5th International Conference on Physiotherapy November 27-29, 2017 Dubai, UAE

Biography:

Silverio Di Rocca has completed his graduation degree in Dentistry and post-graduation degree in Functional Orthopedics from University of Buenos Aires, Argentina. He has also received degree in Dentistry and Prosthetic at the University of Turin, Italy and Doctorate in Dentistry and Prosthetic at University of Turin, Italy. He is the Director of the MPR International School, Vice President International Representative and Founder of API Swiss (International Association of Posturology Switzerland). He is also a Professor in Amocoac Diplomate in Mexico and COMEI, College of Dentistry in Mexico, Associate Professor in ICOM (International College of Osteopathic Medicine) Milan, Italy and an International Honorary Member of AMOCOAC.

 

Abstract:

It is well known that when the stomatognathic system is not in balance with the rest of the body, it interferes continuously with the static posture. This is actually the reason why most rehabilitation therapies’ results do not have lasting effects, ending up in what we all know as back-treatment. Therapists that work in the field of rehabilitation (physiotherapists, osteopaths, chiropractors, etc.) find themselves confronted with this problem day after day and often cannot reach conclusive lasting results. In the specific cases where the masticatory system hinders therapy, it is essential to counteract its negative effect. This is where B.E.D. (Body Equilibrium Device) comes into play. It is an oral device specifically designed to override the negative effect of the masticatory system on the static posture of the body. B.E.D. is a unique heat moldable, night-time use device that can be easily individualized by rehabilitation therapists themselves, according to the needs of each patient and is used to achieve an optimal and lasting global equilibrium. It is the only oral device, designed specifically for rehabilitation therapists, that allows obtaining definitive results that last over time, by allowing therapists to rebalance the muscle chains without negative interferences, reducing muscle tension and restoring neuromuscular balance.

Biography:

Michaela Tomanova is the Consultant, Coach, NLP Master Practitioner at Institut de Touraine.

        

Abstract:

Introduction: The incidence of brain injury is high and result often in severe neurological impairment and functional disability with associated and sometimes catastrophic socio-economic consequences. Rehabilitation medicine is now challenged by patients who survive with severe complex deficits (sensorimotor, disorders of consciousness and neurocognitive as well as neurobehavioral) confirmed the importance of immediate rehabilitation following the injury and the importance of a rehabilitation continuum of care. Early rehabilitation programs can be implemented not only in rehabilitation hospitals, but also in acute care. Especially physio-therapeutical early mobilization including bed cycling and other specialized therapy options is one of the main points in the therapy program.

Aim: The aim of the study is to show the implementation of early rehabilitation programs for patients after traumatic brain injury in acute care and to evaluate the outcome after 12 and 24 months.

Methods & Subjects: A total of 51 survivors (age 33.8, range 16-64 years, m:f=4 :1) of severe brain injury (GCS<8 for at least 24 hours) underwent a multidisciplinary early rehabilitation program. Duration of rehabilitation program was at mean 18.4 (4-78) days adapted to the individual capability for 3-4 hours/day, until they were discharged from hospital. The follow-up examination took place 12 and 24 months after the STBI.

Results: Data revealed a high level of independence in activities of daily living (mean Barthel Index after one year 92.7 points, after two years 93.7 points). After one and two years, 74.5% and 80.4% of the patients, respectively, were completely independent of need for care. Nevertheless, more than half of the patients had sensorimotor, behavioral, speech, visual and/or auditory disturbances. Return to work rates improved between one and two years after trauma, as evidenced by the rate of patients being back to full time work at one year (n=14, 28%) and two years (n=20, 40%) post-STBI. Return to work rates improved between one and two years after trauma, as evidenced by the rate of patients being back to full time work at one year (n=14, 28%) and two years (n=20, 40%) post-STBI; although, none of these changes reached statistical significance.

Discussion & Conclusion: In summary the successful implementation of early rehabilitation programs for patients after traumatic brain injury in acute care is possible. Focused on outcome, the data revealed a high level of independence in activities of daily living. There are still changes in both impairment and disability related areas between one and two years post-STBI, but the degree of improvement is variable depending on the area being considered. Clinicians should remain aware of the fact that modulation of impairment and disability appear to continue well beyond one year post-STBI which may impact on decisions regarding the provision and intensity of further rehabilitation efforts.

