Day 2 :
- Cardiac Physiotherapy | Vestibular Rehabilitation | Neurological Physiotherapy | Orthopedics | Acupuncture | Psychiatric Rehabilitation | Manual Therapy
Location: Meeting Room 1
Session Introduction
Jihan Amr Hussein El Sokkary
University of Montana, USA
Title: Strategies on dealing with non-compliant patients with chronic pain: An applied behavioral analysis approach on fear avoidance
Biography:
Jihan Amr Hussein El Sokkary is a licensed Physiotherapist in the Philippines and Dubai. She has her expertise in musculoskeletal, orthopedic, pediatric and behavioral therapy. She is currently pursuing Doctorate degree in Physiotherapy and Rehabilitation Administrative Certification both from the University of Montana. She has worked as a Musculoskeletal and Orthopedic PT and opened her own physical therapy clinic - Motions Venture Physiotherapy in 2017. She has also worked as a Faculty Member in two esteemed universities in the Philippines wherein she teaches in the field of Neurology, Pain and Sports Management. She recently attained her license in Behavioral Therapy in March, 2019. She is an active Member of the Philippine Physical Therapist Association and is a Member of its Pediatric, Neurology and Clinical Education Sigma.
Abstract:
Non-compliance with prescribed treatment is an important cause of delay of recovery of patients. Researchers have reported that fear avoidance has been a known reason for non-compliance with patients with chronic pain. This behavior can be a challenge for therapist for there is no one way to deal with this. However, the selection of which technique to implement for a particular patient should be guided by information gathered about the particular patient and the possible reason(s) for the non-compliance. The purpose of this study is to provide strategies to understand and address non-compliance of patients due to fear avoidance with the use of applied behavioral analysis. Some strategies the function of the behavior is defined in terms of its maintaining consequences and interventions are then designed to target those consequences.
Florian Forelli and Maude Traulle
Clinique de Domont-IFMK Saint Michel, France
Title: What quantitative evaluations after ACL surgery?
Biography:
Florian Forelli is a Physiotherapist specializing in Knee Rehabilitation in Traumatology and Orthopedics. He works in the Functional Exploration Unit of the Domont Clinic where he evaluates 250 patients per year after ACL surgery. He specializes in the field of laximetric and isokinetic evaluation to determine risk factors related to sports recovery after ACL surgery. He is also Teacher at the IFMK Saint Michel in various fields of rehabilitation and publishes many articles on lower limbs rehabilitation. He is currently working on a thesis on the biomechanics of the knee.
Abstract:
Spatio-temporal analysis of gait is a measurement of certain aspects of walking, which are the length of the step, the unipodal or bipodal support time (and consequently the oscillating phase time) or still the load and step propulsion phase. This quantitative examination is now accessible in clinical practice, thanks to certain accessories such as the OptoGait. This tool allows, among other skills, a clear and concise analysis of certain aspects of the gait. After rupture of the ACL, the proprioceptive sensory afferents of the knee are reduced by the disappearance of the so-called ligament, very rich in mechanoreceptor; even if at present this deficit is not quantified. The proprioceptive deficit is revealed when the limb is solicited in daily activities in a static position and during dynamic movements and even more so during sports activities. Laboute, in 2016, explains that "the use of the platform of force constitutes the gold standard of the postural evaluation”. LCA laximetry is a way to follow the evolution of ligamentization of the neotransplant in a simple and fast way by a rigorously reproducible examination. It allows to continue or to reorient the rehabilitation by objective analysis. GNRB laximetry remains a reliable instrument with an estimated sensitivity of 70% and a specificity of 99%. Compared to Telos, it is more reproducible and more significant in partial and total ACL ruptures. Thus, it is essential in the quantitative follow-up of the ACL surgery in order to account for the passive stability of the operated knee. At 6 months, isokinetic evaluation of the knee is an essential moment in sports traumatology. Indeed, it seems essential to have a glimpse of active knee stability in order to consider a future pivotal activity. Since the precursory work of Croisier, we know what meaning to give to the values emitted by such a balance sheet. However, many controversies exist on the values to use, so in order to determine the most sensitive, we conducted a review of the international literature. From this synthesis emanate the use of two types of speeds, the index of symmetry, the moment of force associated with the mass of the patient and the ratios.
