Romanian Journal of Physical Therapy Archive














content


Romanian Jurnal of Physical Therapy

issue number 39 / 2017





Romanian Jurnal of Physical Therapy

issue number 39 / 2017



COMPARATIVE EFFECT OF BACK PACK AND MESSENGER BAG ON THE CRANIOVERTEBRAL ANGLE OF SECONDARY SCHOOL STUDENTS

Akodu AK,
Akinbo SRA,
Olusetire OG


Abstract

Introduction: There is a growing concern that overloaded children’s backpack and messenger bag may lead to the development of musculoskeletal injuries. Forward head posture and protracted shoulder are two most common deformities causing postural deviations resulting from frequent carrying of heavy backpacks and messenger bags by children and adolescents.

Aim. This study is therefore aimed to compare the effect of backpack and messenger bag on the Craniovertebral angle (CVA) of secondary school students in selected local government’s areas in Lagos State, Nigeria.

Methods: Two hundred (110(55%) females and 90(45%) males) secondary students participated in this study. They were within the age range of 10-18 years. Participants were randomly assigned into 2 groups: (group1-Back pack and group2-messenger bag) using computer generated number sequence. The CVA was obtained and was recorded photographically under several load-carrying conditions.

Result: There was statistically significant difference (p=0.000) in the CVA when the backpack or the messenger bag was careried with 15% of their body weight for both type of bags. There was also statistically significant difference (p=0.000) in CVA when the backpack or the messenger bag was carried and the participants were placed on a form of brisk walking for 5minutes with the backpack/ messenger bag and the additional 15% weight.

Conclusions: This study concluded that both the backpack and the messenger bag caused a significant change in the CVA of the participants when carried. Carrying schoolbags weighing ≥ 15% of body weight appeared to be too heavy to maintain normal standing posture for school students.


EFFICACY OF NERVE FLOSSING TECHNIQUE IN THE MANAGEMENT OF ACUTE SCIATICA

Bosede A Tella,
Ayoola I Aiyegbusi,
Earnest E Anikwe


Abstract

Introduction: Sciatica is one of the most common painful and disabling conditions accounting for about 40% of low back pain cases hence the need for effective means to alleviate symptoms. Nerve Flossing Technique has been successfully used to manage neuropathic pain like carpal tunnel syndrome.

Aim: This study investigated the efficacy of nerve flossing technique (NFT) in the relief of symptoms of acute sciatica and the attendant functional disabilities.

Method: In this randomized control trial, 32 participants between the ages of 18 – 64 years with acute sciatica were randomly assigned into two groups; Group A (Study Group) received Nerve Flossing Technique (NFT) in addition to Conventional Physiotherapy and group B (Control Group) received only Conventional Physiotherapy. The outcome was assessed in terms of Numeric Pain Rating Scale (NPRS), Passive Straight Leg Raise (PSLR) and Sciatica Bothersomeness Index (SBI).

Result: Both groups had significant improvement in NPRS score (p<0.01), PSLR value (p<0.01) and SBI score (p<0.01). However, comparing the mean changes in the outcome measures between the two groups showed that the study group had significant (p<0.01) changes in all outcome measures when compared to the control group. 

Conclusion: NFT combined with conventional physiotherapy has a better effect on the management of acute sciatica and should be an integral component of physiotherapy management. 


EFFECTIVENESS OF FIVE PHASE BALANCE TRAINING PROGRAM ON THE RISK OF KNEE INJURIES IN ADOLESCENT ATHLETES

Nagaraj Sibbala,
Raghu Vamshi


Abstract

Back ground & Objectives: Knee injuries pose serious health burdens to athletes of all ages in nearly every sport. They account for 15.2% of all high school sports injuries, often requiring expensive surgical treatment and prolonged time lost from school and sports participation males accounted for 72% and females for 28%; 65% of the injuries occurred during sports activities.

Objective: The main objective of the study is to find out the effect of five phase balance training on reducing the risk of knee injuries and association between the injury rate with the baseline characteristics in adolescent athletes.

Methods: Subjects fulfilling the inclusion and exclusion criteria were included in the study and base line data is considered and subjects were divided into control and experimental group, the experimental group carried out balance training program 5 days per week, for 5 weeks. Control group will be advised to continue their training with warm up program and home-based balance-training program using a wobble board.

Results: Descriptive and inferential statistical analysis has been carried out in the present study. Results on continuous measurements are presented on Mean SD. sample distribution for lyshlom knee score after intervention which were statistically significant (p<0.006) in group-A compared to group-B. For lyshlom knee score after intervention between groups the SD for group-A was 84.02±8.73 and group-B was 79.54±8.62 with p value 0.006.

Conclusion: Five phase balance training program is effective on the risk of knee injuries and there is no significant association between injury rates and baseline characteristics in adolescent athletes.


EFFECTS OF EYE MOVEMENTS ON BALANCE IN CHILDREN

Manndar Malawade,
Pallavi Rokade


Abstract

Introduction: Balance is the state of human body to maintain equilibrium with respect to environment. Children learn to maintain equilibrium as age progresses. There are many factors that contribute in balance. Out of many factors vision and eye movement is one of the factors.

Aim.The purpose of this study was to determine whether the balance is affected by various types of eye movements. The study examined the effects of eye movements on balance in normal children.

Method: Participants were assessed for dynamic balance with respect to different tasks related to eye movements. The data was analysed for type of eye movement, gender and age.

Results: During dynamic balance the duration was more (10.44 sec) during static fixation than saccadic eye movements (7.42sec) and smooth pursuit eye movements (6.12sec). In static fixation, while comparing dynamic balance between both the genders, balance component was more in girls (11.7sec) than boys (9.4sec). In comparison of dynamic balance in the age groups, children between 9 years could balance effectively (13sec) than other age group.

Conclusion: Eye movements can determine the efficacy of visual postural control.


WORK RELATED MUSCULOSKELETAL DISORDERS AMONG NIGERIAN MEDICAL LABORATORY SCIENTISTS

Bosede A. Tella,
Oluseun A. Fapojuwo,
Ogechi O. Willliams





content


Romanian Jurnal of Physical Therapy

issue number 38 / 2016





Romanian Jurnal of Physical Therapy

issue number 38 / 2016



PURSED LIP BREATHING INCREASES UNSUPPORTED UPPER EXTREMITY EXERCISE ENDURANCE AND REDUCES DESATURATION IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Tanushree A. Bharadwaj,
Mariya Prakash Jiandani,
Amita Mehta


Abstract:

Introduction: Patients with chronic obstructive pulmonary disease (COPD) report reduced arm exercise capacity, increased fatigue and dyspnea when performing activities of daily living (ADLs) that require the use of upper limbs. Also, arm activity has been noted to result in abnormal dysynchronous breathing patterns. PLB (pursed lip breathing) works to improve expiration, by requiring active and prolonged expiration and by preventing airway collapse.

The objective of this study was to evaluate the influence of PLB on upper extremity exercise endurance, oxygen saturation, and dyspnea in patients with moderate to severe COPD. Method: An experimental cross-over study was conducted at the Physiotherapy Department, Seth GSMC and KEMH, Mumbai, India. Sixty patients with moderate to severe COPD were selected. All patients performed unsupported upper extremity exercise with and without PLB in random order. Upper extremity exercise endurance, oxygen saturation, heart rate, blood pressure, respiratory rate, patients’ estimated dyspnea, and rate of perceived exertion were recorded before, immediately after, 3 minutes, and until recovery to the baseline on a Borg Category Ratio 10 scale.

Result: Wilcoxon matched-pairs signed rank test was done to compare means of any two variables. Statistical significance was set at p < 0.05.The difference between the exercise endurance (number of sets and duration) with spontaneous breathing (SB) and PLB was found to be significant, showing that the patients could exercise more with PLB. The drop in oxygen saturation with PLB is significantly less as compared to SB. The average drop in oxygen saturation was 1.6% less when spontaneous pursed lips breathing was employed. The increase in rate pressure product, respiratory rate, rate of perceived exertion, and dyspnea were significantly less with PLB. Conclusion: Pursed lip breathing can be a useful technique to increase unsupported arm exercise endurance and reduce oxygen desaturation during exercise in patients with moderate to severe COPD.


COMPARATIVE EFFICACY OF CORE STABILIZATION EXERCISE AND PILATES EXERCISE ON PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN

Akodu AK,
Akinbo SRA,
Okonkwo Cs


Introduction:

Objectives: Low back pain poses serious challenge to individual’s health worldwide. Supervised therapeutic exercise has been reported as an effective intervention for the treatment of patients with chronic low back pain. This study compared the effect of core stabilization exercise and Pilates exercise on pain, functional disability, range of motion of the lumbar spine and level of physical activity in patients with non-specific chronic low back pain (NSCLBP).

 Methods:  The study involved 29 individuals (13 males and 16females) with non-specific chronic low back pain. They were randomly assigned into 3 different groups (mean age of 49.10 ± 11.85 years, 45.30 ± 11.31 years, and 40.33 ± 14.47) respectively,  using computer generated numbers. Group 1 performed core stabilization exercise + infra-red radiation, group 2 performed Pilates exercise + infra- red radiation and group 3 received infra-red radiation and back care education. Measurement of pain intensity, functional disability, lumbar range of motion and level of  physical activity were done using numerical rating scale (NRS), Roland Morris disability questionnaire (RMDQ), Modified Schobers test (MST) and International physical activity questionnaire (IPAQ) respectively at baseline, 2nd week and 4th week (post intervention).  Data was analysed using statistical package for social science version 20.

Results: Findings of this study revealed an improved clinical outcome of the three groups post-intervention (p<0.05). However, there was statistically significant difference between core stabilization exercise group and control group in all outcome variables (p<0.05) except for range of motion.

Conclusion: The result of this studyrevealed that there was improvement in pain, functional ability and range of motion in the study groups. However both techniques are effective in the treatment of patients with non specific chronic low back pain.


EFFECTS OF INTERFERENTIAL THERAPY ON SELECTED CARDIOPULMONARY PARAMETERS, ASTHMA CONTROL AND QUALITY OF LIFE OF PEOPLE LIVING WITH ASTHMA

Happiness A. Aweto,
B.A. Tella,
Eniola O. Awolola


Background

The introduction of pharmacological interventions for the control of asthma symptoms has resulted in declined interest in non-pharmacological methods despite their usefulness. This study investigated the effects of interferential therapy (IFT) on selected cardiopulmonary parameters, asthma control and quality of life in people living with asthma.

Method: Forty-seven individuals with asthma recruited from the Respiratory clinic of the Lagos State University Teaching Hospital, Ikeja were randomly assigned to two groups. Group A (23 participants) was the intervention group that received IFT for 20 minutes per session, three times a week for six weeks as well as weekly counseling sessions on bronchial asthma while Group B was the control group (24 participants) that received weekly counseling sessions only. Forty two participants completed the study. Selected cardiopulmonary parameters, Asthma control test (ACT) and Asthma quality of life questionnaire (AQLQ) were assessed at baseline, 2nd, 4th and 6th weeks. Data was analyzed using SPSS version 17.

Results: There was significant improvement in the systolic blood pressure of group A (p=0.004).  Group A also had significant improvements (increases) in Forced Expiratory Volume in one second (p=0.02), Forced Vital Capacity (p=0.04) and Peak expiratory flow rate (p=0.007) while group B had significant reductions in these pulmonary parameters. There were significant improvements (increases) in the ACT score (p=0.0001) and AQLQ (p=0.001) of group A and a significant reduction in ACT score of group B. 

Conclusion: Inteferential therapy brought about significant improvements in most of the selected pulmonary parameters, ACT score and AQLQ score of people living with asthma.


THORACIC OUTLET SYNDROME – MODALITIES OF ASSESSMENT AND PHYSIOTHERAPEUTIC INTERVENTION

Ciobanu Doriana Ioana,
Lozincă Isabela,
Tarcau Emilian


Abstract

Background. Thoracic outlet syndrome is a condition that can create difficulties regarding diagnose, assessment and physiotherapy intervention strategies.

Scope. This paperwork aims to bring into discussions clinical aspects of thoracic outlet syndrome and to present some modalities of assessment and physiotherapy interventions for this condition.

Means. Had been studied data base like: PubMed, MedLine, Google Scholar, on order to gather informations about thoracic outlet syndrome.

Conclusions. Thoracic outlet syndrome is a frequent condition and its correct diagnose is very imprtant for a correct physiotherapeutic management. Generally, the treatment will target postural correction, stretching of scalene and pactoral muscles ant the strengthening of trapezius and rhomboid muscle. 




content


Romanian Jurnal of Physical Therapy

issue number 37 / 2016





Romanian Jurnal of Physical Therapy

issue number 37 / 2016



INTRARATER AND INTERRATER RELIABILITY OF ABDOMINAL DRAWING-IN TEST IN ASYMPTOMATIC INDIVIDUALS

Jogani Khushali Dilipbhai,
Bid Dibyendunarayan,
Thangamani Ramalingam A.


Abstract

Introduction

The TrA stabilizes the back and back pain adversely affects the activation and endurance capacity of TrA. TrA  is  local  and  deepest  muscle  and  abdominal  drawing  in  test  by  PBU  provides  an  indirect  way  of  evaluating  endurance  capacity  of TrA  muscle  activity  which  is  often  used  by  clinicians  and researchers.

Aim. This is across-sectional study to investigate the intra-rater and inter-rater reliability of Abdominal drawing-in test (ADIT) in asymptomatic individual.

Methods. Sixty asymptomatic subjects were randomly selected for the study.  The ADIT was measured for each subject with PBU by the two raters for inter-rater reliability and by one of the rater after a gap of seven days for intra-rater reliability.  All the subjects were previously taught and compensations were corrected.

Results. The study demonstrated intra-class correlation coefficient (ICC) with standard error of mean (SEM) of 0.944 and 0.69725 for inter-rater reliability and 0.910 and 0.85814 for intra-rater reliability. A Bland-Altman limit of agreement has also confirmed that inter-rater and intra-rater were within the limits of agreement in 95% of occasions.

Conclusions. ADIT has high inter-rater and intra-rater reliability in asymptomatic individuals.


AN EXERCISE PROGRAM ADAPTED FOR HAEMOPHILIA PATIENTS

Hogea Lavinia Maria,
Mircioaga Elena Doina


Abstract

Introduction. Currently it is considered that health has some very important dimensions - physical, mental, social - and each contributes to the welfare condition of a person.In order to preserve good health, a person must examine each of these dimensions and guide themselves in the sense that is permitted not only to live a long time, but to remain healthy as long as possible.

Material and methods. The study was conducted on a sample of 200 subjects grouped into two groups of equal size, patients with hemophilia A and B (50%) and a control group (50%). With the World Health Organization survey Quality of Life (WHOQOL 100) scales were measured overall health and the environment.

Results. The results are statistically significant, p <.01, p <.05. This means that there are differences between the non-hemophiliacs and hemophiliac, hemophiliacs have a lower level of quality of life, compared to non-hemophiliacs.

Conclusions. Hemophilia puts its mark on the general quality of life, and the health perception is deeply affected to patients from the study batch compared to the one from the healthy subjects batch.


IMMEDIATE EFFECTIVENESS OF RELAXATION IN MANAGEMENT OF CHRONIC LOW BACK PAIN

Nishat Khan,
Khatri SM


Abstract

Introduction. One in three people suffer from chronic low back pain frequently associated with quality of life and high levels of psychological risks. Psychosocial factors appear to play a larger prognostic role than physical factors in low back pain. Relaxation has found to be effective in reducing symptoms in a variety of population including anxiety, cancer, Alzheimer’s. However very few studies have been done to find out the effect of relaxation on chronic pain, hence this study aims to find the immediate effectiveness of relaxation in management of chronic low back pain.

Method. 72 Participants with Non-specific Chronic Low Back Pain meeting the inclusion and exclusion criteria were given two sessions of relaxation. Pre and post intervention scores were measured on first and second day. First day, any one of the relaxation technique was administered to the patient and then post intervention scores were noted. The second relaxation technique was given to the patient and post scores were noted.

Results. Pre intervention the mean baseline scores of Guided Imagery and Mindfulness of Breathing in terms of PPT, VAS, Systolic Blood Pressure, and Diastolic Blood Pressure showed extremely significant improvement (p < 0.0001). Participants after receiving Guided Imagery showed no significant difference in Pulse Rate (p = 0.06) while participants after receiving Mindfulness of Breathing showed significant difference in terms of Pulse Rate (p = 0.021).

Conclusion: Guided Imagery and Mindfulness of Breathing are effective and can be utilized as an adjunct in the treatment of Non-Specific Chronic Low Back Pain.


SOME ASPECTS REGARDING THE PREVALENCE OF MUSCULAR-SKELETAL INJURIES IN BASKETBALL PLAYERS. PREVENTION AND REHABILTATION

Mircioaga Elena Doina,
Hogea Lavinia Maria,
Mircioaga Alexandra


Abstract

Introduction. A traumatic event, no matter of the cause, can be a crucial moment from a sportsman’s life.     

Aim. This paperwork aims to emphasize the efficiency of a prophylaxis exercise program, in the decreasing of muscular-skeletal traumatic events, in basketball players.

Matherial and methods. 48 basketball players were enrolled in the study (36 boys and 12 girls), age between 18-38 years old, practicing basketball between 6-16 years. Study was developed within a period of 3 competitional years.

Results. After implementing some prophylaxis exercise programes during training sessions of basketball players, in the second period of the study, the following outcomes came out: the results comparison get from the two periods of the study emphasized a decreased incidence of muscular-skeletal injuries, in the second period versus first period. In basketball players, there was a decreasing of knee traumatic injuries (p=0,02 α=0,05), in the second period versus first period. Reffering to the distribution of traumatic events according to the place on the field of basketball players, the incidence of traumatic events decreased in the second period in all players, no matter of their place on the field. Accorfing to gender, there are significant diferences only for the segment „hand-palm-fist”, in the second period, meaning that the number of traumatic events in women is lower than in males (p=0,028; α=0,05).                        

Conclusions. After the implementation within the training sessions of an exercise program, the incidence of muscular-skeletal traumatic events decreases in the second period in all segments.


THE INFLUENCE OF AQUATIC GYMNASTICS PROGRAMS ON CHILDREN WITH DISABILITIES

Chera Feraria Bianca,
Plastoi Camelia Daniela


Abstract

Introduction. Climate and social changings are too fast and too aggressive for quieter evolution of man needs. Therefore with the rapid evolution of society has emerged a growing number of children with physical and intellectual deficiencies, who require constant help and support.

Aim. The purpose of this paper is the observation of the influence the use of gymnastic exercises conducted in the aquatic environment has on children with various physical and mental disabilities.

Hypothesis. Participation of children with physical and mental disabilities at a water gymnastics program, will enhance the level of development of motor skills of each individual.

Material and methods. The activity had been conducted with a group of five children, a girl and four boys with different disabilities, which had been performed once a week, during six months in 2015.

The structure of the lesson lasted 60-80 minutes including a standard structure in three parts.

It organized a group of children with physical disabilities that took up a water gymnastics exercises program. Four tests were applied to people with reduced capacity of motion: A. Flamingo test - to assess the balance; B. Flexibility legs and trunk; C. Coxo-femoral flexibility; D. Arm curl.

Rezults. We achieved an improvement of motor skills evaluated and observed by us and a breakthrough psycho-motor for each child.

Conclusions. Gymnastics programs conducted in the aquatic environment allowed the children to perform exercises more easily with little or no help, the most important aspect being their overall condition manifested by joy. A beneficial impact was found in the social sphere, children becoming more communicative and more confident. An improved social behavior of children at school and during other extracurricular activities was observed.


