25 research outputs found
Prevalence Of Musculoskeletal Disorders In Patients Undergoing Haemodialysis in a Tertiary Care Hospital: A Cross-sectional study
No full textBackground: Chronic kidney disease (CKD) is a significant public health problem. Dialysis is the mainstream method of treatment in these patients. This causes the patients to have a monotonous and restricted daily life, joint pain, limiting their activities after treatment onset. Hence this study was carried out to find the prevalence of common musculoskeletal disorders in patients undergoing haemodialysis in a tertiary care hospital.
Method: 50 participants undergoing dialysis in a tertiary care hospital under the age group of 18-70 years diagnosed with stage V CKD were included using convenient sampling. They were assessed using Nordic Questionnaire to locate the different areas of pain.
Result: The first group consisted of 41 participants who underwent dialysis from 2- 41 months. Body regions commonly affected in the last 7 days were low back 25(60.97%); neck 21(51.21%); shoulder 15(36.58%); elbow 14(34.14%) in the extremity with arteriovenous fistula; upper back 14(34.14%); hips/thighs, knees 9(21.95); wrist/hands 7(17.07%) in the extremity with arteriovenous fistula; ankle/feet 6(14.63%). The second group consisted of 9 participants who underwent dialysis from 42-84 months. Body regions commonly affected in the last 7 days were low back 8(88.88%); upper back 7(77.77%); hip/thigh 6(66.66%); neck, knee 5(55.55%); elbow 4(44.44%) in the extremity with arteriovenous fistula; shoulder, ankle/feet, wrist/hands 3(33.33%).
Conclusion: The study concluded that the highest prevalence of musculoskeletal disorders in the participants undergoing haemodialysis was low back pain (66%) followed by neck (52%), upper back (42%), shoulder (36%), elbow (36%), hips/thighs (30%), knees (28%), wrist/hands (20%) and ankle/feet pain (18%)
EFFECTIVENESS OF MULLIGAN MOBILIZATION WITH CONVENTIONAL PHYSIOTHERAPY IN KNEE OSTEOARTHRITIS: - A CASE SERIES
No full textBackground: Osteoarthritis (OA) is the most common joint disease causing disability. Current Physical therapy management for knee OA is aiming to increase range of motion and improve functional performance. So the purpose of this study to assess the effectiveness of Mulligan Mobilization along with Conventional Physiotherapy in Knee osteoarthritis patients. Method: Patients of knee pain who fulfilled inclusion criteria were taken in study. Outcome like The Knee Injury & osteoarthritis Outcome Score (KOOS) Index, ROM with the help of Universal Goniometer, Manual muscle testing with Medical Research Council (MRC) scale & time up and Go test were taken at baseline and after 4 wks. Mulligan Mobilization along with conventional Physiotherapy was given to all patients for 4 wks. Result: Showed there was significant improvement 25.08% in Koos Index, while in knee flexion ROM, improvement on right side was 9.94% or in left side 6.20%. while muscle strength in MMT with 25% on right side or 4% on left side improvement seen for knee flexor and 5% on right side or no any improvement seen on left side for knee extensor. Time up and go test also showed 10.89% improvement compared to baseline. Conclusion: Improvement is seen in patients with knee osteoarthritis by Mulligan Mobilization along with Conventional Physiotherapy
PREVALENCE AND SEVERITY OF HAMSTRING TIGHTNESS AMONG COLLEGE STUDENT: A CROSS SECTIONAL STUDY
No full textBackground: Flexibility is important for normal biomechanical function. Muscle tightness is caused by a decrease in the ability of the muscle to deform. Hamstring tightness leads to high risk of recurrent injury, decreases the performance in athletes, lead to post-exercise soreness and decreases coordination among athletes. Hence, the objectives of this study was to find out the prevalence and severity of the hamstring tightness among college going student. Method: In this cross sectional study 50 participants with hamstring tightness were included using purposive sampling. The tightness was measured by AKE test. Three measurement were taken and average of their reading was noted. Result: Analysis showed higher prevalence of hamstring tightness among college students. More students were affected with AKE angle between 30o-45o. Conclusion: Prevalence of hamstring tightness is very high in college going student of age group 18-25 years.
