3^rd International Conference and Expo on Physiotherapy October 13-15, 2016 Kuala Lumpur, Malaysia

Biography:

Dr. Pravinkumar G. Patil completed his BDS (2003) from MUHS Nashik, MDS (2008) from GDC Nagpur, India. He is Fellow of ISOI (2014) and Affiliate-Fellow of AAMP (2015) USA. Currently working as Senior-Lecturer in ‘School of Dentistry’, International Medical University (IMU), Kuala Lumpur and Faculty of Examiners (for Diploma in Implant Dentistry) in Royal College of Surgeons, Edinburgh-UK. He was selected for Indian and Japanese Prosthodontic Societys’ International Scientific Exchange Program (2010) at Tokyo Dental College, Japan. He is currently Editorial Board Member of ‘Journal of Prosthetic Dentistry’ (IF:1.753), ‘Journal of Prosthodontics’ (IF:1.071) and ‘World Journal of Stomatology’. He is current Section-Editor (Implant-Section) for Journal of Indian Prosthodontic Society, Managing-Editor for ‘International Journal of Prosthodontics and Restorative Dentistry’ and Peer-Reviewer for many more including ‘Indian Journal of Cancer’ (IF:0.802). He was selected as ‘Young-Star Speaker’ at 8th Asian Prosthodontics Society Conference (2012), Chennai. He is recipient of 3-times ‘Teacher of the Year’ award at GDC Nagpur and nominated as ‘INSA young-scientist Award 2012’. He is Module Co-ordinator for Post-graduate Diploma in Implant Dentistry (PGDID) at IMU. He received several research grants as Principal-Investigator from ITI-Switzerland, IMU-Malaysia, LTMT-India, IPS-India and Colgate-India etc. He developed about 12-innovative devices/techniques in prosthodontics including Mouth-exercising device with 5-pending patents. He published about 85 papers in few top-ranked dentistry journals including JPD, JADA, JOPR, JPOR, JAP, EJPRD, APJCP, IJDR, JIPS etc with total ISI Impact-Factor of 43.791 and 204-Citations. He presented more than 25 National-international presentations and conducted many pre-conference courses on Implants and Maxillofacial Prosthodontics.

Abstract:

Objectives: This study aims to evaluate the effect of ice-cream stick exercise regimen with or without a mouth exercising device (MED) in association with local and surgical treatment on mucosal burning sensation in oral submucous fibrosis (OSMF).

Methods: Total 282 OSMF patients irrespective of the subgroup were treated with topical corticosteroid and oral antioxidant and Icecream-stick exercise regime. Subgroup A1,A2,A3 patients were additionally given a new mouth exercising device (MED). The patients with the subgroup A1,B1 with inter-incisal distance (IID) of 20-35mm were managed without any additional therapy; the subgroup A2,B2 with IID of 20-35mm were additionally managed with intra-lesional injections; and the subgroup A3,B3 with IID<20mm were managed surgically. Subjective evaluation of decrease in the oral mucosal burning sensation was measured on Visual Analogue Scale. ANOVA and Tukeys multiple post hoc analysis was carried out to present the results.

Results: Patients using the MED, subgroup- A1,A2,A3 were showing reduction in burning sensation from 64.8-71.1% to 27.8-30.9% while in subgroup B1,B2,B3 reduction in burning sensation was from 64.7-69.9% to 29.3-38.6% after 6 months. The 2-way-ANOVA indicated statistically significant results in change in Initial to 6 monthly VAS scores between the MED users and non-MED users. The subgroup B1 against the subgroup A1,A2, and A3 indicated statistically significant results in VAS score changes indicating reduction in burning sensation.

Conclusion: The MED helps enhancing the rate of reduction of mucosal burning sensation in addition to conventional ice-cream stick regime adjunct to local ointment application, intra-legional drug administration as well as surgical treatment.

Keywords: Oral precancer; Oral submucous fibrosis; Oral physiotherapy; Medical devices; Burning Mucosa; Swallowing

Biography:

Maggie Killington is currently working as an eminent Faculty member and Neurological PT, Research Manager and Lecturer at Department Rehabilitation and Aged Care of Repatriation General Hospital and Flinders University in Australia. 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:

Question: Does “home rehabilitation” following hip fracture repair improve mobility for nursing home residents.

Design: Previously walking nursing home residents (n=240) with hip fractures received 4 weeks of home rehabilitation in their nursing home or usual care. In parallel, families and nursing home staff for the first 30 participants were invited to share their perceptions of the journey for residents at interviews/focus groups.

Intervention:  Physiotherapy (minimum three sessions week for 4 weeks) focused on restoration of transfers and limited mobility.

Outcome measures: The Nursing Home Life Space Diameter (NHLSD), mobility status including level of independence and qualitative data organised as a thematic analysis with the assistance of NVivo 10 were collected.

