Background-Many studies are done on the effect of Retro-walking ,there are less study done on the effect of Retro-walking in mechanical low back pain, so the objective is to find the effect of Retro-walking on mechanical low back pain in... more
Background-Many studies are done on the effect of Retro-walking ,there are less study done on the effect of Retro-walking in mechanical low back pain, so the objective is to find the effect of Retro-walking on mechanical low back pain in women. Method- 30 women having mechanical low back pain were divided in 2 groups Group A( n=15, mean age 36.73) and Group B(n=15, mean age 34), Group A underwent core strengthening exercises(static abdomen, static back, pelvic rotations) and hot pack for 10 min, and Group B underwent same protocol along with Retro-walking for 10 min, the protocol was given for 4 weeks, outcome measures were NPRS at rest and activity and core strength Result- data analysed by paired t test for same group pre and post and unpaired t test for intergroup analysis and the result showed that there was significant reduction in NPRS at rest and activity in both the groups but group B showed more reduction, core strength increased in both the groups, but it was statistically...
Research Interests:
Research Interests:
Introduction : Work related musculoskeletal disorders of upper limb are one of the most common occupational disorders around the world. The pattern of occurrence of WRMSDs and its relation with ergonomic intervention ... more
Introduction : Work related musculoskeletal disorders of upper limb are one of the most common occupational disorders around the world. The pattern of occurrence of WRMSDs and its relation with ergonomic intervention among housekeepers has not been widely reported. The aim of is study was to compare effect of ergonomics along with exercise verses only exercise in UEWRMSDs in housekeepers. Methods : A randomized control trail conducted among housekeepers. Subjects fulfilling inclusion criteria were taken. Numerical Pain Rating Scale and Nordic Musculoskeletal Questionnaires used as outcome measure. 100 subjects screened and 30 were included in study. Subjects were randomly allocated into two groups. Group A received conservative exercise with ergonomic intervention for their housekeeping activities like sweeping, mopping, wringing mops, cleaning walls. Group B received conservative exercise. T...
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Introduction: Elderly population shows many health related disorders which disrupt their functional performance. Exercise training can alter muscle strength, balance, gait, endurance and finally physical function. Whole Body Vibration... more
Introduction: Elderly population shows many health related disorders which disrupt their functional performance. Exercise training can alter muscle strength, balance, gait, endurance and finally physical function. Whole Body Vibration (WBV) may enhance reduced performance. Hence, the present study evaluated the effects WBV on balance and functional performance in elders. Aim: To assess and compare the effects of squat training on WBV versus plane surface on balance using Timed Get-Up and Go Test (TUG) and functional performance using Short Physical Performance Battery (SPPB). Materials and Methods: This quasi-experimental study was conducted at Dr. D.Y. Patil College of Physiotherapy, Pune, Maharashtra, India from August 2015 to March 2016, including 30 healthy elderly individuals with age between 60 to 70 years. They were divided into group A (Squat training on vibratory surface) and group-B (squat training on plane surface). Training was given for four weeks, three sessions per we...
Research Interests:
Parkinson’s disease (PD) is the second most common neurodegenerative disorder, characterised by the cardinal features of rigidity, tremors, bradykinesia & postural instability 1,2 . Balance disturbances, poor quality of life and... more
Parkinson’s disease (PD) is the second most common neurodegenerative disorder, characterised by the cardinal features of rigidity, tremors, bradykinesia & postural instability 1,2 . Balance disturbances, poor quality of life and depression are common in Parkinson’s disease. Habitual social dancing over several years is associated with superior balance, gait function and leg reaction times compared to age-matched non-dancers 9,10 . Older adults who danced were more motivated to pursue healthy, exercise-related behaviors and demonstrated improved balance and functional mobility 11,12 . Dance is an excellent example of an activity that provides these requirements and is considered enjoyable, motivating and engaging. In addition, quality of life improved significantly among individuals with PD who participated in tango, whereas those who participated in Waltz/Foxtrot or Tai Chi had no change 17. METHOD: 15 patients were selected by convenient sampling. Intervention was given for balance...
