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

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.

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.

aljadis@hsc.edu.kw

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.

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:

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.

physionitish3190@gmail.com

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.

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.

makeshpt@yahoo.co.in

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.

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.

Biography:

Gunnel A L Berry is the Member of the Chartered Society of Physiotherapy in the United Kingdom and had completed her training at the Middlesex Hospital London in 1974. She has completed her MSc degree in Advanced Physiotherapy at the University College London in 1995 and a Post Graduate Certificate in Research Methodology at University of Brighton, UK in 2006. She has completed her Reflexology training at the Bayly School of Reflexology in 1989. She has published papers in various journals, worked with Nova publication and recently self-published a book about AdRx containing numerous case studies. Although retired from her clinical practice she remains the Research and Educational Officer for the Health Professionals in Reflex Therapy, UK.

gunnel.berry1@gmail.com

Abstract:

Adapted reflextherapy, AdRx, has been used by the author as a physiotherapy treatment in the National Health Service (UK) and Private Practice to relieve acute and persistent musculoskeletal pain for over 20 years. The therapy is applied with manual pressure and mobilizing techniques on the feet to assist physiological and anatomical changes in context of persistent global musculoskeletal pain. While AdRx facilitates pain relief it has also been found to improve spine mobility and improve quality of life. AdRx is founded on practice based evidence using clinical measures to assess changes pre and post intervention. Emphasis is made on the rationale of neuro-physiological plasticity within cautious and safe practice. This workshop demonstrates AdRx including clinical reasoning of the hypothesis underpinning the technique.

Biography:

Romina Ghassemi D C has received her Doctorate degree from the University of Applied Health and Sciences, USA in 1995. In 2000, she has obtained 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. She is an active speaker on posture awareness and has created a line of home care products to help her patients achieve better posture.

romina009@gmail.com

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 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 learn the basic steps of patient consultation, biomechanical 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.

Biography:

Venasio Ramabuke is pursuing his Master of Education from the University of the South Pacific. He is currently a Lecturer for the Physiotherapy program at the College of Medicine, Nursing, and Health Sciences-Fiji National University. He completed his basic Physiotherapy at the Fiji School of Medicine in 2001, before completing his Bachelor’s degree in Sport and Exercise Science from the University of the Sunshine Coast, Queensland. He has been working as a Clinical Physiotherapist prior to taking up an academic role.

vnsramabuke@yahoo.com.au

Abstract:

Clinical reasoning is a key competency in any physiotherapy clinical education academic program. A clear and structured thought process informing practice is critical in the clinician’s ability to make good decisions. 41 undergraduate physiotherapy students, in their 3^rd and 4^th year from the Fiji National University were assessed on their ability to make decisions on ill-defined cues via clinical vignettes. The Script Concordance Test (SCT) with the pass mark standardized at one standard deviation from the class mean score was the assessment tool used to analyze diagnostic clinical reasoning in undergraduate physiotherapy students. Third year students demonstrated a mean score of 59.32%±8.03 while the fourth years scored a slightly higher mean score of 64.97%±10.17 in concordance to the reference norms set by the expert clinicians. There were no significant differences between the 3^th to 4^th year (p value=0.29) and the 3^rd year to the expert (p value=0.40) scores. There were also no significant differences in the 4^th year to the expert (p value=0.55) scores. Increasing exposure to clinical experience may have had some effect on increasing levels of clinical reasoning but was not significant. An exposure to an environment that allows for harnessing of thinking skills may be more important in leveraging clinical making abilities. Interventions that help students make good decisions is crucial in training them to be good clinicians. The SCT is a valid assessment tool for psychometric analysis of clinical reasoning amongst physiotherapy students.

Biography:

Abulkhair M Beatti is the Director of Armed Forces Centre for Health Rehabilitation and Consultant Physiotherapy, Taif, Saudi Arabia. He is also a Collaborate Lecturer at Dammam University, Saudi Arabia. He has completed his BSc and MSc at King Saud University, Saudi Arabia and a PhD in Physiotherapy at University of Queensland, Australia. His research focuses on the study of various aspects of interferential therapy in the management of pain. His current investigations also relate to elucidating the effect of interferential therapy on pain while using different arrangement of electrodes in relation to the pain spot.