Results: Nursing home residents who received “home rehabilitation” mobilised further and more frequently as assessed by the NHLSD (p < 0.0001). More “home rehabilitation” participants were reported to have regained independent mobility with a lower burden of care compared to usual care participants. Acute care staff struggled to provide people with dementia mobility retraining and nursing home staff were ill-equipped to provide post-operative care including mobility retraining and pain management on their return home.

Conclusion: Following hip fracture surgery “Home rehabilitation” for nursing home residents was feasible and improved independence with mobility was achieved.

Key Practice Points: 1. Strategies need to be developed to engage people who have dementia in early rehabilitation in the acute setting.

2. Mobile nursing home residents with dementia who fracture their hips can improve their mobility levels in response to outreach physiotherapy.

Biography:

Dr. Muhammad Jamil Sabit has the honor of being first Pakistani Pain Physician who was awarded Fellow of Interventional Pain Practice (FIPP) Credentials by the World Institute of Pain (WIP) on his brilliant success in 2013 FIPP Exam. He is official mentor of WIP for the training of fellow physicians in interventional pain practice as well as FIPP Faculty & Examiner.

After completion of his MBBS, he pursued the field of Anesthesiology as Diplomat since 1992 at Mayo Hospital Lahore, a tertiary care teaching hospital, affiliated with King Edward Medical University Lahore Pakistan. His field of interest remained Chronic Pain Management Services. He did his MSc (Pain Medicine) and became pioneer of advanced pain management services in Pakistan. He is President of Pain & Physical Therapy CME Academy Lahore Pakistan & Director Pain Management Services Al Razi HealthCare Lahore Pakistan.

Abstract:

Abstract Objective: Low back pain is one of the leading causes of musculoskeletal problem. 70% to 80% patients visit health care setups having acute on chronic low back pain. The objective was to find the effects of Spinal Epiduroplasty with and without exercises rehabilitative program in patients with Low Back Pain after failed back surgery syndrome.

Method: Fifty Low Back Pain patients after failed back surgery syndrome who were rehabilitated at Pain & Physical Therapy CME Academy Lahore Pakistan from 16th November 2015 to 1st April, 2016 with variable duration of pain after failed back surgery syndrome were treated with spinal epiduroplasty and exercises rehabilitative program.

The patients were divided into two groups according to the treatment plans. Group-I was treated with spinal epiduroplasty. Group-II was rehabilitated with combination therapy (spinal epiduroplasty plus exercises regime). The effects of treatment in both groups were assessed with visual analog scale (VAS), before the treatment, at 1 day & 10th day after the treatment.

Results: VAS of all patients after spinal procedures was decreased but the results were more significant in Group II (p＜0.05).

Conclusion: Exercises Rehabilitation plus spinal epiduroplasty is one of the best treatment options for the patients suffering from low back pain due to failed back surgery syndrome.

Keywords: Exercises Rehabilitation; Low back pain; Failed back surgery syndrome; Epiduroplasty

Biography:

Syed Rehan Iftikhar Bukhari has completed his Masters in Orthopedic Manual Physical Therapy at the age of 25 years from Riphah International University. He is Clinical Coordinator and Lecturer at College of Physical Therapy, Government College University Faisalabad, Pakistan.

Abstract:

Cervical radiculopathy is a common neuro-musculo-skeletal disorder causing pain and disability. Traction is part of the evidence based manual physical therapy management. The objective of the study was to determine the Effects of Mechanical versus Manual Traction in Manual Physical Therapy combined with segmental mobilization and exercise therapy in the physical therapy management of Patients with Cervical Radiculopathy. This randomized control trial was conducted at department of physical therapy and rehabilitation, Rathore Hospital Faisalabad, from February to July 2015. Inclusion criteria were both male and female patients with evident symptoms of cervical spine radiculopathy and age ranged between 20-70 years. The exclusion criteria were Patients with history of trauma, neck pain without radiculopathy, aged less than 20 and more than 70. A total of 72 patients with cervical radiculopathy were screened out as per the inclusion criteria, 42 patients were randomly selected and placed into two groups by toss and trial method, and only 36 patients completed the study, while 6 dropped out. The mechanical traction was applied in group A and manual traction in group B along with common intervention of segmental mobilization and exercise therapy in both groups for 6 weeks. The patient’s outcomes were assessed by self reported NPRS and NDI at the baseline and after completion of 06 weeks exercise program at 3 days per week. The data was analyzed through SPSS version-21, and paired T test was applied at 95% level significance to determine the statistical deference between two groups. Clinically the group of patients treated with mechanical traction managed pain (mean pre 6.26, mean post 1.43), and disability (mean pre 24.43 and mean post 7.26) more effectively as compared with the group of patients treated with manual traction (Pain mean pre 6.80, mean post 3.85 and disability mean pre 21.92 and post 12.19). Statistically the results of both mechanical and manual traction techniques are equally significant in group A and B for pain and disability (p-value less than 0.05). It is oncluded that cervical radiculopathy patients treated with mechanical traction, segmental mobilization, and exercise therapy managed pain and disability more effectively than treated with manual traction, segmental mobilization, and exercise therapy.