Biography:

Gerold Ebenbichler is a Research Associate Professor and Senior Clinical Specialist at the University Department of Physical Medicine, Rehabilitation and Occupational Medicine, Vienna Medical University and General Hospital of Vienna, Austria. He has received his MD form the University of Innsbruck in 1991 and performed his Doctoral Thesis at the University Department of Neurology (1998-1991), University of Vienna. After the completion of his residency, he spent a research fellowship awarded by the Austrian Science Foundation at the Neuro-Muscular Research Center, Boston University in 1999 and 2000. Thereafter he was appointed as a clinical specialist at the rehabilitation hospital Weisser Hof in 2001. His research focuses on the rehabilitation related physiology and pathophysiology of neuromuscular functioning and health as well as the evaluation of treatment effects of physical medical and rehabilitative interventions. He is a peer reviewer for several major biomedical journals related to Physical and Rehabilitation Medicine. He serves as an associate editor to the Journal of Neuro-engineering and Rehabilitation and as an editorial board member to the American Journal of Physical Medicine and Rehabilitation. He is also the section editor for continuous medical education to the Journal of Physical and Rehabilitation Medicine.

Abstract:

Objective: To follow both the structure and function related 10 years’ outcome of shoulders that had been treated with therapeutic ultrasound (US) for symptomatic calcific tendinitis; to identify predictors for an unimpaired shoulder function.

Method: Long-term follow-up of 45 shoulders (37 patients) that had been treated for symptomatic calcific tendinitis with either a series of US or sham US 10 years ago. The main outcome variables were presence of calcium deposits and subacromial impingement on standardized X-ray imaging, shoulder symptoms (Binder score) and function (Constant score).

Results: At 10 years, a similar proportion of calcium deposits had resolved in 78% of the originally US treated compared with 83% of sham treated shoulders, whereas at nine months significantly more calcium deposits had been resolved in the US group (p=0.045). Shoulder symptoms and function had significantly improved at both nine months’ and 10 years’ follow-up examinations with no significant differences between groups. No variables were found to be of prognostic value to predict a favorable long-term outcome.

Conclusion: Symptomatic calcific tendinitis of the shoulder has a good likelihood to completely resolve in the long-term. Treating the calcium deposit effectively, however, may not be causal to the recovery from symptoms and function in calcific tendinitis.

Biography:

Areej Al-Abdulrahman a Pediatric Physiotherapist with 16 years’ experience in pediatric and neonatology. She is sub-specialized in Neonatal and early intervention program. She is working in King Abdul-Aziz Medical City and King Abdullah Specialized Children’s Hospital in Riyadh. She has received a Master’s Degree in Clinical Research Administration, Liverpool University, UK, 2013. She has received Bachelor’s Degree from King Saud University, SA, Riyadh.

 

Abstract:

Aim of Study: To compare the effectiveness of, early physiotherapy intervention (EPI) program between following in-patient since admission neonatal intensive care unit (NICU), intermediate care nursery (ICN) until post hospital discharge. Moreover, between patients referred as out-patient under the age of 18 months old to the early physiotherapy intervention outpatient clinic.

Methodology: A cross sectional retrospective study at Ministry of National Guard Health Affairs Hospitals in Riyadh. All the study data extracted from electronic medical chart system. Outcome measures are GMFCS and GMFM 66/88 used twice during the study duration from Feb 2016 to Feb 2017. 38 subjects included and two excluded. Age range from 1-18 month was all included subjects were followed by same pediatric physiotherapists during in-patient stay or at out-patient clinic.

Interventions: Neurodevelopmental therapy (NDT), osteopathic techniques and patient- family centered care.

Results: The in-patient group GMFCS and the GMFM mean scores showed improvement from the first assessment (GMFM-1) were nine patients with GMFCS IV and 8 with V level and their average score (17.44 and 5.13). Moreover, on the second evaluation (GMFM-2) 8 patients with GMFCS IV and only 2 with level V and their average score (18.5 and 3.5). The out-patient group also showed improvement in the mean score of (GMFM-1) 6 patients were GMFCS III and nine patient with GMFCS IV with an average score (28.67 and 13) But (GMFM-2) 5 patients with GMFCS IV and one patient with GMFCS V and their average score (17.2 and 13).

