A Special issue on Physiotherapy in Chronic Diseases

“In a word, all parts of the body which were made for active use, if moderately used and exercised at the labor to which they are habituated, become healthy, increase in bulk, and bear their age well, but when left without exercise, they become diseased, their growth is arrested, and they soon become old”- Hippocrates”

It gives me immense pleasure to share with you all that with this issue, PHYSIOTIMES begins its 5th year of publication, having completed 4 volumes and 24 issues so far. It has been an enriching journey full of challenges and learning, a journey replete with support and trust of our readers & advertising partners...a journey full of guidance from seniors and team members...We thank one & all who have been a part of this fantastic journey for the past four years & solicit your patronage in the forthcoming issues.

Research strongly supports the role of physiotherapists in the prevention, treatment and management of chronic diseases, including hypertension, CVD, Type 2 diabetes, COPD, cancer, stroke, asthma, arthritis, obesity etc. Physiotherapy interventions, including exercise prescription, facilitate patient participation in programs that enhance and maintain physical well-being which has a significant impact on quality of life (QOL) and future use of health care services. This issue highlights the role of physiotherapy in the management of various chronic disorders. We would like to thank Dr. Narasimman Swaminathan who has helped us put together this issue as the guest editor. We also thank all authors for their contribution. We are sure this issue would help you assist people who are at risk of developing or have a chronic disease to safely optimize their level of physical activity & effectively manage their own care.

COVER STORY: Physiotherapy In Chronic Diseases - SENTHIL KUMAR

As there is a rapid growth in life saving procedures, the mean life span is on increase.On the other hand we need to take close look at the Quality of Life of people with such extended life span.Mere adding up of years is not accepted in general but to have productive and quality years...lively living!One of the major components impaired and amenable with physiotherapy is the restoration mobility with stability.It is well evident that the Communicable diseases are widely substituted by Non-co... Read More

PHYSIO SPEAKS: Interview with an Australian Educator - DR. SARAVANA KUMAR

Dr.Saravana Kumar is a senior lecturer at school of health sciences, universities of South Australia, Adelaide. He is also the deputy director of the international centre for allied health Evidence (Icahe). Dr.kumar completed his schooling in Chennai and migrated to Australia in 1995 to commencehis undergraduate education. Dr.Kumar undertook his studies at university of South Australia where he completed his bachelor of applied science (Physiotherapy) in 1998, Master of physiotherapy (Manipul... Read More

REVIEW ARTICLE: Chronic Pain: Can Physiotherapy Help Them Get Back To Normal? - KAVITHA VISHAL

Chronic pain (CP) is a clinical condition characterized by pain and suffering beyond the stipulated time of healing often leading to treatment failures. 1,2Even in the presence of acute pain neuronal changes ensue, however the structural and functional abnormalities of chronic pain extend beyond the boundaries of a peripheral organ dysfunction.

With the advent of the biopshychosocial model of assessment and treatment, therapists understanding of chronic pain have evolved tremendousl... Read More

REVIEW ARTICLE: Exercise: A Complimentary Medicine In Cancer Rehabilitation - NEENA VARGHESE

A lifestyle that includes physical activity can be beneficial for just about everyone, no matter their age, and as experts now know, even if they have cancer.

EXERCISE AND CANCER- The number of cancer survivors will continue to increase with continued improvements in screening and treatment. Despite these improvements, however, many cancer survivors suffer from the acute, chronic, and late side effects of treatment.Exercise is an effective therapeutic intervention for preparing pati... Read More

MIND MATTERS: Exploring The Possibilities For Physiotherapy In Mental Health - BENJAMIN VARGHESE

WHO defines Mental Health as "a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community". Good mental health is fundamental to the well-being of individuals, families and communities. Poor mental health is identified as one of the biggest causes of disability, poor quality of life and sub-optimal productivity.

