 91% subjects were having angle more than 27 where normal range is 12‑27 degrees. 31 subjects with hooked morphology were studied and 16% subjects showed alteration in acromion angle.16% subjects were having angle less than 27 where normal range is more than 27.

3. Lateral acromion angle‑amongst 100 subjects 79% subjects showed alteration in lateral acromion angle. 79% subjects showed more than 99 degrees of lateral acromion angle where normal range is 64‑99 degrees.

4. Acromion index‑out of 100 subjects 92% subjects showed acromion index less than 0.7 where normal value is more than 0.7.

Conclusion: The results of this study conclude that morphological changes of coracoacromial arch causes various shoulder disorders. The study further conclude that 79 % subjects showed altered lateral acromion angle, 92% subjects showed altered acromion index. 100% subjects with flat morphology showed altered acromion angle, 91% subjects with curved morphology showed altered acromion angle, 16% subjects with hooked morphology showed altered acromion angle.

Keywords

Coracoacromial Arch, Shape of the Acromion, Acromion Angle, Lateral Acromion Angle, Acromion Index.

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Arpan Dhoka ¹, G. Varadharajulu ¹

Affiliations
1 Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharshtra, IN

Abstract

Aim: To determine the effect of bilateral strengthening of scapular muscles to improve dynamic balance in post stroke individuals.

Objectives: To find the effect of bilateral scapular muscles strengthening in stroke and to find the upper trunk balance in stroke after intervention.

Materials and Method: 42 patients were included according to Brunstrom’s recovery stage 2 and voluntary control grade 2 of upper limb were randomized by chit method into two groups, group A (conventional Physiotherapy{PT}) and group B (bilateral scapular muscle strengthening and conventional PT) - with 21 patients in each group. All the patients were assessed with Berg balance scale (BBS), voluntary control grading of upper limb (VCG), and bilateral scapular muscle recruitment by Electromyography (EMG). The treatment was given for 5 days a week for 4 weeks. After 4 weeks effect of interventions were assessed by BBS, VCG and EMG.

Conclusion: Bilateral scapular muscles strengthening combined with conventional PT showed improvement in dynamic balance and had an additional effect on muscle recruitment, control of upper limb and mobility in stroke patients.

Keywords

Stroke, Scapular Muscles, Berg Balance Scale, EMG, Dynamic Balance.

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Neha Dighe ¹, S. Anandh ², G. Varadharajulu ³

Affiliations
1 MPTh (Community Health Sciences), Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
2 Professor, Unit Head (Community Health Sciences), Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
3 Dean, Professor, HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN

Abstract

Aim: To study the effect of weight-bearing and neurobic exercises on bone health and physical function in elderly individuals.

Objectives: The Objectives of the study are as follows: [1] To find out the effect of weight bearing on bone health and physical function in elderly individuals. [2] To find out the effect of weight bearing and neurobic exercises in combination on bone health and physical function in elderly individuals.

Method: Ethical clearance was obtained from Institutional Ethical Committee. 80 elderly individuals were assessed and 62 were included in the study based on inclusion criteria, the individuals were allocated into two groups: Group A (n=31) received Weight-bearing exercises and Group B (n=31) received Weightbearing and Neurobic exercises in combination. Pre and post-test were done for fasting serum calcium, alkaline phosphatase and SF 36 Health related quality of life questionnaire physical function component and the outcome measures were analysed after 6 weeks.

Result: Intergroup statistical analysis for serum calcium (p<0.0001), Alkaline phosphatase (p<0.0001) and SF 36 physical function component (p<0.0001) revealed extremely significant difference post intervention. Analysis of serum calcium, alkaline phosphatase and SF 36 score for group A (p<0.0001) and for group B (p<0.0001) was extremely significant respectively.

Conclusion: The study results concluded that Weight bearing and Neurobic exercises was significantly effective in improved bone health and physical function both individually and in combination.

Keywords

Weight Bearing, Neurobic, Exercises, Bone Health, Physical Function, Elderly Individuals.

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Pooja Rajendra Mane ¹, S. Anandh ², G. Varadharajulu ³

Affiliations
1 MPTh (Community Health Sciences), Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
2 Professor/Unit Head (Community Health Sciences), Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN
3 Dean/Professor/HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, IN

Abstract

Aim: To study the effect of structured exercise protocol for post menopausal stress urinary incontinence.

