Day 2 :
- 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.