Physiotherapy and Occupational Therapy Journal

Aims & objectives: The aim of the present research was to determine the effect of aerobic exercise training on blood lipid profile in young adults. The path physiology of blood lipid in young adults its increase the atherosclerosis formation on the coronary artery and during the physical inactivity results it developed cardiac diseases. Therefore use of aerobic exercise will be helpful in setting up a better aerobic exercise protocol for improving the lipid profile level and prevention of cardiac disease. Methodology: This experimental study was carried out with 6 subjects including both male and female with age 20- 30year at college of Himalayan hospital. The data is collected by taking outcome variables in form of blood lipid profile level, BP, THR time. Protocol: Aerobic exercise 30 minute session/ 5 days/ weeks for 4 weeks with 60 – 70 %THR. Data analysis: Data was analyzed with parametric test in form of T-test which required with a significant level set at (pd”0.05) and confidence interval was 95%. Result: There was a beneficial effect of exercise on HDL variables, BP, & THR seen most clearly with the 4 week of aerobic exercise training, other than HDL, BP &THR no other variable has been able to differentiate among both groups. Discussion: The increase in HDL and decreases the BP, THR time among both group after the aerobic exercise training. Minimal weekly exercise increases the HDL level. BP & THR time are due to the parasympathetic activity. Conclusions: Aerobic exercise is widely believed to induce changes in the lipid profile, BP & THR time of subjects. 

Key words: Aerobic exercise training; Blood lipid profile level; HDL (high density lipoprotein); BP (blood pressure) and THR (target heart rate) & cardiac disease. 

Lymphedema is defined as the abnormal accumulation of protein rich fluid dysfunction of the lymphatic system, which is a common sequel of cancer therapy. The incidence is highest among patients who have undergone lymph node resection and irradiation. Various studies had been undertaken to develop less invasive treatments of lymphedema management. Complete decongestive physiotherapy has evolved rapidly over the past decade. This article is aimed to describe very promising results of CDPT given to patients with diagnosis of post mastectomy lymphedema. The data represented in this article were retrospectively collected and reviewed. Patients received 15 sessions of CDPT 6 days a week, patients were given extensive patient education during the first consultation about general do’s and don’ts, skin care. Along with resolution of lymphedema, there was good improvement in other symptoms such as pain and paraesthesia. Patients also reported improvement in their psychological well being. Observation and conclusion drawn from this case series review suggest that inclusion of CDPT in management of post mastectomy lymphedema will not only be useful in resolution lymphedema but also helps in reducing pain, paraesthesia and improving overall quality of life of patients, perhaps more rigorous research and trials with efficient methodology required to establish CDPT as treatment of choice for post mastectomy lymphedema. 

Keywords: Lymphedema; CDPT; MLD; Remedial exercises; Pneumatic compression therapy; Compression bandaging; Multi-layer bandaging. 

Inclined plyomertics are performed at anteriorly inclined surface which pre-positions the ankle in dorsiflexion before eccentric phase. Plyometrics performed at various surface like clay, sand, wood, grass, and water training can lead to improvements in vertical jump performance, leg strength muscle power, acceleration, balance, overall agility and bone density especially in younger participants. Plyometrics performed at incline surface improve vertical jump, depth jump, counter movement jump and explosive muscle power of gastrosoleus muscle in comparison with same drills performed on various type of plane surface as muscle is at optimal length tension relation. Effectiveness of incline plyometrics on dynamic balance, speed, agility and quickness, may be a future scope of research study. Various type of drills like squat jump, depth jump, box jump at different inclination angle at different type of surfaces are still to be investigated. 

Key words: Incline plyometrics; Balance; Squat jump, Depth jump. 

This article is aimed to provide an evidence-informed integrative overview on exercise therapy and its influence on quality of life in cancer through a literature search of PubMed. Nine systematic reviews and/ or meta- analyses (cancer=5; breast cancer=2; lung cancer=1; prostate cancer=1) were found including two Cochrane systematic reviews, unanimously demonstrating unidirectional effectiveness for exercise therapy in improving quality of life in people with cancer. This interaction between exercise and quality of life was mediated by a complex intermingled inter-relationship between biological, psychological and social dimensions of health and disease. 

Keywords: Participation restriction; Holistic rehabilitation; Biopsychosocial model; Rehabilitation oncology; Behavioral oncology.

