8^th World Physiotherapists and Physicians Summit August 15-16, 2018 Tokyo, Japan

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.