Biography:

David is an experienced physiotherapist with long and established practice in the non-surgical management of low back pain. He has a particular interest in improving function and quality of life in patients with persistent low back pain and has established the Functional Restoration Service at the Royal Orthopaedic Hospital to address this. He qualified as a physiotherapist from Birmingham University in 1994, after previously completing a degree in Sports Science, and has worked at several orthopaedic centres including the Nuffield Orthopaedic Centre in in Oxford.

He has extensive experience of occupational rehabilitation, having worked for both public and private agencies, and uses a biopsychosocial approach to help patients maximise their function. He completed an MSc in Pain Science and Management at Keele University in 2010. He also works as an Extended Scope Practitioner within the spinal team at the Royal Orthopaedic Hospital and has close links with the spinal surgical team

Abstract:

Back pain is of considerable interest in society today and is a source of ongoing disability and days lost from work in the adult population (Driscoll et al., 2014).Historically, the recommended management has encompassed conservative methods, from physiotherapy and a range of other manipulative techniques to surgical interventions in various forms. There is now agreement that adults with persistent low back pain who have failed physiotherapy and have high levels of disability and psychological distress are best managed through a combined physical and psychological approach, which should be up to 100 hours in length (NICE, 2009). This combined approach has been modified by authors in several forms, of varying duration, with good results, supporting the idea that benefit can be gained from interventions of a lesser duration (Hill et al., 2011; Hunter et al., 2006; Lamb et al., 2010). The present paper reports on the results, as measured using the Oswestry Disability Index (ODI) and Pain Self-Efficacy Questionnaire (PSEQ), of a four-week functional restoration programme (FRP) treatment intervention, run in a tertiary spinal centre, which used a combined physical and psychological approach.

Biography:

Working as Associate Professor in the department of musculoskeletal physiotherapy since 2005 in a reputed college in central India. Worked as physiotherapist for New Zealand national cricket team during the cricket world cup.

Abstract:

Shoulder pain is one of the commonest causes for patient visiting rehabilitation clinic. The term adhesive capsulitis of shoulder has been used for the patients with shoulder pain and mobility deficits. The prevalence of shoulder pain has been reported to be 26%, with greater prevalence among females. Adhesive capsulitis will be used to describe both primary (idiopathic) and secondary adhesive capsulitis. The primary is associated with medical conditions like DM, Hyperthyroidism, IHD etc and secondary is associated with extended mobilization, Cumulative trauma or surgical trauma. Studies have demonstrated the benefits of manual therapy for improvement in mobility and pain measure. Recently new advances for the treatment of adhesive capsulitis are the use of Kinesiotape (KT), which is a safe technique that has minimal side effects that facilitates musculoskeletal rehabilitation by reducing discomfort. However minimal evidences exist to support the use of KT in the tr eatment of adhesive capsulitis.
30 subjects diagnosed with adhesive capsulitis (stage II) within the age of 45 to 65 years were randomly selected and was grouped as “A” and “B” with equal representation by random sampling using lottery method. Subjects of group B was given KT in addition to End range mobilization (Grade IV) 3 sessions per week for 6 weeks. Outcome measures were pain on VAS, Range of Motion and UCLA score.
The collected data was analyzed using one way repeated measure ANOVA and Wilcoxon Rank Sum test. Over day 1 to end of 6 weeks the average reduction of pain in group A was 2.53+1.35 and in group B was 3.33+1.11. Comparison of UCLA score shows a difference of 5.06+3.23 in group A and 5.73+3.06 in group B at the end of six weeks. There was significant improvement in global range of motion in both the groups with marked increase in group B as compared to group A at the end of 18 sessions.
The randomized controlled trial shows that Kinesiotape has an adjunct effect on pain, range of motion and function along with end range mobilization in the of adhesive capsulitis of shoulder.

Biography:

Mehreen Ashfaq has completed her DPT at the age of  25 years from The University Of Lahore and she is doing her private clinic.

Abstract:

BACKGROUND:          

RTAs are the most common cause of deaths in the world. And in RTAs fracture of long bones are the most common. Management of fracture is different depending on the type of fracture and age of the patient. Post operative rehabilitation protocols used after the operation varies in different hospitals. Few hospitals and consultants don’t emphasize on the post operative rehabilitation of the patients, which leads to different complications including knee stiffness, decreased strength, abnormal gait and pain in the operated limb. Rehabilitation protocols after the operation if used correctly makes the life of patient very stress-free in his ADLs. This study has served its purpose to inform and guide the physiotherapist, doctors and students that not only Post Operative Rehabilitation exercises are important for patients, they are a must for them.

