Articles

  1. Added effect of fascia taping technique on pain and foot function in patients with plantarfasciitis Download Article

    Binjal Solanki, Dr. Anjali Kulkarni (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
    • View Abstract
    • Pages (310-315)
    • No of Download = 38

    Abstract

    close

    The purpose of this study is to investigate the added effect of fascia taping technique on pain and foot function in patients with plantarfasciitis using VAS and FFI scores respectively. Plantarfasciitis has become one of the common chronic overuse injury of the plantar fascia of foot, most commonly at its insertion affecting 10% of the population amongst the total non-traumatic foot injury.26 (men and women) subjects with plantarfasciitis were recruited for the study and equally divided into two groups. The patients in the control group were given traditional physiotherapy (plantarflexor stretching, plantarfascia stretching and icepack for 10-15mins) on first day and patients in the experimental group were given fascia taping technique in addition to the traditional physiotherapy. Tape was applied on the plantarfascia for continuously 3 days. Pre and post assessment was carried out on first day and third day of treatment. VAS and FFI are the outcome measures used the study to asses pain and foot function. Wilcoxon matched-pairs signed-ranks Test was used to analyse the pre and post values of VAS and FFI in control and experimental group with results as extremely significant with p-values as 0.0005 and 0.0002 respectively for FFI scores. VAS scores shows very significant (0.002) results in control group and extremely significant (0.0005) in experimental group. Mann-Whitney U Test was used to analyze the difference of mean of control and experimental group i.e. extremely significant (0.0002) for FFI and significant (0.016) for VAS. Fascia taping technique is effective in treating pain and improving foot function in patients with plantarfasciitis.

  2. Added effect of mitchell relaxation technique with analgesics in reducing pain during functional activities in women after caesarean section Download Article

    Komal Patel, Dr.Snehal Chincholkar(PT), Dr.Anuradha Sutar(PT), Dr.Snehal Ghodey(PT)
    • Article Type: Research Article
    • View Abstract
    • Pages (316-322)
    • No of Download = 32

    Abstract

    close

    The purpose of the study is to determine the added effect of Mitchell relaxation with analgesics in reducing pain during functional activities after caesarean section. Women after caesarean section experience pain due to operative trauma in bed mobility, sit-stand, walking till few days. Pain management can be done pharmacological and non pharmacological. The Mitchell Relaxation technique is non pharmacological management for pain reduction. This was an experimental study with pre and post test design, randomly assign, two group study was conducted in BSTRH..Post caesarean section primigravida women who met inclusion criteria were assigned to either experimental (n=30) or control group (n=30). Women in the experimental group received Mitchell relaxation technique with analgesics and those in the control group were managed only with analgesic. The outcome measure was a patient specific functional scale in which bed mobility, sit-stand, walking where they painful functional activities. Pre values were taken prior to medication on 2nd post partum day and post values were taken on 4th post partum day after 2 hours of medications. Statistical analysis was done and the difference between the pre and post values of the experimental group was more significant than the control group.The study shows that added effect of Mitchell relaxation with analgesics is more efficient in the reduction of pain during functional activities in women after caesarean section.

  3. Bipolar disorder, symptoms and its marketed drugs-a review Download Article

    A.Madhusudhan Reddy, P.Srinivasababu, Y. Sai Tejaswi, I.V.Sainadh, S.Sai Madhuri, V. Sowmya, V.Sowmya, T.Joseph
    • Article Type: Review Article
    • View Abstract
    • Pages (323-329)
    • No of Download = 26

    Abstract

    close

    Bipolar disorder is an illness of the brain that causes severe cycles in a person’s frame of mind (mood), energy level, thinking and activities. According to the criteria defined in Diagnostic and statistical manual DSM-IV-TR, people with Type I bipolar disorder will experience at least one episode of mania that may include mixed, depressive and hypomanic episode. Similarly for type II bipolar disorder patients may experience only hypomanic and depressive episodes. But for Cyclothymic disorder they may be diagnosed by having not experiencing any manic, mixed and depressive episodes. They only experience numerous periods of both depressive and hypomanic symptoms for minimum of 2 year or with symptom free period. [3] There are 4 types of bipolar diorders, bipolarI, II, cyclothymia, and bipolar disorder not specified. There is no single known cause for bipolar disorder as many provoking factors act together to produce the bipolar disorder illness. The symptoms that are seen in bipolar disorder are remarkable and erratic mood changes. The illness may have two strongly contrasting phases: mania and depression.