Conclusion: The early physiotherapy intervention program is very effective on infants’ motor performance until the age of 18 months old if initiated at an early age from 1-4 months of age. Recommendations in-patient and out-patient both benefit from EPI program if started from 1-4 months age.

Biography:

Ibrahim Ali Almoghassil has attained his Master’s degree in Health Practice in Rehabilitation from Auckland University of Technology, New Zealand, after completing his Postgraduate Diploma in Health Science from AUT University. He has worked as an Assistant to the Director of Rehabilitation Department in Directorate of Health Affairs, Saudi Arabia and as Physiotherapy Department Head under Ministry of Health. He is presently the Director of Takamol Alelaj Medical Center, a well acclaimed clinic noted for its systematic and standardized rehabilitation services in Qatif, KSA.

Abstract:

Stroke is a leading cause of disability. There are common motor impairments after stroke such as hemiparesis in the upper extremity contralateral to the affected hemisphere. Many stroke patients may suffer long term upper limb motor deficits. This decrease in hand dexterity could negatively affect the performance of daily activities that need skilled upper limb use such as grasping force control and coordination as well as appropriate fine motor skills. Participation, satisfaction and activity of stroke patients decline and difficulty in using the paretic hand in daily tasks and functional limitation have been associated with decrease in participation and quality of life. Thus, improving the affected hand function of chronic stroke patients is vitally important. It has been reported that there is functional re-organization after stroke and that such cortical plasticity might be correlated with upper limb motor recovery. Understanding the neurophysiological changes after stroke and how these changes are associated with hand motor recovery as well as how to promote such plastic changes would assist in developing effective therapeutic interventions that are based on neurophysiological evidence in order to resolve upper limb motor impairments in stroke patients. During the last two decades, the significant progress in neuroscience has led to novel concepts for rehabilitation interventions post stroke. The constraint-induced movement therapy (CIMT) has been shown to improve function and amount of use of the paretic hand of chronic stroke patients and is thought to induce cortical plasticity. The aim of the speech is to demonstrate and discuss the role of cortical re-organization (plasticity) in motor recovery of the paretic upper extremity of chronic stroke patients as well as the efficacy of CIMT in improving upper extremity motor function of chronic stroke patients and its potential underlying mechanism. It also shows the potential cellular mechanisms that underlie neural plasticity.

References

1. Kwakkel G, Kollen B, Van der Grond J and Prevo A (2003) Probability of regaining dexterity in the flaccid upper extremity limb. Stroke; 34(9): 2181-2186.

2. Hartman-Maeir A, Soroker N, Ring H, Avni N and Katz N (2007) Activities, participation and satisfaction one-year post stroke. Disability & Rehabilitation; 29(7): 559-566.

3. Mayo N and Wood-Dauphinee S (2002) Activity, participation and quality of life 6 months poststroke. Archives of Physical Medicine and Rehabilitation; 83(8): 1035-1042.

4. Traversa R, Cicinelli P, Bassi A, Rossini P and Bernardi G (1997) Mapping of motor cortical reorganization after stroke: A brain stimulation study with focal magnetic pulses. Stroke; 28(1): 110-117.

5. Liepert J, Bauder H, Miltner W, Taub E and Weiller C (2000) Treatment-induced cortical reorganization after stroke in humans. Stroke; 31(6): 1210-1216.

 

Biography:

H Bala Jeya Perumal has completed his MPT in Cardio Thoracic from Vinayaka Mission University. He is the principal of pioneer college of physiotherapy for the past 7 years. He has published more than 5 papers in reputed journals. He was also got the award for best teacher2011 by FPT Tamil Nadu branch.

 

Abstract:

Introduction & Aim: Obese population is dramatically increasing worldwide. There is a strong association between obesity and low back pain. The 1 month prevalence of low back pain ranges from 30% to 40% in the general population. Mckenzie method is commonly used in the diagnosis management of patients with back pain. The objective of the study is to examine the cardiovascular responses of two common exercises namely, extension in lying (EIL) and extension in standing (EIS) used in the McKenzie system with different repetitions among class I obese subjects.