OBJECTIVE:To see the effects of early knee bending particularly in improving the ROM, Pain and quadriceps muscle strength compared with patients who will not be given knee bending after the operation                     

METHODOLOGY:                                                                                         

A cross sectional survey was conducted. Data was collected from physical therapy department of the Ghurki Trust Teaching Hospital which is 650 bedded hospitals. Male Orthopedic ward was the main data collection ward. 36 Patients were observed in the study which non probability sampling technique, dividing pats studying in different universities offering physical therapy in Lahore. Non probability sampling technique was used dividing patients in two groups, one group having 18 patients. Range of Motion at knee was measured by Goniometer, to measure the pain level; pain level (1-10) scale was used. Manual muscle testing was performed to assess the muscle strength of Quadriceps.

RESULTS:

72 patients were studied under two groups equally divided. One group was given the rehabilitation protocol while the other wasn’t. Results shown that there was significant improvement in range of motion at knee, affected side was with less pain also. 70% shown more than 90 degree range of motion at knee. While 80% of the patients shown bad results who were not given the exercises regime. It was concluded that early range of motion exercises in interlocking nail fixation proved to be very useful for patients and for physiotherapist as well. Patients who have been given post operative exercises have shown marked sign of improvement in gaining range of motion at knee, strength of quadriceps and decreasing pain level. Range of motion was main segment studied in this research which later on was creating various problems for the patients if knee got stiffed. And patients who were not given the treatment were observed with unimproved range of motion at knee, unsettled pain in affected lower extremity and poor muscle strength of the quadriceps.                                                                     

CONCLUSION:                                                              

It was concluded that early range of motion exercises in interlocking nail fixation proved to be very useful for patients and for physiotherapist as well. Patients who have been given post operative exercises have shown marked sign of improvement in gaining range of motion at knee, strength of quadriceps and decreasing pain level. Range of motion was main segment studied in this research which later on was creating various problems for the patients if knee got stiffed.

KEY WORDS:                                                                

Interlocking Nail, Fracture, Range of Motion, Pain, Stiff Knee, Rehablitation, Operation, Quadrecips

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.

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.

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:

Biography:

Dr. Filippo Zanella is a physical therapist graduated at University of Bologna and skilled in sports physiotherapy, in the treatment of musculoskeletal disorders and visceral pathologies. Professor of manual therapy, International K-Active Taping Instructor and adjunct professor of the degree course in physical therapy of Juba, Dr. Zanella has completed several postgraduate courses in Italy and beyond (USA, Spain, Albania, Mexico) getting increasingly skills in orthopedics and neurology. He is also the CEO of "Physio": a geolocated app that helps people to book local physiotherapists, and helps physiotherapists to manage bookings and acquire new clients.
 

Abstract:

The presentation discuss about the causes that lead to a dysfunction of the fascial tissue and about the ways in which it can evolve in time. After an overview of fascial function and dysfunction – including brief anatomy and physiology notes - the participants will be able to understand the connection between thickening, contracture, fibrosis and calcification, as well as the fundamental role of the myofascial sliding and gripping. In the end we will compare a selection of hypothetical models and therapeutic manual therapy approaches to treat fascial dysfunctions and we will talk about known methods of fascial modification.

Biography:

Afsaneh Nikjooy, PhD is an Assistant Professor of Physical Therapy, Department of Physical Therapy, in Iran University of Medical Sciences, Tehran, Iran. She is a member of International Continence Society (I.C.S) as well as the Iranian Continence Society (Ir.C.S). She has worked in pelvic floor physiotherapy for more than 12 years and has managed several courses of pelvic floor physiotherapy for master students in this field in the faculty of rehabilitation, Iran University of Medical Sciences.

Abstract:

We aimed to study the differences between the dynamic indices of the pelvic floor, i.e. anorectal angle and perineal descent, in dyssynergic defecation patients in comparison with healthy controls, based on MR Defecography. 22 constipated patients with dyssynergic defecation and 14 healthy asymptomatic subjects were included in the study. 4 MR Defecography dynamic indices, including paradox (abnormal anorectal angle change), perineal descent during straining, perineal ascent, and narrowing of anorectal angle at squeeze, were measured in patients and healthy subjects. Paradox Index had the highest sensitivity (95.45%) and specificity (92.86%) for detection of dyssynergic defecation, with an R² value of near 1 (0.902). The sensitivity and specificity of other indices were not high; therefore, no significant improvement could be achieved using other indices along with Paradox Index. Negative Predictive Value (92.85%) and Positive Predictive Value (95.45%) were only high in Paradox Index. Paradox Index was indicated to be the best finding of MR Defecography for identifying dyssynergic defecation patients from healthy controls. Hence, MR Defecography could be exploited as a reliable tool to show the patients the paradoxical function of their pelvic floor muscles, which could enhance their imagination of the correct defecation pattern during their therapy.

Biography:

Naveed Anwar is currently working as an eminent Faculty member at Department of Physiotherapy in University of Lahore, Pakistan. He has published numerous research papers and articles in reputed journals and has various other achievements in the related studies. He has extended his valuable service towards the scientific community with his extensive research work.

Abstract:

Background:-

Previous literature had proved the significance of Physiotherapy as an effective management in the management of Mechanical Neck Pain, still there was lack of literature seen supporting the effectiveness of different Physiotherapy interventions with their doses targeting specific group of population (adults/students only). The aim of this study was to see the Efficacy of Kaltenborn Grade III mobilizations, Muscle Energy Techniques and their combination to improve range and functional ability in adults with Mechanical Neck Pain.

