Physiotherapy and Occupational Therapy Journal

Craniosacral therapy (CST) is a non-pharmacological approach which is used to treat a wide variety of disorders such as neck and back pain, migraines, mental stress, TMJ Syndrome, chronic pain conditions such as fibromyalgia, etc.. It involves manually identifying restrictions in the craniosacral system and using soft, gentle hands-on techniques to correct it. It helps in easing out the restrictions of nerve passages, optimizing movement of the cerebrospinal fluid through the spinal cord and restoring proper position of the misaligned bones. Although being a useful therapy, it has a lot of criticisms and little scientific support for the underlying theoretical model.

Keywords  Craniosacral Therapy, Cranial Rhythm.

Objective: To examine the trunk performance during static and dynamic sitting postural control, and to find an association with functional balance such as standing and stepping early after stroke., Participants and setting: Fifty-nine stroke patients (range 2-45 days) were evaluated once for trunk performance and functional balance by same observer in an in-patient stroke rehabilitation centre, Kasturba Medical College Hospital, Mangalore, Manipal University., Measures: Trunk Impairment Scale (TIS) and its subscales; Brunel Balance Assessment (BBA) and its sub-sections., Results: Stroke participants had a mean (SD) score of 14.5 (3.8) and 7 (3) on TIS and BBA. The Karl Pearson Correlation Coefficients was used to compare the association of TIS and its subscales, with BBA and standing, stepping measures, and found to be moderate and high correlation among the measures. The correlation was significant at the level of R value > 0.6 (P< 0.01)., Conclusion: Static and dynamic sitting postural control is affected in stroke patients as a result of poor selective trunk muscle control. In addition, trunk performance in sitting influences the balance performance in standing and stepping early after stroke.  

Key Words: Stroke, Postural Control, Trunk Performance, Balance

Objective: Saline instillation is one of the ways to improve secretion removal during endotracheal suctioning. In the present study we compared the saline instillation to no saline instillation group on haemodynamic parameters. Design: Randomized Controlled trial. Settings: Fifty - bedded mixed intensive care unit of a tertiary care teaching institute. Materials and Methods: The study included sixty mechanically ventilated subjects, diagnosed with pulmonary infections were randomly assigned to saline and no saline group with thirty subjects in each group. Following single session of suctioning procedure, haemodynamic parameters such as oxygen saturation, heart rate, blood pressure, and respiratory rate were measured at baseline, immediate and 1st, 2nd, 3rd, 4th, 5th, 10th, 15th and 30th minutes. Measurements: Two way ANOVA was used to find the difference between two groups. Comparison between groups with respect to baseline data was done by Mann-Whitney U test. Results: Comparison of two groups on oxygen saturation resulted in significant decrease in saline group compared to no saline group (P<0.05).The extent of reduction was 98% to 95% with significant drop at 2nd, 3rd and 5th minutes. There was no significant difference between groups on heart rate, blood pressure, and respiratory rate. Conclusion: The present study concludes instillation of saline for secretion removal to be used judicially as it leads to decreased oxygen saturation.

Key words: Endotracheal suctioning, Pulmonary infections, Saline instillation.

Objective: The main objective of the study was to compare two mobilization techniques and to see which of the two techniques gave faster rate of improvement in range of motion and reduction in pain in patients with adhesive capsulitis of shoulder. Methodology: 35 patients were selected for the study of which 28 were included as per the inclusion criterion. The 28 selected were randomly assigned into the experimental and the control groups respectively. Patients with more than 50% restriction in range of motion along with capsular pattern of restriction of ROM were included in the study. The subjects were given with Cyriax capsular stretch(in experimental group A)andPosterior glide of the shoulder(in control Group B) for 15 minutes along with active and passive exercises at the affected shoulder for 14 sittings and SPADI and VAS were noted  on the 1st,7th& 14thday. Result : This study shows  that even though extent of increase in range of motion, at day 7 and day 14, Group A showed significantly higher degree of abduction as compared to that of Group B, but when comparing both the groups in overall percentage improvement, the mean percentage change in Group A was higher as compared to Group B for all the variables, yet for all  the variables result was statistically insignificant. Conclusion:  There was no significant difference between the two approaches, so either of the techniques can be used for management of adhesive capsulitis.

Key Words : Adhesive capsulitis, Cyriax capsular stretch, Posterior glide of shoulder, Capsular restriction of pattern of movement.