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

Biography:

Milo Sewards, MD, is an Associate Professor at Temple University in the Department of Orthopaedic Surgery and Sports Medicine. He completed his medical education at Jefferson Medical College in Philadelphia, served in the Military at Naval Hospital in Beaufort, SC and completed his Residency in Orthoapedic Surgery in 2005 at Temple University Hospital. Dr. Sewards was board certified in Orthopaedic Surgery in 2007 and is a Fellow of the American Academy of Orthopaedic Surgeons. He directs the Ortohpaedic Surgery Residency program at Temple University Hospital and has published multiple articles in peer reviewed journals related to his field of work.

Heidi Ojha is an Assistant Professor at Temple University in the College of Public Health. She conducts research in guideline adherent conservative musculoskeletal pain evaluation and management. She has published numerous articles on primary care in peer reviewed journals, received grants to fund her research, and is currently conducting a randomized controlled trial on the first risk stratification program for employees with musculoskeletal pain in the country at Temple University.She has received training from Keele University, where Jonathon Hill developed the STarT tool, to guide her primary care research in the USA.

Abstract:

In primary care, low back pain is the second most frequent symptom-related cause for patient visits. Management of low back pain is increasingly relying on guideline discordant care, resulting in growing health care costs, and risks to the patient including iatrogenic harm. Recent evidence suggests the STarT back screening tool is a safe and effective strategy to guide management of low back pain in primary care. Although the Keele STarT back screening tool is frequently utilized in Europe, it is in its infancy in the United States. This presentation will assist attendees in how to serve as the point of patient contact and stratification with use of this screening tool, and will describe plans for future tool development. The beginning of the program will be instructional, outlining practice guidelines, the current large variability in guideline adherence, and will include how to administer and interpret results of the STarT tool to match interventions to the patient’s prognostic category. The second half of the presentation will focus on how clinicians, educators, and researchers, might transition from a biomedical approach to a biopsychosocial approach in managing low back pain, and barriers to implementing these practice guidelines in education, health care delivery, and policy. Potential solutions will be discussed through panel discussion and audience participation. Multiple patient case examples will illustrate decision-making on appropriate timing of referral, indications for imaging, guideline recommended pharmacological management, and use of biopsychosocial language to increase patients’ confidence in resuming activity. The session will end with sharing multiple resources to identify and/or train support personnel to implement this evidence based approach to primary care management of low back pain.

Biography:

Areerat Suputtitada, M.D. is Professor of Rehabilitation Medicine from Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand. She is the Director of Excellent Center for Gait and Motion at King Chualongkorn Memorial Hospital and Chairperson of Neurorehabilitation Research Unit of Chulalongkorn University. She has been involved in education, residency training, research, and clinical treatment related to rehabilitation medicine for more than 20 years. She was invited as international speaker more than 80 times around the world. She received 18 national and international awards, and published more than 60 national and international articles in several areas of Rehabilitation Medicine including Neurological Rehabilitation, Spasticity and Dystonia, Pain, Gait and Motion, and Sport and Exercise Medicine. She has been elected and appointed to important positions in the ISPRM such as the Chairperson of ISPRM Women and Health Task Force and ISPRM International Exchange Committee.

Abstract:

Myofascial pain syndrome (MPS) is a major musculoskeletal pain that occur in every age group, and has been associated with numerous pain conditions including radiculopathies, osteoarthritis, disc syndrome, tendonitis, migraines, tension type headaches, computer- related disorders, spinal dysfunction, and pelvic pain. Myofascial pain is identified by palpating skeletal muscle for myofascial trigger points (MTrPs). A MTrP is classically defined by Professor Janet G Travell and Professor David G Simons as "a hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band’’. Although the specific pathophysiological basis of MTrPs development and symptomatology is unknown, there are evidences of histological, neurophysiological, biochemical, and somatosensory abnormalities. These emerging findings suggest that myofascial pain is a complex form of neuromuscular dysfunction consisting of motor and sensory abnormalities involving both the peripheral and central nervous systems. Sensitization in corresponding spinal segments plays a major role in the formation of continuous pain in a given part of the body. The term called by Professor Andrew A. Fischer for this phenomenon is “spinal segmental sensitization” (SSS). SSS is a hyperactive state of the spinal cord caused by irritative foci sending nociceptive impulses from a sensitized damaged tissue to dorsal horn neurons. The clinical manifestation of dorsal horn sensitization includes hyperalgesia of the dermatome,pressure pain sensitivity of the sclerotome and myofascial trigger points within the myotomes, which are supplied by the sensitized spinal segment. There are significant elevated levels of substance P, calcitonin gene-related peptide (CGRP),bradykinin, tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β), serotonin, and norepinephrine in the vicinity of the active myofascial trigger point. Overall, pH was significant lower in the active trigger point. The mechanism consists of the nociceptive stimuli generated in the sensitized areas bombarding the dorsal horn of the spinal cord. This causes central nervous system sensitization with resultant hyperalgesia of the dermatome and sclerotome and spreads from the sensory component of the spinal segment to the anterior horn cells, which control the myotome within the territory of the SSS. The development or amplified activity of MTrPs is one of the clinical manifestations of SSS. The Segmental Desensitization treatment consists of injection of local anaesthetic agents in the involved dermatome to block the posterior branch of the dorsal spinal nerve along the involved paraspinal muscles. Extracorporeal shockwave therapy (ESWT) and High Intensity Laser (HTL) also play a role as desensitization. Prevention of recurrence should focus on appropriate ergonomic changes common in patients’ day to-day activities to avoid repetitive stress to the injured muscles. In conclusion, MPS, a common pain syndrome consists of local pathology and SSS. Hence therapeutic approaches require varieties of techniques for eradiation of trigger point and desensitization of the whole related spinal segment.

Biography:

Vicky Stewart is completing her PhD at the Australian Catholic University in Brisbane, Australia. She is a Senior Vestibular Physiotherapist in Queensland Health
and has more than seven years clinical experience in the vestibular fi eld. She has published a paper on the construction and validation of the vestibular screening
tool for use in the acute hospital setting.

