Effect of Matrix Rhythm Therapy Along With Conventional Physiotherapy Management in Quadriplegic Patient: A Case Study

A 26-year old Yemeni girl with a gunshot injury with cervical spine fracture at C6-C7 Level injury in June 2018 with complete loss of sensation in all the limbs, motor loss below C3 level with loss of saddle sensation and anal tone. The patient sustained spinal cord injury at C6-7 levels and edema extending upto C3 level, resulting in quadriplesgia.She was airlifted in medevac from yemen to Sultan Qaboos Hospital Salalah Oman in 28th June 2018.The patient underwent extensive Neuro surgical procedures for cervical fracture and spinal decompression.Additionally, the patient received education and counseling, nursing and nutritional intervention, and comprehensive physical therapy treatment including Matrix Rhythm therapy and other conventional Physiotherapy management.We conclude that Physiotherapy management with other medical disciplines are crucial in recovary of the patient and to improve quality of life.

Progressive Supranuclear Palsy-a Mirror Image of Parkinson’s Disease, A Literature Review of Rehabilitation Strategies

Progressive supranuclear palsy (PSP) is a rare neurodegenerative disease which mimic similar to Parkinsonism. PSP advances much quicker than in PD yet no effective medication or therapy to manage PSP available. This literature review aimed to discover the recent advances in the physical therapy treatment options for PSP. Databases such as PubMed, Elsevier and SAGE journal searched for both published and unpublished studies. Last 10-year studies were included in this review. Limited clinical trial conducted in this population due to which a structured protocol or rehabilitation strategies is missing for this condition. Balance exercise and gait training showed potential benefit and music-cued walking demonstrated participant’s satisfaction.

Determination of Factors Influencing Physical Therapy Treatment Compliance

Background: Compliance to long term therapy is the extent to which a person's behavior - taking medication, following a diet or executing lifestyle changes, corresponds with agreed recommendations from a health care provider. Aim: To determine the factors influencing physical therapy treatment compliance and relation of age and gender on compliance. Study Design: Observational study. Methodology: Study conducted for 6 months in public sector hospitals of twin cities of Pakistan. Non-probability convenient sampling technique was used. Data was collected by interviewing the patients, using self-structured questionnaire. 141 patients attending physical therapy treatment in outpatient department for more than three days and willing to participate in the study, were included in the study. Patient who visited OPD for first time, pediatric patient and indoor patients were excluded. Data was analyzed by SPSS software, version 25 as qualitative variables were expressed as frequencies and percentages. Results: Most of patient could not adhere to physical therapy because of unavailability of time (60.28%), lengthy follow up (46.10%), boredom with exercise (23.4%), unavailability of respective gender (23.4%), long distance between home and hospital (20.6%), Physical contact with therapist during session (15.6%) and fear of modality (7.8%). Most patients within age group of 29-42 and 43-56 responded that frequent visits to hospital to attend multiple sessions of physical therapy were the reason they left physical therapy sessions and had unavailability of time to attend physical therapy sessions. Conclusion: We concluded that frequent visits to hospital to attend multiple sessions of physical therapy and unavailability of time are two main factors that led to poor compliance to physical therapy treatment. Keywords: Barriers, Compliance and Physical Therapy Treatment

Patient perspectives on using a smartphone application to support home-based exercise during physical therapy treatment: a qualitative study. (Preprint)

