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INTRODUÇÃO: Dificuldades de locomoção e equilíbrio são comuns entre os indivíduos com doença de Parkinson (DP). Vários programas diferentes de exercícios foram sugeridos para tratar de problemas de equilíbrio e de marcha para melhorar a qualidade de vida e a adesão do paciente aos exercícios de DP. A dança pode ser uma ferramenta eficaz para resolver esses problemas porque inclui elementos-chave de equilíbrio dinâmico, pode melhorar a mobilidade funcional e, ao mesmo tempo, é agradável e envolvente. OBJETIVOS: O objetivo deste estudo foi avaliar o efeito do movimento de dança Kathak além da fisioterapia convencional no equilíbrio e na marcha em pacientes com doença de Parkinson. MÉTODOS E MATERIAIS: Um total de 44 pacientes diagnosticados com Parkinson foram incluídos no estudo com uma idade média de 63,20 + 8,5 anos. Os pacientes foram divididos aleatoriamente em dois grupos, o grupo controle recebeu fisioterapia convencional, e o grupo experimental recebeu o mesmo juntamente com movimentos de dança Kathak que foram Tatkar e Gatnikas. A intervenção foi dada três dias por semana durante quatro semanas. A pré e pós-avaliação para equilíbrio e marcha foi avaliada por escalas incluindo o teste TUG, Tinetti, FOG-Q e UPDRS-III. A comparação dentro do grupo foi feita usando o teste Wilcoxon Signed rank e entre o grupo usando o teste Mann Whitney U para ver o efeito da intervenção de tratamento. RESULTADOS: A idade média dos participantes de ambos os grupos foi de 64,18±8,53 e 62,23±6,21, respectivamente. A comparação mostrou uma diferença significativa em TUG, Tinetti, e FOG-Q dentro do grupo com p<0,01. A comparação entre grupos não mostrou diferença significativa entre as duas intervenções de tratamento com p=0,361 para TUG, p=0,479 para Tinetti, e p= 0,73 para FOG-Q. CONCLUSÃO: Ambos os grupos mostraram melhorias semelhantes no equilíbrio e na marcha de pacientes com DP. Assim, concluímos que o movimento da Dança Kathak pode ser usado para complementar os exercícios de fisioterapia convencional.
INTRODUCTION: Difficulties with gait and balance are common among individuals with Parkinson's disease (PD). Several different exercise programs have been suggested to address balance and gait problems to improve the quality of life and patient compliance with PD exercises. Dance may be an effective tool for addressing these problems because it includes key elements of dynamic balance, can improve functional mobility, and is, at the same time, enjoyable and engaging. OBJECTIVES: The purpose of this study was to assess the effect of Kathak dance movement in addition to conventional physiotherapy on balance and gait in Parkinson's disease patients. METHODS AND MATERIALS: A total of 44 patients diagnosed with Parkinson's disease were included in the study with a mean age of 63.20 + 8.5 years. Patients were randomly divided into two groups, the control group received conventional physiotherapy, and the experimental group received the same along with Kathak dance movements which were Tatkar and Gatnikas. The intervention was given three days a week for four weeks. Preand post-assessment for balance and gait was assessed by scales including TUG test, Tinetti, FOG-Q, and UPDRS-III. The within-group comparison was made using Wilcoxon Signed rank test and between the group using the Mann Whitney U test to see the effect of treatment intervention. RESULTS: The mean age of participants for both groups were 64.18±8.53 and 62.23±6.21, respectively. The comparison showed a significant difference in TUG, Tinetti, and FOG-Q within the group with p<0.01. The between-group comparison showed no significant difference between the two treatments interventions with p=0.361 for TUG, p=0.479 for Tinetti, and p= 0.73 for FOG-Q. CONCLUSION: Both groups showed similar improvements in balance and gait in PD patients. Thus, we conclude that the Kathak Dance movement can be used to complement conventional physical therapy exercises.