Materials & Methods:-

A quasi experimental study on 72 freshly diagnosed patients with Mechanical Neck Pain was conducted in Physiotherapy Department of Fatima Memorial Hospital Shadman. Those patients were randomly divided in three groups (Mobilization group, METs group and Combination group). There was no significant difference between age, educational year, computer using hours, duration of pain and initial NDI score and its percentage .NDI scale and goniometry was used as an assessment tool to measure the outcome of treatment in different groups before and after treatment (follow up 1 week).

Results:-

According to the results there was significant improvement seen in Combination group( Mobilization and METs ) in terms of  pain , which decreased from 7.70±0.69 to 1.25±1.93 (p=0.00), gain in ROM e.g. Cervical Flexion (27.29±2.38 to 37.54±3.14 ) , Right SF (from 30.20±2.84 to 41.45±3.84), Left SF (from 32.62±4.5 to 43.25±3.75), RR( from 43.25±5.7 to 57.33±3.0 )and LR ( from 48.08±6.8 to 58.50±3.4). Whereas, marked significance (p=0.00) was seen in the NDI score and percentage of Combination group (from 33.12±3.5 to 3.29±7.7 and 67.50±6.3 to 6.67±15.5 respectively).

ANOVA tells us that difference was significant in all three groups as p=0.000 in categories of pain ( VAS) , gain in Cervical (Flexion, Right SF, Left SF, RR,LR) and NDI score and percentage as p=0.000.

Combination group had significant (p=0.00) difference within the groups then METs and Mobilization group in all categories of pain (VAS) , gain in Cervical (Flexion, Right SF, Left SF, RR,LR) and NDI score and percentage. However, METs and Mobilization difference was not significant within the group.

Conclusion:-

Combination of (Grade III Kaltenborn and METs) was seen more effective in terms of improving Mechanical Neck Pain, in smaller treatment session ( 7 days only).

Key words:-Neck ach, Cervicalgia, Cervical Pain, Chronic, Manual therapy

Recommendations:-

Further studies are also required to compare the long term effects of combination of treatment i.e. they are effective in improving quality of life on long term. Are they effective in improving endurance of the patients or what treatment combination will result in long term effective results.

Biography:

I, Mahboob ur Rahman graduated in Physiotherapy from Karachi University, Pakistan.  In 1982, joined International Committee of Red Cross – Geneva, local hospital in Peshawar, Pakistan for the war wounded where within a year, got the position of Chief Physiotherapist.

In 1985, I joined the job as Physiotherapist in a Government/Public Sector Hospital, PGMI, Lady Reading Hospital, Peshawar and in 1997, transferred to Hayatabad Medical Complex, Peshawar as Chief Physiotherapist and Head of Department till date.

In the year 2008, took an additional charge as Provincial Coordinator for Rehabilitation of Physical Disabled; Health Department – Khyber Pakhtunkhawa; have succeeded to approve and implement a plan by introducing Physiotherapy Departments with equipment and human resource induction in 25 District Headquarter Hospitals.  A wonderful concept to facilitate the physical disabled at the door step and have a network of 25 district hospitals for physiotherapy and rehabilitation services.

As a social worker, developed a Non-profit Organization Physio-Care Free Polio Clinic in 1989, where treated hundreds of polio affected children, free camps were arranged nearly at all districts of Khyber Pakhtunkhawa Province, Pakistan.  In 1992, Physio-Care Free Polio Clinic got registered with Social Welfare Department, Khyber Pakhtunkhawa Province as a Non-Profit Organization.

In 1997, Habib Physiotherapy Complex was established where as I, Mahboob ur Rahman the founder and Chairman for the same.  It’s first ever Rehabilitation Complex in the country focusing on stroke rehabilitation, polio, cerebral palsy with facilities as Physiotherapy, Speech, Audiology, Orthotics, Prosthetics, Orthopedic and Neuro Consultants.

In 2007, Mahboob School of Physiotherapy, the Pioneer Institute in the province was established; where now it offers Doctor of Physiotherapy (D.P.T.), Post Graduate Courses as M. S. Physiotherapy and Post Professional Doctor of Physiotherapy.

I, Mahboob ur Rahman have been awarded with recommendation by Government of Pakistan as Quid e Azam Gold Medal and King Abdullah Gold Medal in appreciation to work in earthquake 2005 and flood relief 2008.

I have been member of Pakistan Bait ul Mal Khyber Pakhtunkhawa Province for 3 years.  Besides the publication of research papers, my book Chest Physio for the War Wounded has been published by National Book Foundation, Islamabad.

My research oriented M. P. E. T. Chart for the Rehabilitation of the Polio affected children has been very positive impact in Polio Children Rehabilitation.

Recently I have been elected Chairman, Board of Directors; Pakistan Physiotherapy Association (PPTA) for next two years.

