Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

Open Access

Current Issue

Volume 5, Issue 1 (2020)

    Case Report Pages: 1 - 5

    Combined Therapy of Extracorporeal Shock Waves and Etidronate Disodium as a Potential Treatment for Post-traumatic Myositis Ossificans in the Quadriceps Muscle: A Case Report

    Noriyuki Hara*, Koji Suzuki, Susumu Mikami, Jun Uchida, Naoki Seito and Tatsuhisa Takahashi

    DOI: 10.37421/jppr.2020.05.180

    Objective: To investigate the therapeutic effect of the combination of extracorporeal shock waves (ESWs) and Etidronate sodium (EHDP) on post-traumatic Myositis Ossificans (MO) in the quadriceps muscle.

    Case description: A 26-year-old male ice hockey player complained of left thigh pain and stiffness, 4 weeks after a direct blow to the thigh from the knee of an opponent in a game. A firm mass with tenderness was palpated at the antero-mid area of the Rectus Femoris. Movement of his left knee was restricted to 50 degrees of flexion from full extension. A radiograph showed a lacy pattern of new bone formation in the anterior aspect of the left femur at 4 weeks after the injury. The injury was thus diagnosed as post-traumatic MO in the left quadriceps muscle. Indomethacin was administered for the first 7 days of hospitalization. EHDP was given orally for 3 months. ESW therapy was performed for the treatment of MO without any anesthesia: 3500 pulses at an energy density of 0.03 to 0.36 mJ/mm2 per week, in seven sessions. Pain in the muscle improved with 2 weeks of complete rest with immobilization, and thereafter by moving the knee actively and passively within pain-free limits. A normal range of pain-free motion of the affected knee was achieved in 8 weeks. The athlete then started various rehabilitation exercises, such as stretching and walking. He returned to full sporting activity 5 months after the initial treatment.

    Conclusion: Combined therapy of ESW and EHDP was useful for the treatment of post-traumatic MO in the quadriceps muscle.

    Research Pages: 1 - 5

    A Study on the Effect of Modified Hold Relax Technique on Stair Ambulation in Stroke Patients

    Sabita Suwal* and Prem Kumar B N

    DOI: 10.37421/jppr.2020.05.181


    The aim of this study was to evaluate the effectiveness of Modified hold-relax on stair ambulation in stroke patients.


    In this study, 35 stroke patients were recruited based on the inclusion criteria. The the rapist performed Modified hold-relax for quadriceps i.e.4 repetitions in each session, 5 days a week for 4 weeks, total of 20 sessions. Quadriceps tightness wasassessed using Duncan-Ely’s test, the impact of stroke in individual’s health and life was analyzed using Stroke Impact Scale (SIS) and ability to ambulate the stairs efficiently was analyzed by Timed Up and Down Stairs test (TUDS) before and after the intervention.


    In this study, there was mean difference of 69.63±15.50 in pre-test and 105.94±11.80 in the post-test score of Duncan-Ely’s test i.e.62.9% improvement. There was mean difference of 113. 80 ± 37.27 in pre-testand76.63±27.88 in post-test of TUDSi.e.31.4% improvement and mean difference of 38.69 ± 11.86 in pre-test and 54.94 ±10.35 in post-test of SIS i.e.48.7% improvement.


    Modified hold-relax technique for knee extensors had a positive effect in improving stair ambulation in stroke patients.


    Volume 5, Issue 2 (2020)

      Editorial Note Pages: 1 - 2

      Editorial Note: Journal of Physiotherapy and Physical Rehabilitation

      Kamil Wegrecki

      DOI: jppr.2020.5.183

      Journal of Physiotherapy and Physical Rehabilitation (JPPR) has successfully completed 4 years of successful Journey and is all set for the running year. It provides quarterly publication of articles in all the areas related to Addiction Rehabilitation, Alternative medicine, Cardiac Rehabilitation, Clinical Reflexology, Exercise, Hemipelvectomy, Multiple Sclerosis, Musculoskeletal Pain, and Myofascial Pain including all current researches. We are highly glad to mention that during the year 2019, all issues (4 issues) of Volume 4 were published online within the given time frame and print issues were also brought out and dispatched within 30 days of publishing the issue online. Journal impact factor of 2019 was approximately calculated by dividing the number of articles published in 2017 and 2018 with the number of times they are cited in the Google Scholar citation database. The current NLM ID is 101695557.

      Review Pages: 1 - 5

      Analysis of the Possible Reasons for the Decrease in the Effectiveness of Genetic Markers in Sports Search

      Dmitriy Vitalevich Muzhenya

      DOI: 10.37421/jppr.2020.05.182

      The study of the processes occurring in the body under the influence of intense physical exertion, in order to increase the efficiency of the training process and the performance of athletes, is an important issue in the physiology of sports. It is known that the strength, speed, endurance and other morphofunctional features of a person are genetically determined. Therefore, the actual direction of research is the establishment of a spectrum of polymorphic genetic variants of genes associated with a predisposition to perform physical activities of varying intensity, as well as their phenotypic manifestation in professional activity.

      However, despite the active search for genetic markers in sports with the use of modern high-tech technologies, it has not yet been possible to identify universal genes associated strictly with certain physical qualities. Perhaps, there is a number of factors that affect gene activity. Therefore, the purpose of the literature review is to search and analyze possible causes that can influence the activity of genes, for example, the most studied angiotensin-converting enzyme (ACE) gene associated with the development of specialized physical qualities in athletes.

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