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Table of Contents
Year : 2021  |  Volume : 3  |  Issue : 2  |  Page : 126-131

Proceedings of international physiotherapy e-conference quadrans-2021 organized by KAHER institute of physiotherapy, Belagavi, Karnataka, India

Date of Submission05-Jan-2022
Date of Acceptance05-Jan-2022
Date of Web Publication12-Jan-2022

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijptr.ijptr_2_22

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How to cite this article:
. Proceedings of international physiotherapy e-conference quadrans-2021 organized by KAHER institute of physiotherapy, Belagavi, Karnataka, India. Indian J Phys Ther Res 2021;3:126-31

How to cite this URL:
. Proceedings of international physiotherapy e-conference quadrans-2021 organized by KAHER institute of physiotherapy, Belagavi, Karnataka, India. Indian J Phys Ther Res [serial online] 2021 [cited 2022 Jan 25];3:126-31. Available from: https://www.ijptr.org/text.asp?2021/3/2/126/335662

From the 26th to the 27th of February 2021, KAHER Institute of Physiotherapy, Belagavi hosted an International Physiotherapy E-Conference “QUADRANS 2021” with the topic “Engaging Minds, Empowering Success.” The conference drew a total of 4200 people from all over the world. Dr. Vivek Saoji, Hon. Vice Chancellor, KLE Academy of Higher Education & Research, Belagavi, inaugurated the e-conference. In his keynote talk, he emphasised the Institute's numerous accomplishments and informed the delegates about the significance of physiotherapy in health care.

During the two-day conference, thirty-one (31) nationally and internationally renowned keynote speakers shared their vast knowledge. The e-conference was organized under the guidance and support of Dr. Sanjiv Kumar (Organizing Chairman), Dr. Vijay Kage and Dr. Santosh Metgud (Organizing Secretaries) along with Dr. Aarti Welling and Dr. Pamela D'Silva (Joint organizing secretaries). The delegates presented scientific research papers/posters in scientific sessions divided into senior and junior categories, with sub-categories such as musculoskeletal, sports and manual therapy, community, paediatrics, and neuro-physiotherapy. The sessions were moderated and judged by eminent senior International and National Physiotherapists. The conduct of the conference was meticulously planned with all sessions conducted in timely and coordinated manner. The conference was well appreciated by the delegates and the resource persons. The delegates and resource persons expressed their appreciation for the conference.

Dr. Prabhakar Kore, Chairman, KLE Society & Chancellor, KLE Academy of Higher Education and Research, Belagavi, and all the patrons of the KLE Society and KLE Academy of Higher Education and Research, Belagavi are thanked and acknowledged by the organising committee for their unwavering support and guidance throughout the conference.

  Scientific Paper PresentatioN - Senior Category (Musculoskeletal) Top

Effectiveness of Strength Training and Stretching On Forward Head Rounded Shoulder Posture, Muscle Strength and Forced Vital Capacity in Over Head Athletes- A Randomized Controlled Trial

Payal Dhawale

MGM School of Physiotherapy, Aurangabad.

[email protected]

INTRODUCTION: Posture can be defined as the relative position of different body parts in space. Most neglected part in overall health is posture, shoulder complex and spine have strong relationship, the kinetic chain consist of Myofascial, articular and neural system. In kinetic chain, scapula links and connects the energy producing from core with energy transfer to the arm due to this energy transferring demand leads to high prevalence of shoulder pain. Forward head rounded shoulder posture(FHRSP) is the commonly seen postural deviation in overhead athletes, the normal relationship of muscle and bone which are correlated is affected by FHRSP so there is increased muscle tension and stress at neck and shoulder and it affects the upper body function. Throwers shoulder must be loose enough to throw but stable enough to prevent symptoms.

