To estimate the effectiveness of balance training on unilateral transtibal amputee with conventional prosthesis and ultramodern prosthesis. To compare the Effectiveness of balance training in conventional prosthesis versus ultramodern prosthesis in unilateral transtibial amputee by using Flamingo balance test. MATERIALS AND METHODS: After obtaining informed consent from the patients, we studied a total of 40 patients, aged between 30-60 yrs, where they were randomly allocated into two groups. 20 patients in Group A with conventional prosthesis and 20 patients with ultramodern prosthesis in group B were subjected to 3 weeks of structured exercise programme after initial assessment of balance with Flamingo's balance test and ten metre walk test. These tests were repeated in repeated in both the groups after the exercise programme and the results were tabulated and analysed. RESULTS: The mean age of population in group A was 50.55± 7.20 and in group B was 48.55±5.58, with age group ranging from 30-60 yrs. In group A the pre and post interventions mean values in Flamingo's balance test were 15.55±2.58 and 13.05±3.05 respectively. In group B the pre and post intervention mean values were 12.35±1.26 and 8.3±0.86 respectively. In group A the pre and post interventions mean values in ten metre walk test are 45.00±3.62 and 35.00±6.39 respectively. In group B the pre and post intervention mean value are 40.00±4.29 and 26.70±2.95 respectively. The mean difference of balance using Flamingo Balance test during pre and post intervention in both the groups were compared using independent 't' test, which showed (t of 4.971 vs 6.805 in Groups A and B respectively; p=000*). The mean difference of balance in both the groups for ten metre walk test were t of 3.979 vs 5.650 in Groups A and B respectively (; p= 000*). CONCLUSION: In both groups there are statistically significant improvements in scores flamingo balance test and 10mt. walk test (p=000*). The improvements in patients with ultramodern prosthesis were statistically more significant than in patients with conventional prosthesis. So exercise program of 3 weeks duration proved to be an effective method to reduce the imbalance and improve the gait efficiency. KEYWORDS: balance training conventional prosthesis ultramodern prosthesis flamingo balance test INTRODUCTION: Transtibial amputation is taken up in one fourth of the lower limb amputees and is quite common in middle age population. After an initial period of interim and temporary prosthesis usage, these patients can be fitted with permanent/ definitive prosthesis as a part of their rehabilitation.
Iliotibial band syndrome (ITBS) is the most common injury of the lateral side of the knee in runners. Runners typically complain of persistent lateral knee pain not associated with swelling, usually it occurs due to one to two miles of running and further worsening of the pain during running on the downhill. The popularity of running is still growing and, as participation increases, the incidence of running-related injuries will also increase. The Iliotibial track (ITT) or the band is an anatomical structure of the lateral upper leg that recently has been highly published as an overused structure during sports. A friction syndrome has been attributed to excessive distance running, inappropriate running regimens and worn footwear [1]. Hence we have taken up this study to study about the effect of cryotherapy and kinesio taping technique with stretching exercise in patients with iliotibial band friction syndrome in long distance runners.
INTRODUCTION:The term "Spondylolisthesis" refers to a condition where one of the vertebrae (usually L5) becomes misaligned anteriorly (slips forward) in relation to the vertebra below. This forward slippage is caused by a problem or defect within the pars interarticularis. Occasionally, facet joint and/or posterior neural arch defects may also cause this syndrome as well. We encountered 3 cases of two levels spondylolisthesis, a case series rarely documented. CASE REPORTS: Patient, Kanthaiah 5yrs male, presented with low backache radiating to left lower limb associated with tingling and numbness sensations. X-rays showed spondylolisthesis L4-L5-S1. MRI showed left sided nerve root compression and myelogram showed cut off at L4-L5, L5-S1. Patient had left sided deficits and so the patient was operated and post operatively improved clinically and was followed up regularly. Another patient Muniyamma, 68 yrs female, presented to our hospital 10 yrs back with two levels spondylolisthesis. In a outside hospital, posterior spinal decompression and interbody fusion was done without stabilization at only one level (L4-L5). On subsequent follow up the other level (L5-S1) worsened. Right now patient is not willing for any surgical intervention so we are managing with conservative treatment. Our third patient, Geetha 42yrs female, presented to our hospital with two levels spondylolisthesis, grade 2 at L3-L4 and L4-L5 levels. Patient was operated and has improved clinically. CONCLUSION: Incidence of spondylolisthesis is 3% to 6%. Multilevel spondylolisthesis is rarely documented in literature. This case series is being reported because of the rare documentation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.