Day 1 :
Keynote Forum
Deborah Hilton
Deborah Hilton Statistics Online, Australia
Keynote: A summary of the research evidence that reports on the benefits of exercise and physical activity programs mostly from a population health perspective including details from the ABS on physical activity participation rates?
Time : 10:00-10:50
Biography:
Deborah Hilton has qualifications of BPhty and a MPH. Her dissertation was the analysis of the Australian Diabetes Screening Study, and this was published in the Medical Journal of Australia.
Abstract:
Physical activity (PA) is important for general health and wellbeing. Inadequate exercise is a risk factor for a number of health conditions, while engaging in PA is beneficial for various medical conditions. Hilton and colleagues’ publication in 2002, analyzed data retrospectively from the general-practice based Australian diabetes screening study. Prevalence estimates for undiagnosed diabetes using the American (ADA), Australian (ADS) and WHO criteria were 9.4%, 16.0%, and 18.1% respectively. A publication by Koye et al. [2017] that analyzed data from the Australian diabetes, obesity and lifestyle [AusDiab] study reported that in older Australians, diabetes more than doubled the odds of reporting disability at 12 years with body mass index and cardiometabolic factors accounting for much of the relationship. Hence interventions that target weight control may prevent disability and promote health as people age. A systematic review on the PEDro website by Richardson et al. that reviewed pedometer based walking programs and weight loss found that these programs result in a modest amount of weight loss with longer programs being more effective. Hilton assessed knowledge, usage and acceptability of fitness trackers in 2016 when she conducted a survey. Eight different trackers, pedometers, apps or websites were included and 100 surveys were sent out with seventy returned. The Fitbit was the most known about and utilized fitness tracker. Systematic reviews on the PEDro website report that PA and exercise are beneficial for low back pain prevention for improving pain and functional status in people with knee or hip osteoarthritis and for chronic pain in adults. This presentation will also highlight Australian Health Survey findings reporting that approximately one in four children, less than one in ten teenagers, and only one in five adults reach the required number of steps/day.
Recent Publications
- Hilton D J (2016) The global children’s challenge program; pedometer step count in an Australian school. International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering. 10(2): 588-591.
- Hilton DJ (2014) Computational methods in official statistics with an example on calculating and predicting diabetes mellitus [DM] prevalence in different age groups within Australia in future years, in light of the aging population. International Journal of Mathematical, Computational, Physical and Quantum Engineering 8(10): 1208-1212.
- Kabra S K, Lodha R, Hilton D J (2008) Antibiotics for preventing complications in children with measles. Cochrane Database of Systematic Reviews. DOI: 10.1002/14651858.CD001477.pub3.
- Hilton D, Reid C, Paratz J (2006) An under-used yet easily understood statistic: the number needed to treat. Physiotherapy; 92(4): 239-245.
- Rosenfeldt F, Hilton D, Pepe S, Krum H (2003) Systematic review of effect of coenzyme Q10 in physical exercise, hypertension and heart failure. Biofactors 18(1-4): 91-100.
Keynote Forum
Gunnel AL Berry
Association of Reflexologists, UK
Keynote: Whiplash injury: Science and clinical practice - Can we bridge the gap?
Time : 11:10-12:00
Biography:
Gunnel Berry is a member of the Chartered Society of Physiotherapy in the UK and has completed her Master’s degree in Advanced Physiotherapy from the UCL London. She then qualified as a Reflexologist. As a Clinical Specialist in pain, she developed adapted reflextherapy as a concept and treatment for patients in pain. She has presented and published papers on the same subject in Europe, USA and China. Although retired from clinical practice, she maintains a role as an Educational Officer of the Association of Chartered Physiotherapists in Reflex Therapy, and has recently published a book, “Adapted Reflextherapy: An Approach to Pain”.
Abstract:
A whiplash injury commonly occurs at a high or low velocity motor-vehicle accident with an un-expectant occupant subjected to acceleration and deceleration G-forces with physiological, neuroplastic and pathological consequences. Victims of whiplash injury complain of multisite and variable pain during or after an accident. Although the cervical spine is most commonly affected thoracic and lumbar spines should be included as sources of pain. Biopsychosocial therapy has been found to reduce central nervous system hyperexcitability in chronic pain patients. Extensive investigations to understand pain has been carried out. Attempt to apply modern neuroscience in clinical practice and Worsfold offers interventions to rehabilitate whiplash injury patients. Founded on the principle of ‘counter-irritability’ of neuroplastic activity adapted reflextherapy has been found to alter subjective and objective whiplash symptoms. This presentation introduces a hypothesis supporting a practical application which may offer clinical value in treatment of whiplash injury patients.
