Background: The growing popularity of sports and exercise is focusing attention on the injuries t... more Background: The growing popularity of sports and exercise is focusing attention on the injuries that may occur in addition to the health benefits. Judo one of the Japanese traditional martial arts in now the most widely practiced martial arts in the world. Judo includes at least four technical aspects throw, hold down, choke and arm lock. Each of which could impose large stress on various anatomical structures. Objectives of this study were to elucidate difference in ACL injuries between dominant and non dominant legs of the judo players. Second objective was to find out association of grip style, grip side technique which provides injury on leg dominance in ACL injuries in judo players. To find out difference in the number of ACL injury incidence between two grip style (KENKA-YOTSU STYLE and AI-YOTSU STYLE).To find out difference in number of ACL injury incidents between grip side on leg dominance(Right side and Left side) Methods: A Total of 82 subjects who fulfilled the inclusion and exclusion criteria were included in the study. Study was review all ACL injuries reported to the physiotherapists affiliated with the national professional, coaches, collegiate and youth judo players. Subject who fulfils, inclusion and exclusion criteria was assessed by questionnaire and interview. A judo player with 20 year experience had carry out interview to acquire information on ACL injury incidence with regard to situations Results: Showed the difference in number of ACL injury incidence between dominant side and non dominant side was statistically significant. (X 2 =17.24, p<.0001).The difference in the number of ACL injury incidents between the two grip styles was not statistically significant (X 2 =2.56, p>.10).The ACL injury occurrence when being attacked was greater than when being counterattacked than when attempting an attack however this was not statistically significant (X 2 =3.7, p>.05).The result showed that direct contact technique was significantly greater than the indirect technique mechanisms (X 2 =29.64, p<0001). Conclusions: Results suggest that there was no significant difference in grip style, grip side and judokas behaviour on leg dominance in ACL injuries among judo players but there was significant differences with the technique that caused the ACL injury in judo players.
Aim of the study To compare the effect of unsupported upper limb and lower limb exercises trainin... more Aim of the study To compare the effect of unsupported upper limb and lower limb exercises training and their cumulative influence on exercise performance and health related quality of life in COPD patients. Materials and methods Thirty patients were randomly assigned to one of the three groups through block
Background: Late responses are the potentials appearing after motor response (M-wave) following m... more Background: Late responses are the potentials appearing after motor response (M-wave) following mixed nerve stimulation. There are 2 important late responses H-reflex and F-response. In past decades, several researchers reported differences in electro physiological properties between dominant and non-dominant upper extremities. Objective of the study was to find out the effect of hand dominance on the H reflex latency and amplitude and to find out the effect of hand dominance on the F wave latency and FM ratio. Methods and Material: Healthy subjects of either gender between the age group of 17-25 years and with BMI of 18-23 were included. Subjects divided in to two groups, 15 right handed and 15 left handed and late responses study were conducted to find out the effect of hand dominance on H-reflex and F-wave parameter. Results: H-reflex latency of dominant group, dominant was 23.40 and non-dominant hand was 24.31 which was statistically significant (p<.0001). Also H-reflex amplitude dominant hand was 0.89 and non-dominant hand was 0.67 which was statistically significant (p<.0001) F-wave latency of dominant group, dominant hand was 23.24 and non-dominant hand was 24.50 which was statistically significant (p<.0001).Also F-M ratio of dominant hand was 21.22 and non-dominant hand was 22 .68 which was statistically significant (p<.0001). Conclusions: Results suggest that Hand dominance has an significant effect on the H-reflex latency and amplitude and also significant effect on F-wave latency and F-M ratio.
Background & Objective: The high cost and the seldom availability of Isokinetic moving devices an... more Background & Objective: The high cost and the seldom availability of Isokinetic moving devices and Electro goniometer devices in Indian market gives less opportunity to do research as well as accurately measure the proprioception of joints. Hence Shadow goniometer was developed and designed. However the reliability and validity of it need to be investigated in measuring range of motion. So that this tool can be used to measure the joint position sense. Materials & Methods: Ten healthy subjects were selected with an age group of 20 to 25. The standard goniometer was used to measure knee flexion followed by Shadow goniometric measurement of knee flexion. The measurements were repeated with shadow goniometer on the second day. Results: The shadow goniometer was found to be a good reliable with Intraclass correlation of 0.993(p value < 0.0001) and valid tool with correlation coefficient 0.996(p value < 0.0001) in measuring knee flexion range of motion. Conclusion: The shadow goniometer found to be a reliable and valid tool for measuring knee flexion range of motion. This instrument can be alternative to electro-goniometer for measuring joint position sense.
