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   Table of Contents - Current issue
July-September 2020
Volume 52 | Issue 3
Page Nos. 83-111

Online since Friday, October 23, 2020

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COVID-19 pandemic: Exploring opportunities to combat the challenges p. 83
Anil Kumar Srivastava
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Effect of upper back brace with auditory feedback for forward head rounded shoulder posture among office workers with chronic neck pain – A pre-post single group study p. 85
Jyotsna Rupesh Bankhele, Rashmi Sudhakar Yeradkar, Mansi Manoj Mulye
Background: Forward head and rounded shoulder posture (FHRSP) is a poor habitual neck posture among office workers. The posture results in muscle tension and pain around the neck and shoulders and nerve root symptoms in the upper extremities. Objectives: The aim of this study was to investigate the effect of upper back brace with auditory feedback on posture among office workers with neck pain and forward head posture. Study Design: The study design involves prospective, experimental, pre–post single group. Methods: The office workers (males and females aged 25–60 years) were screened on shoulder girdle flexibility test (fingertips > 2 inches [5 cm] apart). Ten subjects (out of 50 screened subjects) meeting the eligibility criteria were selected for the study. The subjects wore the upper back brace with auditory feedback for 6 h in a day (minimum 30 min in continuation) for 2 weeks. Pre- and post-assessments of the neck disability index (NDI), visual analog scale (VAS), craniovertebral angle (CVA), and scapular index (SI) were carried out at the baseline and after 2 weeks, respectively. Results: Postintervention, significant reduction was found in NDI score (P < 0.05, 95% confidence interval (CI) of mean difference (CI): 2.33–8.72 and VAS score (P < 0.05, 95% CI: 0.70–2.89) and significant improvement was found in CVA score (P < 0.05, 95% CI: 0.60–6.59) and SI score (P < 0.05, 95% CI: 0.70–10.01). Conclusion: The results indicate that the upper back brace with auditory feedback improves the FHRSP and reduces neck pain and related disability among office workers.
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Normative data of developmental test of visual motor integration for Chennai population p. 90
Vignesh Raj S Deepak, D Anbarasu
Objectives: The main purpose of this study was to establish normative data of the developmental test of visual-motor integration (VMI) among Chennai population. The study was also intended to (a) identify performance of chennai population on Principal test of VMI and Supplemental test of Visual Perception (VP) and Supplemental test of Motor coordination (MC) (b) To find the gender difference on performance of Principal test of VMI,Supplemental test of VP and Supplemental test of MC among Chennai population. Methodology: A quantitative research study. A total of 400 participants aged 15 to 19 years were engaged in the study from regular schools and Colleges located in Chennai using a convenience sampling method. The study participants were administrated with the Beery-Buktenica Developmental Test of VMI, 6th edition-long form. Results: The study found a statistically significant difference in the performance of a developmental test of VMI between each age group (F = 5.831, P = 0.001). The finding revealed that there was no gender difference in the principal test of VMI and the supplement test of MC. But there was a significant difference in the supplemental test of VP while comparing both genders (t = 2.76, P = 0.006). Girl's mean score in supplemental test of VP is higher relative to the boy's mean score in supplemental test of VP. Conclusion: The established normative data can be used in the evaluation of VMI and to plan the intervention and to identify effectiveness of the therapy.
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Premature infant oral motor intervention (PIOMI) with and without massage therapy on social emotional development in preterm infants p. 95
Shailaja Sandeep Jaywant, Priyatam S Dandavate, Jayashri Shripad Kale