Keywords: Prevalence; Active knee extension test; Hamstring Tightness severity
Effectiveness of Balance Exercise Program in Total Knee Arthroplasty: Meta-Analysis
No full textBackground: Balance is essential for maintaining postural stability while performing functional activities and for falls avoidance in patients with TKA. There are very few RCTs done to assess functional improvement after TKA. Hence, this study was undertaken to find out evidence on physiotherapy treatment in TKA and analyze it. Methods: We searched Medline, CINAHL, PEDro from the year 2001 to 2015 for RCT involving evaluations of physiotherapy exercise in adults with a knee replacement. Search criteria’s were pain, stiffness, adherence and attrition. The inclusion criteria were studies which included physiotherapy exercise for balance specific exercises which compared various functional training and functional training with balance exercise in TKA. Result: Searches identified 20 randomized trials related to TKA and physiotherapy. Only three were fulfilled the inclusion criteria. Functional training with balance exercises found to be effective in patients with total knee arthroplasty. Conclusion: After total knee replacement, interventions including physiotherapy along with balance exercises showed improvement in pain, stiffness and functional performance in mobility.
Keywords: Osteoarthritis; Balance; Total knee arthroplasty physiotherapy
Effectiveness of Structured Physiotherapy Intervention on Pain, Propriocep-tion and Balance in Total Knee Arthroplasty :Pre and post test Pilot study.
No full textBackground: Patients with severe knee osteoarthritis requires Total knee arthroplasty (TKA). TKA is a surgical pro-cedure to replace the weight bearing surfaces of the knee joint to reduce pain and disability. The main aim of this study is to find out the effectiveness of structured physiotherapy intervention on pain, proprioception and balance in patients with TKA. Material and Methods: 10 participants were included in this pilot study with unilateral TKA. Struc-tured physiotherapy intervention was given for 4 weeks post TKA. Outcomes were assessed at baseline, 2 weeks and at 4 weeks after structured physiotherapy intervention. Results: Pain decreased significantly from baseline (60.50%), balance (28.40%) and knee ROM (31.81%) have been improved. There was only 5.63% change in joint proprioception from its baseline values. Conclusion: After 4 weeks of Structured Physiotherapy intervention we found a significant reduction in pain and improvement in balance and knee ROM while there was no improvement in knee joint proprio-ception. However, adequate powered RCTs are needed to determine the long term effect of exercise therapy on pain, proprioception and balance after TKA
VALIDITY AND RELIABILITY OF 'ON PROTRACTOR' SMARTPHONE APPLICATION FOR MEASUREMENT OF CRANIOVERTEBRAL AND CRANIO-HORIZONTAL ANGLE
No full textBackground: Measuring angles and movement is an important aspect of clinical assessment. Over the years, various methods have been used to measure the angles. Image based smartphone goniometer offers an easy and non-invasive method for measuring craniovertebral and cranial horizontal angle. However, the validity of this approach has not been established yet. The purpose of this study was to investigate the validity and reliability of a smartphone based application, by comparing the results of the application and ‘AutoCAD®’ software.
Methods: Convenient sampling of asymptomatic participants (Males=4 and females =16) who met the inclusion criteria were examined by two researchers for craniovertebral (CVA) and cranial horizontal angle (CHA) using ON Protractor smartphone application and ‘AutoCAD®’ software. The third examiner analyzed the anthropometric and descriptive data. Validity and reliability were measured using intraclass correlation coefficients (ICC) and p-value.
Result: Good to excellent Intra-rater and inter-rater reliability was demonstrated for CVA and CHA when ON Protractor mobile application and AutoCAD® were compared, with ICC values 0.879 and 0.991 respectively.