Background: Physical activity is the key element in prevention and management of Type II Diabetes... more Background: Physical activity is the key element in prevention and management of Type II Diabetes mellitus. Physiotherapy interventions such as Endurance exercise, Progressive resistive exercises and Stretching exercises can lower blood glucose in patients with Type II Diabetes. It is not known that whether the active stretching or the passive stretching is better in reducing the glucose level in patients with Type II diabetes. Objective of the study was to find out the immediate effects of active stretching exercises and passive stretching exercises in lowering blood glucose level in patients with Type II diabetes. Methods and Material: 20 subjects with history of diabetes of more than 10 years with glycosylated haemoglobin (6-8) % were referred by the physician. Subjects in group A underwent 40 minutes of active stretching of lower limb and group B subjects underwent passive stretching of the same muscle groups for 40 minutes. Blood glucose levels were measured before and after 40 minutes of stretching. Results: Both groups showed statistically significant results in blood glucose immediately after stretching. Compared to active stretching, passive stretching resulted in significantly greater reduction in the blood glucose level (p< 0.05). Conclusions: Results suggest that active stretching and passive stretching of skeletal muscle may be an alternative to resisted exercises to lower the blood glucose level. However, comparing between groups passive stretching was better than active stretching in reducing the blood sugar level.
Physiotherapy should be offered to patients with a variety of medical respiratory conditions with... more Physiotherapy should be offered to patients with a variety of medical respiratory conditions with the aim of breathlessness management and symptom control, mobility and function improvement or maintenance, and airway clearance and cough enhancement or support. Breathing exercises is used as strategy in Lung expansion therapy, Bronchial hygiene therapy and PT techniques to reduce work of breathing. Breathing exercises can be classified as inspiratory and expiratory as some exercise stresses more of inspiration while some stresses expiration. Breathing exercises are used in Restrictive as well as obstructive conditions. In restrictive types of disorders Deep Breathing, Diaphragmatic Breathing, Deep Diaphragmatic Breathing, End – Inspiratory hold, Sustained Maximal Inspiration, Slow Maximal Inspiration, Incentive Spirometer, Sniff, Segmental (Apical and Lateral Costal Activity) are commonly used. Abdominal Breathing, Air Shift Breathing, Glossopharyngeal Breathing are commonly effective in spinal cord injuries. Stacked Breathing, Air Shift Breathing are used in localized and generalised atelectasis of upper lobe respectively. Chest mobility exercises and Belt exercises are used to prevent the formation of disabling adhesions between two layers of pleura. Active cycle breathing technique and Autogenic Drainage are commonly used for clearance of secretions. Breathing Control Technique, Innocenti Technique, Pursed Lip Breathing are used during acute exacerbation and End – Expiratory hold, Buteyko Breathing, Exhale With Activity, Stressed Respiratory Exercises, Panting, Pacing are commonly used when the subjects are in stable phase. Inspiratory Muscle Training, Isocapnic Hyper Ventilation, Inspiratory Resistive Training, Inspiratory Threshold Training are used to improve strength and endurance of respiratory muscles. Breathing Cycle Technique is used in chronic hyperventilation where there is breathlessness without an organic cause. This update has made as a result of the need to clarify the effectiveness of different types of breathing exercise in respiratory conditions. This guideline gives valuable information about different types of breathing exercise in management of respiratory conditions to all respiratory physicians and physiotherapists working in respiratory care. Introduction Physiotherapy should be offered to patients with a variety of medical respiratory conditions, with the aim of breathlessness management and symptom control, mobility and function improvement or maintenance, and airway clearance and cough enhancement or support. Strategies and techniques include: rehabilitation, exercise testing, and exercise prescription, airway clearance, positioning and breathing techniques [1]. Reduced lung expansion, accumulation of secretions and increased work of breathing are main problems seen with respiratory disorders. Physiotherapists use Lung expansion therapy, Bronchial hygiene therapy and PT techniques to reduce work of breathing to address the above problems [2]. Breathing exercises is an important component in all of the above techniques. Breathing exercise can be defined as the therapeutic intervention by which purpose full alteration of a given Breathing pattern are categorized as breathing exercises [3]. Outcomes have ranged from to increase lung volume, to clear secretions, to improve gas exchange, to control breathlessness, to increase exercise capacity, to reduce blood pressure, to reduce obesity, relaxation response for stress reduction and to control pain in natural child birth [3, 4, 5]. Breathing exercise can be classified as inspiratory and expiratory. Some of the breathing exercises stresses inspiration thereby increasing lung volume where as others stresses on expiration which assists in clearance of secretions. In restrictive disorders of lungs, atelectasis, consolidation, pleural effusion and pneumothorax there will be reduction of lung volume and capacities [6] .
