Professional Documents
Culture Documents
Table of Content
● Editorial 2
● Vermicompost: a source of soil fertility management in organic
(Agriculture ) 3
farming
● Growth Status among Females of Solan District of Himachal (Anthropology ) 10
Pradesh
● Exploration of the History of Physiotherapy 19
● Correlation of Balance Tests Scores with Modified Physical (Physiotherapy )
23
Performance Test in Indian Community-Dwelling Older Adults.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 2
Editorial
Dear Readers,
It is my immense pleasure to present the first issue of the first volume of the Scientific
Research Journal of India (SRJI). This journal is the official organ of Dr. L. Sharma Medical
Care and Educational Development Society. Scientific Research Journal of India is a
Multidisciplinary, peer reviewed and open access Journal of science. The scope of this
journal is therefore necessarily broad to cover recent discoveries in structural and functional
principles of scientific research. It encourages and provides a forum for the publication of
research work in different fields of pure and applied sciences. The Journal will publish
selected original research articles, reviews, short communications and book reviews in the
various fields of science like Botany, Zoology, Medical Sciences, Agricultural Sciences,
Environmental Sciences, Natural Sciences, Anthropology and any other branch of related
sciences. The Journal will be regularly published and issued quarterly. We shall also publish
special issues based on specific themes at the suggestion of the executive committee of Dr. L.
Sharma Medical Care and Educational Development Society and members of editorial of
SRJI.
I hope you shall appreciate our effort.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 3
Abstract: Use of vermicompost in crop field can reduce the cost of cultivation by replacing
chemical fertilizer and it maintains sustaimentnable agriculture by improving soil texture and
its enrichment. Vermicompost can convert waste in to money, so, it is rapidly becoming a
growth business with an overall mandate of organic farming. Most of the farmers of India in
general and Arunachal Pradesh in particular are marginal and poor. For them it is sometimes
not possible for construct a cemented vermicomposting tank for producing vermicompost due
to lack of Government subsidy. A low-cost bamboo beam vermicomposting unit was prepared
and productivity was analyzed. The economics of bamboo beam vermicomposting unit was
worked out and compared with that of the cemented tank vermicomposting unit as collected
from different sources. In bamboo beam vermicomposting unit, the cost of production of one
quintal vermicompost for first year was Rs. 79. For second year it was Rs. 6 and for the third
year it was Rs. 14.40. In cemented tank vermicomposting unit the cost of production of one
quintal vermicompost for first year was Rs. 632 and for second year onwards it was Rs. 10.
Thus it is concluded that low-cost vermicomposting technology can be used as a source of
income generation for the rural people by recycling and utilizing the locally available
biodegradable wastes.
Introduction
Arunachal Pradesh is a ‘biodiversity rich cropped areas are also available annually,
hot spot’ in the Indian Eastern Himalayas. which are usually burned for crop
The agro climatic condition and variation cultivation in the subsequent years. The
in elevation and latitude caused the estimated amount of agricultural crop
occurrence of different and distinct waste in Arunachal Pradesh was 261865
vegetation types of this region. Huge tonne (t) per year which could be
amount of agricultural crop residues, weed harvested from the cereals and legumes
biomass from both cropped and non- cultivated. In addition, a substantial
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 4
amount of wastes are also arising from overcome productivity crisis in agriculture
livestock. For instance, about 2221440 t of and play a multifaceted role in the
wet dung per annum, and 1382520 t of improvement of soil texture through its
urine per annum were arising from total influence in soil pH, as agent of physical
number of livestock available (Bordoloi et decomposition by promoting humus
al., 2007). In all, these agro-wastes could formation by improving soil texture and its
be utilized successfully for compost enrichment (Venkateshwarlu, 1995).
preparation and recycled for integrated Desai (1993) reported that by using
nutrient management for enhancing vermiculture the cost of production could
production and maintaining productivity. be substantially reduced by way of
While using organic materials as replacing chemical fertilizers.
manures for crop production, the farmers In totality, vermicompost can
are faced with the problems of organic convert waste in to money, so, it is rapidly
materials being bulky, with a low nutrient becoming a growth business with an
content in relation to their volume, and overall mandate of organic farming. Most
being often messy and has bad odour. of the farmers of India in general and
Therefore there is a need to develop an Arunachal Pradesh in particular are
eco-friendly and appropriate technology to marginal and poor and may not afford to
maximize economic value of nutrients of construct cemented vermicomposting tank.