Abstract:

Background: Vestibular disorders are common presentations to the hospital emergency department and are not managed optimally.
Aim: To investigate clinical effectiveness of a physiotherapy-led, hospital-based vestibular service by determining initial and longer term outcomes and comparing immediate/delayed intervention pathways.
Design: A pragmatic, prospective observational study reporting baseline, discharge and follow-up outcomes. Settings: Hospital based vestibular rehabilitation service. Participants: Adults (n=193) presenting to hospital with non-emergent dizziness (mean age=64.21±15.28; female=60%).
Methods: Physiotherapy vestibular diagnostic tests categorised patients as vestibular or non-vestibular. Vestibular rehabilitation commenced immediately (within 48 hours of hospital presentation) or was delayed on the basis of referral and wait-list for an outpatient service (average 22 days). Measures of dizziness impairment (vestibular screening tool and dizziness handicap inventory),
functional vestibular ocular reflex (Dynamic Visual Acuity), static balance, gait velocity and the functional gait assessment were recorded at initial presentation, discharge and three months post-discharge.
Results: Patients had significantly reduced dizziness and significantly improved functional gait at discharge, and was maintained three months post (p=0.000). Both immediate and delayed intervention groups reported signifi cantly reduced dizziness impairment (p=0.000) but only those in the immediately group signifi cantly improved in all functional mobility measures (p≤0.005). Resultant
symptoms and functional impact of a vestibular disorder was not significantly subside to normal levels without physiotherapy, even three weeks after presenting to hospital.
Conclusion: Physiotherapy vestibular rehabilitation was clinically effective in managing patients presenting to hospital with suspected vestibular dysfunction and immediate referral to physiotherapy vestibular therapy should be considered.

Biography:

Tina Cloney is a Health and Nutrition Professor in the Department of Exercise Science and Sport. She has a Bachelor’s degree in Health, Nutrition, and Dietetics; a Master’s degree in Community Health, and a Doctoral degree in Public Health, Health Education and Health Promotion. She is also a Board Certified Registered Dietitian, Board Certifi ed Sport Specialist Dietitian, and a Board Certified Diabetes Educator. Before joining Millikin, she worked for over 20 years as an Educator
and Manager in various clinical and community capacities.

Abstract:

Despite advances in the prevention, early detection and treatment of disease, heart disease, stroke, cancer, diabetes and depression continue to result in reduced quality of life, premature death and disability.Research continues to grow and provides strong evidence of the impact of both diet and exercise in disease prevention, disease management, and rehabilitation. Despite the evidence, many patients/clients are overwhelmed and uncertain of healthy, safe and effective approaches for promoting disease management, rehabilitation, long term health and wellness. Lifestyle coaching and goal setting are vital for promoting client commitment, recovery, and success. This presentation will outline the various nutrition and physical activity related behaviors conducive to reducing rates of disease and disability, promoting daily functioning, overall health and wellness. Behavior change education strategies for individual clients and clients in the group setting will be discussed.

Biography:

David T Denhardt did his undergraduate work in Chemistry from Swarthmore College, USA and earned his PhD in Biophysics from Caltech in 1965. He was a Faculty Member (performing both research and teaching) at Harvard, McGill, University Western Ontario and Rutgers University. He has 250 publications in PubMed in Molecular and Cell Biology and Systems Physiology. He serves as Editorial Board Member of many reputed journals.

Abstract:

“Stress” can be broadly defined as any event that challenges homeostasis to such an extent that the body and brain cannot respond adequately, thus resulting in maladjusted physiology and behavior. Much of the response is mediated via the HPA(hypothalamus-pituitary-adrenal) axis and results in the production of glucocorticoids and other effector hormones. DNA is compacted into chromatin, the genetic constituent of chromosomes, by complexing with a small family of proteins called histones. A dozen or so enzymes have been characterized recently that can modify nucleotides in the DNA (methylation of certain cytosines, often in CpG islands) and amino acids in histones, usually strategically located lysines near promoter regions, which can be modified by the addition of methyl or acetyl groups. These and other modifications, called marks, have the epigenetic (on top of the genetics) consequence of increasing or decreasing the amount of the protein made by that gene. Several types of RNA molecules can also epigenetically regulate gene expression.These epigenetic regulators will be briefl y reviewed. Severe or repeated concussions sustained in contact sports can result in chronic traumatic encephalopathy (CTE), causing prolonged or permanent changes in personality and possibly leading to an early death. Selected research by O Almeida, W Brown, S Horsburgh, and E Lagarde will be briefly discussed to illuminate the epigenetic mechanisms that could contribute to concussion-induced impairments in the quality of life. What is known about the relation between post-concussion syndrome and post traumatic stress disorder following traumatic brain injury will be summarized.

Biography:

Wilton Remigio has completed his Doctoral work at Loma Linda University in the year 2010. He is one of the authors of a book on advances in ion channel purification. He is a Professor at the College of Health Professions of Misericordia University, USA with concurrent research affi liations at Duke University. His research focuses on the use of therapeutic thermal modalities in inflammatory processes.

Abstract:

Thermal therapies have been constitutive components of most ancient systems of medicine and their use is re-emerging. New evidence has captured the interest in the use of therapeutic heat for its ability to sensitize aberrant cells to radiation injury, provide co-stimulatory signals to stir immunocompetence, to precondition tissue in defense against various endogenous injuries and to downregulate pro-inflammatory genes. Copious studies have investigated the modulation of both local and systemic inflammation by exogenous, local or systemic heat applications and these modalities should reclaim their place in the physical medicine shack of available therapeutic tools. The induction of heat stress markedly elevates tissue expression of many heat shock proteins, which comprise a superfamily of molecular chaperones found in most tissues. Heat shock proteins are highly cytoprotective molecules eliciting the appearance of defended tissue phenotypes against several injurious subcellular stresses. The heat shock response (HSR) can powerfully modulate inflammation by triggering over expression of several heat shock protein which in turn mediate the inhibiting the expression level of factors such as NF-kB and thus a cascade of pro-infl ammatory gene profiles. In this presentation, we reviewed the biology of thermal stresses, the current evidence substantiating the uses of heat as an adjunct therapy in several pathological processes with a focus on inflammation.

Biography:

Susan specialises in neuromotor assessment, completed her MSc at the University of Edinburgh, undertaking doctoral research at the Institute of Coaching and Performance at the University of Central Lancashire. She has worked in a research and development capacity with Kitman Labs Ltd. and published in reputed international journals.

