Day 3 :
Sardar Patel University, India
Time : 9:0:0
R Harihara Prakash is the Principal and Professor at K M Patel Institute of Physiotherapy, Karamsad. He has 18 years of professional experience in clinical as well as academics. He is a Doctorate in Physical Therapy from National University of Medical Sciences, Spain. He was awarded with Rashtriya Vidhya Saraswathi Puraskar Award for his excellent contribution in academics. He was former Dean, Faculty of Physiotherapy, Baba Farid University of Health Sciences, Punjab. He is in the Editorial Board and peer reviewer for some international journals. He is also in the panel of NAAC. He has obtained various skills by certification in the field of neurology, osteopathy, manual therapy from various countries. He has published and presented research papers in various national and international conferences. He is an eminent speaker and an academician.
India is a country with different caste and religions. People have different views and opinion about their beliefs according to their religion. In addition, more than 70% of population live in rural part of India where education level is very poor.
Disability is considered as burden, useless and having nothing to contribute to the welfare of society. However, both government and non government organizations have taken steps towards awareness of disability in India and condition of disabled people is getting improved slowly. The attitude of society towards persons with disabilities plays a major role in improving the condition of this special population. Since more than two percent of total population of India is disabled, it is important to know the attitude. Persons with disabilities face problems in day to day life, in education, job and rehabilitation services due to negative attitude of society which is to be corrected. The impact of awareness campaign done by Gos and NGOs changes the people's mind set towards persons with disability and brings in inclusion in the society which is the primary need. The built environment includes all of the physical parts of where we live and work (e.g., homes, buildings, streets, open spaces, and infrastructure). Even for normal persons without any disability the built environment influences his or her level of physical activity. For example, inaccessible or nonexistent sidewalks and bicycle or walking paths contribute to sedentary habits. These habits lead to poor health outcomes such as obesity, cardiovascular disease, diabetes, and some types of cancer.
It is also known that public places and transportation are not accessible for persons with disabilities. Government spend huge amount of money for infrastructure but if a person with disability can not use them, it is a big issue. It is the society which makes a person who is handicapped, a disabled by not providing such infrastructure according to their needs. So, here arises the collaborations across multiple disciplines such as health care professionals, transportation, urban planning, architecture, and public health law to create a barrier free environment to promote accessibility to all.
The Hashemite University, Jordan
Faris Alshammari 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 24 papers in reputed journals. He invented new intervention (Tactile Feedback
System) to improve body balance in the elderly. He received many Excellence Awards and Full Scholarship to study his Master’s and PhD.
Background:Hamstring muscle is a major muscle that contributes to human body posture. Shortening and tightness of Hamstring muscle affect postural alignment and lower quarter mechanics resulting in possible mechanical pain.
The aim of this study was to find a new effective way in stretching Hamstring muscle to improve muscle's flexibility and body mechanics.
Sixty subjects will be recruited from students at the Hashemite University who are between 18-25 years old. They will be included in this study if they have limited flexibility of right Hamstring muscle; defined as a limitation in knee extension 20 degree or more with 90 degree of hip flexion. Also, they must be healthy. Subjects will be excluded from the study if they have a history of lower back, hip joint, or knee joint pathology. Subjects will be assigned randomly into 3 independent treatment groups.
Range of motion of knee extension was measured with hip at 90-degree flexion in supine position using a Goniometer. Then, subjects received either Passive Hamstring Stretch (PHS), Passive Hamstring Stretch followed by Neurodynamic of Sciatic Nerve (ND), or Passive Hamstring Stretch followed by 3 sets of 10 repetitions of active knee extension to the end of the range (QA).
A single blinded Randomized Clinical Trial design
The study still in progress. The preliminary results were calculated based on 10 subjects in each intervention group (Total N=30). There were no significant differences in baseline muscles flexibility, subjects age, and BMI among groups. There was no significant difference in the improvement of hamstring muscles flexibility among groups. Hamstring flexibility increased significantly in the ND group post intervention compared to preintervention (26.65 ± 7.95 vs 34.95 ± 8.42; P=.002). Also, Hamstring flexibility increased significantly in the QA group post intervention compared to preintervention (24.40 ± 7.35 vs 35.05 ± 9.59; P=0.000). However, the improvement of hamstring flexibility in the PHS group was not significant (29.75± 8.01 vs 34.90 ± 7.35; P=.062)
The improvement in the PHS group was not significant possibly due to small sample size. Even though the improvement was significant in ND and QA groups, the increase of hamstring flexibility was more in QA group compared to ND group.
Neurodynamic of Sciatic nerve and Quadriceps muscle activation add more effect to hamstring flexibility following a Passive Hamstring stretch.
Novelty of the Current Study:
According to our best knowledge, in the previous studies there was no usage of Neurodynamic or Quadriceps Activation techniques in conjunction to PHS in order to improve Hamstring muscle flexibility.