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All Journal Indian Journal of Forensic Medicine & Toxicology
Divya Jethwani
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Public Health

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Combined Effect of Neural Tissue Mobilization and Deep Friction Massage in Piriformis Syndrome: A Research Protocol Vrushali K. Athawale; Divya Jethwani; Moh’d Irshad Qureshi; Ragini Dadgal
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14261

Abstract

Background:- Piriformis syndrome is the musculoskeletal condition which is characterized by pain alongwith tingling and numbness which results because of compression of piriformis muscle. Various treatmentapproaches are present for treating the piriformis syndrome but neural tissue mobilisation is manual therapysimilar to joint mobilisation. Deep friction massage is used to breakdown adhesion and release of scartissues. This study protocol has been created to find out the combined effect of neural tissue mobilizationand deep friction massage in piriformis syndrome.Methods:-- On the basis of inclusion and exclusion criteria 30 participants between 20-60 years of agehaving piriformis syndrome will be select for study and are classified into two groups. Group A (n-15) forNeural Tissue Mobilisation, Group B (n-15) for Neural Tissue Mobilisation and Deep Friction Massage.Outcome measure are Oswestry Disability Index, Numerical Pain Rating Scale and Range of motion of hipjoint. Follow up of the participants are done after every 2 days and treatment duration is of 10 days.Discussion:- Effect of intervention will be analyzed by Numerical Pain Rating Scale, Oswestry DisabilityIndex and Range of Motion of Hip joint. The result of this study will significantly provide the affirmation ofNeural Tissue Mobilisation with Deep Friction Massage in Piriformis Syndrome.
Endurance and Respiratory Training, an Approach to Delay the Symptomatic Progression in Multiple Sclerosis - A Case Report Divya Jethwani; Mohd. Irshad Qureshi; Ragini Dadgal; Ashish W. Bele
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14290

Abstract

Multiple sclerosis (MS) is an autoimmune disease which is inflammatory in nature and shows gliosis anddemyelination which lead to acute and chronic symptoms impairing the quality of life due to disability.Presence of immune-mediated response in Central Nervous System leads to the above presentation. MSis the most common condition of CNS which causes disability. Treatment of Multiple Sclerosis consistsof treating the exacerbations along with slowing the disease process and including symptomatic therapies.The most invalidating symptom in people with MS is Fatigue. This case reports shows the effectiveness ofendurance and respiratory training towards the delaying the progression of symptoms in MS.
Combined Effect of Proprioceptive Neuromuscular Facilitation And Electrical Muscle Stimulation In Hemiplegic Stroke Patients To Enhance Upper Extremity Function: A Research Protocol Palak P. Darda; Divya Jethwani; Moh’d Irshad Qureshi; Ragini Dadgal
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14355

Abstract

Background- : Stoke is characterized as rapid clinical signs of focal (or global) impairment of brainfunction, with symptoms that last longer than one day or lead to death, with no other apparent cause thanvascular origin. Globally, Cerebrovascular(CVE)damage is the second-biggest root cause of death and thethird-largest cause of disability. This is 1 in 19 deaths. Stroke is a significant source of injury in the longterm and is more disabled than fatal. This protocol has been created that describes the design of experimentalstudy to evaluate the combined effect of Neuromuscular Electrical Stimulation(NMES) with ProprioceptiveNeuromuscular Facilitation(PNF) to enhance the upper- extremity functions in hemiplegic stroke patients.Methods-The participants (n=26) will be recruited in the study suffering from stroke and meeting theinclusion criteria. Two groups will be formed such that patients in group A will be treated with conventionaltherapy and PNF group B will be treated with PNF and NMES in alongwith conventional therapy. Theprotocol will cover 6 weeks of treatment. Regular assessment at 0,3rdand 6th week will be carried out.In the rehabilitation period, we will evaluate upper extremity function, activities of daily living(ADLs),mental status examination at regular interval during the rehab.Our outcome measures will be- Glasgowcoma scale (GCS), Mini-Mental Scale Examination (MMSE), Modified Ashworth Scale (MAS), ModifiedBarthelIndex(MBI) and Action Research Arm Test(ARAT).Discussion-Efficacy of the intervention will be evaluated by analyzing the upper extremity function usingAction Research Arm Test (ARAT) and level of disability by using Modified Barthel Index Scale. The resultof the study will significantly provide affirmation on using combination therapy of PNF with NMES instroke patients
Efficacy of Static Stabilization Exercises along with Progressive Resistive Exercises on Balance and Quality of Life in Elderly Population: A Study Protocol Simran Mishra; Moh’d Irshad Qureshi; Divya Jethwani; Ragini Dadgal; Neha Chitale
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14432

Abstract

Background: Balance impairment is one of the most prevalent concern with increasing age. Globally, Onein five older adult experiences balance problem. Prevalence of fall has been estimated at 14-53 %in India.Various intervention has already been use to prevent fall and improve quality of life. Static StabilizationExercises and Progressive Strength training have proven to be effective as a single intervention howeverminimal literature is available on combined effect of both. The main objective of study is to find out efficacyof combined Static Stabilization Exercises and Progressive Resistive Exercises on balance and quality of lifeof elderly population and also establishment of dose response relationship of balance training.Methods/Design: The study will be designed as experimental study. 100 participants will be selected asper inclusion and exclusion criteria and will be allocated in two groups, Combined Intervention Group (A)and Traditional Balance Intervention group (B). Both intervention include 30-45 min session which will becarried out 3-5 times in week for duration of 8 weeks structured into different components. Outcome will beBalance and Quality of Life and outcome measures will be evaluated at baseline, at midway (4th week) andat the end (8th week) of intervention period. Statistical Analysis will be done using SPSS24. Oversion andp<0.005 will be considered as level of significance.Discussion: The study protocol details two Physiotherapy Interventions to improve balance and qualityof life in elderly population. In current literatures there are minimal evidence on combined effect of StaticStabilization Exercises and Progressive Resistive Exercises on balance and quality of life. SuccessfulCompletion of trial will provide evidence for best strategy targeting balance and quality of life andrelationship of dose response and balance training.
Co-Authors Ashish W. Bele Mohd. Irshad Qureshi Moh’d Irshad Qureshi Neha Chitale Palak P. Darda Ragini Dadgal Simran Mishra Vrushali K. Athawale