Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

Open Access

Current Issue

Volume 5, Issue 4 (2019)

    Editorial Pages: 1 - 1

    Physiotherapy Intervention in Patients with Covid-19

    Dmitriy Vitalevich Muzhenya

    Since the outbreak of the 2019 novel coronavirus (COVID-19), the role
    of physiotherapy for patients with COVID-19 infection has been highlighted
    by various international guidelines. Despite that, clinical information regarding
    the rehabilitation of patients with COVID-19 infection remains limited. In this
    case series, we provide a novel insight into the physiotherapy management
    in patients infected with COVID-19 in Singapore. The main findings are: (1)
    Respiratory physiotherapy interventions were not indicated in the majority
    of the patients with COVID-19 in this case series; (2) During rehabilitation,
    exertional or position-related desaturation is a common feature observed in
    critically ill patients with COVID-19 infection locally. This clinical phenomenon
    of exertional or positional-related desaturation has significantly slowed down
    the progression of rehabilitation in our patients. As such, it can potentially
    result in a significant burden on healthcare resources to provide rehabilitation
    to these patients. Based on these findings, we have highlighted several
    recommendations for the provision of rehabilitation in patients who are critically
    ill with COVID-19.

    Short Communication Pages: 1 - 5

    Primary Point of Contact Physiotherapy: A Qualitative Study

    Sapna Nandlal Tank

    The primary contact professional (FCP) activity has accumulated significant force in the course of the most recent three years. Proof of this energy is exhibited in the backing of the FCP function in the NHS long haul plan and the 2019 GP contract. The two records allude to the commitment that FCP can make to the lightening of the developing weights experienced when all is said in done practice and essential consideration

    Short Communication Pages: 1 - 1

    The Effect of Beetroot Juice intake on Muscle Oxygenation and Execution during Rhythmic handgrip work out

    Akanksha Prakash

    Notwithstanding considers examining the impact of beetroot juice (BJ) ingestion on practice execution in a few methods of activity, it is critical to assess how undeveloped subjects react to BJ consumption during exhausting opposition work out. In this manner, the current examination explored the impact of BJ utilization on muscle oxygenation boundaries during musical handgrip exercise and exercise recuperation in undeveloped subjects. Besides, practice resilience was likewise assessed.

    Short Communication Pages: 1 - 1

    Physiological Reactions during Exercise with Computer Games in Patients with Cystic Fibrosis: A Precise Survey

    Joana Batista Correia

    Cystic fibrosis is a multi foundational hereditary malady with noteworthy inclusion of the respiratory framework in its clinical course. Gooey emissions block the aviation routes, prompting resulting interminable diseases. The course of the ailment is described by intermittent intensifications, bringing about expanded hack, thick expectoration, weight decrease and reduction of aspiratory work. Dynamic aspiratory obstacle and debilitated lung tissue that happen because of constant irritation and diseases, typically brought about by Pseudomonas aeruginosa and Staphylococcus aureus , lead to the improvement of bronchiectasis, expanded aviation route opposition, air catching and lung hyperinflation, which are basically liable for expanded horribleness and mortality. Taken together, these elements may unfavorably influence the presentation levels in physical exercises.

    Short Communication Pages: 1 - 1

    Socio-Physical Liveability through Socio-Spatiality in Low-Pay Resettlement Models - An Instance of Ghetto Recovery Lodging in Mumbai, India


