A CUSTOMARY ON SHOULDER PAIN POPULATION USING SIMPLE SHOULDER TEST

The purpose of the study is about to identify shoulder pain using a simple shoulder test among the population. BACKGROUND: Shoulder pain is the third most common musculoskeletal complaint encountered in clinical practice. Out of that, rotator cuff tendonitis is one of causes of shoulder pain. Rotator cuff tendonitis is an inflammation of the rotator cuff tendons without a rotator cuff tear. METHODOLOGY: This study is a prevalence study of pre and post test type that was conducted in 500 participants who have shoulder pain are selected and given simple shoulder test questionnaires. The participants with shoulder pain are between the age group of 18 and 60 years and both males and females were included in the study after getting their consent for participations. In these survey the person who is pregnant, who had history of surgery, presence of tumor, cardiac disease, person with cancer, mental disorder, recent fracture and dislocation of joints were excluded from the survey questionnaires. The questionnaires are based on the simple shoulder test, yes or no type with various clinical trials. RESULT : Of the 500 people who completed baseline questionnaires 51% were female and 49% were male. The mean age group is between 18 and 60 years. The result indicates that simple shoulder test questionnaires interpreted 50% of the population with RCT, 26%  with RA, and 24% with DJD. CONCLUSION: The present concludes that simple shoulder test questionnaires are an excellent tool to analyse shoulder pain. Out of 500 patients, 50% of shoulder pain is due to RCT, 26% of pain is due to RA, and 24% is due to DJD

Determinants of dysphagia following stroke

Background: Swallowing is affected following stroke. Many studies focus on various aspects of swallowing difficulties (dysphagia) following stroke. However, there are not many studies on the determinants of dysphagia following stroke. The aim of the present study is to establish the association between various factors with the severity of dysphagia.Methods: After screening for Mann Assessment of Swallowing Ability (MASA),110 patients, post-stroke were selected using consecutive sampling to assess the common risk factors, namely the presence of diabetes mellitus, dyslipidemia, hypertension, alcohol usage and smoking habits. Additionally, other variables such as age, gender, type of lesion, side of lesion, tobacco chewing, speech disorders, arterial dysfunction, lobe involvement and Brunnstrom’s stages, were also evaluated using a structured interview method. c2 (chi-squared) analysis was carried out to find out the association between the selected determinants and severity of dysphagia following stroke.Results: It was found that age and Brunnstrom’s stages are the determinants of dysphagia, as analysis showed a strong association with a p value < 0.001. A marginal association between post-stroke dysphagia and type of lesion with a p value of 0.056 was also observed.Conclusions: Among 15 factors evaluated, age, type of lesion and Brunnstrom’s stages showed a significant association with the severity of dysphagia following stroke. This study advocates early dysphagia management for elderly patients with high Brunnstrom’s grading, for those who are not expected to spontaneously recover following stroke, and for earlier and better community rehabilitation. [Ethiop.J. Health Dev. 2019; 33(3):147-152]Key words: Post-stroke dysphagia, Brunnstrom’s stages, dysphagia risk factors

Awareness and Knowledge of Vertigo among the Adult Population of Selangor, Malaysia

Dizziness and vertigo are common among the adult and elderly population. However, the knowledge & awareness of vertigo and the understanding of the differences between vertigo and dizziness in the adult population is seldom studied. The present study aimed to assess the level of awareness and knowledge of vertigo among the adult population living in Selangor, Malaysia. In addition, the study also focused on the participants’ knowledge of differentiating dizziness and vertigo. This cross-sectional study received responses from 189 participants who were in the age range between 20 and 40 years among which 152 participants' responses met the inclusion criteria. A self-developed validated online questionnaire was used as a study tool to understand the awareness and knowledge of vertigo among the participants. Data analysis was conducted using SPSS (version 28) to obtain frequency and percentages. The results of the present study showed that 57.9% of participants had an average level of awareness of vertigo. Further, 55.3% disagreed that vertigo is the same as dizziness however only 6.6% of the participants were exactly able to identify the differences between vertigo and dizziness. The present study concludes an average level of awareness and knowledge of vertigo among most young adults of Selangor, Malaysia. However, the ability to differentiate vertigo from dizziness was very low among the participants, demonstrating a gap in their knowledge of vertigo. Hence, education about vertigo among the public must be ameliorated. Further studies are required on different age groups and within the other states of Malaysia

