Objective:
Bipedalism in humans demanded robust postural control systems to maintain balance and equilibrium during variety of volitional activities. Adaptive learning is a key characteristic of these control systems. Postural control and balance are associated with autonomic changes trying to maintain cardiovascular homeostasis during postural imbalances, which are specifically important in conditions like flat foot. Yoga training could help such cases to achieve better postural balance and autonomic state. Young adolescent girls with flat foot were studied in comparison to normal girls and flat foot boys.
Materials and Methods:
Sixteen girls and 11 boys with flat foot were subjected to posturography on Wii Balance Board connected wirelessly to PowerLab 15T. Wireless heart rate belt was used to acquire RR intervals. Vrikshasana was chosen as the suitable asana for 4-week training. Displacement of center of pressure (COP) and heart rate variability was analyzed using LabChart pro software before and after yoga training.
Results:
COP displacement in flat foot subjects is away from the center during erect stance and sway toward sides. Flat foot girls showed significant greater displacements and lesser correction after yoga compared to flat foot boys (P < 0.05). Flat foot girls also showed lesser recovery in LF% and RMSSD after 4-week yoga training.
Conclusion:
Studying the autonomic changes during voluntary postural imbalance on balance board provide real-time picture of internal state in flat foot individuals. The sympathetic dominance would account for preparedness and adaptation in postural control systems. This state improved with yoga training toward better cardiac vagal tone.
Solid pseudopapillary tumor of pancreas is a rare pancreatic neoplasm affecting young women, has low malignant potential and amenable for surgical excision with good long-term survival. Sickle cell trait is benign condition, which involves one normal beta-globin chain and one HbS chain. Although it is a benign condition, individuals are prone to have rare complications that may predispose to death under certain circumstances. We report a rare coexistence of solid pseudopapillary tumor of pancreas with sickle cell trait in an 18-year-old female who underwent distal pancreatectomy with splenectomy. Histopathological examination and haemoglobin electrophoresis confirmed the diagnosis.
Introduction: Many clients living with chronic leg and foot ulcers experience diminished quality of life, pain, psychosocial maladjustment, limited work capacity, and physical disabilities. Bibliotherapy helps the individual to cope up with illness.
Objectives: Assess the pretest level of psychological distress, quality of life and depression in both Interventional and control group. Evaluate the effectiveness of bibliotherapy on quality of life, psychological distress and depression
Methods: Pilot study was conducted among the twenty patients with chronic leg and foot ulcer .Randomized clinical trial comparison with pair group method was used to evaluate the effectiveness of bibliotherapy .Data were assessed by using chronic wound impact schedule, Kessler's psychological distress scale and beck depression inventory were used to assess the quality of life, psychological distress and depression respectively. Simple random sampling by lottery method was used to collect the data.
Results: Findings show that there is mean of the quality of life (56.3), distress (28.3) and depression (22.5) were falls on the moderate level among the patient suffering with chronic leg and foot ulcer. Two way analysis of variance proves that bibliotherapy highly significant in increasing quality of life (F= 20.3,P<0.001) ,decreasing the psychological distress (F=25.2,P<0.01) and decreasing depression (F=5.18 ,P<0.05).
Conclusion. Need based bibliotherapy is effective to meet the psychological aspects of chronic leg and foot ulcer
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