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JAYPEE JOURNALS
International Scientific Journals from Jaypee
 
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List of All Articles
1.  Case Report
Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele
Rajesh K Mohanty, Sipra Lenka, Ritikesh Pattanaik, Srikanta Moharana, Patitapaban Mohanty, Sakti P Das
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:77-83] [No of Hits : 300]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0008 | FREE

ABSTRACT

Varying diversities of involvement in adolescent with myelomeningocele make orthotic prescription, evaluation, and fitting highly challenging. A school-going 14-year-old boy presented with extensive weakness and kinematic alterations of both lower limbs and spine. Planovalgoid foot, calcaneal deformity of ankle, knee flexion, anterior pelvic tilt, rotation, and frequent hip dislocation of left side were noticed on examination. Gait comparisons were made between walking with bare foot and with conventional and molded orthosis with auxiliary crutches. Kinetic and kinematic parameters were studied in gait lab by force plate (BTS P-6000) and cameras with reflective markers (BTS SMART-DX 6000). Molded orthosis was found to improve all gait parameters except cadence and walking velocity; however, diversity in the results was observed. Though both variants were effective, a follow-up is necessary to finalize the best orthotic solution for the individual subject.

Keywords: Adolescent, Comparison, Gait, Myelomeningocele, Orthosis.

How to cite this article: Mohanty RK, Lenka S, Pattanaik R, Moharana S, Mohanty P, Das SP. Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele. Indian J Phy Med Rehab 2017;28(2):77-83.

Source of support: Nil

Conflict of interest: None

Date of receiving: 19-12-2016

Date of acceptance: 10-05-2017

Date of publication: July 2017

 
2.  Case Report
An Attempt to rehabilitate a Case of Rubinstein–Taybi Syndrome: A Rare Disorder
Madhusree Sengupta, Ameed Equebal, Abhishek Biswas, Ambar Ballav
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:74-76] [No of Hits : 184]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0007 | FREE

ABSTRACT

Rubinstein-Taybi syndrome (RSTS) is a genetically heterogeneous, rare, neurodevelopmental condition with the usual stigmata of facial dysmorphism, broad thumb and hallux, multisystem involvement, and developmental delay, which are themselves clinically diagnostic in the absence of standard criteria. Amidst all these physical features, the sensory, cognitive, behavioral, intellectual, and sometimes autistic features of the condition often escape attention. This case illustrates that the management of all these different aspects remains an integral part of rehabilitation.

Keywords: Autistic disorder, Intellectual disability, Occupational therapy, Rubinstein-Taybi syndrome.

How to cite this article: Sengupta M, Equebal A, Biswas A, Ballav A. An Attempt to rehabilitate a Case of Rubinstein-Taybi Syndrome: A Rare Disorder. Indian J Phy Med Rehab 2017;28(2):74-76.

Source of support: Nil

Conflict of interest: None

Date of receiving: 02-05-2016

Date of acceptance: 06-02-2017

Date of publication: July 2017

 
3.  Original Article
Ambulatory Potential in Children with Cerebral Palsy
Nonica Laisram, Sucheta Saha
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:49-52] [No of Hits : 177]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0001 | FREE

ABSTRACT

Ambulation is a major concern in cerebral palsy (CP) rehabilitation. The present study was carried out in 175 CP cases, belonging to the age group of 2 years and above. The aim of the article was to identify the independent ambulators in different types of CP, to study the age of achieving independent ambulation, and to determine some parameters that affect ambulatory outcome.
Among 175 cases, 69 (39.4%) cases were found to be able to walk independently. Of this, the maximum number of cases were children with spastic hemiplegia, 37 of 39 (94.9%), followed by children with spastic paraplegia, 7 of 18 (41.1%) and diplegia, 15 of 45 (33.1%). Majority of these children were found to have either normal intelligence or mild degree of mental retardation (MR). Degree of spasticity was mild in these cases. Majority of the children who were able to walk had achieved independent sitting by 2 years of age, i.e., in 54 of 69 (78.3%) cases.
The present study highlights that CP children with spastic hemiplegia had the highest potential for independent walking. Spasticity of mild degree in association with a normal intelligence or mild degree of MR and achievement of independent sitting by 2 years of age appear to be favorable for ambulation.

Keywords: Ambulation, Cerebral palsy, Potential.