BACKGROUND Home-based exercise is an important part of physical therapy treatment for patients with low back pain. However, treatment effectiveness depends heavily on patient adherence to home-based exercise recommendations. Smartphone applications designed to support home-based exercise have the potential to support adherence to exercise recommendations and potentially improve treatment effects. A better understanding of patient perspectives on the use of smartphone applications to support home-based exercise during physical therapy treatment can assist physical therapists with optimal use and implementation of these applications in clinical practice. OBJECTIVE The aim of this study is to investigate patient perspectives on the acceptability, satisfaction, and performance of a smartphone application to support home-based exercise following recommendations from a physical therapist. METHODS Using a interpretivist phenomenology approach, nine patients with non-specific low back pain recruited from two primary care physical therapy practices were interviewed within two weeks after treatment ended. The Physitrack® smartphone application was used to support home-based exercise as part of treatment for all patients. Data was analyzed using a framework approach to assist with interpretation of the data. RESULTS Data-analysis revealed eleven categories distributed among the three themes “acceptability”, “satisfaction”, and “performance”. Patients are willing to accept the application as part of treatment when it is easy to use, benefits the patient, and when the physical therapist instructs the patient in its use. Satisfaction with the app is determined by the perceived support from the application when exercising at home and the perceived increase in adherence. The video and text instructions, reminder functions, and self-monitor functions are considered most important for performance during treatment. The patients did not view the Physitrack® app as a replacement for the physical therapist and relied on their therapist for instruction and support when needed. CONCLUSIONS Patients who used an app to support home-based exercise as part of treatment are accepting of the app when it is easy to use, benefits the patient, and the therapist instructs the patient in its use. Physical therapists using an app to support home-based exercise can use the findings from this study to more effectively support their patients when exercising at home during treatment.

Expectations of Mothers of Children With Cerebral Palsy Regarding Physical Therapy

Introduction: This study aimed to find out the expectations of mothers of children with cerebral palsy (CP), who are engaged in rehabilitation programs, especially in physical therapy treatment. Materials and Methods: Clinical types and gross motor function levels of the children were documented. A questionnaire consisting of 6 open-ended questions was used to define the expectations and views of the mothers of CP children about the physiotherapy and rehabilitation programs for the children. A total of 100 mothers were interviewed through an observational study with six open-ended questions along with demographic data. Results: There was no significant agreement regarding the applied treatment methods and the appropriateness of the rehabilitation programs. Conclusion: The expectations of mothers of CP children are not as high as they wanted from rehabilitation according to their children’s needs.

EVALUATING IMPEDIMENTS LEADING TO NON-ADHERENCE OF PHYSICAL THERAPY TREATMENT AMONGST INHABITANTS OF ROHTAK DISTRICT

Background:The rate of success of a physiotherapy treatment programme is strongly inuenced by the adherence of the patient with prescribed treatment programme. Non-adherence with the therapy given to the patient is often overlooked and is one of the reasons for failure to achieve desired results aimed for a given disease/condition. Methods:Atotal of 40 geriatric subjects (20 urban and 20 rural) were surveyed for information using self-questionnaire from Rohtak district. Results: Out of 40 subjects (10 urban males and 10 urban females and 10 rural males and 10 rural females) 70% of urban (30% females and 40% males) and 30% of rural (10% females and 20% males) population was found to be adherent to physical therapy treatment. Impediments identied in the current study that were statistically signicantly associated with non-adherence to physical therapy treatment among the geriatric population included residential locality (p=0.02), accessibility to physiotherapy clinics (p=0.001), paying capacity (p=0.003), compliance to unsupervised home based exercise treatment (p=0.01) and cooperation by family members (p= 0.01). A non-signicant relationship was found with ability of doing ADLs (p=0.06). Conclusion: The study shows that geriatric population of Rohtak district residing in urban areas are more adherent to physical therapy treatment programme as compared to those residing in rural areas.