agro-waste for sustainable utilization. So, it is envisaged to have a low- cost unit
Decomposition reduces much of organic for the resource poor farmers of this
substances due to physical breakdown of region. By considering all these views, for
substrate, leaching of soluble materials, maintaining sustainable crop production as
and catabolism or oxidation (Seastedt, well as to reduce the cost of fertilizer
1984). Conventional methods of application an attempt was made to
composting takes relatively higher time prepare a non-tank vermicomposting unit
and produce low quality manure. Use of (bamboo beam) by utilizing locally
earthworm for degradation of organic available materials and resources. It can
waste and production of vermicompost is also be viably used as a source of income
becoming popular and is being generation for the rural people by utilizing
commercialized. Use of vermicasting as locally available biodegradable waste
biofertilizer can be one of the measure to materials.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 6
For construction of low cost bamboo beam takes very low-cost compared to a concrete
vermicomposting unit of 1 tonne capacity tank. The cost of production of one tonne
per harvesting a total of 60 piece bamboos vermicompost can be reduced by 87.5 % in
was needed for construction of shed and the first year. For second year cost of
bamboo beam, which was cost around Rs. production could reduce to 40%. Third
600. The total cost of thatch and polythene year it needs some what more that is 44%
sheet comes around Rs. 600. Labour cost more cost of production due to repairing of
for construction of the unit was Rs. 350. bamboo beam and bamboo shed for
The initial cost of earthworm was Rs. production of vermicompost for
2000. The total cost including maintenance subsequent years. On an average, the
and packaging for first year was Rs. 3950. production cost of one quintal
For second year it was Rs. 300 and for vermicompost in bamboo beam was Rs.
third year it was Rs. 720. In one year 5 33.13 and in cemented tank it was Rs. 217
harvesting was done, so total of 50 q of in first three years.
compost was harvested from the unit. Net Low cost vermicomposting
profit for first year was Rs. 31,050, for technology can help the marginal and
second year it was Rs. 34,700 and for third resource poor farmers of the North East
year it was estimated Rs. 34,280. In the India. The cost of cultivation of crops can
first year, the cost of production of one also be reduce by popularizing
quintal vermicompost was Rs. 79, for vermicomposting technology by replacing
second year it was Rs. 6 and for the third the need of chemical fertilizers. Most of
year it was Rs. 14.40 (Tables 1 and 2). the peoples of North East India depend on
The construction cost of one tonne Agriculture. Vermicompost not only helps
capacity per harvesting cemented tank type to increase the productivity of crops but
of vermicomposting unit was Rs. 31,600. also helps as income generation for the
An expenditure of Rs. 500 was required youth of North East India. By utilizing
for maintenance and packaging from the locally available resources and waste
second year onwards. Thus the production material available by their own, the
cost for one quintal vermicompost was Rs. farmers can construct a small
632 in the first year. And from second year vermicomposting unit and can utilize it as
onwards it was Rs. 10 only (Tables 3 and a source of income generation. Now a
4). days, it is a great concern to popularize the
From the data it is seen that non- organic farming. The demands of organic
tank bamboo beam vermicomposting unit,
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 7
products are increasing not only in the local market but also in global market.
a b
c d
Figure 1: (a) Bamboo beam structure (partial decomposition tank), (b) Placing of agricultural
waste material in partial decomposition tank, (c) Earth worm collection from rearing bed, (d)
Vermicomposting bed after inoculation of earthworm.
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References
-Bordoloi, P., Balasubramanian, D., -T. R. (1984). The role of microearthopods in
Arunachalam, A., Arunachalam, K. and decomposition and mineralization processes.
Garkoti, S.C. (2007). Agricultural waste Annu. Rev. Entomol. 29: 25-46.
management for sustainable crop Production: -Venkateshwarlu, B. (1995). Composing the
A case study in Arunachal Pradesh. decomposed. Indian Silk, September, 1995, 5.
Biodiversity Conservation- The Post-Rio -Desai A. (1993). Congress of Traditional
Scenario in India. Assam University, Silchar. Science and Technology of India, I. I. T.
Seastedt, Bombay, 28 November to 3 December, 1993.