Methods: 50 Class I obese subjects (25 males and 25 females) were randomly selected with in the age range of 20-40 years. Base line measurement of resting heart rate (HR), blood pressure (BP) and rate pressure products (RPP) were taken before and after exercises. Multiple comparisons were done to analyze the significance within groups. One way analysis of variance for repeated measures was used to compare the dependent values obtained at rest and after 10, 15 and 20 repetitions. Independent “t” test was used to determine the significance between two groups.

Results: No significant difference (p>0.05) were found in SBP and DBP after 10 repetitions in group 1 and SBP after 10 and 15 repetitions in group 2. There was a significant difference (p>0.05) in RPP after 15 and 20 repetitions within and between the groups.

Conclusion: Increase repetitions of spinal extension exercises in prone lying bring more cardiovascular stress when compared to the same performed in the standing position among Class I obese subjects.

Biography:

Anand Shetty is a Professor in the Department of Physical Therapy at the University of St. Mary. He is also the Co-Director of Research in the department. Currently he teaches anatomy, exercise physiology, and a series of research courses. He received his Doctoral degree in Physical Education from the University of Northern Colorado. He has published and presented numerous articles on obesity, pranayama, yoga, hunger control, and a frequent invited speaker on obesity and nutrition. He has more than 30 years of teaching and research experience. He invites researchers to submit their scientific endeavors in the area of yoga, pranayama, weight control, nutrition, and physical therapy interventions to the Journal of Yoga and Physical Therapy. It is a great way to contribute and share knowledge to the world and community the importance of Yoga in physical therapy interventions in treatments and prevention of diseases.

Abstract:

Physical exercise is one of the main lifestyle interventions to promote health, since it decreases overall morbidity and mortality, acting on metabolic and cardiovascular risk factors, but also modifying endothelial function. Moreover, studies have shown that both endurance and resistance exercises have effect on control of type-2 diabetes, and that either form of exercise have similar effects on glycemic control. However, other types of exercise, such as Pilates, that involves resistance and stretching activities, have not been fully studied. To evaluate the effect of Pilates exercise on type 2 diabetes control and related cardiovascular risk factors, compared to aerobic and resistance exercise and a control group. The Ethics Committee of Principality of Asturias, Spain, approved the study. 42 type 2 diabetic patients signed the informed consent and were randomly assigned to one of four training groups: control (C), resistance (R), aerobic or endurance (A) and Pilates (P). Each group followed a 12-week training program designed by the research team and was supervised daily by a qualified trainer. Plasma metabolic markers of diabetic status control (glucose, insulin, glycated haemoglobin, HbA1c and homeostatic model assessment of insulin resistance, HOMA-IR) and circulating markers of endothelial function (homocysteine, Hcy; nitric oxide, NO; vascular cell adhesion molecule 1, VCAM-1; intercellular adhesion molecule 1, ICAM-1; vascular endothelial growth factor, VEGF) were measured. The result is being discussed below. It can be concluded that aerobic exercise decrease abdominal perimeter and percentage of body fat. Aerobic and resistance exercises decrease fasting glucose. Aerobic and resistance exercise prevents homocysteine increase. Exercise with strength involvement (pilates and resistance) decrease NO. Pilates decrease intercellular adhesion molecule ICAM.

Recent Publications

References

1. Blair SN, Kohl HW, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW (1089) Physical fitness and all-cause mortality: A prospective study of healthy men and women. Jama; 262(17): 2395-2401.

 

2. Fogarty J A, J M Muller-Delp, M D Delp, M L Mattox, M H Laughlin and J L Parker (2004) Exercise training enhances vasodilation responses to vascular endothelial growth factor in porcine coronary arterioles exposed to chronic coronary occlusion. Circulation; 109(5): 664-70.

3. Iglesias-Gutierrez E, Egan B, Diaz-Martinez A E, Penalvo J L, Gonzalez-Medina A, Martinez-Camblor P, O’Gorman DJ, Ubeda N (2012) Transient increase in homocysteine but not hyperhomocysteinemia during acute exercise at different intensities in sedentary individuals. PloS one; 7(12): e51185.

4. Matthews D R, Hosker J P, Rudenski A S, Naylor B A, Treacher D F, Turner R C (1985) Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia; 28(7): 412-419.

