Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Additive effect of Pulsed Electromagnetic Field Therapy (PEMF) on Hip Flexor Contracture in Post Polio Syndrome (PPS)


Affiliations
1 M.A.Rangoonwala College of Physiotherapy, Pune, India
2 Laxmi Memorial College of Pt.Mangalore, India
3 Society of Welfare for Physically Handicap, Pune, India
     

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Background and Purpose: Polio is a viral infection, mainly affecting the children under the age of 5years.Recurrence of pain, fatigue and weakness of muscles many years after the onset of polio are the characteristic of post polio syndrome(PPS). Many patients develops contracture in a weakened muscles due to disuse, there are studies that indicate separate benefit of PEMF and stretching in reducing pain and increasing ROM, but there is no clear cut study available in the literature to prove combined effects of PEMF and stretching in patients with PPS, hence there exist the purpose and background for the genesis of the study.

Methodology: 40 symptomatic subjects of both sexes fulfilling inclusion criteria were randomly taken, divided into 2 Groups, each of 20 subjects. (Hip flexor angle)Thomas test and visual Analog scale (VAS)were the outcome measures . Comparison of hip flexor angle and VAS score were done separately using paired student t test within experimental and control group. (p value at 0.05).Comparison of hip flexor angle and VAS score were done separately using unpaired student t test between the two Groups (p value at 0.05).

Results: Mean and standard deviation of hip flexor angle for experimental and controlled group at the beginning of treatment were 30.25±12.822 and 24.75± 10.572.post treatment were 15.50 ± 9.583 and 15.50 ± 9.584.Mean and standard derivation of VAS at the beginning treatment were 5.25 ± 2.124and 5.30 ± 2.342. VAS post treatment were 2.45 ± 1.905 and 4.05 ± 1.234. Although the results indicated the both PEMF and stretching produces significant improvement in relieving pain and hip ROM at the end of treatment program when compared with the pretreatment values. PEMF with stretching showed greater improvement when compared to only stretching in patients with PPS which was statistically significant (p value=< 0.05). PEMF in combination with stretching shows a significant improvement in relieving pain and reducing hip flexor contracture at the end of 15 treatment session compared to only stretching in patients with PPS.


Keywords

Pulsed Electromagnetic Field, Stretching, Contracture, PPS (Post Polio Syndrome)
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  • Jayant Joshi, PrakashKotwal: Essentials of Orthopedics and Applied Physiotherapy; New Delhi: ELSEVIER-2004

  • Elizabeth Farbu, Post Polio Syndrome-Diagnosis and management, ACNR; March-April 2005:05(01), 1473-78

  • Siddarth Shah, Paul Anand :API Textbook of Medicine : Mumbai. Urvi Compugraphics-2003.

  • Gonzalez H, Khademi M, Andersson M , Wallstor E, Borg K, Ollson T Prior. Poliomyelitis-evidence of cytokine production in the central nervous system, Journal of Neurological Science:200;205 (01):15.

  • Theodore L. Munsat, Post Polio Syndrome; Stoneham M A(USA): BUTTERWORTH.

  • Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Giese Provence; Muscle testing and function :4th edition ,Maryland; WILLIAMS AND WILKINS-1993.

  • Carolyn Kisner, Lyn Allen Colby .Therapeutic Exercises Foundation and Technique; 3rd Edition: PHILADELPHIA-1996.

  • Gossman m, SahrmannS.andRose S. Review of length Associated Changes in muscles; Physical therapy 62;1799,1982.

  • Kendall H. Kendall F, Posture and Pain, Williams and Willkins; Baltimore-1983.

  • Sotoberg G L ;Skeletal muscle Function. In Currier ,D P and nelson ,R M (eds),Dynamics of human Biological Tissues ,F A Davis ,Philadelphia 1992.

  • John Low and Ann Reed; Electrotherapy Explained ,Principle and Practice,3rd Edition ,BUTTERWORTH 2001.

  • David O Draper, Jennifer L Castro, Brent Fenald, Shane Schultheis, Dennis Eggett, Shortwave Diathermy and prolong stretching increases hamstring flexibility more than prolong stretching alone; Orthopedic and Sport physical therapy, 2004 jan;34(1):13-20.

