Day 2 :
- Physiotherapy
Location: Radission Narita Hotel
Session Introduction
Er D . Petil Jr.
Manila Central University, Philippines
Title: Comparative Analysis of Virtual Reality Versus Progressive Resistive Exercises in Improving Arm function of Patients With Hemiplegic in Bacoor, Cavite
Biography:
Er D . Petil Jr.Associate Professor III in Physical Therapy, Lecturer in Manila Central University, St Dominic College of Asia, New Era University. Master Degree in Special Education and Doctor of Philosophy student at the University of The Philippines. Bob O. Jimenez, Program Chair of Physical Therapy St Dominic College of Asia. Darwin Panganiban, Assitant Professor , Physical Therapy St Dominic College of Asia. Lachica,LM., Catacutan, J., Logronio, AY. Physical Therapy students at St. Dominic College of Asia.
Abstract:
Virtual Reality (gaming console) and Progressive Resistive Exercises (PREs) have emerged as recent treatment approaches in stroke rehabilitation. In particular, the Game console is used to aid in portraying and calculating body positioning, visual perception, balance, and gross motor skills while PREs is a strengthening technique that basically used by the Physical Therapist in treating impairments particularly muscle weakness. PRE’s can be administered via different forms; the study utilized PNF D1 Flexion, Extension patterns through resistive bands. The principle states to improve muscle performance and functionality that it should exceed the metabolic capacity of the muscle and challenged to perform at a level greater than to which it is accustomed. To improve the arm function of patients with Hemiplegic by using new dimensional approach. Quasi Experimental Group Pre and Post test Design is used in the study. Retrospectively, all the post-stroke patients who are at the age range of 40-70 years old were reviewed with selection criteria and been oriented with informed consent. Fifteen participants were randomly array into three variable groups, the two groups will be distributed to the experimental group and that will represents the Nintendo Wii and the PREs group. The remaining group will represent the control group which will undergo stretching technique and range of motion exercises (ROM) in the upper extremity. They were subjected into 15 treatment sessions and assessed two times by using the Modified Fugl-Meyer Assessment of Physical Performance for the functional mobility of the affected upper extremity of the post-stroke patients. Assessment was imposed before starting our first the treatment session and after the final session.The Modified Fugl-Meyer Assessment of Physical Performance demonstrates that Virtual Reality has the highest mean scores among all the interventions done with a M=55.80, SD=2.168 followed by the PRE’s (M=48.20, SD=6.340), and lastly the control group which is the lowest post-test mean score (M=40, SD=1.581).There is a significant difference on the post-test scores of the PRE’s as compared to Virtual Gaming Console. With the computed significant value of p=0.035 suggests to accept the Null hypothesis. This shows evidence that Gaming Console is a far more effective treatment than PREs for post-stroke patients in improving the mobility of the affected upper extremity.
Biography:
Mr. Thimothy lance V. Tuppil, 4th year College Student taking Bachelor of Science in Physical Therapy of St. Dominic College of Asia
Abstract:
Cardio-pulmonary endurance is referred to the ability of the heart, lungs and circulatory system to deliver oxygen to working muscles for sustained periods of time. A cardiorespiratory endurance training program should include activities that elevate the heart rate and involve the body’s large muscle groups. Most of the Elderly people in the Philippines are in demand of having Physical Rehabilitation which the researchers gather information’s that most of the Elderly populations are having problems such as easily fatigue and acquired diseases. The Portable Virtual Reality Box is an artificial environment that is created with software and presented to the user in such a way that the user suspends belief and accepts it as a real environment. A Portable Virtual Reality comes naturally from the definitions for both virtual and reality. Aerobic Exercises is also known as cardio exercise that requires pumping of oxygenated blood by the heart to deliver oxygen to working muscles. It also stimulates the heart rate and breathing rate to increase in a way that can be sustained for the exercise session.
The Methodology that has been used is Quasi experimental using purposive sampling technique in thirty(30) participants in area Bacoor Cavite. The researcher gather the participants into (2) groups. The first (15) fifteen will be using Portable Virtual Reality Box and the second (15) fifteen will be using aerobic exercises. The study will be having (15) treatment sessions for (30) thirty minutes allotted time in each session in 5 weeks, there will be (1) one day interval per treatment session in every morning. The intervention of the study will be using RPE’s Borg’s scale and 6-minute walk test for pre and post assessment.
The results using the RPE’s Borg’s scale on pre-test is and post-test mean score in using Portable Virtual Reality Box and Aerobic Exercises. In the pretest the Virtual reality aerobic exercises , and Zumba aerobic exercises has mean of -.533 has no significant difference .Yet at the post test sig. of 0.004 , with a p-value of 0.05 There is a significant difference between the post test scores of the control group and the experimental group. thus reject the null hypothesis.
The researcher concluded that after 15 treatment session the utilization Portable Virtual Reality Aerobic exercise is more effective than Zumba Aerobic exercises in improving the Cardio-pulmonary endurance in the area of Cavite.
Geetha Kayambu
National University Hospital, Singapore
Title: Can Early Physical Rehabilitation Modulate Underlying Pathological Mechanisms in Critical Illness?