Background: The growing popularity of sports and exercise is focusing attention on the injuries t... more Background: The growing popularity of sports and exercise is focusing attention on the injuries that may occur in addition to the health benefits. Judo one of the Japanese traditional martial arts in now the most widely practiced martial arts in the world. Judo includes at least four technical aspects throw, hold down, choke and arm lock. Each of which could impose large stress on various anatomical structures. Objectives of this study were to elucidate difference in ACL injuries between dominant and non dominant legs of the judo players. Second objective was to find out association of grip style, grip side technique which provides injury on leg dominance in ACL injuries in judo players. To find out difference in the number of ACL injury incidence between two grip style (KENKA-YOTSU STYLE and AI-YOTSU STYLE).To find out difference in number of ACL injury incidents between grip side on leg dominance(Right side and Left side) Methods: A Total of 82 subjects who fulfilled the inclusion and exclusion criteria were included in the study. Study was review all ACL injuries reported to the physiotherapists affiliated with the national professional, coaches, collegiate and youth judo players. Subject who fulfils, inclusion and exclusion criteria was assessed by questionnaire and interview. A judo player with 20 year experience had carry out interview to acquire information on ACL injury incidence with regard to situations Results: Showed the difference in number of ACL injury incidence between dominant side and non dominant side was statistically significant. (X 2 =17.24, p<.0001).The difference in the number of ACL injury incidents between the two grip styles was not statistically significant (X 2 =2.56, p>.10).The ACL injury occurrence when being attacked was greater than when being counterattacked than when attempting an attack however this was not statistically significant (X 2 =3.7, p>.05).The result showed that direct contact technique was significantly greater than the indirect technique mechanisms (X 2 =29.64, p<0001). Conclusions: Results suggest that there was no significant difference in grip style, grip side and judokas behaviour on leg dominance in ACL injuries among judo players but there was significant differences with the technique that caused the ACL injury in judo players.
Aim of the study To compare the effect of unsupported upper limb and lower limb exercises trainin... more Aim of the study To compare the effect of unsupported upper limb and lower limb exercises training and their cumulative influence on exercise performance and health related quality of life in COPD patients. Materials and methods Thirty patients were randomly assigned to one of the three groups through block
Background: Late responses are the potentials appearing after motor response (M-wave) following m... more Background: Late responses are the potentials appearing after motor response (M-wave) following mixed nerve stimulation. There are 2 important late responses H-reflex and F-response. In past decades, several researchers reported differences in electro physiological properties between dominant and non-dominant upper extremities. Objective of the study was to find out the effect of hand dominance on the H reflex latency and amplitude and to find out the effect of hand dominance on the F wave latency and FM ratio. Methods and Material: Healthy subjects of either gender between the age group of 17-25 years and with BMI of 18-23 were included. Subjects divided in to two groups, 15 right handed and 15 left handed and late responses study were conducted to find out the effect of hand dominance on H-reflex and F-wave parameter. Results: H-reflex latency of dominant group, dominant was 23.40 and non-dominant hand was 24.31 which was statistically significant (p<.0001). Also H-reflex amplitude dominant hand was 0.89 and non-dominant hand was 0.67 which was statistically significant (p<.0001) F-wave latency of dominant group, dominant hand was 23.24 and non-dominant hand was 24.50 which was statistically significant (p<.0001).Also F-M ratio of dominant hand was 21.22 and non-dominant hand was 22 .68 which was statistically significant (p<.0001). Conclusions: Results suggest that Hand dominance has an significant effect on the H-reflex latency and amplitude and also significant effect on F-wave latency and F-M ratio.
Background & Objective: The high cost and the seldom availability of Isokinetic moving devices an... more Background & Objective: The high cost and the seldom availability of Isokinetic moving devices and Electro goniometer devices in Indian market gives less opportunity to do research as well as accurately measure the proprioception of joints. Hence Shadow goniometer was developed and designed. However the reliability and validity of it need to be investigated in measuring range of motion. So that this tool can be used to measure the joint position sense. Materials & Methods: Ten healthy subjects were selected with an age group of 20 to 25. The standard goniometer was used to measure knee flexion followed by Shadow goniometric measurement of knee flexion. The measurements were repeated with shadow goniometer on the second day. Results: The shadow goniometer was found to be a good reliable with Intraclass correlation of 0.993(p value < 0.0001) and valid tool with correlation coefficient 0.996(p value < 0.0001) in measuring knee flexion range of motion. Conclusion: The shadow goniometer found to be a reliable and valid tool for measuring knee flexion range of motion. This instrument can be alternative to electro-goniometer for measuring joint position sense.