Abstract:

Objective: In this paper we present a novel low cost computer-vision athletic movement assessment (overhead squat). The aim of the study was to investigate the reliability of a low cost markerless motion capture system (Capture) against an industry gold standard (Vicon). Rationale: Overhead squat is commonly used to detect asymmetry and immobility during functional movement. Research has shown the overhead squat to be the most discriminant task of the Functional Movement Screen (FMS) i.e. an individual’s ability on the overhead squat is indicative of their overall FMS score and thus injury risk status. Unfortunately, to date, the overhead squat movement has typically relied on subjective, observation based assessment. We suggest that objective and automated assessment of the overhead squat movement could provide a more practical tool for coaches to identify the intricate movement parameters associated with increased injury risk (i.e. knee valgus/varus, trunk flexion, hip translation in the sagittal plane). Results:The findings suggest that low-cost markerless motion capture has potential to provide an objective method for assessing lower limb squat mechanics and trunk control in an applied sports setting. Furthermore, the outcome of the study warrants the need for future research to examine more fully the potential implications of the use of low-cost markerless motion capture in the evaluation of dynamic movement for injury prevention.

Biography:

Guadalupe Genis-Gonzalez is 27 years old is a Licensed Massage therapist and has completed her Associate of Science Degree in Sports and Rehabilitation Therapy and is presently pursuing her Bachelor’s degree in Business leadership from Fremont College where she is also a Charter Member of the Alpha Beta Kappa Honor Society and Student Ambassador. She has previous experience working with professional athletes and worked two seasons with the Los Angeles Sparks WNBA Team and where she also completed her Sports Medicine Internship. She is looking forward to making her special techniques known through the world of Sports Medicine and Rehabilitation therapy.

Abstract:

Russian Sports Massage (RSM) is an advanced manual technique for reducing pain due to Neuro-Muscular Dysfunctions and for maintaining and enhancing functional performance. It is very rare to find an MT who is certified to perform the therapy in California. Learning to work with athletes and witnessing their performance increase as a result of our educated touch is an inspiring and memorable experience. Russian sports massage is strictly performed when using to help athletes reach Peak performance. For instance using, oil and a 14-16 inch bolster is key to this therapy. RSM can also be applied with any modality and be looked at as a therapeutic approach which is very unique as well. Learning how to incorporate these techniques towards anyone who is suffering with pain and any unknown or undiagnosed pathology/disease can be treated and receive comfort. RSM focuses on working with the Nervous System and while being performed the therapist works with the midlines of the body. The person receiving RSM should wait 2-4 hours after a meal or 6 to 8 hours after working out to receive therapy. All Massage interrupts digestion and interferes with rehabilitation after a workout.

Biography:

Susan Giblin specialised in Neuromotor Assessment, completed her MSc at the University of Edinburgh and undertaking Doctoral research at the Institute of Coaching and Performance at the University of Central Lancashire. She has worked in a research and development capacity with Kitman Labs Ltd. and published her work in reputed international journals.

Abstract:

Objective: In this paper, we present a novel low cost computer-vision athletic movement assessment (overhead squat). The aim of the study was to investigate the reliability of a low cost markerless motion capture system (Capture) against an industry gold standard (Vicon).
Rationale: Overhead squat is commonly used to detect asymmetry and immobility during functional movement. Research has shown the overhead squat to be the most discriminant task of the Functional Movement Screen (FMS) i.e. an individual’s ability on the overhead squat is indicative of their overall FMS score and thus injury risk status. Unfortunately, to date, the overhead squat movement has typically relied on subjective, observation based assessment. We suggest that objective and automated assessment of the overhead squat movement could provide a more practical tool for coaches to identify the intricate movement parameters associated with increased injury risk (i.e. knee valgus/varus, trunk flexion, hip translation in the sagittal plane).
Results: The findings suggest that low-cost markerless motion capture has potential to provide an objective method for assessing lower limb squat mechanics and trunk control in an applied sports setting. Furthermore, the outcome of the study warrants the need for future research to examine more fully the potential implications of the use of low-cost markerless motion capture in the evaluation of dynamic movement for injury prevention.

Biography:

Dr. Al-Zahrani is a Physiotherapist (PhD) and Assistant Professor. He currently serves as the College Director of the Prince Sultan Military College of Health Sciences (PSMCHS), Dhahran, Saudi Arabia. Since 2000, he started his academic profession at PSMCHS as Instructor and Assistant Director of Applied Medical Sciences. Then years later (2004-2005), he was promoted as the Director of Applied of Medical Sciences Department. His career continues at PSMCHS and served for almost a year as the Vice Dean of Clinical Affairs and Assistant Professor. His leadership soared high and later on appointed as the College Dean on October 2010 to date. Aside from his executive role, he continually works as participating member of curriculum development of Master’s Degree in Physical Therapy, part-time Consultant at King Fahd Military Medical Complex, visiting Assistant Professor at Dammam University. His academic and research efforts so far have centered on developing protocols and measurement tools for assessing and treating patients with knee injuries, evaluating non-invasive outcome measures for assessing muscle fatigues in patient with musculoskeletal disorders and evaluating the effi cacy and mechanisms underpinning physical therapy interventions such as therapeutic exercises, taping, bracing, foot orthoses. He has a record of numerous paper and presentations on physiotherapy. His academic efforts so far have centered on allied health sciences and physiotherapy, which is under pipeline and has been approved by the Saudi Commission for Health Specialties, the establishment of postgraduate high clinical diploma in musculoskeletal physical therapy at PSMCHS.

Abstract:

Background: Interferential current (IFC) is regularly used for musculoskeletal pain reduction. The use of IFC is based on minimizing skin impedance and producing maximum stimulation at the point of intersection of the two alternating currents, deep in tissue. However, previous systematic reviews found no clear reduction effect of pain with IFC. Recently, IFC was found to induce highest voltage outside the intersection of the two currents but lowest voltage in the intersection spot. It is probably true that placing the treated area outside the intersection spot of the currents would reveal a significant pain reduction.
Materials & Methods: 31 (14 males and 17 females) with sub acute low back pain were assigned randomly to 1- external IFC application (where the most tender spot was located between tow electrodes at 2 cm outside of the external borders of the electrodes) or 2-placebo external IFC application and Comparatively 23 (9 males and 14 females) were also assigned to placebo external IFT. Subjects were assessed for their pain before and aft er IFC session using the parameters such as visual analogue scale (VAS), pressure pain threshold (PPT), pain distribution and range of motion (ROM).Subjects received 20 minutes of IFC at 100 Hz and comfortable stimulation intensity.
Results: The independent sample t-test has been applied to compare the experimental and control groups with pre and post measurements. The mean (SD) for experimental group is 42 (9.8) and for the control group is 44.8 (12.3). By using t-test significant difference (since P<0.05) was obtained for the parameters VAS and Pain distribution, which shows that the groups are having
diff erence both statistically and clinically. Th ere is an insignificant difference (since P>0.05) between two compared groups on pain threshold. Though statistically insignificant on pain threshold there is acceptable clinical difference between the two groups.
Conclusion: Despite these limitations, the study findings indicate that as a group, the findings indicate that the location of the electrodes does aff ect the treatment outcome on patients with sub acute low back pain on VAS and Pain distribution. However, more sample size will be required to prove the significant difference between the two groups on each parameter both clinically and statistically. Interventions to increase the efficacy of pain management in this population will be more helpful.