Abstract:

Statement of the Problem: Interferential therapy (IFT) has been applied in a quadripolar way so that the two currents intersect in the painful area. Clinically, no clear reduction effect of pain has been confirmed with this application method of IFT. Experimentally, the highest voltage of IFT is being induced outside the intersection area of the two used currents. Thus, it is probably true that placing the painful area outside the intersection spot of the two currents would reveal a significant pain reduction which was investigated in this study.

Methodology & Theoretical Orientation: A double-blind placebo-controlled clinical investigation on 168 subjects with sub-acute low back pain subjects was carried out. Participants were randomly assigned to: (1) External IFT (painful spot was at 2 cm outside of the outer borders of the electrodes), (2) Placebo external IFT, (3) Traditional IFT (painful spot was at the crossing area of the two currents), and (4) Placebo traditional IFT. Groups 1 and 3 received 20 min of IFT at 100 Hz and comfortable stimulation intensity. Groups 2 and 4 received sham IFT for 20 min. Before and immediately after IFT session, pain severity, pressure threshold (PPT) and distribution were assessed using visual analogue scale (VAS), algometer and distance from pain source, respectively. Distance from the tip of middle finger to the ground during forward trunk flexion determined range of motion (ROM).

Findings: VAS and ROM improved with all groups, PË‚0.001 and P=0.04 respectively. No statistical differences appeared between groups, for VAS P=0.15-0.95 and for ROM P=0.10-0.83. True IFTs improved VAS and ROM to same extent. There was a trend of better VAS reduction with true IFTs compared to placebos. Oppositely, PPT and pain distribution did not significantly change with any of the groups, P=0.11 and P=0.48 respectively. Significant statistical difference between groups was in favor of placebo groups; for PPT (P=0.01) and for pain distribution (P=0.04). True IFTs changed PPT and pain distribution closely.

Conclusion & Significance: This study failed to show neither real pain reduction effect of IFT nor difference between traditional and external applications. None of the pain outcome measures assessed here, nor the ROM were affected by IFT. That is because, both true and placebo applications reduced pain and improved the ROM to same extent. However, there was a trend of superiority of true applications to both placebos for reducing pain severity

Recent Publications

Beatti A, Tucker K, Chipchase L (2012) A double-blind placebo-controlled investigation into the effects of interferential therapy on experimentally induced pain. Int. Musculoskelet Med.; 34: 115-122.

2. Beatti A, Rayner A, Souvlis T, Chipchase L (2010) A systematic review of the analgesic effect of interferential therapy on clinical and experimentally induced pain. Phys. Ther. Rev.; 15: 243-52.Beatti A, Rayner A, Chipchase L, Souvlis T (2011) Penetration and spread of interferential current in cutaneous, subcutaneous and muscle tissues. Physiotherapy; 97: 319-26.

Biography:

Deborah Hilton has qualifications of BPhty and an MPH. Her dissertation was an analysis of the Australian Diabetes Screening Study, and this was published in the Medical Journal of Australia.

deborah.hilton@gmail.com

Abstract:

Statement of the Problem: Physiotherapists utilize evidence-based physiotherapy/medicine principles routinely and hence need to interpret literature and research evidence being outcomes reported in systematic reviews and randomized controlled trials quickly and efficiently. Subsequent decision-making involves using this evidence in conjunction with their professional expertise and experience as it relates to individual patients. Various statistics and summary measures are reported in the literature and outcomes may be continuous or dichotomous in nature and hence reported statistics vary. Commonly calculated statistics include the relative risk, relative risk reduction and absolute risk reduction. The number needed to treat [NNT] statistic is another option that may aide interpretation and this describes the number who need to be treated with the intervention for one to improve whom would not have improved otherwise with control treatment. While reported to varying degrees in the scientific literature more recently it can be efficiently and reliably calculated using one of many downloadable spreadsheets.

Methodology: The Australian Physiotherapy Evidence Database (PEDro) was searched in order to locate a selection of physiotherapy research articles that reported various dichotomous outcomes that could be converted to the NNT statistic for the purpose of this analysis.

Findings: The NNT statistic for nine studies with a PEDro score³6 was calculated using the Internet-based downloadable spreadsheet on the PEDro website. For six studies, the NNT point estimates ranged from 2 to 4 (95% confidence interval 1-10). One study had a NNT of 8, while two other studies produced number needed to harm values.