Biography:
Dr Geetha Kayambu is Research Director and Senior critical care research Physiotherapist at the Department of Rehabilitation at the National University Hospital. She obtained her PhD at the School of Medicine, UQ, Australia in 2015. She is accredited Clinical Supervisor by the Allied Health Professional Council and a Member of the Society of Intensive Care Medicine. She has authored peer reviewed publications and an invited speaker at national and international physiotherapy and medical conferences. Geetha has been instrumental in promoting research interests amongst physiotherapists in NUH. Her research interests include novel updates in critical care management. Geetha is site principal investigator for research projects, oversees the direction of potentially high-impact research in physiotherapy and motivates research collaborations both local and overseas in the rehabilitation department in NUH, mentors staff clinically and in research and continues supervision of junior staff in the cardiothoracic intensive care unit for over 10 years.
Abstract:
Critical care management is multi focal which can confound into multiple pathology requiring multiple pathways of recovery. An estimated 2% to 11% of critically ill patients require prolonged stays in the ICU accounting for 25-45% of total ICU days. Acute muscle wasting is directly correlated with systemic inflammation during critical illness and patients with multi-organ failure can suffer muscle loss of more than 15% by the end of the first week of ICU admission. In addition, oxidative stress caused during the disease process is an atrophic stimulus in unloaded muscle that promotes atrophy by modifying redox-sensitive processes in the muscle fibres. Preservation of muscle mass should focus on anabolic restoration through early physical rehabilitation strategies however anabolic and catabolic pathways have not been explored in detail up to date. Through targeted exercise, the prevention of excessive release of pro-inflammatory cytokines, and activation of proteolytic pathways leading to limitation of free-radical generation may inhibit the catabolic skeletal muscle changes in severe critical illness. Progressive physical activity may also reduce resting CRP levels through multiple mechanisms, causing a decrease in cytokine production and possibly impose an antioxidant effect. Different exercise protocols can result in varying levels of ROS production, as oxidative damage can be both intensity and duration dependent. However, the oxidative stress responses of early physical rehabilitation during disease states have yet to be explored. Objective: The overall aim is to evaluate the capacity of early exercise to modulate pathological outcomes during critical illness. Theoretical Orientation: It is hypothesized that early exercise alters underlying pathological mechanisms of critical illness; inflammation, illness severity, microcirculation and oxidative processes affecting muscle architecture. Findings: Preliminary evidence suggests that early exercise can modify fat free muscle mass and inflammatory biomarkers in critically ill patients. Conclusion & Significance: The physiological reasons for improvement or adverse effects on underlying pathology of critical illness with early exercise require further investigations.
Jadelyn Villafurete
St. Dominic College of Asia, Philippines
Title: Utilization of memory foam to decrease foot pain in of athlete of St. Dominic College of Asia
Time : 12:20-12:50
Biography:
Jadelyn Villafuerte, 4th year College Student taking Bachelor of Science in Physical Therapy from St. Dominic College of Asia.
Abstract:
Introduction: Memory foam molds to the body in response to heat and pressure, distributing body weight evenly. It conforms to the body and distributes the weight in way that allows the entire body to be supported. The shoe insole is a removable shoe insert that worn in a shoe for warmth to improve the fit. Foot pain is a conditions may due to inflammation involving any of the bones, ligaments or tendons in the foot and also due to prolong standing and walking. The utilization of Memory Foam Insole (MFI) as a shoe modification for people suffering for foot pain, when using it as an insoles it returns to its original shapes when you apply a force since its elastic and quickly molds to your unique contours. Your weight distribution on your foot spread more evenly and the pressure is relieve on places as well.
Objective: To decrease foot pain for athletes that engage in track and field events improve performance and prevent further foot debilitaing condition that hinder their activities of daily livings.
Methods: The method used is true-experimental and purposive sampling. The T-test is used to test the significant difference between two variable means. The first group will be wearing the MFI as insole the second group used an Ordinary Foam Insole (OFI) and both groups also used regular Commercially Available Insoles (CAI) for another ten days for at least four hours a day. The collection of data are done every other day. The researchers use the Modified Foot Function Index (MFFI) for evaluation of foot pain.
Results: The Modified Foot Function Index (MFFI) demonstrates that MFI, OFI and CAI have a mean average of 1.5, 1.95 and 2.12 respectively with the one-tailed critical t-value of 1.83 at a 0.05 level of significance and a degree of freedom of 9.
Conclusion: There is a significant difference on using the MFI to CAI with a t-stat values for foot pain (2.43), therefore the null hypothesis is rejected and for MFI as to OFI a t stat value of foot pain (1.71) the null hypothesis is accepted. This shows evidence that MFI is effective in decreasing foot pain compared to CAI.
Vince Lawrence R Garcia
St. Dominic College of Asia, Philippines
Title: Utilization of modified Schroth method in improving reading habit of selected students with upper back pain secondary to upper crossed syndrome at St. Dominic College of Asia
Time : 13:50-14:20
Biography:
Vince Lawrence R Garcia is pursuing his Bachelor of Science in Physical Therapy in St. Dominic College of Asia, Philippines.
