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 3 (2020)

      Case Report Pages: 1 - 5

      Bony Spurs in a Below Knee Amputation: A Case Review

      Shimas Salih*

      DOI: 10.37421/jppr.2020.05.184


      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*

      DOI: 10.37421/jppr.2020.05.186

      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*

      DOI: 10.37421/jppr.2020.05.187

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      Short Communication Pages: 1 - 2

      Vestibular Rehabilitation

      Snehal Joshi*

      DOI: 10.37421/jppr.2020.05.188

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      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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