Conclusion & Significance: The NNT can be calculated quickly and efficiently using Internet-based calculators and/or other decision-making tools, and may be an alternative that provides readily interpretable information to assist in conveying the likely benefits (and/or risks) of treatment to patients.

Recent Publications

1. 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: 588-591.

2. Hilton D J (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: 1208-1212.

3. 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.

4. Hilton D, Reid C, Paratz J (2006) An under-used yet easily understood statistic: The number needed to treat. Physiotherapy; 92: 239-245.
5. 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: 91-100.

Biography:

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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 χ(2) 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.

Biography:

S. Makesh Babu has completed Bachelor of Physiotherapy from The Tamil Nadu Dr.M.G.R.Medical University, Chennai and completed Mater of Physiotherapy with Specialization - Orthopaedics & 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 Professor in Adhiparasakthi College of Physiotherapy, Tamil Nadu, India. He has received “Award of Professional Excellence” in 5^th National Physiotherapy Conference (2017) Organized by School of Physiotherapy, VELS UNIVERSITY, Chennai, India and had received Dr. M.G. Mokashi “Best Physiotherapist Best Teacher Award” in the National Level Physiotherapy Conference - PHYSIO-CON 2016, Srinagar, India. He is a peer reviewer for the African Journal of Health Sciences since 2008 and has been co-author of research papers for National and International academics. His areas of research interests are Physical Activity, Women’s Health, Orthopaedic and Geriatric Rehabilitation.                           

Email: makeshpt@yahoo.co.in

Abstract:

Abstract

Statement of the Problem/Background: Physical activity is defined as any bodily movement produced by skeletal muscles that require energy expenditure. World Health Organization (2002) reports that about 60% of the global population do 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, Srilanka, 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 the various researchers from various countries among college students have been found to have moderate to poor physical activity levels/habits.

Objectives of the study: 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 activity with selected variables.

Methodology: 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: (a) leisure time physical activity (b) domestic and gardening (yard) activities (c) work-related physical activity (d) transport-related physical activity. Physical Activity levels were correlated with the selected variables. Conclusion: The data concluded that physical activity levels of male students are high compared to female students.

 References

J. Baran et al. (2016) Physical activity of physiotherapy students of the University of Rzeszów and its impact on the subjects’ body composition. The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282.

Humeda S. Ahmed, Mohammed E. M. Khalid, Osama M. Osman, Mansour A. Ballal,¹ and Fahaid H. Al-Hashem (2016) The association between physical activity and overweight and obesity in a population of children at high and low altitudes in Southwestern Saudi Arabia. J Family Community Med. 2016 May-Aug; 23(2): 82–87.

Roshini Rajappan, Karthikeyan Selvaganapathy, Lola Liew (2015) Physical Activity Level Among University Students: A Cross Sectional Survey. International Journal of Physiotherapy and Research, Vol 3(6):1336-43. ISSN 2321-1822.

A. Mihailova, I. Kaminska, and A. Bernane (2014) Physical activity in physiotherapy and physical education high school students. SHS Web of Conferences 10, 00025.

Regina Guthold, MPH, Tomoko Ono, MPH, Kathleen L. Strong, PhD, Somnath Chatterji, MD, Alfredo Morabia, MD, PhD (2008) Worldwide Variability in Physical Inactivity A 51-Country Survey. Am J Prev Med 34(6):486-94.

Biography:

Muhammad Usama Khalid Student, Second year (Doctor of Physical Therapy) Participant Pakistan Society For Rehabilitation Of Disabled from Pakistan

Abstract:

Pakistan is a developing country with 29.5 per cent of the people living below poverty line. Habits of the people are largely diversified; there is no availability of footwear for 15 per cent of the people due to financial constraints and cultural habits. Medical practitioners in Pakistan hardly have digital records, but keep written records. I found it very difficult to interview 10 renowned practitioners in Lahore, but when I did I was satisfied that 20 patients had been treated by theses practitioners. The research concludes that one out of 13 patients visiting physiotherapist or orthopaedics complained about pain in the heel, stiffness and restricted range of motion (ROM), medically called plantar fasciitis. Plantar fasciitis is a most common complaint by people with chronic pain under their heels. This was most common in 50 percent of patients owing to shoes with hard soles, high heels for women, uneven roads, trauma, activities involving weights or in athletes. Plantar fascia is a thick connective tissue (aponeurosis) that supports the arch on the bottom of the foot. It runs from calcaneal tuberosity forward to the head of metatarsal. Due to overuse, plantar fascia can get inflamed. The most common way is to suggest heel pad cushion, slight stretching ultrasonic, cold pack and rest. If not cured, a patient is suggested to use anti-inflammatory drugs. The disease in Lahore is most common among labourers, athletes, diabetics and osteoporotic patients. The disease is most common in women with 1:10.