CORRESPONDENCE
*KVK, NRC on Pig, Indian Council of Agricultural Research, Dudhnoi, Goalpara, Assam,
**A.Arunachalam, Division of Natural Resources Management, Indian Council of Agricultural Research, Krishi
Anusandhan Bhavan II, Pusa, New Delhi. ***School of Environment and Natural Resources, Doon University,
Dehra Dun, Uttarnchal, **** School of Environmental Sciences, Jowaharlal Nehru University, New Delhi.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 10
Abstract: The study aims to see the age related changes in anthropometric and physiological
characteristics and association between adiposity measures and cardiovascular functions
among preadolescent and adolescent females. Growth pattern diverge at time of
preadolescence and adolescence. The present study was conducted by cross-sectional method
among 125 growing Rajput females ranging from 9 years to 16 years of Solan district,
Himachal Pradesh. The adiposity assessed by BMI, WHR, GMT. There is an increase in BMI
with age in the present study and the highest mean value is found at the age of 16. As far as
correlation between cardiovascular functions and adiposity measure are concerned there is a
significant correlation between blood pressure with BMI, GMT and WHR till 12 years, but in
the later years no such pattern was observe.
INTRODUCTION
Many changes both structural and functional in Increasing body fatness is accompanied by
the human body are witnessed with the profound changes in physiological functions.
increasing age. These changes could be These changes are to a certain extent, associated
attributed to growth and development which with the regional distribution of adipose tissue.
starts right from conception and also due to Body fatness and its distribution is a useful
environmental conditions such as nutritional epidemiological and clinical marker of health
pattern, physical activity level, health status etc risk among humans. Adiposity is the result of an
experienced by the human body. excessive number and/or size of white adipose
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 11
cells. At an individual level, a combination of blood pressure was designed in the Solan
excessive caloric intake and a lack of physical district of Himachal Pradesh.
activity are thought to explain most cases of
adiposity (Lau et al 2007). A limited number of
Materials and methods
cases are due primarily to genetics, medical
reasons, or psychiatric illness (Bleich et al Keeping in mind the objective of the study, data
2008). Anthropometry is the widely accepted on anthropometric and physiological
tool for measures the adiposity of the human. measurements were collected by using cross-
Studies in this regard reveal that BMI, WC, sectional method on 125 preadolescent and
WHR, GMT are the good indicators of the adolescent females in the age groups 9 to 16
adiposity measures of the preadolescent and years of Solan district, Himachal Pradesh. The
adolescent females. According to Barness et al data was collected from the schools in that area;
(2007) adiposity is a leading preventable cause besides some data was also collected from home
of death worldwide, with visits. Age was recorded by the verbal response
increasing prevalence in adults and children, of the subjects. An exhaustive proforma was
and is viewed as one of the most serious public catered to obtain general data of the population
health problems of the 21st century. Excessive under study. The general information collected
body weight is associated with various diseases, from the mating pattern (constructed using
particularly cardiovascular diseases, diabetes maternal and paternal subcastes) established the
mellitus type 2, obstructive sleep apnea, certain fact that the Rajputs follow the rule of caste
types of cancer, and osteoarthritis (Haslam et al endogamy and sub-caste exogamy. Different
2005). It has been very recently observed by body measurements were taken on each
Kotchen et al. (2008) that blood pressure levels individual such as height vertex, body weight,
and the prevalence of hypertension are related to mid upper arm circumference, waist
adiposity, the main components of adiposity circumference, maximum hip circumference,
being BMI, waist/hip ratio, waist/height ratio skinfold thickness at biceps, triceps,
(WHtR) and percent body fat. subscapular, suprailiac, calf posterior, blood
pressure both systolic and diastolic, heart rate,
Taking the above issues into consideration,
pulse rate and breadth holding time. These
the present study on the association of different
measurements were taken according to the
anthropometric parameters of adiposity and
standard recommendations of Weiner and
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 12
Lowrie (1981). For assessing the adiposity analyzed by SPSS version 15 evaluation product
measures of preadolescent and adolescent package and excel program itself.
