Physiotherapy and Occupational Therapy Journal

Introduction: Bronchiolitis is a common lung infection in infants and young children during the winter season. The use of chest physiotherapy may be indicated to reduces duration of oxygen therapy, facilitates the clearance of secretions and airway obstruction. Methodology: A 4-month male child with cough, fever, breathlessness, rapid breathing from last two days was taken for this study. Chest physiotherapy (CPT) was given after nebulization therapy (0.9% saline) and was followed by gentle nasopharyngeal suction for next three days. Subject’s Clinical assessment and measurement was done before and after physiotherapy management for respiratory status by using observation sheets, pulse oximeter, respiratory rate timer, stethoscope and X-ray. Results: The present case report shows significance changes from chest physiotherapy in the natural course of acute viral bronchiolitis by showing improvement in all the parameters like FIO2,SPO2 ,HR,RR,Auscultation finding and X ray finding. Discussion: This study demonstrated that chest physiotherapy with nebulization in bronchiolitis is a safe and effective way of treatment. It reduces severity and number of hospital stay days of the subject. Conclusion: The study results can be considered to be included in the hospital guidelines to encourage physiotherapists in mobilization of secretion in bronchiolitis subjects.

Background: Apart from neurological disorders, musculoskeletal abnormalities, sensory dysfunctions, and loss of anticipatory control mechanisms directly cause impairment of balance and gait in elderly. It is suggested that various aquatic therapy techniques using laws of fluid mechanics offer an effective environment for improving balance in elderly. Objective: To conduct a scoping review of studies that assesses the effectiveness of aquatic therapy techniques on improving balance in elderly. Methods: The research was conducted in PubMed databases from 31 December 2007 till 30 December 2020. The PICO model was used in the selection of the articles. Studies: randomized controlled trials (RCT) or quasiexperimental studies or pilot trials.Population: elderly with/without neurological deficits, independent in ADL. Primary outcome: balance. Methodological quality was assessed using the Downs and Black checklist. The data was analysed and synthesized by two independent reviewers. Results: The methodological quality of NINE studies included in this review ranged from fair to good. Two studies found improvements in balance using Ai Chi as aquatic therapy intervention. There were significant improvements in the balance in the Halliwick method of aquatic therapy intervention group when compared with the control group in 5 studies. Similar results were found in 4 studies where BRRM intervention is used to improve Balance. Conclusion: There are scientific evidence regarding the positive impact of various technics of aquatic therapy program in improving balance in older adults and consequent reduction in risk of falls. However, future studies with more rigorous study designs and with more structured and outlined programs are needed to prove the efficacy of these methods in improving balance and risk of falls in geriatric population

Introduction: In normal human function flexibility is an important aspect. Smooth, unrestricted, painfree ROM are done by a single joint or series of joints. The knee joint is stabilized by hamstring muscles, extension of knee decelerates by contracting eccentrically lead to flexi on of knee and hip extension. When there is lack of ability of muscle to change it slength from its state offull contraction to full stretchled to hamstring tightness.1 Needof Study: Hamstring tightness leads to high risk of recurrent injury, decreases the performance of daily living of students. It also lead to back pain and gait abnormality. So ART incombination with foam rollercan decrease hamstring tightness and decrease back painandstudent will do their activities without restriction. Methodology: 30 subjects included in the study. At the mid of the treatment session mid tests done to see the improvement and post tests wasdone at the end of treatment session. Hamstring tightness were evaluated by finger to floor distance test Sit and reach test and Active knee extension test of subjects weredone to note the pretest score. Treatment of Foam roller and active release technique was given to patient for 6 days per week for a consecutive 4 weeks. Result: Data was analyzed by using one samplet–test. Pre and Post score were taken via with SRT and AKET. Pvalue<0.05. Conclusion: Foam roller treatment on plantar fascia and hamstring with Active release technique show its beneficial effect for hamstringtightnessin college students. Improvement is easily seen by takings it and reach test and active extension test as an out come measure

Objective: To study the efficacy of sciatic nerve neurodynamic mobilization as compared to control intervention on vibration thresholds, neuropathic pain severity, sciatic nerve neurodynamic test range of motion and neuropathy specific quality of life (NeuroQoL) in painful diabetic peripheral neuropathy patients. Design: Observer-blinded randomized sham-controlled trial. Methods: The study conduct was approved by Institutional Ethics Committee and was registered at Clinical Trials Registry- India. Thirty two patients of age (60.12 ± 11.41years), both gender (13 male, 19 female) were selected on convenient sampling. Subjects were selected based on following: Physician diagnosed type-II DM of atleast eight years duration; complaint of neuropathic pain (screened using neuropathic pain questionnaire NPQ) in the legs and feet; mechanical behavior of neuropathic pain (aggravated and/or relieved by movements); ability to understand and co-operate for instructions of tester. The twenty one excluded subjects had either of the following: progressive worsening neurological deficit, irritable pain, allodynia/ hyperalgesia, musculoskeletal problems, cognitive maladaptation syndrome. The independent blinded observer then recorded neuropathic pain intensity on NPQ, sciatic nerve neurodynamic test range of motion at initial resistance R1, vibration thresholds by Biothesiometry and NeuroQoL. The subjects then were randomized to receive either of two interventionscontrol and experimental. The control group received sham treatment, drugs for glycemic control, Gabapentin for neuropathic pain, diet-lifestyle modification and walking exercise prescription. The experimental group received in addition, sciatic nerve neurodynamic mobilization consisting of nerve massage and nerve sliders. The treatment session was of 45 min duration on five sessions (one session per week) for total study duration of five weeks. Patients were instructed to perform self-mobilization once daily and were given patient log to ensure compliance. Data was collected twice- pre and post intervention. Results: The groups were comparable in age, gender, chronicity and severity of neuropathic pain. Both groups showed significant improvements. The experimental group showed significant improvements post treatment in all the four study outcomes. The between-group mean differences were NPQ (18.89 ± 2.46), neurodynamic range of motion (4.00 ± 3.85 degrees), vibration threshold (5.94 ± 1.12 volts) and NeuroQoL (15.93 ± 2.85) in favour of experimental group. All differences were statistically significant at p<.05 when analyzed using students’ t-test at 95% confidence interval using SPSS 12.0.1 for Windows. Conclusion: Sciatic nerve neurodynamic mobilization comprising of nerve massage and nerve sliders was shown to be an effective treatment adjunct for painful diabetic peripheral neuropathy. Implications for practice: Neurodynamic assessment and intervention should be considered as an effective therapeutic option for painful diabetic peripheral neuropathy patients who complain of pain in the sciatic nerve distribution.