INTEGRATION OF DISABLE PEOPLE THROUGH NON-FORMAL EDUCATION ACTIVITIES - SCOUT

Cristea Dana



THE EFECT OF A PHYSICAL ACTIVITY PROGRAM ON THE HEALTH RELATED FITNESS AND QUALITY OF LIFE ON A FEMALE STUDENT GROUP FROM ORADEA

Nagy Klara,
Șerbescu Carmen,
Ciobanu Doriana Ioana





content


Romanian Jurnal of Physical Therapy

issue number 36 / 2015





Romanian Jurnal of Physical Therapy

issue number 36 / 2015



THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS – A PILOT STUDY

Peeyoosha Nitsure,
Neha Kothari


Abstract

Background: Trapezitis is an inflammation of trapezius muscle that is commonly seen in clinical practice. Various physiotherapy techniques have shown to be effective in Trapezitis. Although the Bowen technique is indicated in Trapezitis, there is dearth in literature to confirm its effectiveness through scientific studies.

Objective: To evaluatethe effect of Bowen Technique as an adjunct to the conventional physiotherapy treatment on Trapezitis in terms of pain, disability and cervical range of motion.

Design: Pilot study

Participants: 15 participants both male and female with Acute Trapezitis.

Intervention: Bowen technique given along with Ultrasound, Trapezius stretching and neck strengthening exercises.

Outcome measures: Visual Analogue scale, Neck Disability Index, Cervical rotation Active Range of Motion.

Results:  The mean difference between pre and post treatment values for VAS, NDI and cervical rotation ROM was 5.25±1.40, 24.60±5.19 and 22±8.25. All outcome measures were statistically significant (p<0.05) and showed improvement for all the participants

Conclusion:  Bowen technique is effective in reducing pain, improving ROM and reducing neck disability in patients with Acute Trapezitis.


A SYSTEMATIC REVIEW ON BEHAVIORAL AND PHYSICAL TREATMENT APPROACHES FOR MANAGEMENT OF MIGRAINE

Manoj Malik,
Shailendra Kumar Singh,
Narkeesh Arumugam


Introduction. Migraine is a common episodic headache syndrome with an estimated prevalence of 11% in adult population worldwide. Migraine is usually managed by medications although some patients have contradiction or suffer from side effects associated with certain medications.Therefore establishing non pharmacological neuromodulatory approach as an alternative treatment option shall be highly solicited.

Objective.The objective of this study is to systematically review experimental studies, preferably randomized controlled trials on Non Pharmacological management of migraine.

Methods.Comprehensive Computerized search was done. Review was performed according to the Preferred Reporting items for systematic review and Meta Analysis (PRISMA).

Results.Results suggest that treatments like Behavioral therapy, Biofeedback, Transcranial Direct Current Stimulation (TDCS) as well as exercises and diet restriction are effective tools in the management of migraine and other associated symptoms.

Conclusion.Non Pharmacological Techniques can be a safer alternative in Management of migraine and related symptoms.

Abbreviations-TDCS-Transcranial Direct Current Stimulation, CSD-Cortical Spreading Depression, PRISMA-Preferred Reporting items for systematic review and Meta Analysis, ICHD-International Classification of Headache Disorders, MIDAS-Migraine Disability Assessment, MADR  S-Montgomery Asberg Depression Scale, EEG-Electroencephalogram


BALANCE, BONE AND MUSCLE STATUS IN MULTIPLE SCLEROSIS

Ianc Dorina,
Ilcu Flavia,
Tarcau Emilian,
Ciobanu Doriana Ioana,
Boca Ioan Cosmin,
Chiriac Mircea


Introduction. In thi sstudy we evaluated the static and dynamic balance, walking, bone and muscular status, in patients with multiple sclerosis (MS) and the results were compared with that of healthy individuals or that from unaffected segmen for the muscle strength.

Methods.The study included 17 subjects with MS (37-60 years), who formed the group of MS and 20 healthy subjects (37-65 years) who formed the control group (C). The evaluationincluded: the bone parameters at the calcaneus; daily calcium intake; static and dynamic balance; walking; spasticity and muscle strength.

Results.The finding of balance tests indicates a high risk of falls, 47.05% of all patients tested, with having a score between 21 and Berg 40 points, which confirms that they need help for daily activities. Subjects in MS group have a low calcium intake to the recommended daily intake (604.76 mgCa/day to 1000 mgCa/day). Ultrasound parameters were low in MS subjects, indicating a higher fracture risk. The muscular assessment revealed presence of spasticity in 45.0% of subjects, only at the lower limb, triceps sural muscles, tibialis anterior and quadriceps. Muscle testing show a muscleweakness in one of the legs in all subjects.

Conclusion.The finding of this study indicate that the physiotherapyprogram for MS patientsshould having the objectivesto improvingbalance, balancingmuscle tone, slowing of bone quantity and quality loss, with introducing specific exercises for this and realizing a proper nutritional education. 


EFFECT OF ABDOMINAL DRAWING-IN MANEUVER ALONG WITH RESISTED ANKLE DORSI-FLEXION TO ACTIVATE TRANSVERSE ABDOMINIS MUSCLE IN CHRONIC NON-SPECIFIC LOW BACK PAIN

Sharma Khushbu Dineshkumar,
Bid Dibyendunarayan,
Thangamani Ramalingam A.


Introduction. Chronic non-specific low back pain (CNSLBP) is a disorder of frequently unknown etiology. Impairments in motor control (MC) have been frequently associated with CNSLBP disorder. The abdominal draw-in maneuver (ADIM) is commonly used during core stabilization techniques to restore neuromuscular control.

Scope.This study was done to investigate effectiveness of ADIM along with resisted ankle dorsiflexion (RADF) on changes in activation score of transverse abdominis (TrA) muscle using pressure biofeedback unit (PBU) in CNSLBP patients. It was a single blind randomized controlled trial.

Method. Sixty subjects with CNSLBP were randomly assigned into two groups. The subjects in Group-A (experimental group) performed ADIM along with RADF, and the subjects in Group-B (control group) performed ADIM alone. The activation score of TrA, pain and back related disability; were measured by PBU, Numeric Pain Rating scale (NPRS) and Roland-Morris disability questionnaire (RMDQ) respectively.

Resuls.Activation score of TrA, NPRS and RMDQ showed significant improvement in experimental group (p<0.05) than control group.

Conclusion. The result of the study suggests the use of ADIM along with RADF for effective management of CNSLBP patients to restore neuromuscular control.


PREVALENCE OF BRUXISM IN CHILDREN WITH SPASTIC CEREBRAL PALSY- A CROSS SECTIONAL STUDY

Deepa Metgud,
Pallavi Sharma


Introduction. Sleep Bruxism is a para-functional oromotor habit that can pose a threat to the integrity of the masticatory system and it can have a significant effect on the patient’s quality of life. Children with Cerebral Palsy are at greater risk of a wide range of oral conditions than their peers. Aim. Thus this study sought to determine the prevalence of Bruxism in children with Spastic Cerebral Palsy.

Method. This was a cross-sectional study done on 100 children with Spastic Cerebral Palsy between the age group of 3-18 years. A self designed questionnaire comprising  of 49 questions like total amount of sleep, regular bed time, grinding and clenching teeth at day or night or both, pain at temporomandibular joint was explained to the parents of the subjects in their vernacular language and the results were converted in English and filled on the data collection sheets by the investigator.

Results. The results revealed the significant relationship between amount of sleep and prevalence of bruxism. Bruxism was reported in 47.06 % Spastic Diplegics , 13.04 % Spastic Hemiplegics and 35% in spastic quadriplegics.

Conclusion. Prevalence of bruxism is 54% in Spastic Cerebral Palsy children.


POSSIBILITIES FOR IMPROVING MOTOR BEHAVIOR YOUNG PEOPLE WITH AUTISM

Cristea Dana Ioana,
Cristea Aurelian Andrei,
Burllău Mirela-Carmen


Abstract

Introduction. New research shows that early intervention can play an important role in the rehabilitation of people diagnosed with autism. Physical activities, as part of general rehabilitation approach has a significant contribution regarding health, well-being, motor behavior and last but not the least social skills.

Scope. This paper aims to identify some physical exercises for training sensory-motor skills in young people diagnosed with autism.

Material and method. The study was conducted on 5 young people with autism average age 18.4 years, minimum age 18, maximum age 19 years. Research subjects come from bi-parental families with no history of neurological other brothers, attended a special school, were evaluated by the specialized committee as having an IQ of between 40-70 without associated diseases. The method used in this study was direct observation.

Results. The improvements observed in all tests applied, the limits of 2-3 subjects improved their performance on each test to the results originally obtained.
Conclusions. There is a clear progress in terms of acquiring motor skills basic, applied and specific basketball game.


A COMPARATIVE STUDY ON THE EFFECTIVENESS OF CORE STABILITY EXERCISE AND PELVIC PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION ON BALANCE, MOTOR RECOVERY AND FUNCTION IN HEMIPARETIC PATIENTS: A RANDOMIZED

Jeba Chitra,
Rishabh Sharan


Introduction. Development of good trunk stability to promote balance to perform activities is often neglected in stroke-rehabilitation. Evidence state that core stability exercise and Pelvic Proprioceptive Neuromuscular Facilitation(PNF) are effective in improving balance and gait function in hemiparetic patients. Objective. The aim is to evaluate the comparative effectiveness of core stability exercise and Pelvic PNF on balance, motor recovery and function in hemiparetic patients. Procedure. 30 post-stroke subjects diagnosed with first unilateral stroke with onset less than 6 months were randomized into Core Stability Exercise Group(A) and Pelvic-PNF Group(B), and underwent 45minutes training along with conventional therapy per day, 3days/week, for 4weeks. All subjects were evaluated for Berg Balance Scale(BBS), Motor Assessment Scale(MAS), and Functional Independence Measure Scale(FIMS) pre and post intervention.

Results. Following intervention, Pelvic PNF showed more statistical significant improvement in FIMS than Core Stability Exercise. However no statistical difference was observed in terms of balance and motor recovery between the groups.

Conclusion. Focus on trunk control training should also be used initially in stroke-rehabilitation which is an effective way to improve balance, motor recovery and function. Core stability exercise and Pelvic PNF are equally effective in improving balance and motor recovery whereas; Pelvic PNF is more efficient compared to core stability exercise to improve function.




content


Romanian Jurnal of Physical Therapy

issue number 35 / 2015





content


Romanian Jurnal of Physical Therapy

issue number 34 / 2014





Romanian Jurnal of Physical Therapy

issue number 34 / 2014



INTERNAL CONSISTENCY AND TEST RETEST RELIABILITY OF MOBILITY DISABILITY SCALE IN COMMUNITY DWELLING INDIVIDUALS

N. Manikandan,
Kumar K.B.,
Rajashekhar B.


Background. Mobility disability scale (MDS) is a new generic scale developed to assess level of mobility disability in community dwelling individuals. This scale being new requires systematic evaluation of psychometric properties for its effective use in community. 

Objectives of the study. The objectives of the study were to determine the internal consistency and test-retest reliability of the MDS in community dwelling individuals

Method. Fifty-two community dwelling patients with mobility disability were evaluated using MDS. Total and domain scores were analyzed for internal consistency using Cronbach’s alpha. After one week, same patients were re-evaluated using MDS and Intra class correlation coefficient (ICC) was used to analyze the test retest reliability.

Results. MDS showed very high Cronbach’s alpha (0.981) for total and domain scores (0.82- 0.96). MDS also showed high ICC (0.995, CI 0.991 to 0.997) for total and domain scores (0.97 to 0.99).

Conclusion. We conclude that MDS possesses excellent internal consistency and test retest reliability which implies that MDS could be used to screen and quantify the mobility disability in community dwelling individuals.


A COMPARISON OF SIX MINUTE WALK TEST IN SICKLE CELL PATIENTS VERSUS AGE & SEX MATCHED CONTROLS IN CENTRAL INDIA

Y Praveen Kumar,
Pankhuri Multani,
Y. Pallavi


Background. Sickle cell anemia (SCA)is a genetic disease characterized by production of abnormal hemoglobin, & associated by chronic hemolytic anemia with acute and chronic tissue damage.SCA patients complain of significant exercise intolerance, which goes unnoticed. So the study is conduced to know the importance of exercise limitation in patients with SCA when compared to age & sex matched healthy counterparts.

Aim. To determine the cardiopulmonary responses on performance of 6 minute walk test (6MWT) in patients with SCA versus controls.

Materials and Methods. Experimental case control study was carried out at Sickle cell anemia and Physiotherapy outpatient department by age and sex matching in order to obtain 40 individuals in each group (n= 40 in SCA and Control group respectively) and initial parameters (weight, hemoglobin) were documented followed by performance of 6 MWT after which SCA and control were compared for 6 Minute Walk test parameters.

Results. The result indicated that in SCA mean hemoglobin levels & weight was less when compared to the controls The results obtained also indicate that there is a change in the cardiopulmonary responses on performance of 6MWT. It is also to note that dysfunctional RBC’s reduced 6 MWD in SCA when compared to healthy counterparts.SCA group had higher respiratory rates compared to controls.

Conclusions. There is a marked reduction in the 6MWD & 6MWT values when SCA were compared to control group. The reduced cardiovascular responses in SCA are compensated by increased respiratory rates.


STUDY REGARDING THE PREVALENCE OF URINARY INCONTINENCE IN ROMANIAN WOMEN

Ciobanu Doriana Ioana,
D'Souza Simona,
Șerbescu Carmen


Background. Urinary incontinence is a symptom extremely common, which can produce allot of physical and psychic suference (because of the emberesment of the subject in society) as well as significant costst, both for individual and society. Estimates regarding prevalence of this symtom vary depending on incontinence definition and  study population.

Material and method. Study was made on 116 female subjects, ages between 23 and 91 years old, mean age 42,85±12,66 years, mean body weight 64,74±11,72 kg, mean high 164,46±6,55cm. For assessment was used ”Over Active Bladder Questionnaire”, from the Research Centre for Health Economy and Sanitary Technology Analize from Corvinus University, Budapest.

Results. There is a significant correlation between body weight, physical activity and number of birth deliveries, but not between urinary incontinence and smoking, stress and amount of daily ingested liquids.

Conclusions. Age, number of birth, body weight and an active life style are factors with a significant influence the appearance of urinary incontinence. Smoking, daily stress, intimate gymnastics routine, the amount of daily ingested liquids, thw frequent of daily miction session, the existence of cronic disease associated with cough, sneezing are not representing risc factors for urinary incontinence in female between 23 and 91 years old.  


EFFECTS OF MULLIGAN’S TWO LEG ROTATION TECHNIQUE IN HAMSTRING FLEXIBILITY: PRE-POST EXPERIMENTAL STUDY

Pratik .A. Phansopkar,
Vijay Kage


Introduction. Mulligan’s Two Leg Rotation Technique (TLR) is a painless technique, and can be tried in any subjects with hamstrings tightness, low back pain and who has limited and/or painful straight leg raise (SLR). It can be extremely useful in patients who have a gross bilateral limitation of straight leg rising. TLR Technique is a new technique that has been developed by Dr. Brain R Mulligan and colleagues (2010). Limited Literature is available on the efficacies of Mulligan’s TLR techniques in Hamstrings flexibility. Aim of the study was to evaluate the changes in Pre-Post effects of TLR technique in Hamstrings flexibility in healthy individuals.

Material and Method. After obtaining ethical clearance from the institution, based on eligibility criteria, participants were included and prior Informed consent forms were signed by each participant. 20 participants were allocated in the study. Using Active Knee Extension (AKE) Pre hamstring measurements were taken for all the participants and Mulligan’s TLR technique was applied and Post hamstrings measurements were taken. Pre and Post measurements of every individual were analyzed.

Results. Post treatment effects had a significant increase in hamstrings flexibility for the all participants.

Discussion. Limited literature is available on the efficacy of mulligan’s two leg rotation technique; this study is one of the first kinds to evaluate the effects on individuals with hamstrings tightness.

Conclusion: Results of this study suggests Mulligan’s two leg rotation technique to be effective in increasing hamstrings flexibility.


STUDY ON THE APPLICABILITY OF 10% RULE OF DOMINANCE IN NORMAL HEALTHY LEFT HANDED STUDENTS OF KLE UNIVERSITY - AN OBSERVATIONAL STUDY

Anand Heggannavar,
Ravi Kumar Gupta


Background. Research has been done in various places on the grip strength of left and right hand on left handed individuals. Some researchers have found that there is no difference in grip strength. Some suggests there is increased strength in dominant hand by 10%. May this difference be because of the change of place where the study been conducted. Present study has been done in KLE University on left handed students, to find the difference in grip strength, so that the gained data can be useful in hand rehabilitation.

Objectives. To measure the grip strength and the difference between dominant and non-dominant hands in left handed students of KLE University and to check the applicability of 10 percent rule of dominance of the left handed students of KLE University.

Design. 30 left handed individuals were enrolled in the study, whose handedness was determined by a handed questionnaire. Their maximum grip strength was determined with the help of a Jamar dynamometer.

Results. In this study we found out that, there is a difference in grip strength in left handed dominant individuals of KLE University of about 8.39%.

Conclusion. The difference in this grip strength in left handed subjects can be used by the clinician to acquire the preinjury strength level during rehabilitation.


THE ROLE OF THERAPEUTIC ALLIANCE IN EVIDENCE-BASED PHYSICAL THERAPY PRACTICE

Ciucurel Constantin,
Ciucurel Manuela Mihaela,
Iconaru Elena Ioana,
Tudor Mariana Ionela


Introduction. The therapeutic relationship with the patient comprises all the emotions and attitudes mutually established and expressed during the health care process. Therapeutic attitude in the professional context of a physiotherapist varies according to his values, principles and culture. The purpose of this research is to realize a descriptive analysis of the perceptions regarding the physiotherapists’ activated attitudes in their relation with the patients. Determining these attitudes allows the qualitative evaluation of the therapeutic alliance, as relevant variable of the therapy efficiency. Method. Our study was conducted on 20 physiotherapists from the health system. In order to analyze the variance of the therapeutic result, from the perspective of physiotherapist-patient therapeutic alliance, we used the Horwath Adam instrument (Working Alliance Inventory), adapted for Romania, which emphasizes the task, bound and goal elements. Result. We found a global therapeutic alliance of moderate intensity, ascertaining an intense physiotherapist-patient connection and manifestations of medium intensity for task and goal scales (p≤0.01). Conclusion. It obviously appears the link between a positive therapeutic alliance and the success in physiotherapy, while the dynamics of the therapeutic alliance is important for the therapeutic success, in terms of its precocity and continuity throughout the intervention.


EFFECT OF WALKING ON SIX MINUTE WALK DISTANCES, IN SICKLE CELL ANEMIA PATIENTS

Y Praveen Kumar,
Pankhuri Multani,
Y. Pallavi


Background. In most countries sickle cell anemia is a major public health concern & hence important challenge even in developing countries.SCA is inheritant, lifelong disease & hence requires effective intervention. Walking has been used as exercise protocol as walking is a part of everyday life and it is easy to administer. Therefore a study was undertaken to know the initial status of sickle cell patients and later on by implementing walking as exercise protocol the changes encountered in 6 min walk distances in pre & post walking intervention in Sickle cell anemia patients was carried out.

Aim. To know the distance covered in the 6MWT before and after 3 week exercise intervention in SCA patients.