Background: Physical activity is the key element in prevention and management of Type II Diabetes... more Background: Physical activity is the key element in prevention and management of Type II Diabetes mellitus. Physiotherapy interventions such as Endurance exercise, Progressive resistive exercises and Stretching exercises can lower blood glucose in patients with Type II Diabetes. It is not known that whether the active stretching or the passive stretching is better in reducing the glucose level in patients with Type II diabetes. Objective of the study was to find out the immediate effects of active stretching exercises and passive stretching exercises in lowering blood glucose level in patients with Type II diabetes. Methods and Material: 20 subjects with history of diabetes of more than 10 years with glycosylated haemoglobin (6-8) % were referred by the physician. Subjects in group A underwent 40 minutes of active stretching of lower limb and group B subjects underwent passive stretching of the same muscle groups for 40 minutes. Blood glucose levels were measured before and after 40 minutes of stretching. Results: Both groups showed statistically significant results in blood glucose immediately after stretching. Compared to active stretching, passive stretching resulted in significantly greater reduction in the blood glucose level (p< 0.05). Conclusions: Results suggest that active stretching and passive stretching of skeletal muscle may be an alternative to resisted exercises to lower the blood glucose level. However, comparing between groups passive stretching was better than active stretching in reducing the blood sugar level.
Physiotherapy should be offered to patients with a variety of medical respiratory conditions with... more Physiotherapy should be offered to patients with a variety of medical respiratory conditions with the aim of breathlessness management and symptom control, mobility and function improvement or maintenance, and airway clearance and cough enhancement or support. Breathing exercises is used as strategy in Lung expansion therapy, Bronchial hygiene therapy and PT techniques to reduce work of breathing. Breathing exercises can be classified as inspiratory and expiratory as some exercise stresses more of inspiration while some stresses expiration. Breathing exercises are used in Restrictive as well as obstructive conditions. In restrictive types of disorders Deep Breathing, Diaphragmatic Breathing, Deep Diaphragmatic Breathing, End – Inspiratory hold, Sustained Maximal Inspiration, Slow Maximal Inspiration, Incentive Spirometer, Sniff, Segmental (Apical and Lateral Costal Activity) are commonly used. Abdominal Breathing, Air Shift Breathing, Glossopharyngeal Breathing are commonly effective in spinal cord injuries. Stacked Breathing, Air Shift Breathing are used in localized and generalised atelectasis of upper lobe respectively. Chest mobility exercises and Belt exercises are used to prevent the formation of disabling adhesions between two layers of pleura. Active cycle breathing technique and Autogenic Drainage are commonly used for clearance of secretions. Breathing Control Technique, Innocenti Technique, Pursed Lip Breathing are used during acute exacerbation and End – Expiratory hold, Buteyko Breathing, Exhale With Activity, Stressed Respiratory Exercises, Panting, Pacing are commonly used when the subjects are in stable phase. Inspiratory Muscle Training, Isocapnic Hyper Ventilation, Inspiratory Resistive Training, Inspiratory Threshold Training are used to improve strength and endurance of respiratory muscles. Breathing Cycle Technique is used in chronic hyperventilation where there is breathlessness without an organic cause. This update has made as a result of the need to clarify the effectiveness of different types of breathing exercise in respiratory conditions. This guideline gives valuable information about different types of breathing exercise in management of respiratory conditions to all respiratory physicians and physiotherapists working in respiratory care. Introduction Physiotherapy should be offered to patients with a variety of medical respiratory conditions, with the aim of breathlessness management and symptom control, mobility and function improvement or maintenance, and airway clearance and cough enhancement or support. Strategies and techniques include: rehabilitation, exercise testing, and exercise prescription, airway clearance, positioning and breathing techniques [1]. Reduced lung expansion, accumulation of secretions and increased work of breathing are main problems seen with respiratory disorders. Physiotherapists use Lung expansion therapy, Bronchial hygiene therapy and PT techniques to reduce work of breathing to address the above problems [2]. Breathing exercises is an important component in all of the above techniques. Breathing exercise can be defined as the therapeutic intervention by which purpose full alteration of a given Breathing pattern are categorized as breathing exercises [3]. Outcomes have ranged from to increase lung volume, to clear secretions, to improve gas exchange, to control breathlessness, to increase exercise capacity, to reduce blood pressure, to reduce obesity, relaxation response for stress reduction and to control pain in natural child birth [3, 4, 5]. Breathing exercise can be classified as inspiratory and expiratory. Some of the breathing exercises stresses inspiration thereby increasing lung volume where as others stresses on expiration which assists in clearance of secretions. In restrictive disorders of lungs, atelectasis, consolidation, pleural effusion and pneumothorax there will be reduction of lung volume and capacities [6] .
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