A bstract Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life. Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre- and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre- and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre- and post-physiotherapy treatment. Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate ( p = 0.001) and oxygen delivery ( p = 0.000). However, no significant difference in the level of oxygen saturation was found ( p = 0.6433). Conclusion: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital. How to cite this article: Verma CV, Arora RD, Mistry HM, Kubal SV, Kolwankar NS, Patil PC, et al . Changes in Mode of Oxygen Delivery and Physiological Parameters with Physiotherapy in COVID-19 Patients: A Retrospective Study. Indian J Crit Care Med 2021;25(3):317–321.
Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients. Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee. Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital. Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation. 6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation. Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee. KEY WORDS: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.
Context: Frequent use of computer involves repetitive tasks of hand. As previous studies imply that repetitive tasks lead to degeneration of the sensory representation of the hand and thus have an effect on sensory motor functions of hand. Aims: The present study aimed to find out the effect of computer use on tactile perception and dexterity of hand in frequent computer users. Settings and Design: The study was cross-sectional, analytic study conducted at the physiotherapy O.P.D. at a tertiary care hospital. Forty adults participated in the study recruited on the basis of computer use. There were 20 frequent users (≥2hours/day, ≥12 months) and 20 occasional users (<2hours/day, <12 months). Methods and Material: Tactile perception was assessed by two point orientation discrimination test using an aesthesiometer and dexterity of hand was assessed by grooved pegboard test using a grooved pegboard. Statistical analysis used: Unpaired t test or Mann Whitney U test was performed according to the distribution of the data in each group. Results: The study showed significant difference for Two point orientation discrimination test in dominant hand (P=0.0033 for thenar and P=0.0043 for hypothenar) and non-dominant hand (P=0.0016 for thenar and P=0.0100 for hypothenar). There was no significant difference for Grooved pegboard test in frequent computer users when compared with occasional users. Conclusions: The present study gives evidence that early signs of deficits occur in people exposed to repetitive computer tasks. KEY WORDS: Computer Use, Repetitive Tasks, Hand Functions, Tactile Perception, Dexterity.
Background: Core stability is defined as comprising of the lumbopelvic-hip complex and is the capacity to maintain equilibrium of the vertebral column within its physiologic limits by reducing displacement from perturbations and maintaining structural integrity. Over the years, the concept of core stability has changed and authors have highlighted the significance and contribution of the transversus abdominus muscle, especially, in lumbo pelvic stability. Upon this basis, it has now become an important part in the management of spinal stability. Thus, exercises relying on the activation, recruitment and strengthening the core muscles are a common avenue of treatment of chronic back pain. Pelvic compensation of the sagittal spinal alignment is important as it correlates to lumbar lordosis and overall sagittal balance. Hence pelvic radius technique (PRT) is used to measure the lumbar lordosis.Context and Purpose of the study: To compare the effectiveness of core strengthening exercises and general trunk exercises on pain, lumbo-pelvic stability, lumbar lordosis and functional abilities in patients with chronic low back pain.Results: Both exercise protocols showed statistically significant improved on Visual Analogue Scale (VAS), Oswetry Disability Index (ODI) and lumbo pelvic stability tests (LPS) (p value<0.05). For the lumbar lordosis only the core strengthening group showed statistically significant improvement (p value<0.05). When a comparison was done between groups it was statistically insignificant (p value<0.05). Conclusion:The study the failed to show that core strengthening exercises are better than general trunk exercises on reducing pain, improving lumbo-pelvic stability, improving lumbar lordosis and functional abilities in patients with chronic low back pain. clinicians have a choice to either administer core stability exercise or general exercise when a patient has chronic non-specific low back pain.
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