Biography:

Dedicated PT with over 9 years of acute care experience with history of exemplary ratings on performance reviews.Solid credentials that include licensure of PTA for New York(USA),BLS & lifesaving services certifications and masters degree in neurology(PT).Currently pursuing PhD from Amity University.Has worked with Manipal hospital,Bangalore,Holy family hospital,Delhi and many more.She taught in RPIIT,karnal and is now working in SGT University as assistant professor in faculty of physiotherapy.This year submitted two researches in leading journals,their result is awaited. Background includes work with pediatric,adolescent,adults and geriatric population.Well versed in broad range of PT programs ,treatments,& modalities,restoring function and mitigating disability in diseased and injured patients.Excellent interpersonal and communication skills and proficiency in patient assessment, time management and therapy program design and execution.Enthusiastic team player deeply committed to delivering quality care and achieving superior patient outcomes as a member of multidisciplinary case management team.     
 

Abstract:

Researchers have been exploring the brain structures involved in motor imagery for over two decades.Understanding brain plasticity after stroke is important in developing rehab strategies.MI is a cognitive process in which a subject imagines that he/she performs a movement without actually performing the movement and without ever tensing the muscles.MI involves activation of neural system while a person imagines performing a task or body. A plethora of neuroimaging studies have demonstrated that the cortical and subcortical regions activated during MI tasks substantially overlap with those involved in movement execution.Generally portions of cerebral cortex considered to be involved with motor control include the primary motor cortex(M1),supplementary motor area(SMA),and pee motor cortex(PMC).MI induced brain activity typically involves premofor , SMAs & PMCs. Objective:To evaluate effect of MI on gait & balance in stroke patients.Design:RCT.Subjects:A total of 30 patients with gait & balance dysfunction after first ever stroke were randomly allocated to a motor imagery training group and a conventional group.Methods:MI group relieved 5 days each in 3 weeks mental practice followed by conventional therapy & control group relieved 5 days each in 3weeks only conventional therapy/exercises.MI group was shown a video showing normal movements before each session.Each week had a separate video comprising normal movements.Patients viewed and imagined the same.Videos were shown and repeated to help patients imagine the right and specific movements inflencing their gait & balance.Motor imagery was evaluated based on questionnaire KVIQ and gait & balance were assessed based on tinneti performance oriented mobility assessment scale.Result:MI was found significantly useful improving gait & balance in post stroke hemiparetic population.

Biography:

Ibrahim M. Zoheiry has completed his PhD from faculty of physical therapy, Cairo University in 2009. Master in physical therapy for burn and plastic surgery, currently he is associate Professor, faculty of physical therapy, October 6 University, Chairman of Basic Science department for physical therapy. He published several papers in reputed journals in addition to various books.

Abstract:

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.

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 degree in Functional Rehabilitation of Elderly Population. She is also a Researcher in the field of functional limitations caused by chronic degenerative diseases.

ecyrus@uspsantapaula.com

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.

Biography:

S. Makesh Babu has completed Bachelor of Physiotherapy from The Tamil Nadu Dr M.G.R.Medical University, Chennai and completed Master of Physiotherapy with Specialization - Orthopaedics & 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 Professor in Adhiparasakthi College of Physiotherapy, Tamil Nadu, India. He has received “Award of Professional Excellence” in 5^th National Physiotherapy Conference (2017) Organized by School of Physiotherapy, VELS UNIVERSITY, Chennai, India and had received Dr. M.G. Mokashi “Best Physiotherapist Best Teacher Award” in the National Level Physiotherapy Conference - PHYSIO-CON 2016, Srinagar, India. He is a peer reviewer for the African Journal of Health Sciences since 2008 and has been co-author of research papers for National and International academics. His areas of research interests are Physical Activity, Women’s Health, Orthopaedic and Geriatric Rehabilitation.