Abstract:
Introduction: Upper Crossed Syndrome (UCS) is the weakening and lengthening of the posterior upper back and neck muscles and the tightening and shortening of the opposing anterior pectoral (chest) and neck muscles. With this syndrome, the deep neck flexors are weak, as are the rhomboids, serratus anterior and often the lower trapezius muscles. Opposite to these weak muscles are tight pectoralis major and minor, along with upper trapezius and levator scapulae. The Modified Schroth Method (MSM) is a conservative treatment originally designed in treating scoliosis, it is a three dimensional approach to elongate the trunk and correct imbalances of the spine. This method is composed of specific exercises that are designed uniquely to help stabilize and correct scoliosis.
Methodology: This study utilized quasi-experimental using a purposive sampling technique was conducted in 20 students in St. Dominic College of Asia. The 20 respondents receive Modified Schroth Method (MSM). There are 15 treatment sessions, for 45 minutes in each session for 5 weeks. Interventions were measured using numerical pain scale and Neck Disability Index (NDI) reading section for pre assessment and post assessment result.
Results: Utilizing the NDI reading section on the pre-test and post-test result, a mean score of 70% with because of moderate pain in my neck followed 25% with moderate neck pain in my neck followed by 5% with remote pain in my neck on pre-test and 30% with marginal pain in my neck and moderate pain in my neck followed by 20% with because of moderate pain in my neck and 15% with has no pain in my neck and 5% with rigorous pain in my neck on post-test.
Conclusion: After 15 treatment sessions, the researchers concluded that the MSM intervention is effective in improving reading habit among the selected students of St. Dominic College of Asia.
Thimothy Lance V Tuppil
St. Dominic College of Asia, Philippines
Title: The comparative study of portable virtual reality aerobic exercises vs. Zumba aerobic exercises in promoting cardio-pulmonary endurance of elderly clients in the area of cavite
Time : 14:20-14:50
Biography:
Thimothy lance V. Tuppil, 4th year College Student taking Bachelor of Science in Physical Therapy of St. Dominic College of Asia.
Abstract:
Cardio-pulmonary endurance is referred to the ability of the heart, lungs and circulatory system to deliver oxygen to working muscles for sustained periods of time. A cardiorespiratory endurance training program should include activities that elevate the heart rate and involve the body’s large muscle groups. Most of the Elderly people in the Philippines are in demand of having Physical Rehabilitation which the researchers gather information’s that most of the Elderly populations are having problems such as easily fatigue and acquired diseases. The Portable Virtual Reality Box is an artificial environment that is created with software and presented to the user in such a way that the user suspends belief and accepts it as a real environment. A Portable Virtual Reality comes naturally from the definitions for both virtual and reality. Aerobic Exercises is also known as cardio exercise that requires pumping of oxygenated blood by the heart to deliver oxygen to working muscles. It also stimulates the heart rate and breathing rate to increase in a way that can be sustained for the exercise session.
The Methodology that has been used is Quasi experimental using purposive sampling technique in thirty(30) participants in area Bacoor Cavite. The researcher gather the participants into (2) groups. The first (15) fifteen will be using Portable Virtual Reality Box and the second (15) fifteen will be using aerobic exercises. The study will be having (15) treatment sessions for (30) thirty minutes allotted time in each session in 5 weeks, there will be (1) one day interval per treatment session in every morning. The intervention of the study will be using RPE’s Borg’s scale and 6-minute walk test for pre and post assessment.
The results using the RPE’s Borg’s scale on pre-test is and post-test mean score in using Portable Virtual Reality Box and Aerobic Exercises. In the pretest the Virtual reality aerobic exercises , and Zumba aerobic exercises has mean of -.533 has no significant difference .Yet at the post test sig. of 0.004 , with a p-value of 0.05 There is a significant difference between the post test scores of the control group and the experimental group. thus reject the null hypothesis.
The researcher concluded that after 15 treatment session the utilization Portable Virtual Reality Aerobic exercise is more effective than Zumba Aerobic exercises in improving the Cardio-pulmonary endurance in the area of Cavite.
Iftikhar Ahmad Saifi
Ministry of Health, UAE
Title: Wet cupping therapy (Hijamah): Sports and physical therapy through suction
Time : 14:50- 15:20
Biography:
Iftikhar Ahmad Saifi Bachelor’s degree in Unani Medicine and Surgery (BUMS), India. Registered Unani Medicine Medico, AYUSH, Ministry of Health (MOH), India. Medico of Naturopathic Medicine (ND), USA. American Naturopathic Medical Certification & Accreditation Board, USA. Practiced Clinical Naturopathic medicine in Los Angeles, USA for good 10 years. Licensed TCAM Medico, Ministry of Health (MOH), UAE. Licensed TCAM Medico, Dubai Health Ascendancy (DHA), UAE. Member and Examination Board, Department of Licensure for TCAM, Ministry of Health (MOH), UAE for more than 8 years. Awarded with the highly prestigious “Ibn Sina (Avicenna) International Award for Excellence in Unani (Greek) Medicine”, India (2018).