Work Place Self-Management by Academic Cum Clinical Physiotherapist – A Case Study

One of the main issues in industrialized nations is work-related musculoskeletal disorders (WMSD), which are linked to demanding and repetitive work environments. Repetitive actions and work without leisure can lead to musculoskeletal problems. To prevent this occurrence, promoting healthy lifestyle self-care management is essential. The main objective of this case study was to assess the risk of work-related musculoskeletal disorders in professional physiotherapist and their workplace self-management. Case Description: a case of a 39-year-old male assistant professor cum clinical practitioner with 12 years of experience in the profession, who engages in using the computer for 6 hours a day for his academic and clinical documentation purposes, was assessed in the workstation. He complains of neck and shoulder pain after engaging in front of the computer for more than one hour, which he manages during the routine practice. He manages his pain by doing simple exercises like chin tuck-in and shoulder bracing by taking a short break every hour while working on a computer. Musculoskeletal-related pain was analyzed using the VAS score (visual analogue scale), and the level of the risks was analyzed using the rapid entire body assessment (REBA) scale. The case study showed that professional physiotherapists have a high risk of MSDs due to their engagement in multiple tasks and less attention to body posture. Regular exercise in the workstation and ergonomic workplace awareness would prevent the occurrence of work-related MSD

MECHANICAL GAIT TRAINING IN NEUROLOGICAL DISORDERS: A REVIEW OF EVIDENCES

Robotic technologies are becoming more prevalent for treating neurological conditions in clinical settings. We conducted a literature search of original articles to identify all studies that examined the use of robotic devices for restoring walking function in adults with neurological disorders. A search was conducted in MEDLINE, Cochrane Library, Physiotherapy Evidence Database, Google Scholar, CINAHL and EBSCO host from 2005 to 2014. Keywords used were gait, locomotor training, multiple sclerosis, neurological disorders, rehabilitation, robotics, spinal cord injury, stroke, traumatic brain injury and walking. This review analyzed 27 articles that examined the effects of locomotor training with robotic assistance in patients following stroke, spinal cord injury (SCI), multiple sclerosis (MS), traumatic brain injury (TBI), and Parkinson disease (PD). This review supports that locomotor training with robotic assistance is beneficial for improving walking function in individuals following a stroke and SCI. Gait speed and endurance were not found to be significantly different among patients with motor incomplete SCI after a variety of locomotor training approaches. Limited evidence demonstrates that locomotor training with robotic assistance is beneficial in populations of patients with MS, TBI, or PD. We discuss clinical implications and decision making in the area of gait rehabilitation for neurological dysfunction

Compare the Effects of Ultrasound versus Taping in Lactating Mothers with Breast Engorgement

Human milk has hundreds of milk proteins, which provides many benefits on breastfeeding. Breastfeeding is a mother’s gift to herself, her baby, and the earth, there is no substitute for mother’s milk. Milk protein is most important for baby’s growth, development and protects the baby from different illness. Colostrum is produced during early days immediately after child birth, which contains important nutrients and antibodies. Breast engorgement is a problem that is commonly encountered in breastfeeding mothers, which is to be addressed and treated to provide good milk proteins to baby, by relieving discomforts of lactating mothers. A randomized controlled trial was conducted with 30 subjects based on inclusion and exclusion criteria where the subjects are divided into two groups, which contain 15 lactating mothers in each group. The control group that is group-A was treated with ultrasound, and the experimental group that is group-B was treated with ultrasound and Taping Technique. The result of the study showed that there was a significant difference between the pre- and posttest intervention, and we conclude that the ultrasound therapy and Kinesio taping was effective in treating lactating mothers with breast engorgement