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SIPCON 2019 / Journal of Society of Indian Physiotherapists, 2019;3(2):58-94

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SIPCON 2019 / Journal of Society of Indian Physiotherapists, 2019;3(2):58-94 SIPCON 2019 / Journal of Society of Indian Physiotherapists, 2019;3(2):58-94 Platform Presentation Abstracts AB No 40: Comparison of efficacy of mulligan’s bent leg Day-II Session: Physiotherapy in Musculoskeletal raise technique and passive stretching technique on Conditions & Sports. hamstring flexibility in patients with chronic non- Saturday, February 16, 2019 specific low back pain Gulmohar 9.00AM Authors : Rushabh Shah, Megha Sheth Affiliation: Faculty of SBB College of Physiotherapy AB No 10: Effect of incorporating diaphragmatic http://doi.org/10.18231/j.jsip.2019.010 breathing exercise with the core stabilization exercise on pain and disability in chronic low back pain. Purpose : To compare the effect of Mulligan’s Bent Leg Authors: Sana Masroor, Zubia Veqar Raise (BLR) technique and passive stretching on pain, Affiliation: Centre for Physiotherapy and Rehabilitation balance and hamstrings flexibility in patients with chronic Sciences, Jamia Millia Islamia New Delhi- 110025 nonspecific low back pain. Relevance: Low back pain is a common cause of disability http://doi.org/10.18231/j.jsip.2019.009 in individuals. Adequate flexibility of the Hamstring Purpose : The purpose of this narrative review is to examine muscles is essential to eradicate pain and maintain the effect of incorporating diaphragmatic breathing exercise functional mobility which can be achieved by passive with the core stabilization exercise on pain and disability in stretching of hamstrings. BLR is performed in symptom free chronic low back pain. range of motion that makes it safer than any other approach. Relevance: Diaphragm is the main inspiratory muscle, Methods: Twenty-two participants selected by convenience which plays an essential role in stabilizing the spine during sampling, of both genders aged 20 to50 years, diagnosed ADLs. The diaphragmatic dysfunction is associated with with non-specific low back pain ≥3 months. Participants pain and disability in chronic low back pain (CLBP). with traumatic onset, neurological symptoms involving Methods: Two reviewers searched on PubMed/Medline, prolapsed inter-vertebral disc, radiating pain were excluded. scielo, Cochrane library, and PLOS for studies concerning Random allocation into any one group was done. An CLBP and diaphragmatic exercise from January 2018 up to interventional study was conducted. Group A, was given September 2018. The search string consisted of the BLR, and Group B was given passive stretching of following keywords: chronic low back pain, core hamstrings. All participants were given hot-packs to low stabilization exercise, diaphragmatic breathing exercise, back, isometric abdominals, curl-ups, alternate knee to proprioceptive postural control strategy, disability chest, and bilateral knee to chest exercises. Data collected evaluation and trunk muscle activity. The aim of this review included pain intensity by NPRS, degree of hamstring is to investigate the effectiveness of incorporating tightness by Active Knee Extension (AKE) and Functional diaphragmatic exercise with core stabilization exercise on Reach Test (FRT) for balance. pain and disability in CLBP. Analysis: Level of significance was kept at 5%. Mann Results: A total of 33 published research was analysed. The Whitney test was used to compare the mean differences result of this review indicates that core stabilization exercise between both the groups. alone improves the pain and disability in CLBP. The Results: For Right AKE mean difference in group diaphragmatic breathing exercise was shown to improve A=11.82±5.45, group B=5±3.44, U=16.50, p= 0.002, for respiratory function. There is a positive link between the Left AKE mean difference in group A=13.36±7.98, group strengthening of deep core muscle and improving B=5±3.95, U=21.50, p= 0.008, for FRT mean difference in respiratory function and lumbar stability. The individual group A=4.64±2.17, group B=2.5±1.77, U= 25.50, p=0.019, with CLBP is having poor sleep leads to poor QOL. for NPRS mean difference in group A=3±0.77, group Conclusion: The isolated breathing exercise and core B=1.73±1.35, U=25.00, p=0.019. stabilization exercise is effective in reducing pain and Conclusion: Bent Leg Raise is more effective than passive disability in CLBP and improving respiratory function. The stretching in decreasing pain, increasing hamstring therapist should be able to provide more effective treatment flexibility and improving balance in subjects with chronic by incorporating both therapeutic exercise for CLBP low back pain. patients. Implications: Bent Leg Raise can be used in subjects with nonspecific low back pain to decrease pain and improve Keywords: Chronic low back pain, Core stabilization hamstrings flexibility and balance. exercise, Diaphragmatic breathing exercise. Keywords: Bent leg raise, Nonspecific low back pain, Hamstring flexibility. 