females we have adopted various
anthropometric indices, body mass index, waist-
Results
hip ratio and grand mean thickness and
statistical methods were used to calculate mean, The basic information of the Rajput females of
standard deviation, t-test value and correlation the Solan district, Himachal Pradesh (Table 1)
to draw meaningful conclusions. Mean standard indicates a gradual increase in mean stature,
deviation and t-value were used to assess the body weight with age. The increase in height
changes in successive ages, while an attempt has
vertex from 9 to 12 years was found to be
been made to correlate adiposity measures with statistically significant and increase in body
blood pressure. The analysis of the data was
weight from 13 to 14 years and 14 to 15 years
done by using the Windows Vista basic version
also found to statistically significant. An
of Windows. The calculation of data was done
increasing trend was observed in mid upper arm
in the Microsoft Excel program. The data was
circumference but at the age of 12 years a slight
decreasing pattern was observed.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 13
Table 2 displays a various adiposity measures ratio was found at 10 years (.879cm). The
among Rajput females in different age group. In increase in body mass index and waist
this table BMI and WC showed an increasing circumference and grand mean thickness from
trend with age but WHR and GMT does not 14 to 15, 15 to 16 were found to be statistically
show consistent pattern in subsequent age significant.
groups. The maximum mean value of waist-hip-
Table 3 displays mean values of various systolic blood pressure and breathes holding
physiological variables along with their standard time. The diastolic blood pressure, heart rate
deviation among Rajput females of different age and pulse rate declined and inclined pattern was
group. An increasing trend was observed in found with advancing age. The increase in
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 14
systolic blood pressure from 12 to 13 years was value mean value was found at 13 years of age.
statistically significant and the maximum mean
Vari
able
s
DBP HR PR Breath
SBP
t- (mm/hg) t- (b/min) t- (p/min) holding t-
N (mm/hg) value value value
t-value
Mean±S Mean±S Mean±S time(sec) value
Mean±SD
D D D Mean±SD
Age
(yrs
)
8 100.5±6.7 72.0±6.2 80.6±6.3 77.5±4.8 14.6±3.7
10 8 108.0±11.5 1.60 72.1±7.2 .037 81.5±5.3 .301 76.6±4.4 .378 21.2±7.9 2.114
11 12 109.7±8.3 .384 68.6±6.1 1.187 76.5±7.2 1.674 73.4±7.3 1.105 16.1±5.4 1.764
12 13 105.8±9.6 1.095 66.3±4.6 1.058 81.2±8.1 1.507 78.2±7.2 1.652 21.8±13.1 1.430
2.536
13 9 115.7±8.0 66.2±9.7 .028 77.6±7.0 1.079 75.7±7.2 .816 22.2±10.8 .016
*
14 25 104.4±21.3 1.533 70.4±7.9 1.266 79.7±4.9 .996 75.8±6.1 .054 25.9±11.2 .858
2.452
15 16 112.6±9.6 1.446 72.4±9.3 .742 76.2±3.6 72.9±3.8 1.691 25.8±10.9 .032
*
16 34 114.7±14.4 .527 71.7±7.3 .307 72.9±7.1 1.735 69.2±6.2 2.207* 27.8±11.4 .612
*p<0.05 **p<0.01 ***p<0.001
SBP- Systolic Blood Pressure PR- pulse Rate
DBP- Diastolic Blood Pressure
HR- Heart Rate
In table 4 shows the correlation coefficient of concluded that correlation vary from variable to
blood pressure with body mass index, waist hip variable in all the groups. There is a significant
ratio and grand mean thickness of Rajput correction between blood pressure with body
females in advancing age. In this table mass index, grand mean thickness and waist hip
attempted was made to correlate the various and ratio till 12 years but in later years no such
blood pressure in different age groups and it is pattern was observed.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 15
Table4: Correlation coefficient of blood pressure with BMI, WHR, GMT of the participants.
2
Variable BMI(kg/m ) WHR GMT(mm)
N
SBP DBP SBP DBP SBP DBP
Age(yrs)
9 8 .541 .273 .758* .452 .964** .736*
10 8 .154 .348 .059 .365 .267 .534
11 12 .852** .420 .492 .124 .233 .291
12 13 .617* .535 .039 .042 .571* .576*
13 9 .645 .353 .181 .155 .350 .365
14 25 .131 .040 .173 .061 .048 .051
15 16 .378 .095 .083 .003 .341 .107
16 34 .038 .066 .133 .101 .093 .121
*p<0.05 **p<0.01 ***p<0.001
BMI- Body Mass Index
WHR- Waist- Hip Ratio
GMT- Grand Mean Thickness
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 16
(MUAC) and arm muscle area (AMA) for girls faster rate than the numerator of the ratio
gradually increased with age up to 17 years. (Malina, 1974).