MATERIALS & METHOD: Materials used were- Kinovea software, pulmonary function testing machine, Hydraulic push-pull hand held dynamometer, Pressure biofeedback. 54 overhead athlete with FHRSP were randomly divided in to two groups, experimental group (n=27) received strengthening and stretching training and control group received conventional neck isometric exercise (n=27). Exercises were given for 6 weeks. Pre and post assessment of posture was done by measuring craniovertebral (CV) angle and rounded shoulder (RS) angle. Muscle strength of serrates anterior (SA), lower trapezius (LT), deep neck flexor (DNF) and external rotators(ER) and forced vital capacity (FVC) were measured.

RESULTS: The baseline values suggest that experimental group showed statistically significant improvement in the outcome measures. (p<0.001)

CONCLUSION: Experimental group was more effective in treating FHRSP as it improves posture, strength and FVC in overhead athletes.

KEY WORDS: Forward head rounded shoulder (FHRS) posture, overhead athlete, Muscle strength, Forced vital capacity (FVC), Muscle imbalance.

Force platform assessment of postural balance in knee osteoarthritis – a systematic review

Ashish John Prabhakar

Assistant Professor- Senior Scale, Department of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education

[email protected]

PURPOSE: To find the association between adductor tightness on speed and agility performance in recreational football players.

METHODOLOGY: 32 healthy recreational football players who met the inclusion and exclusion criteria were selected for an interventional study. Adductor tightness was tested using a goniometer placed on the ASIS of bilateral lower limb and the range of motion was recorded. Speed was assessed using the 30 m sprint test. Agility was assessed using the Modified Illinois Change of Direction Test timed using a stopwatch.

RESULTS: The mean of hip abduction range increased in bilateral lower limbs but left lower limb showed more increase in length than right with p value .001 and .002 respectively. The agility component showed a significant decrease in timing post stretching statically. However, there was not much of a compelling change in the result of 30meter Speed test with a p value of .094.

CONCLUSION: From the results we conclude that there is a positive correlation between dynamic stretching of the adductor muscles and hip abduction range of motion and a negative correlation was found between dynamic stretching of the adductor muscles and agility performance.

KEY WORDS: Adductor tightness, Speed, Agility, Hip Abduction, Football players, dynamic stretching, Groin injuries.

  Scientific Paper Presentation - Senior Category (Others) Top

Immediate Effects of Chest Wall Stretching on the Pulmonary Function of the Elite Marathon Runners.

Dr. Sneha V. Katke

Associate Professor, MMC's College Of Physiotherapy, Wanless Hospital, Miraj.

[email protected]

INTRODUCTION: Marathon running is sufficient to induce substantial reductions in pulmonary function which are directly influenced by aspects of respiratory muscle fatigue. The respiratory muscle fatigue has been evidenced by decrements in inspiratory and expiratory mouth pressures, FEV1, FVC and MVV. The effective Stretching protocols mostly comprise of the lower body stretches but the respiratory muscle fatigue is left to the time course recovery. Therefore, the main purpose of the study was to observe the effect of Chest Wall Stretching on pulmonary function in elite 21k marathon runners.

MATERIALS AND METHODOLOGY: Study design was Quasi-Experimental study design. Sixty subjects with age group 25-45 years, both male and female 21k runners were selected according to their inclusion and exclusion criteria Sampling method used was convenient sampling and was divided in 2 groups- Group A Chest wall Stretching and Lower limb Stretching (30n), Group B Lower limb Stretching (30n). Data was analyzed by student's t-test and Anova

RESULTS: Significant changes in pulmonary function parameters with FVC, MVV, SpO2, RR and PR (p=<0.0001) was seen showing increase in their Ventilatory volumes. FEV1 (p=0.03) showed significant improvements in individual groups but in comparison there was no statistical significance in between the two groups.

CONCLUSION: It can be concluded that Chest Wall Stretching is significantly effective in improving the Ventilatory Parameters thus, reducing the acute effects of respiratory fatigue, of the Marathon Runners in comparison to Conventional Lower limb stretching hence it can be incorporated as one of the Therapeutic Stretching maneuvers after endurance running.

