Physiotherapy and Occupational Therapy Journal

Lymphedema is a chronic condition characterized by swelling, typically in the arms or legs, caused by a compromised lymphatic system. It commonly occurs after lymph node removal or damage due to cancer treatment, trauma, or genetic disorders. The impaired lymphatic drainage leads to the accumulation of fluid, causing discomfort, decreased mobility, and an increased risk of infection. Although lymphedema is incurable, it can be managed through various approaches, including compression therapy, manual lymphatic drainage, exercise, and skin care. These strategies aim to reduce swelling, improve lymphatic flow, and enhance overall quality of life for individuals living with lymphedema. Early diagnosis and comprehensive treatment play a crucial role in effectively managing this condition.

Introduction: The term “frozen shoulder” was first introduced by Codman in 1934. He described a painful shoulder condition of insidious onset that was associated with stiffness and difficulty sleeping on the affected side. Codman also identified the marked reduction in forward elevation and external rotation that are the hallmarks of the disease (Richard Dias et al, 2005). Aims and Objectives: To evaluate the effectiveness of Muscle Energy Techniques along with conventional Therapy on Pain, ROM, Muscle Strength, Proprioception, Disability, Anxiety & Depression, quality of life and Mindfulness in patients with diabetic frozen shoulder. Methodology: 31 Patients were treated with Muscle Energy Technique (MET), Stabilization Exercise and Moist Heat Therapy. All the patients were selected after informed consent. These patients were interviewed by direct method. The patients were assessed in 0 (zero) week and reassessed in 4 (four) weeks and 8 (eight) weeks of treatment programme. Every 0 week 4 weeks and 8 weeks of treatment programme, pain, ROM, shoulder strength, shoulder Proprioception & disability were recorded. These treatment protocols will be given five days per week for eight weeks. Conclusion: Our study concluded that Muscle Energy Technique (MET), Stabilization Exercise and Moist Heat Therapy (MHT) in Patients with Diabetic Frozen Shoulder showed significant improvement in pain, Range of motion muscular strength and joint position sense in 4th weeks & 8th weeks of treatment programme.

Background & Objectives: Peak expiratory flow rate (PEFR) is an effort dependent. It remains at its peak for 10 sec. Peak expiratory flow rate may be affected by some factors affecting the normal function of the respiratory system. Such factors include the body constitution such as height, weight, sex, age etc. A study of peak expiratory flow rate and its relationship with trunk leg ratio. The trunk-leg ratio (TLR) was used in apparently healthy young females of age 10-15 years. A better understanding of the association between Trunk-leg ratio and PEFR may identify those with high chances of respiratory diseases. Methods: A cross sectional study was conducted in which the peak flow rate of 80 school going girls, aged 10-15 years was measured with a peak flow meter. A peak flow meter and a measuring tape to scale height were used to measure the participants and written consent from their guardian was obtained before the start of procedure. Results: There was no significant correlation between PEFR and trunk to leg ratio and trunk length and PEFR. A low correlation was found between leg length and trunk to leg ratio. Interpretation & Conclusion: The study suggest that the trunk to leg ratio has no significance with young girls in this study.

Total 30 participants including both male and female who were previously diagnosed by neurologist as having was recruited for the study. Subjects will be selected as per convenient sampling and assigned into two groups i.e. group-A (Experimental group) and Group–B (Control Group). In Group-A subjects were given motor imagery and conventional therapy both; in group-B subjects were given conventional therapy alone. Group A got 13 subjects with (mean age = 65.46±7.55) and Group-B got 13 subjects with (mean age = 65.69±5.58). Both programs were concluded in the respective participants home and hospital environment. None of the subjects attended physiotherapy for lower limb anywere else during the study. Baseline measurements was taken at the start of treatment program, using gait variables as outcome measures i.e. stride length, step length, Gait velocity & Cadence. Results of post reading in both groups (for stride length (p=0,928) and post stride (p=0.592), for pre step length (p=0.777) and post step length 9p=0.631), for pre gait velocity (p=0.4590 and post gait velocity (p=0.959), for pre cadence (p=0.986) and post cadence (p=0.844) show significance improvement, but improvement in Group-A was more than in Group-B. As per the results of the present study, Motor imagery program is found to be effective when given with conventional therapy in improving gait in stroke subjects. Moveover it can be done easily by the patient as it takes effort and motivates the subject for performing the desired task. It also does not fatigue the patient. Thus, it is a feasible method and can be applied in conjunction with conventional therapy while treating stroke patients with gait issue.