Materials and Methods. Experimental pre test post test design was carried out at Sickle cell anemia and Physiotherapy outpatient department in 40 individuals with SCA and initial parameters (weight, hemoglobin) were documented followed by performance of 6 MWT after which patients were administered with 3 weeks of exercise intervention in form of walking & compared for 6 Minute Walk test parameters pretest to post test.

Results. indicate that there is a marked change in distance covered in pre to post test after 6MWT performance after 3 weeks of exercise intervention.  

Conclusions. The increased levels of distances covered in post test indicates  that although SCA patients have exercise intolerance this can be overcome by administrating simple 3 weeks of walking intervention  &  this  improves the fitness levels of SCA patients.


ADHESIVE CAPSULITIS OF HIP: AN ENIGMA

Dibyendunarayan Bid


Adhesive capsulitis of the hip (ACH) is considered an uncommon clinical condition but it is not so. In ACH a characteristic decrease in hip  active and passive range of motion is observed; which is painful. In acute stage focus should be on decreasing inflammation by means of steroid injections, NSAIDs and physiotherapy. Also biomechanical dysfunction should be corrected for joints proximal and distal to affected hip. In chronic stage, treatment should focus on regaining range of motion through vigorous physiotherapy. In medical literature treatment described for chronic ACH include manipulation under anesthesia; pressure dilatation; and lysis of adhesions, open or arthroscopic synovectomy, and capsular release etc. A minimum of 3-months duration of conservative treatment should be tried before considering surgical option.


EFFECT OF POSITIONAL RELEASE THERAPY VERSUS STATIC STRETCHING, ON SUBJECTS WITH HAMSTRING TIGHTNESS

Anand Heggannavar,
Ashwini Behere


Background. Hamstrings are the most common group of muscles prone for tightness. Tight hamstrings are a contributing factor for low back pain. Static stretching has been proved to be an effective method for releasing the tight hamstrings. Positional release therapy (PRT), a manual therapy technique has been proposed to increase muscle flexibility. Though its use has been documented, it has been rarely used for decreasing hamstring tightness.

Purpose of the study. To investigate the effect of PRT on hamstring tightness and to compare the effect of PRT with static stretching on hamstring tightness.

Materials and Methods. Thirty undergraduate students of KLEU Institute of Physiotherapy between the age group of 18-25 yearswith hamstring tightness were allotted to 2 groups, static stretching and PRT. Hamstring tightness was determined using Active knee extension test. Pre- and post-intervention measures were taken and the values were compared.

Results. There was statistically significant difference within groups for group A (right t=27.388, p<0.001, left t= 21.227, p<0.001) & group B (right t=28.111, p<0.001, left t=27.388, p<0.001) there was no statistically significant difference (right t=0.519, p=0.608, left t=0.904, p=0.374) between the groups.

Conclusion. Both static stretching and positional release therapy are equally effective in decreasing hamstring tightness.


THE ROLE OF MULTISENSORY STIMULATION IN QUALITY OF LIFE IMPROVEMENT OF ELDERLY WITH VASCULAR DEMENTIA

Tudor Mariana Ionela,
Iconaru Elena Ioana,
Ciucurel Constantin,
Georgescu Luminița Elena


Introduction: Multisensory stimulation has proven positive results in a broad range of disorders (learning disabilities, brain injury, dementia, behavioural or developmental disorders etc.). Researches support the therapeutic implications of sensory stimulation, emphasized by relaxation, anxiety-reducing effect, depression and behavioural disorders relieving, communication and quality of life improving (Lancioni, 2002).

Method:The study involved two male patients with vascular dementia (68 and 70 years old). For the multisensory environment we used a selection of sensory materials which facilitate an adaptive response to different stimulation: visual, auditory, olfactory, gustatory and kinesthetic. To register the effects on patients’ quality of life we applied the RAND 36-Item Health Survey, which investigates several domains for quality of life (Stewart, 1992; Hays et al., 1993).

Result: Our results reveal an improvement in quality of life, for both patients, in all aspects, the greatest effect being registered for the social functioning domain.

Conclusion: The increasing number of old people, as well as their neurovascular morbidity requires the diversification of medico-social services, which implies a complex therapeutic approach, focused on improving the patients’ quality of life.

 

 

 

 

 


IMMEDIATE EFFECT OF SELF NEURAL FLOSSING IN CERVICAL RADICULOPATHY A PRE AND POST EXPERIMENTAL STUDY

Sanjiv Kumar,
Tenzing Norbu Lama


Background. Cervical radiculopathy is a common clinical condition defined as a disorder of nerves and nerve roots and oftenly it is the result of a compressive or inflammatory pathology from disc herniation, spondylitic spur or cervical osteophytes. Patient usually presents with complaints of pain, numbness, tingling and weakness in upper extremity.

Objective. To study the Immediate effect of self neural flossing on pain, ROM and neck disability in patients with cervical radiculopathy.

Methodology. Convenience sampling method recruited 30 participants of age between 30-70 and self neural flossing was given. A pre-post value was measured using Neck Disability Index, Visual Analogue Scale, and Cervical Range of Motion.

Results. Self neural flossing technique reduced pain and increased neck function along with reduced painful range of motion. It’s very simple and self  releasing technique for neural tissue mobilization as well other surrounding soft tissues.

Conclusion. Immediate effect of Neural flossing technique for cervical radiculopathy was beneficial to reduce pain for short duration and improve neck function.


SCREENING OF LATERAL EPICONDYLITIS IN SWEEPERS USING PATIENT RATED TENNIS ELBOW EVALUATION QUESTIONNAIRE

Vijay Kage,
Shamika Desai,
Samia Banu


Background. Pain over the lateral epicondyle, which is exacerbated by work or recreational activities that involve gripping action of the hand, such as holding  tools, shaking hands usually signals that the individual has a condition termed lateral epicondylagia,  epicondylitis, or what is more commonly known as tennis elbow.

Objective. To  determine  the  prevalence  of  lateral  epicondylitis  in  sweepers  of  K.L.E.  University campus using  Patient  Rated  Tennis  Elbow  Evaluation  Questionnaire.

Methods. 215 sweepers consisting of both males and females all above the age of 18 years participated in this study. All these subjects were from the K.L.E University campus. Subject having any discomfort or pain at lateral epicondyle based on the PRTEE questionnaire were further evaluated for lateral epicondylitis using diagnostic tests like Cozens test, Mills test and Maudsley’s test. Any one of the following test being positive the subjects were confirmed of lateral epicondylitis. The PRTEE questionnaire scores were calculated and the statistical analysis was done.

Results. Results of this study showed, that around 27 subjects out of 215 subjects participated in the study had positive lateral epicondylitis. Among these, all 27 were females and no males had positive lateral epicondylitis. Duration of symptoms was statistically significant for lateral epicondylitis with p< 0.0001.

Conclusion. This study concludes that the prevalence of lateral epicondylitis in sweepers is 12.55%, and there is correlation between duration of symptoms and presence of lateral epicondylitis using PRTEE questionnaire but there is no correlation between age, sex, BMI, working period, working hours for lateral epicondylitis. 


MALPRACTICE IN MEDICAL PROFESSIONAL AREA - BETWEEN DESIRES AND REALITIES

Chiriac Mircea,
Pancotan Vasile,
Chiriac Diana,
Șerbescu Carmen,
Ianc Dorina


Medical malpractice is a professional behavior deviated from the standards set for specialists with a similar background and experience and thereby caused injury to the patient.

Errors can be classified as:

  • • subjective errors -  due to poor professional training, thus putting into practice poor techniques and specialized maneuvers
  • • objective errors - caused, most often due to imperfection of medical science at a time, a specific reactivity of a particular patient or disease features

In legal doctrine distinction is made between  

  • • fault committed - manifested in an inappropriate actions: recklessly, inadequate, ignorance or clumsiness
  • • fault omissions - inactions manifested in a failure to enforce necessary action
  • • fault "in eligendo" - consisting of the wrong choice of medical procedures or in delegate a noncompetent person
  • • culpa "in vigilando" - consisting of failure to apply for aid, by not informing etc.

            We need a well-designed system of care, ready to discover a medical error as soon as possible (to protect faster the patients and only then pulling the medical personell guilty accountable); prevention is the easiest because it involves neither victims nor guilty.


NEW CONCEPTS “HYBRID “ IN NEUROREHABILITATION “STEP BY STEP TO THE FUTURE WITH THE ZOLI BOXES TECHNIQUES”

Pasztai Zoltan


The means of physical therapy are quite varied and they have changed, they have been modernized along the years. The „Zoli box” technique is an idea already met in my book „Physical Therapy in Neuro-Pediatrics”, but it hasn’t been experimented yet in each stage of neurological disorders of 0-12 year-old children. Our intention is to prove that facilitated PNF/ stretching technique can influence positively the premature obtaining of stato-kinetic function of children with neuro-motor disorders. From this point of view it is very important to know the development of muscular physiology and pathology, biomechanics, motricity, and nervous central system of the children in order to optimum explore and recover their stato-kinetic function and capacity. The (work) presents notions regarding physical therapy means, regarding “the box” the objectives of physical therapy that can be achieved by using this box and it ends with the conclusions resulted from daily activity using the box.

The basic conclusion is the following: the box is a mean (apparatus) that allows the gradual pleasant acceptable passing from the fixed ladder (old method) to the big Bobath ball, leading to the obtaining of the strategies of the central axis in children with disabilities.                      


EFFECT OF SWISS BALL TRAINING ON TRUNK PERFORMANCE IN PATIENTS WITH STROKE

Shrikrishna G. Shinde,
Suvarna Ganvir


Background. In stroke, there is paralysis or weakness of one side of the body includes upper limb, trunk and lower limb leading to the disturbances in the trunk muscles. The sensory and motor impairments of upper limb, lower limb and trunk interfere with the functional performance after Stroke. Trunk performance has been identified as an important early predictor of functional outcome after Stroke.

Objective.  To evaluate the effect of Swiss ball training on improving trunk control in patients with stroke.

Design. Systematic review and meta-analysis of randomized, controlled trials published January 2013

Data sources. Electronic databases (Medline, Embase, and Cochrane Central Register of Controlled Trials)

Selection criteria. Randomized, controlled trials with ≥1 year of follow-up investigating the effect of Swiss ball training on improving trunk control.

Result. The pulled value of present metaanalysis shows that training concentrating on improving trunk control is effective in nature.

Conclusions. The present metaanalysis conclude that swiss ball training is effective in improving trunk control.


BENEFITS OF A COMPLEX FUNCTIONAL REHABILITATION PROGRAM ON THE QUALITY OF LIFE IN INDIVIDUALS WITH ARTHROSIS

Dan Mirela,
Boca Ioan Cosmin,
Cojocaru Elena


Spine, hip and knee are frequent areas of adegenerative conditions, with a great functional impact on the activities of daily living indepencence.

Aim. This study aims to identify individuals with arthrosic conditions, from different environment and to observe the efficacy of functional rehabilitation, as an integrative part of a complex therapeutic approach of arthrosis, within state medical system, as an interdisciplinary medical approach.

Matherial and method. This study was conducted on 20 individuals with spine, hip and knee arthrosis. Rehabilitation protocol included electrotherapy, termotherapy and massage, as passive forms of preparation of anatomic and functional structures, followed by physical therapy, as an active form of therapy.

Assessment was based on anamnesis and a questionnaire regarding the physical ststus, whics represents the basics of research for the groups of patients.

These assessment tools were used in order to make the final assessmentsm after the following of the functional rehabilitation program.  Statistics were used for data analysis.

Conclusions. Functinal rehabilitation program represents a very useful therapeutic complex for the compensation of functional impairments due to the arthrosic condition development. It also represents a modality which provides a maximum use of functional remanence.


EFFECT OF TWO DIFFERENT MANUAL THERAPY PROTOCOLS ON OSTEOARTHRITIC KNEE PAIN & FUNCTIONAL DISABILITY: A COMPARATIVE STUDY

Saqib Syed,
Surendra Wani





content


Romanian Jurnal of Physical Therapy

issue number 33 / 2014





Romanian Jurnal of Physical Therapy

issue number 33 / 2014



EFFECTIVENESS OF ACETIC ACID IONTOPHORESIS AND ULTRASOUND THERAPY ON CALCANEAL SPUR- A CASE STUDY

Nitin S. Nikhade,
Snehal Waghavkar



IMPORTANCE OF BACK CARE INSTRUCTIONS IN PATIENTS SUFFERING FROM ACUTE MECHANICAL LOW BACK PAIN

Y. Pallavi,
Y. Praveen,
Shazia Malik,
Pallavi Talvekar



KNOWLEDGE, ATTITUDE AND WILLINGNESS OF PHYSIOTHERAPISTS TO CARE FOR PEOPLE LIVING WITH HIV/AIDS

Chidozie Emmanuel Mbada,
Latifat Abiola Gbadamosi,
Yewande Ogunmoyole,
Udoka AC Okafor



EFFECTS OF SINGLE DOSE OF CITRULLINE MALATE ON PERFORMANCE IN COLLEGIATE MALE ATHLETES

Nishant Sharma,
Gaurav Shori,
Deepti Soni Jaipuriar



IMMEDIATE EFFECTS OF GLOSSOPHARYNGEAL BREATHING IN PATIENTS WITH SPINAL CORD INJURY

Tejswini Kulkarni,
Nisha Kiran Shinde,
Sambhaji Gunjal



EFFICACY OF PASSIVE SUSTAINED SPECIFIC MUSCLE STRETCH ON PATIENTS WITH TYPE-2 DIABETES MELLITUS – A RANDOMIZED CONTROL TRIAL

Santosh C. Metgud,
Aditya Tamboli



PREVALENCE OF SLEEP DISORDER IN SUBJECTS WITH TYPE 2 DIABETES MELLITUS: AN OBSERVATIONAL STUDY

Santosh C. Metgud,
Chakradhar Reddy Bangaru



EFFECTIVENESS OF PROGRESSIVE STEPPING PROGRAM ON BALANCE PERFORMANCE IN GERIATRICS: A RANDOMIZED CONTROLLED TRIAL

Parab Kalpita,
Hande Deepali,
Kulkarni Nupoor,
Khatri Subhash



EFFECT OF MITCHELL’s RELAXATION TECHNIQUE AND MEDITATION IN ESSENTIAL HYPERTENSIVE PATIENTS - A RANDOMIZED CLINICAL TRIAL

Sanjiv Kumar,
Siddharth Mishra



PHYSICAL EXERCISES AS A THERAPEUTIC EFFECT IN THE COMPLEX TREATMENT OF DIABETES

Plastoi Camelia,
Papuc Valentin,
Arapu Raluca Elena





content


Romanian Jurnal of Physical Therapy

issue number 32 / 2013





Romanian Jurnal of Physical Therapy

issue number 32 / 2013



SUCCINT HISTORY OF PHYSICAL THERAPY CONCEPT IN ROMANIA - speaking with Prof.Phd. MARCU VASILE



EVOLUTION OF COMPETENCES IN PHYSICAL THERAPY PROFESSION

Marcu Vasile,
Ciobanu Doriana Ioana



RELATIONSHIP BETWEEN BALANCE AND ANKLE RANGE OF MOTION IN ADULTS AGED 60 YEARS AND ABOVE

Deepika P. Metange,
Vivek Kulkarni,
Dhara Kapoor



SPINAL CORD STIMULATION IN FAILED BACK SURGERY

Ali Yilmaz,
Zahir Kizilay,
Filiz Altug,
Ciobanu Doriana Ioana,
Göksemin Acar,
Feridun Acar



FITNESS DEVELOPMENT THROUGH DANCE IN CHILDREN WITH MILD MENTAL DEFICIENCY, FROM SCHOLAR CENTER FOR INCLUSIVE EDUCATION “ORIZONT”, ORADEA

Ticarat Ana-Maria,
Ciobanu Doriana Ioana



CORRELATION BETWEEN ACTIVITY SPECIFIC BALANCE CONFIDENCE SCALE AND BERG BALANCE SCALE IN ELDERLY INDIVIDUALS

Suvarna Ganvir



STRESS LEVEL IN UNDERGRADUATE PHYSIOTHERAPY STUDENTS: AN OBSERVATIONAL STUDY

Vijay Kage,
Pratik .A. Phansopkar



SHORT TERM EFFECT OF THERABITE® ON TEMPOROMANDIBULAR JOINT DYSFUNCTION: RANDOMIZED CONTROLLED TRIAL

Richa Singh,
Keerthi Rao,
Subhash Khatri,
Chandra Iyer,
Deepak Anap



REHABILITATION STRATEGIES IN PATIENTS WITH SYSTEMIC SCLEROSIS

Sîrbu Elena



EFFECT OF VALSALVA MANEUVER AND BREATHING SYNCHRONISATION DURING HIGH INTENSITY CLOSED KINETIC CHAIN EXERCISES ON CARDIO-VASCULAR SYSTEM

Vijayakumar M.,
Rutuja B. Alhat,
Priya D.