Biography:

Beatti A is an Assistant Professor in the Department of Physiotherapy of Prince Sultan Military College of Health Sciences, Saudi Arabia. He is also a collaborate Lecturer at Dammam University, Saudi Arabia. He completed BSc and MSc at King Saud University, Saudi Arabia and a PhD in Physiotherapy at University of Queensland, Australia. His research focuses on the study of various aspects of interferential therapy in the management of pain. Current investigations also relate to elucidating the effect of interferential therapy on pain while using different arrangement of electrodes in relation to the pain spot.

Abstract:

Background: Interferential current (IFC) has been used for pain reduction on the theoretical bases of producing maximum stimulation in the middle of the 4 electrodes of IFC, where the two currents intersect in the tissue. Therefore, the painful area is placed in the middle of the 4 electrodes of IFC to experience maximum stimulation and achieves maximum pain reduction. However, this application received poor support from literature. Thus, it was essential to clarify whether IFC reaches target deep tissues or not and if it does, where it produces the maximum stimulation.
Materials & Methods: IFC was applied via 4 electrodes, in a quadrant setting, to the distal medial thigh of 12 healthy subjects. Then 3 Tefl on coated needle electrodes, connected to Cambridge Electronic Design data acquisition system, were placed in the middle of the 4 electrodes of IFC, in line with one channel and outside the 4 electrodes of IFC. Voltage induced by IFC at frequencies of 4, 40 and 90 Hz was measured on separate occasions. Voltage readings were taken from 3 depths; skin, subcutaneous and muscle tissues.
Result: All voltages were greater at all depths and locations compared to the baseline (p<0.001). Lower voltages of all currents were recorded in the middle of the 4 electrodes with the highest voltage being recorded outside the four electrodes p=0.011.
Conclusion: The current results refute the traditional theory that IFC produces maximum stimulation where the two currents intersect in the tissue. Oppositely, it suggests that the current spreads outside the electrodes at higher voltages compared to the intersection of the 4 electrodes. Consequently, this would suggest placing treated area outside the intersection of the IFC electrodes to experience better stimulation and this could lead to a significant pain reduction.

Biography:

Sofia A Xergia has completed her PhD from Medicine School of University of Ioannina, Greece. Currently, she is working as a Lecturer and Coordinator at Physiotherapy Program, Department of Health Sciences, School of Sciences of the European University of Cyprus. She is also a Research Collaborator with the Orthopedic Sports Medicine Center of Ioannina. She has published papers in the field of Sports Medicine and rehabilitation in many reputed journals.

Abstract:

Injury to the Anterior Cruciate Ligament (ACL) is not only one of the most common athletic injuries, but also one of the most debilitating, particularly in sports that involve frequent pivoting, cutting and landing from jump tasks. More than 250,000 ACL injuries occur in the USA annually and ACL injury constitutes 2.6% of all injuries according to the National Athletic Trainers’Association. Athletes who experience an ACL injury face a series of economic, social and psychological eff ects. The hospital costs alone associated with ACL reconstruction in Australia are over a $75 million per year and the annual population incidence of ACL reconstruction is between 1.7% -7.7% and in the USA more than 125,000 ACL reconstructions are performed every year. Returning athletes to competitive sports in a safe yet timely manner aft er ACL Reconstruction (ACLR) is a challenging task for rehabilitation professionals and orthopedic surgeons. Current rehabilitation protocols are based on specifi c guidelines and objective criteria that allow progression from one phase to the next. Despite the use of structured rehabilitation protocols, asymmetries persist after ACLR and the evaluation of the quantitative and qualitative criteria constitutes a major issue for the rehabilitative teams of the ACLR patients, in order to safely return to functional requirements. Th e goal of the rehabilitation protocols is to improve neuromuscular and biomechanical control while maintaining knee joint stability for a safe return to pre-injury activity level. Failure to successfully treat biomechanical and neuromuscular deficits may compromise functional recovery and increase the risk of re-injury.

Biography:

Ulrike Berzau is an Executive Coach and Consultant working with individuals, teams and organizations to achieve exceptional results. She has extensive experience as Healthcare Executive, received many leadership and quality awards and led two hospitals to being recognized with the Hospital of Choice Award. She is the co-author of the international best-seller “Imagine a Healthy You”; a certified Coach and Consultant; and the National Account Manager for The Passion Test for Business/ASAP Engagement Consulting. She holds a Master’s degree in Management, a Master’s degree in Health Science, Physical Therapy, and is a Fellow of the American College of Healthcare Executives.

Abstract:

Gallup studies show that only 31.5% of the American work force is passionate about their daily work. Th is costs the USA economy in the billions. Lost productivity and increased “unhealthy days”, days where health issues affect the work, are seen in the almost 70% that are not engaged and passionate about their work. Actively disengaged employees have almost two times more unhealthy days than engaged employees. Evidence suggests that employee engagement correlates with patient satisfaction and loyalty. Targeting the engagement issue, addresses patient satisfaction and excellence at the root drastically changes the results and outcomes. Imagine you know your work and core passions? Imagine your company strategy is based on what matters most to the leader, employees, company success and patients? Once we create alignment between an organization’s strategy and the work passions, core passions and unique skills of leaders and employees, we have a thriving organization. It improves patient care and outcomes; increases productivity, excellence, creativity, profits and sustainability.

Biography:

Hejal P Patel is pursuing Master’s in Community Rehabilitation in Charotar University of Science and Technology (CHARUSAT), India and is currently working on diabetes.