58 SIPCON 2019 / Journal of Society of Indian Physiotherapists, 2019;3(2):58-94 AB No 41: To determine the prevalence of work related AB No 16: Comparison of proprioception and dynamic musculoskeletal disorder (WMSDs) and its associated balance in participants with and without functional risk factors among school teachers in Delhi-NCR. flatfoot Authors: Aashish Yadav, Kshitija Bansal Authors: Umang Agrawal, Sanjeev Kumar, Gauri Affiliation: Amar Jyoti Institute of Physiotherapy Chaitanya, Abhisha Patel, Ganesh B, Prateek Srivastava Affiliation: Department of Physiotherapy, School of Allied http://doi.org/10.18231/j.jsip.2019.011 Health Sciences, Manipal Academy of Higher Education, Manipal. Purpose : To find the point prevalence of musculoskeletal disorders and associated risk factors in school teachers. http://doi.org/10.18231/j.jsip.2019.012 Relevance: The work related musculoskeletal problems are multi factorial, its prevention and treatment need the Purpose: In flatfoot normal mechanisms get affected in comprehensive approach. By studying other associated subtalar, ankle and knee joint which may affect the factor, we can have new insight to physiotherapists to treat proprioception and dynamic balance. There is dearth of the musculoskeletal disorders in teachers. Further it can also literature concerned with proprioception and dynamic help physiotherapist to spread awareness about preventive balance in flatfoot. Hence, a comparison of affection of measures regarding occupational health hazards in teachers. dynamic balance and proprioception in people with and 384 teachers from private and government school of Delhi without functional flatfoot is required. NCR with more than 1 year of experience were included in Relevance: This study will help determine whether dynamic the study. Further teachers who had undergone any surgery balance and proprioception are affected or not in in last 6 months, neurological problem, recent trauma, participants with and without flatfoot. fracture, Pregnancy and any diagnosed gynecological Participants: A total of 32 participants were included in the problems are excluded from the study. study, 16 in flatfoot and 16 in normal arch group. Inclusion Method: After receiving the Permission from school criteria for flatfoot group is participants with functional authority and consent from teachers, a questionnaire flatfoot of grade 1 or more on Feiss line within the age developed by the researcher was distributed among 450 group of 18-30 years and for normal arch group is teachers. The questionnaire had three parts: A. participants with normal arch on Feiss line within the age Demographics, B. Nordic Musculoskeletal questionnaire, C. group of 18-30 years. Exclusion criteria for both the groups teachers stress inventory. 384 valid questionnaires were is participants with any musculoskeletal, neurological compiled in Microsoft excel. condition affecting balance and proprioception and Analysis: The data was analyzed by SPSS version 16 with participants unable to perform Star Excursion Balance Test descriptive statistics and person correlation coefficient. (SEBT). Results: The study was conducted on 384 school teachers Methods: Cross-sectional study. Outcome measures are (M=79, F= 307) with mean age25.99±3.6years and Mean SEBT, AUOTCAD software for checking joint BMI25.99±3.6. The overall prevalence of musculoskeletal repositioning error and Feiss line. pain in school teachers is 65.1%.Out of this most affected Analysis: Data analysis was done using SPSS version 16.0 area are knee (35.7%), ankle/feet (26.3%) and neck (24.2%) using descriptive statistics and independent t test. respectively. Further, results also showed moderate stress Results: There was no statistically significant difference in levels with mean score of 2.78± 0.77. Musculoskeletal dynamic balance and joint repositioning error between problems showed significant correlation with BMI, Level of participants with grade 1 functional flatfoot and normal Teaching and stress levels with p value of 0.002, 0.026 and arch. 0.000 respectively at 0.001 levels. Conclusion: Dynamic balance and proprioception of the Conclusions: School teachers are susceptible to WMSD participants with grade 1 functional flatfoot was not with a significant prevalence for knee pain followed with significantly affected as compared to participants with ankle/feet and neck pain. Moderate level of stress, high BMI normal arch. Further recommendation is to include and teaching level are associated factors of WMSDs. participants with higher grade of functional flatfoot. Implication: The results of the study will be beneficial to Implication: If proprioception and dynamic balance
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