Biography:
Mahboob Ur Rahman completed his graduation in Physiotherapy from Karachi University, Pakistan. In 1997, Habib Physiotherapy Complex was established and he is the Founder and Chairman of the same. He has been Member of Pakistan Bait ul Mal, Khyber Pakhtunkhawa Province for 3 years. Recently, he has been elected as Chairman, Board of Directors; Pakistan Physiotherapy Association (PPTA). Besides the publication of research papers, his book Chest Physio for the War Wounded has been published by National Book Foundation, Islamabad.
Abstract:
Aim: The major function of rehabilitation and physical medicine specialists is to provide the proper therapy that helps in improving the physical activities of impaired, disabled and handicapped persons through improvement in their muscle strength. In performing their function, the rehabilitation team should always take heed of the social and mental well-being of such patients. Having observed millions of Muslims perform the salat (prayer) regularly at specified times throughout the world, we postulated that salat, along with its various postures, can play a role in increasing psychological well-being including self-reliance and selfesteem, improving musculo-skeletal fitness, motor behaviour and cerebral blood flow that may be beneficial for physical health. The physical activities involved in the performance of salat helps in physical health by improving blood flow and increasing musculoskeletal fitness. The salat prayer involves little effort (standing, bowing, prostration and sitting), has a short duration and is beneficial for physical health. Moreover salat prayer has psychological, musculoskeletal and cerebral effects on improving the muscular functions in physical health. The physiotherapist of the rehabilitation centre who assists the patient to restore and preserve joint range of motion through mobilization techniques and exercise may take this prayer system as a model for restoring the residual strength of the patient. Salat has special characteristics in that it is a short duration mild-to-moderate psychological, physical and brain activity. Scientific evidence also supports the notion that even moderate intensity activities, when performed daily, can have some long-term health benefits. Salat is like a free hand exercise. This activity is convenient for all kinds of patients, including children, the elderly and physically handicapped, for strengthening their muscles as well as the mind. More studies are needed in future to determine the full beneficial effects of the salat prayer on the rehabilitative process of disabled persons. Results: In this study there were total 217 participants in which 169 were male and 46 female. The ratio of male to female was 4:1. Namaz offer of regular, irregular, rare or no offer were focused and correlated with physical health and disability of the subject. Out of 169 there were 66 candidates who offer namaz regularly bajamat, among them 58 were found to have no disability while 8 participants were found with joint problem.64 participant showed their normal physical health and two walk with support. Conclusion: It can be seen from the above discussion that salat prayer has psychological, musculoskeletal and cerebral effects on improving the muscular functions of disabled patient in a rehabilitation program. The physiotherapist of the rehabilitation centre who assists the patient to restore and preserve joint range of motion through mobilization techniques and exercise may take this prayer system as a model for restoring the residual strength of the patient.
Kyeong-Rae Kim1
Nanoori Medical Research Institute, South Korea
Title: The index study of lumbar extension strength in Korean adult patients undergoing low back pain using MedX
Biography:
Kyeong-Rae Kim majored in Applied Economics (especially in Health Economics and Econometrics) and authored a number of papers and major reports. After acquiring a Master's degree in Economics at Hanyang University in 2016, he worked at a public institution in South Korea and conducted a number of health, economy and policy analysis studies. Since moving to the Nanoori Medical Institute in 2017, he has conducted a number of research and academic activities in the fields of health science and health economics.
