Physiotherapy and Occupational Therapy Journal

Background: Clinicians are constantly seeking for the most ideal option in the management of Congenital Talipes Equino Varus (CTEV), especially among infants. Objective: This case report presents the outcome of a one year Physiotherapy management of an infant with Congenital TalipesEquinoVarus (CTEV). Methods: Management commenced 48 hours after birth. During the first three months, passive stretching and strapping techniques were employed. Subsequently, plaster of Paris cast was applied using the serial plastering approach. Stretching continued each time the cast was removed for replacement. Results: Follow up after one year showed that the child could walk with apparently normal gait and there was no residual deformity. Conclusion: There is need for more enlightenment on the importance of early referral of CTEV cases for Physiotherapy care.

Keywords: Physiotherapy; Talipesequinovarus; Passive stretching; Strapping.

Objective: To compare the effect of isometric exercises and deep friction massage on osteoarthritis knee. Methods: Total number of participants were 40 ( both male and female) . Equal number of participants were randomly assigned into two groups i.e. A and B. According to the Inclusion and Exclusion criteria and carried out at CSSH (Meerut) in department of physiotherapy. Ultrasonic modality was given to patients in both the groups. Group A was given Isometric Exercises while Group B was given Deep Friction Massage. The study design was of pre and post test comparative design with Group A and B. Results: To find out the effect of six days of treatment on both the group. Conclusions: We conclude from our study that though improvement comes from both the techniques but Isometric Exercises provide better results then to Deep Friction Massage.

Keywords: Osteoarthritis; Deep friction massage; Isometric Exercises.

Objective: The study was done to find out the “Effects of Balance Training on Foam Platform in Geriatric Population”. Methods: The study was of control design, with 30 subjects, 15 subjects in each, according to the inclusion and exclusion criteria, from Old Age Home, Jai Physiotherapy and Dental Clinic, Residential Care Centre  and Physiotherapy O.P.D. of CSS Hospital, Meerut. These subjects were than conveniently divided into 2 groups,(Group A and Group B), Group A consisting of 15 subjects (7 males and 8 females) received the balance training on foam platform, Group B also consisting of 15 subjects (6 males and 9 females) received same balance training on floor. Demographic details of subjects, sex, age, height, and weight was collected following Berg Balance Scale (BBS), Functional Reach Test (FRT). After assessing the initial balance scores, the balance training on foam platform for group A and same balance training on floor, were given for a period of four weeks for each subject in 3 days a week approximately for 30 minutes. Both the groups were assessed on the above mentioned balance scales after four weeks of exercises. The collected data was of mean and standard deviation and has been analyzed using SPSS software. The t-test was used to analyze the difference in the balance improvements in Group A and Group B. Intra group analysis between pre-intervention and post-intervention scores was also done for both the groups. Results: The results of my study showed that there is a significant improvements in balance control after receiving short term balance training program that specifically emphasize for experimental group i.e. Group (A). Several balance specific exercises à shifting their body weight from foot to foot, standing on one foot, and standing with the feet in a series of positions, including side by side, and heel to toe, while standing on foam pad. On comparing the BBS at day 30 of group A (mean = 55.26, SD = .96) and of Group B (mean = 52.26, SD = 2.91) and its corresponding P value (0.001) is significant. So, it showed that there is a significant improvement in Group A.

Keywords: Balance; Berg Balance Scale (BBS); Functional Reach Test (FRT); Foam Platform. 

Chronic obstructive pulmonary disease is a widely prevalent disorder and the most common cause for respiratory impairments and disability. It is expected to rise at the fifth position as a cause of disability adjusted life year by the year 2020. Patients of COPD suffer from chronic breathlessness which limits their activities and functional capacity. The Six minute walk test is a valid and simple tool to evaluate the functional limitation and monitor progress. The aim of our study was to assess the functional progress in COPD patients undergoing a six week exercise program using the 6 MWT as a tool. 45 subjects with a history of smoking and a diagnosis of stable COPD were made to undergo a six weeks exercise program and the 6 MWT was performed before and after six weeks.  The variables evaluated were the walk distance and dyspnoea ratings. There was a statistically significant increment in both the parameters after six weeks. The mean increment for walk distance was 31 meters and the dyspnoea rating improved by 0.5 and 0.7 for the baseline and completion values. These increments over a short period are positive indicators of clinical progress and signify potential scope for enhancement in the functional capacity of these eternally breathless patients.

Keywords: Chronic obstructive pulmonary disease (COPD); Respiratory disability; Functional capacity; Six minute walk test (6MWT); Six minute walk distance (6MWD); Rating of perceived exertion (RPE); Therapeutic exercises.

Background: Although primary path physiology of COPD is pulmonary but extra pulmonary manifestation like skeletal muscles dysfunction, physical capacity etc. are studied. Preliminary Evidence shows deficit in postural control in COPD. We aimed at finding out prevalence of balance deficits in chronic Obstructive pulmonary  disease (COPD), little is known regarding the disordered subcomponents underlying control of balance. Objective: To find out the prevalence of balance deficit in patients with Chronic Obstructive Pulmonary disease. Participants : 100 subjects ( 96 male and 4 female ) with COPD participated in this study. Methods: A observational study design was used. Subjects aged between 40-60 years were recruited for study. Balance was evaluating using the Berg Balance Scale; Timed Up and Go Test and Sit and Reach Test. Socioeconomic status was assessed by Kuppuswamy Scale. Results: According to Berg Balance Scale 67% had medium fall risk and 33% had low fall risk. As per Timed Up and Go Test 65% had high risk of falls. Berg Balance Scores and Timed Up and Go Test had a significant correlation (p= .000 ;p < 0.05). Berg Balance Scores and Timed Up and Go Test score had significant correlation with FEV1(r=0.195,p=0.051); (r=0.218,p=0.029). Conclusion: In conclusion , this study showed that a majority of Chronic Obstructive pulmonary Disease patients have balance issues.

Keywords: Chronic obstructive pulmonary disease; Berg balance scale; Timed up and go test; Sit and reach test; Kuppuswamy scale.