EFFECT OF STRAIN COUNTER STRAIN TECHNIQUE AND STRETCHING IN TREATMENT OF PATIENTS WITH UPPER TRAPEZIUS TENDERNESS IN NECK PAIN

Background: Neck pain is a common disorder with a reported six-month prevalence rate of 54%. Strain/counter-strain technique and stretching are passive positional intervention aimed at relieving musculoskeletal pain and related dysfunction. The study aimed to find the effect of strain counter strain technique and to stretch on tenderness over upper trapezium of neck and neck function. Methods: This is an experimental study with comparative pre-post study design. The subjects for the study selected from KPJ University College, Nilai, Malaysia. The study conducted in the Physiotherapy department of the University College. Total 70 with 53 female and 17 male patients were selected for this study as per sample size calculation. Thirty- five (35) samples were allocated to each group. Purposive sampling method adapted to select the samples. The study samples selected based on inclusion and exclusion criteria included exhibits with a tender point over upper trapezius. Dependant ‘t’ test was used to find the outcome of the study. Results: Paired t-test on the visual analogue scale (VAS) and Neck Disability Index (NDI) among stretching group found significant (P< .0001) improvement in the outcome with a mean difference of 3.23 and 12.2 respectively. A paired t-test on VAS and NDI among strain counter strain group found significant (P<.0001) improvement in the outcome with a mean difference of 3.829 and 22.686 respectively. Conclusion: This study concluded that both stretching and strain counter strain technique could reduce pain in the upper trapezius of the neck and improve neck function among the patients

Impact of Aquatic Resistance Training and Boot Camp Training for Inter-Collegiate Athletes 100 Meter Sprint

Aim and Background of the Study: Professional Athletes need to have a good speed throughout his run on track. To achieve it, athletes are given training in aquatic Resistance Method and Boot Resistance Method and made to perform on ground to compare the Effectiveness of Training. The aim is to increase the endurance of athletes by giving resistance training in two Different Methods. Methodology: This is an Experimental Study of comparative pre-test and post-test type.30 Subjects are included in the study for duration for of 8 Weeks. Subjects were divided into 2 Groups each consisting 15 subjects in Group -A&amp;B. Group “A” were assisted with Boot Camp Training and Group “B” were assisted with Aquatic Resistance Training. The subjects were selected accordingly to the Inclusion Criteria of age Group 18-25 and Exclusion Criteria are below 18 years and above 25 years. Result: On comparing Pre test and Post test within Group A&amp; Group B on 40 Yard dash score Shows highly significant difference in Mean values at P ≤ 0.001. Conclusion: The study concludes and demonstrates the benefits that boot camp training has an increasing performance variable similar to aquatic resistance training

Comparative Effect of Modified Constraint Induced Movement Therapy, Proprioceptive Training and Task-Oriented Training on Functions of Upper Extremity among Stroke Patients

Background: Stroke causes a variety of impairments that compromise the quality of life. Constraint Induced Movement Therapy (CIMT) is a technique used in rehabilitation medicine to treat individuals with decreased upper extremity functions. The study compares the effectiveness of modified constraint-induced movement therapy (mCIMT), proprioceptive training, and task-oriented training on upper extremity functions among stroke patients. Methods: This study was an experimental study of pre and post-type. The study was carried out in ACS Medical College and Hospital, Chennai. Sixty male and female samples from the stroke population were selected and allocated to three groups by random sampling method. Group A, B & C were allocated with twenty samples in each group. The study duration was six months with an intervention duration of 30 minutes per day/alternate days of a week for four weeks. The FMA-UE and Motor Activity Log assessed upper extremity function and pain as the main outcome measures. Dependent t-tests were used to find out the effects within the group. ANOVA was used to compare the effectiveness between the groups. Results: Comparative study between Groups A, Group B, Group C showed a significant difference in the effectiveness of Motor Function, Sensory Function, ROM, Joint Pain, Muscle use, and Quality of Movement with a P value of 0.0001 on functions of upper extremity among stroke patients. Conclusion: The study concluded that modified constraint-induced movement therapy got more improvement than proprioceptive and task-oriented training on upper extremity functions among stroke patients

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%&nbsp; 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

COMPARATIVE STUDY ON THE EFFECT OF TASK ORIENTED MOTOR RELEARNING PROGRAM AND THERMAL STIMULATION OVER UPPER LIMB MOTOR FUNCTION AMONG STROKE SUBJECTS

