Tag: Narasimman Swaminathan

Trigerinių taškų gydymo intraraumenine sausa akupunktūra efektyvumas: serijos atvejų analizė

Ahmed Al Kharusi, Narasimman Swaminathan

Ahmed Al Kharusi, Narasimman Swaminathan – The effectiveness of intramuscular dry needling stimulation in treating trigger points: A case series –  Fizjoterapia Polska 2024; 24(4); 260-264

DOI: https://doi.org/10.56984/8ZG01A8F6H2

Santrauka
Miogeniniai trigeriniai taškai yra dažna lėtinio stuburo skausmo simptomatika. Įvairios technikos yra naudojamos trigerinių taškų valdymui ir laikomos svarbia lėtinio stuburo skausmo valdymo dalimi. Skausmo, sukelto trigerinių taškų, sumažinimas gali pagerinti funkciją. Atvejų analizė gali suteikti pirminius įrodymus ir padėti vertinti galimybes. Šio atvejų analizės tikslas – dokumentuoti intraraumeninės sausos akupunktūros taikymo galimybes trigerinių taškų sukelto lėtinio skausmo gydyme.
Į privačią kliniką atvyko trys pacientai (35, 33 ir 28 metų amžiaus) su pagrindiniu nusiskundimu – skausmu mentės srityje, ir jų gydymas aprašomas šiame atvejų tyrime. Pradinės fizinės apžiūros metu aptiktas jautrumas D6 ir D8, abipus stuburo aptiktas raumenų hipertonusas bei sumažėjusi krūtinės dalies stuburo mobilumas. Abipus stuburo buvę keli trigeriniai taškai rodė laikysenos disfunkciją, o skausmas keitėsi keičiant krūtinės dalies padėtį.
Pacientams atlikta sausa akupunktūra intraraumenine stimuliacija per trigerinius taškus, paraspinalinius raumenis ir po mentėmis, procedūrą atliko kvalifikuotas specialistas. Dažnis nustatytas 1,5 Hz, o intensyvumas – pagal paciento toleranciją. Rezultatų vertinimui naudoti VAS, RMDQ ir skaitmeninis kampomatis krūtinės dalies stuburo rotacijai. Pirmas pacientas VAS pagerino 22 mm pirmą savaitę ir 40 mm ketvirtą savaitę, o abipus rotacijos mobilumas padidėjo 20 laipsnių pirmą savaitę ir iki viso judesio ketvirtą savaitę. Antras ir trečias pacientai VAS pagerino 10 mm per pirmą savaitę ir 35 mm iki ketvirtos savaitės, o ketvirtą savaitę abu pasiekė visą mobilumą. Visų trijų atvejų RMDQ rezultatai žymiai pagerėjo.
Šie trys atvejai rodo reikšmingą simptomų ir funkcijos pagerėjimą pagal rezultatų matavimus, kas rodo intraraumeninės sausos akupunktūros taikymo veiksmingumą gydant trigerinius taškus krūtinės dalyje, tačiau rekomenduojamas didesnio masto tyrimas.

Raktažodžiai：trigeriniai taškai, sausa akupunktūra, intraraumeninė stimuliacija

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Namų pratimų programos (HEP) laikymosi veiksnių kokybinė analizė tarp klientų, sergančių lėtiniu raumenų ir kaulų skausmu

Sowmya J. Vaikar, Narasimman Swaminathan, Mathangi Damal Chandrasekhar

Sowmya J. Vaikar, Narasimman Swaminathan, Mathangi Damal Chandrasekhar – Qualitative analysis of the factors affecting Home Exercise Program (HEP) adherence among clients with chronic musculoskeletal pain – Fizjoterapia Polska 2024; 24(2); 218-222