Abstract:

Introduction: Children with cerebral palsy (CP) are more dependent on adult assistance for mobility in certain setting. The environmental influences can have a signifi cant influence on the mobility methods used by children with CP.
Objective: The objective of the study was to identify the mobility methods used by the children with cerebral palsy in varied environmental setting.
Statement of the problem: Mobility methods such as use of wheel chairs might facilitate greater social participation than being carried around by others. Children with CP are more dependent on adult assistance for mobility in certain setting. The characteristics of the environment might infl uence adopting a particular form of mobility method.
Significance of the research: Identifying difference in the mobility methods used in various environmental setting could be helpful to understand the influence of environmental setting and develop adaptive strategies for improving children’s mobility in various contexts.
Method: 126 children with CP are included in the study (mean age 8.91±4.06, 50 girls). All children were classified according to GMFCS. Parent-completed questionnaire was used for identifying the mobility methods, mobility aids and mobility equipment.
Results: Out of 126 children, 51 (40.5%) and 48 (38.1%) walk alone without any assistance in home and in school, respectively. In community, 40 (31.7%) were carried by an adult cerebral. Use of wheel chair as a mobility method is limited across all setting.
Discussion: Compared with children mobility at school, children were more dependent on adult assistance for mobility when outdoor or in community and less dependent on adult assistance at home. This may be due to the lack of infrastructure conducive for wheel chair use such as uneven roads, transport services with wheel chair access and parents’ lack of confidence or over protective concerns related to fall.
Conclusion: Encouraging parents to adopt wheeled mobility and improving physical infrastructure to facilitate wheel chair use can promote active social participation of children with cerebral palsy.

Biography:

Afsaneh Nikjooy is an Assistant Professor of Physical Therapy, Department of Physical Therapy, in Iran University of Medical Sciences, Tehran, Iran. She is a member of International Continence Society (ICS) and Iranian Continence Society (IrCS). She has worked in pelvic fl oor physiotherapy for more than 12 years. She has managed several courses of pelvic floor physiotherapy for Master’s students of this fi eld in Faculty of Rehabilitation, Iran University of Medical Sciences.

Abstract:

Dyssynegric Defecation (DD), one of the most common functional defecation disorders, has been recognized as a major cause of chronic functional constipation. Th e etiology of DD is unclear, this abnormal muscle activity may be due to; Brain-bowel axis dysfunction, an acquired behavioral defecation disorder, the coordinated mechanisms of defecation may have never been learnt during childhood, and may be a result of sexual or physical or emotional abuse. Patients with DD, exhibit significant psychological distress and impaired health-related quality of life (QOL). It is necessary to understand the neurophysiologic indices of this dysfunction to make a proper clinical decision for achieving a better treatment plan to improve the patients’ QOL. Th is study can be the foundation of the next researches to provide the new method for investigating neural rehabilitation and better understanding of the mechanisms of improving motor functions and also be a good background, for later studies to compare the eff ects of intervention therapy (Biofeedback and cognition behavioral therapy). 20 constipated patients with DD and nine healthy asymptomatic were included
in the study. The participants were studied using fMRI to detect brain activity during voluntary contraction of puborectalis and external anal sphincter muscles, as well as during straining to defecation and rest. External sensory events, eliciting strong emotional reactions, can alter the function of the alimentary canal and lead to common disorders of gastrointestinal function and defecation. fMRI study findings showed active regions of the brain during the tasks. Also fMRI could reveal the differences between the patients and healthy controls.

Biography:

Dr. Al-Zahrani is a Physiotherapist (PhD) and Assistant Professor. He currently serves as the College Director of the Prince Sultan Military College of Health
Sciences (PSMCHS), Dhahran, Saudi Arabia. Since 2000, he started his academic profession at PSMCHS as Instructor and Assistant Director of Applied Medical Sciences. Then years later (2004-2005), he was promoted as the Director of Applied of Medical Sciences Department. His career continues at PSMCHS and served for almost a year as the Vice Dean of Clinical Affairs and Assistant Professor. His leadership soared high and later on appointed as the College Dean on October 2010 to date. Aside from his executive role, he continually works as participating member of curriculum development of Master’s Degree in Physical Therapy, part-time Consultant at King Fahd Military Medical Complex, visiting Assistant Professor at Dammam University. His academic and research efforts so far have centered on developing protocols and measurement tools for assessing and treating patients with knee injuries, evaluating non-invasive outcome measures for assessing muscle fatigues in patient with musculoskeletal disorders and evaluating the efficacy and mechanisms underpinning physical therapy interventions
such as therapeutic exercises, taping, bracing, foot orthoses. He has a record of numerous paper and presentations on physiotherapy. His academic efforts so far
have centered on allied health sciences and physiotherapy, which is under pipeline and has been approved by the Saudi Commission for Health Specialties, the establishment of postgraduate high clinical diploma in musculoskeletal physical therapy at PSMCHS.

Abstract:

Background: Interferential current (IFC) is regularly used for musculoskeletal pain reduction. Th e use of IFC is based on minimizing
skin impedance and producing maximum stimulation at the point of intersection of the two alternating currents, deep in tissue.
However, previous systematic reviews found no clear reduction eff ect of pain with IFC. Recently, IFC was found to induce highest
voltage outside the intersection of the two currents but lowest voltage in the intersection spot. It is probably true that placing the
treated area outside the intersection spot of the currents would reveal a signifi cant pain reduction.
Materials & Methods: 31 (14 males and 17 females) with sub acute low back pain were assigned randomly to 1- external IFC
application (where the most tender spot was located between tow electrodes at 2 cm outside of the external borders of the electrodes)
or 2- placebo external IFC application and Comparatively 23 (9 males and 14 females) were also assigned to placebo external IFT.
Subjects were assessed for their pain before and aft er IFC session using the parameters such as visual analogue scale (VAS), pressure
pain threshold (PPT), pain distribution and range of motion (ROM).Subjects received 20 minutes of IFC at 100 Hz and comfortable
stimulation intensity.
Results: Th e independent sample t-test has been applied to compare the experimental and control groups with pre and post
measurements. Th e mean (SD) for experimental group is 42 (9.8) and for the control group is 44.8 (12.3). By using t-test signifi cant
diff erence (since P<0.05) was obtained for the parameters VAS and Pain distribution, which shows that the groups are having
diff erence both statistically and clinically. Th ere is an insignifi cant diff erence (since P>0.05) between two compared groups on pain
threshold. Th ough statistically insignifi cant on pain threshold there is acceptable clinical diff erence between the two groups.
Conclusion: Despite these limitations, the study fi ndings indicate that as a group, the fi ndings indicate that the location of the
electrodes does aff ect the treatment outcome on patients with sub acute low back pain on VAS and Pain distribution. However,
more sample size will be required to prove the signifi cant diff erence between the two groups on each parameter both clinically and
statistically. Interventions to increase the effi cacy of pain management in this population will be more helpful.