  • Blank M, Recent development in the theory of ion flow across membrane under Imposed electric field ,in AA Marino ,Modern Bioelectricity, NewYork: Marcel Dekker,1988.

  • Sapaga AA, Quedenfeld TC, Moyer RA, Butter R A .Biophysical factors in ROM exercises ,Physician Sports medicine 1981;9(12):57-65

  • Gertsen J W. Effects of ultrasound on tendon extensibility. American Journal of physical medicine 1955;34:362-369.

  • Lehman JF, Masok A J ,Warren C G, Koblanski J N .Effect of therapeutic temperatures on tendon extensibility .Archives of physical medicine and rehabilitation,1970;51:481-487.

  • Warren CG. Lehman J F ,Koblanski J N. Elongation of rat tail tendon : Effects of load and temperature, Archives of physical medicine and rehabilitation,1971;52 :465-474 .

  • Warren CG. Lehman JF ,Koblanski J N Heat and stretch procedure: an evaluation using rat tail tendon. Archives of physical medicine and rehabilitation,1976;75:122-126.

  • Brown M, Vaker R D, Effects of Pulsed short wave Diathermy on skeletal muscles injury in rabbits physical therapy 1987;667:208-213.

  • Moore M A .Hutton R S electromagnetic investigation of muscle stretching techniques Med sci Sports exs 1980;12:322-329.

  • Rigby B J Hirai N Spikes J D Eyring J, The mechanical properties of rat tail tendon, Journal of general phys.1959;43:4645-649.

  • Rigby B .The effect of mechanical extension under thermal stability of collagen . Biochem Biophysics Acta,1964;79:634-636


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  • Additive effect of Pulsed Electromagnetic Field Therapy (PEMF) on Hip Flexor Contracture in Post Polio Syndrome (PPS)

Abstract Views: 899  |  PDF Views: 6

Authors

Seemab Khan
M.A.Rangoonwala College of Physiotherapy, Pune, India
M. Gajapathi
Laxmi Memorial College of Pt.Mangalore, India
M. Pandit
Society of Welfare for Physically Handicap, Pune, India

Abstract


Background and Purpose: Polio is a viral infection, mainly affecting the children under the age of 5years.Recurrence of pain, fatigue and weakness of muscles many years after the onset of polio are the characteristic of post polio syndrome(PPS). Many patients develops contracture in a weakened muscles due to disuse, there are studies that indicate separate benefit of PEMF and stretching in reducing pain and increasing ROM, but there is no clear cut study available in the literature to prove combined effects of PEMF and stretching in patients with PPS, hence there exist the purpose and background for the genesis of the study.

Methodology: 40 symptomatic subjects of both sexes fulfilling inclusion criteria were randomly taken, divided into 2 Groups, each of 20 subjects. (Hip flexor angle)Thomas test and visual Analog scale (VAS)were the outcome measures . Comparison of hip flexor angle and VAS score were done separately using paired student t test within experimental and control group. (p value at 0.05).Comparison of hip flexor angle and VAS score were done separately using unpaired student t test between the two Groups (p value at 0.05).

Results: Mean and standard deviation of hip flexor angle for experimental and controlled group at the beginning of treatment were 30.25±12.822 and 24.75± 10.572.post treatment were 15.50 ± 9.583 and 15.50 ± 9.584.Mean and standard derivation of VAS at the beginning treatment were 5.25 ± 2.124and 5.30 ± 2.342. VAS post treatment were 2.45 ± 1.905 and 4.05 ± 1.234. Although the results indicated the both PEMF and stretching produces significant improvement in relieving pain and hip ROM at the end of treatment program when compared with the pretreatment values. PEMF with stretching showed greater improvement when compared to only stretching in patients with PPS which was statistically significant (p value=< 0.05). PEMF in combination with stretching shows a significant improvement in relieving pain and reducing hip flexor contracture at the end of 15 treatment session compared to only stretching in patients with PPS.


Keywords


Pulsed Electromagnetic Field, Stretching, Contracture, PPS (Post Polio Syndrome)

References