5. Yang Z, Scott C A, Mao C, Tang J, Farmer A J (2014) Resistance exercise versus aerobic exercise for type 2 diabetes: A systematic review and meta-analysis. Sports medicine; 44(4): 487-499.

Biography:

Dibyendu Roy started his Physiotherapy Carrier in the year of 2010 at Calcutta Medical Research Institute,India.In the year 2015 he did the Cancer Rehabilitation and Lymphoedema Management Study from Tata Memorial Hospital, Mumbai,India and for advanced Study moved to Lymphoedema Training Academy,UK under Jane Wigg .He gained experience in  Wolverhamton Lymphoedema Service and Hadenham Health Care(UK)

He set Up his own Cancer Rehabilitation Clinic in India,named Corel.

Now he is engaged with several Cancer Rehabilitation program in various Institutions and Hospitals

Abstract:

When someone is undergoing cancer treatment, Physiotherapy may not be the first healthcare field that comes to mind.Cancer treatment is done with Oncologist,Oncosurgeon,Radiation Oncologist and Stoma Therapist.However, People who are suffering from cancer should also consider the role of physical therapy in their cancer recovery.

Cancer treatment is a grueling course, leaving many people exhausted, weak and with a compromised immune system. Just getting out of bed can be a huge and daunting task, let alone exercising or playing at the park with grandchildren. This is where a physical therapist comes in. Despite advances in medical treatments, individuals that receive cancer treatments typically experience extensive physical limitations during and after treatments. These limitations include and are not limited to cancer-related fatigue (CRF), pain, nerve damage, lymphedema, deconditioning, as well as incontinence.

There is strong evidence to support conservative management of these impairments through physical therapy. As each individual experiences different impairments during and after cancer treatment, it is important to have an individualized evaluation to focus your rehabilitation. Physical therapy can address common cancer related impairments including:

Lymphedema: Effective lymphedema management is accomplished through manual lymph drainage, range of motion exercises, Multi layered lymphatic bandaging.

Restricted Joint Range of motion:

After Cancer Surgeries people have the joint restrictions. After Mastectomy Shoulder flexion and abduction get restricted.After Lipo Oral Surgeries Neck Shoulder Range of Motion get restricted. Active Range of Motion exercises, passive stretching, resistive exercises help to recover

Trismus: After Lipo Oral Surgeries TM Joint ROM gets restricted. Mouth Opening limited to1-2 inches.Active Exercises like Protraction and Retraction of TM Joint and Latetal to Medial movement of Jaw helps to improve.

 

Pain: There are many pain relief strategies that can reduce the intensity and frequency of pain after cancer treatment. Specifically, treatment strategies including soft tissue mobilization, Manual Lymphatic Drainage ,modalities like Transcutaneous Electrical Nerve Stimulator, Cold Laser,therapeutic stretching and strengthening help to reduce the Pain

Deviation of Mouth : After Oral Cancer Surgeries like CA Buccal Mucosa, Lower Alveolus , Tongue,Chick face gets deviated and tongue movements restricted.Oro facial exercises help to recover this problem. Along with this active exercises Kinesio Taping helps to improve the symptoms quickly.

 

Cancer Related Fatigue : Individualized strength training and functional management training is known to reduce effects of cancer related fatigue both during and after medical cancer treatments.

 

Peripheral neuropathy: Often times, cancer survivors experience peripheral neuropathy, which is abnormal nerve function that can be experienced as pain, numbness and tingling. Physical therapy can help to improve nerve function or compensate

Genitourinary complications: For men undergoing treatment for prostate cancer and women undergoing treatment for bladder or ovarian cancer, incontinence and sexual dysfunction are common. A skilled physical therapist can help to rebuild the strength of the pelvic floor in order to improve urinary continence and reduce pain

After Cancer Surgeries and the Course or Chemotherapy and Radiation if people avail Cancer Rehabilitation program they can have a healthy and quality life.Its never too late to start the treatment.

 

Biography:

Nandu Chhabria is an Ex-Lecturer of All India Institute of Physical Medicine and Rehabilitation, Mumbai, was the Director of Rehabilitation Science at Sir HN Hospital and presently, works for CSR Therapeutics Private Clinic, India.

