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International Journal of Physiotherapy

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1 WELCOME NOTE, Mr. Srinivas Mondam
On behalf of the honorable editors, Executive chief editor and all the editorial board members, I would like to warmly welcome you to the launch of International Journal of Physiotherapy. It is both an inspiring and a challenging task for taking up editorship of the International Journal of Physiotherapy
2 THE PREVALENCE OF MUSCULOSKELETAL DISORDERS AND THEIR ASSOCIATION WITH RISK FACTORS IN AUTO RICKSHAW DRIVERS - A SURVEY IN GUNTUR CITY, Rahul Shaik, Christie Kiran Gotru, Chintada Ganapathi Swamy, R. Sandeep.
Background and Purpose: Musculoskeletal disorders represent largest category of work related illness in India. Variety of internal and external factors leads to postural stress in vehicle drivers that affects the functioning of musculoskeletal system. Vibration, studied extensively among various risk factors causing musculoskeletal disorders. Hence, the current study focused on various risk factors. Objectives: To know the prevalence of musculoskeletal disorders and their association with possible risk factors in auto rickshaw drivers. Investigation Tools: Nordic musculoskeletal questionnaire (NMSQ), inch tape, vibrometer. Methodology: NMSQ has been used to document prevalence of musculoskeletal disorders in 300 subjects. vibrometer and inch tape were used to measure risk factors like drivers seat vibration and workspace envelope (shoulder to handle distance, lower cabin space). Associations with risk factors were analyzed by logistic regression. Results: Work experience and working hours per week showed a significant positive association with knee problems (p=0.009, p=0.006 respectively).Shoulder to handle distance on right side showed significant negative association with knee problems (p=0.013).Drivers seat vibration showed strong significant positive association with low backache (p=0.000).No variable showed significant association with neck troubles. Working experience and lower cabin space are significantly associated with ankle problems (p=0.012, p=0.045 respectively).Age, work experience and shoulder to handle distance on left side showed significant positive association with general musculoskeletal troubles (p=0.029, p= 0.005, p=0.045 respectively). Conclusion: Lower back, knee, neck and ankle troubles are more prevalent in auto rickshaw drivers. Increasing age, work experience, maximum working hours per week, increased left shoulder to handle distance and greater drivers seat vibrations are increasing the risk of musculoskeletal disorders. Restricted lower cabin space and reduced shoulder to handle distance on right side also increased the risk of musculoskeletal disorders.
3 EFFECT OF ISOMETRIC QUADRICEPS STRENGTHENING EXERCISE AT MULTIPLE ANGLES IN KNEE JOINT AMONG NORMAL ADULTS, JibiPaul, Pradeep Balakrishnan.
Introduction: Strengthening exercises have been routinely used in persons with orthopaedic problems and athletes to increase force production or minimize muscle imbalance and joint injuries.Many studies have reported that isometric contractions can rapidly increases strength in quadriceps muscle. Objective: Objective of the study was to find out the effect of isometric strengthening exercise on strength of quadriceps at 45 and 90 degree of knee joint and also to compare the effect of strengthening exercise on strength of quadriceps at multiple angles of knee joint among control and experimental group. Methodology: This was a ccomparative experimental study with forty female healthy subjects from physiotherapy department of KPJ Healthcare University College, Malaysia. Convenient sampling method used to select the samples. The subjects were selected by inclusion criteria and randomly divided equally in to two with 20 subjects in each group. Isometric strengthening exercise and squatting exercise were given as intervention program for eight weeks respectively for experimental and control group. Pre and post data of quadriceps muscle strength measured were collected separately at 45 and 90 degree of knee joint using goniometry during resisted extension of knee in multi gym. Result: In experimental group Pre Post statistical analysis found significant effect in increase of quadriceps strength at 45 and 90 degree with P
4 ULNAR NEURITIS ASSOCIATED WITH GUN STOCK DEFORMITY FOLLOWING SUPRACONDYLAR FRACTURE OF HUMERUS, Sunita Morhan.
Background: This case report describes a patient who was referred to physiotherapist from a hand surgeon. Among the fractures around the elbow joint, radial head fracture and fracture of distal end of radius are common among adults. The occurrence of Supracondylar fractures are more commonly seen in children when compared to adults. One of the complications of this fracture is malunion resulting in Gun stock deformity. The main Purpose of this case report is to explore, 1. The complication associated with gunstock deformity 2. Chances of iatrogenic nerve injury after manipulation under anesthesia. 3. Long term supervised rehabilitation approach Case Description: A 40 years old male patient referred to our Physiotherapy department by a hand surgeon. After the initial evaluation, findings revealed limitation in right elbow movement and tingling and numbness sensation in little and half of ring fingers in his right side. This patient underwent ulnar nerve transposition surgery followed by rehabilitation. His physiotherapy session includes electrotherapeutic agents for pain relief, passive mobilization of elbow and strengthening program for his flexors and extensors of elbow for a period of one year. Outcome: The outcome of the long term rehabilitation approach for a patient with ulnar neuropathy secondary to gunstock deformity after ulnar nerve transposition surgery is good. The patients tingling and numbness decreased and the range of elbow movement improved significantly. Discussion: Most common complications of fracture of distal end of humerus include malunion, ischemic contracture and nerve injuries. The relative incidence of iatrogenic nerve injuries associated with this fracture has been reported as being 2% - 6%. Nerve injuries after Supracondylar humeral fractures occur primarily due to tenting or entrapment of the nerve on the sharp proximal humeral fragment, while iatrogenic injuries occur either during closed manipulation or percutaneous fixation of the fracture fragments or occasionally during open procedures. Long term Supervised rehabilitation is significant in minimizing the symptoms of the patient.