Keynote Forum
Romina Ghassemi D C
San Pedro Chiropractic and Posture, USA
Keynote: Doctors’ work for patients, patients work for economy: How your presence changes the 83.1 million working patients’ health
Time : 12:00-12:50
Biography:
Romina Ghassemi D C has received her Doctorate degree from University of Applied Health and Sciences in 1995. In 2000, she has obtained her Specialty in Biomechanics and Spinal Correction program. She is helping over 100s of patients to achieve spinal correction. She owns her private practice and her team are advocates for better posture and health. Currently she is an active speaker on posture awareness and has created line of home care products to help her patients have better posture. She is an active speaker for Cardinus Group, Port of Los Angeles, Dynamic Safety group. She has been an inventor and holds provisional patents at US patent office. In 2014, she has received Innovative Award from Medical Trade and Home Health Care for Product of the Year.
Abstract:
We are currently living in an era of change, at a speed that challenges adaptation. The devastating side-effects of technology has impacted the health of patients and industries hiring the work force generation. Today care if provided for 4 generations, (Baby Boomers, Generation X. Gen Y i.e., Millennials and Gen Z). Their health can impact economic health of a company and a country. Millennials (18-34 year olds) constituted 1/3 of the United States population. The US Census Bureau says there are currently 83.1 million people between the ages 18-34, of which 90% use social media to connect, work, and live their lives. Logging over least 9 hours of screen time every day sets the foundation of RSI (Repetitive Stress Injuries) and effects on MSD (Muscular Skeletal Disorders) such as neck pain, headaches, upper back pain and shoulder pain. This generation is your most valued market. Millennials have certain distinct characteristics that need to be understood to have a care with optimal compliance and results. Learning objectives of this presentation are: How to simplify vast knowledge, posture problems, objectively document change, identify the cause with patient understanding, protocol care for change, and make a dent in economic health of the patient and a global effect on upper cross conditions in ergonomic and economic market of your area.
- Physical Therapy Diet and Physical Health Sports Injury and Rehabilitation
Session Introduction
Erika Cyrus Barker
Santa Paula University, Costa Rica
Title: Prescription of exercise in older adults, physiotherapeutic approach
Biography:
Erika Cyrus Barker is the Chair Director of Physical Therapy Program, Santa Paula University, Costa Rica, and a Physical Therapist with studies in Rehab Sciences. She has completed her PhD in Medical Sciences Research. She has a Master’s in Functional Rehabilitation of Elderly Population. She is also a Researcher in the field of Functional Limitations caused by Chronic Degenerative Diseases.
Abstract:
How to correctly prescribe exercise to elderly population was the problem that needed study. The definition states that, from a functional perspective, a healthy old person is one who is capable of facing the process of change with an adequate level of functional adaptability and personal satisfaction. With advanced age, the older adult can reach a state of vulnerability, fragility, which predates and predisposes the individual to disability and functional dependence, hospitalization and death. The fragility phenotype described by Fried et al. 2001, mentioned by Gine'-Garriga et al., identifies a fragile individual when 3 or more of the following criteria are present; unintentional weight loss, muscle weakness, fatigue or low resistance to small effort, slow gait and low level of physical activity. It constitutes a fundamental decision of the prescription phase of any neuromuscular training program aimed at improving or maintaining health. In addition, the correct analysis or multivariate integration of the exercise selection will allow the identification and progression of the same ones whose motor characteristics are common or very similar and therefore constitute exercises similar and interchangeable with each other to cover the same objectives from the point of view of health and functionality. It is important for the physical therapist to know the essential assessments and goals before prescribing exercise to older adults.