How to cite this article: Laisram N, Saha S. Ambulatory Potential in Children with Cerebral Palsy. Indian J Phy Med Rehab 2017;28(2):49-52.

Source of support: Nil

Conflict of interest: None

Date of receiving: 08-11-2016

Date of acceptance: 03-01-2017

Date of publication: July 2017

 
4.  Original Article
Comparative Study of Effect of Diclofenac Alone vs Diclofenac with Ultrasound Therapy in Patients with Inferior Heel Pain using Pedography
Kudremukh B Sumalatha, Ramita Sardana, Upinder P Singh, Gita Handa, Shiv L Yadav, Vishnu Sreenivas
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:53-58] [No of Hits : 174]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0002 | FREE

ABSTRACT

Objectives: To study the additional benefits of ultrasonography in patients with inferior heel pain treated with diclofenac for foot pressure profile and pain.

Materials and methods: This was a randomized experimental trial. Comparison of the efficacy of two treatment modalities (diclofenac alone vs diclofenac with ultrasound therapy) with respect to pressure profiles using pedography and a visual analog scale (VAS) was carried out. Twenty-three patients with unilateral inferior heel pain were considered subjects. The main outcome measures were foot pressure profile using pedography and pain severity using VAS.

Results: In the diclofenac alone group, it was observed that there was significant decrease in pain score posttreatment. The rest of the parameters did not show any significant change. In the diclofenac and ultrasound group, a statistically significant increase in the rear foot pressure area and decrease in the VAS score posttreatment was observed. Changes in the rest of the parameters were not significant. Comparison of the difference between the two treatment modalities with respect to pressure areas and VAS scale for pain showed no significant change statistically.

Conclusion: Ultrasound therapy shows some increase in the ability to take more rear foot pressure while walking, but it does not have any other added benefit over diclofenac in treating inferior heel pain with respect to pressure profile and pain.

Keywords: Heel pain, Plantar fasciitis, Ultrasound therapy.

How to cite this article: Sumalatha KB, Sardana R, Singh UP, Handa G, Yadav SL, Sreenivas V. Comparative Study of Effect of Diclofenac Alone vs. Diclofenac with Ultrasound Therapy in Patients with Inferior Heel Pain using Pedography. Indian J Phy Med Rehab 2017;28(2):53-58.

Source of support: Nil

Conflict of interest: None

Date of receiving: 27-11-16

Date of acceptance: 03-01-2017

Date of publication: July 2017

 
5.  Original Article
Effect of Infliximab Therapy in Functional Improvement in Patients with Ankylosing Spondylitis
Ambar Konar, Rajesh Pramanik, Debayan Ghorai, Aniketa Banerjee
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:59-63] [No of Hits : 140]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0003 | FREE

ABSTRACT

Introduction: Ankylosing spondylitis (AS), one of the spondyloarthropathies predominantly affecting younger people, is notorious for morbidity with pain, functional impairment, and disability. Infliximab, a chimeric tumor necrosis factor (TNF) alpha inhibitor, has been proven as a safe and effective biologic in respect to improvement in clinical and radiological parameters in AS. This study is a humble attempt to look for disability limitations by infliximab therapy in patients with AS.

Aims and objectives: To look for functional improvement in AS patients treated with Infliximab in comparison with control group who were treated conservatively.

Materials and methods: A randomized controlled trial was done in the Department of Physical Medicine and Rehabilitation, Institute of Postgraduate Medical Education & Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India, from December 2015 to May 2017, recruiting 20 AS patients who fulfilled the Assessment of SpondyloArthritis International Society (ASAS) criteria and had significant functional limitation. After Ethics Committee clearance, two groups were made randomly. Both groups I and II were included in the rehabilitation program. Group I, in addition, received injection infliximab on days 0, 14, and 42. Assessment by the Bath ankylosing spondylitis functional index (BASFI) and visual analog scale (VAS) for lower back pain was done before intervention and 2, 6, 12 weeks after initiation of treatment.

Results: Statistically significant positive outcome difference was seen in the first group in comparison with control group based on both outcome parameters.

Conclusion: Infliximab is a safe and highly efficacious biologic therapy in limiting disability in AS patients when treated early.

Keywords: Ankylosing spondylitis, Bath ankylosing spondylitis functional index, Disability, Visual analog scale.