Abstract:
Introduction & Aim: Only a small number of papers studied the lumbar muscles of normal people and patients with low back pain among domestic and foreign studies, besides, currently the U.S. standards are applied in assessing the lumbar muscles. Therefore, in this study, the lumbar muscles of Koreans are divided by age and sex to provide basic data for the determination of grade and guidance for further study. Method: Among 10,783 patients who visited hospitals in Seoul for low back pain treatment, 3,656 were calculated through random sampling, compared to 1,693 for men and 1,963 for women. Data on the EMR system were retrieved and randomly extracted from patients who received muscle strength measurements from 2013 to December 31, 2018. The lumbar nerve root force test was measured in seven stages with a 12° gap between 0° and 72° using MedX equipment manufactured using isometric principles. After the first result was completed, statistical verification was performed using the corresponding using independent t-test, comparing it with the average value entered into the existing MedX equipment. Result: Measurements clearly showed a decrease in the lumbar nerve muscle as the age group increased for both men and women and this confirmed statistically significant. It also showed an average decrease of about 60 to 80 ft-ibs in all age groups compared to American standards. Conclusion: It is analyzed that the difference occurs because the figures entered into the MedX equipment are those of normal U.S. Although the study has the disadvantage of not representing all Koreans' lumbar muscles, it has the advantage that it can be used as a basis for future postoperative rehabilitation.
Maneesha S Deshpande
VSPM’s College of Physiotherapy, India
Title: Effect of Indian dance form-Kathak in diagnosed cases of ADHD coming to a tertiary hospital setup in rural area
Biography:
Maneesha S Deshpande is a Physiotherapist in Dharampeth, Nagpur and has an experience of 30 years in this field. Dr. Maneesha Deshpande practices at Dr. Maneesha Deshpande's Physiotherapy Clinic in Dharampeth, Nagpur. She completed BPTh/BPT from Government Medical College and Hospital, Nagpur in 1989 and MPTh/MPT - Cardiovascular & Pulmonary Physiotherapy from Government Medical College and Hospital, Nagpur in 1996. She is a member of Indian Association of Physiotherapist. Some of the services provided by the doctor are: Heat Therapy Treatment,Electrical Stimulation,Spine Mobilization,Lower Back Pain and Spondylitis etc.
Abstract:
Attention Deficit Hyperactivity Disorder (ADHD) is a disruptive behavioral disorder with early childhood onset, characterized by inattention, hyperactivity and impulsivity and secondary motor problems. Physical activity improves symptoms of ADHD. Dance is a creative, non-competitive form of exercise. 30 children of age 7 to 10 years of both genders were selected by convenient sampling method and evaluated for motor problem with Movement ABC-2 scale (Modified version). They underwent sessions of basic steps of Indian dance form-Kathak for 30 minutes, thrice a week, after which they were reassessed. Data was analyzed statistically. Significant improvements were seen in the timings and scores of the tasks of manual dexterity, aiming and catching and static balance. No significant improvements in the scores and timings in the tasks of dynamic balance.
- Geriatric Rehabilitation | Pediatric Physiotherapy | Stroke Physiotherapy | Mental Health Rehabilitation | Spinal Disorders | Sports Medicine | Osteopathy
Location: Abu Dhabi, UAE
Chair
Mitesh Patel
Aastha Oncology Associate, HCG Cancer Centre, India
Session Introduction
Dagmar Pavlu
Charles University, Czech Republic
Title: Elastic resistance exercises in physiotherapy
Biography:
Dagmar Pavlu is an Associate Professor at Charles University, Faculty of Physical Education and Sport and is a Guarantor of study programs in Physiotherapy at the faculty. She was a President of the professional organization - Physiotherapists of the Czech Republic (till 2014) and during 2004-2008 she was a Vice Chairman of European Region of World Confederation for Physical Therapy (ER WCPT). She is a Member of Executive Board of Association of Rehabilitation and Physical Medicine in the Czech Republic. She is the author of two monographs and more than 150 special articles in journals. She is the Head of one part of the Progres research project at UK FTVS. Her current research interests include analysis of the effect of physiotherapeutical methods.