BMI and GMT of skinfold do not show With age physiological fitness also starts
steady increase with age. There is fluctuation, stabilizing. But at the present study there is
but a definite trend of increase witnessed would relative decline in heart rate and pulse rate.
entail this due to increase in fat mass. This Comparatively higher heart rate and pulse rate
increase in fatness established the fact that there at an earlier age could be imputed to higher
continues to be increase in fat content in females metabolic rate as well as relatively low blood
throughout life. The fluctuation could be a pressure. Breath holding time displays a steady
reflection of fluctuation for fat stores as fat is increase with age.
depleted incase of faster growth phase (Kapoor An attempt was made to correlate the
et al 1998, Parizkova 1977, Sinha and Kapoor various adiposity measures and cardiovascular
2006). There is an increase in BMI from 9 years functions in different age groups and it was
to 16 years in the present study on preadolescent concluded that the correlations vary from
and adolescent girls of Solan, Himachal Pradesh variable to variable in all the groups. The
with a slight dip from 11 years to 12 years. correlation coefficients reflect an inconsistent
Waist/hip ratio (WHR) is used as index pattern. As far as correlations between
of obesity and regional fat distribution in cardiovascular functions and adiposity measure
epidemiological studies. The decreases of mean are concerned there is significant correlation
of waist-hip ratio in the age group 9 years-16 between blood pressure and BMI, GMT and
years among the growing Rajput females WHR till 12 years, but in later years no such
implies gynoid fat distribution during the pattern is observed. Deshmukh et al (2006)
growing period. During adolescence, there is found strong correlation between systolic blood
widening of the pelvis resulting into broader pressure and diastolic blood pressure with body
hips relative to their waist, hence the mass index and waist circumference in Wardha
ratio decreases as the denominator increases at a district of Central India.
Acknowledgement
Authors gratefully acknowledge Prof. A. K. are indebted to Rajput females of Solan district,
Kapoor, Department of Anthropology, Himachal Pradesh for their cooperation and help
University of Delhi for timely suggestions. They during data collection.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 17
REFERENCES:
Abbassi Val 2000 The National Center for 2006 Canadian clinical practice guidelines
Health Statistics. on the management and prevention of
Barness L A., Opitz J M., Gilbert-Barness obesity in adults and children. CMAJ
E .2007. Obesity: genetic, molecular, and .176(8): S1–13.
environmental aspects. Am. J. Med. Genet. R.M. Malina, 1974. Adolescent changes in
143A(24): 3016–34 size, build, composition, and performance.
Bleich S, Cutler D, Murray C., Adams A.
Human Biology 46:117-131
2008. Why is the developed world obese?
Gharib Nadia M. and Rasheed P. 2009.
Annu Rev Public Health. .29: 273–95
Anthropometry and body composition of
Deshmukh P R., Gupta. S S, Dongre A R,
school children in Bahrain. Ann Saudi Med.
Bharambe M S., Maliye C, Kaur S, Garg B
29(4): 258–269.
S. 2006. Relationship of anthropometric
Parizkova J. 1977 Body fat and physical
indicators with blood pressure levels in
fitness. The Hague, Martinus Nijhiff, B V
Rural Wardha. India J Med Res. 123: 657-
664 Med. Div.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 18
CORRESPONDENCE
*Department of Anthropology, University of Delhi, Delhi-110007, India. **Faculty of Anthropology, Indira Gandhi National
Open University, New Delhi, India.** *Department of Anthropology, University of Delhi, Delhi-110007, India.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 19
INTRODUCTION
ultrasound, electrical and thermal agents Sweden. The Swedish word for physical
and electrotherapy for diagnosis, treatment therapist is “sjukgymnast” (sick-gymnast).