Abstract:

It is a great occasion where all of us are interested in research specially changing the methodology for future evaluations and treatment. More so important in the presence of physicians and other faculties. Research purely to reduce our handicaps in management and encourage better results in a shorter time compared to our routine treatments. We are so used to accept the thought process of cardiac bypass but none yet have thought of neuronal bypass. Your contribution to this approach after being understood will definitely add a great deal to the science of physical therapeutics. This theory of CSR will be well presented during the conference. The problem need not be where the pain or the complaint is but for the cause and symptom to be redirected to the neuronal bypass. Treatment should be focused on cause and not the effect as the lifestyle of the individual leads to human disorder. Lifestyle definitely involves the fascia which is from head to toe thus causing pain at many sites rather than only at a lesion.

Biography:

Aparna Gupta is a dedicated PT with over 9 years of acute care experience with history of exemplary ratings on performance reviews. Her solid credentials that include licensure of PTA for New York (USA), BLS and lifesaving services certifications and Master’s degree in neurology (PT). Currently, she is pursuing PhD from Amity University. Has worked with Manipal hospital, Bangalore, Holy family hospital, Delhi and many more. She taught in RPIIT, Karnal and is now working in SGT University as an Assistant Professor in faculty of physiotherapy. Her area of work includes work with pediatric, adolescent, adults and geriatric population, also well versed in broad range of PT programs, treatments and modalities, restoring function and mitigating disability in diseased and injured patients.

Abstract:

Researchers have been exploring the brain structures involved in motor imagery for over two decades. Understanding brain plasticity after stroke is important in developing rehab strategies. MI is a cognitive process in which a subject imagines that he/she performs a movement without actually performing the movement and without ever tensing the muscles. MI involves activation of neural system while a person imagines performing a task or body. A plethora of neuroimaging studies have demonstrated that the cortical and subcortical regions activated during MI tasks substantially overlap with those involved in movement execution. Generally portions of cerebral cortex considered to be involved with motor control include the primary motor cortex (M1), supplementary motor area (SMA) and pee motor cortex(PMC). MI induced brain activity typically involves premofor, SMAs and PMCs. Objective was to evaluate effect of MI on gait and balance in stroke patients and the design was RCT. A total of 30 patients with gait and balance dysfunction after first ever stroke were randomly allocated to a motor imagery training group and a conventional group. MI group relieved 5 days each in 3 weeks mental practice followed by conventional therapy and control group relieved 5 days each in 3 weeks only conventional therapy/exercises. MI group was shown a video showing normal movements before each session. Each week had a separate video comprising normal movements. Patients viewed and imagined the same. Videos were shown and repeated to help patients imagine the right and specific movements influencing their gait and balance. Motor imagery was evaluated based on questionnaire KVIQ and gait and balance were assessed based on tinetti performance oriented mobility assessment scale. MI was found significantly useful improving gait and balance in post stroke hemiparetic population.

Biography:

Mohamed Abdulla Husain is a PhD candidate in Sport at Leeds Beckett University. His research interests are in the area of sports injuries including physical and functional changes following hip arthroscopy and groin pain. He has obtained his BSc degree from Kuwait University (2008) then opened his private physiotherapy clinic in 2009. He has completed his MSc degree in rehabilitation from the University of Pittsburgh in 2013 focusing on musculoskeletal conditions.

Abstract:

Background: Muscle strength (MS), the range of motion (ROM) and function improvements post hip arthroscopy (HA) require in depth analysis. Also, many factors at the time of surgical intervention may play a role in prognosis.

Purpose: This study evaluated postoperative changes in hip abduction (HAB) and adduction (HAD) MS, external (HER) and internal (HIR) rotation ROM and the modified Harris Hip Score (MHHS). The factors that may influence these measurements were also evaluated.

Methods: Data from 309 patients (mean age 41.4±13.9 years) who had undergone a HA procedure were analyzed retrospectively. Repeated measures ANOVA with Bonferroni adjustment and mean of difference (MD) were used to examine differences between 2, 8 and 24 weeks postoperatively compared to preoperative scores. Multilevel modeling (MLM) was used to examine the effects of various factors on postoperative measurements.