Research Interests:
Background: Birth weight is a significant determinant of newborn survival. In neonatal deaths, LBW is the underlying cause in 60-80% cases. This study was aimed to assess whether preterm infants receiving Multisensory intervention had... more
Background: Birth weight is a significant determinant of newborn survival. In neonatal deaths, LBW is the underlying cause in 60-80% cases. This study was aimed to assess whether preterm infants receiving Multisensory intervention had more rapid weight gain compared to control group infants during NICU stay.Methods: Subjects for the study were preterm infants between 32 to 37 weeks of gestation age with birth weight between 1500 g to 2500 g and staying in NICU. Participants meeting inclusion criteria were randomly divided into either experimental group (n=15) or control group (n=15). The experimental group received Multisensory stimulation such as Auditory, Tactile, Visual and Vestibular stimulation for 10 consecutive days (15 min. /day) in NICU. Control group received routine NICU care. Weight was measured using an electronic weighing scale at day-1, day-5 and day-10 of intervention in both the groups and collected data was analysed.Results: The preterm infants of the experimental ...
Research Interests:
Background: Dizziness is a typical manifestation of vestibular pathologies. Clinical studies have shown that it affects 1.82% of young adults to more than 30% older adults. Habituation and compensation are some traditional rehabilitation... more
Background: Dizziness is a typical manifestation of vestibular pathologies. Clinical studies have shown that it affects 1.82% of young adults to more than 30% older adults. Habituation and compensation are some traditional rehabilitation protocols. Objective: Yoga is also known to have a significant effect on vestibulopathy. Hence, a need arises to compare the above two maneuvers. Materials and methods: Participants were recruited (n = 32) after screening using the Dix-Hallpike and head impulse test. They were then divided into two groups (n = 16). The first one, Group A, received yogasanas, and the second one, Group B, received gaze stabilization and habituation exercises for 4 days a week for 3 weeks. Pre- and post intervention outcome measures were taken using the motion sensitivity quotient (MSQ) score and Dizziness Handicap Inventory (DHI) scale. Results: In reducing symptoms of dizziness, the between-group comparison shows that Group A has shown greater improvement (12.37% ±1.43%) in MSQ and Group B has shown greater improvement (16.12 ± 3.56) in DHI. Within-group comparison shows that both the interventions are effective in reducing symptoms of dizziness (P < 0.05). Conclusion: Both gaze stabilization along with habituation exercises and yogasanas are effective in improving the symptoms of dizziness in patients with peripheral vestibular dysfunction. When compared between the groups, yogasanas had a superior hand in the MSQ score, whereas gaze stabilization and habituation exercises had a superior hand in the DHI scale.
Research Interests:
Research Interests:
ABSTRACT Introduction-Stroke is an acute, neurological event that is caused by an alteration in blood flow to the brain leading to loss of upper limb function contributing to functional disability, affecting quality of life and... more
ABSTRACT Introduction-Stroke is an acute, neurological event that is caused by an alteration in blood flow to the brain leading to loss of upper limb function contributing to functional disability, affecting quality of life and independence in ‘basic’ and ‘instrumental’ activities. Motor Relearning Programme (MRP) is a task-oriented approach to improving motor control, focusing on the relearning of activities and PNF approach is a neuro-motor development training to improve motor function and facilitate maximal muscular contraction. Objective- the study was done to find the effectiveness of Motor Relearning Programme and Proprioceptive Neuromuscular Facilitation in improving upper limb function in stroke patients. Methods-30 stroke patients with upper extremity tone of less than 2 on Modified Ashworth Scale and Brunnstorm Voluntary Control score of 4 and 5 were selected. They were divided into two groups by simple random sampling: One group received MRP training while other with PNF training along with conventional therapy for 4 times a week for 4 weeks. Pre and post assessment was done by using Fugl Meyer Upper Extremity and Upper Extremity Stream Index. Statistical analysis done by using Wilcoxon Signed Rank Test and Mann Whitney U test. Results-Significant improvement within the groups seen in Fugl Meyer Upper Extremity and Upper Extremity Stream Index but when compared there was no statistical significance seen in Fugl Meyer(p=0.738) and STREAM(p=0.231). Conclusion: MRP and PNF training were equally effective in improving upper limb function in stroke patients. Keywords- Stroke, Fugl Meyer, Stream Index, MRP, PNF