Abstract:

Introduction

Background:
Elimination of disease of Polio is the top most priority of the Govt. of Pakistan as well as all the provincial governments. Each year polio eradication efforts are made on regular basis in which various governments, non-government organizations, INGOs, International donors and civil society takes active part. But despite all these enormous efforts still a considerable number of polio affected children emerge throughout the country. The province of Khyber Pakhtunkhawa is especially very vulnerable in this regard due various reasons; the migrants and refusals are the two most common causes. Thus, the people especially the children when get affected by the polio and become paralyzed then they need special and long treatment at home and the at the health facilities. There are various treatment and rehabilitation measures for treatment of polio and use of MPET chart is one of them.

Objectives:
The aim of our study was to use and see the utility of the redesigned Mahboob Power Evaluation and Therapeutic chart in the treatment of polio affected children.

Methods

The study was under taken in a controlled environment in Habib Physiotherapy Complex, Peshawar. Physical Observation method was used for treatment and assessment of results of the Physiotherapy tool. In the treatment muscle assessment was done, reviewed after 4 months. The improvement in Muscle power is noted and new plan given.
Data was collected through recording results from the Muscle chart. The participants were selected random on the basis of as and when came to HPC for treatment. The whole polio affected population of Khyber Pakhtunkhawa was the population of the Study and 30 number of polio affected people was the sample size.
Conclusion:
The MPET Chart is an effective tool in Post Polio Paralysis Management.
Key Words:
Key words used were:-Physiotherapy, MPET Chart, Redesigned MPET Chart, Therapeutic Regime,
Oxford Muscle Testing Chart

Results

Improvement Status of Polio Patients after Implementation of MPET Chart (n=30)

The Success rate is 61% as responded by using the said Chart.

Conclusions

MPET chart is an effective tool in post polio paralysis Management.

Biography:

Satheeskumar Durairaj has completed his MPT at the age of 24 years from The tamilnadu Dr,MGR Medical University and persuing doctoral studies from Nitte University, Mangalore, India. He is the Associate professorr of PPG College of Physiotherapy, Coimbatore, India, a pioneer organization in paramedical profession. He has published 2 papers in reputed journals.

Abstract:

Objective: The primary objective of this study was to identify the safety and feasibility of TENS combined with task oriented training(TOT) to improve upper limb function  in children with HCP.

Design, Setting, Participants: A single-blind, multicenter, randomized placebo-controlled study included 45 HCP children, aged 6.2 ±1.9 years from P.P.G. College of Physiotherapy, Coimbatore and K.S Hegde Charitable hospital, Mangalore during Febraury 2014 to January 2015.

Interventions: Participants were randomly assigned to receive TENS, Placebo-TENS and conventional Physiotherapy (CPT). All Participants followed same task oriented training along with main intervention for 90 minutes per session for 3 days in a week for 8 weeks. 

Outcome Measures: modified Tardieu scale (mTS), Quality of upper extremity skill test (QUEST) and ABILHAND-Kids (ABK) questionnaire were measured before and after the treatment at end of first day, 4^th and 8^th week. Adverse reaction mentioned in activity log and parent rated feedback questionnaire also measured at end of 8^th week.

Results: No adverse events were found and all participants were adhered treatment protocol very well. All the parents agreed (median score – 4.6 in 5 point Likert’s scale) to safety of the treatment protocols. The HCP children showed statistically significant difference (p<0.05) in elbow spasticity (Y) level in mTS and upper limb function in QUEST. 

Conclusions: TENS appears to be safe, feasible, and well tolerated in most children with hemiparesis. But need more detailed clinical research to explore the efficacy of TENS in upper limb rehabilitation in HCP subjects

Biography:

Angelica Tiongco teaches in the College of Physical Therapy at Our Lady of Fatima University where she academically finished her Master’s Degree at the same school. She is currently the Program Coordinator of the Department of Physical Therapy at De Los Santos – STI College. She also co-authored several papers presented in different Philippine national conventions.

Abstract:

Improving tennis performance is part of the primary goal of every tennis scientists, coaches, and athletes. The aim of this study is to determine the effect of kinesiotape (KT) on grip strength and tennis performance.

This study used a true experimental, multiple-time series research design. Seven competitive tennis players were chosen purposively and assigned randomly to therapeutic kinesiotape (KG) or neutral tape group (NG). Electronic Hand Dynamometer CAMRY® EH101 was used to measure the grip strength; Sport Radar Multi-speed Sport Detection to determine the ball speed; and International Tennis Federation (ITF) scoring for serve accuracy. Pearson and Spearman Correlation were used to identify the relationship between the grip strength with the confounding variables, ball speed and serve accuracy while t-test was used to test the hypothesis.

A high to very high positive correlation between grip strength and wrist circumference (r=.930;p=.002), sex (r=.866;p=.012) and height (r=.780;p=.039) was noted. Therapeutic KT produced minimal improvement on grip strength and ball speed, but a decrease in serve accuracy. All results, however, were not statistically significant (p>0.05).