  4. Post Term Extrauterine Abdominal Pregnancy, a case report Download Article

    Abrehet Gebrekidan
    • Article Type: Case Report
    • View Abstract
    • Pages (330-334)
    • No of Download = 15

    Abstract

    close

    Introduction When implantation of the fertilized ovum occurs anywhere outside of the uterine cavity it is called ectopic pregnancy. Abdominal pregnancy is a rare type of ectopic pregnancy where the developing embryo implants and grows within the peritoneal cavity. Abdominal pregnancy is classified as being primary and secondary. Most abdominal (ectopic) pregnancies are secondary from aborted or ruptured tubal pregnancy. Extrauterine abdominal pregnancy is missed during antenatal period even with the use of ultrasound. Case history A 39 years old woman gravida VI, para V with history of severe supra pubic pain at 10 weeks of amenorrhea which was treated with Antipain and bed rest presented to the maternity hospital. During ante natal follow up abnormal fetal malpresentation and easily fetal parts were palpated. Diagnosis was missed during ante natal period. The eminent signs were client’s history and flat abdomen x-ray which revealed the fetal demise. At first client was managed conservatively including induction of labor with oxytocin which failed. Later surgical intervention (Laparotomy) was performed and a dead fetus was extracted from the abdominal cavity. Umbilical cord was cut at its insertion to the placenta leaving the placenta in situ for its natural autolysis. On inspection intra-operatively the uterus, the left fallopian tube and both ovaries were intact and normal while the right fallopian tube was not identifiable. Post operative period and later follow up of the mother was awesome. Conclusion Diagnosis of abdominal pregnancy is missed during antenatal care despite the use of modern diagnostic tools like Ultrasonography, Magnetic resonance imaging etc as in many cases the exact location of the fetus and its size are not ascertained. High index of suspicion is needed to make first diagnosis of abdominal pregnancy. This case report is presented to draw attention to obstetrics and/or midwifery care providers the challenges related to diagnosis and its management to prevent life threatening complications in poorly resourced centers.

  5. A study to assess neonatal outcomes followed by caesarean section at Orotta National Referral Maternity Hospital, Asmara, Eritrea Download Article

    Dr. P. Kavitha, Simret Ghebremedhin BSc NM, ZaidTeame BSc NM, HirityMobatsion BSc NM
    • Article Type: Research Article
    • View Abstract
    • Pages (335-341)
    • No of Download = 16

    Abstract

    close

    Out of the estemated130 million infants born each year worldwide, 4 million die in the first 28 days of life.3/4 of neonatal deaths occur in the first week and more than ¼ occur in the first 24 hours. Neonatal deaths account for 40%of deaths under the age of 5years worldwide. An institutional based Prospective cross sectional descriptive study was used to asses neonatal outcome of mothers delivered by C/S. 115 mothers were selected using convenience sampling technique from November 9, to December 9, 2013. Data were collected using structured questionnaires. Result Out of 115 samples common indications for C/S were 19.1% fetal distress and 19.1% previous C/S. out of 119 births 18(15-5 %) had Apgar score of <7 in one minuet and after five minutes14 improved, 4 were<7 and 4 (3.4%) were still birth. Out of 115 live births 14 (11.8%) were admitted to NICU and 2(1.7) were died within 7 days, but one died before admission. Conclusion It is evident that fetal distress, previous C/S, prolonged labor, mal presentation, changes in FHR, Emergency C/s, decision to incision time, incision to delivery time and type of anesthesia were the factors which affect the neonatal outcome.

  6. Added effect of strain counter-strain technique on pain & Cervical ROM in students with mechanical neck pain with upper trapezius trigger points. A RCT Download Article

    Krutika S. Panchal, Dr. Ravinder Kaur, Dr. Snehal Ghodey
    • Article Type: Research Article
    • View Abstract
    • Pages (342-348)
    • No of Download = 29