    This investigation investigates the socio-physical liveability through socio-spatiality in low-salary settlement paradigms. Incomprehensibly, as of late mushrooming ghetto recovery lodging which have conveyed tied down residency to its occupants, face dangers of being abandoned from absence of socio-physical liveability. Repeating of familiarity issues has supported to research the explanations for the 'bounce back' wonder. This investigation investigates the adequacy of socio-spatiality and its linkages with socio-physical liveability, taking Mumbai ghetto recoveries as contextual analysis. A near investigation of the current fabricated condition pointers and liveability status of major casual paradigms was performed, trailed by examinations of the socio-physical issues related with it. A basic assessment of the restoration lodging of Mumbai features the issues brought about by the current thick constructed condition plan. Pondering worldwide occurrences, this article shows the hugeness of socio-spatiality and proposes ecologically supportable pointer based fabricated condition proposals, which whenever actualized in the expected ghetto recovery lodging arranging, would upgrade prosperity and liveability among the low-salary area in future. While breaking down the 'bounce back' marvel, this investigation conveyed a heuristics of socio-physical liveability, assembled condition and their separate pointers. This technique would help the modelers, organizers and policymakers in reshaping the prospective constructed condition while protecting the socio-physical liveability of the low-pay area.

    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

      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


      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 3 (2020)

        Case Report Pages: 1 - 5

        Bony Spurs in a Below Knee Amputation: A Case Review

        Shimas Salih*


        Poor wound healing following a major lower limb amputation can result in poor rehabilitation outcomes, which can be further worsened if the patient has recurrent falls and stump trauma during the wound healing stage. Direct trauma to the stump can result in bony fractures at the margins of the residual bones, and loose bony fragments may form inside the stump. These bony fragments can hinder the process of stump wound healing and interfere with prosthetic limb use and rehabilitation.

        Case Description and Methods

        We report this unusual case of 54 years old female patient who had a poor postoperative stump wound healing following a direct stump trauma due to a fall during the early postoperative recovery phase. She failed to respond to several weeks of conservative treatment.


        A plain radiograph of the stump showed several body fragments migrated from a fracture at the distal tibial margin. A few weeks later, the patient noticed a sizeable body fragment spontaneously fell from the unhealed area of the stump. Shortly following this, her incisional wound showed signs of complete healing.

        Outcomes and Conclusion

        We think that this bony spur is the most likely culprit behind the patient's unusually prolonged wound healing. We discussed this case at the local MDT meeting in order to share the knowledge amongst the team and to raise vigilance about the need for early investigations in similar scenarios, particularly following direct trauma to the amputation residuum.

        Commentary Pages: 1 - 5

        Flexibility is inversely Correlated with Body Mass Index in Overweight Recreational Runners

        Raquel Rodrigues dos Santos, João Claudio Cunha, Maxwell Patrocínio Menezes, Ana Gabriella Pereira Alves, Marcelo Henrique Silva, Rafael Ribeiro Alves, Naiany Pereira Silva and Vitor Alves Marques*

        Background: Flexibility is a skill of great importance to prevent the occurrence of muscle damage, and it constantly needs to be improved so that its benefits extend throughout life. Individuals with a higher body mass index (BMI) have a lower level of flexibility than those with normal weight or underweight. Objective: To correlate the flexibility with BMI of eutrophic and overweight recreational runners. Methods: This is a cross-sectional study conducted with 35 Brazilian recreational runners (22 women and 13 men), aged 34.65 ± 9.47 years. The period of running training data was obtained from a specific questionnaire. The body mass and height were measured to calculate BMI. Flexibility was assessed by the sit and reach test using a Wells Bench. Results: Most participants were recreational runners for less than one year (68.6%, n = 24) and had a BMI classified as overweight (57.1%, n=20). There was no difference in the classification and value of flexibility and the period of running training between eutrophic and overweight subjects (p ≥ 0.05). Among overweight participants, an inversely correlation was found between BMI and flexibility (p = 0.047). Conclusion: Overweight recreational runners need to reduce their BMI to improve their flexibility.

        Short Communication Pages: 1 - 1

        Rehabilitation Medicine and Covid-19 at glance

        Shimas Salih*

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        Short Communication Pages: 1 - 2

        Vestibular Rehabilitation

        Snehal Joshi*

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        Volume 5, Issue 2 (2020)

          Editorial Note Pages: 1 - 2

          Editorial Note: Journal of Physiotherapy and Physical Rehabilitation

          Kamil Wegrecki

          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*

          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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