Physiotherapy and Occupational Therapy Journal

Abstract

PurposeTo see the effect of different positioning of contralateral arm on neurodynamic test for the upper limb.Design Experimental study on healthy subjects. Methodology Upper Limb Neural Test 1 was performed by placing the contralateral arm in Neutral, Horizontal Abduction, Horizontal Adduction and Flexion positions. Range of elbow extension measurement on the ipsilateral side was taken with help of half circle goniometer recorded by fellow therapist by placing fulcrum on lateral epicondyle of humerus and movable and immovable arm along the shaft of radius and humerus respectively.
Statistical Tests Related t-test and one-way ANOVA was used to compare the results.
Results Paired t-test revealed significant difference in the median nerve sensitivity when Neutral and Horizontal Abduction positions of contralateral arm were compared. Results also demonstrated significant difference on comparison of Neutral versus Flexion positions whereas Neutral versus Horizontal Adduction positions demonstrated non-significant results.
Conclusion Upper Limb Neural Test(1) was affected by different positioning of contralateral arm.

Keywords Neurodynamics, Upper Limb Neural test, Elbow extension.

Abstract

This was an experimental and comparative study done to see the effect of L5 – S1 disc herniation on MNCV, its latency difference and H reflex latency and to prove the efficacy of electrodiagnosis as a reliable tool to assess the S1 radiculopathy due to disc herniation. MNCV, its latency difference and H reflex latency was compared between affected and unaffected sides of 12 symptomatic and MRI diagnosed subjects. Affected side data was also compared with normative data. CONCLUSION: MNCV and H latency showed significant changes between affected and unaffected sides but M latency presented insignificant results. Comparison of data with normative data also showed significant changes, thus proving electrodiagnosis as a reliable adjunct to MRI.

Key Words MRI, Electrodiagnosis, MNCV, H-reflex, S1 Radiculopathy

Abstract

Objective: To assess test- retest reliability for Test of Visual- Perceptual Skills (non-motor) - Revised (TVPS-R) in normal children (Age 4 to 12 years).Study DesignCross sectional 

Methodology
240 children between age groups 4 to 12 years attending normal school were recruited for the study. TVPS-R was administered twice with a gap of one week duration to find test retest reliability
Results
The intraclass coefficient correlation for the total test ranged from 0.83 to 0.97 indicating good test retest reliability. The intraclass coefficient correlation for each subtest ranged from 0.21 to 0.97 indicating very poor to good test retest reliability. In the results of individual subtests, variations were found most commonly in the subtests of visual memory and visual sequential memory. In visual memory, 5 age groups (5-6, 7-8, 9-10, 10-11, and 11-12) and visual sequential memory, 5 age groups (4-5, 7-8, 9-10, 10-11, and 11-12) showed poor to moderate intraclass coefficient correlation ranged from 0.21 to 0.65.
Conclusions
Total test scores of TVPS-R shows good test- retest reliability. Test-retest reliability of individual subtests shows variations. Thus in clinical decision making or treatment planning, TVPS-R total test scores should be considered, rather than the individual subtest scores.

Key Words visual perception, motor problems, reliability

Study design Randomized clinical trial. Background & purpose The goal of this prospective study was to evaluate the efficacy of open vs. closed kinematic chain exercises on gait performance in sub acute stroke patients.  Materials &methods Thirty patients were randomly allocated in to two groups :open kinematic chain (OKC) group and closed kinematic chain (CKC) group comprising of 15 patients in each of these groups for a 5 week program. Subjects were tested on two measurement scales of functional ambulation profile (FAP) and ink footprint record method on two occasions during the study i.e. prior to the beginning of the rehabilitation program and 5 weeks after the training. Data analysis &result
Both groups experienced a statistically significant improvement in gait performance by kinematic chain exercises though there were favorable and significant differences between the effects of open kinematic chain and closed kinematic chain exercises. Results show that CKC proved to be more beneficial in improving gait performance as compared to OKCE.  Conclusion The few significantly better functional results for some of the tested parameters in the closed kinematic chain group suggest that this type of exercise is more effective than the open kinematic chain program in rehabilitation of these patients. Thus this study gives a greater clinical confidence in deciding effective protocol for stroke patients.

Key words stroke, hemiplegia, gait, kinematic chain exercises.