Background: Stroke is one of the most common neurological diseases that lead to disability in elderly population. Functional impairment of upper limb affects performance of activities in daily life. The primary objective of this study was to investigate and compare the effect of motor relearning program and thermal effect to improve upper limb motor function among stroke subjects. Methods: Random sampling method was used to select subjects with right middle cerebral artery stroke. Twenty subjects were included and randomly divided into three groups by using lottery method, ten in each group A and B. Group A trained with MRP and group B with thermal stimulation. The outcomes were measured by the MMAS, and STREAM scale. Result: Analysis of variance (ANOVA) used to find the significance of study parameters between the groups. Dependent t test was used to find the significance of study parameters between pre and post assessment within the group. According to the result Group A shows better improvement than group B, It shows that upper limb motor function improved significantly higher in Group A (P<0.001) when compared to Group B in MMAS and STREAM scale evaluation. Conclusion: The present study concluded that physiotherapy treatment by the use of motor relearning program and thermal stimulation are effective technique in improvement of upper limb motor function among Stroke subjects. It has also proved that motor relearning program was more effective on improvement of motor functions in upper limb among MCA Stroke subjects

COMPARATIVE EFFECT OF VISION DEPRIVED BALANCE TRAINING OVER FREE VISION BALANCE TRAINING AMONG STROKE SUBJECTS

Background: The dramatic increase in the incidence and prevalence of neurological disorder like stroke has always demanded the need of new interventions in limiting the disability outcome. Disturbed balance is one of the common difficulties in stroke subjects. Several researches have conducted with the process of limiting the disability but still not controlled fully. The objective of the study is to find out the effect of balance exercise with deprivation of visual feedback in stroke subjects. Method: Total number of thirty subjects participated in the study. The duration of study was four weeks with five sittings in a week and with duration of sixty minutes in each training session. Data was collected using Berg balance scale and the get up and go test, statistical analysis using the Wilcoxon’s signed rank test and paired T-test. Result: The mean value of timed get up and go test in group A was 16.93 with a standard deviation of ±3.86. The t-value of the study was 2.63 with P-value of 0.007.The study found significant difference in effect as the calculated P < 0.05. The results showed that the conventional therapy along with masked vision could bring about significant changes in balance, mobility and function of patients suffering from balance impairment among post stroke. The data analysis found the significant difference between the visions deprived balance training to that of free vision balance training. Conclusion: Subjects with masked vision showed better outcomes on balance and get up and go test. Balance performance and movement was found better in subjects with deprived vision than those with free vision

COMPARATIVE EFFECT OF SQUAT JUMP AND SPLIT JUMP EXERCISE ON DYNAMIC BALANCE AMONG FEMALE NETBALL PLAYERS

Background: Dynamic balance is an ability to move two or more body parts under control. The split and squat jump exercise primarily strengthen gluteus, hamstring muscles, quadriceps, and calves muscles, as well as provide cardiovascular benefits. The objectives of the study were to find the effect of split jump and squat jump exercise on dynamic balance and to compare the effect of exercise on the dynamic balance among female netball players in KPJ University College. Methods: An experimental design with total 80 female subjects were selected and divided equally to 40 subjects in each group. The Star Excursion Balance Test was used to measure the outcome of dynamic balance before and after the intervention. Group A received split jump exercise whereas Group B received squat jump exercise. The intervention was given for six weeks with three sessions for each week. After six weeks of intervention, the researcher checked dynamic balance for both groups. Results: The result showed that there is a significant difference between the groups with P-values 0.0043, 0.0001, 0.0471,0.0001 for anterior, lateral, posterior and medial respectively. Conclusion: The study concluded that both exercises could improve dynamic balance. However, the squat jump exercise is more effective to improve dynamic balance among netball players

COMPARATIVE EFFECT OF STATIC AND DYNAMIC STRETCHING EXERCISE TO IMPROVE FLEXIBILITY OF HAMSTRING MUSCLES AMONG NON ATHLETES

Background: Stretching exercises have been routinely used in persons with hamstring tightness and athletes to increase flexibility of muscle and to reduce joint injuries. Many studies have reported effect of static and dynamic stretching on flexibility of this muscle. Finding the best method to improve flexibility of hamstring muscle is important for athletes and individuals to reduce their injuries. Objective of the study was to find out the effect of static stretching exercise and dynamic stretching exercise on flexibility of hamstring muscle and also to compare the effect of static and dynamic stretching exercise on flexibility of hamstring muscle. Methods: This was a comparative experimental study with seventy four female healthy subjects from physiotherapy department of KPJ Healthcare University College, Malaysia. Convenient sampling method used to select the samples. The subjects were selected by inclusion criteria and randomly divided equally in to two with 37 subjects in each group. Static stretching exercise and dynamic stretching exercise were given as intervention program for four weeks respectively for experimental and control group. Pre and post data of restricted range of movement for knee extension was measured using goniometry and documented separately for both group. Result: In experimental and control group, pre-post statistical analysis found significant effect in increase of hamstring flexibility with P<0.0001, for right and left side. Comparative study between experimental and control group found that static stretching exercise have significant effect in increase of hamstring flexibility for right and left side with P<0.04. Conclusion: This study concluded that static stretching exercise is more effective to improve hamstring flexibility compared to dynamic stretching exercise