World Physiotherapists & Physicians Summit July 24-26, 2017 Melbourne, Australia

Department of Physical Therapy, Youngsan University

BACKGROUND: Many practitioners recommend step-up and step-down exercises. However, decreased stability of the hip joint and imbalanced muscle activities can alter the biomechanics during these movements. OBJECTIVE: This study investigated muscle imbalance between medial and lateral muscle components and between proximal and distal muscle components by expressing the proportions of muscle activation in the step-up and step-down positions. METHODS: Nineteen subjects participated. Activities of the vastus medialis oblique, vastus lateralis, semitendinosus, biceps femoris, adductor, gluteus medius, and gluteus maximus were assessed. RESULTS: The semitendinosus–biceps femoris ratio was higher in the step-down position than in the step-up position. The adductor–gluteus medius, adductor–vastus lateralis, an adductor–biceps ratios were higher in the step-up position than in the step-down position. The gluteus maximus–biceps ratio was greater in the step-down position than in the step-up position. CONCLUSIONS: Muscle activation in the medial hamstring is greater in the step-down position; in the adductor, muscle activation is greater in the step-up position. The step-down position is more appropriate for those with proximal weakness, which can promote muscle activation in the gluteus maximus while maintaining biceps femoris activation. Key words: muscle balance, hip muscle activities, step-up, step-down

Prof. Czamara is an author and coauthor of 59 scientific articles. Since 2012 he has been an Associate Professor at College of Physiotherapy in Wroclaw, Poland. Prof. Czamara is a specialist in physiotherapy and runs his private practice as an physiotherapist. Since 1997 professor has been managing the Rehabilitation Centre in Wroclaw. He founded the College of Physiotherapy in Wroclaw where he has been an academic teacher since 1999. Since 2010 prof. Czamara has been the President of College of Physiotherapy located in Wroclaw. Email: a.czamara@wsf.wroc.pl

Statement of the Problem: The efficiency of walking is often the focus of therapeutic interventions for patients with cerebral palsy (CP) as its decrease has been shown to be predictive of reduced capacity for activity, participation and social interaction. To date, there are some general findings about the effect of Nordic Walking (NW) training, however none of them advocate to patients with CP. The aim of the study was to assess the effect of a NW training on a march on a treadmill ergospirometry parameters and a heart rate in a patient with CP. Methodology: The studied patient was a 16 years old male with spastic diplegia, with neurological signs in both lower limbs, but without functional involvement of upper limbs and no mental retardations. Five times a week for 12 weeks, the patient performed 40-minutes long NW training. The training was being monitored using application installed on a smartphone and saved on the user account, to which access was allowed to the researchers. The patient underwent the ergospirometry test using the MetaLyzer 3B-R3 device. The measurement was performed twice: before (PRE training) and after (POST training) the 12-week long training. The obtained values of walking time, maximal walking speed, Maximal Oxygen Consumption; Oxygen Consumption normalized to patient’s body mass; Carbon Dioxide Production, Pulmonary Ventilation, and a maximal heart rate were analyzed. The differences in studied parameters between the first and the second measurement were expressed in percenters (%). Findings: The intra-measurement comparison revealed an improvement of studied parameters (Table 1). Conclusions: The applied 12-week long NW training improved ergospirometry parameters with HR max remaining on the same level as an effect of positive adaptation to an exercise with higher load. The increase of walking efficiency after application of a NW training in CP patients should be studied on a larger sample.