2
and prevention. ” Per Henrik Ling who is called he Father of
Physiotherapists use the patient’s Swedish Gymnastics founded the Royal
history and physical examination to make Central Institute of Gymnastics (RCIG) in
the diagnosis and establish a management 1813 for massage, manipulation, and
plan and in necessity they incorporate the exercise.
results of laboratory, imaging studies and The first use of the word
Electrodiagnostic testing. physiotherapy is found in German
Physiotherapy is concerned with Language as the word “Physiotherapie” in
identifying and maximizing the quality of 1851 by a military physician Dr.Lorenz
life and movement potential within the Gleich.5
spheres of promotion, prevention, Physiotherapists were given
treatment or intervention, habilitation and official registration by Sweden’s National
rehabilitation which encompasses the Board of Health and Welfare in 1887
physical, psychological, emotional, and which was then followed by other
social well being. countries. The word “Physiotherapy” was
The texts reveals that the coined by an English physician Dr.Edward
physiotherapy was rooted in 460 B.C. Playter in the Montreal Medical Journal in
when the physicians like Hippocrates and 1894 after 43 years of the German term
later Galenus who may be believed to have “Physiotherapie”. In his words- “The
been the first practitioners of physical application of these natural remedies, the
therapy used to advocate massage, manual essentials of life, as above named, may be
therapy techniques and hydrotherapy to termed natural therapeutics. Or, if I may be
3
treat people. permitted to coin from the Greek a new
th
In the 18 century, after the term, for I have never observed it in print,
development of orthopedics, machines like a term more in accordance with medical
the Gymnasticon were developed for the nomenclature than the word hygienic
treatment of gout and similar diseases by treatment commonly used, I would suggest
systematic exercise of the joints, similar to the term, Physiotherapy” .6
later developments in physical therapy.4 In the same year four nurses Lucy
The earliest documented origin of Marianne Robinson, Rosalind Paget,
the actual physiotherapy is found to be in Elizabeth Anne Manley and Margaret
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 21
Dora Palmerin in Great Britain formed the March 1921 in “The PT Review”. In the
Chartered Society of Physiotherapy.7 same year, Mary McMillan organized the
The first documented professional physiotherapy association named the
institution for Physio- therapy training was American Women’s Physical Therapeutic
School of Physiotherapy at the University Association which is currently known as
of Otago in New Zealand which run an the American Physical Therapy
entry level program in physiotherapy.8 Association (APTA).
After this the next year or in 1914 Primarily in the 1940s the
in United States, Reed College in Portland, treatment consisted of exercise, massage,
9
Oregon, graduated “reconstruction aides”. and traction but later in the early 1950s the
The establishment of the modern Manipulative procedures to the spine and
physical therapy is thought to be in Britain extremity joints began to be practiced
towards the end of the 19th century. The especially in the British Commonwealth
American orthopedic surgeons started countries, in the early 1950s.10, 11
treating the disable children and started
employing women trained in physical
education, massage, and remedial exercise.
It was promoted further during the Polio
outbreak of 1916 and during the First
World War when the women were
working with the injured soldiers.
The first physical therapy research
was published in the United States in
REFERENCES
5. Tertouw TJA. Letter to editor-the origin asp). School of Physiotherapy Centre for
of the term “ Physiotherapy ” . Physiother Phys- iotherapy Research. University of
Res Int. 2006; 11:56-57 Otago. Archived from the original (http:/ /
6. Playter E. Physiotherapy First: Nature’s physio. otago. ac. nz/ about/ history. asp)
medicaments before drug remedies; on 2007-12-24. . Retrieved 2008-05-29.
particularly relating to hydrotherapy. 9. Reed College (n.d.). “ Mission and
Montreal Medical Journal. 1894;xxii:811- History ” (http:/ / www. reed. edu/
827 about_reed/ history. html). About Reed.
7. Chartered Society of Physiotherapy Reed College. . Retrieved 2008-05-29.
(n.d.). “ History of the Chartered Society 10. McKenzie, R A (1998). The cervical
of Physiotherapy ” (http:/ / www. csp. org. and thoracic spine: mechanical diagnosis
uk/ director/ about/thecsp/ history. cfm). and therapy. New Zealand: Spinal
Char- tered Society of Physiotherapy. . Publications Ltd..pp. 16–20. ISBN 978-
Retrieved 2008-05- 29 0959774672.
8. Knox, Bruce (2007-01-29). “ History of 11. McKenzie, R (2002). “ Patient Heal
the School of Physiotherapy ” (http:/ / Thyself ” . World- wide Spine &
web. archive. org/ web/ 20071224020426/ Rehabilitation 2 (1): 16–20.
http:/ / physio.otago. ac. nz/ about/ history.
CORRESPONDENCE
*Academic Chairman: Institute for Health & Wellness
Address: Institute for Health & Wellness, Dr.L.Sharma Campus, Muhammadabad Gohana, Mau, U.P., India.