    Abstract

    close

    Objectives To assess the added effect of Strain Counter-strain (SCS) technique along with conventional treatment on pain & cervical ROM in students with mechanical neck pain with upper trapezius trigger points. Methods In this experimental study, forty students with mechanical neck-pain & upper trapezius trigger points were randomly allocated into two groups, control or experimental group. The control group received conventional therapy consist of moist heat, supervised exercises and trapezius stretching and experimental group received Strain Counter-strain technique along with conventional therapy. Treatment was given once a day for 5 days. A numerical rating scale (NRS) was used to measure the intensity of pain, functional disability was assessed using NDI i.e. neck disability index, and cervical ROM was measured with universal goniometer. Data analysis was done on 5th day. Results On pre post analysis, NRS, NDI scores and cervical ROM showed a statistically significant improvement in both control and experimental groups (p < 0.0001). However, between group analysis both NRS and NDI scores showed statistically significant improvement in the experimental group (p < 0.0001). The range of motion for cervical flexion (p = 0.3184) and extension (p = 0.3126) was equally improved in both the groups. But, lateral flexion and rotation on both sides were statistically significantly improved in experimental group than in control group (p<0.0001). Conclusion Strain counter strain technique along with conventional treatment is effective in relieving pain & improving cervical lateral flexion and rotation ROM in students with mechanical neck pain with upper trapezius trigger points.

  7. Adverse drug reaction study in tertiary care hospital Download Article

    Avanthika Sidda, K.Chandralekha, Dr. Shivkumar Kashinath Shete
    • Article Type: Research Article
    • View Abstract
    • Pages (349-361)
    • No of Download = 17

    Abstract

    close

    The prospective and observational non-interventional study was conducted in Aware Global Hospital. In-patients treated with drugs in the various clinical departments of hospital were reviewed on daily basis. All suspected ADRs will be suitably assessed for causality, severity, preventability and predictability. The results were presented as number and percentage. Among the 1129 cases (males and females), a total of 139 ADRs were detected, an overall incidence of 46.64% adverse drug reactions in inpatients. The prevalence of ADR mostly occurred in the age group between 31-60 years (46%) and in female patients (56.83%). The most frequent adverse drug reaction were due to Antibiotics (46%), Anti-Tubercular drugs (5.75%), Oral-Hypoglycemics (5.04%), NSAIDs (5.03%). Adverse drug reactions were a common occurrence and awareness about them was found to be essential for early detection and prevention. The healthcare system can promote the spontaneous reporting of ADR to Pharmacovigilance centre's for ensuring safe drug use and patient care. Our study suggests that there is a need of intensive ADR monitoring in tertiary care hospital for early detection and prevention to ensure the patient safety.

  8. Added effect of cyriax deep friction massage on functional ability in patients with chronic plantar fasciitis Download Article

    Nupura Taskar, Dr.Ravinder Kaur, Dr.Snehal Ghodey
    • Article Type: Research Article
    • View Abstract
    • Pages (362-367)
    • No of Download = 20

    Abstract

    close

    Objectives To assess the added effect of Cyriax deep friction massage along with conventional treatment on functional ability in patients with chronic plantar fasciitis. Methods In this experimental study, 26 subjects with chronic plantar fasciitis were randomly allocated into two groups; control and experimental group. The control group received conventional therapy consists of ultrasound, tendoachilis stretching, plantar fascia stretching and intrinsic muscle strengthening. Experimental group received Cyriax deep friction massage along with conventional therapy. Treatment was given thrice a week for 2 weeks alternatively. Foot Function Index (FFI) Scale was used to assess the functional ability. Data analysis was done pre and post treatment. Result On pre post analysis, FFI score showed significant improvement in both control (P=0.0002) as well as experimental (P=0.0002) group. However between group analysis FFI showed significant improvement in experimental group (P<0.0001, U=8.000) Conclusion Cyriax deep friction massage along with conventional therapy was more effective in improving functional ability in patients with chronic plantar fasciitis.

  9. Study on Anti anxiety activity of ALERT – A Poly herbal formulation in Experimental animal models Download Article

    Veeresh Babu D, Ramesh Kulkarni, Jerin George
    • Article Type: Research Article
    • View Abstract
    • Pages (368-378)
    • No of Download = 29