KEY WORDS: Chest wall Stretching, Forced Vital Capacity (FVC), and Forced Expiratory volume in one second (FEV1), Maximum Voluntary Ventilation (MVV), Saturation of Oxygen (SpO2), Respiratory Rate (RR), Pulse Rate (PR).

Effect of auditory cueing, foam hurdle crossing with eyes closed on balance and QOL in geriatric population

Sayed Asif Basha

Department of Physiotherapy, JSS College Of Physiotherapy, India

[email protected]

BACKGROUND: Aging in elderly people often develops fear of fall, risk of fall, impaired balance, poor eyesight, leading to limitation in functional activities/impairments, poor quality of life. Screening and treating fear of fall and balance impairments will lead to betterment in quality of life (QoL). The effect of auditory cueing and eyes closed foam hurdle crossing on balance and quality of life in geriatric population.

METHODOLOGY: A single group pre post experimental design. The study was conducted at old age homes and tertiary care hospital. 30 elderly subjects above 60 years were recruited using Berg balance score (BBS) of >21.

INTERVENTION: Intervention given is eyes closed foam hurdle crossing exercises on auditory cueing for 20 minutes a day, five times a week over three weeks.

MEASUREMENTS: Patients were assessed at baseline for balance using Balance Evaluation System Test (BEST) and for QoL using Old People Quality of Life scale (OPQoL). All subjects were re-assessed after 15 sessions.

RESULTS: Mean, standard deviation, paired t Test were used. There was a statistically significant change in the BEST and OPQoL scores post intervention with p value <0.05.

CONCLUSION: Auditory cueing followed eyes closed foam hurdle crossing exercises were effective in improving balance and QoL in geriatric population.

KEY WORDS: Geriatric, auditory cueing, foam hurdle-crossing, balance.

  Scientific Paper Presentation - Junior Category (Musculoskeletal) Top

Effectiveness of Graded Motor Imagery in subjects with Frozen Shoulder: A pilot randomized controlled trial

Apurva Godse

Post Graduate Student, Department Of Orthopedic Physiotherapy, KAHER Institute Of Physiotherapy, Belagavi, Karnataka, India.

[email protected]

INTRODUCTION: Hyper sensitivity of the CNS is referred to as central sensitization. It has been proposed that central sensitization may be present in the early stages of frozen shoulder resulting in loss of pain inhibition and non-noxious stimuli being interpreted as threatening and painful. Fear of movement is also present in subjects with frozen shoulder because of severe pain and they might not be comfortable with aggressive physical therapy. This is why there a need of finding alternative treatment strategies for frozen shoulder with which manual therapy can be avoided.

AIM AND OBJECTIVES: The aim was to assess the effect of Graded Motor Imagery in subjects with Frozen Shoulder. The primary objectives were to assess the effect of Graded Motor Imagery on flexion, abduction and external rotation range of motion and fear of movements in subjects with Frozen Shoulder.

METHODOLOGY: Twenty subjects with frozen shoulder were randomly divided into two groups 1. Control Group(n=10) received conventional physiotherapy with HMP (15m), IFT (15m) and exercises 3 times a week for 3 weeks. 2. Graded motor imagery group (n=10) received 3 weeks of graded motor imagery along with conventional physiotherapy. The primary outcomes were Shoulder flexion, abduction, external rotation ROM and fear avoidance belief questionnaire. The secondary outcomes were pain by VAS scale and Shoulder pain and disability index (SPADI).

RESULTS: Statistical Analysis will be done using appropriate tests. Results are awaited

The Effectiveness of Neural Mobilization in Cervical Radiculopathy: A Systematic Review

Aditi Goyal

Postgraduate, Department of Physiotherapy, KMC Mangalore, Manipal Academy of Higher Education

[email protected]

BACKGROUND: Cervical radiculopathy (CR), with a reported annual incidence of 83.2 per 100,000 and an increased prevalence in the fifth decade of life among the general population, can be a significant cause of neck pain and disability making it essential to determine effective treatment options for patients. Neural mobilization (NM) is a treatment modality aimed at restoring the homeostasis in and around the nervous system.

