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Effectiveness of Bosu Ball Exercises Versus Thera Band Exercises on Core Stabilization and Balance Performance Rasika A. Sawant1, Khushboo Chotai2, Smita Patil3, Amrutkuvar Rayjade4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2788

Background: Greater core stability provides a foundation for greater force production in the upper and lower extremities. When the core muscles are functioning optimally, the person will be able to safely perform specific athletic or other functional activities. Core muscle imbalances are the cause of core instability and reduced balance performance. Few studies have shown the effect of swiss ball exercises on core stabilization and balance performance as well as few studies also shown the comparison between core exercise on stable and unstable surfaces for core stabilization and balance performance. The core stability and balance performance needs to be treated by strengthening core muscles. Objectives: To find the effect of 2 different types of strengthening exercises on core stability and dynamic balance in collegiate athletes. Material and Method: In this pre-post intervention study 26 athletes were included. They were randomly divided into 2 groups with 13 individuals in each group. Group A was instructed to perform BOSU ball exercises and group B was instructed to perform thera band exercises for 6 weeks. After pre-post assessment, data was analysed with the help of appropriate statistical methods. Results: According to the results there is significant increase in both right and left anterior, posteromedial and posterolateral directions with p value <0.0001 as well as in core stability with p value <0.0001 Conclusion: Both BOSU Ball exercises and thera band exercises are found to be equally effective in improving core stability and balance performance in collegiate athletes

A Novel Method of Establishing the Identity of an Individual by Analyzing the Pattern & Volume of the Frontal Sinus Using Computerized Tomogram – A Retrospective Cross Sectional Study R. Harshada1, Nalini Aswath2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2789

Background: The paranasal sinuses develop early in fetallife.Among the 4 major sinuses present in human skull, Frontal sinus helps in identification of an individual because of its uniqueness and so has the potential to be used as an aid for personal identification in disasters, accidents and natural calamities. Aim and Objective: To determine the volume & shape of frontal sinus in individuals using CT scan and to establish the uniqueness of frontal sinus in the identification of individuals in forensic science. Methodology: CT images showing the axial and coronal sections of frontal sinus of patients above the age of 20 years were considered as inclusion criteria and patients below the age of 20 years, previous injury, surgery or pathology in the frontal bone and frontal sinus were excluded. The length, breadth and height of right & left frontal sinus were measured and volume of the frontal sinus was calculated.The pattern of the frontal sinus was analysed in the axial & coronal sections of CT scan by taking screen shots of the slice. The pattern of the frontal sinus was drawn and copied to Microsoft Power Point Software for superimposing over other patterns. Results: Among the 270 scans collected, the total length, breadth, height and volume of left and right side of male and females were compared by using Independent samples t-test and it showed that the frontal sinus was unique in nature. Conclusion: The observations showed that no two individuals had the same sinus morphology based on division, volume, position and symmetry of frontal sinus

Study of Adverse Drug Reactions (ADRs) Occurring with the Drug Use in a Tertiary Hospital R. Selvaraj1, Abhay P.Betala2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2790

Aim: To study the adverse drug reactions (ADRs) occurring with the drug use in a tertiary care hospital. Materials and Method: This observational study conducted over a period of four months (01-Nov-2015 to 29—Feb-2016). The Central Drug Standard Control Organization (CDSCO) suspect ADR forms (15) were distributed to all clinical departments personally in Kerala medical college hospital and research center, Mangode, Cherpullaserry. Regular visits were carried out twice a week for collecting data reports. They were then analyzed, compared with state data, national data, and international data. Results A total of 25 suspected Adverse Drug Reactions forms were reported during the period of four months of the study of the out patients and in patients departments of the hospital. Among all drugs NSAIDS, followed by Antimicrobials, Antipsychotics, Bronchodilators, Antihypertensive and oral hypoglycemic agent etc.. were reported to have adverse drug reactions. Most common route of adverse drug reactions was oral, followed by IV, IM, S/C, Topical and Inhalational routes. Reactions mostly seen affecting Skin, Gastrointestinal systems, Central nervous system, and Hematological system Most patients recovered from adverse events taking suitable measures like complete stopping the offending agent, or were prescribed antihistamines, steroids in addition Conclusion: Awareness about ADR reporting is still poor amongst healthcare professionals in India. The incidence and severity of Adverse Drug Reactions documented in our study are lower than those reported in other studies. NSAIDS comprise the major drug family associated with adverse drug reactions so should be rationally prescribed. Improved communication between the physicians and nurses with the pharmacovigillance centre in the hospital is suggested.