NECK PAIN AND WORK RELATED FACTORS AMONG ADMINISTRATIVE STAFF OF PRAVARA INSTITUTE OF MEDICAL SCIENCES

Nazia Qutub,
Deepak Anap,
Keerthi Rao,
Chandra Iyer



INCIDENCE OF SHOULDER PAIN POST STROKE

Priti Rajak,
Deepali Hande,
Shinde Neesha,
Subhash Khatri,
Nitesh Kathariya



PHYSICAL THERAPY PRE AND POST PREGNANCY PRACTICED IN AN INDEPENDENT CABINET FROM LUXEMBURG

Done Georgeta



CHANGES IN HEMODYNAMIC PARAMETERS UNDER THE INFLUENCE OF PHYSICAL EXERCISES IN DIALYZED PATIENTS

Mircioagă Alexandra,
Barzuca Dorian,
Mircioagă Elena Doina





content


Romanian Jurnal of Physical Therapy

issue number 31 / 2013



CUVÂNTUL PREŞEDINTELUI FEDERAȚIEI ROMÂNE A ASOCIAŢIILOR DE FIZIOTERAPIE
Elena Căciulan ...................................................................................................... 7

INVESTIGATION OF EFFECTIVNESS OF CONTROLED DIPHRAGMATIC BREATHING ON PULMONARY FUNCTION & SIX MINUTE WALK DISTANCE IN STABLE COPD PATIENTS
Sudeep Kale , M.Vijayakumar .............................................................................. 9

PSYCHOLOGICAL AND BEHAVIORAL CHANGES DUE TO ILNESS, IN ELDERLY PATIENTS

Mârza-Dănilă Doina, Mârza-Dănilă Dănuţ Nicu ............................................... 14


LUMBAR RIB: AN UNCOMMON CAUSATION OF A COMMONMANIFESTATION
Deepak Anap, Sushil Kachewar,Ashish Prabhakar, Abhijit Diwate, S.D. Ganvir ....................................................... .19


PERKS OF PHYSICAL THERAPY DUE TO A COMPLEX REHABILITATION PROGRAM AFTER TOTAL KNEE ARTHROPLASTY
Mirela Dan, Ioan-Cosmin Boca .......................................................................... 22


EFECTUL EXERCIŢIILOR ANTEBRAŢULUI, PUMNULUI ŞI MÂINII ASUPRA VITEZEI DE SCRIS, LA STUDENŢII SĂNĂTOŞI DIN NAGPUR
Y Praveen Kumar, Sharma Harishankar Shweta, Menachery John Anagha .... 28

PHYSICAL THERAPY FOR RUGBY PLAYERS WITH ACROMIOCLAVICULAR DISJUCTION
EmilianTarcău, Vasile Pâncotan, Mihai Ille, Claudiu Miheş, Anca Deac ......... 34

COMPARISON OF CYRIAX PHYSIOTHERAPY AND TAPING technique IN SUBJECTS WITH TENNIS ELBOW: A RANDOMIZED CLINICAL TRIAL
Ashish J Prabhakar, Vijay Kage ......................................................................... 40


FELIX PHYSICAL THERAPEUTIC PROTOCOL REGARDING THE POSTTRAUMATIC ANKLE-FOOT SYSTEM/COMPLEX
Pásztai Zoltán, Bogdan Radu .............................................................................. 48

METHODICS OF THE POSTTRAUMATIC BRACHIAL PLEXUS INJURIES REHABILITATION (CASE STUDY)
Bălteanu Veronica .............................................................................................. 54


PATTERN OF MCKENZIE SYNDROMES AND DIRECTIONAL PREFERENCE IN PATIENTS WITH LONG-TERM MECHANICAL LOWBACK PAIN
Chidozie Emmanuel Mbada, Olusola Ayanniyi, Samuel Olusegun Ogunlade ... 61


RELATIONSHIP BETWEEN DISABILITY, PAIN INTENSITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC NECK PAIN
Filiz Altug, Nihal Büker, Erdoğan Kavlak, Ali Kitiş, Uğur Cavlak .................... 68


INFLUENCES DETERMINED BY THE ENVIRONMENT AND PROFESSIONAL ACTIVITY IN THE RECOVERY OF SPASTIC HEMIPLEGIA AFTER STROKE
Camelia Daniela Plăstoi, Valentin Papuc ........................................................... 73


ROLE OF KEGEL’S EXERCISE ON POSTPARTUM PERINEAL FITNESS: RANDOMISED CONTROL TRIAL
Shinde Neesha, Bhardwaj Shalu,Deepali Hande,Khatri Subhash ..................... 77

THE EFFECT OF THORACIC MUSCLE ENERGY TECHNIQUE ON PULMONARY FUNCTION IN PATIENTS WITH COPD
Kanjolia Neha, Shinde Neesha, Anerao Urja, Khatri Subhash .......................... 83


RECOMANDĂRI PENTRU AUTORI ............................................................. 87
RECOMMENDATIONS FOR THE AUTHORS ............................................. 90
TALON DE ABONAMENT .............................................................................. 93



Romanian Jurnal of Physical Therapy

issue number 31 / 2013



CUVANTUL PRESEDINTELUI FEDERATIEI ROMANE A ASOCIATIILOR DE FIZIOTERAPIE

Caciulan Elena



INVESTIGATION OF EFFECTIVNESS OF CONTROLED DIPHRAGMATIC BREATHING ON PULMONARY FUNCTION & SIX MINUTE WALK DISTANCE IN STABLE COPD PATIENTS

Sudeep Kale,
Vijayakumar M.


Abstract.
Introduction: Pulmonary hyperinflation is critical factor in COPD patients which puts diaphragm at mechanical disadvantage. Shape and geometry of chest wall is altered in patients with COPD, consequently reduces opposing zone of diaphragm. Low, flat diaphragm weakens diaphragm muscle & decreases the diaphragm function. This study was designed to investigate effect of Controlled Diaphragmatic Breathing on pulmonary function & 6Minute Walk Distance in stable mild to moderate severity COPD patients.

Method: Subjects were evaluated at the start of treatment & reevaluated after 3 weeks. 6 MWD & PFT pre & post treatment was done as per Standardized guidelines of ATS. The subjects received breathing retraining six days a week for 20 minutes for 3 weeks.
Result: Subject showed significant improvement in 6 MWD1 (t =2.301 ,P<0.05) . No significant difference noted in the PFT parameters after 3 weeks training.
Conclusion: Controlled Diaphragmatic Breathing has a variable effect on improvement in functional
status in COPD patients & hence can be incorporated in pulmonary rehabilitation.


PSYCHOLOGICAL AND BEHAVIORAL CHANGES DUE TO ILNESS, IN ELDERLY PATIENTS

Marza-Danila Doina,
Marza Danila Danut Nicu


Abstract.
Together with the perception of illness, individual anticipates several threats in the respect of his physical integrity and/or capacity, especialy if his informations regarding similar cases sugests this kind of possibilities. In case of an ilness, within his familial, social and professional life there are some fractures capable of making the patient to change his status and role, or at least his ideea of group insertion and his disponibility to cooperate.
Objectives. This paperwork aims to assess changes in psychical and behavioral aspects in elderly patients.
Subjecs. Study group consisted of 165 patients, males and women, ages between 65 and 80 years old, with several illness. Study was conducted between October 2012 – February 2013.
Methods. For assessment was used a questionnaire, carried out by physical therapists from diverse medical care units. Results. Results analized even from the point of view of influences of age, gender and previous medical status on patients, shown several changes in the respect of the attitude regarding the accident/ illness, phycological status during the first stages of affection, at the beginning of the rehabilitation process, abd attitude regarding the evolution of illness.
Conclusions. Illness generates physchic stress, leading to some psychological and behavioral changes, which must be take into account during rehabilitation process of elderly persons.


LUMBAR RIB: AN UNCOMMON CAUSATION OF A COMMON MANIFESTATION

Deepak Anap,
Sushil Kachewar,
Ashish Prabhakar,
Abhijit Diwate,
SD Ganvir


Abstract.
Background. Lumbar rib is a very rare anomaly of the ribs characterized by an extra rib arising from lumbar vertebrae. Extra rib/ supra rudimentary ribs when present usually arise from cervical vertebrae, although sacral, coccygeal and intrathoracic ribs have also been reported.
Lumbar ribs arising from vertebrae may be mistaken for kissing osteophytes, transverse process anomalies or abdominal vessel anomalies. Adequate knowledge of this condition is therefore important for further research.


PERKS OF PHYSICAL THERAPY DUE TO A COMPLEX REHABILITATION PROGRAM AFTER TOTAL KNEE ARTHROPLASTY

Dan Mirela,
Boca Ioan Cosmin


Abstract.
Concept of knee functional improvement by modifying joint surfaces is an area of interest for medical doctors from 19th century. In it’s actual form, total knee arthroplasty enhance patient’s quality of life by regaining joint function and reducing pain syndrome. Total knee arthroplasty is a highly used intervention. In our days, those who need it are mostly young people. Functional rehabilitation aftel total knee arthtoplasty aims to improve knee stability and range of motion. A complex rehabilitation program will also bring a significant improvement of patients quality of life, after total knee arthroplasty.

Material and methods. Randomized study was made on 10 subjects, mean age 60, 7 women, 3 men, mean duration from intervention 7 month, 6 with total knee arthtoplasty on right knee and 4 on left knee. For assessment were used: goniometry for ROM, manual muscle testing for muscle strength, VAS for pain intensity, Lysholm scale for functional performance. Patients followed individual rehabilitation program for three weeks.

Results. There were significant improvement of knee ROM, both for extension and flexion, quadriceps and hamstrings muscle strength, and a significand decreasing in pain intensity.

Conclusions. Rehabilitation program after total knee arthroplasty is very important for the improvement of patient quality of life.


EFFECT OF FOREARM, HAND AND WRIST EXERCISES ON WRITING SPEED IN HEALTH SCIENCE STUDENTS OF NAGPUR

Y Praveen Kumar,
Sharma Harishankar Shweta,
Menachery John Anagha


Abstract.
Background. Human beings are the most advanced living beings, and hence perform skilful activities. Handwriting is one of the skills required in medical education.

Aim. To assess the effectiveness of forearm, hand and wrist on handwriting speed.

Materials and method. Interventional pre-test and post-test design was carried out on 100 health science students, and handwriting speed, pinch grip strength and coordination was assessed pre and post exercise intervention, initially and after 4 weeks of structured exercise programme.

Result. There was 2.91 % improvement in handwriting speed (p=0.044), 5.08 % improvement in pinch grip strength (p=0.00), and 8.45 % improvement in co-ordination test (p=0.00). The co relational study post-test handwriting vs. co-ordination 2- tailed was statistically significant (0.403).
Conclusion 4 weeks of forearm, wrist and hand exercises improve handwriting speed.


PHYSICAL THERAPY FOR RUGBY PLAYERS WITH ACROMIOCLAVICULAR DISJUCTION

Tarcau Emilian,
Pancotan Vasile,
Ille Mihai,
Mihes Claudiu,
Deac Anca


Abstract. In sportive activities, due to overwork, wearing out of hard trainings with improperly managed resting periods, to the training conducted in a wrong manner, to the type of practiced sport, etc., various injuries may occur leading to the interruption of sportive activity for a shorter or longer period of time. One of the sports with the highest incidence of traumatism is rugby, because of its dynamics, of permanent contact between players and of the tremendous effort which ultimately leads to overwork.
The purpose of this study is to present the importance of the kinetic exercise (besides training hours) in maintaining a good mobility of the scapular belt in rugby players with acromioclavicular disjuction. Material and method: The study was made over a period of 3 months (during competitional season), with the members of R.C. Rugby Spartan Oradea rugby team. We studied 10 sportives aged between 24 and 53, all having posttraumatic problems at scapular belt level (especially acromio-clavicular disjunction).
Results: After implementing the rehabilitation programme during competitional season for rugby players, we obtained both a significant decrease of pain and positive results regarding scapularhumeral joint mobility and scapular beld flexibility.
Conclusions.The obtained results show the fact that the rehabilitation programme attended during competitional period led to decrease of pain as well as to the increase of shoulder mobility and scapular belt flexibility.


COMPARISON OF CYRIAX PHYSIOTHERAPY AND TAPING TECHNIQUE IN SUBJECTS WITH TENNIS ELBOW: A RANDOMIZED CLINICAL TRIAL

Ashish Prabhakar,
Vijay Kage


Abstract. Tennis elbow or lateral epicondylitis is a commonly encountered musculoskeletal complaint, which is characterized by lateral elbow pain often associated with gripping task. For management of this problem, elbow tape and Cyriax physiotherapy have been incorporated into the treatment. Objective. To study the comparative effectiveness of Cyriax physiotherapy and Taping in cases of tennis elbow in terms of pain, grip strength and functional activities.
Methods. 40 subjects with tennis elbow over the duration of 3 months, between the age 20 to 50 years were taken up for the study. Baseline pain, grip strength and functional evaluation were recorded pre treatment (1st day) and post treatment (7th day). Hand dynamometer was used to measure the grip strength, VAS to assess pain and patient rated forearm evaluation questionnaire for lateral epicondylitis was used for functional evaluation. Comparison of the pre and post values was done following the treatment. Results. Within group analysis showed that there was statistically significant improvement in both the groups in the pain, grip strength and functional performance. (p<0.0001) whereas between group analysis revealed that Group A showed significant improvement compared to Group B in terms of pain and functional performance.

Conclusion. This clinical trial provided evidence to support the use of cyriax physiotherapy and taping techniques in relieving pain, improving grip strength and improve functional performance in subjects with tennis elbow. Results supported that Cyriax physiotherapy was more effective than taping technique in reducing pain and functional performance.


FELIX PHYSICAL THERAPEUTIC PROTOCOL REGARDING THE POSTTRAUMATIC ANKLE-FOOT SYSTEM/COMPLEX

Pasztai Zoltan,
Bogdan Radu


Abstract
The purpose of this paper is to present the protocol that comprises the specific exercises for recovery of young patients that practice sports or for the professional sportsmen who suffered different types of posttraumatic injures of the ankle-foot systhem as well as to validate our hypotheses.
The study was carried on în The Clinical Recovery Hospital from Băile Felix during 3 months; we selected 20 patients with different diagnoses. We revealed the following common aspects of the most severe lesions: practicing a high risk sport, the traumatized ankle in a forced rotation with the fixed leg, there are other clinical sings that go with the pain, functional impotence and precocious tumefaction of the malleoli.
Methods: Hypotheses We presuppose that by daily using this individualized protocol with a”D-CMF”device, an specific exercises of the posture and of Bernstein module we will obtain a more efficient and quick recovery of the young people who practice sports/sportsmen and we can prevent the recidivism.
Results: After statistical processing of the data according to FAOS, the test t score and pvalue. were significants
Conclusions: when the injury is more severe the interventions need to be more complex; if the immobilization time span is longer, then the recovery time span is longer, and in some cases the ROM at the ankle-foot system cannot be regained / obtained completely for the time span the patient predicted.


METHODICS OF THE POSTTRAUMATIC BRACHIAL PLEXUS INJURIES REHABILITATION (CASE STUDY)

Balteanu Viorica


Abstract. The posttraumatic sequelae of brachial plexus nerve injuries require a complex approach from a medical (surgical, orthopaedic, and orthotic – if applicable) and physical therapeutic perspective, for the functional rehabilitation necessary to the professional and social reintegration of the patient.
Rehabilitation of this type of injury is highly difficult, considering the complexity of consecutive dysfunctions, which can cause major invalidity. The most important points in the therapeutic approach are the initial clinical and functional diagnosis, the objectives per phase, and the selection of the most effective means and methods.
It is necessary to instruct the patient and to persuade him to collaborate for the rehabilitation process per se, considering that making progresses is related both to the quality of the treatment and application monitored and guided by specialist, and to the outside setting, such as the patient’s domicile. The observance of the generally valid principles in physical therapy, the use of proper means and methods, within a logical and methodical sequence, and of the possibilities and demands per phase (reflected in the results of assessments) are indeed necessary and they ensure the progress is well carried out, leading to an improvement or to the cure of this type of traumatism.


PATTERN OF MCKENZIE SYNDROMES AND DIRECTIONAL PREFERENCE IN PATIENTS WITH LONG-TERM MECHANICAL LOWBACK PAIN

Chidozie Emmanuel Mbada,
Olusola Ayanniyi,
Ayanniyi Olusegun Ogunlade


Abstract. Objectives. Failure of the plenitude of interventions in non-specific mechanical low-back pain (LBP) management is implicated on its heterogeneity. Identifying specific syndromes and subgroups of patients with mechanical LBP has been recognized as a recent development in LBP research. This study aimed to assess the pattern of McKenzie syndromes (MS) and directional preference (DP) of patients who were referred for physical therapy treatment of mechanical LBP.

Methods. Eighty nine (48.3% males) consenting patients reporting mechanical LBP persisting for at least 3 months participated in the study. MS and DP were determined by McKenzie-trained faculty in Mechanical Diagnosis and Therapy. The participants’ symptoms and mechanical responses to repeated endrange movement or sustained postures were classified as derangement, dysfunction, or postural syndromes. DP is defined as the movement or posture that decreases or centralizes pain that emanates from the spine and/or increases range of movement. Data were summarized using descriptive statistics.

Results. The participants’ ages ranged between 38 and 62 years. Prevalence of MS was 79.8%, 6.7% and 13.5% for derangement, dysfunction and postural syndromes. 94.4% of the participants had DP for extension, 3.4% for flexion while 2.2% had no direction preference at all. The participants’ mean functional disability and pain intensity score on a scale of 0-10 was 5.43 ± 1.44 and 6.55 ± 1.75 respectively.

Conclusion. Derangement was the most prevalent McKenzie syndromes in patients with long-term mechanical low-back pain.

Therapeutic movement or posture in extension seems to be the most appropriate intervention for majority of these patients.


RELATIONSHIP BETWEEN DISABILITY, PAIN INTENSITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC NECK PAIN

Filiz Altug,
Nihal Buker,
Erdogan Kavlak,
Ali Kitis,
Ugur Cavlak


Abstract. Objective: This study was conducted to determine the relationship between disability, pain intensity and quality of life in patients with chronic neck pain.
Methodology. One hundred patients suffering from chronic neck pain for at least six months (71 female-29 male) were evaluated in this study. A Visual Analog Scale was used to describe pain intensity. The Neck Disability Index (NDI) was used to evaluate disability level. To determine the quality of life of the subjects, the SF-36 survey was used.
Results. The mean age of the participants was 44.13±12.22 years. Mean of pain duration was 40.66±41.86 month. Mean pain intensity at rest 4.86±2.92, intensity of pain during activity 6.74±2.75, intensity of night pain 5.56±3.45. Mean NDI score was 42.20±18.29. The results of this study showed that the NDI scores were highly correlated with scores of the subscales of SF-36 (p<0.01). The NDI scores also showed a positive correlation with night pain, pain at rest, and pain during activity (p<0.01).However, NDI scores were not correlated with pain duration.
Conclusion. The results of this study indicate that increased disability level in patients with chronic neck pain leads to decreased quality of life.


INFLUENCES DETERMINED BY THE ENVIRONMENT AND PROFESSIONAL ACTIVITY IN THE RECOVERY OF SPASTIC HEMIPLEGIA AFTER STROKE

Plastoi Camelia Daniela,
Papuc Valentin


Abstract. In this research the objectives we proposed was the recuperation of motor deficit and recuperated the autonomy of walking ability. As a result of the physical therapy programme applied, associated with the medicine treatment, better results have been obtained in all of the 23 cases studied these being but different depending on the environment of origin and professional activity of the patient.

Results. As a result of the treatment applied, 87% of the patients recuperated the autonomy of walking and 71% recuperated the capacity of taking care of themselves. This issue and the results present prove the great importance of physical therapy in the recuperation of paralysis of a half of the body patients.

Conclusions. Environment of origin has a major role in the installation of a unable to move putting on the imprint on recovering what must be done through a program physical therapy associated with medicinal treatment. The installation a unable to move at the body may be subject to recovery by methods physical therapy associated with a medication. Recovery patients with such a unable to move depends, among other things, and the professional activity of the one who has suffered such an accident. Environment of origin and professional activity are important landmarks in the event of a unable to move determines a recovery of the patients divided according to them.


ROLE OF KEGEL’S EXERCISE ON POSTPARTUM PERINEAL FITNESS: RANDOMISED CONTROL TRIAL

Shinde Neesha,
Bhardwaj Shalu,
Deepali Hande


Abstract. Objectives: To assess the effect of Kegel’s exercise on perineal muscle strength and endurance of postnatal mothers after vaginal delivery.

Study Design: Randomised Control Trial Study setting: Department of Cardiorespiratory Physiotherapy, Pravara Rural Hospital, Loni- 413736, District- Ahmednagar, Tal-Rahata, Maharashtra State, India. Participants: 100 Participants between 20-40 age group who had vaginal delivery with < 2 grade for muscle strength on modified grading scale as measured by per vaginal digital examination. Intervention. Participants were divided into two groups. Both of the groups were given routine exercise in common and the Interventional group was given Kegel's exercise in addition. The perineal muscle strength and endurance was measured pre and post 12 weeks of intervention according to modified Oxford Grading Scale and objective assessment of Quality of life(QOL) was taken.
Outcome measures : The outcome measure was perineal muscle strength and endurance and objective assessment on quality of life (QOL) was also done.

Results: Comparison of these scores between the groups by unpaired t-test yielded pvalue of < 0.01 suggesting highly significant difference in the Interventional group.

Conclusion: The Kegel’s exercise is effective to increase the perineal fitness and also improves the QOL.


THE EFFECT OF THORACIC MUSCLE ENERGY TECHNIQUE ON PULMONARY FUNCTION IN PATIENTS WITH COPD

Kanjolia Neha,
Shinde Neesha,
Anerao Urja,
Khatri Subhash


Abstract. Objective: The objective of this study is to find out the effect of thoracic muscle energy technique on pulmonary function (FVC and FEV1) measures in patients with chronic obstructive pulmonary disease (COPD).