PURPOSE: To date, there's a lack of high-quality evidence studying NM as an intervention for CR to help clinical decision-making. The purpose of this systematic review was to assess the effect of NM in patients with CR.

METHODOLOGY: The search included randomized control trials (RCTs) evaluating the effectiveness of NM, as primary intervention either in conjunction with other physical therapy interventions or as a standalone treatment in patients with CR. Various data bases like MEDLINE, Web Of Science, CENTRAL, PEDro, ProQuest Central, EBSCO Master FILE Premier and Scopus were searched for published articles from inception to 2020.

RESULTS: 1,120 records were screened; the primary outcome of interest was pain which was assessed by Visual analogue Scale (VAS) and Numeric Pain Rating Scale (NPRS). 10 RCTs that met the eligibility criteria were included in the review. Out of these, 6 studies were of high quality while remaining 4 were of moderate quality according to the PEDro scoring

CONCLUSION: NM was found to be an effective treatment option for patients with CR in conjunction with other physical therapy modalities like moist heat, cervical traction, strengthening exercises, etc. as shown by one high quality and six moderate quality studies. It is also effective as a standalone treatment, shown by one high quality and two moderate quality studies, leading to significant decrease in pain. Effectiveness of NM can be ascribed to the strong inseparable link between joint and neurogenic pain, improving nerve excursion as well as modulating mechano-sensitivity of the affected nerve root. However, high methodological quality large-scale studies are recommended.

KEYWORDS: Cervical radiculopathy, Cervicobrachial pain, Neck and arm pain, neural mobilization, Nerve manipulation.

  Scientific Paper Presentation - Junior Category (Others) Top

Effect Of Acu-Tens On Dyspnea PEFR Value And Functional Capacity In Bronchial Asthma- A Randomized Controlled Trial.

Balaji Shinde

First year student MGM institute of Physiotherapy, Aurangabad

[email protected]

INTRODUCTION: Bronchial asthma is a chronic airway disorder and more common in Adults (10%-15%) at urban than rural areas. Dyspnea is one of the key symptom of bronchial asthma due to bronchospasm. Previous study has shown the effect of Acupuncture TENS in dyspnea associated with COPD Thus, the present study is an attempt to evaluate the efficacy of Acu-TENS and placebo TENS on dyspnea, PEFR value and Functional capacity in patients with Bronchial asthma.

METHODOLOGY: The sample size of 40 Patients with medically diagnosed asthma were recruited and screened based on the inclusion and exclusion criteria. Subjects were randomly allocated into Group A ACU-TENS for 20 minutes, relaxation techniques, pursed lip breathing and activity pacing whereas Group B received Placebo TENS for 20 minutes, relaxation techniques, pursed lip breathing and activity pacing.

RESULTS: The 6 MWT (p=0.000), PEFR (p=0.009) and Borg scale (p=0.001) were statistically significant within Group A pre and post intervention. Whereas in Group B only 6MWT (0.001) and Borg scale (p=0.000) values were statistically significant.

CONCLUSION: The results and data analysis shows that using of Acu-Tens in bronchial asthma patients is effective on dyspnea, PEFR values and functional capacities in patients with bronchial asthma.

KEYWORDS: Bronchial Asthma, Acu-TENS, Borg scale, PEFR

Effect of spider therapy on motor functions in cerebral palsy - an evidence based study

Shital Bhimsinghbhai Gamit

Govt. Physiotherapy College, Ahmedabad

[email protected]

INTRODUCTION: Cerebral palsy is the commonest physical disability in childhood occurring 2.0 to 2.5 per 1000 live births in western societies. According to World Health Organization (WHO) estimation, 10% of global population has some form of disability due to different causes, in India, it is 3.8% of the population. Nearly 15-20 % of the total physically handicapped children suffer from cerebral palsy. For India, the estimated incidence is around 3 per 1000 live births.70-80 % cases of cerebral Palsy are acquired prenatally and are largely from unknown sources.