Biography:

Arinta Dewi Murharyo, has graduated as a medical doctor from Faculty of Medicine University of Indonesia in 1998. She then continued her training in several courses and attachments, including in Sport and Exercise Medicine division at University of College London, London Academy of Sport and Health Sciences and international basic and advance kinesiotapping course for sport injury.Currently she is an associate member of BASEM ( Bristish Association of Sport and Exercise Medicine). She continue to pursue her passion to work as a sport physician and most of them to be specific in orthopaedic rehabilitation setting, that currently engaged her to a well established knee and shoulder orthopaedic sport center for the last few years.

Abstract:

The number of people playing team sport, such as football, futsal, basketball or other sports, are incredibly increasing as people are more concern in healthy life style.

The internal and or external condition and other issues are all playing important role in how injury might happen to a person.

One of the common injury in sport activities involving the knee is tear of Anterior Cruciate Ligament (ACL). It can be a true devastating condition to an athlete career in sports or a simple disability for recreational athlete as well.

The goal of managing an injury is to return to sport. It is quite a simple goal, but take so many things to be concerned of and managed well from the beginning of an injury, how and when the  injury be treated until the whole rehabilitation process completed. The succesful program will prepare the person that undergo the surgery of an ACL tear and finish the rehabilitation process , to be able to return to his or her previous sporting activities.

Keywords : ACL tear, rehabilitation program, return to sport.

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.

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)

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.

Biography:

Dr. Vaibhav Agarwal is postgraduate in physiotherapy with specialization in neurology. He has post graduated from Jamia Hamdard (deemed university), New Delhi and has teaching and clinical experience of 10years and 8months.He has got various papers publication in Indian and international journals. He is member of editorial team in Indian journal of physiotherapy and occupational therapy, international journal of physiotherapy and research. He has been ex in charge of department of physiotherapy, Himalayan institute of medical sciences, Dehradun. He has obtained his fellowship in neurological rehabilitation from medvarisity, appollo hospital at Hyderabad (India) in 2008.

Abstract:

Aims and Objectives:

Dysphagia has been associated with higher rates of respiratory complications and increased risk of aspiration pneumonia, dehydration and nutritional compromise.Therefore the present study was design to find out the efficacy of Tens with exercise maneuvers in the treatment of dysphagia.

Methodology:

This Experimental study conducted in the HimalayanHospital,Jollygrant, Dehradun

UK(uttarakhand),India

A sample of 20 subjects was recruited for the study. The subjects were randomly divided into 2 groups, Subjects in Group A were given Tens therapy. The therapy is usually given for 30 min session for 6 days. Following this the subjects were given swallowing therapy for 30 min for same no. of days. Subjects in group B will be given only Tens therapy.

Functional oral intake scale (FOIS) was use as Main outcome variable.

Results:

Both the exercise regimes showed improvement in the dysphagia but Tens compared with exercise maneuvers provided a significant improvement in dysphagia rehabilitation compared with the Tens alone.

Conclusions:Tens with exercise maneuvers should be uses in dysphagia rehabilitation as compared with the Tens alone.

Key Words:  Dysphagia, TENS, exercise maneuvers, FOIS score.

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.

Biography:

Ghada Fatah is currently working as an eminent Faculty member of Biophysics Department, Faculty of Science, Cairo University in Egypt. 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:

Recent progress in atmospheric plasmas has led to the creation of cold non-thermal atmospheric plasma (CAP). CAP is an ionized gas that has tremendous applications in biomedical engineering and is used as a possible therapy in dentistry and oncology. The aim of plasma with tissue is not to denature the tissue, but rather to operate below the threshold of thermal damage and to induce chemically specific response or modification. Liposomes are used as models for artificial cells. This report therefore investigates the effect of cold plasma on 2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) liposomes prepared by thin film hydration method which are used as a model for lipid bilayer membrane. DPPC liposomes were exposed to cold plasma 2, 3 and 5 minutes, respectively. The effect of cold plasma on DPPC characterization parameters such as size, charge, FTIR absorption spectrum, UV spectrum and phase transition temperature were investigated. The present study revealed that CAP could alter the molecular structure for DPPC liposomes as depicted in the change in the FTIR absorption peaks at 3439 and 1687 cm^-1. In addition, CAP affected the phase transitions for the DPPC by shifting it to higher temperatures. Moreover, CAP led to the increase of DPPC liposome size. 2 min exposure to CAP resulted in rapid coagulation of liposomes as depicted from the low zeta potential value obtained. However, the UV absorption spectrum for DPPC liposomes was not altered by CAP exposure. Hence, this work highlighted that CAP may modify the physical and chemical characteristics of DPPC liposomes.

