Papers by Maheshwari Harishchandre
To determine immediate effect of EMG biofeedback relaxation along with conventional physiotherapy... more To determine immediate effect of EMG biofeedback relaxation along with conventional physiotherapy on spastic muscles, 20 stroke patients were taken and allocated into two groups; experimental group was given EMG biofeedback relaxation along with conventional physiotherapy and control group was given only conventional physiotherapy. Spasticity was measured before and after treatment on Modified Tardieu Scale. A statistically significant difference was found in the spasticity post treatment between the experimental group and control group and it was concluded that EMG biofeedback relaxation along with conventional physiotherapy has better immediate effects than only conventional physiotherapy in reducing muscle spasticity.
International journal of research in medical sciences, May 31, 2024
Journal of medical research, Dec 29, 2023
Torticollis which is a relatively temporary condition rarely seen till adulthood. However, if unt... more Torticollis which is a relatively temporary condition rarely seen till adulthood. However, if untreated during childhood may develop complications later which may include musculoskeletal or neurological structures around neck. It may range from contracture of soft tissue to involvement of neural structures. However neurological complications are rare and may require surgical correction. Case description: Here, a 16-year-old male patient who reported physiotherapy department with chief complaint of difficulty in movement of bilateral upper and lower limb difficulty in standing and difficulty in walking independently and breathlessness on exertional activity. Result: After 2 months of physiotherapy treatment berg balance scale score improved from 20/56 to 51/56, dynamic gait index score improved from 10/24 to 15/24, Modified fatigue impact scale score improved from 51/84 to 12/84. Conclusion: Neurological complication of Torticollis in a 16-year-old patient could be reversed partially resulting in functional improvement, with surgery and appropriate Physiotherapy treatment.
International Journal of Research in Medical Sciences, Dec 27, 2023
The adulthood leukodystrophy is an uncommon clinical condition. Physiotherapy treatment provided ... more The adulthood leukodystrophy is an uncommon clinical condition. Physiotherapy treatment provided to this referred patient resulted in a significant functional recovery within a short span of time inspite of gross lesion. A 34-year-old male patient diagnosed as a case of leucodystrophy was referred for Physiotherapy after 2 years of initial diagnosis physiotherapy progress consisted of increasing muscle strength, reducing tightness and improving postural stability; also to improve mobility for 5 months. After taking the pre and post assessment values of MAS, FIST, mFRT and FIM, improvement through the post assessment values showed significant functional recovery within 5 months. Significant functional recovery after 2 years of diagnosis of leucodystrophy provides promising scope of physiotherapy in future cases of leucodystrophy.
International journal of physiotherapy and research, Dec 10, 2023
Background: Spinal Cord Injury is one of the severe injuries results in loss of sensory and motor... more Background: Spinal Cord Injury is one of the severe injuries results in loss of sensory and motor function below the level of injury which deteriorates the quality of life. The bio-psycho-social model also emphasizes on the improving the quality of life than enhancing the physical function as the primary goals of SCI rehabilitation. Many authors have reported that there is significant positive effect on activities of daily living. Therefore, improving the quality of life in individuals with SCI. Aim: To study the Relationship between Functional Status and Quality of Life in Patients with Spinal Cord Injury. Methodology: Ten subjects were enrolled according to the inclusion and exclusion criteria of the study. WHOQOL-BREF and SCIM was administered at 3 rd , 6 th and 9 th month of injury to assess the Quality of life and Functional Status of the individuals with Spinal Cord Injury. Result: There was significant correlation between SCIM Vs Psychological domain (r=-0.66, p= 0.03*) at 3 rd month, SCIM Vs Social domain (r= 0.57, p= 0.08*) at 3 rd month, SCIM Vs Environmental domain (r= 0.57, p= 0.07*) at 9 th month post injury. Conclusion: The study concluded that there was a positive association between the functional status and quality of life in patients with spinal cord injury at 3, 6 and 9 months of injury.
VIMS JOURNAL OF PHYSICAL THERAPY
Background: Thermal stimulation can be used as an intervention to enhance sensory function. Activ... more Background: Thermal stimulation can be used as an intervention to enhance sensory function. Activated areas by thermal stimulation are greater than those by tactile or mechanical stimulation. Mirror therapy creates the illusion of normal movement with the mirror image of the unaffected upper extremity. Thermal stimulation provides somatosensory stimulation that causes the forced use of the involved extremity as a protective response to heat which provokes volitional/reflexive motor activity. Somatosensory stimulation may induce brain plasticity. Purpose: This study was carried out to determine the effect of thermal stimulation and mirror therapy in the sensorimotor and functional recovery of hand in stroke patients with hand impairment. Methods: 18 stroke survivors were randomly assigned to Thermal Stimulation rehabilitation treatment and Mirror Therapy rehabilitation group (30 minutes daily for 3 weeks). Three measures, including Brunnstorm stage, Wolf motor Function Test, and Revi...
