Day 2 :
Department of Physiotherapy St Dominic College of Asia Philippines Philippines
Er D . Petil Jr.Associate Professor III in Physical Therapy, Lecturer in Manila Central University, St Dominic College of Asia, New Era University. Master Degree in Special Education and Doctor of Philosophy student at the University of The Philippines
Virtual Reality (gaming console) and Progressive Resistive Exercises (PREs) have emerged as recent treatment approaches in stroke rehabilitation. In particular, the Game console is used to aid in portraying and calculating body positioning, visual perception, balance, and gross motor skills while PREs is a strengthening technique that basically used by the Physical Therapist in treating impairments particularly muscle weakness. PRE’s can be administered via different forms; the study utilized PNF D1 Flexion, Extension patterns through resistive bands. The principle states to improve muscle performance and functionality that it should exceed the metabolic capacity of the muscle and challenged to perform at a level greater than to which it is accustomed. To improve the arm function of patients with Hemiplegic by using new dimensional approach. Quasi Experimental Group Pre and Post test Design is used in the study. Retrospectively, all the post-stroke patients who are at the age range of 40-70 years old were reviewed with selection criteria and been oriented with informed consent. Fifteen participants were randomly array into three variable groups, the two groups will be distributed to the experimental group and that will represents the Nintendo Wii and the PREs group. The remaining group will represent the control group which will undergo stretching technique and range of motion exercises (ROM) in the upper extremity. They were subjected into 15 treatment sessions and assessed two times by using the Modified Fugl-Meyer Assessment of Physical Performance for the functional mobility of the affected upper extremity of the post-stroke patients. Assessment was imposed before starting our first the treatment session and after the final session.The Modified Fugl-Meyer Assessment of Physical Performance demonstrates that Virtual Reality has the highest mean scores among all the interventions done with a M=55.80, SD=2.168 followed by the PRE’s (M=48.20, SD=6.340), and lastly the control group which is the lowest post-test mean score (M=40, SD=1.581).There is a significant difference on the post-test scores of the PRE’s as compared to Virtual Gaming Console. With the computed significant value of p=0.035 suggests to accept the Null hypothesis. This shows evidence that Gaming Console is a far more effective treatment than PREs for post-stroke patients in improving the mobility of the affected upper extremity.
Tehran University of Medical Sciences
Aim: The purpose of this study was to compare the sonographic morphology of the rectus femoris muscle and quadriceps angle in individuals with flatfeet and normal feet.
Background: The feet act as linkages between the supporting surfaces and the lower extremities. According to a “ground up” approach, abnormal movements in distal joints such as feet, may cause compensatory movements in the proximal joints especially in closed kinematic chain. Flatfeet as a biomechanical misalignment of the feet, may affect the proximal knee joints alignment. However, the effects of the flatfeet on the morphology and biomechanics of the knee joints are not clear.
Method: Eight females with flatfeet type were individually matched based on the age and body mass index with 8 females with normal feet type as controls. The six items foot posture index (FPI) was used to categorize the flatfeet and normal feet types. The rectus femoris thickness were determined in both groups using B-mode gray-scale musculoskeletal ultrasound imaging with 5-10 MHz transducer. Quadriceps angle was measured in both groups using digital photography and reflective markers.
Results: The rectus femoris thickness was significantly smaller in individuals with flatfeet (16.97 ± 1.08) in compare to normal (21.05 ± 2.48) feet (P = 0.001). Quadriceps angle was significantly larger in flatfeet (32.48 ± 4.04) type in comparison with normal (18.58 ± 7.75) feet (P = 0.001).
Conclusion: The findings of the current study showed that the rectus femoris thickness and quadriceps angle were different in individuals with flatfeet and normal feet. The results of this preliminary study highlighted the importance of distal joint impact on proximal structures. Considering the influence of feet misalignments on the proximal joints, it is reasonable to assess the knee joints biomechanics in feet disorders in order to prevent consequent lower limb injuries.
Key words: flatfeet, Quadriceps angle, Rectus femoris, Thickness.
Physio Partner Youth Champions League
Official Physio Partner – TAL (The Amateur League) Certified Dynamic Taping Instructor, DT (Australia) Certified Core Conditioning Specialist
Certified IASTM, Prime Physio Blade, Germany
Certified Sports Trainer
Certified in dry needling
Official Physio- Siemens Football Team
Ex Sports Physio for Kuwait Football Club
1.Award in Indian Business Award 2016 for Best Physiotherapy in Bangalore
2. Significant Contribution Award in Physiotherapy (BPN)
3. Best Physiotherapist, Ministry of health, Kuwait
4. Article Presented & Published in Novel Physiotherapy Journal on Core
Stability Training in Spinal Cord Injuries
5. Physio Excellency Award by Physio Foundation India, 2017
Dynamic tape is an innovative, high-quality, latex-free, 4-way stretching tape designed to absorb load and re-inject that energy back into movement, all without limiting range of motion. Dynamic Taping is about managing load, managing movement patterns, and managing function by introducing force into the system and based on sound clinical reasoning. Biomechanics is defined as “the study of the mechanical laws relating to the movement or structure of living organisms.” The management of load, movement and function permeate many physiotherapeutic interventions and for good reason. Load has been shown to induce tendinopathy and drive it through its various stages but is also essential in recovery. A combination of tensile load (overuse) and compressive load is most detrimental and tendons respond differently to different types of loading at different stages of the pathology. Specificity of loading is critical.
Biomechanical evaluation and intervention is regularly incorporated into the management of musculoskeletal conditions. Alterations in kinetic and kinematic factors can be identified and addressing such factors can improve pain and function.
For example, greater magnitude and velocity of navicular drop has been associated with Medial Tibial Stress Syndrome. Hip adduction and internal rotation is predictive of pain severity in Patellofemoral Pain Syndrome.
Similarly, those with poor outcomes post injury or surgery may demonstrate altered mechanics when compared with those with good outcomes or with the uninvolved limb. Those with patella tendinopathy reduce motion at the knee but exhibit increases at the hipduring hopping activities. Following ACL repair, those with poorer outcomes similarly demonstrate meaningful assymmetries at the hip.
A patient following total knee replacement may walk with a stiff leg due to a lack of inner range quadriceps control, despite having adequate range of motion.
Orthotics, splinting, taping and bracing attempt to combat some of these changes, primarily by providing a passive restriction to motion or perhaps via neurophysiologic mechanisms. However, when it comes to obtaining a mechanical effect to dissipate load and manage function they have some limitations. Recommendations are made for treatment centers to become trauma- informed that would help this recognition.