Study design: Pretest- posttest experimental study design.
Study setting: Department of Cardiorespiratory Physiotherapy, Pravara Rural Hospital, Loni- 413736, District- Ahmednagar, Tal-Rahata, Maharashtra State, India. Participants. Thirty participants with clinically diagnosed COPD between 30 to 60 years age group.


Intervention. Thoracic muscle energy technique given for two weeks of duration and the values for pulmonary function FVC and FEV1 measures were assessed pre and post intervention using clinical Spirometry.
Outcome measures. Forced Vital Capacity (FVC) and Forced Expiratory Volume in one second (FEV1).
Results. The data were analyzed using the statistical method of Student Paired‘t’ test. The result of the present study showed significant increase in the pulmonary function measures after two weeks of treatment when compared to the baseline data.
Conclusion. The present study shows significant improvement in the FVC and FEV1 measures after two weeks when treated with thoracic muscle energy techniques.




content


Romanian Jurnal of Physical Therapy

issue number 30 / 2012



CHANGES OF BODY COMPOSITION IN PATIENS WITH CYSTIC
FIBRROSIS AFTER A COMPLEX PHYSIOTHERAPY PROGRAM
Bogdan Almăjan-Guţă, Claudiu Avram, Alexandra Mihaela Rusu, Sebastian
Gheltofan, Cluci Ornela Olivia, Molcut Alin ....................................................... 5


EFFICACY OF NERVE FLOSSING TECHNIQUE ON IMPROVING SCIATIC NERVE FUNCTION IN PATIENTS WITH SCIATICA – A RANDOMIZED CONTROLLED TRIAL
Kranthi Pallipamula, Singaravelan RM ............................................................. 13


THE NECESSITY OF PHYSICAL EXERCISE FOR IMPROVING LIFE QUALITY OF ELDERLY PERSONS
Bogdan Daniel Sicoe ........................................................................................... 23


EFFECTIVENESS OF CORE STABILITY TRAINING PROGRAMME ON IMPROVING TASK SPECIFIC PHYSICAL ACTIVITY IN DEVELOPMENTAL COORDINATION DISORDER CHILDREN
Krina Bhayani, R.M. Singaravelan ................................................................... 33


ASSESSMENT OF DAILY LIVING ACTIVITY AND QUALITY OF LIFE IN PATIENTS WITH PARKINSON DISEASE
Filiz Altuğ, Doriana Ciobanu; Claudia Matei2 , Feridun Acar; Uğur Cavlak .... 41


EFFECTIVENESS OF TEN WEEKS OF BALANCE AND STRENGTH TRAINING ON DYNAMIC BALANCE OF OLDER ADULTS
Takshashila S More, Keerthi Rao, Dheeraj Shete, Deepali Hande ................... 48

EFFECTIVENESS OF EMG BIOFEEDBACK ON IMPROVING HAND FUNCTION IN HEMIPLEGIC STROKE PATIENTS
Maheshwari S Harishchandre, Singaravelan R M ............................................. 56


EFFECTIVENESS OF RESPIRATORY MUSCLE TRAINING IN RECREATIONAL SOCCER PLAYERS: A RANDOMIZED CONTROLLED TRIAL
Mahajan A A, Nupoor Kulkarni, Khatri S M ,Kazi A ,Neesha Shinde ............... 64


EFFORT’S INFLUENCE ON RESPIRATORY VOLUMES AND FLOWS - REHABILITATION MANAGEMENT
Olaru M, Bica Monica, Plastoi Camelia, Tataru T, Popescu C .......................... 71


IMPLICATION OF PATIENT’S SELF-EDUCATION AFTER AN ISCHEMIC STROKE, IN SPASTIC PHASE
Camelia Daniela Plăstoi, Valentin Papuc ........................................................... 81


RECOMMENDATIONS FOR THE AUTHORS ................................................................ 88



Romanian Jurnal of Physical Therapy

issue number 30 / 2012



CHANGES OF BODY COMPOSITION IN PATIENS WITH CYSTIC FIBRROSIS AFTER A COMPLEX PHYSIOTHERAPY PROGRAM

Almajan Bogdan,
Cluci Ornela Olivia,
Rusu Alexandra Mihaela,
Molcut Alin,
Gheltofan Sebastian,
Avram Claudiu



EFFICACY OF NERVE FLOSSING TECHNIQUE ON IMPROVING SCIATIC NERVE FUNCTION IN PATIENTS WITH SCIATICA – A RANDOMIZED CONTROLLED TRIAL

Pallipamula Kranthi,
Singaravelan RM



THE NECESSITY OF PHYSICAL EXERCISE FOR IMPROVING LIFE QUALITY OF ELDERLY PERSONS

Sicoe Bogdan Daniel



EFFECTIVENESS OF CORE STABILITY TRAINING PROGRAMME ON IMPROVING TASK SPECIFIC PHYSICAL ACTIVITY IN DEVELOPMENTAL COORDINATION DISORDER CHILDREN

Bhayani Krina,
Singaravelan RM



ASSESSMENT OF DAILY LIVING ACTIVITY AND QUALITY OF LIFE IN PATIENTS WITH PARKINSON DISEASE

Matei Claudia,
Ciobanu Doriana Ioana,
Acar Feridun,
Cavlak Uğur



EFFECTIVENESS OF TEN WEEKS OF BALANCE AND STRENGTH TRAINIG ON DYNAMIC BALANCE IN OLDER ADULTS

Takshashila More,
Keerthi Rao


   Key words: recreational soccer players, diaphragm fatigue, Yo-Yo intermittent recovery test

 Abstract.

Objective The purpose of the study was to investigate the effectiveness of respiratory muscle training (RMT) on intermittent recovery performance and pulmonary function test in recreational soccer players. Design Randomized Controlled Trial. Setting Department of Cardiorespiratory Physiotherapy, Pravara Rural Hospital, Loni, Tal- Rahata, Dist-Ahmednagar, Maharashtra State, India- 413 736. Participants Forty male recreational soccer players between 19-24years of age. Interventions RMT by Pressure threshold device Powerbreathe® classic MR(medium resistance)along with regular physical training and Sham training (ST) along with regular physical training for 5 days of the week for 4 weeks(20 training sessions). Main outcome measures The outcome measures used in the study were Yo-Yo intermittent recovery test   level 1(YYIRT level 1), Maximum Voluntary Ventilation, (MVV) Forced Vital Capacity (FVC), and Peak Expiratory Flow Rate (PEFR). Results Significant improvements in intermittent recovery in terms of YYIRT level 1 and MVV were noted after the four weeks of RMT. However, no significant difference was observed in pulmonary function test in terms of FVC and PEFR. Conclusions RMT is useful in improving performance of male recreational soccer players and should be included in their training regimen.  


EFFECTIVENESS OF EMG BIOFEEDBACK ON IMPROVING HAND FUNCTION IN HEMIPLEGIC STROKE PATIENTS

Maheshwari Harishchandre,
Singaravelan RM


Key words: EMG Biofeedback, Stroke, Hand function, Action Research Arm test, Voluntary control grading scale.

Abstract.

Objective The purpose of this study was to find out the effect of EMG biofeedback along with conventional physiotherapy on improving hand function in subacute stroke participants.

Design Prospective comparative study.

Setting Department of Neuro Physiotherapy, Pravara Rural Hospital (Tertiary Hospital), Loni, Tal- Rahata, Dist-Ahmednagar, Maharashtra State, India- 413 736.

Methods: This study was conducted between January 2011- November 2011. Thirty participants of both genders, aged between 40-65 and those who met all the eligibility criteria were included.  They were divided into two equal groups, Group A Study group received EMG Biofeedback along with conventional physiotherapy and Group B Control group received only conventional physiotherapy. Intervention given over a period of 4 weeks, baseline and post values were assessed by Voluntary Control Grading Scale and Action Research Arm test.

Results: The results of the study revealed that there was a significant difference between both the groups on improved hand voluntary control (p<0.01) and improved hand function (p<0.01) in hemiplegic stroke participants.

Conclusion: The results of this study concluded that EMG Biofeedback along with conventional physiotherapy is effective on improving hand voluntary control and hand function in subacute stage stroke participants over the period of four weeks.


EFFECTIVENESS OF RESPIRATORY MUSCLE TRAINING IN RECREATIONAL SOCCER PLAYERS: A RANDOMIZED CONTROLLED TRIAL

Mahajan A,
Kulkarni Nupoor,
Khatri SM,
Kazi A,
Shinde Neesha


Key words: recreational soccer players, diaphragm fatigue, Yo-Yo intermittent recovery test

Abstract.

Objective The purpose of the study was to investigate the effectiveness of respiratory muscle training (RMT) on intermittent recovery performance and pulmonary function test in recreational soccer players.

Design Randomized Controlled Trial.

Setting Department of Cardiorespiratory Physiotherapy, Pravara Rural Hospital, Loni, Tal- Rahata, Dist-Ahmednagar, Maharashtra State, India- 413 736.

Participants Forty male recreational soccer players between 19-24years of age.

Interventions RMT by Pressure threshold device Powerbreathe® classic MR(medium resistance)along with regular physical training and Sham training (ST) along with regular physical training for 5 days of the week for 4 weeks(20 training sessions).

Main outcome measures The outcome measures used in the study were Yo-Yo intermittent recovery test   level 1(YYIRT level 1), Maximum Voluntary Ventilation, (MVV) Forced Vital Capacity (FVC), and Peak Expiratory Flow Rate (PEFR).

Results Significant improvements in intermittent recovery in terms of YYIRT level 1 and MVV were noted after the four weeks of RMT. However, no significant difference was observed in pulmonary function test in terms of FVC and PEFR.

Conclusions RMT is useful in improving performance of male recreational soccer players and should be included in their training regimen


EFFORT’S INFLUENCE ON RESPIRATORY VOLUMES AND FLOWS - REHABILITATION MANAGEMENT

M Olaru,
Bica Monica,
Plastoi Camelia Daniela,
Tataru T,
Popescu C


Key words: Induced bronchoconstriction, astma, sportsmen, BPOC.
Abstract.
Effort during training session – competitions, during the athlete’s daily life or nonathletic people life, the effort of the persons with pathological bronhomotricity (asthma, BPOC) lead to significant respiratory constancy modifications. That is how a new clinical “entity“ form, which is called bronhoconstriction, is induced by effort.
Objective. The aim of the study is to determine the tolerance and adaptation to effort and physical therapy recovery in cases of respiratory disfunctions or bronhoconstructive conditions. Material and Method. A group of subjects divided into three groups: 1 athletes, 2 nonatheltic persons, 3 persons with pathological bronhomotricity (asthma, BPOC). This is a prospective study on the three groups, each group is monitored in standardized conditions and the measurements are made in three stages: before the effort, at 10 minutes after sustaining effort, and at 20 minutes after stopping. Conclusion. Standardized measurements of respiratory volumes and flows in children and teenagers, especially in those who practice endurance sports in special conditions, discover at an early stage emphasized bronhomotricity. Respiratory measurements, both in athletes and persons with bronchospastic conditions (asthma and BPOC) show tolerance to effort. Respiratory physical therapy has a tremendous recovery potential. Combined with specific drugs, respiratory physical therapy, leads to remarkable results regarding the tolerance to effort.


IMPLICATION OF PATIENT’S SELF-EDUCATION AFTER AN ISCHEMIC STROKE, IN SPASTIC PHASE

Plastoi Camelia Daniela,
Papuc Valentin





content


Romanian Jurnal of Physical Therapy

issue number 29 / 2012



  • MECHANIC VIBRATIONS AND FIGHTING BACK PAIN IN DEGENERATIVE RHEUMATIC DISORDERS OF DISCUS ORIGINE OF THE SPINE
    Pâncotan Vasile, Ille Mihai, Mircea Chiriac, Dana Cristea, Emilian Tarcău - 6
  • ARE SELF SNAGS EFFECTIVE FOR CHRONIC NECK PAIN?
    Niyati Desai, Khatri SM, Keerthi Rao - 11
  • DEVELOPMENT OF SENZORY COMPONENT OF BALANCE 17 IN AUTISTIC CHILDREN
    Ana-Maria Ţicărat, Doriana Ioana Ciobanu - 17
  • PHYSICAL EXERCISE AND ANTIAGING
    Alexandru Baciu - 22
  • CONTRIBUTION OF PHYSICAL THERAPY IN THE COMPLEX TREATMENT OF PACHYPLEURITIS FUNCTIONAL REEDUCATIO
    Merţan Anturia - 26
  • EFFICACY OF PASSIVE PELVIC FIXATION ON LUMBOPELVIC PAI
    Apeksha Agarwal , Khatri SM - 34
  • HIGH MOUNTAIN ACTIVITY HOLIDAYS IMPROVE FINGER MOTION MUSCLES` SPEEDFriedrich Hainbuch - 41
  • THE USE OF KINETIC MEANS TO RECOVER MUSCLE STRENGTH IN PATIENTS WITH POSTTRAUMATIC LEISONS AT THE LEVEL OF SHANK AND/OR FOOT BONESEmilianTarcău, Vasile Pâncotan, Mihai Ille - 45


Romanian Jurnal of Physical Therapy

issue number 29 / 2012



MECHANIC VIBRATIONS AND FIGHTING BACK PAIN IN DEGENERATIVE RHEUMATIC DISORDERS OF DISCUS ORIGINE OF THE SPINE

Pancotan Vasile,
Ille Mihai,
Chiriac Mircea,
Cristea Dana,
Tarcau Emilian


Key words: spine functions, degenerative rheumatism, mechanic vibrations, physical therapy

Abstract. The aim is to emphasize mechanic vibrations in order to optimize intervertebral discus function in spine degenerative disorders. This is a new idea and it has become research subject for various mobile areas of the spine.

Hypothesis. Low and medium frequency mechanic vibrations applied on dorsal spine, can contribute on short term to the recovery of intervertebral discus shape and height, with positive effects in the treatment of pain generated by discus degenerative disorders of dorsal spine.

Material and method.             We studied 50 patients with dorsal spine degenerative disorders, aged between 18 and 29, 13 patients in groups A and B, and aged between 30 and 60, 12 patients in groups C and D. 5 days, patients followed kinetic treatment without vibrations, 5 days - kinetic program with vibrations: frequency, amplitude = vibration force and exposal time had been established with the patient.

Results. After treatment, pain behavior was as follows: Group A – pain decreases with 42%; Group B –with vibration, pain decreases 41,3%. Group C –and after treatment with vibration, pain decreases with 41,1%. Group D = pain is the same, and after treatment with vibration, pain decreases with 37%;

Conclusions. Treatment with mechanic vibrations is efficient, can be easily applied and without riscs, in pain due to degenerative disorders in early stages, but also in advanced ones, with positive effects in pain fight.


ARE SELF SNAGS EFFECTIVE FOR CHRONIC NECK PAIN?

Niyati Desai,
Khatri SM,
Keerthi Rao


        Keywords: Sustained Natural Apophyseal Glides; Neck Disability Index; Nonspecific neck pain

 

Abtract

Objective The purpose of the study was to investigate the effectiveness of self Sustained Natural Apophyseal Glides (SNAGs) on pain, active cervical Range of Motion and functional disability in chronic nonspecific neck pain.

Design Randomized Controlled Trial.

Setting Department of Musculoskeletal

Physiotherapy, Pravara Rural Hospital (tertiary

hospital), Loni, Tal- Rahata, Dist-Ahmednagar,

Maharashtra State, India- 413 736.

Participants One hundred and three participants between 25-53 years of age with clinical diagnosis of chronic nonspecific neck pain.

Interventions Self SNAGs, therapist administered SNAGs and conventional physiotherapy for six weeks.

Main outcome measures The outcome measures used in the study were Numerical Pain Rating Scale (NPRS), Active Cervical Range of Motion (ACROM), and Neck Disability Index (NDI).

Results There was no significant difference in self administered SNAGS and therapist administered SNAGS in the treatment of chronic nonspecific neck pain over the period of six weeks.

Conclusions Patients with chronic nonspecific neck pain can be advised to perform Self Sustained Natural Apophyseal Glides (SNAGs) instead of therapist administered SNAGS.


DEVELOPMENT OF SENZORY COMPONENT OF BALANCE IN AUTISTIC CHILDREN

Ticarat Ana-Maria,
Ciobanu Doriana Ioana


Keywords: autism, sensory stimulation, proactive, reactive balance

 

Abstract

In autism, any informational blockage from one of the input sources necessary for balance, but also any disturbance of the centers who are not able to recognize, select or combine the information show the existence of balance disorders.

Scope. This paperwork aims to emphasize that training of sensory component in autistic children leads to balance improvement.

Hypothesis. Autistic children who follow sensory stimulation before balance rehabilitation program will improve their proactive balance.

Material and methods. Study was made on 6 pupils aged between 11-14 years old, IQ 30-65. For assessment were used: ROMBERG test, ONE LEG STANCE, NUDGE test.  were made 3 sessions/ week were followed consisting of gait exercises, balance board exercises, with sole sensory stimulation. For inferential statistics SPSS program was used.

Results. There are no significant differences between baseline and final assessment [Z= - 1,890; p≥ 0,05]. There are significant differences between baseline and final assessment for quadruped Nudge test, [Z= - 2,33; p≤ 0,05] and on both knees Nudge test [Z= - 2,07; p≤ 0,05], but no significant differences of orthostatic Nudge test [Z= - 1,890; p≥ 0,05]. For task oriented proactive balance, there are significant differences between baseline and final assessment [Z= - 2,233; p≤ 0,05].

Conclusions. Autistic children who follow a sensory stimulation program before physical therapy program show an improvement in both reactive and proactive balance.


PHYSICAL EXERCISE AND ANTIAGING

Baciu Alexandru


Keywords: physical exercise, antiaging, elderly

 

Abtract

In our society, it is more emphasiyed the necessity of an active life, but also it’s absence from modern people’s lives. Jobs requests, mechanization and automatization, the ease of comunication and travels, leads to the decreases of physical effort made by people for their jobs or other kind of relationsheep.

Purpose. This paperwork aims to present the benefits of physical exercise in the prevention of ageing process.

Means and methods. This study was made on 5 subjects, who followed annalitic exercises, exercises with 0,5 and 2 kg weights, 10 / 15 minutes exhilaration exercises in the morning, 1 hour walking at their own peace, at least 3 times per week. For assessment was used DAM and 6 minutes walk test.

Results.  DAM decreases from 55% to 48% and walking distance increases from 350 to 500 m.

Conclussions. Physical exercise has to be a part of elderly people’s rehabilitation and prophypaxy, together with medication for heart protection and the correction of risk factors for cardiovascular diseases.


CONTRIBUTION OF PHYSICAL THERAPY IN THE COMPLEX TREATMENT OF PACHYPLEURITIS FUNCTIONAL REEDUCATION

Mertan Anturia


Key words:pachypleuritis, assessment, respiratory functional reeducation, respiratory exercises

Rezumat. Cases of pachypleuritis have begun to decrease numerically since collapse-therapy for tuberculosis is practiced more and more rarely and antibiotics limit quickly the evolution of a serofibrinous or purulent pleurisy.

Scop. In this research, the main purpose has been to emphasize the extant in which respiratory gymnastics contributes within the complex treatment of pachypleuritis functional reeducation.

Material şi metode. The research has been made on 10 patients with the diagnosis of basal or apical pachypleuritis, left or right, or calcar extended pachypleuritis, aged between 34 and 73, 4 women and 6 men. The technique of costal breathing reeducation was applied, exercises for correct breathing, stationary bike and gait training.