Pin-276403. Email: dr.krisharma@gmail.com Cont: +91-9320699167
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 23
Abstract: This is an experimental study with same subject design. Proprioceptive training and
strengthening exercises is a promising therapy to improve the balance in CP subjects with
impaired balance.The study intended to find out the effectiveness of Proprioceptive training
and strength training exercises on balance of the CP subjects and which of them is more
effective. 30 male or/and female patient of CP with impaired balance will be taken and
randomly divided in to two groups. Group A will be treated with by proprioceptive training
and group B will be treated with strength training for 12 week. Both group will assess with
Timed-Up and Go (TUG) scale and Pediatric Balance Scale (PBS) in starting and at the end of
12 weeks. The result will be statically analyzed using t-test for significance between the two
groups. After a 13-week training period, the ‘t’ test and ‘p’ values were found significant with
values 4.747 & 0.003 for TUG&PBS score respectively stating that there is significant effect
when using Proprioceptive training than giving strength training for improving balance in
geriatric subject with impaired balance. The result states that there is a significant effect when
using Proprioceptive Training than giving Strength Training for improving balance in the C.P.
subjects. So the proprioceptive training should be emphasized in the daily exercise regime of
C.P. subjects to improve their balance.
INTRODUCTION
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METHODOLOGY
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of subjects in all form of exercises were kept on the thigh or on the side of the
comfortable. chair, and then the right leg with the
weight cuff was extended slowly in front,
1. Side leg rising
parallel to the floor for a period of 3
Subjects were made to lie in side lying seconds. With right leg in that position, the
position and instructed to abduct the upper foot was flexed so that the toes were
leg tied with weight cuffs slightly about 6- pointing towards head; the foot was held in
12 inches. This position was held for that position for 1-2 seconds. Duration of 3
sometime and then the leg was lowered. seconds was taken to lower the leg back to
Same exercise was repeated with the other the starting position, so that the balls of the
leg. foot rested on the floor again. The same
procedure was repeated with the other leg.
2. Knee flexion exercise
5. Ankle Dorsiflexion
Subjects were made to sit on high chair or
table, the knee was bent slowly as far as Sitting on the chair with back support, the
possible, so that the foot with the weight subject was asked to lift the foot tied with
cuff was bent behind. The subject was a weight cuff so that the toes were pointing
asked to hold the position and then the foot towards the head. Then the subject was
was lowered slowly all the way back asked to hold and slowly return to the
down. The same procedure was repeated original position. The same procedure was
with the other leg. repeated with the other leg.
Subjects were made to lie on prone Subjects in Group A were given proper
position and one leg with weight cuff was warm up for 5-10 minutes before starting
lifted slowly straight upwards. The subject the treatment in the form of simple
was asked to hold the position and then the stretching (Quadriceps and hamstring
leg was lowered. The same procedure was stretch) and free exercises (knee flexion
repeated with the other leg. and extension in side lying and high
sitting).[63]
4. Knee Extension Exercise
All the proprioceptive exercises
Sitting on the chair with back support, the
were performed for duration of 30 minutes
subject was asked to rest the balls of the
per session; with 5 minutes rest period in
feet & toes on the floor. The hands were
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 19
between for three days a week and were 4. To perform one leg standing with
continued for 13 weeks. one foot raised to the back and to
maintain the position for minimum
The Proprioceptive training included the
3 seconds. This procedure was
following exercises
performed with eyes closed also.
1. Stair climbing up and down (a 5. Same exercise as above performed
regular 3 steps staircase). but with one foot raised to the
2. Standing with feet approximately front. This procedure was then
shoulder-width apart and arms performed with eyes closed.
extended out slightly forward 6. Walking heel to toes.
lower than the shoulder, then 7. Rising from a standard chair (4
lifting both heel off the floor and to times) without arm support.
hold the position for 10 seconds,
followed by climbing regular steps Data analysis
staircase. This procedure was Data analysis was performed using the
performed with eyes closed also. Statistical Package for the Social Sciences
3. Standing with feet side by side & (SPSS) for windows version 17 (SPSS
holding the arms in same position Inc., Chicago, U.S.A.). The data were
as described above, one foot is analyzed using parametric (dependent‘t’
placed on the inside of the test and independent‘t’ test) and
opposing ankle and to hold the nonparametric (Wilcoxon Signed Ranks
position for 10 seconds. Followed and Mann-Whitney Test) test to find the
by climbing regular steps staircase. significance of the interventions used
This procedure was performed with within and between the group A and B.
eyes closed also. The significant level set for this study was
95% (p<0.05).