How to cite this article: Konar A, Pramanik R, Ghorai D, Banerjee A. Effect of Infliximab Therapy in Functional Improvement in Patients with Ankylosing Spondylitis. Indian J Phy Med Rehab 2017;28(2):59-63.

Source of support: Nil

Conflict of interest: None

Date of receiving: 04-04-2017

Date of acceptance: 18-05-2017

Date of publication: July 2017

 
6.  Case Report
Bilateral Lower Limb Amputee with Dhat Syndrome
Mohit K Srivastava, Anil K Gupta
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:71-73] [No of Hits : 127]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0006 | FREE

ABSTRACT

Introduction: Dhat syndrome is a clinical entity mostly seen in Southeast Asia. The patient suffering from this syndrome commonly presents with features of depression, anxiety, multiple nonspecific somatic symptoms, and impairment of concentration, which are attributable to semen loss.

Case report: The case that we present here is of a 32-year-old patient with (right) transtibial and (left) transfemoral amputation. Patient presented with following complaints within 10 days of postamputation surgery. He complained of anxiety, low mood, anhedonia, decreased sleep, reduced appetite, and whitish discharge while passing urine. All the blood investigations and ultrasound of the whole abdomen were normal. The patient was prescribed sertraline 50 mg half H.S. for 3 days, followed by 50 mg one H.S. zolpidem (10 mg H.S.), and syrup cyproheptadine [2 teaspoonful (TSF) night time only (HS)] for a period of 2 weeks. Psychoeducation was also given on a daily basis during this duration. Significant improvement was seen in the above complaints after 1 week of medication.

Conclusion: Patients with lower limb amputation mostly suffer with depression, but development of features of Dhat syndrome along with this indicates the emotional and psychological impact of amputation on such patients, which often goes unnoticed. Every amputee should be given psychological rehabilitation after such an adverse episode of their life.

Keywords: Anxiety, Depression, Dhat syndrome, Lower limb amputee, Psychoeducation

How to cite this article: Srivastava MK, Gupta AK. Bilateral Lower Limb Amputee with Dhat Syndrome. Indian J Phy Med Rehab 2017;28(2):71-73.

Source of support: Nil

Conflict of interest: None

Date of receiving: 09-02-2017

Date of acceptance: 18-05-2017

Date of publication: July 2017

 
7.  ORIGINAL ARTICLE
Comparative Study of the Effectiveness of Therapeutic Ultrasound vs Interferential Therapy to reduce Pain and improve Functional Ability in Osteoarthritis of Knee
Pallab Das, Manas K Dan
[Year:2017] [Month:July-September] [Volume:28 ] [Number:3] [Pages:25] [Pages No:100-105] [No of Hits : 127]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0011 | FREE

Abstract

Many people develop functional limitation due to pain of osteoarthritis (OA) of the knee. Different physiotherapeutic modalities are commonly used to give treatment for patients with OA knee. This study aims to examine the efficacy of therapeutic ultrasound (UST) vs interferential therapy (IFT) to reduce pain and to improve functional ability in OA knee. Thirty subjects with a mean age of 62.55 ± 6.25 years having clinical diagnosis of OA of knee were randomly allocated to two study groups, namely groups I and II, each of 15 patients. Group I received UST and therapeutic exercise and group II received IFT and same therapeutic exercise designed for OA knee, conducted five times a week for 2 weeks. The outcome of this intervention was measured in terms of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, pain relief in terms of visual analog scale (VAS), and active range of motion (ROM). It was concluded that IFT could be the better choice of modality than UST in the management of OA of knee.

Clinical significance: This study helped us to formulate a better therapeutic approach of OA of knee.

Keywords: Interferential therapy Western Ontario and McMaster Universities Osteoarthritis Index, Knee, Osteoarthritis, Physiotherapeutic intervention, Therapeutic ultrasound, Visual analog scale.

How to cite this article: Das P, Dan MK. Comparative Study of the Effectiveness of Therapeutic Ultrasound vs Interferential Therapy to reduce Pain and improve Functional Ability in Osteoarthritis of Knee. Indian J Phy Med Rehab 2017;28(3):100-105.

