Indian Journal of Physical Medicine and Rehabilitation

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2018 | June | Volume 29 | Issue 2

EDITORIAL

Henry Prakash

Editorial

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jp-ijopmr-29-2-iv  |  Open Access |  How to cite  | 

ORIGINAL ARTICLE

Vishal A Chafale, Alak Pandit, Satish A Lahoti, Tajendranath Kundu, Goutam Ganguly

Guillain–Barré Syndrome: Profile of 120 Patients with respect to Response to Various Modalities of Treatment

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:6] [Pages No:31 - 36]

Keywords: Clinical profile, Guillain–Barré syndrome, Intravenous steroid, Prognosis, Treatment.

PDF  |  DOI: 10.5005/jp-journals-10066-0022  |  Open Access |  How to cite  | 

Abstract

Introduction: Guillain–Barré Syndrome (GBS) is an inflammatory polyradiculoneuropathy with varied clinical manifestation and often dismal prognosis if not promptly treated. Recommended treatment modalities [intravenous immunoglobulin (IVIG) and plasma exchange (PE)] are costly and the role of steroids is controversial. Materials and methods: In this study, we reviewed the clinical and laboratory findings of consecutive patients with GBS (n = 120) and explored factors associated with outcome. We also compared response to different modalities of treatment including steroids. Results: There was no significant difference between the treatment outcomes of IVIG and PE and we found a nonsignificant trend toward improvement with intravenous (IV) steroid. We observed 4.17% mortality and most common cause of death was respiratory failure. Conclusion: Increasing age, delay in starting treatment, early peak disability, autonomic dysfunction, bulbar weakness, and reduced compound muscle action potential (CMAP) were associated with a poorer outcome. Group of patients treated with IVIG and plasmapheresis showed more improvement than the IV methylprednisolone group.

ORIGINAL ARTICLE

Dinesh Kumar, Sunil K Raina, Ashok K Bhardwaj

Explaining the Variability of Responses to an Abridged Version of International Classification of Functioning, Disability, and Health Tool in Community Settings of Northern India

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:6] [Pages No:37 - 42]

Keywords: Community, Correlation, Feasibility, International Classification of Functioning, Disability and Health.

PDF  |  DOI: 10.5005/jp-journals-10066-0023  |  Open Access |  How to cite  | 

Abstract

Introduction: The International Classification of Functioning, Disability and Health (ICFDH) gives a valid assessment for assessing the extent of impairment, level of capacity, performance, and functions along with the role of the environment. In the current study, an abridged version of ICFDH was developed and studied for its applicability in the general population for quantification along with summarizing the pattern of correlations among observed variables. Materials and methods: Descriptive study was carried out among 72 (36 in rural and urban area each) subjects with a response to 20 variables on 14 areas of the ICFDH. Principal component analysis (PCA) using R studio package (version 3.4.4) was done to detect a set of variables forming coherent subsets that are independent of each other. Results: Study subjects had mean age of 35 [standard deviation (SD) ± 5.4] years and 58.0% were males. The average score indicates mild level of impairment, mildly and moderately affected performance and capacity for learning and applied knowledge, and communication. Environmental support was observed with an average score of 2.78 for products and technology, 3.47 for supports and relationships, 3.42 for attitude toward others, and 3.29 for services, systems, and platforms. Sizes of correlation were significant in the matrix, with statistically significant Bartlett\'s test of sphericity (p=0.00) with good factorability (Kaiser–Meyer=0.76). First two components explains maximum (55.0%) of variance with high loading of 15 variables on the first principal component. Conclusion: Included variables are observed to be coherent with the theoretical construct of the ICFDH, and the study tool is quite feasible to administer in community-based settings.

ORIGINAL ARTICLE

Mohit Kataruka, Mandeep Saini, Manas Pattnaik

Demographic profile of Sports Injuries among Trainees of a Premier Training Institute of India

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:4] [Pages No:43 - 46]

Keywords: Injury profile, Physical training, Sports Injury.