Biography:

Amit Bhalla has Medical degree (from University of Calicut 1998), and postgraduate degree in Pharmacology (from Baba Farid university of Health Sciences, 2006), currently holding the position of Medical Adviser to a leading pharmaceutical company, Zydus Cadila, Ahmedabad. He is involved in conducting CME programmes all across India and try to develop and train local speakers. He has taught undergraduate medical students at tertiary care institution from 2003 to 2006. Activities involve new product tracking, identification of prospective lead molecules.

Abstract:

Objective: To evaluate the efficacy and safety of Topical Diclofenac with Heparin (Diclofenac sodium 1% and Heparin 200 IU w/w ) Gel in subjects with acute blunt, soft tissue injuries. Design: Open labelled, non-comparator multicenter study Setting:25 study centers in India. Participants: 296 patients with acute blunt, soft tissue injuries eg Sports injury, Sprain and Strain, frozen shoulder, knee pain, Interventions: Diclofenac with Heparin Topical Gel was applied t.i.d. for ≥48 hours and up to 7 days. Main Outcome Measures: The efficacy assessment of treatment was done based on the overall symptoms of Soft tissue Injury. The efficacy parameters for this evaluation are: Pain of movement (POM), Inflammation, Haematoma, Pain on leaning of injured limb, Oedema, Swelling, Redness and Overall pain. A 3-point scoring data was obtained for all these efficacy parameters for Baseline (BL) and End of therapy (EOT), where 0 indicates No symptoms and 3 indicates Severe symptoms. Statistical analysis: Non-parametric Wilcoxon sign rank test was applied on the data of difference between BL and EOT symptoms scores Results or Clinical Course: Patients treated with topical Diclofenac with Heparin Gel experienced significantly greater reduction in POM at EOT (p<.0001). For all injury cases, there was significant difference at 5% level of significance (p < 0.05), which gives evidence that there is significant decrease in the symptoms of Soft Tissue Injury for all the efficacy parameters. Conclusions: Diclofenac with Heparin Topical Gel applied 3 times daily was a safe and highly effective treatment for the symptoms of blunt soft tissue injuries, and it could represent a new option for the treatment of acute blunt trauma and other soft tissue injuries.

Biography:

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.

Abstract:

Several 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.

Biography:

Abstract:

Background: In recent years, with socioeconomic changes in the society, the presence of women in the workplace is inevitable. The differences in working condition, especially for pregnant women, has adverse consequences like low birth weight. Objectives: This study was conducted with the aim to model the relationship between working conditions, socioeconomic factors, and birth weight. Patients and Methods: This study was conducted in casecontrol design. The control group consisted of 500 women with normal weight babies, and the case group, 250 women with low weight babies from selected hospitals in Tehran. Data were collected using a researchermade questionnaire to determine mothers’ lifestyle during pregnancy with low birth weight with healthaffecting social determinants approach. This questionnaire investigated women’s occupational lifestyle in terms of working conditions, activities, and job satisfaction. Data were analyzed with SPSS16 and Lisrel8.8 software using statistical path analysis. Results: The final path model fitted well (CFI =1, RMSEA=0.00) and showed that among direct paths, working condition ( =0.032), among indirect paths, household income β (β=0.42), and in the overall effect, unemployed spouse (β=0.1828) had the most effects on the low birth weight. Negative coefficients indicate decreasing effect on birth weight. Conclusions: Based on the path analysis model, working condition and socioeconomic status directly and indirectly influence birth weight. Thus, as well as attention to treatment and health care (biological aspect), special attention must also be paid to mothers’ socioeconomic factors. Keywords: Socioeconomic factors, low birth weight, working condition, path analysis

Biography:

Belabbassi Hanène has completed his medical doctor study at the age of 23 years from Mohamed Maherzi University, Faculty of medicine of Algiers and postdoctoral studies from Blida1 University, faculty of Medicine. She is assistant professor researcher. She has published more than 04 papers in different journals.

Abstract:

Purpose: The study was aimed to identify risk factors for obstetrical brachial plexus palsy.
Methods: A retrospective case–control study was designed. A comparison was performed between cases of brachial plexus paralysis (n=32), with controls without brachial plexus paralysis (n=30) randomly selected from physical medicine and rehabilitation examination. Statistical analysis was performed using the SPSS package.
Results: Independent risk factors for brachial plexus paralysis were macrosomia (birth weight [4,000 g]; OR=12.353; 95% CI 2.510–60.802, p<10-3), labor dystocia and instrumental vaginal delivery ([forceps delivery, vacuum extraction] OR=8.8; 95% CI 2.743–28.234, p<10-3), vaginal breech delivery ([breech presentation or extraction] OR=3.231; 95% CI 0.598–17.456, p=0.258), parity(OR=2.545; 95% CI 0.677–9.565, p=0.206), shoulder dystocia (OR=1.957; 95% CI 0.571–6.702, p=0.367), prolonged pregnancy(OR=1.28; 95% CI 1.066–1.538, p=0.011), and after caesarean section (OR=1.103; 95% CI 0.987–1.234, p=0.238).
Conclusions: In our population (n=62), macrosomia, labor dystocia, instrumental vaginal delivery and prolonged pregnancy were significant risk factors for neonatal brachial plexus paralysis, while shoulder dystocia, breech deliveries, parity, and caesarean section were not. Despite our small sample we found three significant risk factors associated with brachial plexus paralysis.

Biography:

T Jackman is an Assistant Professor in the Physical Therapy Program at Idaho State University, Pocatello, Idaho. He is an Academic Coordinator of Clinical Education. His clinical expertise is in the area of Clinical Education, Professionalism, Ethics, and Ergonomics.