    Abstract

    close

    The present study was performed to evaluate the anti anxiety activity of ALERT – a Poly herbal formulation in experimental animal model. Anti anxiety activity was determined in experimental Swiss Albino Mice. The test was carried out by Elevated plus maze, Light/dark exploration test, Open field tests, Rota-rod test and Hole board test. In the Elevated Plus maze the total number of arm entries and the time spent in open and enclosed arms were recorded. In Light and dark exploration tests, the total number of arm entries and the time spent in light and dark chambers were recorded. In Open field tests the number Ambulation, Rearing, Self grooming, activity in center were recorded. In Hole board test the number and duration of head-dippings were recorded. In Rota-rod tests, the loco motor activity with fall in time was recorded. The animals were treated with three doses of the Poly herbal formulation ALERT, of doses low (50mg/kg), moderate (150mg/kg) and high (200mg/kg). In Elevated Plus maze significant increase in the number of entries and duration of stay in open arm was observed. In Light/ Dark exploration tests, significant increase in the time spent and numbers of entries in light compartment were observed. In Open field tests, there was significant increase in the number of squares crossed, number of crossings and rearing. In hole board tests, has shown a significant reduction in locomotion. In Rota- rod tests, significantly decreased time spent on revolving Rota-rod. The study revealed that the Poly herbal formulation ALERT possess significant anti-anxiety effect.

  10. MTA Apexification: A case report Download Article

    Dr Neha Joshi Tambake, Dr Sumit Tambake, Dr Deepak Metha, Dr Sayyed Mohammed Qadri, Dr Rohit Tambake, Dr Sejal Shinde Tambake
    • Article Type: Case Report
    • View Abstract
    • Pages (379-383)
    • No of Download = 21

    Abstract

    close

    Introduction Apexification is the procedure to induce a calcified barrier in a root with open apex. Objective To describe the case of one step apexification using Mineral Trioxide Aggregate. Case report A 19 years old male patient was referred to private dental clinic. The patient’s medical history was noncontributory. On intraoral examination it showed discolored maxillary right central incisior with sinus tract formation and maxillary left central incisior tender when percussed. History of trauma was given approximately 10 years back. Radiographic examination showed fractured maxillary right central incisor with evident pulp exposure showing blunder buss apices and widening of periodontal ligament was seen related to maxillary left central incisor suggestive of apical periodontitis and tooth was tender to percussion. One step Apexification was done for bluderbuss apices of maxillary right central incisor and routine endodontic procedure was performed with maxillary left central incisor. Conclusion The present case describes one step MTA apexification related to maxillary right central incisor having blunderbuss apices and endodontic procedure related to maxillary left central incisor. Keywords: Mineral Trioxide Aggregate, Calcium hydroxide, Double Antibiotic Paste. (DAP)Triple antibiotic paste (TAP)

  11. Controlled release matrix drug delivery system – a review Download Article

    A.Madhusudhan Reddy, R.Karthikeyan, Ramya Sri.Vejandla, G.Divya, P.Srinivasa Babu
    • Article Type: Review Article
    • View Abstract
    • Pages (384-398)
    • No of Download = 14

    Abstract

    close

    Oral controlled release drug delivery system becomes a very promising approach for those drugs that are given orally but having the high dosing frequency and shorter half life. Matrix tablets serves as an important tool for oral controlled release dosage forms. Problems like patient compliance drug targeting, local side effects, frequent administration and fluctuations in blood concentration levels, associated with their counter parts, the conventional dosage forms were rectified. Tablets offer the lowest cost approach to controlled and sustained release dosage forms. Matrix tablets controlled release has given a new breakthrough for novel drug delivery system in the field of pharmaceutical technology. This review focus on the various types of matrix system based on polymer used and porosity of matrix system i.e hydrophilic, hydrophobic, fat wax, porous, nonporous, pH sensitive. An effort has been made to consolidate different types of patents granted across the globe for last thirty years in the field of matrix system viz. tablets, pellets etc

  12. Effects of high and low intensity exercise training on body fat in young individuals- Comparative study Download Article

    Dhwani Sanghavi, Dr. Anuradha Sutar (PT), Aastha Lambah, Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
    • View Abstract
    • Pages (399-403)
    • No of Download = 13

    Abstract

    close

    The purpose of the study is to compare between the high intensity interval training (HIIT) and low intensity steady state (LISS) training for reduction of body fat % in young individuals. Since there are a lot of complications of increased fat in the body, it is necessary to find a protocol for fitness. A sample size of 42 was taken and 2 groups were made of 21 each using chit method. Subjects in LISS underwent a 40mins low intensity workout at RPE 11-12 for 5 times a week including aerobics, jog, and brisk walk. At the same time HIIT subjects had to undergo a protocol of 20mins at RPE 17-18 including 4 cycles of 1min work and 1min rest (step up and down, burpees, push-ups, butt kicks, sumo squats) 3 times a week. Data was recorded post the protocol of 5 weeks. An intraclass analysis showed statistically significant difference in pre and post values of both the groups (p values>0.001), whereas the interclass comparison between both the groups showed significant difference with HIIT having a significantly better result. Thus it was concluded that both the groups helped in fat reduction but HIIT had better and efficient results for fat reduction in young individuals. Also it is time efficient.