VIMS JOURNAL OF PHYSICAL THERAPY
Cerebral Palsy (CP) is a group of permanent disorders of the development of movement and posture,... more Cerebral Palsy (CP) is a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain. The purpose of the study was to present a framework for developing an ICF-based documentation system in Cerebral Palsy rehabilitation across the continuum of care by using a case study approach. A Case Report of a 12-year-old boy suffering from chore-athetoid cerebral palsy since birth. The report describes the integration of the ICF-based documentation tools into the patient’s examination, evaluation, prognosis, diagnosis, and intervention while he participated in a physiotherapy rehabilitation program for 4 months and the outcome measures used were GMFM and UFMG SYDENHAM’S CHOREA RATING SCALE at the baseline and after 4 months. The ICF-based documentation for physical therapists summarizes all relevant information to aid the physical therapist’s patien...
International Journal of Health Sciences and Research, Feb 18, 2023
Background: The effect of interventions in post stroke patients on proxies of motor changes espec... more Background: The effect of interventions in post stroke patients on proxies of motor changes especially Genu Recurvatum (GR) are well documented in literature. However, evidence based standard methods for its assessment haven't been established yet in patients with stroke. Objectives: To explore literature to determine standard method for evaluation of Genu Recurvatum and to find out the best strategy or Instruments to assessed GR and the estimated range of knee hyperextension Stroke patients. Data sources: A computerized Systematic Literature search was performed, from January 2000 to October 2022 to extract data. A best evidence synthesis was conducted to summarize the results. Result: Twelve studies were included in the review. Eight out of ten studies have mentioned the degrees of GR. Various different methods have been found, commonest being the analysis of gait cycle by software and stance phase of gait cycle being commonest position. Conclusion: The most widely preferred position for assessment of GR is stance phase of gait cycle by videotaping it and analysis with software method in patients with Stroke.
Zenodo (CERN European Organization for Nuclear Research), Dec 24, 2022
Background: Neuromuscular diseases can cause spasticity, which has an impact on the quality of li... more Background: Neuromuscular diseases can cause spasticity, which has an impact on the quality of life for persons who suffer it. A muscle tightness that depends on velocity is the outcome of spasticity. The goal of myofascial release, a type of manual treatment, is to restore ideal length, reduce discomfort, and enhance function by applying a low load, long duration stretch to the myofascial complex. Many people with spasticity utilise stretches in the hope that tightness or contracture of soft tissues can be reduced and prolonged. Objective: To find out the research on the impact of myofacial release and stretching on wrist spasticity in stroke patients. Methodology: Review contains latest literature, studies included within last 15 years. They were entered into PubMed & Google scholar. The population which was selected adults with spasticity developed after stroke. A systematic literature search was evaluated 74 articles with key words myofacial release & stretching. There are 10 studies are available on pubmed with the keywords of stretching, myofacial Release & stroke but only 3 studies are available on myofacial release and spasticity in last 15 yr. Studies written in English language were only included. Conclusion: It is anticipated that myofascial release and static stretching will reduce spasticity in stroke patients. Myofacial Release is effective in reducing the spasticity along with conventional physiotherapy in stroke patients & the study as well suggested that stretching also helps to reduce the spasticity through prolonged muscle stretch.
Cureus
Infantile hemiparesis resulting from Dyke-Davidoff-Masson syndrome (DDMS) is an uncommon conditio... more Infantile hemiparesis resulting from Dyke-Davidoff-Masson syndrome (DDMS) is an uncommon condition, especially in patients with no positive natal history. The age of presentation is dependent on when the neurologic insult occurred, and distinctive alterations may not appear until puberty. The left hemisphere and the male gender are more frequently involved. Common findings that can be seen are seizures, hemiparesis, mental retardation, and facial changes. Characteristic MRI findings are dilation of the lateral ventricles, hemiatrophy of the cerebrum, frontal sinus hyperpneumatization, and compensatory hypertrophy of the skull. Here, we report a 17-year-old female patient who reported physiotherapy treatment after the attack of epilepsy, with the complaint of inability to use the right hand for functional activities and gait deviations. Patient examination revealed typical chronic hemiparesis of the right side with mild cognitive affection. Brain investigation confirms the diagnosis of DDMS.
VIMS Journal Of Physical Therapy, Jun 30, 2022
VIMS JOURNAL OF PHYSICAL THERAPY
Background - Scapula stabilizing exercises used for improving shoulder function in patients with ... more Background - Scapula stabilizing exercises used for improving shoulder function in patients with stroke has been reported in literature. However there is diversity in pattern of these exercises which makes it difficult to choose specific exercise and its impact on upper extremity function and scapular malalignment cannot be estimated appropriately. Hence it was aimed to explore different patterns of Scapular Stabilizing Exercises and its effect on scapular malalignment and upper limb function. Methods- Four databases (PubMed, Google Scholar, Cochrane, Science Direct) were searched to identify eligible studies using the keywords Scapula stabilizing exercise, Stroke. Only Randomized controlled trial studies published in last 10 years (2010-2020) were included in this review. Results- Thorough search identified six studies conducted on patients with sub-acute and chronic stroke. Scapular stabilising exercises were described in different positions supine lying, sitting with different mo...