Results. After rehabilitation programs, the outcomes were: CV de 62,55% şi VEMS  62,73%.

Conclussions. Respiratory rehabilitation increases vital capacity and VEMS, essential for lungs function. Respiratory rehabilitation protocol is a very important part of therapeutic approach of patients with pachypleuritis.


EFFICACY OF PASSIVE PELVIC FIXATION ON LUMBOPELVIC PAIN

Apeksha Agarwal,
Khatri SM


Keywords: Active Straight Leg Raise; Lumbopelvic pain; Passive Pelvic Fixation

 

Objective The purpose of this study was to evaluate the efficacy of passive pelvic fixation (PPF) in the relief of lumbopelvic pain, restoration of spinal mobility and improving related disability.

Design Randomized Controlled Trial.

Setting Department of Musculoskeletal,

Physiotherapy, Pravara Rural Hospital

(Tertiary Hospital),  Loni, Tal- Rahata, Dist-

Ahmednagar, Maharashtra State, India- 413 736.

Participants Fifty-nine participants between 20-45 years of age having clinical diagnosis of acute nonspecific lumbopelvic pain.

Interventions Control group received the conventional physiotherapy and PPF group received passive pelvic fixation along with conventional physiotherapy. In PPF, pelvis was stabilized manually and patient performed the painful active lumbar movement 10 times. Total three sets of the above were given for seven consecutive days.

Main outcome measures The outcome was assessed in terms of visual analogue scale, lumbar spine mobility, Active Straight Leg Raise (ASLR) and Modified Oswestry Disability Questionnaire (MODQ) score.

Results PPF group had statistically significant difference in VAS score (p<0.01), flexion (p=0.01) and extension range (p<0.05) of lumbar motion, ASLR (p<0.01) and in MODQ score (p=0.01) after 7 days of treatment.

Conclusion Passive pelvic fixation may be used as an adjunct to conventional physiotherapy in acute non-specific lumbopelvic pain.

Clinical Trial Registration Number PMT/PIMS/RC/2011/06


HIGH MOUNTAIN ACTIVITY HOLIDAYS IMPROVE FINGER MOTION MUSCLES` SPEED

Hainbuch Friedrich


 Key words: EMG Biofeedback, Stroke, Hand function, Action Research Arm test, Voluntary control grading scale.

Abstract.

Objective The purpose of this study was to find out the effect of EMG biofeedback along with conventional physiotherapy on improving hand function in subacute stroke participants.

Design Prospective comparative study.

Setting Department of Neuro Physiotherapy, Pravara Rural Hospital (Tertiary Hospital), Loni, Tal- Rahata, Dist-Ahmednagar, Maharashtra State, India- 413 736.

Methods: This study was conducted between January 2011- November 2011. Thirty participants of both genders, aged between 40-65 and those who met all the eligibility criteria were included.  They were divided into two equal groups, Group A Study group received EMG Biofeedback along with conventional physiotherapy and Group B Control group received only conventional physiotherapy. Intervention given over a period of 4 weeks, baseline and post values were assessed by Voluntary Control Grading Scale and Action Research Arm test.

Results: The results of the study revealed that there was a significant difference between both the groups on improved hand voluntary control (p<0.01) and improved hand function (p<0.01) in hemiplegic stroke participants.

Conclusion: The results of this study concluded that EMG Biofeedback along with conventional physiotherapy is effective on improving hand voluntary control and hand function in subacute stage stroke participants over the period of four weeks


THE USE OF KINETIC MEANS TO RECOVER MUSCLE STRENGTH IN PATIENTS WITH POSTTRAUMATIC LEISONS AT THE LEVEL OF SHANK AND/OR FOOT BONES

Tarcau Emilian,
Pancotan Vasile,
Ille Mihai


Keywords: muscle strength, traumatism, algoneurodystrophy

Abstract. After posttraumatic lesions at ankle and/or foot level, in certain situations, the patients can develop the algoneurodystrophic syndrome with the affectation of all tissues from skin to bone. This study has been accomplished with the purpose of proving that the use of certain complex rehabilitation means determines the recovery, under good circumstances, of muscle strength affected as a result of the traumatic process.

Material and method. We have studied 12 patients who worked for two weeks and who were in different stages of algoneurodystrophy (8 patients were in stage 2 of algoneurodystrophy and 4 patients were in stage 1/2). Each patient followed a physical therapy programme adjusted to the stage they were in, the rest of the procedures being identical for all patients and established by the balneologist. For statistics we have used the SPSS program.

Results. After rehabilitation programme, muscle strength has improved, the results were better for all patients compared to the initial evaluation. The values of muscle strength at the final evaluation were between F4+ and F5, while at the initial evaluation were mostly between F3+ and F4. Analyzing the obtained results, we have noticed that the used statistic test (the sign test) shows values of p≤0,05, which are significant.

Conclusions. Results show that the use of certain complex rehabilitation means (including neuroproprioceptive facilitation techniques) leads to the recovery of muscle strength affected by traumatisms and prolonged immobilization.


THE IMPORTANCE OF PHYSICAL THERAPY IN LOW BACK PAIN

Szasz Simona,
Papp Eniko Gabriela,
Georgescu Lia


Keywords: low back pain, physical therapy, secondary physical-prophylaxis   

       

Abstract. Low back pain is one of the most common musculoskeletal disese. It is induced by a lot of causes, but most frecvently are mechanical causes, especially degenerative discs and spinal disc herniation.

Material and method. 100 patients were enrolled in the study, diagnosed with lumbar hernia at the level L4-L5, L5-S1, subacute or chronic stage, phase III, stage I, who were treated in the Department of Rheumatology and Rehabilitation Târgu Mureş. The study was performed during February 2011- March 2012. Patients were divided in two groups: group A consisted of 50 patients treated by medication therapy, electrotherapy and sedative massage; group B consisted of 50 patients treated in combination with medication therapy, electrotherapy, massage and physical therapy. The objectives of rehabilitation were: relaxation of hardness muscles, lower trunk muscle stretching, lumbar stretching, increasing the tone of the trunk muscles, of the abdominal and lumbar extensor muscles.

Assessment was performed at the beginning, after 3 weeks and after 6 months from the diagnoses using the VAS (analog visual scale for the pain) scale and range of motion.

Discusions. The complex treatment consisting of a combination between medication, electrotherapy, sedative massage with physical therapy was superior to the treatment without physical therapy.

Conclusions. It is very important to continue physical therapy at home and to keep to the physical therapy secondary rules for a good evolution of the disease.




content


Romanian Jurnal of Physical Therapy

issue number 28 / 2011





Romanian Jurnal of Physical Therapy

issue number 28 / 2011



REHABILITATION BALANCE ASSESSMENT IN STROKE PATIENTS USING BAROPODOMETRY

Danelciuc Francisc Tadeus,
Danelciuc Elena Mihaela,
Betiuc Mihail


Key words: ratio, asymmetry, compensation work, muscular performance.

Introduction: Capacităţile coordinative se manifestă sub forme diferite, una dintre ele fiind capacitatea de a se echilibra, cu rol hotărâtor în statică, mers, în desfăşurarea activităţilor cotidiene a persoanelor post AVC. Studiul efectuat şi-a propus să evidenţieze avantajele pe care poate să le ofere un echipament adecvat şi judicios utilizat &icir

STUDY ON THE FED METHOD APPLICATION IN THORACO-LUMBAR SCOLIOSIS

Caciulan Elena,
Stanca Daniela,
Marin Dana


Key words: fastening-elongating-de-rotating, selfcorrectiv physical therapy, ortospinal device.

Introduction: Scoliosis is a chapter that has not yet been resolved, a "black spot" of orthopedics. For this reason we believe that it remains open to explore and search permanent to find more efficient techniques and methods. FED method (fixation, elongation, derotation) was designed to treat spinal deviations and consists in three-dimensional fixation, its elongation and derotation through corrective pressure, performed intermittently or continuously, as well as patient's postural control during periods of relaxation.
Scope of this study is the selection and systematization of existing information about the recovery of scoliosis, using physical means, techniques of elongation-derotation-fixing and physical therapy, and establish an effective therapeutic plan, the implementation in practice of research in recent years.
Material and methods: In this case study we chose DT patient female diagnosed with idiopathic thoraco-lumbar scoliosis with right concavity, aged 11 years. The study was conducted during June 2009-March 2011. The subject was evaluated in dynamic, every 6 months, both by Prof. Santos Sastre and Recovery Team Medical Center kinetic Dema Group.
Results: Height: 168 cm/172 cm, Weight: 49 Kg / 51 Kg, Cobb angle in thoracic region: 250/160, the Cobb angle in the lumbar region 250/160, vertebral rotation 280/150.
Conclusions: The combination of physical means, techniques of fixing- elongation-derotation- and physical therapy are able to correct scolisis. Correcting the spine deviation is closely linked to periods of growth of children. For satisfactory results it is mandatory wearing corset Chêneau.

Spitalul de Neuropsihiatrie Cronici Siret, Romania, ¹Universitatea “Ştefan cel Mare” Suceava, FEFS-secţia Kinetoterapie
E-mail: danelciuc_tadeus@yahoo.com

Centrul Şcolar pentru Educaţie Incluzivă Suceava, Romania

Direcţia de Asistenţă Socială şi Protecţia Copilului Suceava, Romania

Centrul de recuperare Medicala Kineto Dema
E-mail: elena_caciulan@yahoo.com


AN OBJECTIFICATION OF THE RELAXING MASSAGE EFFECTS ON PULMONARY RESPIRATION

Marza-Danila Doina,
Dobreci Lucian,
Lucaci Diana


Key words: respiration, relaxing massage, optimal function of the body.

Abstract:Pulmonary respiration, as a main stage in performing the breathing act, being very important in ensuring an optimal functioning of the whole body, must be permanently maintained within functional parameters, in healthy people, and especially in the persons who are suffering, or have suffered from respiratory conditions. Among the methods and means used by the physical therapy to rehabilitate, maintain, and/or improve the functionality of the respiratory system, is the massage.

Aim:This study aimed to emphasize how much the classical relaxing massage can contribute to influencing in a positive manner the pulmonary respiration, establishing the effects it has on the respiratory rate, and on the respiratory amplitude and duration of the breaths, objectifying them through the recordings made using the BIOPAC computer system.

Results: have proven the fact that in the case of applying the relaxing massage on the back, as in the case of applying it on the anterior thorax, there is a drop in the duration of the inhalation, and a decrease of the respiratory rate, as well as an increase in the duration of the exhalation and the respiratory cycle.

Conclusions: Objectifying these effects can constitute a solid scientific basis for justifying the use of the relaxing massage on healthy persons and/or with different respiratory conditions, according to their needs.


ASPECTS OF SOCIAL INTEGRATION OF MENTALLY DISABLED PEOPLE THROUGH SPORTS

Dan Mirela,
Boca Ioan Cosmin,
Cristea Dana


Key words: social integration, mental disability, sports.

Abstract:Practiced in educational institutions but also in leisure, sport became a profession requiring not only active involvement but also participation to the show offered by him, thus having a large social area.

Purpose: Emphasizing the importance of sport as a primary approach of social integration for people with mental disabilities.

Methods: We analyzed the specialized literature using bibliographic study and we identified a total of 23 references from which we selected a number of 12 bibliographic materials that were representative to bring an additional argument to the importance of sport as a primary approach of social integration of persons with mental disabilities. In terms of form documents were consulted books and journals, various graphic and electronic information sources (internet).

Results: Bibliographic references cited support the idea of the importance of social integration of people with mental disabilities through sports and they are addressing different aspects that together provide an overview of the complexity of this process, emphasizing the necessity to develop the right environment, both in terms of material and human resources, to achieve this goal in optimal conditions.

Discussions: Scientific research results and practical experience have shown the importance of exercise practice in general, and sport, especially for people with disabilities, which leads to the idea that the state, society must give more importance to the role of sport in his social policy and strategy regarding the protection of persons with disabilities.


CONSIDERATIONS ON DEPRESSION AND STRESS KINETOPROPHILAXY

Dan Veronica,
Luiuz D,
Luiuz D,
Hagiu BA


Key words: depression, stress, fitness.

Abstract: All sports activities induce a state of psychological well-being, reduce anxiety, depression and psychosocial stress.

Purpose: We set investigation level of depression, energy and stress compared to a lot of male fitness practitioners from the non-practicing.

Materials and methods: Research was conducted on 20 male subjects, 10 fitness practitioners and 10 sedentary who have completed 20 questionnaires containing 12 items each for three scales (depression, stress and energy), adapted to the two categories.

Results: Exercicers have a lower level of depression, perceive themselves as less stressed and feel more energetic compared with nonathletes.

Conclusions: The results suggest the possibility possibility of kinetic prophylaxis of depression, due to induction of testosterone secretion through exercise, hormone endowed with antidepressant effect.


PHYSICAL THERAPY FOR NORMALIZING THE STATO-KINETIC FUNCTION

Pasztai Zoltan


Key words: stato-kinetic function, muscular stretching technique, functional parameters, proportionality indexes.

Abstract:The study assessed the efficiency of physical therapy, in order to normalize the stato-kinetic function:

  • the efficiency of the prophylaxis and the treatment through movement;
  • assuring the muscular agonist-antagonist balance of the stato-kinetic function

Metods: The study has been performed on 5 grups of children 6 to 10 years old ( n=76), that were examined and tested for this research. During the research we applied different programmes using the modern approaches of physical therapy, hydro-stretching, respiratory techniques, specific methods for increasing the functional parameters.

Results : The comparisons between the groups in relations to diagnoses >following index p-p: significant level of p < 0,002, the value t = -1,63 The correlations in relation to the comparison to the entire experimental groups have an average of the minimal values of -3,51 mV with a standard deviation of 0,723, a maxim of 3,47 mV with a standard deviation of 0,760, the variable p-p has an average of 6,99 mV with a standard deviation of 1,48 and a median of -0,014 with a standard deviation of 0,008.

Conclusions: The muscular force of the quadriceps shows an increase to all experimental groups which is confirmed by the left/right knee mobility test, the combined box test, and EMG registrations for left and right limbs. As a consequence the studied aspects can be dealt with in a future research, ( modul and model Bernstein and the functional comportament development).


MUSCULAR ASSESSMENT OF PATIENT WITH TITAL HIP ARTROPLASTY –COMPARATIVE TESTS

Neculaes Marius


Key words: muscular testing, muscular hypotonia, endoprosthesis.

Abstract: Having in mind the high frequency of this type of intervention, the essential role of physical therapy in biomechanical assessment and functional rehabilitation of the hip with arthroplasty, is also rising.

Scope: This study aims to analyse the muscular evolution of patient with total hip arthroplasty, during the two phases of the treatment, in this way establishing the degree of patient functional rehabilitation.

Methods: Study was made on a group of 17 patients with coxarthrosis having an indication for total hip atrhtoplasty. These interventions were made during 19 of Septembre 2009 – 30 of August 2011, in the Orthopedic Department of The Clinic Rehabilitation Hospital from Iași and Arcadia Hospital. For this objective, a comparative assessment has made, between manual muscular testing and muscular testing with Myotest Pro.

Results: The middle and final assessment showed a tendence of improvement in muscular strengths, especially in persons who received regular physical therapy, versus patients who had just home care program, with no specialized intervention.

Conclusions: Manual muscular testing represents an objective test în muscular strength assessment of the patient with endoprosthesis and not only, being confirmed by testing with Myotest.


PSYCHO-MOTRIC REHABILITATION IN CHILDREN WITH AGENESIS OF CORPUS CALLOSUM (Case study)

Zarnica Manuela Mirela


        Key words: corpus callosum, agenesis, callous disconexion, assessment, psicho-motric rehabilitation, game.

Abstract: Agenesis of corpus callosum is a new challenge for the puluridisciplinary team, in their efforts for the rehabilitation of childrens with this diagnose, because is a rare congenital desease with an unknown frequence of emergence.  

Scope. This paperwork aims to present the approach modalities of the child with agenesis of corpus callousum and the means of physical therapy that may help.

Methods. This is a case study of a 5 years old girl with asenesis of corpus callosum. For assessment we used motor assessment, range of motion, reflexes. Exercises from different positions were done as games and motric songs. Sensory stimulation was also done.

Rezults. By direct observation of the patient we observed significant improvement in motor function. We also foud unexpected improvement of quiet stance and dynamic balance, sensory-motor coordination.

Conclusions. Game, tha main therapeutic method through its form, diversity and characteristics -  atractivity, directness, creativity, movement freedom – is the main supplement of child psicho-motric development. A balanced distribution of influences upon motricity, psychic, thinking and action, nonverbal and expression language, represent the qualitative peculiarity of specialist’s and parents efforts.




content


Romanian Jurnal of Physical Therapy

issue number 27 / 2011



  • ISOKINETIC COMPARISON OF THE ROTATOR CUFF BETWEEN WATERPOLO AND TENNIS PLAYERS
    Linde FJ, Turmo A - 4
  • MUSCULO-SKELETAL CALF TRAUMA OF COMPETITIVE SPORTSMEN. PREVENTION AND REHABILITATION METHODS
    Elena Doina Mircioagă, Alexandra Mircioagă - 13
  • IMPROVING THE ELASTICITY OF HIP MUSCLES AMONG THE POPULATION OF DEBRECEN UNIVERSITY STUDENTS
    Agnes Nagy - 21
  • METHOD OF PREVENTING DORSAL PAIN BY MEANS OF MECHANICAL VIBRATIONS IN THE SPINE'S EGENERATIVE DISEASES OF DISCAL ORIGIN
    Vasile Pâncotan - 27
  • BALANCE IN STANDING AND GAIT REEDUCATION IN PATIENTS WITH MULTIPLE SCLEROSIS IN STAGES 1-5 ACCORDING TO KURTZKE SCALE
    Valentin Serac - 31
  • IMPROVING FUNCTIONAL INDEPENDENCE OF PATIENTS WITH MULTIPLE SCLEROSIS BY PHYSICAL THERAPY AND OCCUPATIONAL THERAPY
    Ana-Maria Ţicărat, Doriana Ioana Ciobanu - 43
  • RECOMMENDATIONS FOR THE AUTHORS - 48


Romanian Jurnal of Physical Therapy

issue number 27 / 2011



ISOKINETIC COMPARISON OF THE ROTATOR CUFF BETWEEN WATERPOLO AND TENNIS PLAYERS

Linde Javier,
Turmo A


Key words: ratio, asymmetry, compensation work, muscular performance.

Introduction: Isokinetic evaluation is an objective method that allows rapid and reliable comparison of the relationship between the muscle groups of the rotator cuff, during dynamic exercise. At shoulder level, balance between the rotator cuff muscle groups is essential for keeping joint stability.
The purpose of this study is to detect significant differences in muscular performance strength values of the muscles of the rotator cuff by isokinetic tests, in two overhead sport specialities: water polo and tennis. Comparison could be realized analyzing various parameters derivate of the test.
Material and methods: We undertook an isokinetic study in a group of 36 high-level athletes: 30 water polo players (12 women and 18 men) and 6 tennis players (2 women and 4 men). The parameters analyzed were: peak torque (PT), maximal repetition work (MRW), muscle asymmetry between dominant and no dominant shoulder, and ratio between external and internal rotators.
Results: For all tested values of PT, the dominant limb has always been stronger than the no dominant in both sports, but differences in tennis players were much higher in favor of the dominant than water polo players with specific reference to IR. With regard to MRW, water polo players had values higher than tennis players in ER of both sides, but the IR of the dominant limb is greater in tennis players.
Conclusions: In water polo players, due to the environment in which specific work is developed and the symmetrical content of simming, the ratios in both extremities were very symmetrical (related to PT); in tennis players, the dominant limb had more normal ratio values but this doesn't happen in the no dominant possibly because it comes into play shortly.