Biography:

Ibrahim Ragab has completed his PhD at age of 37years 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:

Many practitioners of hydrotherapy feel water has significant curative properties and that, unlike other medicinal agents, is not harmful nor potentially toxic. Aquatic physiotherapy promotes both physical and psychological functions using effects of buoyancy, dragging forces and partial immersion. Increasing demands on public and private expenditure, competitive tendering of public services and greater awareness of water and energy conservation issues augment the importance of aquatic physiotherapy. Maintenance and service providing affect greatly cost of sessions.  Design of aquatic therapy devices necessitates knowledge which is critical to producing a satisfactory design. I design a rectangular fiberglass pool of a reasonable thickness with round corners and broad edges. Inside measurements of the device is 3.5m long x 2m wide x 1.7m depth. There are three water inlets, one skimmer and one for drain fitting. Proper housing of the device, plumbing fixation accessories and sanitation permit an effective structure hence, ambulation, exercises  and hydro-massage are easily executed. A 2 hour circulation plan in this aquatic therapy device with operating temperatures of over 32 Celsius degrees are chosen as indicated by Australian Standards (AS3979). The hydro-massaging of water jets when controlled, is gentle and is capable of being applied to patients who are under great pain. The massaging effect of water currents serves to stimulate skin, nerves and muscular tissues. There is a safety belt anchored to a pulley in the ceiling helps upright position ambulation. However, the pressure to find more cost-effective ways to operate aquatic physiotherapy pools is the prime motivator as it is an expensive item. (key words: aquatic physiotherapy, Pool design, Australian standards)

Biography:

Sanjay Eapen Samuel has completed his Master’s degree in Physiotherapy with specialization in Neurosciences from Manipal University and PhD in Geriatric Neurorehabilitation. He is Professor and Principal of Laxmi Memorial College of Physiotherapy, Mangalore. He is Member of Board of Studies and Member of Academic Council at the university. He has academic teaching experience of over 18 years and has guided 39 Post-graduate students of physiotherapy. He has served as Invited Speaker at conferences, workshops and symposiums in educational institutions in several universities and organizations, and has presented more than 30 papers in reputed conferences in India and abroad. His research interests include adult neuro-rehabilitation, geriatrics and ergonomics.

Abstract:

Background & Purpose: Balance disturbance due to dizziness is one of the major areas of concern of the elderly. Altered balance interferes with moving about freely and performing activities of daily living. An individual’s perception of handicap due to balance disturbances and actual balance performance on balance measures may vary. The study was done to estimate the correlation between self-perceived handicap and balance performance.

Method: Balance was measured using Berg balance scale (BBS) and self-perceived handicap was measured using dizziness handicap inventory (DHI) in a sample of 40 elderly subjects. Data were analyzed using Pearson correlation, multiple regression analysis and t-tests to estimate correlation between BBS and DHI.

Results: 70% of the subjects in the study group had medium levels of fall risk as inferred from BBS scores. DHI scores indicated 60% of subjects perceiving their handicap as moderate, 32.5% as mild and 7.5% as severe. Strong negative correlation (r=-0.67, p<0.001) was found between the DHI and BBS scores.

Conclusion: In individuals with disturbed balance, self-perceived handicap evaluated with DHI correlates with actual balance dysfunction as estimated by BBS scores.

Biography:

Charu Eapen has completed her PhD from Manipal University. She has 17 years of experience in teaching and clinical work in Musculoskeletal Physiotherapy and Hand Rehabilitation. She is actively involved in research and has guided more than twenty students in Master’s program and has published 17 papers in national and international journals. She is also the recipient of DBK Scholarship (2015) presented by the Philadelphia Hand Center, USA. She has also been the Faculty and Panelist for “Trauma Management in Underserved Areas” and presented a talk on “Trauma Management in India” at the 41^st Philadelphia Hand Meeting at Philadelphia from 4-10 March, 2015

Abstract:

Adhesive capsulitis is a condition which is characterized by pain and gradual loss of both active and passive range of motion in all planes of glenohumeral joint. The scapula plays an important role in shoulder function. During elevation of the arm, abnormal scapular motion such as excess elevation and increased upward rotation of the scapula is generally thought to be the compensation strategy for a limited glenohumeral motion in patients with adhesive capsulitis. This study was directed to see the effect of adding scapular stabilization exercises not only on pain, ROM and functional status but also on scapular dyskinesis using objective methods like LSST in 3 different positions. The study was a randomized clinical trial done on 30 in-patients and out-patients diagnosed to have adhesive capsulitis with scapular dyskinesia referred by a physician to the physiotherapy department. Pain, disability and range of motion were evaluated. The treatment was given for 6 sessions over a period of 2 weeks. Both the groups received interferential electrotherapy for 20 minutes, glenohumeral and scapulothoracic joint mobilization, anterior and posterior capsular stretching, isometric and dynamic rotator cuff strengthening exercises and home exercise program. The experimental group received scapular stabilization exercise in addition to the above exercises. Significant improvement was seen within the groups on pain, ROM and functional status. There was no significant effect of added scapular stabilization exercises on pain, ROM and functional status in patients with adhesive capsulitis but significant difference was noted in position 2 of LSST to measure scapular dyskinesis between the two groups.