Email: makeshpt@yahoo.co.in

Abstract:

Abstract

Physical inactivity is a term used to identify people who do not get the recommended level of regular physical activity. Physical inactivity has a major health impact on the world. In all developing countries, the levels of inactivity are becoming virtually high. Physical inactivity is the fourth leading risk factor for the global mortality. Globally, around 31% of adults aged 15 and over were insufficiently active in 2008 (men 28% and women 34%) and approximately 3.2 million deaths each year are attributable to insufficient physical activity. Elimination of physical inactivity would remove between 6% and 10% of the major Non Communicable Diseases of Coronary Heart Disease, type 2 diabetes, and breast and colon cancers, and increase life expectancy. In 2008, prevalence of insufficient physical activity was highest in the WHO Region of the Americas and the Eastern Mediterranean Region. Almost 50% of women were insufficiently active, while the prevalence for men was 40% in the Americas and 36% in Eastern Mediterranean.

41 % of men and 48 % of women being insufficiently physically active in high-income countries compared to 18 per cent of men and 21 per cent of women in low-income countries. Various cross-sectional and longitudinal research have established certain positive relationship between participation in moderate-to-vigorous physical activity (PA) and increase in cardiovascular and musculoskeletal fitness, weight management, and reduction of adult-like risk factors such as obesity and high blood pressure for chronic diseases. Adults aged 18–64 should do at least 150 minutes of moderate-intensity aerobic physical activity throughout the week or do at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week or an equivalent combination of moderate- and vigorous-intensity activity. The current levels of physical inactivity are partly due to insufficient participation in physical activity during leisure time and an increase in sedentary behavior during occupational and domestic activities.

 Recent Publications

WHO: Prevalence of insufficient physical activity (2016) Available from: http://www.who.int/gho/ncd/risk_factors/physical_activity_text/en/

I-Min Lee et al. (2012) Impact of Physical Inactivity on the World’s Major Non Communicable Diseases. July 21; 380(9838): 219–229.

Mendis S, Puska P, Norrving B. (2011) Global Atlas on Cardiovascular Disease Prevention and Control. World Health Organization (in collaboration with the World Heart Federation and World Stroke Organization), Geneva.

World Health Organization (2010) Global Recommendations on Physical Activity for Health. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/

Görner, K. et al. (2009) Physical Activity, Body Mass, Body Composition and the Level of Aerobic Capacity among Young, Adult Women and Men. Sport Scientific Practical Aspects International Scientific Journal of Kinesiology. Vol.6(2):7-14.

Biography:

Anum Haider Ladak has completed her MSc from Liaquat National Hospital in Neuro Musculoskeletal Rehabilitation. She is working as a Physiotherapist in Aga Khan Hospital, Pakistan.

anumladak@hotmail.com

Abstract:

Background: Hypertension is the leading cardio vascular problem worldwide. Hypertension persist in the patient for a long time without any symptom which results in weakening of coronary vessels. Hypertension is a major risk factor for stroke, neuropathy and coronary artery disease. Increased blood pressure and lack of exercise are strongly associated with each other.

Aim & Objective: The purpose of this study was to explore the effectiveness of lower limb (cycling) and upper limb exercises (arm stretch trainer) in reducing blood pressure in hypertensive patients.

Method: Case control study was performed on 80 participants with the age between 40-60 years. Participants taken for the study were divided into two groups. Group A with 40 participants were receiving upper limb exercises and the Group B with 40 participants were receiving lower limb exercises. Total 10 sessions of both type of exercises were administered.

Result: A statistically significant difference was found in systolic and diastolic pressure before and after the exercises. Systolic blood pressure was reduced to 133.95±4.187 after lower limb exercise and 171.800±5.616 after upper limb exercise. Whereas, diastolic blood pressure was reduced to 84.500±2.83 by using lower limb cycling exercise and 92.27±3.40 by using upper limb exercise. T test result shows p value less than 0.005 of both systolic and diastolic blood pressure.

Conclusion: Both the exercises have impact in reducing blood pressure but patients who want quick recovery should go for lower limb exercises.