Abstract:
Wet cupping is a form of bloodletting that involves first making superficial incisions on the skin, then applying the suction cups to suck out small amount of blood. It is the application performed to draw out stagnant, congested blood and vital force, as well as other stagnant or morbid humors. Cupping therapy is an incredibly ancient and universal practice that spans both east and west. In the east, the Chinese have been practicing the art of cupping for at least for three thousand years. Cupping is applied to the acupuncture points to relieve the stagnation of Qi and blood, both locally and in the organ(s) activated by the point. Traditional healers have long recognized the association between pain and conditions of congestion, stagnation and blockage. An old Chinese medical maxim states: Where there's stagnation, there will be pain. Remove the stagnation and you remove the pain. Not only pain, but the vast majority of all illness and disease including a number of psychiatric conditions come from stagnation, congestion and blockage of energy, like the vital force or of vital fluids or humors, like blood, phlegm or lymph. The suction applied by cupping sucks out and breaks up that congestion or stagnation or blockage, restoring a free flow to the vital energies and humors of the organism. After falling out of favor with medicine in the modern era, cupping therapy is enjoying resurgence in popularity, promoted by acupuncturists, Unani (Greek) medicine physicians and other holistic healthcare practitioners. New and exciting variations on this ancient technique, like cupping massage are also being developed. One secret of cupping's perennial popularity is its great ability to promote a state of deep pleasure and profound relaxation.
Shahab Sadeghi
Tehran University of Medical Sciences, Iran
Title: Comparison the immediate effect of variable and constant three point pressure knee orthosis on the adduction moment of the knee joint in patients with medial knee osteoarthritis Shahab Sadeghi, Khosro Khademi-Kalantari, Abbas Rahimi, Alireza Akbarzade Baghban
Biography:
- Tehran University of Medical Sciences Tehran Iran
Abstract:
Aim: The immediate effect of a novel designed variable pressure knee orthosis on the leg adduction moment in patients with medial compartment knee osteoarthritis was compared with the effect of ordinary constant pressure knee orthosis.
Methodology: Fifty patients (age: 60.9±7.5, 25 female & 15 male) with primary medial knee osteoarthritis were recruited through simple convenient sampling method. A variable pressure knee orthosis was designed including two air cuffs that were connected with a narrow plastic tube. One cuff is mounted in the heel area of the patient 's shoe and the other cuff was fixed on the lateral side of the knee orthosis at the level of knee joint line. The medial directed pressure at the knee joint was variable and related to the amount of vertical load of body weight that was applied to the heel cuff. The vertical distance of foot center of pressure to lateral border of the foot was measured before and after wearing the knee orthosis during single and double stance. A foot scan was used for the measurements. The changes of the distance between the center of pressure and lateral border off foot is correlated with the amount of the adduction mement on the knee joint.
Results: The vertical distance of foot center of pressure and lateral border of foot was statistically significant between single limb and doule limb support (p=0.001), before and after wearing variable pressure knee orthosis (p=0.001) and static pressure knee orthosis (p=0.03). the difference between both knee orthosis was also significant (p=0.002).
Conclusions: the variable pressure knee orthosis can reduce the adduction moment of the knee joint more than ordinary static pressure knee orthosis.
Dexter Sotto
Manila Central University, Philippines
Title: Jeffreys’ progressive core stabilization exercise: An intervention program in improving of upper extremity performance among weight lifters
Time : 11:50-12:20
Biography:
Dexter Sotto is currently pursuing his BS in Physical Therapy from the Manila Central University, Philippines.
Abstract:
The aim of this study is to determine the effect of the core to upper extremity performance among weight lifters. That is by strengthening the core to improve upper extremity performance. The research is composed of two groups: The experimental group (n=8) and the control group (n=8). Both groups comprised of neophyte weight lifters, male, 18-40 years of age and with maximum gym training of at least two months. The experimental group underwent Jeffreys’ Progressive Core Stabilization Exercise (JPCSE) training while the control group did not. Results from measuring the participants’ grip strength and muscle bulk were compared to determine any significant difference. In both groups, muscle bulk measurement showed no significant difference between pre-test and post-test but with the grip strength measurement, difference between pre-test and post-test showed a significant difference. Therefore, the researchers concluded that promoting core stabilization does not improve upper extremity performance among weight lifters but rather improves grip strength in both hands.
Iftikhar Ahmad Saifi
Ministry of Health, UAE
Title: Wet cupping therapy (Hijamah): Sports and physical therapy through suction
Biography:
Bachelor’s degree in Unani Medicine and Surgery (BUMS), India. Registered Unani Medicine Doctor, AYUSH, Ministry of Health (MOH), India. Doctor of Naturopathic Medicine (ND), USA. American Naturopathic Medical Certification & Accreditation Board, USA. Practiced Clinical Naturopathic medicine in Los Angeles, USA for good 10 years. Licensed TCAM Doctor, Ministry of Health (MOH), UAE. Licensed TCAM Doctor, Dubai Health Authority (DHA), UAE. Member, Examination Board, Department of Licensure for TCAM, Ministry of Health (MOH), UAE for more than 8 years. Awarded with the highly prestigious “Ibn Sina (Avicenna) International Award for Excellence in Unani (Greek) Medicine”, India (2018). Presentations and lectures: Internationally including USA, South-East Asia, Middle-east and India.