Background: Feeding functions are generally affected in preterm infants. This has long-term impact on emotional development, social learning, and health. Occupational therapists use a variety of interventions such as premature infant oral motor intervention (PIOMI), Infant massage (IM) for improving oral motor control and neuro-behavioral status of preterm infant. PIOMI has positive effects on oral motor functions. IM is recognized as a developmentally supportive intervention aimed at decreasing infant stress and optimizing the infant's sensory experience on long-term development. The current study intends to observe the effect of PIOMI and combined effect of PIOMI with IM on social and emotional development of preterm infants. Objective: The aim was to evaluate the effect of PIOMI and combined effect of PIOMI with IM on social-emotional development of preterm infants. Study Design: Prospective, experimental, design was chosen for this research. Methods: Preterm infants (32–36 weeks) who were hemodynamically stable and satisfying the inclusion criteria were allocated into Group A and Group B randomly divided into 30 subjects in each group. Group A received PIOMI of 10 min session, twice a day. Group B received PIOMI along with IM therapy (IM) of 10 min session twice a day, till they achieved full oral feeds. The infants were evaluated at 2 and 6 months of corrected age on Ages and Stages Questionnaire Social Emotional-2 (ASQ: SE-2) scale to evaluate the long-term effect of intervention on social-emotional development of preterm infants. Results: Thirty infants from Group A enrolled for study, 25 infants followed up at 2 months of corrected age. On social emotional-2 (ASQ: SE-2), they scored mean score of 30.4 ± standard deviation (SD) 7.4, 95% confidence interval CI: (27.66, 33.14), On follow-up at 6 months of corrected age, there was an increase in mean scores to 46.2 ± SD 11.2, 95% CI: (41.7, 50.7). Out of thirty infants, the twenty-eight infants from Group B followed up at 2 months of corrected age. On ASQ: SE-2 they scored as mean 18.4 ± SD 4.5, 95% CI: (16.66, 20.14).This group also showed increase of mean scores at 6 months of corrected age to 28.2 ± SD 8.14, 95% CI: (25.04, 30.36). Infants receiving PIOMI with IM showed better social-emotional development in preterm infants as compared to those received only PIOMI at 2 and 6 months. The marked improvement was seen in components such as social interaction, self-regulation, and communication. Conclusion: Preterm infants from both the groups showed good social emotional development, whereas preterm infants who received PIOMI along with IM therapy showed better self-regulation and interaction due to graded tactile stimulations received during therapy, which also enhanced interaction with caregivers.
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Novel orthotic design for lateral band attenuation of finger proximal interphalangeal joint p. 101
Saba Kamal
Patients with lateral band attenuation present with a snapping finger which may be misdiagnosed for a trigger finger. Lateral bands work as a flexor after 30° flexion of the proximal interphalangeal (PIP) joint, assisting with flexion of the PIP joint. It assists central slip and works as an extensor from 30° onward, extending the PIP and distal interphalangeal joints. Loss of coordination between the multiple, specialized components of the extensor mechanism results in tendon imbalances, leading to altered interphalangeal joint flexion and extension forces. This case report is to introduce the fabrication of an orthotic to tackle finger injury for quick and effective conservative treatment. The indications and functions of the orthosis are discussed. The fabrication process is illustrated, including materials needed and steps of molding the splint. Wearing regimen and precautions are highlighted to ensure effective patient compliance to the orthosis program for finger injury. Objective data collected include pre- and post-pain level and outcome measures indicative of improved functional performance.
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The national commission for allied and health care professions bill 2020: Implications for occupational therapists and the AIOTA p. 104
Sureshkumar Kamalakannan, Manigandan Chockalingam
The new National Commission for Allied and Health Care professions (NCAHCP) bill 2020 is introduced by the Government of India on September 15, 2020, to streamline the cadres in the country for allied and health-care professions within its health systems for the greater public good. It is very pertinent to understand the implications of the NCAHCP bill for All India Occupational therapists Association (AIOTA) and occupational therapists in India. The implications for AIOTA are (1) development of state councils and enabling their functioning in all the states of India, (2) radical revision of the OT curriculum incorporating policies and programs of the Indian health system, and (3) developing and strengthening the existing systems for OT practice. For occupational therapists, the implications are (1) registering to independently practice OT in India and (2) documenting professional practice for ethical integrity. Forming an advisory board to develop strategies for a smooth transition to the opportunities that the NCAHCP bill provides, must hold the top-most priority for AIOTA.
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News and Information p. 108

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