Physiotherapy - The Journal of Indian Association of Physiotherapists

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Introduction: Junior college students have a wide spectrum of insight when it comes to choosing a career option. Physiotherapy is a health-care profession that involves evaluation and formulating a diagnosis to cure impairments, improve mobility, and hence improve quality of life. This study evaluated the perception of junior college students about physiotherapy as a profession and career option. Furthermore, the study determined the role sources of career information. Methodology: The study population includes 200 science stream junior college students which were selected using cluster sampling, i.e., selecting students from different zones of Pune. Outcome measures used were a self-made questionnaire which was distributed among students. Bearing physiotherapy as an option within health sciences domain in mind, various types of questions specific to physiotherapy department, its practice areas, and the course study were put forth to these students through the questionnaire. Results: Two-third of the information regarding physiotherapy was reported to be obtained from the internet (38%). Forty percent students did not know if physiotherapist can be directly visited/reference from doctor is required for physiotherapy. Only 2.5% and 0.5% students knew that physiotherapy is also useful in cardiorespiratory and pediatric conditions. Conclusion: Majority (74.5%) of students would consider physiotherapy as a career option. There is still a need to improve the knowledge of students regarding physiotherapy through various sources such as career information and Indian Association of Physiotherapy to give out appropriate and useful information, as there is a dearth of physiotherapy professionals in India.

Background: Kinesio taping (KT) has emerged as a popular treatment for several health conditions. It is suggested that application of K-tape may prove beneficial in relieving symptoms of shin splints. Objective: The aim of this pilot study was to gather preliminary evidence about the effectiveness of KT in shin splints. Methodology: This prospective case–control study was conducted for 3 days on thirty active sports persons afflicted with shin splints (M = 22, F = 8; mean age 19 ± 2.59; duration of symptoms 48.16 ± 13.42 days) assigned randomly into three equal groups. The intervention in control group consisted of 10 min of ice massage followed by 10 min of transcutaneous electrical nerve stimulation. In KT group, Y-strip K-tape was applied to the lower leg using the technique described by Griebert et al. that had shown a reduction in medial loading in medial tibial stress syndrome. In rigid tape (RT) group, white nonelastic adhesive tape cut into a Y-shape similar to KT strip was applied. Outcome measures were duration of 50 m sprint, volume of limb, and pain response at rest, during resisted isometric contraction (RIC) of select muscles, and after completion of 50 m sprint. Two ways repeated measure ANOVA with time as the repeated factor was conducted for each outcome measure with level of significance set at 0.05. Results: Between the group difference for age (F = 0.35, P = 0.70) and duration of symptom (F = 0.40, P = 0.67) were not significant. The day-by-group interaction was not significant for any outcome measure. For the patient-reported parameters, i.e., pain at rest, pain at RIC, and pain at 50 m sprint, the main effects were significant (P ≤ 0.05) for time but not for groups. Conclusion: Any benefits of KT over and above RT and control group were not observed in active players presenting with symptoms of shin splints.

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a progressive condition, often irreversible. The chances of peripheral nervous system getting affected by the antineoplastic drugs are very high as compared to that of the central nervous system. Hence, this study is planned to assess the occurrence among cancer patients. Purpose: The objective of the present study was to screen patients undergoing cancer treatment for CIPN. Design: This was an observational study. Setting: The study was conducted at a tertiary care cancer hospital. Patients: Twenty-six individuals with CIPN, 30 years and above, were assessed using the modified total neuropathy score (mTNS) of >5. Measurements: Patients were assessed using mTNS. Results: Statistical analysis was done and it was found that 20% who received the drug cisplatin and 32% who received paclitaxel had CIPN. Forty-eight percent (48%) of the participants with CIPN received a combination of drugs. Conclusion: The drug paclitaxel was a major source for causing neuropathy. Neuropathy was seen when paclitaxel was given as the soul drug and also when given in combination with carboplatin.

Stabilization exercises are commonly employed exercises and are popular due to reduction in spinal loads and for strengthening of trunk extensors. Different stabilization exercises are performed in various position and using different strategies. Local muscles of trunk as well as global muscles both are activated during these exercises. Activation of local muscle such as multifidus as compared to global muscles is now being emphasized for treating low back pain (LBP). Varying lumbar lordosis during stabilization exercises has shown to increase the activity of lumbar multifidus as compared to longissimus thoracis muscle which is a global muscle. In addition, a lordotic posture causes lesser reduction in moment arm of erector spinae and reduced muscle activation. The lumbar multifidus is an important stabilizer of the neutral zone, and dysfunction in these muscles is strongly associated with LBP. Lumbar multifidus has also shown to be selectively and bilaterally atrophied in LBP. Electromyography of trunk muscles during stabilization exercises will provide a means by which the muscle activation levels can be analyzed and can assist therapist in selecting appropriate exercise for the muscle which is commonly atrophied in chronic LBP. Exercises promoting targeted activation of atrophied muscles will result in effective rehabilitation for LBP. The extensor muscle activity during stabilization exercises will help providing a potential for progression and planning rehabilitation protocol for the specific muscle.

Online since 15^th Nov, 2016