Abstract:
Wet cupping is a form of bloodletting that involves first making superficial incisions on the skin, then applying the suction cups to suck out small amount of blood. It is the application performed to draw out stagnant, congested blood and vital force, as well as other stagnant or morbid humors. Cupping therapy is an incredibly ancient and universal practice that spans both east and west. In the east, the Chinese have been practicing the art of cupping for at least for three thousand years. Cupping is applied to the acupuncture points to relieve the stagnation of Qi and blood, both locally and in the organ(s) activated by the point. Traditional healers have long recognized the association between pain and conditions of congestion, stagnation and blockage. An old Chinese medical maxim states: Where there's stagnation, there will be pain. Remove the stagnation, and you remove the pain. Not only pain, but the vast majority of all illness and disease including a number of psychiatric conditions come from stagnation, congestion and blockage of energy, like the vital force or of vital fluids or humors, like blood, phlegm or lymph. The suction applied by cupping sucks out and breaks up that congestion or stagnation or blockage, restoring a free flow to the vital energies and humors of the organism. After falling out of favor with medicine in the modern era, cupping therapy is enjoying resurgence in popularity, promoted by acupuncturists, Unani (Greek) medicine physicians and other holistic healthcare practitioners. New and exciting variations on this ancient technique, like cupping massage are also being developed. One secret of cupping's perennial popularity is its great ability to promote a state of deep pleasure and profound relaxation.
Shambhu Prasad Adhikari
Kathmandu University School of Medical Sciences, Nepal
Title: Community based rehabilitation for physically impaired earthquake victims: An evidence based practice protocol and its pre-post experimental study
Biography:
Shambhu Prasad Adhikari has obtained his PhD from Mahidol University, Thailand. He has been working as a Lecturer in Kathmandu University School of Medical Sciences, Nepal. He is the Coordinator for International Affairs at Physiotherapy Division. He has published articles in international journals and has given presentation in international conferences. He has been advising six students on research and has been conducting couple of research as a Primary Investigator at present.
Abstract:
A natural disaster like earthquake is a sudden event that causes not only the loss of life but also results mental, emotional and physical disabilities. An earthquake of 7.8 magnitude hit Nepal and injured more than 18,500 people in 2015. There was a critical need to develop rehabilitation protocols for various injuries and rehabilitate the victims at their own community to prevent from life-long disabilities and reduce public health burden. Therefore, evidence-based rehabilitation protocols for various injuries were derived at first to address the victims’ impairments and activity limitations. After a survey, the protocol was administered to 13 victims of one of the most affected community sites, for 60 minutes/day, 12 days in two weeks at their own door. Local resources were used to make the protocols sustainable. An immediate effect of the protocols was evaluated within the group. The World Health Organization Disability Assessment Schedule (WHODAS), numerical pain rating scale and Time Up and Go test (TUG) were used to measure disability level, pain and mobility status respectively. The Wilcoxon signed rank test was used to analyze pre-post data. All participants completed the rehabilitation without adverse effects. The treatment demonstrated significant reduction in disability level (p<0.001, effect size=0.63) and pain level (p=0.007). However, change with the TUG was not significant. The findings of this community based rehabilitation indicated benefits of the treatment and helped to improve the victim’s quality of life. Follow-ups will be continued to explore sustainability and long-term effect of the intervention.
- Neurological Physiotherapy
Location: Radisson Narita Hotel
Session Introduction
Dexter Sotto
Manila Central University, Philippines
Title: Jeffreys’ progressive core stabilization exercise: an intervention program in improving of upper extremity performance among weight lifters
Time : 09:00-09.30
Biography:
Mr. Dexter Sotto, 5th year student of BS in Physical Therapy, Manila Central University, Caloocan City, Philippines
Abstract:
The aim of this study is to determine the effect of the core to upper extremity performance among weight lifters. That is by strengthening the core to improve upper extremity performance. The research is composed of two groups: the experimental group (n=8) and the control group (n=8). Both groups comprised of neophyte weight lifters, male, ages 18-40 y/o, and with maximum gym training of at least two months. The experimental group underwent JPCSE training while the control group did not. Results from measuring the participants’ grip strength and muscle bulk were compared to determine any significant difference. In both groups, muscle bulk measurement showed no significant difference between pretest and posttest but with the grip strength measurement, difference between pretest and posttest showed a significant difference. Therefore, the researchers conclude that promoting core stabilization does not improve upper extremity performance among weight lifters but rather improves grip strength in both hands.
Introduction/Background of the study:
Weight lifting is a sport that includes lifting heavy weights in order to increase muscle strength. The program is based on 5 levels. The protocol enhances dynamic postural control by emphasizing eccentric and isometric muscle actions. According to their study, core stabilization program incorporates the skill components necessary for the effective performance.