Biography:

Muhammad Usama Khalid is currently a student of the five year professional degree program of the Doctor of Physical Therapy.

khalidpak284@yahoo.com

Abstract:

Pakistan is a developing country with 29.5% of the people living below poverty line. Habits of the people are largely diversified. There is no availability of footwear for 15% of the people due to financial constraints and cultural habits. Medical practitioners in Pakistan hardly have digital records, but keep written records. I found it very difficult to interview 10 renowned practitioners in Lahore, but when I did, I was satisfied that 20 patients had been treated by these practitioners. The research concludes that one out of 13 patients visiting physiotherapist or orthopedics complaining about pain in the heel, stiffness and restricted range of motion (ROM), medically called plantar fasciitis. Plantar fasciitis is a most common complaint by people with chronic pain under their heels. This was most common in 50% of patients owing to shoes with hard soles, high heels for women, uneven roads, trauma and activities involving weights or in athletes. Plantar fascia is a thick connective tissue (aponeurosis) that supports the arch on the bottom of the foot. It runs from calcaneal tuberosity forward to the head of metatarsal. Due to overuse, plantar fascia can get inflamed. The most common way is to suggest heel pad cushion, slight stretching ultrasonic, cold pack and rest. If not cured, a patient is suggested to use anti-inflammatory drugs. The disease in Lahore is most common among laborers, athletes, diabetics and osteoporotic patients. The disease is most common in women.

Biography:

Ibrahim M Zoheiry has completed his PhD from Faculty of Physical Therapy, Cairo University in 2009 and Masters in Physical Therapy for Burn and Plastic Surgery. Currently he is an Associate Professor at Faculty of Physical Therapy, October 6 University and Chairman of Basic Science Department for Physical Therapy. He has published several papers in reputed journals in addition to various books.

ibrahim.alzoheiry@hotmail.com

Abstract:

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.

Biography:

So-Hyun Park has received her Bachelor, Master and PhD degrees in field of Physical Therapy from Daegu University in South Korea. She has worked as a Physical Therapist and Researcher at Kyungpook National University Hospital and Yeungnam University Hospital from 2006 to 2012. Currently she is an Associate Professor of the Youngsan University in South Korea and is a Chief Researcher in government funded project. Her major research interests include the lower extremity biomechanics for knee malalignment syndrome, spinal biomechanics and segmental stabilization and gait and posture, etc.

Abstract:

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 (19) subjects participated. Activities of the vastus medialis oblique, vastus lateralis, semitendinosus, biceps femoris, adductor, gluteus medius and gluteus maximus were assessed.

Results: The semitendinosus and biceps femoris ratio was higher in the step down position than in the step up position. The adductor and gluteus medius, adductor and vastus lateralis, an adductor and biceps ratios were higher in the step up position than in the step down position. The gluteus maximus and biceps ratio was greater in the step down position than in the step up position.

Conclusion: 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.

Biography:

Dhwani Deepak Dakoria has 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. Her Internship period spanning 6 months has been recorded at prestigious hospitals such as Shalby Hospitals, Hope Neuro Hopsital and Wockhardt Hospitals. She has commenced her Masters in Musculoskeletal Science in Ashok and Rita Patel Institute of Physiotherapy, which is affiliated by CHARUSAT University.

dhwanidakoria1905@gmail.com

Abstract:

Statement of the Problem: 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

Purpose of the Study: The purpose 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.

Methods: In this preliminary cross sectional study, 30 college student volunteers of age 19-29 were selected with convenient sampling and divided into 2 groups (n=15 in each group) as per smartphone addiction score–short version (SAS-SV) with cut off score (Group A = SAS-SV Score > 31/60 for males; >33/60 for females & Group B≤31/60 for males and <33/60 for females. SAS-SV and hand dynamometer were used once as an outcome measure.

Findings: There was negative association among SAS-SV score and hand dynamometer score in group A (r=-0.282) and positive association in group B (r=0.120). There was significant association of self-perceived smartphone addiction and SAS-SV score of overall participants (r=-0.567, p=0.001). There was no significant difference in hand dynamometer score of smart phone used and non-used hand in both the group (p>0.05).

Conclusion: The self-perceived excessive smartphone usage is associated with the change in grip strength among young adults. The grip strength of smartphone used hand is not different from the non-used hand.