Source of support: Nil

Conflict of interest: None

 
8.  Original Article
Comparative Evaluation of Awareness among Armed Forces Personnel in Respect of Special Provisions and Benefits Applicable to Children with Disabilities
Chayanika Roy, Partha Roy
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:64-68] [No of Hits : 116]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0004 | FREE

ABSTRACT

Introduction: Mental retardation ranges from the borderline to mild to very severe. Fortunately, the majority (80%) are in the mild range that endows the individual the capacity to lead a simple, yet fruitful life once provided with a means that are conducive to their learning styles. Children with a more severe disorder can achieve remarkably if their unique talents are recognized and nurtured to the fullest.

Aim: We conducted a study among armed forces personnel in a large city in Maharashtra. This community has many peculiar and special features. They are from different ethnic, religious, and linguistic backgrounds and live together as a cohesive unit. The general socioeconomic and educational awareness toward facilities and concessions available for the differently abled children is assumed to be high.

Materials and methods: Detailed interaction with 27 parents having special children was conducted and further data were collected. Each parent was individually interviewed. This group was named parents having differently abled children (PHDAC). Group discussions consisting of 15 families in one group that had no special children in the family were conducted. A total of such eight groups (120 families) were, thus, interviewed. This group was named parents having normal children (PHNC). Each family was verbally questioned regarding the facilities available to special children thoroughly and responses were recorded.

Results and discussion: Overall, it was found that among the PHDAC, the awareness was much better, but some were circumspect of the facilities provided for their wards by the land of the law. Most of them felt that the benefits coming to them were due to their service with the Army. The PHNC were not aware of most of the provisions. However, during the interactions with the researcher, they evinced interest in the matter and were happy to know that special provisions are existent in various Government sectors for special children.

Keywords: Awareness, Differently abled, Special Provision.

How to cite this article: Roy C, Roy P. Comparative Evaluation of Awareness among Armed Forces Personnel in Respect of Special Provisions and Benefits Applicable to Children with Disabilities. Indian J Phy Med Rehab 2017;28(2):64-68.

Source of support: Nil

Conflict of interest: None

Date of receiving: 15-02-2016

Date of acceptance: 15-06-2017

Date of publication: July 2017

 
9.  Case Report
Tetraplegia: Beyond Neuromuscular Respiratory Dysfunction
Sebastian Meghaja
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:69-70] [No of Hits : 113]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10066-0005 | FREE

ABSTRACT

In developing countries like India, tuberculosis (TB) is responsible for 30 to 80% of all pleural effusions encountered and may complicate TB in 31% of all cases. Among the extrapulmonary presentations, pleural TB is second in frequency after tubercular lymphadenitis. Here, we present the case of a 46-yearold lady with high-level spinal cord injury (SCI), who came to the outpatient department for regular follow-up. She had no specific complaints; however, respiratory system examination revealed decreased breath sounds and on further probing, patient revealed that she had mild breathlessness of 2-day duration. She had no history of contact with TB. On evaluation, she had left-sided pleural effusion; pleural tap was done, which showed increased number of cells with lymphocytosis and mildly elevated adenosine deaminase (ADA). The diagnosis of extrapulmonary TB was made and anti-TB therapy (ATT) (direct observation of drug intake (DOTS) category 1) was started.

Conclusion: Tuberculosis is a common infection in a developing country like India. All cases of breathlessness in a tetraplegic are not due to neuromuscular respiratory dysfunction.

Keywords: Spinal cord injury, Tetraplegia, Tuberculosis.

How to cite this article: Meghaja S. Tetraplegia: Beyond Neuromuscular Respiratory Dysfunction. Indian J Phy Med Rehab 2017;28(2):69-70.

Source of support: Nil

Conflict of interest: None

Date of receiving: 19-03-2017

Date of acceptance: 20-06-2017

Date of publication: July 2017

 
10.  Editorial
Editorial
Rajesh Pramanik
[Year:2017] [Month:April-June] [Volume:28 ] [Number:2] [Pages:39] [Pages No:iv] [No of Hits : 96]
Full Text PDF | Abstract | FREE

ABSTRACT

Wish you a hearty thanks and gratitude from the new editorial board. June issue 2017 of Indian Journal of Physical Medicine and Rehabilitation marks the change of guard as I have taken the baton of Editorship from my predecessor on April 2017. After taking over the charge, I felt humbled by the huge responsibility and level of expectation for our prestigious journal.

 
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