Research Interests:
Myofascial trigger point (TrP) is hyperirritable area located in a taut band of skeletal muscle that is painful on compression, gives characteristic referred pain & an autonomic response to a remote area. Trapezius acts continuously... more
Myofascial trigger point (TrP) is hyperirritable area located in a taut band of skeletal muscle that is painful on compression, gives characteristic referred pain & an autonomic response to a remote area. Trapezius acts continuously to hold the head upright, leading to formation of TrP.To compare effect of ultrasound (US) & ischaemic compression(IC) on latent TrP in upper trapezius. Pretest-posttest experimental group design. 30 subjects were randomly assigned from inclusion criteria in 2 groups, group A (n=15) treated with US & B (n=15) with IC, for 7 days. Outcome measure was feel threshold (TF), pain threshold (TP), pain tolerance threshold (PTT) by using galvanic current. paired and unpaired t test was applied. Both the groups showed improvement (p<0.00). Both US & IC are equally effective in treating TrP showing increase in TF,TP,TT and subsequently reduction in pain sensitivity on TrP.
Research Interests: Ultrasound and Medicine
Objective: To analyze and compare the effects of Vibrapole exercises and elastic band exercises on abdominal strength in young healthy individuals. Material and Methods: In this experimental study, 80 healthy, young individuals between... more
Objective: To analyze and compare the effects of Vibrapole exercises and elastic band exercises on abdominal strength in young healthy individuals. Material and Methods: In this experimental study, 80 healthy, young individuals between the age groups of 18-24 were screened and recruited and then allocated into 2 groups. Group A- abdominal strengthening exercise using vibrapole (n= 40) and Group B- abdominal strengthening exercise using an elastic band (n=40). The intervention was administered for 3 days/week, for 4 weeks to both groups. Progression was adjusted after 2 weeks, by increasing repetitions of exercises from 10 to 20. Outcome measures, including: surface Electromyography (EMG), pressure biofeedback and 7 stage sit-up test, were assessed pre and post-intervention. The analysis was performed with a 95% confidence interval. Results: Group A and B showed significant improvement (p-value<0.001) when analyzed individually for surface EMG, pressure biofeedback and 7-stage sit...
Background: Pain is the most common symptom for seeking therapeutic alternative to conventional medicine. Trigger points (TrP) being the most debilitating cause of nonspecific neck pain, are found to be more prevalent in trapezius muscle.... more
Background: Pain is the most common symptom for seeking therapeutic alternative to conventional medicine. Trigger points (TrP) being the most debilitating cause of nonspecific neck pain, are found to be more prevalent in trapezius muscle. Various instrument-based and other manual therapy techniques are effective in the treatment of TrP. Objective: To compare the effect of Myofascial Cupping (MFC) and Integrated Neuromuscular Inhibition Technique (INIT) on the upper trapezius latent TrP on pain intensity, pressure pain threshold (PPT) & cervical range. Method: A randomized trial controlled on 40 individuals aged 20–40 years, both gender with latent TrPs in upper trapezius excluding ones who have taken treatment for upper trapezius TrPs within 6 months. Participants were randomly allocated into 2 groups by chit method, one group received MFC and other INIT. Pre- and post-intervention assessment was done using NPRS, pressure algometer and goniometer. Result: Within group, pain has sign...