DOI: https://doi.org/10.56984/8ZG5608N6R

Santrauka
Tyrimo tikslas. Šio tyrimo tikslas buvo nustatyti veiksnius, kurie turi įtakos HEP laikymuisi tarp klientų, sergančių lėtiniu raumenų ir kaulų skausmu. Metodika. Į tyrimą buvo įtraukti klientai, sergantys lėtiniu raumenų ir kaulų skausmu, kurie lankėsi tretinio lygio mokymo ligoninės kineziterapijos ambulatoriniame skyriuje. Dešimt klientų, sutikusių dalyvauti, buvo giliai apklausti vienas su vienu. Naudotas pusiau struktūruotas interviu vadovas, siekiant ištirti pratimų, nurodytų HEP, atlikimo patirtis ir suvokimus. Garso įrašai buvo iššifruoti ir tematiškai analizuoti. Rezultatai. Išryškėjo keturios pagrindinės temos – laikymosi tikslas, įtakos veiksniai, palengvinančios priemonės ir kliūtys. Kiekvienas iš šių sričių turėjo kelis posričius, kurie leido išnagrinėti šešiolika veiksnių. Išvada. HEP laikymąsi daugiausia lemia individualūs veiksniai, klientų sąveika su kineziterapeutu ir paskirti pratimai. Šie rezultatai gali padėti sveikatos priežiūros specialistams, dirbantiems su klientais, geriau paskirti pratimus, pagerinti laikymosi rodiklius ir teikti tinkamą sveikatos ir gerovės konsultavimą, kad fizinis aktyvumas ir pratimai taptų neatsiejama klientų gyvenimo būdo dalimi.

Raktažodžiai
namų pratimų programa, pratimų laikymasis, pratimų paskyrimas, lėtinis raumenų ir kaulų skausmas

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Inspiratory Muscle Training is Effective in lmproving Respiratory Muscle Functions in Patients who have Undergone Coronary Artery Bypass Graft

Reshma Praveen, Narasimman Swaminathan, Praveen J.S

Reshma Praveen, Narasimman Swaminathan, Praveen J.S – Inspiratory Muscle Training is Effective in lmproving Respiratory Muscle Functions in Patients who have Undergone Coronary Artery Bypass Graft. Fizjoterapia Polska 2009; 9(4); 285-292

Abstract
Background. Pulmonary complications are the most common cause of mortality and morbidity in post-operative populations, especially in cardiothoracic surgeries that may demand much attention from the therapist. Median sternotomy a gold standard incision for CABG, has been shown to have an inevitable adverse effect on the performance of the respiratory mus-cles. Moreover, reduced blood supply to these muscles following the han/est of left internal mammary artery (LIMA) for CABG has been well acknowledged. The reduction in blood supply may lead to respiratory muscle weakness and affects recovery. In the recent past inspiratory muscle training has gained momentum as an acceptable techniąue in the rehabilita-tion of the respiratory muscles. To determine the effectiveness of inspiratory muscle training on respiratory muscle strength and endurance in patients who have undergone CABG with LIMA. Experimental study design with simple randomization.Material and methods. Thirty patients who had undergone coronary artery bypass grafting with LIMA as one of the grafts were randomly divided into two groups. Postoperatively the experimental group received inspiratory muscle training with a flow dependent trainer for 15 days exclusively along with the standard hospital protocol while the control group received only the standard physiotherapy protocol. The primary outcome measures were Maximum Inspiratory Pressure (PIMax) and Maximal Voluntary Ventilation (MW), which are determinants of respiratory muscle strength and endurance, respectively The variables were measured preoperatively on the 4th day after the surgical procedurę prior to training and 15 days after the training. Results. The inspiratory muscle strength and endurance in the inten/entional group showed significant improvement as compared to the control group. Also the MW values in the inten/entional group reversed back to their presurgical levels and the improvement in the Pimax values of the experimental group was significantly higher than even the presurgical values. The control group did not display either of these two trends. Conclusions. The results of this study indicate that inspiratory muscle training is effective in improving the respiratory muscle strength and endurance in patients who have undergone coronary artery bypass graft. This study suggests that inspiratory muscle training represents a useful therapeutic adjunct in the rehabilitation protocol for patients who have undergone cardiac surgery.
Key words:
IMT (Inspiratory Muscle Training), MVV (Maximal Voluntary Ventilation), PiMax (Maximum Inspiratory Pressure)
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Abductory twist” – an element of observational gait analysis in low back pain – a case study

Prabu Raja Gopala Krishnan, Narasimman Swaminathan, Kavitha Vishal, D’souza Vanita Vincent, Benjamin Varghese

Prabu Raja Gopala Krishnan, Narasimman Swaminathan, Kavitha Vishal, D’souza Vanita Vincent, Benjamin Varghese – Abductory twist” – an element of observational gait analysis in low back pain – a case study. Fizjoterapia Polska 2011; 11(1); 67-73