Sameera Aljadi
Kuwait University, Kuwait
Title: Research amongst physical therapists in the state of Kuwait: Participation, perception, attitude and barriers
Biography:
Sameera Aljadi has completed her PhD from University of Pittsburgh in 2004 and Masters in Orthopedic from Old Dominion University in 1998. Currently she is an Assistant Professor at Kuwait University, Faculty of Allied Health Sciences, Physical Therapy Department, State of Kuwait. She is also a Member of the American Physical Therapy Association and Kuwait Physical Therapy Association. She has published several papers in reputed journals over the past 10 years.
Abstract:
Objectives: The objectives of this descriptive study were to investigate the attitudes and perceptions of physical therapists regarding research, the intention to engage in research and the barriers to participating in research amongst physical therapists in the State of Kuwait.
Subjects & Methods: A previously validated questionnaire was distributed to 200 non-randomly selected physical therapists. The questionnaire gathered demographic data as well as information regarding research-related activities. Descriptive statistics, frequency and χ2 analyses were used in this study.
Results: Of the 200 questionnaires distributed to physical therapists, 122 (61%) were completed and returned. The physical therapists had a positive attitude towards reading these findings in order to update their knowledge; however, only 16 (17%) of the physical therapists participated in clinical research. The common reasons given were: Minimal role and reduced ability, intention and level of engagement in initiating research, probably due to work overload, time constraints and limited access to resources.
Conclusions: Physical therapists in Kuwait had a positive attitude towards the application of research findings to their practice. However, they were not confident in initiating research due to work overload and lack of time as well as limited access to library resources. Therefore, we recommend stimulation to engage in research activities to be a requirement and to develop a system to improve the skills and knowledge of doing research.
Senthil Purushothaman
Mohamed Sathak AJ College of Physiotherapy, India
Title: Validation of the UBD musculoskeletal screening chart for use in health care center
Biography:
P. Senthil working has a Professor in faculty of Physiotherapy, Mohamed Sathak A J College of Physiotherapy with a total experience for 15 years in both academic as well as hospital sector. I am Pursuing as a part-time Research scholar of Physiotherapy (PhD) in Vel’s University, India. Interested in the musculoskeletal evaluation and its intervention part which is the common issues in the community. The above mentioned oral presentation topic on this Physician’s 2017 conference will be newer method of evaluation that reveals the primary kinematic causes for the musculoskeletal problems and thereby effective intervention can be decided and implemented in the Physiotherapy field.
E mail ID: senthilp101010@gmail.com
Abstract:
Background & Aim: Neck and shoulder pain can be a disabling and recurrent disorders characterized by periods of remission and exacerbation, so too does the prevalence of musculoskeletal dysfunction (MSD). Even the overactive and underactive muscles in the neck region lead to poor performance of upper extremity function also. The upper body dysfunction (UBD) screening chart was developed to assist in the detection of MSD. Although varying musculoskeletal assessment has been used, components of UBD screening chart had combined kinematic analysis and muscular imbalance due to the recurrent problems. Expanding the UBD screening chart use in health care system may improve the detection of MSD allowing for earlier treatment. The primary goal of this study was to evaluate the use of the UBD screening chart in health care by comparing the results of assessments of orthopedic surgeon with those of physiotherapist.
Methods: Patients from 25-45 years old recruited from an orthopedic health center were examined by an orthopedician and a physiotherapist who recorded the appearance of each participant's posture and the appearance and movement of the shoulder, neck and thoracic spine by deeming them normal or abnormal. UBD scores were compared between the investigators with the proportion of observed (Pobs), positive (Ppos) and negative (Pneg) agreement being the primary outcomes. Kappa statistics were also calculated.
Results: A total of 100 patients consented to participate who were previously diagnosed has MSD. Results showed reasonable agreement between the orthopedician and physiotherapist; Pobs=0.698, Ppos=0.614 and Pneg=0.752. The coefficient of agreement (estimated Kappa) was 0.3675 for the composite UBD score. For individual components of the UBD exam, the highest agreement between orthopedician and physiotherapist was in the assessment of posture and muscle imbalance.
Conclusion: Previously reported recurrent increase in signs and symptoms of musculoskeletal conditions has highlighted the need for a simple yet sensitive screening exam for the identification of musculoskeletal abnormalities. Results of this study suggest that health care practitioners can efficiently use the UBD chart examination in the assessment of populations with a high proportion of musculoskeletal issues.
Recent Publications
- P Senthil, et al. (2015) Effectiveness of global posture re-education on pain and improving quality of life in women with chronic neck pain. International Journal of Physical Education, Sports and Health; 1(4): 07-09.