Arun Kumar
University of Nottingham, UK
Title: EXERCISE FOR REDUCING FEAR OF FALLING IN OLDER PEOPLE LIVING IN THE COMMUNITY
Biography:
Arun Kumar is an experienced mixed methods Research Fellow with a background in statistics and health services research. Over the past 10 years, Arun has successfully worked on a range of large multicenter community and primary care trials, qualitative studies and systematic reviews. His research has primarily focused on the development and implementation of primary care interventions, patient experience and service evaluation. Arun has successfully collaborated with an international team, assisting with the meta-analyses, leading on the drafting of the review and translating the research findings into evidence-based strategies to reduce fear of falling in older people.
Abstract:
Objective: To determine the effect of exercise interventions on fear of falling in community-living people aged ≥65 years.
Design: Systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form.
Results: Thirty trials (2878 participants) reported 36 interventions (Tai Chi and yoga (n=9); balance training (n=19); strength and resistance training (n=8)). The risk of bias was low in few trials. Most studies were from high income countries (Australia=8, USA=7). Intervention periods (<12 weeks=22; 13-26 weeks=7; >26 weeks=7) and exercise frequency (1-3 times/week=32; ≥4 times/week=4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low quality evidence). There was a small, but not statistically significant effect in the longer term (<6 months (SMD 0.17, 95% CI -0.05, 0.38 (four studies) and ≥ 6 months post intervention SMD 0.20, 95% CI -0.01, 0.41 (three studies)).
Conclusions: Exercise interventions probably reduce fear of falling to a small to moderate degree immediately post-intervention in community-living older people. The high risk of bias in most included trials suggests findings should be interpreted with caution. High quality trials are needed to strengthen the evidence base in this area.
Shahab Sadeghi
Sassy Physiotherapy, Iran
Title: Comparison of the immediate effect of variable and constant three point pressure knee orthosis on the adduction moment of the knee joint in patients with medial knee osteoarthritis
Time : 10:30-11:00
Biography:
Shahab Sadeghi, Director of Sassy Physiotherapy. Graduate of the Bachelor of Arts from Tehran University of Medical Sciences and a master’s degree from Shahid Beheshti University of Medical Sciences.
Abstract:
Aim: The immediate effect of a novel designed variable pressure knee orthosis on leg adduction moment in patients with medial compartment knee osteoarthritis was compared with the effect of ordinary constant pressure knee orthosis.
Methodology: Fifty patients (age: 60.9±7.5, 25 female and 25 male) with primary medial knee osteoarthritis were recruited through simple convenient sampling method. A variable pressure knee orthosis was designed including two air cuffs that were connected with a narrow plastic tube. One cuff is mounted on the heel area of the patients shoe and the other cuff on the lateral side of the knee orthosis at the level of knee joint line. The medial directed pressure at the knee joint was variable and related to the amount of vertical load of body weight that was applied to the heel cuff. The vertical distance of foot center of pressure to lateral border of the foot was measured before and after wearing the knee orthosis during single and double stance. A foot scan was used for the measurements. The changes of the distance between the center of pressure and lateral border of foot are correlated with the amount of the adduction moment on the knee joint.
Results: The vertical distance between foot center of pressure and lateral border of foot was statistically significant between single limb and double limb support (p=0.001), before and after wearing variable pressure knee orthosis (p=0.001) and static pressure knee orthosis (p=0.03). The difference between both knee orthosis was also significant (p=0.002).
Conclusion: The variable pressure knee orthosis can reduce the adduction moment of the knee joint more than ordinary static pressure knee orthosis.
Vanny Heng
Regional Physical Rehabilitation Center Battambang, Cambodia
Title: Effectiveness of physiotherapy rehabilitation on people with post-operative lower limb amputation at physical rehabilitation center in Cambodia
Time : 10:00-10:30
Biography:
Vanny Heng has completed his Diploma of Physical therapy and Advanced Diploma in Physical Therapy in Singapore. He is currently the Head of Physical Therapy Unit of Battambang Physical Rehabiliation Center, Cambodia. He a Visiting Faculty Member at he School of Physical Therapy, University of Health, Cambodia.
Abstract:
Limb amputation leads to permanent disability and impacts significantly on an individual’s life and function. Many studies have shown the effectiveness of physiotherapy on mobility and functional ability of the lower limb amputations. However, in Cambodia there have been no clear study to assess the effectiveness of the physiotherapy rehabilitation on lower limb amputation. The 30 lower limb amputations received the physiotherapy rehabilitation at two physical rehabilitation centers (Kampong Speu and Battambang Provinces) of Cambodia in 2015 or 2016 were recruited. The outcomes of the physiotherapy rehabilitation are assessed with the mean score of three main aspects including body structure and function, daily life activities and mobility tests before physiotherapy rehabilitation and discharged time. The result showed at the baseline overall mean scores of outcome assessments, which were 84.25 and mean overall score before discharge were 90.66. These difference were significant (P-value=0.0079). The differences were also found in score of body structure domain and function, daily life activities domain. Physiotherapy rehabilitation proved to be effective in improving the mobility and functional ability, specifically on body structure and function and daily life activities of the people with lower limb amputations.
