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Influence of low, medium and high BMI on hand grip strength among community dwelling elderly population

ABSTRACT: - Aim of the study is to find out the influence of low, medium and high body mass index on hand grip strength among community dwelling elderly population. Methodology: - This was an observational cross-sectional study performed on 30 community dwelling elderly population with age groups 60 and above 60. Out of total 30 participants 8 were having low BMI, 9 were having medium BMI and 13 were having high BMI. BMI was calculated by taking weight (in kg) by using weighing machine and height in (meters). Hand grip strength was measured by using hand held (JAMER) dynamometer. Result: - Data has summarized by using descriptive statistic of mean and standard deviation. Then Pearson correlation test was used to measure relation between hand grip strength and BMI.ANOVA technique was used for multiple group comparison by using graph pad software. By using Pearson corelation we got the result that there is positive corelation between High BMI with HGS and negative corelation between HGS with low and medium BMI. By using one-way ANOVA test we got (p value>0.05) which is non-significant. One way ANOVA shows comparison of hand grip strength of low, medium and high BMI and it is like H>M>L for both dominant and non-dominant. CONCLUSION: - Our study concludes from the above result that there is corelation between Hand grip strength and body mass index.

Mechanical diagnosis and therapy in patients with extremity problems: A Systematic review

Background: Mechanical Diagnosis and Therapy (MDT) is used in the treatment of extremity problems. It is an effective approach in cases of spinal conditions for target population. Availability of the reliable data like RCT and systematic review is a key factor to determine the precise clinical problem and to direct an appropriate intervention. Objectives: The primary aim of this systematic review is to assess the methodological quality of well-designed RCTs related to the MDT classification and treatment for extremity problems. Design: Systematic review. Method: Electronic search on various data bases was done. The level of evidence was determined considering the methodological quality of the studies. Results: 1 RCT was included and it met the criteria for high quality. After the assessment of RCT according to the CONSORT guidelines it was found that out of 25 checklist points; 4 methodological faults were found in assessed RCT. Those were; a) sample size determination, b) Blinding after assessment c) Generisability of the trial findings d) Where the full trial protocol can be accessed. Conclusion: The current systematic review found strong evidence of benefits of MDT approach for extremity problems (knee joint). But there was limited evidence in other extremity joints.

The Perceptions and knowledge of Physiotherapist regarding exercise and joint health in India

BACKGROUND: A physiotherapist plays a key role in assessing, monitoring, educating and prescribing exercise for RA. A few previous surveys across the goble emphasized on the lack of evidence to guide physiotherapist recognizing the early signs of RA, in knowledge of disease course, and in evidence-based interventions and therefore the ability to manage an individual with RA over the course of the disease. The study aims to investigate physiotherapists’ current practice in specific disease-related Knowledge and clinical skills required managing people with RA and extent to which they promote physical activity and exercise. METHOD: A cross-sectional national e-survey was sent to physiotherapists regarding their confidence in managing RA patients. Questionnaire Data developed from previous literatures included the following details: years of clinical experience, current RA clinical caseload, and professional qualifications, primary clinical area of practice, relevant treatment options in established or newly diagnosed cases and management goals. RESULT: A total of 478 physiotherapist responses were received.84% agreed to the fact that exercises does play an important role in joint health promotion. Almost 70% strongly agreed to factor that FIIT principal has to be taken in consideration while prescribing exercises. Approximately 48% were familiar with Index that measures disease activity and ACR-preferred tools for functional status assessment in RA. Moreover, 98% were having a clear perspective of different guidelines of management in RA and Osteoarthritis (OA).While considering the choice of treatment physical activity and educational advice were more preferred as compared to the modalities or manual therapy. CONCLUSION: The present practices are in lines with the current guidelines for RA management, but still most of them never prescribed high-intensity exercise and lacked knowledge of when to advice appropriate splints/orthoses. Even the recommendations regarding splints were not clear. So, there's a requirement to develop education and training for constantly upgrading physiotherapists within for the promotion of physical activity in rheumatoid arthritis patients.

Comparison of Gait parameters among the adults (18-24) with and without flatfoot – A Cross sectional study

Background: Flat foot is a common deformity in which the medial longitudinal arch is eliminated or reduced, subtalar joint is pronated and the calcaneus achieves valgus position under- weight bearing conditions. Any feet disorder can alter the biomechanics of the entire lower limb. The aim of the study was to compare the gait parameters (Cadence, stride length, step length and pace) among the adults (18-24) with and without flat foot. Methodology: It was a cross-sectional study with 3 months duration. Total 56 young adults (18-24) with and without flatfoot were recruited with purposive sampling method. the categorization of the type of arch using Arch-Height index. The Outcome measures were Gait parameters (cadence, distance walked in one minute, speed, step length, stride length) which were noted by pedometer of Smart watch and stride length, step length by using formula using cadence and distance findings. Result: Comparison analysis was done by using unpaired t-test. On comparison of various Gait parameters between normal and flat foot individuals such as cadence (p=0.7), distance walked in one minute (p= 0.96), speed (p=0.78), step length (p= 0.98), stride length (p= 0.92), there was no significant difference between two groups. Conclusion: The study concludes that there is no difference in gait parameters between flatfoot and normal foot.

