At the outset, I take this opportunity to wish you all a very Happy new year on behalf of entire PHYSIOTIMES Team. I sincerely wish that the year2012 would usher in bountiful of joy and happiness in your personal life and professional career. Randy Glasbergen, a famous Cartoonist, had once remarked “What fits your busy schedule better, exercising one hour a day or being dead 24 hours a day?” With the stress and strain of the fast paced & hectic modern life and the drive to remain ahead in this era of cut throat competition, exercise has taken a backseat for most individuals leading to illness of various kinds. As Physiotherapists, we are supposed to be experts in exercise prescription for both the fit, healthy person who requires specific fitness and injury prevention advice, and for the injured or disabled person who has specific needs and consideration. The role of exercise is not only a form of treatment or adjunct to treatment, but also a self-management and prevention approach.
Exercise prescription is a prime tool in the physiotherapist's repertoire of treatment techniques and plays a pivotal Role in improving the performance and functioning of the body area under rehabilitation. Like other treatments, it must be carefully performed with adequate initial assessment to identify the main problem and its cause, continually assessed, reviewed and modified accordingly to suit the needs of the patient. Exercise prescription would revolve around the goals that you as physiotherapist set for the patient to fully recover and attain former level of fitness. Goals may range from simple ADL tasks, such as holding a cup or utensil to complex activities like participating in a sporting event. Short and long-term goal setting is essential and so is the commitment from the patient and physiotherapist. This issue of PHYSIOTIMES reiterates the importance of therapeutic exercise prescription for physiotherapists. In the aqua corner, we continue the series on aquatic therapy with another article on effect of immersion on physiology of human body. From this issue onwards, we introduce a new section “Fitness Funda” on fitness regimen in different conditions that you can use in your day to day practice for your patients. New-year is also the time to make resolutions. Marketing Mantra section discusses 10 New-year resolutions that you can make as a private practioner to enhance your clinical practice. I am sure this special issue on exercise will help you in your endeavor to prescribe appropriate, effective and safe exercise to your patients.
Exercise for Promoting health: Health promotion strategies are not limited to a specific health problem, or to a specific set of behaviors. World Health organization (WHO) as a whole applies the principles of, and strategies for, health promotion to a variety of population groups, risk factors, diseases, and in various settings. Health promotion, and the associated efforts put into education, community development, policy, legislation and regulation, are equally valid for prevention of ... Read More
Exercise can be defined as the prescription of a physical activity program that involves the client undertaking voluntary muscle contraction and/or body movement with the aim of relieving symptoms or improving function, or improving, retaining or slowing deterioration of health (Licht S (1984). Physical therapy, which is the care and services provided by or under the direction of a physical therapist includes Examining and alleviating impairments and functional limitations. (Model defin... Read More
I have been requested to share some experiences related to cardio-vascular and cardio-respiratory physiotherapy which I do link up with rehabilitation. I would illustrate plight of a cardiac patient with an example. I survived two myocardial infarcts (1970 and 1996) and one coronary artery bypass surgery (1997). First MI was in broad daylight; I had been to market and had a violent sneeze. My brother and myself walked down half a km distance and returned home. It was before lunch time. Though... Read More
Shoulder pain with a subsequent restriction of movement is a common problem both in sporting and general population1,2,3. Though it is more prevalent in females when compared to males4, it has been associated with systemic conditions such as diabetes5, as well as postulated to be affected by biopsychosocial influences6.
The incidence of shoulder pain ranges from 6.6 to 25 cases per 1,000 patients, with a peak incidence in those aged 45 to 64 years. The 1-year prevalence rate o... Read More
If exercise is medicine, then in what way shall we as physical therapists dispense this medicine that will set us apart as the doctors of exercise/movement compared to the many other professions that dispense exercise as well? The future of rehabilitation depends on our collective ability to move beyond linear, simplistic thinking to not only thinking complexly, but delivering care that embodies that thinking. The “buzz” at conferences, in the literature and on the social media PT... Read More
Once the partying is over and fireworks are finished, it’s time to realize that a new year has arrived. But well, the New Year isn’t just about replacing the wall calendar or wishing friends. It’s about revitalization, reinvention, reexamining the goals, redefining the future and of course, about making resolutions. It’s a time to reflect on the changes we want to make and resolve to follow through on those changes. We all make personal resolutions around this time of ... Read More
1. What made you to choose Physical therapy as a profession?- I went to University of California at Riverside as a pre-medicine undergraduate. I initially wanted to be a doctor. When I graduated, I worked in the front office of a PT facility because my father is a below knee amputee and his friend, Stella was a PT who worked there. I started to volunteer with the Disabled Sports USA group where my father would ski and Stella would volunteer. This turned me o... Read More
Tennis elbow is otherwise also known by several analogous terms, including lateral elbow pain, lateral epicondylitis, rowing elbow, tendonitis of the common extensor origin, peritendinitis of the elbow, shooter’s elbow and archer’s elbow.
Tennis elbow is basically an overload injury, typically after minor and repetitive strain to the extensor muscles of the forearm. It is a painful condition affecting the tendious tissue of the origins of the wrist extensor muscles at th... Read More
ABSTRACT: The Aim of this study is to reveal the effect of Manual therapy on Patella tracking problem. The Patients comes with complain of anterior knee pain, he diagnosed as Patellofemoral pain syndrome. The physical therapy assessment and somatic diagnosis were found that the Pain is in Knee but the cause is at the Ankle. Malalignment in the ankle is the common cause for knee problems. Patient underwent a course of manual therapy along with exercises. Pain was reduced dramatically in the en... Read More
I hope the first series gave a basic idea on advantages of using the water by its principles & mechanics. In this series I wish to highlight very briefly the effect of immersion on the physiology of human body, so that we have a comprehensive view to use water as an effective medium to influence the changes mechanically as well as physiologically. The various systems that can be influenced by water medium are Musculoskeletal, Neurological, Respiratory, Cardiovascular, Renal & Endocrin... Read More
Attitudes towards exercise during pregnancy have changed dramatically over the last two decades. Cross sectional studies have shown that nearly 42% of pregnant women engage in regular activity (Zhang&Savitz,1996).In a recent study conducted by Clapp (1998) labors of women who continued performing vigorous weight bearing exercise throughout pregnancy was compared to that of physically active controls. The women who continued to do weight bearing exercise throughout their gestat... Read More
The Art and Science of Physiotherapy are greatly evolved in recent times globally. Physiotherapists around the globe are struggling to get due recognition from medical fraternity, employer and Government of respective countries and clients. Many Indian physiotherapists walk in the same tunnel hoping rays of light in the near future.
Though countries like USA, Canada welcome physiotherapists, to make oneself eligible to reach those countries is a time and money consuming task. Apart ... Read More