Tag: Narasimman Swaminathan

肌内干针刺激治疗触发点的有效性：病例系列研究

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

肌内干针刺激治疗触发点的有效性：病例系列研究

摘要
肌筋膜触发点是慢性脊柱疼痛患者的常见表现。多种技术被用于管理触发点，并被视为慢性脊柱疼痛管理中的重要组成部分。缓解触发点引起的疼痛可能有助于改善功能。病例系列研究可提供初步证据并协助可行性评估。本病例系列研究的目标是记录肌内干针刺激在管理触发点引起的慢性疼痛中的可行性。
三名年龄分别为35、33和28岁的患者来到私立诊所，主要抱怨肩胛区肌肉疼痛，其管理过程在本病例系列中报告。初步体检显示D6和D8部位存在压痛感，三名患者均有可触及的脊旁肌肉紧张及胸椎两侧活动度受限。在脊柱两侧发现多个触发点，显示出姿势功能障碍，疼痛随胸椎姿势变化而改变。
患者接受了由受过该技术训练的治疗师在触发点、脊旁肌及肩胛骨下方进行的干针和肌内刺激治疗。频率设为1.5 Hz，强度根据患者耐受情况调整。通过视觉模拟评分（VAS）、罗兰-莫里斯残疾问卷（RMDQ）及数码测角仪测量胸椎旋转活动度来评估效果。病例一在第一周VAS评分改善了22 mm，第四周改善了40 mm，胸椎两侧旋转活动度在第一周改善了20度，第四周达到完全恢复。病例二和病例三的VAS评分在第一周改善10 mm，到第四周改善35 mm，第四周两者均达到了全活动度。三例的RMDQ评分均显著改善。
三例均显示出症状和功能显著改善，基于评估结果，显示干针和肌内刺激治疗胸椎肌筋膜触发点的有效性，但建议进行大规模研究。

关键词：触发点，干针，肌内刺激

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家庭锻炼计划 (HEP) 依从性影响因素的定性分析：慢性肌肉骨骼疼痛患者

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

摘要
研究目的。本研究旨在确定影响慢性肌肉骨骼疼痛患者遵循HEP的因素。研究方法。招募了在一家三级护理教学医院的物理治疗门诊部门就诊的慢性肌肉骨骼疼痛患者。对同意参与的十名患者进行了一对一的深入访谈。使用半结构化访谈指南来探索他们执行HEP规定的锻炼的经历和看法。对录音的访谈内容进行了转录和主题分析。结果。出现了四个主要主题——依从性的目的、影响因素、促进因素和障碍。每个领域都有多个子领域，结果映射出了十六个探讨的因素。结论。HEP依从性主要受到个人因素、患者与物理治疗师的互动以及规定的锻炼的影响。这些发现可能有助于参与患者护理的医疗保健专业人员更好地规定锻炼，改善依从性，并提供适当的健康与健康指导，使体力活动和锻炼成为患者生活方式中的不可协商的部分。

关键词
家庭锻炼计划，锻炼依从性，锻炼处方，慢性肌肉骨骼疼痛

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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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理疗护理受试者中的家庭锻炼计划依从性：定型研究报告

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

摘要
该研究检查在选定的临床环境中接受物理治疗的受试者对家庭锻炼计划的依从程度。研究的调查结果将提供有关影响所规定家庭锻炼依从性的感知促成因素及障碍等方面的意见。
方法。该定性调查研究共采访了二十名受试者，包括12名男性及8名女性，它们在马来西亚的吉隆坡和森美兰州选定的私立医院和理疗诊所中接受各种门诊肌肉骨骼康复治疗。受试者对规定家庭锻炼的感知意见和经验的回答以半结构式访谈进行录音。所获得的回应经过关键字编码及内容分析进行分析。
结果和分析。自我激励、决心和承诺为积极参与的最佳推动因素，影响本试验中受试者脱离家庭锻炼的明显障碍包括缺乏时间、工作承担、个性、疾病性质或受伤状况及运动处方无效等。
结论。根据所记录回应的内容分析显示家庭锻炼依从性的预测结果为多因素，该试验提供了解参与家庭锻炼的感知促成因素和障碍的基本数据。这些调查结果将协助医疗保健专业人员实施措施，在最大限度上提高接受理疗患者的依从水平。
结论：
•家庭锻炼的依从性受各种因素影响
•缺乏时间、工作承担和受伤状况会影响家庭锻炼的依从性
•自我激励为家庭锻炼依从性的最重要促成因素
•疾病的性质会影响家庭锻炼的依从性

关键词：
家庭锻炼计划、物理治疗、肌肉骨骼康复

 

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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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