Degrees Hold: PhD: Physical Therapy for surgery PhD: Field: Physical Therapy for surgery. 2009.  Awarded by: Cairo- University MSc: Field: Physical Therapy for surgery. 2005.  Awarded by: Cairo- University BSc: Field: Physical Therapy- 1998  Awarded by: Cairo- University Current Position: Assis.prof. of physical therapy and acting chairman department of basic science. Previous occupations and Experience: 1. Demonstrator in Faculty of Physical Therapy, 6 Oct. University, 1999-2005. 2. Assistant Lecturer in Faculty of Physical 6 Oct. University, 2005-2009. 3. Lecturer in Faculty of Physical Therapy, 6 Oct. University, 2009 till 2014. 4. Consultant of Electromyography in 6 Oct. University Hospital, 2007 till now. 5. Lecturer of Electromyography Faculty of Physical Therapy, 6 Oct. University, 2009 till 2014. 6. Assistant professor of physical therapy for surgery – O6U – from 7/2014 till now. Academic Title: M. Sc. PT: “Pressure Garment Versus Deep Friction Massage in Controlling Postburn Hypertrophic Scar 2005”. PhD PT : “Electrophysiological Responses to Neuromuscular Electric Stimulation In Postburn Tarsal Tunnel Syndrome 2009”. Post Graduate and Research Activities:  10 Researches and 20 Scientific Conferences and 11 Work Shops. Authored Books:  2 books for student (AL ZOHEIRY THERAPEUTIC EXERCISE – PHYSICAL THERAPY FOR BURN AND PLASTIC SURGERY) Published Papers: Author or co-author of (7) papers published in refereed local and international journals and conferences. Other Socio Academic Activities: Director of internship year, Faculty of physical therapy, October 6 University, Egypt 2011- 2014. Director of credit hours academic guidance, faculty of physical therapy, October 6 University 2013 till now.

Background: Hand repetitive occupational motions have been linked with raised incidence of Carpal Tunnel Syndrome (CTS) which is characterized by deterioration of median nerve function. A change in wrist & fingers position has been associated with disruption in median nerve function. Purpose of study: The purpose of this study was to investigate the influence of wrist and fingers position on median nerve distal latency responses in healthy subjects. Subjects: Sixty healthy participants aging between 30 to 50 years from both sexes were randomly assigned into 1 study group. Methods: Measurements of median nerve motor distal latency using nerve conduction study from neutral wrist, 60º wrist extension and 60º wrist flexion positions, measurements of median nerve sensory distal latency from fingers extension and fingers flexion positions. Results: Wrist extension was displayed as the most convenient position as it showed significant difference when compared with other wrist positions. Fingers extension position was displayed as the most convenient position as it showed significant difference when compared with fingers flexion position. Conclusion: Wrist and fingers extension position was the most convenient position for assessment of median nerve. Both sensory and motor distal latencies were optimized in extension position when compared with other wrist & fingers position. Also preventing repeated and prolonged wrist and fingers flexion may reduce risk of carpal tunnel syndrome.

Dhwani D. Dakoria joined South Gujarat Medical Education & Research Center - S.P.B. Physiotherapy College, Surat in 2011 and completed her Bachelors in Physiotherapy in 2014. She has worked in various hospitals such as BAPS, Unique, Anand, Mahavir Trauma, Ayurvedic, Harekrishna, Prannath, Love & Care, Nirmal Children’s hospital as part of her posting. Her internship period spanning 6 months has been recorded at prestigious hospitals such as Shalby Hospitals, Hope Neuro Hopsital and Wockhardt Hospitals. She commenced her Masters in Musculoskeletal Science in Ashok & Rita Patel Institute of Physiotherapy, which is affiliated by CHARUSAT University. Recently, she attended the Indian Association of Physiotherapy conference held in Ranchi on 3rd-5th February 2017 and also participated in Physio Quiz in which she won the 1st prize for her performance. She has also done a workshop on Mulligan concept and has become a Certified Manual Therapist (COMT). She is scheduled to complete her Master’s in June, 2017 and then develop a career as per her set objectives

A smart phone is a hand-held & pocket-size device which is used by more than 1.5 billion people around the world. Smartphone addiction magnitude in Indian adolescents ranged from 39% to 44% which may affect interpersonal skills, health risks, harmful psychological effects, restricts their hand function because of the phone design layout. In India, limited studies have been reported on Smartphone usage and its effects on musculoskeletal problems. So, the objective of the study is to determine the association of self- perceived excessive smartphone usage & grip strength in young adults. And, to determine if there is any difference of grip strength of smart phone used hand.