 

GIRSANE - Olympic Training Centre of Sant Cugat del Vallés, Barcelona. Spain
email contact: javierlinde@gmail.com


MUSCULO-SKELETAL CALF TRAUMA OF COMPETITIVE SPORTSMEN. PREVENTION AND REHABILITATION METHODS

Mircioaga Elena Doina,
Mircioaga Alexandra


Key words: sportsmen, musculo-skeletal traumas, calf, prevention, rehabilitation.

Abstract:
Introduction: The study starts from the premise that the high trauma incidence among competitive sportsmen is caused by factors that can be controlled at least partially through primary prevention methods.
Obiective: The objective of the study is to reduce the number of traumas in the studied sportsmen through the identification of risk factors and the introduction of prevention exercises and stretching techniques exercises in the training programme, both during warm-up and in post-effort rehabilitation, in order to prevent injuries and increase performance.
Material and methods: The study was performed on a batch of 155 sportsmen, who practised athletics, basketball, handball, volleyball. The sportsmen were between 13 and 42 years old and have been practising sports for 4-20 years. The sportsmen were closely monitored during the study that covered three years of competitions: August 2006 – July 2009. The comparison of the trauma percentages affecting the segments, calf, between the two studied periods – August 2006 - July 2008 and August 2008 – July 2009, has revealed the following significant results: There are significantly less traumas calf, in the second period. Period 1- 30 sportsmen (19.35%) suffered 1 calf trauma in Aug. 2006 – July 2008. Period 2 - 15 sportsmen (9.68%) suffered 1 calf trauma in Aug. 2008 – July 2009. The number of sportsmen with calf traumas decreased to half(9.67%) in the second period.

"Victor Babes" University of Medicine and Pharmacy Timişoara.
E-mail: doina_mircioaga@yahoo.com


IMPROVING THE ELASTICITY OF HIP MUSCLES AMONG THE POPULATION OF DEBRECEN UNIVERSITY STUDENTS

Nagy Agnes


Key words: muscle disbalance, auto stretching, university students, physical education.

Decreasing tendency of daily physical activity can be observed in the population of Debrecen University students. We started a physical education at the University of Debrecen which was called spine gymnastic. At the beginning of the semester we surveyed the health status and the health behaviour of the students focused on physical activity. The elasticity of hip muscles was also measured at the beginning and the end of the semester. After completing a 14-week spine gymnastic course, which included auto stretching and strengthening exercises, we found that all measured hip muscles improved.

 

University of Debrecen, Debreceni Egyetem Orvos és Egészségtudományi Centrum.
email: homancs12@gmail.com


METHOD OF PREVENTING DORSAL PAIN BY MEANS OF MECHANICAL VIBRATIONS IN THE SPINE’S DEGENERATIVE DISEASES OF DISCAL ORIGIN

Pancotan Vasile


Key words: functions of the spine, degenerative rheumatism, mechanical vibrations, kinetic treatment.

Abstract: the purpose of this study is to emphasize the therapeutic value of mechanical vibrations. It is known that the Health Service, after studying their effect on the health of operators, incriminates the effect of vibrations and imposes a series of rules regarding the limitation of their pathogen effect on people's health and also on the environment. In these cases the mechanical vibrations are considered to be noxae because of long-term exposure. From the studies on people exposed to vibrations also results that these have also benefic effects, depending on the control of their parameters: frequency, amplitude, time and the particular way of applying them on the human body.
There are well known vibration-producing appliances on the market which are addressed to the muscle tonifiation or relaxation, in bodybuilding or even in medical treatment as bronchial drainage, osteoporosis etc. The use of mechanical vibrations for the optimization of the intervertebral disc's functions in the pathology of the degenerative diseases of the spine is a new idea and has become a wide research field on the different mobile areas of the spine. In order to do so we have tested the input of low and medium frequency mechanical vibrations for pain management in dorsal rheumatic affections as compared to the kinetic treatment in order to quantify the separate role of each form of treatment to find out their exact input.

 

University of Oradea, Faculty of Physical Education and Sport
email: vasilepancotan@yahoo.com


BALANCE IN STANDING AND GAIT REEDUCATION IN PATIENTS WITH MULTIPLE SCLEROSIS IN STAGES 1-5 ACCORDING TO KURTZKE SCALE

Serac Valentin


Key words: quiet stance, multiple sclerosis, Berg scale, Kurtzke scale, gait reeducation.

Balance in standing and gait are the main primarily affected functions in the early stages of multiple sclerosis. Physical therapy can play a major role in reeducation of these affections, being along with the medical treatment a sine qua non condition of a better life for these patients.
We also consider that one of the most important parts of the physical therapy program is the exercises dosage, taking into consideration that fatigue can be a major negative factor of rehabilitation in MS persons.

 

Lect. Univ. Dr – Universitatea din Oradea, FEFS. DTMK
email: valentinserac@yahoo.com


IMPROVING FUNCTIONAL INDEPENDENCE OF PATIENTS WITH MULTIPLE SCLEROSIS BY PHYSICAL THERAPY AND OCCUPATIONAL THERAPY

Ticarat Ana-Maria,
Ciobanu Doriana Ioana


Key words: multiple sclerosis, daily activities, balance, Frenkel method.

Introduction: Patients with multiple sclerosis can have a normal life despite of their real or possible disability and of the progressive nature of it.
Scope: patients who follow physical therapy and occupational therapy will have an increased quality of life and a greater functional independence.
Methods: The randomized study was made on 7 patients with multiple sclerosis, from Oradea Day Centre, 3 times/week, ages between 35 – 55 years, functional level between mild and sever. Assessment and rehabilitation methods: inspection, BARTHEL Index. Frenkel method, brething exercises, weights exercises, gait exercises, writind exercises and games were used in the rehabilitation process. Group therapies: sociotherapy, arttherapy, music therapy. Results analysis consisted of the comparison of baseline and final means.
Results:By analizing baseline and final means for Barthel Index for each functon separately, it was shown a mild improvement of functional independence for almost assessed functions, with at least 1-1,5 points.
Conclusions: Persons with multiple sclerosis who follow physical therapy and occupational therapy presents a better functional independence after the treatment.

 

Centru Şcolar pentru Educaţie Incluzivă "Orizont", Oradea
e-mail: ticarat28anca@yahoo.com
University of Oradea, Faculty of Physical Education and Sport




content


Romanian Jurnal of Physical Therapy

issue number 26 / 2010



  • Results of the european thematic network Ageing and disability: Improving the qality of life of elderly persons through more physical activity
    H. VAN COPPENOLLE, S. DJOBOVA, A. NIEMIRO, I. DOBREVA - 4
  • The role of adapted physical activities in falling risc prevention in elderly persons
    PÁSZTAI ZOLTÁN, DEDIU ELENA, CROITOR GEORGHE - 7
  • The use of kinesio-tapping in fighting edema in patients with post-traumatic algoneurodystrophy following lesions at the shank and/or foot bones level
    TARCĂU EMILIAN, ILLE MIHAI - 12
  • Balance reeducation in sitting in patients with multiple sclerosis
    VALENTIN SERAC, KINCSES CSABA - 20
  • Characteristics and limits of physical therapy in rehabilitation of genetic disorder - case report
    ADINA MITRICĂ, ADA PETRACHE,CARMEN AVRAM, FELICIA CIOARA - 29
  • Occupational therapy children with upper limb fractures
    ŢICĂRAT ANA-MARIA - 39
  • A new invention patent act at the University of Oradea
    MARCU VASILE - 45
  • The wheels of change: To Adequate Services for Week Chair Users - Project financed by the Unated State Agency for International Development - USAID -
    CRISTINA POP - 68
  • Recomendations for the authors - 73


Romanian Jurnal of Physical Therapy

issue number 26 / 2010



RESULTS OF THE EUROPEAN THEMATIC NETWORK AGEING AND DISABILITY: Improving the Quality of Life of Elderly Persons through more Physical Activity

Coppenolle Herman Van,
Djobova S.,
Niemiro A.,
Dobreva I.


Keywords: adapted physical activity, elderly persons, quality of life, european cooperation.

Abstract:

Introduction: Experts in Adapted Physical Activity (APA) for Elderly persons from 66 higher education institutions of 29 European countries worked during 3 years together (2004- 2007) in producing education materials to promote an active lifestyle, the content of an APA programme for the elderly at master and bachelor level, a motivational DVD “Never too old to be Active: The Joy of Movement and practical active ageing activity cards and a brochure with a European survey and recommendations.

Methods: During the dissemination year (2009-2010) these materials were translated from English into 15 European languages and disseminated in all countries in institutions of Higher Education (physical education, physiotherapy, sport science), nursing homes for elderly persons and caregivers). In each country as many as possible elderly persons were approached as well as the concerned ministries, sports organizations and the press. Results: A consortium was created between the universities of Amiens (France), Groningen (The Netherlands) and Verona (Italy), to start up the European Masters programme in APA for the Elderly and the motivating products disseminated the urgent message of the Thematic Network for all elderly persons with and without disabilitie in Europe “Save yourself by more physical activity”

Conclusion: This same approach applied in all European countries at the same time during these 4 years, gave a boost to the better education of students in this matter: stimulating the responsibility and motivation of elderly persons for bringing more physical activity in their daily schedule, during at least 30 minutes each day. The established cooperation between the actors of the network should however be continued through the European Master in APA for the Elderly and further dissemination of the products through the website www.thenapa2.org


THE ROLE OF ADAPTED PHYSICAL ACTIVITIES IN FALLING RISC PREVENTION IN ELDERLY PERSONS

Dediu Elena,
Croitor Georghe,
Pasztai Zoltan


Key words: elderly persons with risk, quality of life, stato-kinetic function, gait, adapted physical activity, physical therapy, prophylaxy

Introduction. In order to achieve an increase in life quality of the elders, the physical activity after 65 years should consist in: increasing the physical capacity, increasing the fitness, increasing the self confidence, increasing the pleasure for physical activity. *(1,3.)

Material and Method / Work Hypotheses By implementing specific AMA programs diminishes the risk of failure in the elders, with an implicit modification of perception regarding the quality of life. Considering this, we organized a prospectiveobservational study on a group of elders with the age of 65-80 at the Clinical Recovery Hospital in Baile Felix, Oradea, during November 2009 – April 2010. Implementing the physical therapeutic model program /Strategies of physical therapy, models of PT programs

The results After the implementation of the adapted physical activity program, the parameters of physical fitness has improved: the heart frequency dropped compared to the initial value, getting closer to normality; the Ruffier index got higher from satisfactory to medium satisfactory, the thoracic elasticity has reached (in some cases overcome it) the specific values of the third age; balance disturbances revealed by Romberg test have ameliorated significantly.

Conclusions. The quality of gait inmproved, which confirms the study hypothesis.


THE USE OF KINESIO-TAPPING IN FIGHTING EDEMA IN PATIENTS WITH POST-TRAUMATIC ALGONEURODYSTROPHY FOLLOWING LESIONS AT THE SHANK AND/OR FOOT BONES LEVEL

Tarcau Emilian,
Ille Mihai


Key words: algoneurodystrophy, traumatism, kinesio-tapping, edema

Abstract: The purpose of this study ist o show the role of kinesio-tapping and Burger gymnastics in reducing edema at the distal of the posttraumatic lower limb.

Materials and method.We studied 28 patients devided in two lots (one group of control made up of 13 patients and one experimental group made up 15 patients), the experimental group having supplementary means to reduce edema. We evaluated the size of the edema by measuring the ankle circumference at maleola level. The rehabilitation program was made in 12 sessions and consisted in physical therapy, lymphatic draining massage, ice massage, alternating baths, joint rest postures (at the control group), and at the experimental group we introduced in addition the application of kinesio-tapping and Burger gymnastics. For data analysis and interpretation we used the SPSS system.

Results. Analyzing the obtained data in the two evaluations, we noticed that the Wilcokson test was significant for both lots, so p≤0,05 (0.004 at the control group and 0.002 at the experimental group). Although the Wilcokson test was significant for both lots, the statistical parameters indicated superior results at the experimental lot, the shank circumference decreasing with an average of 1.62 cm at the control lot and 3.13 cm at the experimental group.

Conclusions. The obtained results proved the fact that using kinesio-tapping and Burger gymnastics besides the classical means, the necessary time to reduce edema and functional impotence is shorter, fact which finally allowed rehabilitation in good conditions of the algo-neurodystrophic patient.


BALANCE REEDUCATION IN SITTING IN PATIENTS WITH MULTIPLE SCLEROSIS

Serac Valentin,
Kincses Csaba


Key words: balance in sitting, multiple sclerosis, Berg scale, Kurtzke scale, Bobath ball

Abstract. This study underlines the intervention and the results of a physical therapy treatment for balance reeducation in sitting applied to a group of MS patients at MS Bihor Foundation. These results are compared with those of a second group of MS patients which were not included in any PT programmes.

Material and methods. We included 20 patients in this study, divided in 2 groups. Accordind to Kurtzke scale they were in stages between 5-8. The experimental group had 14 physical therapy sessions, done three times a week, and those from the other group had only socialization activities at the Day Centre. We presumed that the specific balance exercises and PNF techniques can train the sensorial-sensitive, vestibular and proprioceptive systems in order to have better scores at the final evaluation with the modified Berg scale.

Results. The efficiency and the importance of the physical therapy sessions are demonstrated by the final evaluation results. The experimental group had much better results at those three evaluations (2,1-2,7 sitting to standing, 1,6-2,3 at sitting unsupported and 2,1- 2,5 at standing to sitting).

Conclusions. After the final evaluations we can say that the hypothesis was confirmed. Physical therapy has proven its efficacy in the reeducation of balance in sitting. At the MS patients in the stages 5-8 after Kurtzke scale, the maintaining or the slight increase of such an important function like balance in sitting can be considered a real succes if we also take into consideration the evolving nature of this condition.


CHARACTERISTICS AND LIMITS OF PHYSICAL THERAPY IN REHABILITATION OF GENETIC DISORDER - CASE REPORT

Mitrica Adina,
Petrache Ada,
Avram Carmen,
Cioara Felicia


Keywords: physical therapy, rehabilitation, Silver Russel Syndrome

Abstract. Some authors separate the Russell and Silver syndromes as independent entities, however, Russell's and Silver's are now considered the same entity. This is a rare syndrome, more than 400 cases have been reported. The first reports were in children with characteristic face, low birth weight, asymmetry, and growth retardation. Growth failure is the primary abnormality. Patients typically present with intrauterine growth retardation, difficulty feeding, failure to thrive, or postnatal growth retardation. The clinical features are more evident in infants or young children.

Methods. We present a little girl age 1 year and 7 months, admitted in our hospital for functional rehabilitation having moderat to severe neuromotor retardation, associated with severe malnutrition, low weight, congenital heart malformation, gastroesophagian reflux. We evaluated the child using articular and muscular testing, GMFM scale. We applied a kinetotherapy program in order to achieve motor skills according to chronological age.

Results. We followed up the child over one year. Rehabilitation treatment improved muscle tone, motor skills, posture and spine alignement.

Conclusions. An early intervention program, in this particular case is beneficial. Also a specific physicaltherapy program at home followed systematic improved growth and development in this case.


OCCUPATIONAL THERAPY CHILDREN WITH UPPER LIMB FRACTURES

Ticarat Ana-Maria


Keywords: upper limb fractures, integrative mouvements, occupational therapy

Abstract.

Purpose. It is emphasized as well that no matter the upper limb fracture was localized, occupational therapy consist of exercises conceived for the movement of hole upper limb.

Objective. This paperwork aims to emphasize the importance of occupational therapy in rehabilitation of children’s upper limb fractures.

Methods.; We worked with2 girls and 3 boys; between 7-11 years old, 2 children with fracture in the 1/3 distal of the radius, one child with scaphoid break and 2 children with double fracture of radius and ulna. Were assessed range of motion, muscle strenght and functional capacity; the assessed activities were: eating, dressingundressing, manipulation, hygiene, playing, communication, on a scale from 1 to 5. Rehabilitation program consisted of games and exercises with objects (stick, ball, clay etc.), 1 session daily, for 3 month. Results analysis consisted of the means (%) comparison.

Rezults. Where shown singnificant diferences between initial and final assessment. Therefore, eating activity was emproved by 10%, dressingundressing was emproved by 7,4%; objects manipulation was emproved by 6,6%; personal hygiene was emproved by 7%; playing by 6,8%; and communication by different means emproved by 6,4%.

Conclusions. This emprovements due to occupational therapy program shows the efficience and the importance of occupational therapy in the rehabilitation of upper limb in children. This will emphasize the role of occupational therapist in the rehabilitation team.


A NEW INVENTION PATENT ACT AT THE UNIVERSITY OF ORADEA

Marcu Vasile





content


Romanian Jurnal of Physical Therapy

issue number 25 / 2010



  • Effects of respiratory exercises on the chest mobility and physical performance
    KATALIN MÁTYÁS-MITRUCZKI,
    DÓRA FARKAS, ZSUZSANNA NÉMETHNÉ GYURCSIK - 4
  • The optimization of kinetic treatment in the rheumatic diseases of the dorsal spine by using mecanic vibrations of low and medium frequency
    VASILE PÂNCOTAN - 8
  • Comparative study on the recovery of patients post stroke
    MATEI ELENA-MARIA,
    RARES D.CIOCOI-POP - 14
  • Effectiveness of rapid mobilization, approximation and bridging on early term functionality in a stroke patient: a case report
    NILUFER CETISLI KORKMAZ TUBA CAN,
    EMRE BASKAN - 21
  • Contribution of neuro-motor rehabilitation programs in the evolution of children with cp/hemiparesis (study nº3)
    PÁSZTAI, DUMITRU ADAUS , DR. RADU BOGDAN
    ELISABETA PÁSZTAI - 30
  • Contributions concerning the role of sports physical activities in the development of human balance
    ANTOANETA CREŢU,
    CARMEN GHERGHEL - 37
  • ICF and client evaluation in neurological physiotherapy
    ANNA KISS-FEHÉR,
    ANDREA DOMJÁN-PRESZNER,
    EDIT SZIVER,
    EDIT NAGY,
    MARIA BARNAI - 43
  • The role of physical therapy in balancing the scoliotic spine
    BURCE


Romanian Jurnal of Physical Therapy

issue number 25 / 2010



EFFECTS OF RESPIRATORY EXERCISES ON THE CHEST MOBILITY AND PHYSICAL PERFORMANCE

Katalin Mátyás-Mitruczki,
Farkas Dóra,
Gyurcsik Zsuzsanna Némethné


Key words: respiratory exercises, chest mobility, physical performance, intentional apneea, Cooper test

 Abstract: It was supposed that respiratory exercises improve the cardio-respiratory endurance. 26 young adults took part in the investigations. We used a questionnaire for mapping the risk factors, and then a series of respiratory exercises were carried out. Before and after the training programme the circumference of chest, the voluntary apnoea time and the results in Cooper test were measured. All of the parameters were significantly improved. We conclude that these exercises are suitable even for patients with contraindication of cardiovascular endurance training.