Pattern of Homicidal Deaths at Raichur District Region – A Retrospective Study Ravishankar M G1, Sunil Kumar Kainoor2, Suraj1, S Sharmila3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2791

Background: It is a retrospective study carried out to find out the pattern of homicidal deaths in around the Raichur district region, among autopsies conducted at mortuary, RIMS, Raichur. Materials and Methods: This is a two year retrospective study of autopsies conducted from January 2016 to December 2017 at Raichur Institute of Medical Sciences, Raichur. The objectives of the study were to know the pattern of homicidal deaths in and around Raichur district and to study the various socio-demographic factors influencing the homicidal deaths. Using a predefined and structured Performa, all the necessary details pertaining to the cases were collected from the inquest report and were analyzed. Results: There were 757 total cases of autopsies conducted during the study period, of which there were 51 (6.73%) homicidal deaths. Male preponderance, 20-29 age group, blunt weapons - most commonly used, neck - commonest region of body involved constitutes 29.52%, most common cause of death - hemorrhage and shock 25.49%( 13) equally followed by Head injury, maximum homicide took place at the victim‘s residence (58.82%), the most common motive behind the homicide was Infidelity (21.56%), maximum numbers of homicides were committed by Spouse (27.45%). Conclusion: An attempt is made to know the socio demographic profile of the deceased so as to understand the sociological, economical, demographic and psychological aspects influencing homicidal deaths. The spurt in the homicidal deaths in our region may be attributed to the poor socio – economic condition, unemployment among young people, marital and family disputes, decreasing value based morality in the society, soft and sometimes toothless law enforcement agencies. Key

Role of Physiotherapy on Quality of Life in Stroke Survivors – A Systematic Review Kanase Suraj B1, G.Varadharajulu2, Pragati V. Salunkhe3, Mayuri D.Burungale3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2793

Background: Stroke is one of the most common disease with lots of impairments and disabilities. Prevalence of stroke is increasing day by day globally. Young stroke is becoming very common. The overall functional capacity of the individual is hampered where the prognosis is question mark. It largely depends upon site, stage, duration of lesion. The overall quality of function is deteriorated. Patients live their lives with dependency. According to previous studies, role of various health care professionals have been analyzed and studied. Physiotherapy is a branch where use of exercise and electrotherapy plays their role in rehabilitating patients with stroke Aim: To study the role of physiotherapy on quality of life in stroke survivors. Methodology: A systematic narrative review was conducted to find out the efficacy of physiotherapy treatment on quality of life in stroke survivors. Conclusion: Stroke has complex process of recovery. Stroke survivors are left with disabilities. It causes depression in patients as well as their family members. Physiotherapy has a significant role in improving impairments and disabilities. This in turn helps in improving quality of life

Effect of Goal Oriented Exercises Versus Combined Physiotherapy Intervention on Functional Independence in Subject With Traumatic Brain Injury Pragati V Salunkhe1, Suraj B Kanase2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2794

Background- Traumatic brain injury is a devastating neurological disorder and a leading cause of death and acquired disability in India. Traumatic brain injury leads the damage to the brain that result in impairment in physical, cognitive, speech/language, daily activities and quality of life and behavioural functioning. These impairments have direct impact on the individuals functional outcome after traumatic brain injury. In rural areas the health care delivery system is still an upcoming area. There is scarcity in rehabilitation units to provide health care. Many researches has been done on motor and balance impairment but there is lack of researches done on goal oriented exercises and combined physiotherapy intervention on functional independence. In this study we are given goal oriented exercises mainly concentrate on problem list of patients and combined physiotherapy intervention given combining all the exercises and give it to the patients. Indeed this made us to study the effect of Goal Oriented Exercises Versus Combined Physiotherapy Intervention on Functional Independence in Subject with Traumatic Brain Injury. Objectives-1. To find out effect of Goal oriented exercises On functional independence In subjects with traumatic brain injury.2.To find out effect of Combined Physiotherapy Intervention On functional independence In subject with traumatic brain injury. Method- 44 subjects diagnosed with Traumatic Brain Injury were included in this study. Subjects were divided into two different groups. Group A was Given Goal Oriented Exercises and group B was given combined Physiotherapy intervention. These subjects were allocated by convenient sampling method. During Pre and post treatment assessment functional mobility were assessed by outcome measures Functional Independence Measure and Barthel Index. These outcome measures were analysed. Result- Pre and Post functional independence and mobility was analysed by using paired and unpaired t test. Data analysis showed significance for FIM and Barthel Index (p value less than 0.001) for both the groups but comparative to group A (Goal oriented Exercises), group B (Combined Physiotherapy Intervention) is more effective. Conclusion- Goal oriented Exercises and Combined Physiotherapy Intervention is effective in improving the functional independence and mobility in the post Traumatic Brain Injury individuals but comparative to Goal oriented Exercises, Combined Physiotherapy Intervention is more effective.