Subject(s)
Parkinson Disease , Physical Therapy Modalities , GaitABSTRACT
INTRODUÇÃO: O pico de fluxo expiratório (PFE) é comumente usado para monitorar a progressão de doenças respiratórias, pois fornece boas informações sobre o estado das vias aéreas. Uma boa quantidade de pesquisas está sendo feita em todo o mundo para estabelecer uma equação de previsão local. A força-tarefa conjunta da Sociedade Torácica Americana e da Sociedade Respiratória Europeia promoveu pesquisas a esse respeito. Na Índia, os dados derivados da população caucasiana ainda são usados para o PFE. OBJETIVO: Estudar a relação dos parâmetros do PFE e os dados antropométricos como idade, altura, peso, índice de massa corporal (IMC), área de superfície corporal (ASC) e estabelecer uma equação de regressão para jovens adultos indianos. MÉTODOS: PFE foi feito em 1000 sujeitos de 15-25 anos da região metropolitana de Mumbai. O coeficiente de correlação de Pearson foi usado para entender a relação dos parâmetros antropométricos e PFE. A análise de regressão multivariada foi feita para estabelecer uma equação de predição. (Alfa 5%) RESULTADOS: Idade e todos os parâmetros antropométricos foram correlacionados com PFE. O pico de fluxo expiratório médio da população masculina foi de 515 ml / seg, enquanto a feminina foi de 399 ml / seg. Para o PFE, a maior correlação foi observada com a ASC seguida de altura, peso e idade, enquanto o IMC apresentou o menor coeficiente de correlação. TPFE teve a melhor significância com a idade, ASC, altura e IMC. Teve menos significado com o peso. No sexo feminino, a TPFE teve a melhor significância com altura, peso, IMC e idade. CONCLUSÃO: Existem diferenças de gênero na TPFE. Portanto, equações específicas de gênero são necessárias para a estimativa da TPFE
INTRODUCTION: Peak expiratory flow rate (PEFR) is commonly used to monitor the progression of respiratory diseases as it gives good information about the status of airways. A good amount of research is going across the world to establish a local prediction equation. The joint task force of the American thoracic society and European Respiratory Society has promoted research in this regard. In India, data derived from the Caucasian population are still used for PEFR. OBJECTIVE: To verify the relationship between PEF levels and the variables age, sex, anthropometric and body surface area, and establish the regression equation for young Indian adults. METHODS: A cross-sectional observational study was conducted in 15-25 years aged 1000 subjects from the Metropolitan region of Mumbai. Pearson's correlation coefficient was used to understand the relation of anthropometric parameters and PEFR. Multivariate regression analysis was done for establishing a prediction equation (Alpha 5%). RESULTS: Age and all anthropometric parameters were correlated with PEFR. The mean PEFR of the male population was 515 ml/sec, whereas, for females, it was 399 ml/sec, for PEFR highest correlation was observed with BSA (.696) followed by weight (.667), height (.630), age (.504) whereas BMI shown lowest correlation coefficient (.445). PEFR had the best significance with age, BSA, Height, and BMI. It had less significance with weight. In females, PEFR had the best significance with Height, weight, BMI, and Age. CONCLUSION: Gender-wise differences exist in PEFR. Hence gender-specific equations are needed for the estimation of PEFR.
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Peak Expiratory Flow Rate , Asthma , Young AdultABSTRACT
Background: Poor sleep quality and depression along with physiological changes due to ageing contribute to increased incidences of falls. It has been observed that among most of the elderly residents these problems remain untreated and studies have shown almost eighty five percentage of this population rely on antidepressants and sedatives as a treatment of choice. But these medications can have deleterious side effects like day time confusion, drowsiness and falls. Physical exercises in different modes like resisted exercises or Tai Chai have shown to improve sleep quality and depression. But most of these exercises are done in standing or unaided and they can be difficult or impossible for frail elderly due to their co- morbidity and increased risk of falling. Methodology: Permission to carry out the study was taken from concerned authorities of old age homes. Written consent was taken from participants. Thirty subjects aged sixty five years and above were recruited in the study from the old age homes, Navi Mumbai. The participants were screened and pre-test score for depression and sleep quality were taken on Pittsburgh Sleep quality index and Geriatric depression scale. A structured group ,chair based exercises was undertaken and supervised by the physiotherapist, twice in a week for ten weeks .The exercises included were warm up, free mobility exercises for upper and lower limbs, breathing exercises and cool down for about forty five minutes. After completion of ten weeks post test score for outcome measures were noted and results were analysed. Results: Statistical analysis was done using Wilcoxon signed rank test for Pittsburg Sleep Quality Index and Geriatric Depression Scale. The Global Score of sleep quality scale showed improvement post-test value of 9.5 from 12.5, z value 4.230, p value less than 0.001. The post test for depression improved to 12 from pre-test score of 17, z value 4.639, p value less than 0 .001. The study was single blinded to reduce bias. Conclusion: Chair based exercises can be considered as simple and effective exercises to improve poor sleep quality and depression among institutionalized elderly.
