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 1 :

Keynote Forum

Faris Alshammari

The Hashemite University, Jordan

Keynote: Promising Intervention to Reduce Body Sway in Elderly People
Conference Series Physiotherapy 2016 International Conference Keynote Speaker Faris Alshammari photo
Biography:

Alshammari Faris has a BSc in Physical Therapy from the Hashemite University, Jordan. He pursued his higher education in USA at Loma Linda University where
he achieved a Master’s degree in Physical Therapy in 2010 and PhD in Rehabilitation Science in 2015. 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 fi nish his Master’s and PhD.

Abstract:

One out of three people who are 65 years or older fall every year. Studies have shown a direct relationship between increased
body sway and the incidence of falling in the elderly. Body sway increases with aging due to age related degenerative
changes or higher incidence of diseases such as diabetes. Th e purpose of this study was to examine the eff ect of tactile feedback
(novel intervention) compared to visual feedback on body sway in elderly with or without diabetes. Twenty eight normal
healthy elderly people and 23 elderly with Type 2 Diabetes were assigned randomly to either tactile feedback or visual feedback
intervention. Body sway was measured using a balance platform while standing on platform with eyes open then eyes closed
and standing on foam with eyes open then eyes closed. Th ere was no signifi cant diff erence between groups using visual feedback
or tactile feedback. However, there was a signifi cant reduction in body sway using tactile feedback in elderly while standing on
foam with eyes open (1.0± .31 vs. 1.9± .8, p=.006) and eyes closed (1.8± .7 vs. 3.3± 1.5, p=.001). In the elderly with diabetes,
there was a signifi cant reduction in body sway using tactile feedback while standing on foam with eyes closed (1.4± .5 vs. 2.3±
.8, p=.045) but not with eyes open. Th ere was signifi cant reduction in body sway in elderly with diabetes using visual feedback
while standing on foam with eyes open (1.3± .5 vs. 2.1± 1.1; p=.018) and eyes closed (2.0±.8 vs 3.1±2.1; p=.003). Th ere was
signifi cant reduction in body sway using visual feedback in the elderly while standing on foam with feet apart and eyes open
(1.4± .7 vs1.8±.9; p=.023), and eyes closed (1.9± .9 vs. 3.4± 1.8; p=.002). Th is study off ers a novel technique to improve body
balance in elderly with or without diabetes.

Conference Series Physiotherapy 2016 International Conference Keynote Speaker Mahboob ur Rahman photo
Biography:

Mahboob ur Rahman graduated in Physiotherapy from Karachi University, Pakistan. In 1997, Habib Physiotherapy Complex was established whereas Mahboob ur Rahman
the founder and Chairman for the same. It’s fi rst 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. I have been member
of Pakistan Bait ul Mal Khyber Pakhtunkhawa Province for 3 years. 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. Besides the publication of research papers, my book Chest Physio for the War Wounded has been published by National Book Foundation, Islamabad.

Abstract:

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 eff orts 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 eff orts still a considerable number of polio
aff ected children emerge throughout the country. Th e province of Khyber Pakhtunkhawa is especially very vulnerable in this regard
due various reasons; the migrants and refusals are the two most common causes. Th us, the people especially the children when get
aff ected by the polio and become paralyzed then they need special and long treatment at home and the at the health facilities. Th ere
are various treatment and rehabilitation measures for treatment of polio and use of MPET chart is one of them.
Objectives: Th e aim of our study was to use and see the utility of the redesigned Mahboob Power Evaluation and Th erapeutic chart
in the treatment of polio aff ected children.
Methods: Th e 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 aft er 4 months. Th e improvement in Muscle power is noted and new plan given. Data was collected through recording
results from the Muscle chart. Th e participants were selected random on the basis of as and when came to HPC for treatment. Th e
whole polio aff ected population of Khyber Pakhtunkhawa was the population of the Study and 30 number of polio aff ected people
was the sample size.
Conclusion: Th e MPET Chart is an eff ective tool in Post Polio Paralysis Management.
Key Words: Key words used were:-Physiotherapy, MPET Chart, Redesigned MPET Chart, Th erapeutic Regime, Oxford Muscle
Testing Chart
Results: Improvement Status of Polio Patients aft er Implementation of MPET Chart (n=30). Th e Response percentage is 63% (19) and
the Non Response percentage is 36% (11). Followed is n= 13 and the Not Followed is n= 6. Th e Improvement Status is 61% (08) Yes
and 38% (05) No, whereas the Non Improvement Status is 0% (0) Yes and 100% (06) No. Th us the Success rate is 61% as responded
by using the MPET Chart.
Conclusions: MPET chart is an eff ective tool in post polio paralysis Management.

  • Physiotherapy Techniques & Exercises
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.

  • Physiotherapy methods and Instrumentation
Speaker
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)

Response Status

Responded 63 % (19)

No Responded 36 % (11)

 

Followed (n= 13)

Not Followed (n=6 )

Improvement Status

Yes 61 % (08)

No 38 % (05)

Non Improvement Status

Yes 0 % (0)

No 100 % (06)

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

Conclusions

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

 

  • Physiotherapy in Sport related injuries

Session Introduction

Angelica Tiongco

Our Lady of Fatima University Graduate School, Philippines

Title: Effects of Kinesiotape On Grip Strength And Tennis Performance Among Filipino Tennis Players
Speaker
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).

Arinta Dewi

Jakarta Knee And Shoulder Orthopaedic Sport Center, Indonesia

Title: ACL INJURY REHABILITATION PROGRAM
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.

  • Physiotherapy in Treatment & Care

Session Introduction

Vaibhav Agarwal

HIHT University Dehradun, India

Title: TENS WITH EXERCISE MANEUVERS IN DYSPHAGIA REHABILITATION
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.

  • Physical Therapy Science

Session Introduction

Ghada Fatah

Cairo University, Egypt

Title: Effect of cold plasma on the characteristics of DPPC liposomes
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.

Speaker
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)

  • Geriatric & Integumentary Physical Therapy
Speaker
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.

Speaker
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 41st 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.