EFFICACY OF INTERFERENTIAL THERAPY ON SELECTED CARDIOPULMONARY PARAMETERS OF ASTHMATIC PATIENTS WITH POST COVID19 EXPOSURE: STUDY PROTOCOL

Background: Interferential therapy (IFT) is the application of two medium frequency currents to the skin to stimulate and activate different systems in the body using specific frequencies and frequency ranges. IFT in the thoracic region aims to reduce myalgia in the chest and upper back, reduce muscular fatigue and induce mucus expectoration. This study is designed to test the efficacy of IFT on asthma patients recently exposed to SARS-CoV-2 virus.Methods: IFT will be administered as an intervention to 28 asthma patients with and without a history of COVID-19 exposure for 20 minutes. Six continuous outcome variables at different points will be utilized as an outcome measure. Selected Baseline Pulmonary Function Test (PFT) and Cardiopulmonary Variables (CVS) will be assessed on entry into the study, Quality of life and asthma control will be evaluated every two (2) weeks of the study. Data obtained will be analyzed using descriptive and inferential statistics of repeated ANOVA; P<0.05. Discussion: The study outcome will compare the efficacy of IFT on Bronchial Asthma patients with Post COVID-19 exposure, identify the relationship between the Intervention on Asthma patients with or without COVID-19 exposure.Contribution of Paper: Asthma control in the SARS-CoV-2 virus is still unclear, this study aims to evaluate the effect of airway smooth muscle relaxation induced by IFT on the possible long-term manifestations of SARS-CoV-2 virus on asthma control, and quality of life of asthma patients. This study will add to the existing knowledge on the management of the severe acute respiratory syndrome.

Comparative efficacy of interferential therapy, bronchodilators, and body positioning on asthma control and quality of life of patients with bronchial asthma: Study protocol

BackgroundInterferential therapy (IFT) is the application of two medium frequency currents to the skin to stimulate and activate different systems in the body using specific frequencies and frequency ranges. IFT aims to reduce myalgia in the chest and upper back, reduce muscular fatigue and induce mucus expectoration. This study is designed to compare the efficacy of IFT on asthma control and quality of life of asthma patients pre-and post-administration of bronchodilators and determine the most influential body position in its application.MethodsForty-eight (48) patients aged 18 years and above with bronchial Asthma attending the respiratory clinic at the Lagos State University Teaching Hospital, Ikeja (LASUTH) will be assessed for the study eligibility. The study design will be a double-blinded, randomized control trial with four intervention groups and four parallel placebo control groups. IFT will be administered as an intervention to patients on short and long-acting bronchodilators in an assigned fundamental body position for 20 minutes. Six continuous outcome variables at different points will be utilized as an outcome measure. Baseline Pulmonary Function Test (PFT) will be assessed on entry into the study, Quality of life and asthma control will be evaluated every two (2) weeks of the study. Data obtained will be analyzed using descriptive and inferential statistics of repeated ANOVA; P<0.05.DiscussionThe study outcome will compare the efficacy of IFT on Bronchial Asthma, identify its effect in different body positions, and compare the relationship between its application and the bronchodilator medication frequently used by the patients.Trial Registrationhttps://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=10942:PACTR202005807526130

Impact of inspiratory vs expiratory incentive spirometry on obstructive, restrictive, and mixed ventilatory impairments: Study protocol. Effect of incentive spirometry on respiratory impairments.

Background: Interferential therapy (IFT) is the application of two medium frequency currents to the skin to stimulate and activate different systems in the body using specific frequencies and frequency ranges. IFT aims to reduce myalgia in the chest and upper back, reduce muscular fatigue and induce mucus expectoration. This study is designed to test the efficacy of IFT on asthma patients recently exposed to SARS-CoV-2 virus. Methods: Twenty-eight (28) patients aged 18 and above with bronchial Asthma attending the respiratory clinic at the Lagos State University Teaching Hospital, Ikeja (LASUTH) will be assessed for the study eligibility. The study design will be a double-blinded, randomized control trial with two intervention groups and two parallel placebo control groups. IFT will be administered as an intervention to asthma patients with and without a history of COVID-19 exposure for 20 minutes. Six continuous outcome variables at different points will be utilized as an outcome measure. Selected Baseline Pulmonary Function Test (PFT) and Cardiopulmonary Variables (CVS) will be assessed on entry into the study, Quality of life and asthma control will be evaluated every two (2) weeks of the study. Data obtained will be analyzed using descriptive and inferential statistics of repeated ANOVA; P<0.05. Discussion: The study outcome will compare the efficacy of IFT on Bronchial Asthma patients with Post COVID-19 exposure, identify the relationship between the Intervention on Asthma patients with or without COVID-19 exposure.

LUMBAR RADICULOPATHY MANAGED WITH SPINAL MOBILIZATION WITH LEG MOVEMENT: A CASE STUDY

Purpose. This report describes the case of prolapsed lumbar intervertebral disc with radiating pain to leg managed with spinal mobilization with leg movement (SMWLM) combined with intermittent lumbar traction (ILT) and interferential therapy. Case presentation. Twelve treatment sessions carried out over 4 consecutive weeks thrice weekly consisting of spinal mobilization with leg movement, intermittent lumbar traction and interferential therapy. Outcome measures were documented by using Visual analog score (VAS), Oswestry disability index (ODI) and range of straight leg raise (SLR) score. After 4 weeks, VAS improved by 7 points and ODI score improved by 19 points. Range of straight leg raise also increased significantly from 46.30 to 68.40. Conclusions. Spinal mobilization with leg movement combined with intermittent lumbar traction and interferential therapy resulted in decrease in disability and pain as well as improvement in range of straight leg raise. Therefore, it may be used as a first line of treatment with massive disc prolapse before surgical intervention.

A comparative study to find the effectiveness of weight bearing exercises on stable platform versus wobble board, to improve balance and functional outcome of individuals with knee osteoarthritis

Introduction and Aim: Knee osteoarthritis is a common degenerative disease, with its prevalence increasing with age and with multifactorial aetiology. It is a common cause of disability worldwide. Aim of the study is to compare the effect of weight bearing exercises on wobble board and stable platform in improving balance and functional outcome by the pre and post analysis. Materials and Methods: Experimental study was conducted in Saveetha hospital, Chennai. Forty subjects including both males and females diagnosed with osteoarthritis knee within the age of 40 to 70 years were recruited and divided into two groups with 20 subjects in each group (Group A- 20 subjects, Group B- 20 subjects). Group A was given weight bearing exercises on wobble board along with interferential therapy, in 4 sets with 6 repetitions in each set and a rest interval of one minute between each set, 15 minutes per session, 3 days/week for 4 weeks and Group B was given weight bearing exercises on stable platform along with interferential therapy in 4 sets with 6 repetitions in each set and a rest interval of one minute between each set, 15 minutes per session, 3 days/week for 4 weeks. Results: At the end of the study, data was analysed and there was improvement in balance and functional outcome. Conclusion: This study concluded that patients with knee osteoarthritis had improvement in balance and functional outcome through weight bearing exercises given on wobble board along with interferential therapy compared to the patients who were given weight-bearing exercises on stable platform along with interferential therapy. Keywords: Osteoarthritis; wobble board; stable platform; interferential therapy.