LAUREN JOY LIEBERMAN
The College at Brockport, New York City
Title: International Service Developed, Directed the first Camp Abilities
Biography:
Ph.D Oregon State University, In Human Performance, Emphasis in Movement Studies in Disabilities. Minor in Special Education. Language: American Sign Language. M.S., University of Wisconsin La Crosse, Special Physical Education. B.S. West Chester University, Health and Physical Education with a concentration in Adapted Physical Education.
Abstract:
A sports camp for children with visual impairments, blindness, or deaf blindness at the College at Brockport in 1996. Since then we have served over 1,200 children with visual impairments. We have trained over 1,500 professional preparation students on how to teach children with visual impairments.
The Camp Abilities model has been adopted in over 19 states, one territory, and six countries. Several thousand children and thousands of university professional preparation students have been trained to teach children with visual impairments due to this program. Each year two graduate students on the Camp Abilities grant learn how to plan and implement a Camp and many have graduated and started camps around the US.
Successes have included features on HBO, CNN, and The Sunday Morning Today Show. Many of our athletes have joined their after school sports teams, college sports teams and we even have some campers go on to be Paralympians such as Martha Ruether (2016 in Rio!)
Biography:
Abstract:
Cristiano Miranda
Brasil University, Brazil
Title: Attention to Patients with Neuro Functional Disorders and their Caregivers
Biography:
Cristiano Miranda, Bachelor in Physiotherapy, Ulbra Canoas RS / Brasil University, Brazil.
Abstract:
Aim:
Currently, the incidence of neurological pathologies presents an important social aspect to be addressed by several specialties in the health area. Individuals with these dysfunctions reveal physical consequences, influencing independence issues related to daily activities.
This extension project aims at physiotherapeutic attention to patients with neurological pathologies and their family caregivers, comprising the needy community of the municipality of Canoas, Rio Grande do Sul - Brazil, as well as neighboring municipalities.
Learning does not happen, if the one who is involved in the process does not recognize the uniqueness or is aware of the problem that presents itself and the subject is the one who must produce the sense of experience, and then determine it from his thoughts and actions as if will give the learning. Therefore, it becomes fundamental to train and promote training processes for academics.
Objectives:
1) To offer to the patients with neurological pathologies, physiotherapeutic care;
2) To offer to the next of kin of the patients participating in the project, guidelines for patient handling;
3) To offer to the students of the Ultras Physical Therapy course, Canoas campus, learning with the practical approach of the patients.
4) Empowering the teaching, research and extension triad through the production of low cost equipment that will assist patients with neuro functional disorders and their caregivers in the rehabilitation and care processes of these.
The population covered is composed of patients with neurological pathologies of the community and their relatives who seek the clinical school of Physical Therapy of Ulbra, Canoas campus. Physical therapy visits occur weekly. Physiotherapeutic sessions consist of manual techniques taught to undergraduate students during the regular classes of Physical Therapy and, when necessary, in the production of low cost equipment (using PVC pipes, foams and recyclables) for patients. After the visits, patients' cases are duly discussed between teachers and students involved in the project.
Results:
Community Physiotherapy in Childhood:
The project provides physiotherapeutic care to infants and children, from newborns to 12 years old, referred by the University Hospital, Basic Health Units and / or by the community. Physiotherapy students attend to infants and children, with teacher supervision, providing extension activity in Paediatric and Neuropediatric Physiotherapy at the level of secondary and tertiary prevention and health education to infants, children and their families, as well as the role of the physiotherapist in the attention to childhood, generating knowledge and experience to detect early, to evaluate and to treat from the physiotherapeutic point of view patients with alterations in neuro psychomotor development.
Julie Rammal
Geroge Washington University, USA
Title: HOLISTIC FITNESS SAVES HUMAN EXTINCTION IN A TRANSHUMAN ERA
Biography:
Julie Rammal, founder of JSport and the holistic fitness movement, International Holistic Trainer, Speaker & Influencer, writer, consultant and founder of the world’s first holistic fitnewss dvd: In Light Of Change. She has inspired thousands worldwide on the power of holistic fitness. Having trained numerous VIP & celebrities, she is widely known for her holistic approach towards understanding and assisting the body and mind in just three energy-fuelled sessions. Her work has been published in: Yahoo Finance, Khaleej Times, Gulf times, USA press, and seen on MTV, Future TV, NBN and multiple more press worldwide.
JSport’s latest innovations are privately organized retreats for vip’s with Julie to change their lives, body, and mind, Julie’s Fitness DVDs, new youtube channel. For bookings www.jsport.co
Abstract:
Jadelyn M. Villafuerte
St. Dominic College of Asia, Philippines
Title: Utilization of Memory foam insole as shoe modification to decrease foot pain of a Track and field atlete in Saint Dominic College of Asia
Biography:
5th year in Bachelor of Science and Physical Therapy in St. Dominic College of Asia Imus, Cavite, Philippines.