Results: The highest improvement was seen at the 24^th week postoperatively in HAB MS (MD=16.57, 95% CI [7.59, 25.55]), HAD MS (MD=18.29, 95% CI [10.17, 26.40]) and MHHS scores (MD=19.37 points, 95% CI [11.53, 27.21]) (all P <0.001). However, HER and HR ROM did not show statistically significant changes postoperatively (P=0.569). MLM showed that being older than 60 years old, a female and playing at a professional level affects postoperative measurements.

Conclusion: Following HA and appropriate physiotherapy, hip MS and function takes up to 24 weeks to show the greatest magnitude of improvement. Rehabilitation programs should be designed to accommodate the variation in postoperative progression based on age, sex and activity levels.

Biography:

Monika Naresh has her expertise in evaluation and passion in improving health and wellbeing. she has completed her Bachelors’ of Physiotherapy from Amarjyoti Institute of Physiotherapy. Since 2013, she is working as independent physical therapist. She has also achieved certificates in Kineso Taping, Pilates, Dryneedling, bobath technique and many more. she has also served as Assistant Head of Department at Roshan Hospital and currently is an owner at NewWorld Physiotherapy and Rehab Centre.

 

Abstract:

Wellbeing is state of being comfortable, healthy and happy. Apparently, it is imperative for physical therapist to be fit and healthy to influence the wellbeing of the people around and the patients. Undoubtedly, the posture and fitness of Physical therapist is at the cost of providing best treatment to the patients. So, the topic directly relates to how physiotherapists take care of themselves as well as their patients wellbeing. Some interesting facts and practical advices would be solely described that would be of great value to all physiotherapists. This talk emphasis mainly on all dimensional wellbeing of the physiotherapists to connect with the importance of delivering the best by being best.

Biography:

Ishita Sood has completed her Bachelors and Masters in Musculoskeletal Physiotherapy from India. Later, she moved to Melbourne, Australia and has been practicing as Grade 4 Supervised Physiotherapist at a private practice. She specializes in musculoskeletal injuries and has developed keen interest in women health physiotherapy. She has a published paper on scapular dyskinesia and serratus anterior and is working towards strategies to improve joint position strength in geriatrics.

Abstract:

Background: Hand is an amazing instrument and helps in gripping instruments in several ways. Also, grip strength is predictive of functional limitations and disability. The performance in ADLs is governed by hand and a direct relationship is established between finger length and ADLS due to its relationship with grip strength. It has been seen that hand grip strength was highly predictive of functional limitations and disability in men aged 45-68. However, very little has been done to relate the hand grip strength and finger length in geriatric population. Therefore, in this study, I hypothesize that there is direct correlation between hand grip strength and finger length in geriatrics.

Objective: To study the relationship between finger length and grip strength in geriatric population.

Methods: Correlation design was used. 50 geriatric subjects (25 males, 25 females) were randomly selected according to the selection criteria. Finger length and grip strength were measured and correlation was established.

Result: There was statistically significant positive correlation between finger lengths and grip strength in geriatric population (p<.05).

Conclusion: It is concluded that grip strength has a strong positive correlation with the lengths of the index, middle, ring and the little fingers in geriatric population.

Biography:

Martina Steinboeck is currently working as a physical therapist under the direction of Ao Univ-Prof. Dr. med. Jörg Wissel, FRCP, in the neurological rehabilitation clinic Vivantes in Berlin, Germany, focused on state-of-the-art technology of gait rehabilitation and movement disorders

Abstract:

Dystonia is characterized by a colourful picture of symptoms. However, the different forms of manifestation, as well as their treatment possibilities, are not sufficiently known. Cervical dystonia is the most prevalent type of dystonia and many patients face a lifetime of chronic disability despite repetitive Botulinum neurotoxin A (BoNT) injections. A synergistic effect of individualized physiotherapy adapted to this disease and the injection of BoNT within outpatient and inpatient neurological rehabilitation is not sufficiently researched. In this workshop the individual therapeutic areas will be explained in the form of a short overview followed by a chase study of a patient with torticollis. It is to assess if the results of the therapy show improvement within body functions and activities, as well as the Health related Quality of Life. From the obtained results from this case study, an improvement can be demonstrated after the combination of BoNT-injection and individualized therapy. It becomes clear that a good therapy success is possible only through the implementation of several different therapeutic procedures. This combination offers the patient an extended field of interventions to minimize their symptoms and improve their quality of life.