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Introduction: Firefighters having high risk for occupational injuries, perform many hazardous job tasks at the scene of fire. The objective of this cross sectional study is to find the prevalence of self reported musculoskeletal disorders in firefighters at various Fire brigade centres in Mumbai. Method: Total number of 70 active duty firefighters ,both male and females ,were recruited in the study from various fire brigade centres in Mumbai. A validated questionnaire was administered to them consisting information about their demographics, their job profile and self reported measures of their health and co morbidities. The participants also completed a Body Diagram to indicate the location of pain for their musculoskeletal problems. Their working postures was analysed by using REBA after doing a pilot study .The three tasks were lifting the ladder up and down ,folding the hose and lifting the dummy .The data was collected and analysed. Result: The study participants comprised both male and females active duty firefighters, 59 males, mean age (27-45 years ),SD (3.5) and 11 females ,mean age (25-30 years), SD (1.6). The prevalence of neck, shoulder, elbow ,upper back and lower back complaints was 24%, 23%, 13%, 7% and 6 % respectively. 27% participants reported no complaints related to musculoskeletal problems. REBA (Rapid Entire Body Assessment) indicated that 40 out of 70 firefighters have medium risk of cumulative trauma disorders while 30 have high risk in the task of lifting the ladder up and down on shoulders. For folding the hose, all 70 participants had medium risk of injuries and for lifting the dummy, 29 out of 70 had high risk and 41 firefighters had very high risk of musculoskeletal injuries. Conclusion- This study reveals that there is high prevalence of musculoskeletal injuries especially in neck and shoulder among firefighters at various fire brigade centres in Mumbai .REBA assessment for the risk analysis for cumulative trauma disorders shows medium to high risk in all three tasks of lifting the ladder, folding the hose and lifting the dummy which warrants immediate preventive measures and remedial treatment among the study population.
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Background: Dental anxiety is a significant and challenging problem in patients seeking dental treatment. During any dental procedure patients often experience severe pre-operative and intra-operative anxiety which makes the procedure more difficult. Anxiety during endodontic therapy often leads to increased pain perceptions and instability of the physiological parameter throughout treatment. Aim: The purpose of this study was to evaluate the influence of music as a nonpharmacologic aid on anxiety, pain perception and physiological parameters (heart rate, systolic blood pressure, and diastolic blood pressure) at three different time period - before, during, and after endodontic treatment. Methods: A total of 100 patients were recruited in the present study. Before starting the endodontic treatment, the interviewer administered the Modified Corah Dental Anxiety Scale (MCDAS) to assess the baseline level of anxiety and Visual Analog Scale (VAS) for pain assessment. Patients were randomly divided into 2 groups: the first one listened to the music during endodontic treatment and the second one did not. Before, during, and after the endodontic procedure, the physiological parameters (i.e. heart rate, systolic and diastolic blood pressure) were recorded. All the data were collected and statistically analyzed. Results: Direct contrasts between patients listening or not listening to music showed that all the measured physiological parameters improved considering the overall period (during and after the root canal therapy) in the group of patients listening to music (P < .05). Conclusion: Within the limitation of the study, music administered to subjects with different levels of anxiety during endodontic treatment significantly decreased pain levels and improved physiological parameters during the endodontic procedures. Clinical Significance: Music and medicine always work together and the soothing effects of sounds and musical frequencies make this union an extraordinary tool of synergistic care. Music therapy can be considered as a valid nonpharmacologic aid to manage anxiety during endodontic treatment.
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Background: The aim of the study was to find the prevalence of anxiety and depression in COPD patients as undiagnosed cases may have an negative impact on the overall health status and find its correlation with factors like age, gender, disease severity and health related Quality of Life (QOL). Method: 226 subjects enrolled in this study. Basic demographic details were gathered. Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression. QOLwas assessed using St. George's Respiratory Questionnaire (SGRQ). Result: Prevalence of anxiety and depression in COPD subjects in the study was 35.4% and 52.7% as per HADS questionnaire. Age and SGRQ score showed a significant positive correlation whereas disease severity showed a significant negative correlation with anxiety and depression. Association of the anxiety and depression with gender showed anxiety to be statistically significant in males and females. Conclusion: Higher rates of depression and anxiety symptoms are seen in patients with COPD even in earlier stages of the disease.
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Background: Early detection and identification of the risk factors is crucial in minimizing morbidity and mortality arising due to breast cancer. Research has proven that, physiotherapist as a part of multidisciplinary team, plays an important role in treating these patients after surgery. However, evidence suggesting the role of physiotherapist in the domain of health promotion and prevention is limited. Thus an effort is made in this study to explore the level of awareness about the risk factors and prevention and to predict the percent risk of having breast cancer in future five years.Methods: A cross sectional study was conducted in the urban slums of Turbhe. 200 females aged 35 years and above were selected. A self structured questionnaire was formed using Gail’s model. The questionnaire was validated and a house to house survey was conducted.Results: 67.5% females thought that alcohol/tobacco consumption carried the highest risk of breast cancer. 61.5% females were aware of lack of breast feeding as the risk factor for breast cancer. 74% females did not know about breast self – examination while 78.5% had not heard about mammography as screening methods for breast cancer prevention. 14.5% females carried a high risk of getting breast cancer in the future five years.Conclusions: Awareness of study participants about breast cancer was very poor. There is a need for awareness programs to educate women about risk factors and promotion of early detection of breast cancer.