- Senthil P, Sudhakar S, R Radhakrishnan (2016) Isolated activation of deep cervical flexors in chronic neck pain. Indian Journal of Physiotherapy and Occupational Therapy; 10(2): 121-124.
- P Senthil, R Radhakrishnan (2016) Normative data and intra-reliability of push-pull dynamometer on normal healthy college students. IJHSR ISSN: 2249-9571.
- P Senthil, S Sudhakar, R Radhakrishnan (2016) Effect of thoracic correction exercises in upper body dysfunction of 94-year-old male participant: A case report. Journal of Clinical and Diagnostic Research. 10(12): YD01-YD02.
Nitish Mathew
Anglicare Chesalon Nursing Home, Australia
Title: Aged care physiotherapy: Are we doing it right?
Biography:
Nitish Mathew has completed his Bachelor’s degree from MGM Institute of Health Sciences, India and Master’s degree in Clinical Exercise Physiology from Waikato Institute, New Zealand. Over the years, he has worked in India, New Zealand and Australia as a Physiotherapist and Clinical Exercise Physiologist. He has received various awards for his contributions in sectors of rehabilitation, fitness training and social work. He has published 3 papers and is presently serving as an Aged Care Physiotherapist in Sydney.
Abstract:
Australians have shown a great increase in life span when comparing the statistics of mortality rates since 1890. Credit goes to the higher medical and social standards practiced in the country that helps number of deaths as a result of motor vehicle accidents or heart diseases. But Australia like all other places is facing the challenge to eradicate long term health issues in geriatric population such as stroke, chronic obstructive pulmonary disease, heart diseases, osteoarthritis and osteoporosis. Despite failure in advanced medicine and surgery, physiotherapy helps restore normal health and fitness of individuals with such conditions. On the contrary, the Australian aged populations in the residential or aged care facilities, rural and remote areas are unable to receive regular physiotherapy treatments due to various reasons. Physiotherapy in aged care nursing homes focus on pain management by massage or heat packs, because government does not fund for other important goals of rehabilitation like, balance training, gait training, manipulations or strengthening. On the other hand, an average aged care physiotherapist earns from $60K-$101K annually, yet the number of physiotherapists working in aged care is less than other streams. The reasons behind less physiotherapists opting for aged care are numerous, which causes the undertrained nursing staff to provide pain management to residents in aged care facilities. The purpose of this study is to understand the barriers faced by aged population in Australia to take physiotherapy treatment. The researcher points out the current status of funding for aged care in nursing home and private health centers. The study is a helpful resource for physiotherapists in aged care facilities or those interested to join this field.
Subramanian Makesh Babu
Adhiparasakthi College of Physiotherapy, India
Title: Physical activity level among physiotherapy students in a South Indian college - A cross sectional survey
Biography:
Subramanian Makesh Babu has completed his Bachelor of Physiotherapy degree from Tamil Nadu Dr. M G R Medical University, Chennai and completed Master of Physiotherapy with specialization Orthopedics & Traumatology from Sri Ramachandra University, Chennai, India. Currently he is pursuing PhD. He has been in clinical and teaching Physiotherapy for the past 15 years. Presently he is working as a Professor in Adhiparasakthi College of Physiotherapy in Tamil Nadu, India. He is Peer Reviewer for the African Journal of Health Sciences since 2008. His areas of research interests are physical activity, women’s health, orthopedic and geriatric rehabilitation.
Abstract:
Physical activity is defined as any bodily movement produced by skeletal muscles that require energy expenditure. World Health Organization reports that about 60% of the global population does not do the daily minimum recommendation of 30 min of moderate intensity physical activity. In all developing countries, the levels of inactivity have been becoming virtually high and a great problem even in rapidly growing large cities of the world. According to the World Health Survey reports 9.4% Indian men are physically inactive which is the highest of physical inactivity in the Southeast Asian Region (countries include: India, Sri Lanka, Nepal, Bangladesh, Myanmar) and physical inactivity level of Indian women were reported as 15.6% which is the second place next to Bangladesh (27.0%). The studies performed by various researchers from various countries among college students have been found to have moderate to poor physical activity levels/habits. The primary objective of the study was to find out the level of physical activity among physiotherapy students in a South Indian college setting. Secondary objective of the study was to find out the association between physical activities with selected variables. The study design was a cross sectional survey. A total of 60 participants comprising of 30 male and 30 female students were selected for the study by means of convenience sampling. International Physical Activity Questionnaire (IPAQ) was used to identify the physical activity level of the students. IPAQ assesses physical activity undertaken across a comprehensive set of domains including: (1) Leisure time physical activity (2) domestic and gardening (yard) activities (3) work-related physical activity, and (4) transport-related physical activity. Physical activity levels were correlated with the selected variables. The data obtained from the study concluded that physical activity levels of male students are high compared to female students.