THE OPTIMIZATION OF KINETIC TREATMENT IN THE RHEUMATIC DISEASES OF THE DORSAL SPINE BY USING MECANIC VIBRATIONS OF LOW AND MEDIUM FREQUENCY

Pancotan Vasile


Key words: rheumatic desease, mechanic vibration, spine mobility, physical therapy

 Abstract: This thesis aims to study the effect of mechanical vibrations over the articulations between two vertebral bodies that are placed next to each other in order for the intervertebral disc to function better, for improving its physiology, for improving its form and height, positively contributing to the spine’s statics and dynamics. The effect of mechanical vibrations over this unique structure of the locomotor apparatus is known and signaled by the Health Service as a malignant factor, for protecting the operators who work on machines that produce vibrations of different frequencies and amplitudes. However the possible positive effects that could be gained by controlling and modulating rigorously their parameters are not yet known. If we start by getting to know the effects of vibrations (trepidations) and controlling rigorously their parameters one can estimate that the mechanical vibrations can have a valuable therapeutic effect.


COMPARATIVE STUDY ON THE RECOVERY OF PATIENTS POST STROKE

Matei Elena-Maria,
Ciocoi-Pop Rares


Key –words: stroke, rehabilitation, physical therapy, women, men

Abstract: This is a study and aims to compare the degree of recovery of patients after stroke female and male. Study duration of 4 months (January-April 2010).

Evaluation consisted of three tests at the beginning and end of study, Berg balance Assessment, PASS Assessment and Fugle-Meyer Test.

Results: The female patients had a more pronounced trend towards the male in all three tests. Women are more persistent than men, more active, eager and ambitious to do exercices.


EFFECTIVENESS OF RAPID MOBILIZATION, APPROXIMATION AND BRIDGING ON EARLY TERM FUNCTIONALITY IN A STROKE PATIENT: A CASE REPORT

Korkmaz Nilufer Cetisli,
CAn Tuba,
Baskan Emre


Key words: stroke, rehabilitation, mobilization, approximation, bridging

Abstract: Muscle weakness and impaired postural control in individuals with stroke lead to decreased weight bearing on the hemiplegic lower limb that result with moderate to severe impairment in functionality. The aim of this study was to emphasis the effectiveness of rapid mobilization, approximation and bridging exercises on regaining functionality from the early terms in a stroke patient.

Subject and Methods: A stroke patient, whom was 38 years old woman, with left sided hemiplegia included to this case report. Before and after the treatment patient was assessed with sensation tests, The Stroke Rehabilitation Assessment of Movement (STREAM), Berg Balance Scale, Functional Independence Measurement (FIM), Hospital Anxiety Depression inventory (HAD) and Nottingham Health Profile (NHP). The patient was treated totally 20 sessions with neurorehabilitation program. The exercises (e.g. mobilization, approximation, bridging) were chosen from Bobath concept for strengthening and improving mobility.

Results: While initial treatment scores of STREAM was 19, it increased to the 49; especially improvement in the mobility and lower limb movements’(LE-STREAM) scores were higher than the upper limb movements’(UE-STREAM) score.

And also BBS score (0 to 38) and FIM-motor subscale score (78 to 35) improved. It was obtained that the approaches that were used in neurorehabilitation program have a positive effect on health profile, anxiety and depression.

Conclusion: Functionality from the early terms should be one of the first targets in early term neurorehabilitation of a patient with stroke, therefore rapid mobilization, approximations and bridging exercises in the neurorehabilitation programs could aid to achieve this aim.


CONTRIBUTION OF NEURO-MOTOR REHABILITATION PROGRAMS IN THE EVOLUTION OF CHILDREN WITH CP/HEMIPARESIS (STUDY Nº3)

Pasztai Zoltan,
Adaus Dumitru,
Radu Bogdan,
Pasztai Elisabeta


Keywords: children with CP stroke, quality of life, static-kinetic function, hemiparesis

     

 Abstract: Emphasizing the importance of neuromotric recovery programs in motric acquiring for regaining the major human function – the gait, and the functional independence of first and second level (according to  Gross Motor Function Classification System – Expanded and Revised GMFCS)(5)

We preferred to present the data in three separate studies (in extenso) because of the large number of parameters studied and because we wanted to offer a generic picture over the etiologic, clinical-functional, developmental and recovery aspects.

We evaluated the motric and functional acquisitions of the children with CP hemiparesis, using the Gross Motor Function Classification System – Expanded and Revised GMFCS – E & R (8,9,10,11) taking into consideration various ages.

We obtained an optimum functional tonus of attitude, balance within the agonist-antagonist muscular chains and we increased the muscular force almost adequate to the particular age – necessary in basic daily activities (BADL), and we also obtained the instrumental ones (IADL) with functional amplitudes in joints.

The applied methodology was efficient in all circumstances and for every experimental groups of the 3rd study, so that the experimental

investigation had significant results for the studied parameters.

The implemented and used methodology was accepted by the physical therapist and children.

The most significant results are in children of  4 - 12 years, because the progress and motric acquisitions after this age are slow and scarce.

 


CONTRIBUTIONS CONCERNING THE ROLE OF SPORTS PHYSICAL ACTIVITIES IN THE DEVELOPMENT OF HUMAN BALANCE

Cretu Antoaneta,
Gherghel Carmen


Keywords: balance, posture, center of mass oscillations

 Abstract: The  modern researches concerning the human balance reveal that the real balance could not exists in the biological system, in the meaning of a null deviation from a fix point. The main interest in the present research is focalized on the opportunity to establish the tendency of the recorded data. Through these recorded data we can identify the middle values of the main parameters of postural stability in two of the three faces – statistic normality and exceptional normal as sport performers.


ICF AND CLIENT EVALUATION IN NEUROLOGICAL PHYSIOTHERAPY

Kiss-Fehér Anna,
Domjan-Preszner Andrea,
Sziver Edit,
Nagy Edit,
Barnai Maria


Key –words: ICF, evaluation, neurological rehabilitation, participation

Abstract: Introduction of ICF guides the evaluation of the clients. We have to choose the appropriate tests for evaluation at the level of impairments, activity and participation. The aim of this lecture to introduce the relationship between Bobath Concept and ICF through a case study.


THE ROLE OF PHYSICAL THERAPY IN BALANCING THE SCOLIOTIC SPINE

Burcea Claudia


        Keywords: scoliosis, functional rehabilitation program physical therapy

Abstract: The studied lot consisted in 20 patients with scoliosis. All the patients, students at University of Medicine and Pharmacy “Carol Davila” Bucharest were physically treated. The patients were evaluated before and after the rehabilitation program. The results prove that the majority of the patients gain good results, if they beneficiate of an early and sustained treatment. The therapeutic success was based on a good knowledge of the clinical entity and its impact upon the body, kinetic techniques adequate to each particular case, a proper cooperation between the physical therapist and the patient.


ASSOCIATING SULTANA METHOD AND THERAPEUTHIC SWIMMING WITH THE TREATMENT OF SPASTIC DIPLEGIA

Sultana Georgeta,
Sisca Cristina


        Keywords: spastic diplegia, Sultana Method, swimming, scoliosis, hydrotherapy

 Abstract: We present in this study the case of a 10 years old child (V.I.) suffering of spastic diplegie, whit the gooal of highlight a certain performance due to the effort and perseverance of using complex rehabilitationtreatment since birth, including the Sultana method and the aquatic education.

The Sultana Method of psychomotric stimulation of the new-born and young child,  registred with OSIM in 2001, represents an alternate method to that of traditional care, which ensures a harmonious development of the new-born and young child. The method involves three steps: massage, gymnastics and aqua-therapy. In the above-mentioned case, the Sultana method has been applied on a daily basis starting right from birth and until the age of 3.

V.I achieved the perfonmance for his neuro-motor deficiency and this is due to his parents who have resorted to alternative treatment methods(Sultana Method) even from the first they of life.

The conclusions are that although spastic diplegia is a disabling disease,the subject managed to reach good results in the somatic-functional development because he has received since the birth the Sultana Method and after the age of 3 years he practiced therapeutic swimming.


SPECIFIC RELATIONSHIPS BETWEEN PHYSICAL ACTIVITY & MENTAL HEALTH THE IMPORTANCE OF CONSIDERING GENDER AND REFINING RECOMMENDATIONS

Asztalos Melinda





content


Romanian Jurnal of Physical Therapy

issue number 24 / 2009



  • New ideas, big issues, new ways of thinking: Why Congress Will Deliver WCPT - 3
  • Press release WCPT - 5
  • The role of physical therapy in the rehabilitation of rotator cuff injuries
    FIEROIU EMIL – 6
  • Kinetic methods of muscle-ligament normalization in the disc-surgery hernias
    MARIUS NICULAEŞ - 9
  • The methodology of mottor defficiencies driven By the ankylosing spondilitis
    FIEROIU EMIL – 14
  • Excittomotior therapy in rehabilitation Of physical defficiencies of the spine
    ELENA ZAHARIA - 17
  • Challenges Associated With Administering Standardized Computer Baseline Concussion Assessment Testing
    JEFF G. KONIN - 22
  • Presentation of integra project experiences
    PAPP ENIKO GABRIELA, FARKAS ROZALIA ARANKA, PESCARI TATIANA ANA – 31
  • Forming of technical elementary skills at the throwing of „oina” ball using exercices from „throwing school” at children from forth and fifth grades
    ELENA DOINA MIRCIOAGA – 35
  • Cha Cha – from ballroom dancing to a creatively adapted physical activity
    POPA VLAD – 41
  • Therapeutic approach of cervical spondylosis with massage and specific mckenzie physical therapy
    VALE<


Romanian Jurnal of Physical Therapy

issue number 24 / 2009



THE ROLE OF PHYSICAL THERAPY IN THE REHABILITATION OF ROTATOR CUFF INJURIES

Fieroiu Emil


Keywords: rehabilitation, strength, flexibility, pain,

Abstract: Nowadays, young of all ages practice sports and their wish of achieving competitive performances leads to a permanent growth of the number of injured and traumatologically affected sportsmen.

Shoulder injuries have very often as a result local patho-morpho-functional alterations by involving the various structures of the affected area.


KINETIC METHODS OF MUSCLE-LIGAMENT NORMALIZATION IN THE DISC-SURGERY HERNIAS

Neculaes Marius


        Keywords: kinesiotherapy; the lumbo-sacro-pelvis segment. spinal column

       

Abstract: The study reveals the fact that the recovery of patients with lumbar disc hernia cannot even be conceived without the kinesiotherapy program, the only technique able to give back the flexibility and the functionality of the lumbo-sacro-pelvis segment.

The muscle and joint issue, present in the pathology of this segment is the main cause for limiting the movement amplitude, because of the gradual shortening of the soft tissues, creating a resistance to muscle stretching.

The main objective of kinesiotherapy will be recovering the functions of the segment, and this is a necessary practical activity in order to achieve goals referring mainly to daily and professional activities. This repeated exercise will lead to getting an automatic movement of correcting the pelvis and the spinal column.


THE METHODOLOGY OF MOTTOR DEFFICIENCIES DRIVEN BY THE ANKYLOSING SPONDILITIS

Fieroiu Emil


Keywords: rehabilitation, rheumatism, methodology, vertebral spine

Abstract: The ankylosing spondylitis is found among the rheumatic affections  that have a very severe functional prognosis, caused by the  frequent ankylosises of the spine and of the peripheral  joints they provoke.

An important number of ill people, mostly men, are affected by this invalidating illness that restricts their possibility of making usual gestures, as well as their ability to work, or it makes it impossible for them to perform any type of activity, thus they become dependent on society.


EXCITTOMOTIOR THERAPY IN REHABILITATION OF PHYSICAL DEFFICIENCIES OF THE SPINE

Zaharia Cristina Elena


Keywords: electrotherapy, rectangular currents, correction, strengthening, adults

Abstract: In the last century, but especially in the last decades, it has been noticed an important body growth and development “acceleration” phenomenon. This phenomenon, statistically pointed out, is accompanied by an inadequately functional development. As a natural consequence, the most affected sector of the human body is the spinal column.

If physical deficiencies are not rectified in time, they will have critical repercussions later upon the spinal column, such as: rachidian dystrophies, spondilosis, epiphisitis, disc diseases, medical, social and economical problems concerning both the treatment of this affections and the  professional regrouping.

As a result, by strengthening the muscular structure of the column spine, inclusively implementing good posture reflex we will prevent or delay spinal column pathology , and not only. We can treat the actual deficiencies, improving it, and we will prevent the disorders that follow later on.


CHALLENGES ASSOCIATED WITH ADMINISTERING STANDARDIZED COMPUTER BASELINE CONCUSSION ASSESSMENT TESTING

Konin Jeff,
Firebaugh Sarah,
Belanger Heather


Key words: ImPACTTM, athletes, methodology, sports

Abstract:  Computer-based testing for head injury associated with sports-related concussion has increased in popularity over the past decade and is slowly becoming accepted as standard protocol for data comprising return to play criteria. The objectives of this study included:  1) To outline the standard protocol for administering a computer-based concussion assessment tool, 2) To identify components of the instructional process that may influence test outcomes, and 3) To provide recommendations for improving computer-based concussion assessment test administration and delivery. An observational study was conducted during pre-participation physical examination procedures at a NCAA Division I University setting in the United States. Fifteen division one intercollegiate athletic teams consisting of 412 student athletes (M = 241, F = 171) between the ages of 17– 23 prospectively recruited for baseline concussion assessment testing using.

Abstract: Each subject participated in computer-based assessment testing using the ImPACTTM. Validity of test results between single and group-testing format was measured. Results demonstrated 29 (7.0%, 9 = male, 10 = female) of the 412 baseline examinations taken were found to be invalid.  Twenty-seven of the 29 (93.0%) invalid tests were taken in a group testing format with the majority coming from student athlete football participants.  One invalid test was identified per team of participants who were individually tested.  The average total reported symptom score was 6, with a range of 0-80 out of a possible 132 total points.  Our recommendations are that subjects should be tested individually or in small groups by experienced and/or formally trained test administrators, implementing standardized directions, terminology, and symptom definitions.


PRESENTATION OF INTEGRA PROJECT EXPERIENCES

Papp Eniko Gabriela,
Farkas Rozalia Aranka,
Pescari Tatiana Ana


Key words: integration, early intervention, prevention, socialization, acceptance, team-work, partnership

Abstract:  INTEGRA project – service for  prevention, rehabilitation and school integration, it started for special educational service and good practice model for children from special kindergartens and general kindergartens who have the risk of apparition of different disorders / late development, and for persons who are raising and educating these children.

These activities took place after the school classes and it benefited 100 children from kindergarten and their teachers and parents.

The organization of this project could be possible because of the benefits of funding from Educational Minister in the year of 2007 and getting the Project of school development.


FORMING OF TECHNICAL ELEMENTARY SKILLS AT THE THROWING OF „OINA” BALL USING EXERCICES FROM „THROWING SCHOOL” AT CHILDREN FROM FORTH AND FIFTH GRADES

Mircioaga Elena Doina


Keywords: habituation, throwing, exercises, games.

        

Abstract:  The obtain of value marks in the practice activity of instruction is in big measure conditioned of the determination and using the best exercises. For that ,in this paper. I select a series of exercises and games of movement because through contest, form and effect present some advantages instead of other physical exercises which we used and with their help, the students learn easier the technique elementary skills at the throw.

Tackled this subject, I proposed to bring a modest contribution through used ways at a proper training of the technique elementary skills at the throwing type, because this skill has a coefficient with higher difficulty in the process of learning.


CHA CHA – FROM BALLROOM DANCING TO A CREATIVELY ADAPTED PHYSICAL ACTIVITY

Popa Vlad


Keywords: visual impairment, adapted physical activity, dance

Abstract:  People with visual impairment should not be deprived of any physical activities. They need it to gain in other senses so they can mantain a state of well-functioning in society or at home. It is stated that the visually impaired develop a greater dexterity by practicing physical activities. They also gain a mental comfort and a level of independence, and blindisms are diminished or they can even dissapear.

Another positive aspect of physical activities for the visualy impaired is that they get the oportunity to socialize and meet new people. By practicing physical activities with a group of people they can also develop a sense of altruism as they need to work side-by-side with others.

In this article, a different kind of adapted physical activity for people with visual impairment is dancing, to be more precise, Cha Cha. The goal of this activity is for the subjects to socialize, comunicate, to develop a better sense of coordination and not in the least to develop or improve their sense of rhythm.


THERAPEUTIC APPROACH OF CERVICAL SPONDYLOSIS WITH MASSAGE AND SPECIFIC MCKENZIE PHYSICAL THERAPY

Serac Valentin,
Kincses Csaba


Key words: Cervical Spondylosis, McKenzie Method, Sweedish Massage, Shiatsu

Abstract:  This paper aims to present the use of massage and physical therapy treatment like means of rehabilitation in cervical spondylosis. We treated the patients with sweedish massage, Shiatsu tehnics and McKenzie method. This combination of different physical therapy means has proven itself efficient in this condition of cervical spine.


KINANTROPOMETRIE

Cordun Mariana





content


Romanian Jurnal of Physical Therapy

issue number 23 / 2009





Romanian Jurnal of Physical Therapy

issue number 23 / 2009



The optimization of the rehabilitation of lumbar disc pathology attended by sciatcs, through therapeutic association between McKenzie Method, Kinesio Taping and Aquatic Physical Therapy

Marcu Vasile,
Serac Valentin


It is well known that today the low back pain accompanied by sciatica is an often meet cause of work incapacity. That is just one of the reasons for we decided to study this condition, the other being the idea of a very interesting therapeutic association between the McKenzie method for lumbar spine, Kinesio Taping and the physical therapy in thermal water in Băile Felix. We decided to sum the therapeutical effects of these three techniques in order to have a better rehabilitation. The study took place at the Clinical Rehabilitation Hospital from Băile Felix and at the physical therapy facility of the University of Oradea, and it included 24 patients from which 12 had the McKenzie, Kinesio taping and hydro physical therapy treatment and the other 12 patients had classic back school treatment, consisting in exercises according to the Williams protocol. In order to do this, for the first group at the beginning we evaluated the patients according to McKenzie method, and then applied the Kinesio Tex on the lumbar region. The next step consisted in the hydro physical therapy treatment, and after that the typical McKenzie exercises for Derangement II, disk hernia with sciatica and pain in the buttock and the mid third of the thigh. The other patients received only back school treatment, being in the hospital or PT facility for approximately one hour. The physical therapy sessions last only 12 days, the classic period of treatment time in a rehabilitation hospital.




content


Romanian Jurnal of Physical Therapy

issue number 22 / 2008





Romanian Jurnal of Physical Therapy

issue number 22 / 2008




current issue 39

Download the digital version

To view the digital journal you will need Adobe Reader

INDEXING

Title of the journal: Romanian Journal Of Physical Therapy

ISSN: 1224-6220

ONLINE ISSN: 2068 - 1712

Profile: review of studies, research, reviews

Editor: University of Oradea Publishing House

The level and attestation of the journal: BDI

Year of first publication: 1995

Issue: half-early

subscription information

For more information about subscription click here.


subscription information


Subscription Romanian Journal Of Physical Therapy

current issue number 39 / 2017



The "Romanian Journal of Physical Therapy" is printed two times a year. The journal has free of charge access, on webpage www.revrokineto.com. Users are free to read, download, copy, distribute, print, search, or link to the full text of the journal’s articles and allow readers to use them for any other lawful purpose.  There will be no fee for Article Processing Charges (APCs) when submitting articles to this publication.

Other information or for subscription, please send a message to: doriana.ciobanu@yahoo.com


links of interes


powered by: pixelabel