Physiotherapy and Occupational Therapy Journal

Objective: The purpose of this study was to evaluate the effect of ACBT and Mechanical Vibration on chest expansion among the patients with chronic bronchitis. Methodology: It was a pre and post experimental design study. The patients diagnosed with chronic bronchitis which shows signs and symptoms and were requested to participate in study. The total number of patients 30 was enrolled in this study but on the basis of inclusion and exclusion criteria. Patients were equally divided into two groups, group A and group B respectively. Group A received ACBT and group B received mechanical vibration. Purpose of this study was explained to the patients. An informed consent was taken from each patient prior to participate in this study. This study was conducted at respiratory medicine ward and intensive care unit, CSS Hospital, Swami Vivekanand Subharti University, Meerut India. Result: In both groups, p-value was significant i.e., p<0.10 with Chest expansion score (0.0000), (0.0000) and (0.0000). The 10 days protocol of ACBT and mechanical vibration showed difference in both group individually in improving chest expansion but group B, Mechanical vibration technique showed statistically more significant difference in improving chest expansion from 1st to 10th day. Conclusion: 10 days, both chest physiotherapy techniques resulted in significant effect in both groups individually in improving chest expansion but group B received mechanical vibration technique showed statistically more significant difference in pre to post chest expansion score on consecutive day of protocol.

Purpose/Aim: This study investigated the reliability and validity of shoulder strength measurements using a digital force gauge and strain gauge in diabetic frozen shoulder patients. Materials/Methods: Digital force gauge and strain gauge to measure shoulder flexion, abduction, internal and external rotation in diabetic frozen shoulder patients. Results: Excellent intrarater reliability was present with Intraclass Correlation Coefficients (ICC- 3,k) for Force Gauge ≥ 0.95. The concurrent validity Force Gauge was good with ICC (3,k) values of ≥ 0.85. The 95% limits of agreement suggest that the Force Gauge measurement instruments can be expected to strength from 2° to 20°. Digital force gauge flexion, abduction, external rotation and internal rotation measurements had a greater mean and standard deviation than strain gauge flexion, abduction, external rotation and internal rotation measurements. Conclusions: This investigation is the first of its kind to evaluate the reliability and concurrent validity of strain gauge and force gauge measurements of muscles strength of shoulder flexion, abduction, external and internal rotation. When used with the measurement procedures outlined in this investigation, both techniques are reliable, as evidenced by reliability coefficients that exceed 0.90 (the threshold recommended for making clinical decisions). Good concurrent validity statistics were produced; however, one should recognize the potential ranges of disagreement between the two measurement instruments used in this study. When monitoring or comparing static shoulder strength measurements both researchers and clinicians should consider using similar instruments.

Background: Upper cross syndrome (UCS) refers to specific altered muscles activation and changed movement pattern along with some postural deviation in the upper quarter of the body. This syndrome contributes to the dysfunction of Craniovertebral angle, kyphotic angle, C7 shoulder angle, Deep flexor strength and Pectoralis minor length. Purpose of the Study: The aim of study is to evaluate the prevalence and incidence of the upper cross syndrome among the paramedical students due to electrical learning. Objective: This study shows the Prevalence and Incidence of the Upper Cross Syndrome among the various paramedical students of south Gujarat region due to electrical learning during this pandemic period. Subjects and Method: The cross sectional study with 121 samples was with age of 18-22 years. With minimum online study duration of 2hrs. Statistical Analysis Used: The data analysis was done by the Microsoft excel version and Acrobat reader. Result: The result shows that the prevalence and incidence of UCS in paramedical students is 63% the prevalence of UCS in male was 15% and in female was 85%. The prevalence of UCS in nursing students was 29%, physiotherapy students was 62%, optometry 9%. Conclusion: During this pandemic high prevalence of upper cross syndrome in paramedical students was found . It has been concluded that more use of electrical gadget can lead to adaptation of poor posture and so lead to upper cross syndrome. The results of the study suggest focusing more on postural awareness and proper use of electrical device in paramedical students.

Shin Splints is characterized by lower leg pain and tenderness in the middle or lower third of the medial edge of the shinbone. Objective: The purpose of this case report is to evaluate the effect of Instrument Assisted Soft tissue Mobilisation (IASTM) along with conventional rehabilitation programme for the management of Acute Shin Splints. Clinical Features: A 63 year old male patient complains of pain in his left lower leg since one week. On palpation, tenderness was present on anterior, medial and posterior side of tibia. Initially symptoms were mild during walking but later his pain gets severe even with weight bearing. The patient underwent treatment of Instrument Assisted Soft tissue Mobilisation and conventional rehabilitation for one week. Intervention and Outcome: The recovery of pain was monitored by visual analogue scale and muscle strength by manual muscle testing. On Visual Analog Scale (VAS), Pain on rest was 3 while on weight bearing it was 8 out of 10. Left lower extremity muscle strength was grade 4 measured by manual muscle testing. After one week, a significant reduction of pain in his left lower leg, VAS gets reduced to 1 on weight bearing and 0 at rest. Lower extremity muscle strength also increased to grade 5. After one week follow up, his symptoms completely resolve. Conclusion: The study concluded that IASTM showed a promising result in managing the Acute Shin Splints. It should be used as an addition to conventional rehabilitation program.