Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 3rd International Conference and Expo on Physiotherapy Kuala Lumpur, Malaysia.

Day 3 :

  • Manual & Manipulative Therapy

Session Introduction

Samy Nasef

Pharos University, Egypt

Title: Effect of Craniosacral Therapy on Chronic Mechanical Neck Pain
Speaker
Biography:

Dr, Nasef is currently the dean of Faculty of Physical Therapy, Pharos University, Alexandria since 2009 up till now.   He worked as a vice dean in the faculty of Physical Therapy, Cairo University 2007-2009.  He occupied the position of chairman of the scientific committee, General Physical Therapy Syndicate.  Dr. Nasef worked as associate editor in the Journal of advanced research, Cairo University (Impact factor 1.5) and a reviewer for different international Journals.

He supervised many thesis (master, and PhD) at Cairo University, Egypt and Master thesis at Elneelen University, Sudan.  Dr. Nasef teaches for the under graduate students the following courses at Pharos University (decision making, evidence based practice, evaluation, osteopathy, exercise fitness, differential diagnosis in Physical Therapy) and for the postgraduate courses at Cairo University (exercise Physiology, scientific documentation)

In addition to academic work, Dr. Nasef is a consultant to police hospitals in Alexandria and Cairo 2013 up till now and he had a licensure of Physical Therapy practice (Illinois and Indiana states USA).

Abstract:

Background:  Chronic neck pain is one of the most common complaints in the general population and can result in substantial problems including disability, absence from work and cost of treatment. Purpose: This study was conducted to investigate the effect of Craniosacral therapy on chronic mechanical neck pain. Subjects: Thirty patients aged from 18-30 years from both sexes were classified randomly into two groups with equal numbers. Materials and methods: study group (group A) consisted of 15 patients who received Craniosacral therapy in addition to traditional physical therapy (Infrared radiation & Ultrasound therapy) for 4 weeks consecutively, while the control group (group B) consisted of 15 patients who received only traditional physical therapy (Infrared radiation & Ultrasound) for 4 weeks consecutively . Visual analogue Scale (VAS), range of motion (ROM) and neck disability index (NDI) were measured at two intervals pre-treatment and post-treatment. Results: There were significant differences between both groups (A, B) post treatment (P<0.0001) regarding VAS, ROM, and NDI in favor of Group (A). Conclusion: Craniosacral therapy is more effective in addition to traditional physical therapy in improving pain, range of motion and neck functional disability in patients with chronic mechanical neck pain.

  • Neurologic Physical Therapy
Biography:

Faris Alshammari has a Bsc in Physical therapy from the Hashemite Univeristy, Jordan. He pursued his higher education in USA at Loma Linda University where he achieved a Master degree in Physical Therapy in 2010 and PhD in Rehabilitation Science in 2015 at the age of 30 years. He is an assistant professor at the Hashemite University, Physical and Occupational Therapy Department, Jordan. He has published more than 23 papers in reputed journals. He invented new intervention (Tactile Feedback System) to improve body balance in elderly.  He received many excellence awards and full scholarship to finish his master and PhD.

Abstract:

Aging process involves many physiological changes that affect body balance. Also, elderly experience higher incidence of diseases that affect body balance. Studies have shown a direct relationship between body sway and incidence of fall in elderly. One-third of the people aged 65years or older fall every year. About 20-30% of these falls result in fall related injuries that require medical attention. The purpose of this study was to examine the effects of tactile feedback compared to visual feedback on body sway in elderly people. Fifty one subjects were assigned randomly to either visual feedback (mean age 76.1± 7.1 years; n1=29)or tactile feedback (mean age73.5±6.4 years; n2=22). A balance platform was used to measure average body sway pre and post intervention. Two conditions were used to test body sway: 1) Standing on platform with eyes open and 2) Standing on platform with eyes closed. Intervention consisted of 2 sessions: A) Standing on platform for 4 minutes while holding still and B) Standing on foam for 2 minutes while holding still. Tactile feedback was provided as electrical stimulation resulting in tingling sensation on the lower leg if the sway exceeds 50% of subject’s average body sway. A monitor was used to project the motion of the center of pressure to provide visual feedback. Visual feedback did not result in significant reduction in body sway for both conditions. However, tactile feedback resulted in significant reduction in body sway with eyes closed post intervention versus pre intervention(.9± .5vs1.3±.9, p=.04) but not with eyes open.

Biography:

Vidhi Gajjar is currently working as an eminent Faculty member at Department of Physiotherapy in K. M. Patel Institute of Physiotherapy, India. She has published numerous research papers and articles in reputed journals and has various other achievements in the related studies. She has extended her valuable service towards the scientific community with her extensive research work.

Abstract:

Aim: To compare the effect of physiotherapy treatment on reach performance in children with diplegic CP with additive effect of AFO.