  13. Effect of PNF integration pattern on lower limb to improve limits of stability in geriatric population Download Article

    Aishwarya Ranbhor, Dr. Sayli Paldhikar (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
    • View Abstract
    • Pages (404-408)
    • No of Download = 12

    Abstract

    close

    The purpose of the study was to determine the effect of Lower Limb PNF integration pattern on Limits of Stability in geriatric population, as there are lesser studies done which improve the limits of stability using inexpensive and easy techniques. Method: A total of 38 subjects both males and females in the age group of 65 years and above, with less reach in forward, backward, right and left lateral components of Multi-directional Reach test were included while those with impaired vision, recent musculoskeletal conditions and neurological conditions were excluded. Assessment was done according to the MDRT before and after the complete treatment of 4 weeks. The treatment session included warm up exercises, followed by D1 Flexion-Extension and D2 Flexion-Extension patterns of PNF techniques, and cool down exercises including Shavasana. Results: On statistical analysis, a significant improvement in all four components of Multi-directional Reach test was found. Conclusion: PNF integration pattern are effective and can be used in improving Limits of Stability in geriatric population.

  14. Herpes zoster and multiple sclerosis: case study and short review Download Article

    Kannan R, Prasanna Karthik S, Jagadeesan M, Mahendrakumar K, Matthew J M Ng
    • Article Type: Case Report
    • View Abstract
    • Pages (409-413)
    • No of Download = 8

    Abstract

    close

    A 37 year old man developed typical varicella zoster virus (VZV) infection affecting the left clavicular area (C4 dermatome). Subsequently, he experienced numbness over the left scapula, arm, and palm. This improved gradually over one and half months. Two months later, he had numbness affecting the right thigh. MRI showed ovoid lesions in the corpus callosum and hyperintense signal in the cervical cord area. Based on the clinical features of presence of CNS lesions that were disseminated in time and space with no better explanation for the disease process, multiple sclerosis (MS) was diagnosed. The patient was treated with oral azathioprine, gabapentin and amitryptyline and patient improved symptomatically . A brief literature review was conducted on the etiological link between VZV infection and MS, early diagnosis, and early treatment of MS. The ultrastructural finding of viral particles identical to VZV, together with the simultaneous presence of large quantities of DNA from VZV in the CSF, almost restricted to the periods of exacerbation, as well as its steady diminution and eventual disappearance from clinical relapse to clinical remission constitute the strongest evidence to date to support the participation of VZV in the pathogenesis of MS. Suppression of relapsing phases of the disease with immuno-modulatory treatment is the present day management consensus.

  15. The effect of neural tissue mobilization on cylindrical grip strength in old adults Download Article

    Nisha N. Ranade, Dr. Snehal Ghodey
    • Article Type: Research Article
    • View Abstract
    • Pages (414-421)
    • No of Download = 18

    Abstract

    close

    Background & Purpose of the Study: Neural tissue mobilization has been reported to be an effective intervention for conditions like carpal tunnel syndrome though benefits are still under research. The effect of nervous tissue mobilization on various hand functions is not studied. Also, no interventions have been made for increasing the grip strength in old healthy adults within 40-60 years of age. Hence, this study. Methodology: A total of 100 subjects, both males and females with at least a single positive neural tissue tension test were included in the study whereas those with previous history of any neurological & musculoskeletal pathology were excluded from study. Subjects were evaluated for baseline data, grip strength measurements were taken before and after the mobilization using the Hydraulic Hand Dynamometer. Neural tissue mobilization was given for nerves with positive tension tests. Results: On data analysis, an increase was seen in the cylindrical grip strength after mobilization in both, males and females with affected neural tissue tension. With only median nerve involvement, there was a significant increase in the grip than that with ulnar and radial nerve involvement. Conclusion: Neural Tissue Mobilization techniques can be used for improving the grip strength in old adults.

Registered and Approved by National Science Library (NSL),National Institute of Science Communication And Information Resources(NISCAIR),
Council of Scientific and Industrial Research,New Delhi, India"