Background: Premature infants often have feeding difficulties leading to morbidity or developmental co-morbidities. Premature infant oral motor intervention (PIOMI), has shown the positive effects on feeding progression of the premature infants. PIOMI with the massage technique, may help in improving oral motor activity, weight gain in preterm infants along with better neurobehavioral organization. The study was done to analyse effect of this combined protocol on achieving oral motor control and Neurobehavioral state regulation and evaluate its efficacy against PIOMI.Methods: A total 72 clinically stable infants admitted in premature care unit, fulfilling inclusion criterion were enrolled. They were allocated in control and experimental group. Infants from control group received PIOMI and experimental group received PIOMI with massage therapy (M technique), for 10 minutes each day. Data was collected for oral motor abilities, behavioural assessment, weight and day of achieving full feeds.Results: Gestational age at full feeds was 33.65 weeks and 32.89 weeks in control and experimental groups respectively with ‘p’ value 0.002. The number of days of full feed in experimental group was 3.7 days earlier (p=0.04). Infants from experimental group showed higher oral motor score and more weight gain with significant difference The behavioral regulation in infants of both the groups improved after 8 day.Conclusions: PIOMI with M technique was well tolerated by preterm infants. The modified protocol has resulted in achieving early oral feeds and reducing hospital stay. It has also shown the benefit of behavioural regulation along with better oral motor control.
Background- Diabetic peripheral neuropathy (DPN) is a common complication and quality-of-life damaging factor in
diabetic patients. Some exercise interventions with balance and muscle strengthening components have been shown to
reduce falls it is not known which elements or a combination of elements, of exercise interventions are most effective for improving balance in
Diabetic peripheral neuropathy.
Objective – To compare the improvement in balance with balance training exercise versus Proprioceptive Neuromuscular Facilitation exercise
& balance training exercise
Method- Subject was screened using the Michigan Neuropathy Screening Instrument. Forty (40) individuals of both the sexes in the age group
of 40-60 years were included & randomly allocated in two groups ( Control & Experiment). Each participant underwent a clinical evaluation on
Berg Balance Scale (BBS) at 1st day, 4th week and at 8th week. Exercises were performed daily for 8 weeks under supervision of therapist and
advised at home. Each exercise session lasted for 45mins to 60mins.
Result – Balance was signicant to improve by balance training exercise group but the combined effect of PNF exercise and balance training
appeared to have a greater effect on balance control.
Conclusion – PNF exercises should be emphasized along with balance training exercises in the daily exercise regime of diabetic peripheral
neuropathy subjects to improve their mobility and functional status.
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