Research Interests:
Research Interests:
Background: Dizziness is a typical manifestation of vestibular pathologies. Clinical studies have shown that it affects 1.82% of young adults to more than 30% older adults. Habituation and compensation are some traditional rehabilitation... more
Background: Dizziness is a typical manifestation of vestibular pathologies. Clinical studies have shown that it affects 1.82% of young adults to more than 30% older adults. Habituation and compensation are some traditional rehabilitation protocols. Objective: Yoga is also known to have a significant effect on vestibulopathy. Hence, a need arises to compare the above two maneuvers. Materials and Methods: Participants were recruited (n = 32) after screening using the Dix–Hallpike and head impulse test. They were then divided into two groups (n = 16). The first one, Group A, received yogasanas, and the second one, Group B, received gaze stabilization and habituation exercises for 4 days a week for 3 weeks. Pre- and post intervention outcome measures were taken using the motion sensitivity quotient (MSQ) score and Dizziness Handicap Inventory (DHI) scale. Results: In reducing symptoms of dizziness, the between-group comparison shows that Group A has shown greater improvement (12.37% ±1....
Research Interests:
Introduction-Stroke is an acute, neurological event that is caused by an alteration in blood flow to the brain leading to loss of upper limb function contributing to functional disability, affecting quality of life and independence in... more
Introduction-Stroke is an acute, neurological event that is caused by an alteration in blood flow to the brain leading to loss of upper limb function contributing to functional disability, affecting quality of life and independence in ‘basic’ and ‘instrumental’ activities. Motor Relearning Programme (MRP) is a task-oriented approach to improving motor control, focusing on the relearning of activities and PNF approach is a neuro-motor development training to improve motor function and facilitate maximal muscular contraction. Objective- the study was done to find the effectiveness of Motor Relearning Programme and Proprioceptive Neuromuscular Facilitation in improving upper limb function in stroke patients. Methods-30 stroke patients with upper extremity tone of less than 2 on Modified Ashworth Scale and Brunnstorm Voluntary Control score of 4 and 5 were selected. They were divided into two groups by simple random sampling: One group received MRP training while other with PNF trainin...
Research Interests:
Background: A spastic ankle reduces walking velocity and mobility resulting in impaired gait and difficulty in ambulation. Increased plantar flexor spasticity has a devasting effect on dorsiflexion range and also contribute to increased... more
Background: A spastic ankle reduces walking velocity and mobility resulting in impaired gait and difficulty in ambulation. Increased plantar flexor spasticity has a devasting effect on dorsiflexion range and also contribute to increased energy consumption during gait. H amplitude as objective measurement is more accurate in assessing spasticity by using H reflex. Objective: To determine the effect of various types of tDCS on plantar flexor spasticity by using H reflex and also to know which type of tDCS is more efficient in reduction of plantar flexor spasticity Methods: A total of 30 participants were included in study with plantar flexor spasticity. patients were randomized into 4 groups using chit method. All Patients were evaluated for spasticity grade by using modified Ashworth scale (MAS). H reflex was assessed for all patients followed by application of Cathodal tDCS for group 1 (n=8), Anodal tDCS for group 2 (n=7), Bi-hemispheric tDCS for group 3 (n=7) and sham tDCS for grou...
Research Interests:
Myofascial trigger point (TrP) is hyperirritable area located in a taut band of skeletal muscle that is painful on compression, gives characteristic referred pain & an autonomic response to a remote area. Trapezius acts continuously to... more
Myofascial trigger point (TrP) is hyperirritable area located in a taut band of skeletal muscle that is painful on compression, gives characteristic referred pain & an autonomic response to a remote area. Trapezius acts continuously to hold the head upright, leading to formation of TrP.To compare effect of ultrasound (US) & ischaemic compression(IC) on latent TrP in upper trapezius. Pretest-posttest experimental group design. 30 subjects were randomly assigned from inclusion criteria in 2 groups, group A (n=15) treated with US & B (n=15) with IC, for 7 days. Outcome measure was feel threshold (TF), pain threshold (TP), pain tolerance threshold (PTT) by using galvanic current. paired and unpaired t test was applied. Both the groups showed improvement (p<0.00). Both US & IC are equally effective in treating TrP showing increase in TF,TP,TT and subsequently reduction in pain sensitivity on TrP.
