4^th International Conference and Exhibition on Physical Medicine & Rehabilitation August 24-26, 2016 Philadelphia, Pennsylvania, USA

Shahnawaz Anwer has completed his MPT (Orthopedics) in the year of 2009 from Hamdard University, New Delhi, India. He is working as a Research Associate at Rehabilitation Research Chair, King Suad University, Riyadh, Saudi Arabia. He has published more than 35 papers in reputed journals and has been serving as an editorial board member of repute for more than 15 international indexed journals.

rnSeveral studies have reported the effects of whole body vibration (WBV) training on muscle strength. This systematic review investigates the current evidence regarding the effects of WBV training on quadriceps muscle strength in individuals with knee osteoarthritis (OA). We searched PubMed, CINAHL, Embase, Scopus, PEDro, and Science citation index for research articles published prior to March 2015 using the keywords whole body vibration, vibration training, strength and vibratory exercise in combination with the Medical Subject Heading “Osteoarthritis knee”. This meta-analysis was limited to randomized controlled trials published in the English language. The quality of the selected studies was assessed by two independent evaluators using the PEDro Scale and criteria given by the International Society of Musculoskeletal and Neuronal Interactions (ISMNI) for reporting WBV intervention studies. The risk of bias was assessed using the Cochrane collaboration’s tool for domain-based evaluation. Isokinetic quadriceps muscle strength was calculated for each intervention. Eighteen studies were identified in the search. Of these, 4 studies met the inclusion criteria. Three of these 4 studies reached high methodological quality on the PEDro scale. Out of the 4 studies, only 1 study found significantly greater quadriceps muscle strength gains following WBV compared to the control group. In 3 of the 4 studies that compared a control group performing the same exercise as the WBV groups, no additional effect of WBV on quadriceps muscle strength in individuals with knee OA was indicated.rn

Prof. Ivet Koleva is a medical doctor, specialist in Neurology and in Physical & Rehabilitation Medicine (from the Medical University of Sofia, Bulgaria); with 30 years of clinical practice in the domain of Neurorehabilitation. She has completed a PhD thesis on Physical Prevention and Therapy of Diabetic Polyneuropathy; and a thesis for Doctor-es-Medical Sciences on Neurorehabilitation in patients with socially important neurological diseases. She received the titles of Associate professor (2006) and Professor (2010) in Physical & Rehabilitation Medicine. Actually she is professor at the Medical University of Sofia, Bulgaria.

Introduction: The importance of Anterior Cruciate Ligament (ACL) for knee stability and gait is recognized.rnrnAim: The goal of current study was to realize a comparative evaluation of the efficacy of application of three different PRM programmes of care after arthroscopic reconstruction of ACL. rnrnMaterial & Methods: A total of 96 patients (divided into three groups) after ACL reconstruction were treated during one month. All patients received physiotherapy (analytic exercices), cryotherapy (ice massage), patient education. Patients of first group received only these procedures. In group 2, we added interferential currents and electrostimulations of the quadriceps femoris muscle (especially m.vastus medialis obliquus). In group 3, we added other preformed modalities: Low intensity low frequency magnetic field and Deep Oscillation. Patients were controlled before, during, at the end of the PRM course and one month later - using a battery of objective methods: tests and scales for pain, range of motion, knee stability and gait. Statistical analysis was performed with SPSS package, using ANOVA and Willcoxon methods (p<0.05).rnrnAnalysis of results: Results demonstrate the efficacy of physiotherapy and cryotherapy on mobility of the knee joint and gait velocity. The knee stability was significantly improved in group 2. Efficacy of PRM on pain, oedema and the lenght of the step was most significant in group 3.rnrnDiscussion & Conclusion: We consider that pre-formed physical modalities can ameliorate the efficacy of rehabilitation in these patients. Electrostimulations are useful for the knee mobility and stability, deep oscillation and magnetic field – for the pain and oedema. rn

Ivet Koleva is a Medical Doctor and Specialist in Neurology and in Physical & Rehabilitation Medicine from the Medical University of Sofia, Bulgaria with 30 years of clinical practice in the domain of Neurorehabilitation. She has completed a PhD thesis on “Physical Prevention and Therapy of Diabetic Polyneuropathy” and a thesis for Doctor of Medical Sciences on “Neurorehabilitation in Patients with Socially Important Neurological Diseases”. She received the titles of Associate Professor (2006) and Professor (2010) in Physical & Rehabilitation Medicine. Actually, she is Professor at the Medical University of Sofia, Bulgaria.

