Indian Journal of Physical Medicine and Rehabilitation

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2015 | September | Volume 26 | Issue 3

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopmr-26-3-86a  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Medical Philately

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopmr-26-3-88a  |  Open Access |  How to cite  | 

EDITORIAL

Can Interventional Physiatry Overrule Conventional Physiatry?

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:57 - 57]

PDF  |  DOI: 10.5005/ijopmr-26-3-57  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

C Zonunsanga, Hmingthanmawii , Minggam Pertin, Chongreilen Chiru, Romi Singh Nongmaithem, Yengkhom Jotin Singh

Quality of Life in Postmenopausal Women and Its Correlation with Bone Mineral Density

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:7] [Pages No:58 - 64]

PDF  |  DOI: 10.5005/ijopmr-26-3-58  |  Open Access |  How to cite  | 

Abstract

Aim

To evaluate the quality of life in postmenopausal women and its correlation with bone mineral density.

Study design

Cross-sectional study.

Duration of the study

October 2012 to September 2014.

Settings

Physical Medicine and Rehabilitation Department, Regional Institute of Medical Sciences, Imphal.

Study population

Postmenopausal women who attended the department during the study period.

Materials and Methods

Quality of life was assessed using WHOQOL-BREF questionnaire, a validated brief version of the WHOQOL-100. Bone mineral density (BMD) in the lumbar spine, femoral neck and trochanter were measured using dual energy x-ray absorptiometry (DEXA) scan – GE Lunar model.

Results

A total of 125 patients were studied. The mean t-scores in lumbar spine, femoral neck and trochanter were -2.550 ± 1.209, -1.831 ± 0.921 and -1.621 ± 1.064 respectively. The mean BMD (g/cm2) in lumbar spine, femoral neck and trochanter were 0.867 ± 0.144, 0.789 ± 0.131 and 0.682 ± 0.139 respectively. The mean overall WHOQOL score was 57.68±10.07. There were statistically significant positive association of WHOQOL score with the BMDs in lumbar spine, femoral neck and trochanter (p < 0.05). Multivariate regression showed significant relation of overall WHOQOL score with BMD lumbar spine (b=0.229; R2=0.119), BMD femoral neck (b=0.285; R2=0.129), and BMD trochanter (b=0.245; R2=0.119).

Conclusion

BMDs in the lumbar spine, femoral neck and trochanter had a positive correlation with quality of life scores. BMD also had a good predictive value in determining the quality of life in postmenopausal women.

RESEARCH ARTICLE

Md. Abdus Shakoor, Mohammad Tariqul Islam, Md. Muhibbur Rahman, Md. Shahidur Rahman, Md. Moyeenuzzaman

Evaluation of the Effects of Lumbosacral Corset on the Patients with Chronic Non-specific Low Back Pain

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:5] [Pages No:65 - 69]

PDF  |  DOI: 10.5005/ijopmr-26-3-65  |  Open Access |  How to cite  | 

Abstract

A randomised clinical trial was conducted in the Department of Physical Medicine & Rehabilitation (PMR), Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. A total of 81 patients having chronic LBP were included according to the selection criteria. Out of them, 31 (38.3%) were male and 50 (61.7 %) were female in a ratio of 1: 1.61. The mean age of the patients in study was 41.65 ± 8.41years. Female persons were affected in their earlier ages (between 30 and 45 years) than male. Most of the patients were housewives (54.3%). The patients were divided randomly into two groups by the way of lottery for the clinical trial. Group-A patients were treated with NSAIDs, activities of daily living instructions (ADLs) and lumbosacral corset and group-B patients were treated with NSAIDs and ADLs. The patients were followed up weekly for five weeks and significant improvement was recorded after the treatment in both the groups (p=0.001). In comparison between two groups, it was found that there was no significant improvement in pre-treatment, after 1st week and after 3rd week. A little bit improvement was found in group-A patients than group-B after 4th week (p= 0.06). But finally, there was significant improvement in group-A than group-B patients after 5th week (p=0.005). So, it may be concluded that both the treatment is effective for the patients with chronic non-specific LBP. But the patient may be more benefited if lumbosacral corset is used as an adjunct to NSAIDs.