PDF  |  DOI: 10.5005/jp-journals-10066-0024  |  Open Access |  How to cite  | 

Abstract

Introduction: Injuries are recognized as a leading health problem in professional physical training. Many of these involve physical damage caused by microtrauma (overuse) in recreation, sports, training, and job performance. These are commonly seen in Training institutes world over and are a cause of concern due to loss of precious training hours. This study was conducted at a hospital catering to a premier Training Institute in southern part of India where trainees undergo three years of vigorous physical training and suffer different musculoskeletal injuries. The purpose of this study was to determine the incidence of training-related musculoskeletal injuries and to classify different injuries. Materials and methods: This retrospective case–control study was conducted at the hospital catering to a premier Training Institute of India, from January to December 2017. All the trainees who reported sick with musculoskeletal problems were included in the study depending on inclusion and exclusion criteria. Injury profile of the trainees was studied based on the type of activity being performed and the mode of injury. All the trainees were examined by the PMR specialist and definitive treatment was prescribed depending on type and extent of injury. Results: A total of 677 male trainees between the age group of 17 and 21 years were included. Most of the injuries occurred during the early phase of training. Most common injury among trainees are knee contusion (16.23%) followed by low backache (11.67%). Percentage of stress fracture is 14%, and mostly seen in 2nd term trainees. The incidence of upper extremity injury compared with lower extremity is 11.85%. Inflammation and pain (overuse) were the largest injury type category, including 80.03% of all injuries. Conclusion: Considering the magnitude of training injuries in physical training, there is a need for substantial study in the areas of surveillance, prevention, and treatment of the training or sports related injuries.

ORIGINAL ARTICLE

Virinder S Gogia

Prevalence of Overweight and Obesity among Adolescents in an Urban North Indian School: A Cross-sectional Study

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:6] [Pages No:47 - 52]

Keywords: Adolescent, Body mass index, Cardiovascular disease, Diabetes mellitus, Hypertension, North India, Obesity, Overweight, Schoolchildren, Waist–hip ratio.

PDF  |  DOI: 10.5005/jp-journals-10066-0025  |  Open Access |  How to cite  | 

Abstract

Introduction: Obesity and overweight have grown into a worldwide epidemic. Adolescents with overweight or obesity grow into obese adults. Hence, there is an urgent need to examine adolescents for obesity and overweight across countries and identify predisposing factors to check the menace of lifestyle diseases in adulthood. Aims and objectives: In the present study, we have investigated the prevalence of obesity and overweight and their association with risk factors like gender, height, weight, body mass index (BMI), physical activity, eating habits like junk food, and family history of noncommunicable diseases (NCDs) and obesity. Materials and methods: The study was carried out in a local public school in Chandigarh. Seventy-five school-going children of standard VIII to X were questioned and physically examined. Eating habits and lifestyle factors were enquired into, using a questionnaire and physical examination. Obesity and overweight were considered using Centers for Disease Control and Prevention, USA (CDC, USA) Gender-specific BMI-for-Age charts. Results: Age-adjusted prevalence of overweight was found to be significantly correlated to female gender. Adolescent overweight and obese states were found to be significantly correlated with positive family history of lifestyle diseases. Conclusion: Our study suggests that the children at risk be identified early and encouraged to adopt healthy lifestyle practices. India needs to develop standard BMI cut-off percentile charts for underweight/healthy weight/overweight/obese for Indian children and adolescents.

CASE REPORT

Vasanthi K Sreekala

Disability Limitation in Elephantiasis

[Year:2018] [Month:] [Volume:29] [Number:2] [Pages:3] [Pages No:53 - 55]

Keywords: Elephantiasis, Filariasis, Postsurgical rehabilitation.

PDF  |  DOI: 10.5005/jp-journals-10066-0026  |  Open Access |  How to cite  | 

Abstract

EIephantiasis, a chronic irreversible lymphoedema of the extremities, commonly involving legs, is caused due to obstruction of lymphatic vessels by microfilariae of Wuchereria bancrofti, Brugia malayi, and Loa loa. Two of our patients of age 56 and 58 years presented with elephantiasis. One patient was bed-bound while the other patient used to manage ambulation. Both of them were advised to undergo reconstructive surgery which the ambulatory patient refused. After 5-stage surgical correction and postsurgical rehabilitation, the bedbound patient started walking with a walker 3 months after the last surgery and became independently ambulant after 6 months.

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