Objectives: To evaluate the effectiveness of structured exercise protocol for post menopausal stress urinary incontinence.

Methods: Ethical clearance was obtained from the Institutional Ethical Committee, KIMSDU, Karad. Initially the awareness program was conducted in karad and nearby areas. The selected sample was then studies at Krishna hospital, karad. 58 patients were equally divided into two group using convenient sampling with random allocation.Group A (n=29) , Group B (n=29). Baseline treatment was IFT and bladder training program. Group A was given structured exercises, Group B was given conventional exercises. Outcome measures were analyzed after 6 weeks.

Result: Intergroup comparison in group A result showed improvement in pad test (p = <0.0001). Group B was statistically extremely significant in improvement in pad test (p = 0.0002). Group A result showed that improvement in pelvic floor muscle strength (p = <0.0001). whereas Group B showed improvement in pelvic floor muscle strength (p = <0.0001). Group A result showed improvement in all parts of kings health questionnaire (p = 0.0001) and group B also showed improvement in kings health questionnaire (p = 0.0001) Intra group analysis reviled one hour pad test, KHQ, PFM strength considered significant in both groups.

Conclusion: The study concluded that structured exercises protocol along with IFT and bladder training was equally effective in reducing dribbling of urine, improvement in QOL, PFM strength.

Keywords

Urinary Incontinence, Post Menopausal Women , Bladder Training, Structured Exercises Protocol, IFT.

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Sushma Singh ¹, Javid H. Sagar ², G. Varadharajulu ³

Affiliations
1 MPTh (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
2 Professor Unit Head (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
3 Dean/ Professor/HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra,, IN

Abstract

Aim: To study the effect of PNF pattern on respiratory parameters in chronic bronchitis. Objectives: To find the effect of PNF pattern on respiratory parameters and to compare the effects of pursed lip breathing and PNF pattern in chronic bronchitis. Materials and Method: 60 patients were included according to inclusion and exclusion criteria by consecutive random sampling and were divided into two groups, group A (Conventional-PLB) and group B (D1 & D2 flexion and extension) - with 30 patients in each group. The treatment was given for 2 weeks thrice a day. After 2 weeks effect of interventions were assessed by taking Respiratory Rate (R.R), Oxygen Saturation (SpO₂) and FEV₁/FVC. Results:. There was significant difference in R.R, SpO₂ and FEV₁/FVC seen with PNF pattern exercises. The intra group comparison showed significant improvement in R.R, SpO₂ and FEV₁/FVC. The inter group comparison showed no significant improvement in SpO₂ and FEV₁/FVC except R.R Conclusion: PNF pattern has shown significant improvement in SpO₂, R.R and FEV₁/FVC.

Keywords

Chronic Bronchitis, PNF, PLB, PFT.

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Sushmita Goswami ¹, Javid H. Sagar ², G. Varadharajulu ³

Affiliations
1 MPTh (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
2 Professor/Unit Head, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
3 Dean/Professor/HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN

Abstract

Aim: To study the impact of Thera-Pep and Forced Expiratory Technique in Chronic Bronchitis patients.

Objectives: To find the effect of Thera-pep device in mobilizing secretion. To find the effect of forced expiratory technique in mobilizing secretion and To compare the effect of Thera-pep and forced expiratory technique in chronic bronchitis patients.

Materials and Method: 54 patients were included according to inclusion and exclusion criteria, were randomized by chit method into two groups. Group A (Forced Expiratory technique with coughing) and Group B (Thera-PEP device with coughing) - with 27 patients in each group. All the patients were assessed with Six Minute Walk Test (6MWT) and Peak Expiratory Flow Rate (PEFR). The treatment was given for twice a day for 6 days a week for 2 weeks. After 2 weeks, effect of interventions were assessed by 6MWT and PEFR.

Results: There was no significant difference in 6MWT and PEFR score in comparison of both experimental and conventional intervention. The inter group values of 6MWT and PEFR showed significant improvement in chronic bronchitis patients. The intra group values of 6MWT and PEFR showed no significant improvement in comparison of the techniques in chronic bronchitis patients.

Conclusion: Both the techniques are effective on removal and mobilizing of secretion individually in chronic bronchitis patients. However, the techniques when compared with each other were equally effective and there was no significant difference between each other.

Keywords

FET, 6MWT, Chronic Bronchitis, PEFR, Thera-PEP Device.

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