REVIEW ARTICLE

Ramamoorthy Veyilmuthu

The Role of Physiatrist in the Diabetes Healthcare Team

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:6] [Pages No:70 - 75]

PDF  |  DOI: 10.5005/ijopmr-26-3-70  |  Open Access |  How to cite  | 

Abstract

The physiatrist is an important member of the diabetes healthcare team. His/her primary role is to provide physical activity counselling for the diabetics after thorough evaluation. Exercise is a primary component of diabetes management together with diet plan and antidiabetic drugs. The physiatrist, with his/her background knowledge in exercise physiology, is the most appropriate person for this job. Regular exercise has been shown to improve blood glucose control, reduce cardiovascular risk factors, contribute to weight loss and improve well being. Furthermore, regular exercise may prevent type 2 diabetes in high risk individuals. Thus physical activity plays a pivotal role in health promotion and diabetes control. People with diabetes should be advised to perform at least 150 minutes per week of moderate intensity aerobic physical activity using ‘FITT Principle’. In the absence of contra-indications, people with type 2 diabetes should be encouraged to perform resistance training three times per week. DeLorme resistance exercise improves power, strength, endurance and burns more calories. Cross training is the term used to describe the use of a variety of activities during exercise. Interval training is the variation of intensity during one or more aerobic activities. Circuit training is the combination of aerobic exercise and weight training (anaerobic exercise). Before recommending a programme of physical activity, the physiatrist should assess diabetics for coronary artery disease and other complications of diabetes.

CASE REPORT

Vinay Goyal, Nonica Laisram, Diganta Borah, C Chethan.

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in Traumatic Spinal Cord Injury

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:3] [Pages No:76 - 78]

PDF  |  DOI: 10.5005/ijopmr-26-3-76  |  Open Access |  How to cite  | 

Abstract

Hyponatraemia is a known complication associated with neurosurgical conditions including acute spinal injury. The prevalence of hyponatraemia in acute spinal cord injury has been known to be much higher than in the general population. Hyponatraemia is a marker of different underlying diseases and it can be a cause of morbidity itself; this implies the importance of a correct approach to the problem. The syndrome of inappropriate antidiuretic hormone (SIADH) is one of the most common causes of hyponatraemia; it is a disorder of sodium and water balance characterised by urinary dilution impairment and euvolaemic/hypotonic hyponatraemia, in the absence of renal disease or any identifiable nonosmotic stimulus able to induce antidiuretic hormone (ADH) release. It is a diagnosis of exclusion. We are reporting a case of hyponatraemia in a patient with lumbar spinal cord injury who was initially managed as any other hyponatraemia and was later diagnosed as suffering from SIADH.

CASE REPORT

S.N Mansoor, Ahmed Zaheer Qureshi

Acquired Flat Foot due to Tibialis Posterior Rupture, a Known Yet Missed Cause

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:3] [Pages No:79 - 81]

PDF  |  DOI: 10.5005/ijopmr-26-3-79  |  Open Access |  How to cite  | 

Abstract

Rupture of tibialis posterior tendon is a known cause of acquired flat foot but the diagnosis is missed or delayed in most of the cases. It may lead to significant morbidity. We present a case of 13 years old boy with history of blunt trauma to his left foot one year back and presented with pain medial aspect of right foot and difficulty in prolonged walking and running. Clinically he had a flat and hyperpronated foot. His x-rays were normal and MRI revealed partial tear of posterior tibial tendon. He was recommended medial arch support, shoe modification, NSAIDs and referred to orthopedic surgeon for repair. Posterior tibialis tendon dysfunction is one of the concealed injuries that require earliest diagnosis and immediate attention, failing which the outcomes can have debilitating effects on patient's quality of life. This is important to prevent foot deformities and long term disability.

CASE REPORT

Shiva Prasad, Vijay , Gururaj Bangari, Priyanka Patil, Spurti N Sagar

Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:3] [Pages No:82 - 84]

PDF  |  DOI: 10.5005/ijopmr-26-3-82  |  Open Access |  How to cite  | 

Abstract

Trigger points as a cause of musculoskeletal or myofascial pain syndrome is well documented. Trigger points (Tr Ps) are tender and hypersensitive nodules seen in skeletal muscles which develop as a result of sudden or repetitive trauma to the muscles. They cause contractile state of a muscle with local or radiating pain. Active trigger points cause intense pain with limitation of movements of the muscles. The treatment involves deactivating the trigger points, usually done by various methods. Most common practice is myotherapy which involves deep tissue massage which is painful and time consuming. Dry needling and needling with anaesthetic injaection have been successfully used by many. Recently, ultrasound guidance is used to locate the trigger points and to accurately place the needle in to them to deactivate, thus preventing complications of blind procedures.

RESEARCH ARTICLE

R Pramanik

Missed Opportunity for Thrombolysis in a Patient of Massive MCA Territory Stroke

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:85 - 85]

PDF  |  DOI: 10.5005/ijopmr-26-3-85  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

BOOK NEWS

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:86 - 86]

PDF  |  DOI: 10.5005/ijopmr-26-3-86  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:87 - 87]

PDF  |  DOI: 10.5005/ijopmr-26-3-87  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB CHALLENGE

[Year:2015] [Month:September] [Volume:26] [Number:3] [Pages:1] [Pages No:88 - 88]

PDF  |  DOI: 10.5005/ijopmr-26-3-88  |  Open Access |  How to cite  | 

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