Abstract:
Elastic resistance exercises are considered as an integrative part in different concepts in physiotherapy, also with different goals and different applications. In the main goal of the workshop is to explain different possibilities how to use elastic resistance band in two concepts (Proprioceptive Neuromuscular Facilitation and Brügger-Concept) and when/and how to use elastic band effectively for various workouts and strength training in sports and therapy, for endurance training in sports and therapy, to increase muscle stretch and expand the scope of joint mobility, for coordination or training exercises, for speed ability or training exercises, for exercises to improve stability (for both overall and local stabilization), for general exercises or specific training for sports, for exercises for the handicapped, for exercises for the elderly, for exercises for children, for the prevention and compensation of a one-sided and monotonous load with reference to daily activities, for the prevention and compensation of a one-sided and monotonous load with reference to sports activities, for exercises in pairs or groups, for exercises in combination with other aids, for water exercises, etc.
Yasar Arafath
Emirates Rehabilitation & Home care, UAE
Title: Home care physiotherapy of hypoxic acquired brain injury: Case report
Biography:
Abstract:
Home care physiotherapy of hypoxic acquired brain injury: Case report Aim: The purpose of this case report is to describe the home care pediatric physiotherapy for a 5 year old hypoxic acquired brain injured child. Case Description: This case involved a 5 years old child with hypoxic acquired brain injury was undertaken for physiotherapy at home for 8 weeks post medical management in hospital. Intervention: The therapy intervention was implemented to improve the arousal and to regain the gross motor functional activities through neuro developmental techniques. Task oriented positional release technique for the elongation of trunk and limb muscles, static & dynamic balance training and Gait training were given vice versa. Result: The post intervention revealed drastic differences in the scores of Paediatric Glasgow Coma Scale (PGCS) & GMFM 88. The goals were achieved in short period of rehabilitation about 56 days. Conclusion: This case report is used to demonstrate the neuro developmental techniques which are essential in speeding up the functional recovery of a child with hypoxic acquired brain injury. Implication: This case report can be used to demonstrate the flow of physiotherapy in children with hypoxic acquired brain injury.
Maya Perumbel John
Al Ain Hospital, UAE
Title: Smartphone injuries and importance of regular exercise to prevent injuries
Biography:
Maya John is working as a physiotherapist from 1999.Presently employed in Al Ain Hospital. I handle mostly neurological and neurorehabilitation cases. The above topic derived during my assessment of patients, both middle aged and geriatric age groups who were diagnosed with neck pain.
Abstract:
Aim: Statement of the Problem: The presentation in detail includes Introduction to smartphone injuries, Effect of electromagnetic waves on human brains, Effect on human’s upper extremities, back and neck caused by handheld devices, Effect of smartphones on drivers, Advantages and disadvantages of using smartphones and HHDs, Can people live without cell phones?, Solutions to mitigate impact of cell phones and mobile devices on human health and life Method: Literature review study and evidence based practices to avoid repetitive musculoskeletal injuries from hand held devices.The contents are derived from different articles published in different years regarding the smartphone injuries Result: case study conducted for patient with neck pain improved drastically by decreasing the use of smartphone and exercises Conclusion: repetitive injuries resulting from smartphones can be avoided and decreased by the less use of smartphones and regular exercises
Mitesh Patel
Aastha Oncology Associate, HCG Cancer Centre, India
Title: Significance of physiotherapy rehabilitation in cancer
Biography:
Abstract:
Aim: To provide an overview of the significance of Physiotherapy (PT) in promoting the quality of life among cancer survivors particularly the oral, breast and GI carcinoma. Method: PT plays a pivotal role in cancer Rehabilitation and the needs of the patient with the patient as well as the rehabilitation team, there by promoting the QOL (Quality of Life) of survivors. PT helps a cancer survivor to obtain maximum physical, social, psychological and vocational functioning within the limits imposed by disease and its treatment. PT offers muscle reeducation; prevent muscle fatigue, improving cardio respiratory endurance. PT offers exercises, myofascial release, Passive modalities and tailor made home based exercise program, thereby attesting to biopsychosocial models of cancer rehabilitation. Result: The PT for oral, breast, lung and GI cancer improves functional capacity and patients’ reported outcomes across a range of cancer diagnoses. Conclusion: We believed that exercise may is just not to be healthy but may in fact therapeutic. The field must bridge extensive knowledge of integrative exercise physiology with clinical oncology and cancer biology to provide a basis of individualized targeted approaches, which may place exercise training as an integrated component of standard cancer care.