Biography:
Irfan Tifeku has completed his Master of Science in Physiotherapy from University of Medicine in Tirana. He is the Director of the clinic Fizioterapia, a private clinic of the physiotherapy in Prishtina, Kosovo. He has published more than 12 papers in reputed journals and has been part of different conferences and congresses in Kosovo, Albania and abroad in Europe. He has been for two years assistant professor of Kinesiology in the University of Tetovo, in Macedonia. He is specialized in the branch of osteopathy and ultrasound.
irfani_16@hotmail.com
Abstract:
Low-back pain is a common condition that usually improves with self-care. However, it is occasionally difficult to treat. Some health care professionals are trained to use a technique called spinal manipulation to relieve low-back pain and improve physical function (the ability to walk and move). Spinal manipulation is one of several options including exercise, massage and physical therapy that can provide mild-to-moderate relief from low-back pain. Spinal manipulation appears to work as well as conventional treatments such as applying heat, using a firm mattress and taking pain-relieving medications (amp. Artrosilen 160 mg 4x; Galvanic currents). Spinal manipulation sometimes called spinal manipulative therapy is practiced by health care professionals such as chiropractors, osteopathic physicians, naturopathic physicians, physical therapists and some medical doctors. Practitioners perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine. The amount of force applied depends on the form of manipulation used. The goal of the treatment is to relieve pain and improve physical functioning. More recently, a 2010 Agency for Healthcare Research and Quality (AHRQ) report noted that complementary health therapies, including spinal manipulation, offer additional options to conventional treatments, which often have limited benefit in managing back and neck pain. The AHRQ analysis also found that spinal manipulation was more effective than placebo and as effective as medication in reducing low-back pain intensity. However, the researchers noted inconsistent results when they compared spinal manipulation with massage or physical therapy to reduce low-back pain intensity or disability. Researchers are investigating whether the effects of spinal manipulation depend on the length and frequency of treatment. In one study funded by NCCIH that examined long-term effects in more than 600 people with low-back pain, results suggested that chiropractic care involving spinal manipulation was at least as effective as conventional medical care for up to 18 months. However, less than 20% of participants in this study were pain free at 18 months, regardless of the type of treatment used.
Romina Ghassemi D.C.
University of Applied Health and Sciences, USA
Title: A new approach to addressing poor-posture-induced musculoskeletal symptomatology from Head to Toe!
Biography:
Romina Ghassemi D.C. received her Doctorate Degree from the University of Applied Health and Sciences, Whittier Ca, USA, 1995. In 2000 she achieved her specialty in Biomechanics and Spinal Correction.During her practice she and her team have helped hundreds of clients achieve spinal correction leading to better posture and health. Romina Ghassemi is an active speaker on posture awareness and has created a line of home care products to help her patients achieve better posture. She and her team actively participate in health and wellness events at various corporations, local schools, PTA's and Boys & Girls Clubs.
Abstract:
In 2017 patient population’s common denominator is not the flu but technology. Prolonged texting, computer use, sitting and driving are causing a rise in loss of time from work, increased pain and an accelerating rate of degenerative spinal joint diseases.
In this presentation,you can learn the clinical causes of an unhealthy posture and their relationship to the interruption of neural pathways.You can learn how to evaluate complaints of pain and stiffness using a knowledge of biomechanical malfunction and its impact on muscular, skeletal and neural systems.
This is a new approach to patient care as seen through the impact of biomechanics.You can earn the basic steps of patient consultation, bio- mechanical examination and the incorporation of a conservative treatment plan for reducing the underlying causes of spinal symptoms and long term degenerative changes.
This workshop is designed to be informative and easy to understand.