VIMS JOURNAL OF PHYSICAL THERAPY
Background- Stroke is sudden loss of neurological function caused by an interruption of the blood... more Background- Stroke is sudden loss of neurological function caused by an interruption of the blood flow to the brain. The fine motor activities are also affected which leads to difficulty in writing, prehension and precision are also affected so patient is also not able to hold the or any object in the hand which required to performed in daily activities. Methods - This is an Observational study with a study duration was of 1 year. A total of 30 participants were recruited using the purposive sampling method from the Department of neuroscience, Vikhe Patil Memorial Hospital, Ahmednagar; Puntamba stroke center, Puntamba and Rahuri stroke center. Result - The study shows in jebson taylor hand function test, the most affected component is writing which requires more time followed by moving heavy objects and stimulated feeding, in addition requires less time for card turning, followed by small common object and checkers stacking and the least time required for performing moving light obj...
VIMS JOURNAL OF PHYSICAL THERAPY, Dec 31, 2020
VIMS JOURNAL OF PHYSICAL THERAPY, Jul 2, 2021
VIMS JOURNAL OF PHYSICAL THERAPY, 2019
Background: : About 50% of stroke survivors show impaired upper limb and hand function in the chr... more Background: : About 50% of stroke survivors show impaired upper limb and hand function in the chronic phase. The action research arm test is a measure that appears to have general acceptance. Aim: To evaluate the literature available on the assessment of UL functions using the action research arm test in stroke patients. Materials and Methods: All interventional and non-interventional studies on PUBMED were included in the study. Results: : In studies, 15 different outcome measures were found. Out of these ARA is most commonly used measure in all of them (90%). Conclusion: This study concludes that the Action research arm test is the most reliable, convenient and feasible test to assess upper limb functions in stroke patients.
Background: : About 50% of stroke survivors show impaired upper limb and hand function in the chr... more Background: : About 50% of stroke survivors show impaired upper limb and hand function in the chronic phase. The action research arm test is a measure that appears to have general acceptance. Aim: To evaluate the literature availa-ble on the assessment of UL functions using the action research arm test in stroke patients . Materials and Methods: All interventional and non-interventional studies on PUBMED were included in the study. Results: : In studies, 15 dif-ferent outcome measures were found. Out of these ARA is most commonly used measure in all of them (90%) .<br> Conclusion: This study concludes that the Action research arm test is the most reliable, convenient and feasible test to assess upper limb functions in stroke patients.
The various gait training program of stroke patients are only done in the stable hospital setting... more The various gait training program of stroke patients are only done in the stable hospital setting and not in the various environmental factors which are required in the community. Considering the ultimate goal of rehabilitation to be independent functional ability during gait, it is important to understand the difference in performance in clinical and community set up. Hence this study is taken up to investigate if there is any difference in the performance of gait in clinical and community set up, in terms of energy expenditure measured with the help of Physiological Cost Index in patients with stroke.In total 30 samples were selected for the study by the convenience sampling method. Two set up were selected for the study one inside the clinic and the other outside in the community at ground level. PCI was calculated in both clinical and community set up for a distance of 10m. The study showed that the mean PCI value in clinical set up was 0.355 ± 0.347 andcommunity set up was 1.18...
To determine immediate effect of EMG biofeedback relaxation along with conventional physiotherapy... more To determine immediate effect of EMG biofeedback relaxation along with conventional physiotherapy on spastic muscles, 20 stroke patients were taken and allocated into two groups; experimental group was given EMG biofeedback relaxation along with conventional physiotherapy and control group was given only conventional physiotherapy. Spasticity was measured before and after treatment on Modified Tardieu Scale. A statistically significant difference was found in the spasticity post treatment between the experimental group and control group and it was concluded that EMG biofeedback relaxation along with conventional physiotherapy has better immediate effects than only conventional physiotherapy in reducing muscle spasticity.
Journal of Physiotherapy & Physical Rehabilitation, 2016
Pressure ulcer (PU) is a common complication after SCI which Physiotherapists needs to treat on a... more Pressure ulcer (PU) is a common complication after SCI which Physiotherapists needs to treat on an urgent basis. This case study reports the combined effect of LASER therapy and ultrasound for the extensive PU in a young patient which resulted in complete recovery within 12 weeks. PU was around 24 cm2 in length and breadth and 1.9 cm deep. Patient was treated with LLLT and Ultrasound for 12 weeks with required dosages. Assessment was done with the help of PUSH scale. After 12 weeks of treatment there was complete closure of PU.
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Papers by Maheshwari Harishchandre