Mahboob Ur Rahman
Karachi University, Pakistan
Title: Multidiciplimary approach in management of cerebral palsy children
Biography:
Mahboob Ur Rahman completed his graduation in Physiotherapy from Karachi University, Pakistan. In 1997, Habib Physiotherapy Complex was established and he is the Founder and Chairman of the same. He has been Member of Pakistan Bait ul Mal, Khyber Pakhtunkhawa Province for 3 years. Recently, he has been elected as Chairman, Board of Directors; Pakistan Physiotherapy Association (PPTA). Besides the publication of research papers, his book Chest Physio for the War Wounded has been published by National Book Foundation, Islamabad.
Abstract:
Biography:
Abstract:
One of the challenges the application of Constraint-Induced Movement Therapy (CIMT) faces is in ensuring adherence to use of restraint. Constraint-induced movement therapy was developed to improve purposeful movement of the stroke-affected extremity by restricting the use of the unaffected one. The two main components of the CIMT are the restraint of the affected extremity and mass training of the more impaired arm to perform functional tasks. The purpose of this study is to determine factors that influence duration of adherence among stroke survivors. Thirty (30) stroke survivors with hemiparesis were consecutively recruited from physiotherapy out-patient clinics using a purposive sampling technique. A structured questionnaire was used to obtain information on clinical and socio-demographic parameters. The participants were given a restraint and a time log book to enter a daily record of time spent in wearing the restraint. The time log book was reviewed at the end of every week of the 3-week study. Motor function and functional ability were measured using Motricity Index and Motor Activity Log, respectively. Data was analyzed using the SPSS 15 with significant level set at 0.05. Age, gender (p=0.73) and side affected/handedness (p=0.79) had no significant influence on the percentage duration of adherence to use of restraint (DAU). The influence of Socio-Economic Status (SES) was significant with participants of the middle SES adhering for longer duration (p=0.02). There was significant correlation between corresponding motor function/ functional ability and DAU (p>0.05) except for the functional ability on the first week (0.44). The duration adherence to use of restraint in CIMT is majorly determined by clinical presentations of the stroke survivors.
Biography:
Abstract:
One of the challenges the application of Constraint-Induced Movement Therapy (CIMT) faces is in ensuring adherence to use of restraint. Constraint-induced movement therapy was developed to improve purposeful movement of the stroke-affected extremity by restricting the use of the unaffected one. The two main components of the CIMT are the restraint of the affected extremity and mass training of the more impaired arm to perform functional tasks. The purpose of this study is to determine factors that influence duration of adherence among stroke survivors. Thirty (30) stroke survivors with hemiparesis were consecutively recruited from physiotherapy out-patient clinics using a purposive sampling technique. A structured questionnaire was used to obtain information on clinical and socio-demographic parameters. The participants were given a restraint and a time log book to enter a daily record of time spent in wearing the restraint. The time log book was reviewed at the end of every week of the 3-week study. Motor function and functional ability were measured using Motricity Index and Motor Activity Log, respectively. Data was analyzed using the SPSS 15 with significant level set at 0.05. Age, gender (p=0.73) and side affected/handedness (p=0.79) had no significant influence on the percentage duration of adherence to use of restraint (DAU). The influence of Socio-Economic Status (SES) was significant with participants of the middle SES adhering for longer duration (p=0.02). There was significant correlation between corresponding motor function/ functional ability and DAU (p>0.05) except for the functional ability on the first week (0.44). The duration adherence to use of restraint in CIMT is majorly determined by clinical presentations of the stroke survivors.