Abstract:

Purpose: Professional behavior characteristics are important to maximize student learning during clinical education affiliations. The purpose of this study was to explore the comparison of credentialed and non-credentialed clinical instructors’ report of importance and frequency of professional behaviors during clinical education affiliations.
Number of Subjects: Th e number of subjects taken for this study is 60.
Materials & Methods: Using the clinical instructor characteristics statements developed by Emery et al., a survey was developed on SurveyMonkey®. It contained the 43 statements about professional behaviors. The survey was sent to 142 clinical instructors (CIs) actively serving as CIs. The CI was asked to self-report the importance of each behavior and the frequency with which she/he demonstrated the behavior using a 5 point Likert scale. The CI was also asked to report whether or not she/he was a credentialed clinical instructor (CCI) through the APTA credentialed clinical instructor program (CCIP).
Results: 60 CIs completed and returned the survey (42% return rate). 30 were credentialed CIs (CCI) and 30 were non-credentialed (NCCI). According to all the CIs, the most important characteristics were teaching behaviors and professional skills behaviors. Using Mann Whitney U comparison, we identified possible diff erences between the CCIs and NCCIs. In 8 questions, the CCIs
rated themselves as more frequently demonstrating the following skills. Th e CCIs were more available to their students, provideda greater variety of patients, provided useful feedback, communicated in a non-threatening manner, were open in discussing issues with students, provided feedback in private, provided appropriate support for student concerns, and were more empathetic. The
CCIs also seemed to fi nd it more important to make themselves understand, observe student performance in a discreet manner, and provide appropriate support for student concerns. However, if corrected for multiple comparisons none of the diff erences remained significant.
Conclusion: The data provided in this study compares the self-reported importance and frequency of professional behaviors of CCIs and NCCIs to better understand professional behavioral characteristics and their role in maximizing the effectiveness of clinical education. It further begins to explore any differences between CCI and NCCI behaviors.
Clinical Relevance: Exploring the differences in importance and frequency of credentialed versus non-credentialed clinical instructors professional behaviors will provide our field with insight into what areas CIs need to improve to better prepare students to practice as physical therapists.

Biography:

Maziad Abed Al Karim Al Adwan is a Jordanian Assistant Professor in Balqa Applied University. Over the past 22 years, he worked in wide varieties of professional papacies in both private and public sectors (like Royal Medical Service, Jordan University Hospital, Jordanian Academic for Individuals with Autism and Balqa Applied University, etc.). He earned BSc in Nursing in 1987, Master’s degree in SLP in 1996 and PhD in Special Education in 2014, on the topic Minor Mobility Impairment. He has published some articles in subjects ranging from nursing to visual and hearing impairment to mobility disorders. A recent article titled, “Variables affecting amputee reaction to artifi cial limbs, and the relationship between demographic variables and diabetes self- management among diabetic patients” is published in Global Journal of Health Science, Vol 5 No 2, 2013), and “Knowledge and training competencies needed for the teachers of visual impaired children in Amman institutions” is under review process.

Abstract:

Background: Amputee reaction to artificial limb is an important issue faced by amputated individuals and the team who deliver caring to these individuals.
Aim: To investigate the variable associate with reaction to artificial limb, and the relationship between certain variables and the quality of response to the artifi cial limb by some amputees who own artificial limb.
Method: The data were collected through self-administered questionnaire with individuals having amputation who visited an artificial limb centers in Jordan.
Results: Strong positive relationship was found between type of artificial limb and the reaction of the amputee (r=0.99) (p<0.001). A negative relationship found between age, site of amputation, level of amputation (r=-0.39,-0.01, and -0.30) respectively.
Conclusion: There were many factors that impact the reaction to artificial limb, some variables affect the relationship positively, and some affect the relation negatively.

Biography:

Mehdi Kasbparast Jui Ray is faculty member of Physical Education and Sport Sciences, Karaj branch, Islamic Azad University, Karaj and he is doctoral student in
sport injury and member of Asian Society for physical Education and Sport for 15 years.

Abstract:

During everyday activities, concentricactions start movements while eccentricactions slow activity down. For example,during running, the quadricep muscles willpropel the runner forward with concentricactions, while the hamstrings can brakerunning by slowing down the forwardmotion. To maintain sport performance andprevent injury throughout the whole range of motion, strengthening both phases ofmuscle contraction is important. Isokinetic invertor and evertor torques were assessed eccentrically and concentrically at speeds of 60 and 120 degrees •s (-1) in 16 subjects with unilateral ankle instability. Absolute peak torque values were compared between the injured and non-injured limbs to determine whether strength defi cits existed. No eccentric or concentric evertor strength deficit was found in the injured limb. Interestingly, for the injured limb, a significant interaction effect was found whereby eccentric inversion strength was reduced. Functional ankle instability is notassociated with deficits in evertor strength. Deficits in eccentric invertor strength were found, and this may contribute to the symptoms of functional ankle instability. Weak invertors may contribute to functional ankle instability because of a reduced ability to assist in controlling lateral displacement of the shank over the weight bearing foot. Excess lateral postural sway outside of the base of support results in the foot’s medial border rising from the floor once the limits of closed chain eversion is reached, which may result in the foot being forced into rapid inversion.

Biography:

Mehul Raval holds Physiotherapy degree from Himalaya University, India. Besides, he also holds a Diploma in Homeopathy and Panchakarma and Yoga. He has keen interest in Ayurvedic Formulations. He is a Consultant Physiotherapist as well as a Panchakarma Practitioner. He has delivered many talks and lectures on above subjects. He has also lead students to take up various challenging practicums in Ayurvedic Formulations.

Abstract:

Ayurveda is an ancient system medicine from India. There are various time tested formulations in ayurveda which are extremely useful in treating neurophysical disorders. There are six types of treatments off ered by Ayurveda of which we discuss Rasayana here as support therapy. It works along with physiotherapy in treating neurological disorders. Rasayana helps in promoting strength and vitality; in general it promotes general wellness and optimizes senses. One of the major benefits of Rasayana is that it treats wear and tear of the body and helps rebuilding it. Paralysis, hemiplegia, Parkinson’s, Alzheimer’s and stroke are most commonly seen besides various motor neuron diseases, inter-vertebral disc prolapse, facial paralysis, poly neuropathy and many such conditions can be treated with various Guggulu Rasayanas. Guggul or bdellium is a gum resin, produced from the stem of a small shrub (Commiphora wightii). It is mainly found in dry/arid forests of India. There are various forms of each of above herbs; for example Guggulu to be Trayodashng Guggulu, Yograj Guggulu, Maharasanadi Guggulu, and Punarnavadi Guggulu. Th ese Rasayana in combination with other herbs helps strengthening nerves, bones, joints, muscles and ligaments. Th ough Ayurveda is person specific therapy, Guggulu formulation being administered over thousands of years can be generalized; above Ayurvedic formulations of Guggulu has helped treating above conditions giving an alternate support to the patients. Th e paper describes various formulations of Guggulu and other herbs. It has been discussed in detail, their effects on patients. It concludes saying neurological conditions can be treated with help of Guggulu Rasayana.