Objective: The objective of this study was to compare the efficacy of paravertebral infiltrations and a rehabilitation programme (including interferential currents) in patients with low back pain and lumbo-sacral radiculopathy. \r\n\r\nMaterial & Methods: A total of 105 patients (divided into three groups) with this pathology were treated during 20 days. All patients received patient education (back school). Patients of first group received paravertebral infiltrations with corticosteroids and vitamin B. In group 3, we applied physiotherapy (analytic exercices and soft tissue techniques) and interferential currents (longitudinally on the respective lower extremity). In group 2, we combined both methods: Paravertebral infiltrations and rehabilitation procedures. Patients were controlled before, during, at the end of the PRM course and one month later - using visual analogue scale of pain, Lassegue’s sign, scales of Zung for depression and anxiety. Statistical analysis was performed with SPSS electronic package, version 17. We applied options for two samples comparison with parametrical analysis of variances ANOVA and non-parametrical distribution and correlation analysis: t-test, Signed rank test, Kolmogorov – Smirnov test, Mann – Whitney W test. The treatment difference was considered to be statistically significant if the p value was < 0.05. \r\n\r\nAnalysis of results: Results demonstrate the efficacy of medication and rehabilitation in all patients. Medication is most effective during first week, but the complex rehabilitation programme has stable and durable effects on positive sensory signs and psychological patterns. \r\n\r\nDiscussion & Conclusion: We consider that combination of medication (paravertebral infiltrations) and rehabilitation (physiotherapy and interferential currents) is most effective for these patients. \r\n\r\n

Prof. Ivet Koleva is a medical doctor, specialist in Neurology and in Physical & Rehabilitation Medicine (from the Medical University of Sofia, Bulgaria); with 30 years of clinical practice in the domain of Neurorehabilitation. She has completed a PhD thesis on Physical Prevention and Therapy of Diabetic Polyneuropathy; and a thesis for Doctor-es-Medical Sciences on Neurorehabilitation in patients with socially important neurological diseases. She received the titles of Associate professor (2006) and Professor (2010) in Physical & Rehabilitation Medicine. Actually she is professor at the Medical University of Sofia, Bulgaria.

Author discusses the problem of functional recovery of neurological sensitive, motor and functional disturbances. The goal was to evaluate the efficacy of application of different neurorehabilitation modalities and methods on everyday autonomy and quality of life of patients with disabilities due to socially important invalidating neurological diseases. \r\nWe effectuate a composition, clinical application and approbation series of complex neurorehabilitation algorithms for functional recovery and amelioration of independence in daily living of a total of 1249 neurological patients, divided into a lot of groups and subgroups, in each one we applied a different neurorehabilitation (NeuroReh) complex, composed by a synergic combination of natural and pre-formed physical modalities (electrotherapy, cryo and thermotherapy, physiotherapy and occupational therapy).\r\nPatients were controlled before, during, at the end of the NeuroReh course and one month later - using a battery of traditional and contemporaneous objective methods: tests and scales for motor weakness, balance and coordination; tests of functional grip; tests of gait and independent motion; functional scales for independence in daily living and capacity for activities (self-service, family life, professional, social); scales for depression and anxiety; visual analogue scale of pain; vibroesthesiometry; thermosensibility; laser Doppler flowmetry.\r\nBased on detailed qualitative and quantitative evaluation we proved the efficacy of different neurorehabilitation complexes – on different types and levels of sensory, motor and functional deficiency in patients with post-stroke hemiparesis (including hemiparetic shoulder), multiple sclerosis, parkinsonism, discogenic radiculopathy L5 with peroneal paresis, diabetic polineuropathy with peroneal paresis and neuropathic diabetic podopathy.\r\n