Background: Upper limbs are very important to motor functionality. However, in majority of stroke patients, arm functions are impaired resulting in disabilities and restrictions to function. Therefore, the objective of this study was to assess the effectiveness of mirror therapy in the motor recovery of upper extremity in the post stroke hemiplegic patient.Methods: A prospective randomized controlled trial was conducted among 72 post stroke patients aged 35-65 years having hemiparesis attending the PMR OPD in RIMS, Manipur from 2013 to 2016. Assessment was done for FIM self care and Brunnstrom stages of motor recovery at baseline and 1 month and 6 month of post treatment. Both the study and control group participated in a stroke rehabilitation programme and study group was given mirror therapy in addition. Descriptive statistics such as mean, standard deviation and inferential statistics like Chi-square test, Student’s t test, and ANOVA were used. A p-value <0.05 was taken as statistically significant.Results: Mean age were 54.56±7.61 years (study) and 55.11±7.99 years (control). Majority of them were males (61.1%). Significant improvement was noted in the study group from baseline to 1 month and 6 months follow up. Mean score comparison of FIM self care between study and control group from baseline to 1 month was (28.28±3.11 to 34.11±2.59 vs 28.00±4.30 to 29.50±4.58) and from 1 to 6 months follow up was (34.11±2.59 to 37.83±2.04 vs 29.50±4.58 to 32.44±4.82) respectively.Conclusions: There was a significant improvement in hand function regarding both motor recovery and daily self care activities in the study group.
Background: Lateral epicondylitis also known as the tennis elbow is a painful condition of the elbow caused by overuse. The disease imparts significant disability to those affected in terms of the quantity and quality of work done.Methods: A randomised controlled trial was conducted in the Department of Physical Medicine and Rehabilitation, RIMS, Imphal for a period of 1 year from February 2017 to January 2018. Eighty-four patients with resistant lateral epicondylitis recruited were divided into 2 groups- group A received Prolozone injection while group B underwent Extracorporeal Shockwave Therapy (ESWT).Results: Assessments of VAS (Visual Analog Scale) and PRTEE (Patient Rated Tennis Elbow Evaluation) were done at 8 weeks and 24 weeks. The mean VAS score in Prolozone group improved from 7.22±0.89 to 4.04±1.01 at 8 weeks to 1.67±0.70 at end of 24 weeks. In ESWT group, mean VAS score improved to 3.91±0.72 at 8 weeks and reduced to 2.3±0.68 at end of 24 weeks. PRTEE improved significantly in both the groups, from 85.33±3.29 to 24.87±2.10 in Prolozone group, and from 85.17±2.83 to 41.89±3.17 in ESWT group.Conclusions: The improvement in pain and disability is better in prolozone group than ESWT (p<0.05) in chronic lateral epicondylitis.
Background: There is limited data on the comparative efficacy of various interventions used in the management of adhesive capsulitis. Recently intra-articular steroid injection and suprascapular nerve block have become popular in the management of adhesive capsulitis. Therefore, the objective of this study is to compare the efficacy of ultrasound-guided suprascapular nerve block and intra-articular shoulder joint steroid injection in the management of adhesive capsulitis. Methods: A randomised controlled trial was conducted among 60 patients having adhesive capsulitis attending PMR OPD, RIMS. The study group received USG-guided SSNB and control group received IASI. Outcome measures were shoulder range of motion, VAS and SPADI which were measured at baseline and at 4 week follow up. Inter group analysis was done using two-way repeated measures ANOVA and p-value <0.05 were considered as statistically significance. Results: During the subsequent follow-up at 4 weeks there was significant improvement in passive range of motion in both control and study group. The SPADI and VAS also improved significantly at 4 week in both groups. However, the mean change was statistically significant more in study group compared to control group (85.67±10.15 vs 16.9±1.73) respectively at 4 weeks follow-up. Conclusion: Both SSNB and IASI have efficacy in management of adhesive capsulitis. But suprascapular nerve block was more effective than intra-articular injection at 4 weeks follow up. Therefore, it should be considered prior to steroid injection as it has more pain relief, improvement in ranges and potentially lesser contraindications and side effects as compared to IASI.
Background: Childhood obesity is emerging as one of the serious public health problems. It has become one of the significant risk factors associated with a cluster of non-communicable diseases which causes an enormous socioeconomic and public health burden. Therefore, the objective of this study was to assess the body fat % and prevalence of overweight and obesity among adolescent in Manipur and to identify factors which may contribute to overweight.Methods: A cross-sectional study was conducted among 12,410 students studying in class VIII-XII in four districts of Manipur from 2007-2009. A self-administered questionnaire method was used. BMI and Body composition were determined using the TANITA Body Composition Analyzer. Overweight/ obesity were classified by using WHO classification. Analysis done using SPSSv20 and mean (SD), percentages and Chi-square test were used. A p-value <0.05 was considered as statistically significant.Results: The overall mean fat % was 19.4±6.1 and girls have higher fat% than boys. Overall prevalence of overweight and obesity were 6.4% and 1.2% respectively. Obesity prevalence was more among girls than boys (1.6% vs 1.0%). Statistically significant association was found between obesity with family history of overweight, private schooling, playing games, mode of transport to school, sleeping hours, being vegetarian and watching television.Conclusions: Though the prevalence of overweight and obesity as compared to other parts of India is low, the increasing trend is a definite cause of concern. Therefore, there is a need for primary prevention targeted among children and adolescents regarding adoption of healthy life styles.
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