Abstract:
Introduction: Memory Foam molds to the body in response to heat and pressure, distributing body weight evenly.It conform to the body and distribute the weight in way that allows the entire body to be supported. The shoe Insole is a removable shoe insert that worn in a shoe for warmth to improve the fit. Foot pain is a conditions may due to inflammation involving any of the bones, ligaments or tendons in the foot , and also due to prolong standing and walking The utilization of Memory foam insole(MFI) as a shoe modification for people suffering for foot pain,when using it as an insoles it returns to its original shapes when you apply a force since its elastic and quickly molds to your unique contours. Your weight distribution on your foot spead more evenly and the pressure is relieve on places as well.
Objective: To decrease foot pain for atletes that engage in track and field events improve performance , and prevent further foot debilitaing condition that hinder their activities of daily livings.
Methods: The method used is true-experimental and purposive sampling. The T-test is used to test the significant difference between two variable means .The first group will be wearing the memory foam insole (MFI) as insole the second group used an ordinary foam insole(OFI) and both groups is also use regular commeciallly available insoles(CAI) for another ten days for atleast four hours a day.The collection of data are done every other day.. The researchers use the Modified Foot Function Index (MFFI)for evaluation of foot pain.
Results: The MFFI demostrates that MFI, OFI and CAI has mean average of 1.5 , 1.95 and 2.12 respectively with the one-tailed critical t-value of 1.83 at a 0.05 level of significance and a degree of freedom of 9.
Conclusion: There is a significant difference on using the MFI to CAI with a t-stat values for Foot Pain (2.43), therefore the null Hypothesis is rejected And for MFI as to to OFI a T stat value of foot pain( 1.71) The Null hypothesis is accepted This shows evidence thatMFI is effective in decreasingfoot pain as to CAI .
Rupambika Sahoo
Manipal University, India
Title: Measures of social participation of children with cerebral palsy: A scoping review
Biography:
Background:
Social participation plays a significant role in the maintenance of health and well - being and it is essential for children as they gather knowledge and develop social skills through interactions with other people. Social participation is a major concept for occupational therapists as impairment in social participation results in problems with engagement in age-appropriate occupations.
Statement of problem:
Children with cerebral palsy have restricted social participation due to motor difficulties, cognitive and speech delays, and other associated problems. However, social participation is influenced not just by the person factors but also by the social-contextual factors such as culture, environment etc. Objective measurements for assessing social participation need to consider all of these different factors. Hence, this study was conducted to know the extent, range and nature of social participation scales currently available.
Method:
A scoping review was performed to identify measures of social participation. This review was based on study locations, components of participation and outcome measures and age group. The articles included were limited to those which studied social participation for children with cerebral palsy within the age range 6 to 12 years. Data gathered were then analysed using charting technique.
Result:
Only quantitative studies conducted over the last two decades were selected. Multiple tools such as, Children's Assessment of Participation and Enjoyment (CAPE), Assessment of Life Habit (LIFE-H), Canadian Occupational Performance Measure (COPM), School Function Assessment (SFA), Child and Adolescent Scale of Participation (CASP) were found to be commonly used
for measuring social participation. However, most of these tools measure only limited components of social participation. Only the CASP measures all components of social participation in activities and events at home, school and the community, yet some of the components are not applicable in the Indian Context.
Conclusion:
In conclusion, none of the currently available scales measure social participation in its entirety and there is a lack of contextually relevant tools to measure social participation for children with cerebral palsy in India.
Abstract:
Rupambika Sahoo, Assistant Professor, Department of Occupational Therapy, School of Allied Health Sciences, Manipal University.
Seiha Suth
International Committee of the Red Cross, Cambodia
Title: Physiotherapy education and professional challenges in Cambodia
Biography:
Cambodia has one of the highest rates of road traffic injuries in Southeast Asia, and it replicates changing life styles coupled with increasing life expectancy (WHO in 2015, life expectancy in Cambodia). Consequently, persons in need of Physiotherapy (PT) are growing. However, the current PT workforce and a very low student’s enrollment are not adequate for the Cambodian society which has only 465 qualified physiotherapists in 2017 for a population of over 15 million. In addition, the services delivery provided by the new PT workforce is not meeting the Quality Assurance Standards (QAS). In order to upgrade the PT skills, the Cambodian PT Association (CPTA) and the Technical School Medical Care (TSMC) are implementing a bridging program leading to a Bachelor degree with the Singapore International Foundation (SIF) support. Although, a widening mismatch between educational programs might prevent harmonization of the professional qualifications. Within this scope, an evaluation of the PT associated degree program was undertaken by the International Committee of the Red Cross (ICRC) in cooperation with the CPTA. The evaluation was based on a qualitative approach including interviews and desk reviews. Initial conclusions were discussed in focus groups and face-to-face interviews with 70 key informants. The results show that learning outcomes related to the professional skills, reflective practice, clinical decision-making and evidence-based practice of the students are limited. The qualifications of the academic staff are not sufficient to develop students’ critical thinking skills and the program delivery is based on ‘teacher rather than student-centered approach’.
Abstract:
Seiha Suth has been a Physiotherapist in 2007 from Technical School for Medical Care (there is only one PT school in the country). He has been the Volunteer for the Association since 2013 and he is also the Manager of Cambodian Physical Therapy Association Clinic and Chairman of Physiotherapist Professional Development.