The Effect of Structured Physiotherapy Exerciseprogramme on Lung Function in Industrial Workers Patil Poonam1, Kanase Suraj B2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2795

Context: Repeated exposure to dusty environment in an industry causes airway diseaseswhich may affect pulmonary function over a period of time. Aim:The effects of structured physiotherapy exercises programme on lung function in sugarcane industrial workersStudy Design: An experimental study was conducted on 60 sugar factory workers at in and around karadarea.Purpose of the study: To find out the effect of structured physiotherapy exercise programme on lung function in industrial workers. MaterialsAnd Methodology: -60workers of age group 20-40 from sugar industry participated in this study. They were bounded in single group. The subjects were scrutinized based on the inclusion criteria. All the subjects signed a consent form prior to participation in the study. Before receiving any intervention, the peak expiratory flow rate and 6min walk test was taken and abdominal strength checked by manual muscle testing of abdominal muscle (graded abdominal muscle testing). After recording the pre-intervention outcome measure,The specific exercise protocol was given to the subjects which was included abdominal muscle exercises (graded abdominal muscle exercises)and 6 minute walk test as exercises purpose and diaphragmatic breathing exercises (10 repetition for 3 sets), segmental breathing exercises (10 repetition for 3 sets), incentive spirometry (20 repetition 5 sets).post treatment outcome measure were performed for peak expiratory flow rate,and abdominal muscle strength and 6 minute walk distance. Statistical analysis was done using paired’ test.Result:In this study pre-intervention peak expiratory flow rate was 290±58.251 and post-intervention peak expiratory flow rate was 307±60.914.In peak expiratory flow rate statistically extremely significant difference and increasing peak expiratory rate post intervention with (p<0.0001) with t=5.633 with 59 degree of freedom.The sixminute walk distance (6mwd) increased from 215 to 297 meter.In the study the pre intervention values of abdominal muscle strength (MMT or grades of abdominal muscle) was 1.63± 0.7357 and post intervention abdominal muscle strength was 2.5± 0.7249.In abdominal muscle strength statistically extremely significant difference and increases abdominal muscle strength with (p<0,0001) with t=11.851 with 59 degree of freedom.Conclusion:-Thus, the above study concluded that a structured exercisesprogramme showed a significant improvement clinically as well as statistically significanton the peak expiratory flow rate and 6-minute walk distance and abdominal muscle strength in the sugar industry workers. Hence it accepts the alternate hypothesis.

Effect of Integrated Neuromuscular Inhibition Technique on Frozen Shoulder Amir A. Khan1, Smita Patil2, Khushboo Bathia3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2796

Background: Frozen shoulder is a painful condition of the joint capsule leading to loss of range of motion of the joint. Due to pain and inability to move the involved shoulder, patients tend to avoid any movement of the involved arm. This leads to formation of Myofascial Trigger points and tender points in the muscles. This overall makes the prognosis more challenging as the focus is mostly on the joint. Integrated Neuromuscular Inhibition Technique is a soft tissue manipulation technique that has been proven to relieve trigger and tender points. Although proven to be efficiently effective in many disorders, this technique is not as such practiced as a common and regular approach by professionals. Thus, this technique was undertaken and experimented on Frozen Shoulder. Objectives: Objectives of the study were to determine the effect of Integrated Neuromuscular Inhibition Technique in Frozen Shoulder and compare the effect of Integrated Neuromuscular Inhibition Technique with conventional treatment in frozen shoulder. Material and Method: In this experimental study, 40 Frozen Shoulder subjects were assessed using Visual Analogue Scale (VAS), Goniometer for Range of Motion (ROM) and Shoulder Pain and Disability Index (SPADI). The subjects were divided into 2 groups, Group A Included 20 subjects treated with Hot moist pack, Therapeutic Ultrasound, Exercises and Capsular Stretching and Sleeper stretch. Group B included 20 subjects treated with Hot moist pack, Therapeutic Ultrasound, Exercises and Capsular Stretching and Sleeper stretch and Integrated Neuromuscular Inhibition Technique. Results: Within group statistical analysis of VAS, ROM and SPADI for both the groups were found to be extremely significant with a p value of <0.0001. On comparing between the two groups post treatment, there was extremely significant difference in Group B as compared to Group A regarding VAS (p=0.002), very significant difference for SPADI (p=0.0047), FLEXION ROM (p=0.0076) and ABDUCTION ROM (p=0.0026). But, there was no significant difference between the two groups regarding MEDIAL ROTATION ROM (p=0.1772) and LATERAL ROTATION ROM (p=0.7602). Conclusion: The study concluded that Integrated Neuromuscular Inhibition Technique and Conventional Physiotherapy are both effective in the management of Frozen Shoulder. Also, Integrated Neuromuscular Inhibition Technique given with Conventional Treatment is significantly more effective as compared to conventional treatment alone on pain, range of motion and functional status of Shoulder and thus Alternate Hypothesis accepted