Research Interests: Ultrasound and Medicine
Objectives: To find the effect of fine motor skill training on decoding skills in school going children between the ages of 4 to 9 years and to compare its effect between both the genders. Study design: An Experimental study on 30school... more
Objectives: To find the effect of fine motor skill training on decoding skills in school going children between the ages of 4 to 9 years and to compare its effect between both the genders. Study design: An Experimental study on 30school going children between the ages of 5-9 years, was conducted in Pune,India.The Abecedarian Reading Assessment for decoding skills. The children underwent fine motor skill training for a period of 2 weeks, three times per week for 45 minutes, which included, weight bearing exercises, Theraputty exercises, Theraband exercises, activities using different texturesand ADL activities. Paired T test was used for statistical analysis. Results: A total of 30 children with a mean age of 7 years were included. Paired T test showed statistically significant improvement in post training decoding skills (t=16.9, p=<0.0001) in male children (28.55; 39.55)of age 6 years (23.60;34.80). Conclusion: Fine motor skill training was found to be effective in improving dec...
BACKGROUND: Diabetes Mellitus is a clinical syndrome characterized by hypoglycemia which is caused by absolute or relative deficiency of insulin. The chronic hyperglycemia of diabetes mellitus is associated with long term damage,... more
BACKGROUND: Diabetes Mellitus is a clinical syndrome characterized by hypoglycemia which is caused by absolute or relative deficiency of insulin. The chronic hyperglycemia of diabetes mellitus is associated with long term damage, dysfunction, and failure of various organs, especially the eyes, kidneys, nerves, heart and blood vessels. Tai Chi exercises are form of traditional martial art that shows improvement in many conditions. METHOD: 50 patients with age group 40-59 years were selected by purposive sampling. 2 Groups were made as A and B. In Group A patients were treated by Tai Chi exercises and conventional physiotherapy while patients in Group B were treated by only conventional physiotherapy. Intervention was given Nerve Conduction Velocity, Balance and Quality of life for group A and B respectively. Duration was thrice a week for 4 weeks. Pre and Post assessment was done on day 1 and at the end of 12 th session by using NCV machine, BBS and SF 36 Questionnaire. Statistical...
Research Interests:
Communication is an activity of conveying information through the exchange of ideas, feelings, attitude, expectations, perceptions or commands by speech-verbal, nonverbal gestures, writings between people. A good therapist must be a good... more
Communication is an activity of conveying information through the exchange of ideas, feelings, attitude, expectations, perceptions or commands by speech-verbal, nonverbal gestures, writings between people. A good therapist must be a good communicator. To assess the communication skills (CS) of physiotherapy students with patients in OPD and to compare the same at Undergraduate (UG) & Postgraduate (PG) level. A cross sectional survey with 100 students from tertiary hospital was randomly selected. And their interaction throughout the treatment was assessed by the assessor via a checklist. Average percentage score of communication skill of all students was 72 %. Student scored highest (78.83%) in history taking and physical examination whereas lowest score (60.75%) in interview initiation. Overall PG students showed better communication skills than the UG students. Among PG’s, history taking & physical examination category scored highest (85%) in communicating with patients whereas in UG’s, interview completion was dealt better with score of 73.37%. Overall 32% students were good and 51% students were fair in communicating with patient in OPD.
Research Interests:
Research Interests:
Background: Stroke is sudden loss of neurological function caused by interruption of blood flow to the brain. Loss of muscle strength, spasticity and imbalance play a role in functional disability in stroke. Balance status is one of the... more
Background: Stroke is sudden loss of neurological function caused by interruption of blood flow to the brain. Loss of muscle strength, spasticity and imbalance play a role in functional disability in stroke. Balance status is one of the predictors of outcome of stroke rehabilitation. Exercises on dynamic surface like Swiss ball is becoming common mean of treatment in stroke patients.