Physiotherapy and Occupational Therapy Journal

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Objective: The study was done to find out the difference in balance score and ADL Score between right and left sided stroke patients. Methods: The study was of an Analytical design, with 30 subjects, 20 were men and 10 were women, all subjects were right handed, assigned into two groups,15 subjects in each, according to the inclusion and exclusion criteria and carried out at Physiotherapy O.P.D. of CSS Hospital, Jai Multispecialty Clinic, Physiocare Clinic and residential care centre in and around, Meerut. In oth group balance and ADL were assessed by using the BBS and mBI respectively. The collected data were of mean and standard deviation of balance score and ADL score, and has been analyzed using SPSS software. Mann Whitney U test was used to find the difference between the two groups. Results: The results showed that there were no significant difference in balance and ADL between right and left sided stroke with respect their balance score (p = 0.755). The result also showed that the activities patients were performing depended on their balance capability. So the balance of the patient does not vary with side of lesion on late recovery but it is inevitably impaired following stroke. 

Keywords: Stroke; Lesion side; Balance and functional recovery.  

Aim and objective: The purpose of this study was to determine the immediate effects of manual therapy technique called inhibitive distraction (ID) on active range of motion (AROM) for cervical flexion in asymptomatic subjects. Methodology: 50 subjects (mean age 24.12 year) with decreased cervical flexion ROM (less than 500) were randomly assigned to an experimental and a control group of 25 subjects each. We used the universal goniometer to measure pre and post intervention cervical flexion AROM in the sagittal plane within a single treatment session. Group A underwent ID and group B received placebo protocol. Result: Though both the groups improved significantly, group AID group result shows more significant in cervical flexion ROM improvement when compared with group B, the control group. Conclusion: Results concluded that ID can be effectively used to enhance the cervical flexion ROM even in asymptomatic subjects. 

Keywords: Inhibitive distraction; Cervical flexion; Forward head posture; Neck dysfunction. 

Physiotherapists contribute significantly to the maintenance of functional independence and quality of life among cancer patients through early intervention and community follow up. Very little has been documented about the extent Physiotherapists are involved in the care and management of individuals with functional deficits related to cancer in India although physiotherapists are mandatory to promote and maintain physical function. The purpose of this study was to examine and describe current practice patterns of Physiotherapists in cancer rehabilitation in South India. A descriptive study was performed using the survey method for data collection among 1120 randomly selected Physiotherapists licensed and practicing in South India. Following institutional review board approval, surveys with consent forms were emailed to subjects and subjects received followup email reminders. Usable surveys returned were 188 (18.13%). 62.8% of therapists reported treating individuals with a history of cancer while only 17.8% were treating the cancer patients on regular basis. Most common patients were with breast cancer (75%); common treatments were: home exercise programs and breathing exercises (both 77.1%), range of motion exercises (68.6%), chest clearance techniques (64.6%), strengthening and education (both 60.4%), and stretching (56.3%), Monitoring methods were: heart rates (58.3%), blood pressure (54.2%), pain scale and O2 saturation levels (47.9%), and rates of perceived exertion (37.5%), functional outcome measures were: 6 minute walk test (41.7%), quality of life (20.8%), SF36 (18.8%), and Functional Independence Measure (14.6%). We found that, only very few physiotherapists are practicing exclusively in cancer care setting in South India. Intervention types were satisfying while monitoring and functional outcome measures were inconsistently used. Furthermore, number of physiotherapists working in the cancer centers is no match for the increasing demand of physiotherapy in cancer care. 

Keywords: Physiotherapy, Rehabilitation, Cancer treatment, Survey, Practice patterns.  

Background and Objective: Impaired shoulder function after mastectomy and axillary dissection for breast carcinoma (Ca) is a well know problem. Researchers have analyzed group muscle strength of the shoulder joint and postulated that there is significant reduction of muscle strength around shoulder joint .So the following study was aimed at analyzing individual muscle strength and ROM of shoulder complex .Result of this study will help in formulating evidence based shoulder rehabilitation protocol for subjects undergoing modified radical mastectomy (MRM). Method: This experimental study was based on eleven subjects undergoing modified radical mastectomy.They were selected on basis of inclusion & exclusion criteria from the population of 30 subjects . Pre surgical reading for muscle strength and ROM were taken and compared post surgically after the removal of postop drain. Readings for muscle strength were taken by a Kendall MMT technique and ROM by a half circle metal universal goniometer. Results: Significant reduction was found in ROM & strength of shoulder complex after MRM. Most significant reduction in ROM found in abduction (67.35±29.63) & flexion (59.77±1.70). Muscle strength were found for pectoralis major (3.54±1.36) (U.F), (4.27±1.34) (L.F), pectoralis minor (3.81±1.16), serratus anterior (4.18±1.60), Latissimus dorsi (3.90±1.37), & rhomboids (2.54±1.21) respectively. Conclusion: Significant reduction in muscle strength & ROM of shoulder complex occurs after MRM. Therefore individually tailored & specifically designed rehabilitation protocol will help in improving quality of life of breast cancer subjects. 

Key words: Muscle strength; ROM; Breast Ca; Mastectomy; MRM; Shoulder dysfunction; Rehabilitation. 

Introduction: In Cerebral Palsy the areas of the brain affected are those associated with the motor systems, which when damaged, impair control of movement. The difficulties of a child with Cerebral palsy are caused with either damage to or faulty development of the motor areas of the brain that disrupts the brain’s ability to control movement and posture producing poor coordination, poor balance, or abnormal movement patterns. Over the decades, studies related to intermanual transfer have been performed in normal subject. The main objective of this study is “to find out the effect of strengthening of unaffected upper extremity on motor performance of affected upper extremity in spastic hemiplegic cerebral palsy”. Methodology: 20 spastic hemiplegic CP subjects aged 515 years, IQ > 60 were taken and divided in two groups. Control group was given Conventional exercises for affected upper extremity and experimental group was given strengthening and coordination training to unaffected upper extremity while affected limb received the same treatment as control group. Intervention was given for three days a week for 3 weeks.The subjects were assessed using Purdue Pegboard test and Abilhand assessment tool before and after the intervention. Results: The experimental group showed significant effect on purdue pregboard task and abilhand tool after the training. Discussion: Intermanual transfer of training does exist in patients with spastic hemiplegic CP leading to improvement in motor performance. 

Keywords: Spastic CP; Inter manual transfer; Pegboard task; Abilhand assessment tool.