Comparison of Closed Kinetic Chain Exercises and Conventional Therapy on Cardiac Parameters in Post CABG Subjects Ankita Ajit Patil1, Chandrakant Patil2, Smita Patil
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2797

Introduction: Cardiovascular disorders are public health problems worldwide. In industrialized world they are the leading cause of morbidity and mortality. Coronary artery bypass grafting (CABG) has proved to be a major life saving operative method in cardiovascular disease. Physiotherapy interventions play major role in rehabilitation post CABG so the study was conducted with the aim to find the effect of closed kinetic chain exercises and conventional therapy on cardiac parameters in post CABG subjects. Method: In this comparative study 20 subjects were treated for post CABG subjects between the age group of 40-50 years. Group A were given conventional treatment and Group B were given Closed Kinetic Chain exercise. The pre and post -test was measure blood pressure, respiratory rate, heart rate, oxygen saturation and borg scale. Results: The statistical analysis for conventional therapy pre and post week1 day 1-systolic blood pressure(p=<0.0001), diastolic blood pressure(p=0.005), respiratory rate(p=0.001), heart rate(p=0.011), oxygen saturation(p=0.081) and borg scale(p=0.003). pre and post week6 day 3- diastolic blood pressure(p=0.018), respiratory rate(p=<0.0001), heart rate(p=0.005), systolic blood pressure(p=0.186), oxygen saturation(p=0.343) and borg scale(p=0). The statistical analysis for experimental group pre and post week1 day 1-heart rate (p=0.01) diastolic blood pressure(p=0.002), systolic blood pressure(p=<0.0001), respiratory rate(p=<0.0001),borg scale(p=0.0007), oxygen saturation (p=0.508). pre and post week6 day 3-borg scale(p=0), diastolic blood pressure(p=0.051),heart rate (p=<0.0001), respiratory rate(p=<0.0001), systolic blood pressure(p=0.26) and oxygen saturation(p=0.34).The study had found that conventional therapy is more effective than experimental group. Conclusion: The study concluded that conventional treatment is more effective than closed kinetic chain exercises. However, it cannot be stated that CKC has no effect because of its additional benefits on functional capacity (improve joint integrity). Therefore, it can be concluded that further studies can evaluate the improvement noted with a right combination of both and obtain greater benefit

Effect of Step Aerobics Applied Early in Phase 2 Cabg Subjects on Functional Capacity and Exercise Tolerance Kaustubh G. Jadhav1, T. Poovishnu Devi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.2798

Background: In recent years, cardiovascular accidents are rising due to improper diet, ill habits, uncontrolled cholesterol levels, stress, etc. Coronary artery diseases are in the leading cause of death. After a coronary artery disease like myocardial infarction the individual’s general health is week and the quality of life of these individuals is reduced and hence, morbidity starts building, causing reduced functioning and reduction in overall health and functional capacity. 30 individuals participated in this study who had undergone coronary artery bypass grafting and were under phase 2 of cardiac rehabilitation. The individuals had performed low intensity Step Aerobics for 12 weeks and were evaluated for the efficiency of step aerobics on functional capacity and exercise tolerance in such individuals. Objectives: To find the effect of step aerobics on the functional capacity and on exercise tolerance. Methodology: In this study, 30 subjects who had undergone CABG of age from 30-65 years. These individuals were selected on the basis of their inclusion criteria. They were treated with step aerobics as form of exercises for 12 weeks. After pre-post assessment, the data was analysed with help of proper statistical methods. Results: According to the result, there is extremely significant difference among the subjects six- minute walk test distance scores (p-value < 0.0001). Among the vitals assessed pre and post six-minute walk test, there was significant difference between the respiratory rate (p-value=0.0219), there was also very significant difference between the heart rate (p-value < 0.001). There was not quite significant change in the blood pressure levels i.e. systolic and diastolic p-value=0.0559 and 0.0862 respectively. Also, there was seen extremely significant difference in the peak O2 consumption levels according to DASI p-value < 0.0001) and also in the MET scores in DASI (p-value < 0.0001), making the difference to be extremely significant. Conclusion: The results obtained by studying the effects post treatment suggest that in rehabilitation of the CABG patients, implementation of step aerobics early has greater effects on functional capacity, exercise tolerance and general health including the quality of life.

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Masriadi

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