Abstract
The objective of this case study is to explain the influence of the altered lower limb kinematics in subject with non-specific low back pain using simple video analysis and to emphasise the relationship between the altered lower limb kinematics and low back pain. Low back pain management is one of the most challenging tasks encountered by the therapist. Altered lower limb kinematics has been hypothesized to influence low back pain. A thorough biomechanical evaluation of the lower limbs and the pelvic girdle along with the spine is important in successful rehabilitation of non-specific low back pain.An 18 year old cricket player with the chief complaint of low back pain presented to the department of physiotherapy. Routine physiotherapy evaluation was carried out and the patient was diagnosed with non specific chronic low back pain. He had undergone specific low back rehabilitation protocol elsewhere. On observation it was found that there was a collapse of medial longitudinal arch during midstance. Following this, a through video analysis was done to identify the abnormalities in kinematics. There was a rapid medial movement of the heel at the instant of heel off which was coined as abductory twist in the literature.Abductory twist is an abnormal finding in which there is an excess and prolonged foot pronation beyond midstance. This alters the kinematics proximally leading to back pain. Observational gait analysis is mandatory in recurrent non-specific low back pain. This case study explains the pathomechanical relationship between the foot and low back pain.
Key words:
abductory twist, observational gait analysis, dynamic foot function, medial longitudinal arch
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Fizioterapijos priežiūros subjektų atitiktis namų pratyboms (HEP): kokybinio tyrimo ataskaita

Meshanti Kumarasamy, Narasimman Swaminathan, Marek Kiljański, Zbigniew Śliwiński

M.Kumarasamy, N. Swaminathan, M. Kiljański, Z. Śliwiński – Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study. Fizjoterapia Polska 2019; 19(1); 70-74

Abstract
This study examined the extent of compliance towards HEP among subjects undergoing physiotherapy sessions in selected clinical settings. The findings of this study would provide insights on the perceived enablers and barriers that influence compliance towards prescribed home exercises.
Methodology. This qualitative inquiry study interviewed twenty subjects – 12 males and 8 females under physiotherapy care at various outpatient musculoskeletal rehabilitation at selected private hospitals and physiotherapy clinics located in the states of Kuala Lumpur and Negeri Sembilan of Malaysia. Subjects’ responses on the perceived opinions and experiences with prescribed home exercises were audio recorded through a semi-structured interview. The responses obtained were analysed further using keyword coding and content analysis.
Results and Analysis. Self-motivation, determination and commitments are the best-explored enablers for active involvement. Barriers that significantly lead to disengagement in home exercises among the participants of this study includes lack of time, work commitments, personal characteristics, disease nature or injury status and ineffective exercise prescriptions.
Conclusion. Content analysis of the recorded responses revealed that the predictors of compliance to home exercises is multifactorial. This study provides a baseline data for understanding the perceived enablers and barriers towards participation in home exercises; these findings will aid the health care professionals in implementing the measures to maximize compliance level among patients undergoing physiotherapy.
Highlights
• Compliance to home exercises are affected by various factors
• Lack of time, work commitments and injury status affect the home exercise compliance
• Self-motivation is the most important enabler for the compliance to HEP
• Nature of the disease affects compliance to HEP

Key words:
home exercise program, physiotherapy, musculoskeletal rehabilitation

 

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Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning

Thirumalaya Balaraman, Narasimman Swaminathan, Zbigniew Śliwiński, Marek Kiljański

T. Balaraman, N. Swaminathan, Z. Śliwiński, M. Kiljański – Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning. FP 2016;16(4);24-28

Abstract

Background.
Teaching face to face and partly online is called blended teaching. In practical oriented subjects like physiotherapy more hands on training is required. Hence online teaching may not help to meet the learning outcomes. But a combination of face to face and online may be very effective in delivering the course contents. In this paper the effect of blended teaching on students learning is discussed.
Aim.
The aim of this paper is to discuss the efficacy of blended learning to improve the quality of student learning in physiotherapy education.
Materials and methods.
At INTI International University, we delivered physiotherapy selected courses in blended mode using various tools in the Blackboard platform. We also used zoom and skype to deliver in-classroom lectures with international expert from overseas. The efficacy of this method was evaluated through student’s feedback and performance in the formative and summative assessments
Results.
The students participated in these courses perceived blended teaching strategies very effective and convenient. Blended learning encouraged more collaboration between students which was evident based on their summative exam scores.
Conclusion.
Blended teaching strategies may be effective in physiotherapy education to improve the quality of students learning. A higher quality studies will provide more evidence.

Key words:
blended learning, physiotherapy education, physiotherapy education,

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