Objective: Functioning Everyday with A Wheelchair (FEW) Tool is a self-report questionnaire to be administered over time to consumers of wheeled mobility and seating technology, as a dynamic indicator or profile of perceived user function related to wheelchair use. The aim of this study was to translate this tool into Hindi language, so as to make it available for use in a population who don’t understand English; and to test its content validity and internal consistency in Spinal Cord Injury population.  Methods: The FEW tool was translated into Hindi and made ready for application by a translation committee. The tool was then reviewed by a review committee to check the translations. Then, pilot testing was done, where subject responses and comments were noted. A sample of 15 subjects was recruited for pilot testing. Lastly, the content validity for the tool was determined by a panel of 10 subject matter experts (SMEs). Results: The CVR for each individual item on the scale was found to have a significant value at p<0.05. The overall content validity of the scale was determined by the CVI (0.89), which was significant. The Internal Consistency Reliability of the tool, calculated at the time of pilot testing was found to have a significant value for the Cronbach’s alpha (0.87). Conclusion: The Hindi translated version of the FEW tool holds content validity and internal consistency for use in subjects using wheelchairs with spinal cord injury. 

Keywords: Spinal cord injury; Content validity; Internal consistency reliability; Functioning Everyday with a Wheelchair; Cross cultural adaptation; Environment. 

Background: The pelvic girdle forms a closed kinematic chain with upper and lower quadrants of human musculoskeletal system of which the foot is an integral component. Individuals with excessive calcaneal pronation are susceptible to low back pain due to an exaggerated lumbar lordosis that can result from an internal rotation of tibia & femur. In order to treat this low back pain it becomes essential to correct foot posture .Literature shows the efficacy of low dye calcaneal taping in the correction of excessive calcaneal eversion. There is however scarce evidence available regarding this effect on angle of pelvic tilt & thereby on low back. Hence this study is undertaken. Objectives: To compare the angles of pelvic tilt in individuals with excessive calcaneal pronation before and after Low dye calcaneal taping. Methodology: Angle of pelvic tilt of 30 females with a calcaneal eversion of more than 6 degrees was measured prior to the application of tape. Low dye calcaneal taping was then applied following which the angle of pelvic tilt was were measured again. Data Analysis: Paired t-test was used to compare the mean values of pelvic tilt angle pre and post taping. Results: Significant change in mean pelvic tilt angle was found pre and post calcaneal taping. Conclusion: Immediate change in the angle of pelvic tilt can be obtained by correction of excessive calcaneal eversion with Low dye calcaneal taping. 

Key words: Low back pain; Pelvic tilt; Pronation of foot. 

Objective: The study was done to find out the relationship between plantarflexor spasticity, ankle joint range of motion with sit to stand kinematics and total time duration to complete sit to stand movement in stroke patients. Methods: The study was of correlation design, with 35 stroke subjects (32 male, 3 female) carried out at different hospitals in New Delhi. Subjects were assessed for plantarflexor spasticity, plantarflexion and dorsiflexion range of motion of ankle joint and sit to stand movement. Sit to stand movement was videotaped and sit to stand kinematics and total time taken to complete the movement was analyzed through motion pro motion analysis software. Correlation between plantarflexor spasticity , ankle joint range of motion with sit to stand kinematics and total time duration to complete sit to stand movement determined using Karl Pearson’s correlation coefficient. Results: The results showed a strong positive correlation between plantarflexor spasticity and total time duration of sit to stand movement (r=0.81) and plantarflexion range of motion and total time duration of sit to stand movement (r=0.85). There was a strong negative correlation between dorsiflexion range of motion and total time duration of sit to stand movement (r=-0.80) Plantarflexion range of motion also has a moderate negative correlation with sit to stand kinematics in phase III of knee (r=- 0.57) and phase III of hip (r=-0.33) respectively. Dorsiflexion range of motion also has a moderate positive correlation with sit to stand kinematics in phase III of knee (r=0.47) and phase III of hip (r=0.43) respectively. Conclusion: The ankle impairments like plantarflexor spasticity and reduced ankle joint range of motion can affect sit to stand movement, so such impairments should be addressed during various therapeutic interventions. 

Key Words: Plantarflexor spasticity; Ankle joint range of motion; Sit to stand movement; Kinematics.