Examining the efficacy of short foot exercises as an effective stand-alone treatment for mechanical low back pain associated with foot overpronation

BACKGROUND: Abnormal foot mechanics in foot over-pronation has an identified relationship with mechanical low back pain (MLBP). OBJECTIVE: To explore the use of short foot exercises (SFEs) as a standalone treatment for MLBP with foot over-pronation. METHODS: Forty-six patients with MLBP (PwMLBP) presenting with and foot over-pronation were analyzed. They were randomized into the SFE (short foot exercise), SFE plus traditional physical therapy treatment (SFE+TPT), and control (CG) groups. Functional disability and pain level were measured using the Oswestry Disability Index (ODI) and visual analog scale (VAS), respectively. Ultrasonography measured the cross-sectional area (CSA) of the abductor hallucis (AbdH) muscle. The foot posture and navicular drop (ND) were investigated using the foot posture index-6 (FPI) score and ND test, respectively. RESULTS: The CSA of the AbdH and VAS scores improved significantly (p< 0.001) between the groups, more in the SFE+TPT group than in the SFE group (p< 0.001). The ND, FPI, and ODI measures improved significantly among the groups (p< 0.001), with no significant difference (p> 0.002) between the SFE and SFE+TPT groups. The CG did not show significant differences in the outcome measures (p> 0.002). Based on the effect size, SFEs significantly improved all the variables of interest (d>1). CONCLUSION: SFEs, with or without TPT may offer an effective treatment for PwMLBP with foot over-pronation.

ROLE OF PHYSICAL THERAPY TREATMENT IN ANTENATAL CARE

BACKGROUND Different types of physical therapy treatment interventions like postural guidance, nutritional guidance, and exercises performed by antenatal patients could have advantageous effects on pregnant women and fetus. OBJECTIVE To evaluate the role of different physical therapy treatments in the antenatal patient. SEARCH STRATEGY A Literature search is done through PubMed, Google Scholar and the Institute for Scientific data (ISI) net of Knowledge on the consequences of physical exertion throughout pregnancy on maternal and baby outcomes was performed. The knowledge about physical exercises during pregnancy is not clear. This review article is designed to explore the interventions of physical exercises during pregnancy in healthy normal women. SUMMARY Physical therapy is very essential for antenatal women to maintain their health during pregnancy. It has been documented that physical exercises are safe for the fetus and in long term by improving the quality of life of pregnant women. Healthy pregnant women should perform and continue regular physical exercises on daily basis by following the recommended guidelines. All pregnant women who are not facing any complications in their pregnancy should be encouraged to contribute to aerobic and strengthening exercises. Antenatal women undergo many body changes during their pregnancy for example weight gain which alters balance and coordination. The goal of physical exercises during pregnancy to maintain good health and fitness. Physical exercises during pregnancy should reduce the risk of back pain, constipation, gestational diabetes, preeclampsia and cesarean delivery. However, physical exercises promote healthy weight gain, improve general fitness, and strengthen heart and blood vessels, and helps to reduce the weight of the baby after pregnancy.

Residential elbow joint rehabilitation system by smartphone with cloud database

BACKGROUND: Physical therapy treatment has gradually become important in hospitals. This paper focused on elbow joint rehabilitation, as this form of rehabilitation is used most often. Moreover, most elbow joint rehabilitation programs could be conducted at home without going to a medical institution, which will economize medical manpower. OBJECTIVE: How to judge the correct rehabilitation motion becomes an issue for elbow joint rehabilitation at home. Therefore, this study proposed a residential elbow joint rehabilitation system (REJRS) by smartphone with a cloud database to address these issues. METHODS: REJRS has the ability to judge the correct motions and times of rehabilitation in real time. When the rehabilitation motions are incorrect, the number of rehabilitation repetitions is insufficient, or a timed rehabilitation session is insufficient, the patient will receive a warning text and light alert by REJRS. Then, the data of rehabilitation sessions are uploaded to the cloud database immediately. RESULTS: Patients can query their rehabilitation data at all times. Moreover, medical staff can track the status of each patient’s rehabilitation at any time and any place by downloading the data from the cloud database via the Internet. In our experimental results, the rate for detecting the correct elbow joint rehabilitation motion was up to 90%. CONCLUSIONS: The results show that REJRS could be applied for residential elbow joint rehabilitation. In the future, REJRS will be verified by the Institutional Review Board (IRB) for application to clinical treatment.