Material & Methods: Twenty one children aged above 4 years, with diplegic cerebral palsy  were recruited from the different centers and assigned into two groups: group A with AFO and group B without AFO. All participants’ reaching performance was assessed. Each subject was given balance and gait training for 4 weeks and post intervention reach test was measured.

Results: Mean change in distance measured by forward reach test and lateral reach test from the baseline covered by patients with AFO is statistically highly significant after 4 weeks of intervention. Mean change in distance measured by forward reach test and lateral reach test from the  baseline covered by patients without AFO is statistically significantly more at 4 weeks of intervention. Mean change in distance measured by forward reach test and lateral reach test from the baseline covered by patients with AFO is not statistically significantly differ as compared to the patients without AFO at 4 weeks of intervention.

Conclusions: Balance and gait training is effective in improving reach performance in children with diplegic CP. But there is no such differentiation in wearing AFO in the improvement of forward and lateral reaching test.

Speaker
Biography:

Mohammed Rawashdeh has completed his MSc within just 3 semesters instead of 5. His Master thesis was awarded the Scientific Research Support Fund for the best master thesis in the field of management in 2012. He is now working as senior biomedical equipment specialist in one of most reputable hospitals designing and construction companies in Kuwait. He has published more than 10 papers in reputed journals

Abstract:

Designing and Constructing Multi-types of Physiotherapy Specializations Centre through Applying Quality Function Deployment (QFD), Kano Model and Quality Control (QC) Tools: It is a splendid conducted research involving a smashing combination between seven specialties in two countries: Kuwait and Amman. The specialties are:  rehabilitation doctors, physiotherapists, biomedical engineers, staff nurses, chemical engineers, architectural engineering and industrial engineers.  This research represents a case study of designing and building a new specialized rehabilitation and physiotherapy hospital. In the concept design stage we utilized the industrial engineering principles representing by QFD, Kano Model to collect information about the required departments and medical equipment to be installed. We applied QC tools representing by control chart, histogram and pareto chart to verify the accuracy of the provided information before presenting it to the architect to prepare the concept design drawings. By applying QFD and Kano Model, we build a so called House Of Quality (HOQ).This HOQ represents the perspectives of rehabilitation doctors, physiotherapists, biomedical engineers, staff nurses, and chemical engineers regarding the departments and medical pieces of equipment quantities in the hospital. This novel approach deeply illustrated the end users necessities and reflected an efficient design and project time saving.

Biography:

DR. SAJID RASHID, PhD-PT(HEC SCHOLR)*,PP-DPT, MISCP(Ireland) is the Principal /HOD, Multan College Of Physiotherapy. His objective is to make effective use of his experience through serving in a well reputed organization in the field of Physical Therapy and Rehabilitation. He is the reviewer of the journals Official reviewer of journal, Pakistan Journal of Medical science & Journal of Riphah College of Rehabilitation Sciences. He has several research articles and clinical and teaching experiences. He also attended several workshop and courses.

Abstract:

Objective: To compare the outcome of the patients of overactive non-neurogenic neurogenic Bladder Syndrome with traditional treatment alone and traditional treatment plus Transcutaneous electrical nerve stimulation (TENS) therapy.
Methodology: Twenty eight patients of Hinmans syndrome (all below 12 years) were recruited for the study at The Children’s Hospital and The Institute of Child Health Multan, from August 2008 to November 2010. It was a randomized controlled trial and individual patients were categorized as having mild moderate or severe disease, on the basis of Overactive Non-neurogenic neurogenic bladder symptom score (OABSS) scoring system. The patients with equal grades of severity were placed in control and study groups each comprising 14 patients. Group A was given traditional treatment while group B was treated with TENS therapy in addition to traditional treatment. Improvement was observed by OABSS and voiding diaries. After 12 weeks of treatment, the patients were re-evaluated for their symptoms and grade of severity of disease. t-test was applied to compare outcome between two groups and p < 0.05 was considered to be statistically significant.
Results: At the start of treatment, dribbling and increased frequency was observed in all 28 patients and urgency was noted in 22 patients (11 patients in each group). At the completion of treatment after 12 weeks, dribbling was observed in 11(78.51%) vs. 3(21.4%) children in group A and B respectively. Frequency was reduced to 8(57.14%) in group A and 5(35.7%) in group B patients. Urgency was also reduced to 8(72.7%) in group A while 3(27.3%) in group B patients. No marked side affect were noted, except local skin irritation in some patients.
Conclusion: Transcutaneous electrical nerve stimulation (TENS) Therapy is an effective and safe tool to improve the symptoms and quality of life of the patients with Hinman;s syndrome but still large scale studies with longer follow up are required.