Me... Read More

GUEST COLUMN: Worksite Wellness For Promoting Cardiovascular Health & Fitness


In the current global economy, job market and expanding industrial automation, there is greater pressure for persons to work longer hours,oftentimes with longer periods of sedentary behavior (SB).Moreover, the current economic landscape, job market and increased productivity expectations create a higher potential for employees to perceive increased psychological stress associated wit... Read More

SPECIAL ARTICLE: Dyspnea Management In Chronic Disorders - NARASIMMAN SWAMINATHAN

Introduction: Dyspnea (shortness of breath) is defined as a subjective experience of breathing discomfort, and is of varying intensity. The occurrence of dyspnea in subjects with chronic disorders is from the interactions among multiple factors which include physiological, psychological, social and environmental factors. Dyspnea may or may not be associated with hypoxemia, tachypnea or orthopnea. Literature states that almost all of the COPD patients, 80 % of adva... Read More

FEATURE ARTICLE: Preventing Chronic Diseases: Can Physiotherapy Help - Restoring Energy Balance


Humans had evolved from ‘hunters and gatherers’ to producers more than 10,000 years ago and yet more than half the population was considered undernourished until recently. The year 2000 was considered a landmark in human evolution because, for the first time in the history of mankind, the number of adults with excess weight surpassed those who are underweight.1Evolution led us to store t... Read More

HEALING HANDS: Manual Therapy and Taping Techniques for Plantar Fasciitis - PROF.UMASANKAR MOHANTY

A 55-year-old overweight woman presents with a three-month history of pain in her right inferior heel. The pain is worse on taking her first steps in the morning. The physical examination is normal except for nonspecific tenderness in the region of the medial calcaneal tubercle. How should the patient be evaluated and treated?

PROLOGUE- Plantar fasciitis is one of the most common causes of heel and foot pain treated by Physiotherapists. This inflammatory response has been classified... Read More

ACCUPUNCTURE SERIES: The Power Of Dry Needling: Understanding MTRS's And The Basics Of Needling - DIANA PINTO

Acupuncture has been around for centuries. Widely practiced, Chinese acupuncture has been tried by the sick and the ailing. Claiming to treat problems from Blood pressure to muscle pain, from Thyroid diseases to Insomnia - Chinese acupuncture has had its share of practitioners who swear by the effects of needling to balance the Qi - in order to cure or alleviate the symptoms of a disease in patients. The last 50 years has seen the birth and the rise in the practice of Western Medicinal Acupun... Read More


NIA (previously non-impact aerobics, neuromuscular integrative action) is a non-impact physical conditioning program based on the premise that movement is a pathway for self-discovery and personal transformation. Sometimes practiced barefoot, Nia involves cardio vascular and whole-body conditioning. Some proponents regard Nia as a body-mind-spirit exercise like yoga.Nia was created in 1983 in california by debbierosas and carlosrosas

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The word ‘research’ has a certain mystique about it. To most of the people outside the research community, it represents an activity that is exclusive to an elite group of scientists. The perception of a researcher is one detached from the outer world, isolated in his laboratory or scholarly library. This was certainly the image in my mind as I embarked on my physiotherapy career. Over the years, this has not only been dispelled, I am now able to introduce myself to general public... Read More

BOOK REVIEW: Holistic Approach to Neuro Physiotherapy: Evidences & Experiences - Dr.M.G.Mokashi

Published by Movewell Media Pvt. Ltd.Ahmedabad, India. 400 pages.Paperback.Price: Rs. 450

Chapter 1 - Neurological Disorders: Functional and Psycho-Socio-Economic Repercussions    Chapter 2- Management of Pain Chapter 3- Influence of Development on Neuro-physiotherapy Chapter 4- Neuro-physiotherapy Techniques for sensory-motor learning and function Chapter 5- Polyneuropathies and Peripheral Nerve Lesions Chapter 6- Spinal cord lesions and management Chapter 7 - Cerebr... Read More




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