PURPOSE: To study the evidences regarding effect of spider therapy on motor functions in cerebral palsy.

METHODOLOGY: Evidences are collected from various search engines like: PubMed, Google Scholar, PEDro, and Embase from year 2005-2019. 11 Studied were included composed of 1 Meta-analysis, 2 Systemic reviews, 4 Randomized controlled trials, 1 quasi experimental study, 1 case report and 1 interventional study.

RESULTS: 10 studies were reviewed from various data sources which conclude that spider therapy is found to be more effective than any control group receiving any other conventional treatment.

  Scientific Poster Presentation - Senior Category Top

Effectiveness of Early Physiotherapy Intervention on Weight Gain in Low Birth Weight Neonates

Dr.Namrata Kadam

Assistant professor, department of paediatric neurosciences, Krishna College of physiotherapy, karad

[email protected]

BACKGROUND: New-born babies are unique in their physiology and the health problems that they experience. Neonatal period is characterized by transition to extra uterine life and rapid growth and development. New-born period, that is first 28 days of life, carries the greatest risk of mortality. Premature neonates is a significant public health problem across the world due to associated neonatal (first 28 days of life) mortality and short-term and long-term morbidity and disability in later life. Preterm is defined as baby born alive before 37 weeks of gestation (259 days) is completed. Extremely preterm (less than 28 weeks) Very preterm (28 to 32 weeks) Moderate to late preterm (32 to 37 weeks)

OBJECTIVES: To determine the effectiveness of early physiotherapy intervention on weight gain in premature neonates.

METHOD: Total 20 LBW neonates were taken. The weight of neonates were assessed pre and post treatment by digital waving machine, the breast feeding frequency was noted. The neonates were given massage, passive movements, proprioception stimulation by individual joint compression and kangaroo mother care (2 sessions /day for a week, duration 25-30 mins). After that again weight, breast feeding frequency was checked to see progression. Later evaluation and interpretation was done using statistical analysis.

RESULT: There is remarkable weight gain seen in neonates post physiotherapy interventions.

CONCLUSION: On the basis of result it can be concluded that the early physiotherapy is effective in improving weight in low birth weight neonates. Hence, the early physiotherapy interventions should be consider to decrease the morbidity and mortality rate of LBW neonates.

KEY WORDS: LBW, Premature Neonates, Weight gain,

Effect of Interferential Therapy in the Treatment of Constipation in Adults

Dr.Deepti N Wadhwa

Assistant Professor MVP's College of Physiotherapy

[email protected]

INTRODUCTION: Constipation is a disorder in the gastrointestinal tract, which results in the infrequent stools, difficult stool passage with pain and stiffness. Currently there is paucity in the literature regarding the effectiveness of physiotherapy in the treatment of constipation. Interferential therapy (IFT) is a treatment that has demonstrated its efficiency in the treatment of constipation in children and has shown encouraging results in adults.

MATERIALS AND METHOD: A Quasi experimental study was done on 20 patients.

Both genders. Age 18 to 59 years. Stool frequency of <5 times a week for 3 months. Straining or sense of incomplete emptying of bowel. Constipation scoring system- >15.

Pregnant or breastfeeding women. Subjects with current implanted electronic devices. Rectal prolapse Outcome PAC-SYM and PAC-QOL. IFT was given for 3 weeks. An interferential current was used to deliver a 4 kHz carrier frequency and a beat frequency of 80-150 Hz. Four electrodes were placed on the skin, two abdominal and two para spinal.

RESULT: p=<0.0001 showing significant improvement

CONCLUSION: IFT can significantly improve the symptoms and QOL in patient with constipation. Because surface electrodes are placed between T9 and L2 for IFT, it may target the parasympathetic efferent fibres directly or indirectly can stimulate the afferent visceral and somatic nerve fibres which increase colonic activity and improves colonic propagation. If its effectiveness is demonstrated, it will provide, for the first time, a new NONINVASIVE step for patients with laxative treatment failure before considering surgical treatment.