 

  • Physiotherapy Management & Post-operative Physiotherapy

Session Introduction

Preeti Madaan

Rehabilitation Society of Physical Therapists, India

Title: Role of Physical Therapy in management of Vertigo,Dizziness and Imbalance
Speaker
Biography:

Dr.Preeti Madaan (PT)  has completed her MPT at the age of 25 years from Lovely professional University. She has been working with Dr.Sandeep Sharma ,an ENT surgeon for management of vertigo and dizzziness patients. They as a team of ENT and PHYSIO , first of its kind in INDIA, have taken more than 50 workshops for PHYSIOS, ENTs and Genral Practitioners. They have unique method of teaching with their own models and videos of their own patients.

 

Abstract:

Like in musculoskeltal and neurological conditions Physical Therapy  forms an integral part in management of otological conditions like vertigo , dizziness and imbalance.

There is a variety of maneuvers for diagnosing as well as successfully treating conditions like BPPV and also customized exercise protocol for uncompensated  patients of unilateral or bilateral vestibular lesions.

VRT--  What it is?

Whom to give? When to give? Why to give? How to give? How the uncompensated patients of unilateral or bilateral vestibular lesions present?

How we ignore their complaints! – How to manage them effectively with VRT based on habituation, substitution and adaptation Exercises.

Speaker
Biography:

Ibrahim Ragab has completed his PhD at age of 3-7 years from Cairo University. He is a lecturer in the department of physical therapy for Orthopedics & Orthopedic surgery at Beni Suef University. He has published a paper " Safe cosmetic leg lengthening for short stature: Long-term outcomes" Healio Orthopedics, July 2015-Vol 38. Issue 7: e552- e 560.  

Abstract:

            There is little prospective studies assessing the treatment of Osgood- Schlatter disease (OSD) hence, this study was conducted to investigate the functional performance profile of young men. Fifty young men having a history of OSD was randomly assigned into two groups; their ages ranged between 17-21years old. Group A had a conventional physical therapy program in addition to extracorporeal shock wave therapy sessions while group B had the same conventional treatment program. Sessions was executed three times a week for two months. Assessment was done using a modified one hundred points rating scale. This scale is based upon five variables (symptoms, functional tests, clinical examination, performance tests and manual muscle testing). The basic grading scale breaks down into four categories: Excellent=90-100; Good=80-89; Fair=70-79 and Poor=69 or below. Measurements were taken before as well as after the end of treatment program. Before treatment (group A); excellent 2 patients, good 13 patients, fair 8 patients, poor 2 patients, for (group B); excellent one patient, good 17 patients and fair 7 patients. While after treatment; (group A); excellent 17 patients, good 8 patients; for (group B); excellent 11 patients, good 13 patients, Revealed statistically significant improvement in the measuring variables of both groups when comparing their pre and post treatment mean values. Significant differences in the measured variables were also obtained in favor of the group (A) when compared with that of   group (B). The obtained results strongly supported the application of shock wave therapy to improve functional performance profile in young men having a history of Osgood- Schlatter Disease.

(Keywords: Osgood- Schlatter Disease, Shock wave, Modified functional rating scale)

Sandeep Kumar

Rehabilitation Society of Physical Therapists, India

Title: BPPV-WHERE WE STAND
Speaker
Biography:

Dr.Sandeep Sharma has completed his MS (ENT) at the age of 28 years from Punjabi University He has special interest in vertigo and has taken more than 50 workshops on vestibular rehabilitation at various places like AIIMS Delhi,AIIMS Bhopal etc.for Physiotherapists,ENTs and General Practitioners with his unique method of teaching with models and videos of own patients

Abstract:

Although we have made considerable progress in understanding  and  managing BPPV-most common cause of vertigo, Still a number of questions remain unanswered and cases unexplained. Here I will like to discuss some such issues  like PC- CUPULOLITHIASIS, cases unresponsive to various Particle repositioning maneuvers, AC-BPPV, why PC is most uncommon(defying the logic), decision making in LC-BPPV and LIGHT CUPULA  etc.

Biography:

Sidra Manzoor is currently working as an eminent Faculty member at Department of Physiotherapy in The University of Faisalabad, Pakistan. She has published numerous research papers and articles in reputed journals and has various other achievements in the related studies. She has extended her valuable service towards the scientific community with her extensive research work.

Abstract:

Objective: To determine the short-medium term effectiveness of Ischemic Compression and Passive Stretching for the treatment of Myofascial trigger point in the Upper Trapezius muscle.

Methods: fifty eight volunteers, all women jail survivor, participated in this study .Subjects did vocational work on daily basis. Subjects were healthy individuals, diagnosed with active Myofascial trigger point in the upper trapezius muscle following palpation criteria given by Travell & Simons. Subjects were randomly placed into Two groups: G1, which received Ischemic compression treatment for Myofascial trigger point; G2, which received Passive Stretching treatment for Myofascial trigger point .Treatment is given in one session to both groups. The following data was recorded three times; baseline data, after five minute of intervention and after one week of intervention: active range of motion of cervical measured with Goniometer, pressure tolerance of Myofascial trigger point measured with Visual analogue scale  and ADLs limitation was measured by using Neck Disability index.