Biography:

Abdulaziz Albalwi has completed his DSc degree from Loma Linda University, USA, in 2017.

Abstract:

Background: Motion sensitivity, or motion sickness, is a common syndrome and can play a role in diminished work performance. Consequently, it is important to accurately assess motion sensitivity to assist in evaluating the effectiveness of countermeasures and to promote current therapies, such as gaze-stability exercises.

Purpose: This investigation aimed to examine the criterion validity and test-retest reliability of a new questionnaire, the Activity Avoidance Questionnaire (AAQ), which was designed to be a simple assessment tool for determining susceptibility to motion sensitivity.

 

Methods: Sixty-four healthy adults with a mean age of 26.6 ± 4.2 years participated in this study; however, five of those did not complete the AAQ a second time. Thus, 59 participants with a mean age of 26.8 ± 4.3 years were recruited to assess the reliability of the AAQ. The Motion Sickness Susceptibility Questionnaire–Short Form (MSSQ-SF) was completed first, followed by the AAQ. Three weeks after the first visit, the investigator sent the AAQ to all participants via email, requesting that they complete it a second time and return it to him.

Results: When correlating the MSSQ-SF and the AAQ, results showed that the AAQ is highly valid (ρ = 0.80, 95% CI: 0.69, 0.87, p < 0.001). The test-retest reliability of the AAQ is excellent (ICC = 0.93, 95% CI: 0.88, 0.96, p < 0.001).

Conclusion: The AAQ is a valid and reliable tool for assessing susceptibility to motion sensitivity.

Application: The authors recommend the AAQ as a simple and quick tool for determining motion sensitivity.

Biography:

Dedicated PT with over 9 years of acute care experience with history of exemplary ratings on performance reviews.Solid credentials that include licensure of PTA for New York(USA),BLS & lifesaving services certifications and masters degree in neurology(PT).Currently pursuing PhD from Amity University.Has worked with Manipal hospital,Bangalore,Holy family hospital,Delhi and many more.She taught in RPIIT,karnal and is now working in SGT University as assistant professor in faculty of physiotherapy.This year submitted two researches in leading journals,their result is awaited. Background includes work with pediatric,adolescent,adults and geriatric population.Well versed in broad range of PT programs ,treatments,& modalities,restoring function and mitigating disability in diseased and injured patients.Excellent interpersonal and communication skills and proficiency in patient assessment, time management and therapy program design and execution.Enthusiastic team player deeply committed to delivering quality care and achieving superior patient outcomes as a member of multidisciplinary case management team.     

Abstract:

Researchers have been exploring the brain structures involved in motor imagery for over two decades.Understanding brain plasticity after stroke is important in developing rehab strategies.MI is a cognitive process in which a subject imagines that he/she performs a movement without actually performing the movement and without ever tensing the muscles.MI involves activation of neural system while a person imagines performing a task or body. A plethora of neuroimaging studies have demonstrated that the cortical and subcortical regions activated during MI tasks substantially overlap with those involved in movement execution.Generally portions of cerebral cortex considered to be involved with motor control include the primary motor cortex(M1),supplementary motor area(SMA),and pee motor cortex(PMC).MI induced brain activity typically involves premofor , SMAs & PMCs. Objective:To evaluate effect of MI on gait & balance in stroke patients.Design:RCT.Subjects:A total of 30 patients with gait & balance dysfunction after first ever stroke were randomly allocated to a motor imagery training group and a conventional group.Methods:MI group relieved 5 days each in 3 weeks mental practice followed by conventional therapy & control group relieved 5 days each in 3weeks only conventional therapy/exercises.MI group was shown a video showing normal movements before each session.Each week had a separate video comprising normal movements.Patients viewed and imagined the same.Videos were shown and repeated to help patients imagine the right and specific movements inflencing their gait & balance.Motor imagery was evaluated based on questionnaire KVIQ and gait & balance were assessed based on tinneti performance oriented mobility assessment scale.Result:MI was found significantly useful improving gait & balance in post stroke hemiparetic population.