KEYWORDS: Constipation, IFT, Adults

  Scientific Poster Presentation - Junior Category Top

Correlation Between Levels Of Physical Activity And Obesity Defined By Waist To Height And Waist To Hip Ratio In Healthcare Students Of Belagavi City- An Observational Study.

Saili Thali

MPT Cardiovascular and Respiratory Second year student, KAHER Institute of Physiotherapy, JNMC, Belagavi

[email protected]

BACKGROUND: Obesity is the abnormal or excessive fat accumulation that presents a risk to health. It is associated with increase in mortality rate, diabetes, cardiovascular diseases, dyslipidemia, and cancer. Healthcare students are prone to obesity due to their stressful, hectic and strenuous lifestyles, family history and disordered food habits. Physical activity is any bodily movement produced by the contraction of skeletal muscles that results in caloric requirements over resting energy expenditure. It is also found that there are differences in levels of physical activity among various populations. Healthcare providers who themselves act upon the advice they give provide better counselling and motivate the patients to adopt such health advice. OBJECTIVE: To determine the correlation between levels of physical activity and obesity defined by Waist -to -height and Waist- to- hip ratio in healthcare students of Belagavi city.

METHODS: 168 participants (84 males and 84 females) between 18-25 years of age who are healthcare students of Belagavi city were subjected to fill an International Physical Activity Questionnaire through which levels of physical activity like low/ inactive, moderate and high were assessed. To obtain the waist- to - height ratio, waist circumference was measured with an inelastic tape and height with a stadiometer and for waist- to -hip ratio, waist circumference and hip circumference were measured using inelastic tape and the subjects were classified as obese and non- obese accordingly.

RESULTS: Awaited


KEY WORDS: Obesity, physical activity, waist- to- hip ratio, waist- to- height ratio, healthcare students.

Comparative Effect of Positive Expiratory Pressure Devices on Hemodynamic Responses, Airway Clearance and Level of Dyspnea, Following CABG in Phase 1 Cardiac Rehabilitation –A Randomised Clinical Trial

Dipika malkarnekar

Postgraduate student, Department of Cardiopulmonary physiotherapy, KLE Institute of Physiotherapy, Belagavi, India

[email protected]

BACKGROUND: Coronary artery bypass graft (CABG) is one of the common procedure to treat cardiac disease like CAD, Valve disease. The vertical incision done during this procedure, impairs gas exchange which causes a reduction in the functional residual capacity, total lung capacity, forced expiratory volume. General anaesthesia can lead to post-operative complications such as atelectasis, pleural effusion. Chest physiotherapy is a gold standard treatment to treat such complications.

OBJECTIVE: To evaluate and compare the effect of flutter, acapella &lung flute on hemodynamic responses, airway clearance and level of dyspnoea following CABG during phase 1 of cardiac rehabilitation.

METHODS: 36 participants between 40-65 years who underwent CABG were subjected to three different groups of positive expiratory devices. Pre, immediate and after 30 minutes haemodynamic responses were assessed by mean arterial pressure, blood pressure, rate pressure product, pulse rate and respiratory rate and airway clearance and level of dyspnoea were measured using a sputum container and modified medical research council dyspnoea scale respectively.

RESULTS: The results showed that all the three groups had improvement in pulmonary functions but in Comparison of three study groups with respect to Respiratory rate Acapella was found to be more effective at 5% level (p =0.001) and thus improving sputum production. No differences were found in pulse rate, mean arterial pressure, systolic pressure, diastolic pressure, rate pressure product in all the 3 groups.

CONCLUSION: The findings suggest that after comparing all the three devices, Acapella is more effective as that of flutter and lung flute on haemodynamic and bronchial airway clearance in patients who are in the first phase of cardiac rehabilitation.

KEY WORDS: CABG, chest physiotherapy, acapella, flutter, lung flute


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