Biography:

Dr. Parag Sawant has completed his B.O.Th (Bachelor of Occupational Therapy) in 2010 and M. O. Th- Neurosciences (Masters in Occupational Therapy) in 2014 from Seth G. S. Medical College and K.E.M. Hospital, Mumbai, India. He has presented and won awards for papers and posters in many national and international conferences. He has 2 publications on his account as first author and 1 as second author in Indian Journal of Occupational Therapy and Physiotherapy at the age of 28 years. Currently, he is working as an Occupational Therapist in Neuro rehabilitation unit of Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.

Abstract:

Functional approach in spinocerebellar ataxia- occupational therapy perspective: The cerebellum is known to play a strong functional role in both motor control and motor learning. Ataxia following degenerative cerebellar disease becomes a major cause of disability. Objective was to rate ataxia and assesses the Functional Independence and Balance in the context of Occupational Therapy. 3 male patients with diagnosis of Spinocerebellar ataxia, in the age group of 20- 30 years were screened on MMSE to rule out cognitive impairment and ensure the utility of intervention. Ataxia was rated using Scale for Assessment and Rating of Ataxia (SARA). The subjects underwent 3 months of Occupational Therapy (OT) intervention including physical exercises, therapeutic activities, Intensive coordination training, prescription of adaptive aids, Balance retraining and functional retraining using Top Down Approach and were assessed on Functional Independence Measure Functional Assessment Measure, Activities of Daily Living (ADL) scale and Berg Balance Scale (BBS) pre and post intervention and statistically analysed using paired’t’ test. Pre intervention mean score on FIM FAM scale was 199 ± 5.57 which increased to 202.66 ± 6.03 post intervention and was statistically significant at t = 11, P< 0.01.The mean score on BBS increased from 38 ± 2 to 39.66 ± 2.08 ; post intervention and was statistically significant at t= 5, P< 0.05. Scores on SARA were also maintained which shows there was no worsening of symptoms. It can be concluded that OT intervention was effective in improving functional independence in Patients with SCA in study population. Further research is recommended with larger sample size.

Biography:

His academic and professional qualifications include BSc Physiotherapy, MSc & PhD Musculoskeletal Anatomy, University of Lagos, Nigeria and FPC, Nigeria. He is member of several national and international academic and professional associations among which are, Nigeria Society of Physiotherapy (NSP), Society for the Study of Pain, Nigeria (SSPN), International Association for the Study of Pain (IASP), International Society of Physiotherapy Journal Editors (ISPJE). He has served as external examiner for both undergraduate and postgraduate professional examinations in most of the Physiotherapy training Universities in Nigeria. He has also served as external assessor for Physiotherapy promotion exercise in several hospitals in Nigeria, and chairman and member of several academic and professional accreditation panels in Nigeria and Ghana. Professor Akinbo is a recipient of several academic, professional and community distinctions awards. He has supervised 8 PhDs and 28 MSc theses and dissertations, and over 145 B. Physiotherapy research projects into completion. He has attended well over 100 conferences locally and internationally, and has presented papers in all the conferences attended, and has also served as a Guest/Keynote Speaker in over 40 meetings (Conferences and Workshops). He has published well over 80 full research studies and 100 research abstracts in peered reviewed journals and conferences proceedings. His professional areas of specialization are Musculoskeletal & Orthopaedics Physiotherapy and Sports Physiotherapy.

Abstract:

Background and Objective: Chronic Low back pain (CLBP) is a common problem that most people experience at some point in their lifetime. It is associated with various physical, emotional, economical and psychological dysfunctions that eventually cause deterioration in quality of life (QoL). This study investigated the relationship between pain intensity and sleep disturbance in patients with CLBP. Methods: The study is a cross-sectional survey in which 112 patients attending three tertiary hospitals in Lagos, Nigeria were evaluated for LBP of duration greater than 3 months. The survey employed a Visual Analogue Scale (VAS) and the Pittsburgh Sleep Quality Index (PSQI) to determine pain intensity and explore sleep variables respectively. The results were analysed using Pearson Product Moment correlation coefficient, independent t-test and Mann Whitney U. Level of statistical significance was set at p < 0.05. Results: There was a statistically significant correlation between pain intensity and overall sleep index (r= 0.22, p= 0.02). Furthermore, there was a significant correlation between pain intensity and sleep latency (r=0.26,p= 0.00) and sleep disturbance (r=0.27,p= 0.00). Conclusion: The study significantly established the adverse effect of CLBP on quality of sleep on patients. Therefore, sleep problems should be addressed as an essential part of management in patients with CLBP. Key words: Pain Intensity, Chronic Low Back Pain, Sleep Quality.

Biography:

Mehdi Kasbparast Jui Ray is faculty member of Physical Education and Sport Sciences, Karaj branch, Islamic Azad University, Karaj and he is doctoral student in sport injury and member of Asian Society for physical Education and Sport for 15 years

Abstract:

To investigate muscle strength in subjects (male student Soccer players) with unilateral functional ankle instability, with the specific aim of determining whether eccentric strength deficits exist. Isokinetic invertor and evertor torques were assessed eccentrically and concentrically at speeds of 60 and 120 degrees •s (-1) in 16 subjects with unilateral ankle instability. Absolute peak torque values were compared between the injured and non-injured limbs to determine whether strength deficits existed. No eccentric or concentric evertor strength deficit was found in the injured limb. Interestingly, for the injured limb, a significant interaction effect was found whereby eccentric inversion strength was reduced. Functional ankle instability is not associated with deficits in evertor strength. Deficits in eccentric invertor strength were found, and this may contribute to the symptoms of functional ankle instability. Weak invertors may contribute to functional ankle instability because of a reduced ability to assist in controlling lateral displacement of the shank over the weight bearing foot. Excess lateral postural sway outside of the base of support results in the foot’s medial border rising from the floor once the limits of closed chain eversion is reached, which may result in the foot being forced into rapid inversion.