Conclusion: Smartphone mobile application-ON Protractor is a reliable tool to measure craniovertebral and cranial horizontal angle
IMMEDIATE EFFECT OF INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION ON HAMSTRING MUSCLE EXTENSIBILITY – PRE AND POST TEST DESIGN
No full textBackground: Hamstring is a group of muscles at the posterior aspect of the thigh which is more prone to strain or tearing. Instrument Assisted Soft Tissue Mobilization (IASTM) is a new range of tool used for assessment and treat-ment of muscle tightness. Objective was to find out the effect of Instrument Assisted Soft Tissue Mobilization (IASTM) on increasing Hamstring muscle extensibility in terms of knee extension range of motion. Materials and Methods: 30 participants were selected using purposive sampling and assessed for hamstring tightness and pre-test ROM was measured using the AKE test. Then they were given hot pack for 5-10mins, after that IASTM was administered using edge tool, for 1min. The post-release subject was engaged in light active exercise and then post-test ROM was meas-ured and the difference was noted. Results: There was a significant difference in the AKE test pre and post value when compared with the paired t-test. (p-value < 0.0001). Conclusion: Edge tool used for Instrument Assisted Soft Tissue Mobilization is useful to increase Hamstring Muscle Extensibility
Work related musculoskeletal disorders among hospital nurses in rural Maharashtra, India: a multi centre survey
No full textNurses have one of the highest rates of MSD of any occupation. Although en number of studies were done to find out prevalence of Work related musculoskeletal disorders (WMSDs) among nurses across the world, there is limited information on its prevalence in Rural Maharashtra. This study investigated prevalence of WMSDs, job risk factors and the coping strategies towards reducing the risk of development of WMSDs among nurses from selected hospitals in rural Maharashtra, India. Validated questionnaires were distributed to 250 nurses working rural hospitals across Maharashtra but only 228 questionnaires were returned and 212 complete questionnaires were included for study. On Analysis we found that 89.1% nurses had experienced work-related musculoskeletal pain or discomfort at sometime in their occupational lives. WMSDs was highest in the low back (48.2%), followed by the shoulder (34.6%), neck (33.1) and knee (29 %). Other regions with less prevalence were Thoracic (10.5%), Feet and ankle (7.6%), Elbow ( 1.88%) and Hip (1.6 %). Priority was given to getting help to handle heavy patients ( 57.1 %), nursing procedure modification in order to avoid stress injury ( 50.2 %) coping strategies. Our study Concluded that high prevalence of LBP, Shoulder, neck and Knee pain over a 12-month period among nurses working in Rural hospitals in Maharashtra state , and certain risk factors like working in same position for long time, bending, twisting, lifting and treating excessive number of patients were strongly associated with WMSDs
Knee Osteoarthritis Revisited; But Only After KL Grading Is Tested: A Retrospective Analysis
No full textBackground: Osteoarthritis (OA) of the knee is one of the major causes in musculoskeletal condition leading to functional loss in patients. Determining the progression of the disease is a useful tool which will help in the planning of the exercise programme to slow or halt the disease progression. Measuring the joint space width of the tibiofemoral joint is one of the best options for knowing the disease progression and helps in designing an exercise programme. Aim: Retrospective measurement of joint space width in patients with bilateral tibiofemoral osteoarthritis of the knee joint. Methodology: Data was retrieved from the picture archiving and communication system (PACS) from 1st of February to 22nd of June 2018. Radiographs that were showing OA knee features by using Kellegren Lawrence (KL) grading system were considered and the joint space between the tibial and femoral compartment was measured. Result: The joint space width showed more reduction in the medial compartment of the joint as compared to the lateral compartment. Conclusion: In the rural population of Maharashtra the medial joint space is markedly decreased as compared to the lateral compartment of the tibiofemoral joint and as the KL grade increases the joint space width decreased.
Keywords: Osteoarthritis; Knee; Joint space width; Rural Maharashtra