Perception of Physiotherapy students on virtual classes

Background- Due to the COVID-19 pandemic Indian governments had issued stay-at-home directives, and as a result, colleges and universities have been shut down across the world. The major response to the pandemic has been to try to move both teaching-learning and assessment lectures online. so, studying the student’s perception of virtual classes is a must to consider the views. This study is important because of the physiotherapy profession's practical and skill-based practice, it is vital that we not lose focus on the non-technical skills that are required for effective clinical practice. Methods- This is an observational study with a study duration was of 1 year. All physiotherapy students from DVVPF’S college of physiotherapy were recruited by purposive sampling method by using a google form. Result- Data has been summarized by using the descriptive analysis method. Our data showed that 108 undergraduate physiotherapy students answered the questionnaire. They shared their experiences about online classes as compared to offline classes. they shared firstly about communication skills. in online classes students experienced that it does provide a platform to improve communication skills most of the time, & sometimes challenges due to the online environment during an emergency may delay the adoption of technology-enabled education. some students have technophobia because of that they cannot communicate on online classes or they faced difficulties. Conclusion- Our study revealed that on basis of the experiences of physiotherapy students’ actual classes are much more efficient and productive as compared to virtual classes.

Correlation between hamstring tightness and time duration of disease in knee osteoarthritis: an observational cross-sectional study.

Background: Osteoarthritis (OA) is gradually developing articular diseases that originate in the cartilage and affects the underlying bone, soft tissues as well as synovial fluid. OA usually occurs late in life and mainly it affects the hand and large weight-bearing joints such as the knee and hip. The knee joint is largely affected due to its weight-bearing nature. In many studies, this functional loss is related to muscular weakness caused by OA in particular the quadriceps and hamstring muscles. Flexibility is the ability of a muscle to lengthen and allow one joint [or more than one joint in a series] to move through a range of motion. The hamstring muscle group have tendency to shorten and the tightening results in increased patello-femoral compressive force, which may eventually lead to patello-femoral syndrome often associated with osteoarthritis. Method: Seventeen patients with knee osteoarthritis matched with the inclusion criteria were included in the study. Sit and Reach test was used to evaluate the hamstring tightness. Goniometer was used to evaluate knee active range of motion Spearman’s correlation was used to determine the relationship between hamstring tightness and duration of disease in knee osteoarthritis. Result: The present study found significant inverse correlation (r = -0.07) between hamstring tightness and duration of disease such that the hamstring flexibility decreases with increase in the duration of knee osteoarthritis. However, the correlation between duration of disease and knee active range of motion was negligible (r = 0.25). Conclusion: The results states that hamstring tightness and duration of the disease in knee osteoarthritis are correlated. Further research is indicated with a larger sample size. Keywords: Knee osteoarthritis, hamstring tightness, osteoarthritis.

Variations in shoulder and pelvic girdle alignment in patients with stroke: A Cross sectional study

ABSTRACT Background: Shoulder and pelvic girdle plays an important role in day to activities of life. In patients with Stroke, one side affection of these girdles pose a major challenge in rehabilitation. However, there is scanty literature about the variations in alignment of girdles in patients with stroke. Aim: This study is aimed to analyse the abnormal changes in the Scapular, Acromion, Mastoid, Pelvis alignment in patients with stroke, as a baseline data. Methodology: An observational study of Scapular, Acromion, Mastoid, Pelvis alignment in stroke survivors was conducted in a Tertiary care hospital. Stroke survivors were recruited from the Physiotherapy unit of VPMH hospital, Ahmednagar. Patients were included between the age group 30 to 70 yrs., Patients with unilateral stroke, patients with acute, subacute & chronic stroke and able to stand with or without support. A palpation meter is used to measure the Scapular, Acromion, Mastoid, Pelvis alignment in stroke survivors. Results: When measured scapular protraction, people after stroke showed more protracted scapulae than the healthy individuals (mean 1.28> 0.42, P= <0.0001). Scapular height discrepancy (mean 1.50>0.55 P= 0.0003), PSIS alignment (mean 0.52>0.07 P= <0.0001) and Acromioclavicular joint alignment (mean 2.28>0.45 P= <0.0001) shows more significant difference found in stroke survivors group than the Healthy individuals Conclusion: Our results indicate that people after stroke, in comparison with age-matched healthy comparison subjects, have altered Scapular, Acromioclavicular and pelvic alignment as evaluated by palpation meter. Keywords: Stroke, Shoulder alignment, Pelvic alignment, Palpation Meter