Results:

Both IC and Passive Stretching are effective but IC is more effective than passive stretching in short term and passive stretching is comparatively more effective in medium term to decrease pain, to increase neck ROM, to decrease the problems limiting normal ADLs e.g. pain intensity and percentage disability as well as enhancing the concentration, lifting and reading abilities according to NDI scale.

Conclusion:

Both IC and Passive Stretching are effective for treatment of Myofascial trigger point but IC is more effective for immediate decrease in pain, increase in ROM and improved ADL’s and Passive Stretching have significant progressive effect.

Key Indexing Terms: Myofascial pain syndrome, Myofascial trigger points, Ischemic Compression, Passive stretching.

  • Advancement in Physiotherapy

Session Introduction

Himanshu Gupta

MM School Of Nursing, India

Title: EFFICACY OF CRANIAL OSTEOPATHY ON HEADACHE
Speaker
Biography:

Dr.Himanshu gupta Qualified from the university of Uttarakhand with B.P.T In 2004 And Master of Physiotherapy in 2006 in Musculoskeletal Disorders.He then joined Netaji Subhash Chandra Bose Medical college Jabalpur in 2007 as Assistant Professor in Physiotherapy Department.He is working as a senior Physiotherapist in Dr. Himanshu gupta Physiotherapy 4 Centres.in Jabalpur his Home Town.and  has completed his D.P.T i.e Doctor in Physical Therapy in 2015 at the age of 33 years from NUMMS Spain. He is President of Jabalpur Association Of Physiotherapy.His professional Skills Include Musculoskeletal and Orthopaedics disorders Evaluation and Management Injury Prevention and Pain Management ,Wellness and Stress Management .He has trained over 900 Physiotherapist in the Last 9 Years.

Abstract:

Cranial Osteopathy – .Total of  39 patients were taken in this studythey all   had localise pain in their neck  and Headache. Their chief complain was localise Neck pain and Headache. Inclusion criteria Neck pain and  Headache.Chief complain less than 1 month.Exclusion criteria Radiculopathy pain Numbness tingling paraesthesia.Complain More than 1 month. By the time of their first visit they  were having mild constant Neck pain and Headache which where made worse ie aggravating factor  by reading or computer work and relieving factor ie eased by warmth..After full examination including blood pressure pulse sensation reflex and muscle test all were normal other than pain on their neck and Headache Vas pain scale reveals 6 or 7 on scale. .Informed Consent To Manual Osteopathic Care: this form was filled and signed by all 39 patients.Due to patients acute presentation the first treatment was Osteopathic Mobilization and stretching for theirNeck pain .It takes only 9 to 10 minutes for the session.At the second visit the patient reported that neck pain had decreased in intensity from 6 to 1 on pain scale and the  muscles seemed to be somewhat looser in feel. On second Day Treatment consisting of Frontal release Suboccipital release Temporal release ear pull And cv 4 techniques of cranial osteopathy. During the 24 hours following all patient had no headache for the first time .Their  symptoms then returned but less severely and a treatment plan was agreed.As treatment continued they experienced increasing improvement They all had a total of 6 to 9 visits after which their  symptoms were 95 % better.Conclusion result showed that. a significant improvement from  cranial osteopathy  suggesting that cranial osteopathy techniques can be considered a valid procedure for the management of patients with headache.

Biography:

Somya Prasad is a post graduate student pursuing Masters in Occupational Therapy specializing in Neurology from Indian Spinal Injuries Centre, New Delhi, India.

Abstract:

Background - The use of virtual reality has gained importance in the rehabilitation sector over the last few years. The Nintendo Wii Fit has the potential to encourage upper limb function while participating in an interesting and engaging activity, which is important in long-term interventions, such as spinal cord injury. Wii is very flexible with regard to the movements that are needed to play the game, offering the opportunity for a patient to work on the affected upper limb with reasonable success, benefiting from the visual feedback that the console offers. Hence, the present study is designed to find out the effectiveness of Wii Fit rehabilitation in upper limb functioning in SCI.

Objective - To determine the effectiveness of Virtual Reality (using Wii Fit) and to compare the efficacy of virtual reality intervention (using Wii Fit) along with conventional Occupational Therapy with Conventional Occupational Therapy alone in improving upper limb function in Spinal Cord Injury.

Method – 24 patients with spinal cord injury (quadriplegia) , were treated over a period of one month in weekly 30-minute sessions.

Result – Motor-skill improvements.

Conclusion – Virtual Reality Wii gaming system is feasible, promotes motor recovery after spinal cord injury, increases patient motivation and enriches the treatment.