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 17
Male Female
Group A 11 4
Group B 12 3
Total 23 7
Mean SD
Group A
Group B
Female 13 1.73
Total
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Table 1.3 Descriptive statistics of TUG Tests prior to and post study
Table 1.4 Descriptive statistics of PBS Tests prior to and post study
The table 1.1 states that total 30 patients test It clearly shows that individually both
males and 4 females whereas the group B Cerebral palsy patients with respect to
included 12 males and 3 females. Stating TUG test but the improvement in the A
that the mean age of total patients was 12.4 which had had the Proprioceptive training
in group A and 12.1 in group B the table showed more improvement. This is again
1.2 shows the mean age of male and confirmed with the findings of PBS test in
female in group A and the male and table 1.4 which states that although both
female in group B as 12.8, 11.3, 11.8, and the groups showed improvement, the
13 respectively. The table 1.3 shows the group A had better findings than group B.
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 19
Table 2.1 Dependent ‘t’ test performed with the pre & post values of TUG test for
significance within the groups
Paired Differences
95% Confidence
Interval of the
Within Group Difference` T Df P
Std.
Mean SD Error Lower Upper
Mean
TUG A Pre – TUG A Post 3.73333 .88372 .22817 3.24395 4.22272 16.362 14 0.003*
TUG B Pre – TUG B Post 2.33333 .72375 .18687 1.93254 2.73413 12.486 14 0.002*
*-Significant
Table 2.2: Independent ‘t’ test performed with the pre & post values of TUG test for
significance between the groups
*-Significant
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 20
A 15 21.97 329.50
Total 30
*-Significant
Table 3.3: Mann-Whitney and Wilicoxon test performed with the pre & post values of
PBS test for significance between the group
Mann-Whitney U 15.500
Wilcoxon W 135.500
Z -4.083
P 0.003*
*-Significant
The table 3.3 shows that the value between Proprioceptive training and
of ‘p’ as 0.003 and hence significant. Strength training in Cerebral Palsy
Hence we can state that there was patients with respect to PBS test.
significant difference in improvement
Table – 4.1 Mean of improvement in all the parameters between group a & Group B
Interpretation:
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DISCUSSION:
In this study, better improvements in tool are standard tools to analyze balance.
balance outcome were analyzed using Proprioceptive training exercises were
proprioceptive training and strength given to improve the balance by improving
training. This study was done on 30 CP the decreased sense of proprioception in
children with impaired balance who were older age group where as Strength training
divided in to experimental Group
Group-A was given to improve the balance by
treated with Proprioceptive training and improving the strength of lower extremity
Group-B with Strength training. muscles.
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changes in the muscle, bone and joints These results were in accord with
during old age accounts for the decreased Gauchard GC et al (1999) to improve
efficiency of the proprioceptors. balance by proprioceptive training. Studies
Researchers reason that proprioceptive done by Pierre Gangloff et al (2003) also
training can improve the joint and supports our results, which prove that
kinesthetic sensation to a greater extent proprioceptive training exercises, improve
that the falls and risk of fall can be reduced balance in subjects with impaired balance.
among the subjects. This supports the experimental hypothesis
hence the null hypothesis was rejected.
Edward R Laskowski et al also
stated that the decline in dynamic position The result of the present study
sense is associated with decrease in the indicates that effect of proprioceptive
balance of C.P. children and this decline in training had a proven effect over strength
proprioception can be prevented or training. All participants in the
improved by Proprioceptive training.My proprioceptive training group declared that
study confirms the study by Edward R their balance had improved and most of
Laskowski et al (1997) which showed that them were motivated to continue with the
proprioception based rehabilitation training. Hence proprioceptive training
programs improved objectives should be emphasized in the daily exercise
measurements of functional status, regime of CP subjects to improve their
independent of changes in joint laxity and mobility and functional status.
proprioception can be improved through
proprioceptive training. [68]
REFERENCES:
1. Cerebral Palsy. National Center on Baltimore: Paul H Brookes
Birth Defects and Developmental Publishing Co. pp. 246–249.
Disabilities, October 3, 2002
3. Davis DW. Review of cerebral
2. Beukelman, David R.; Mirenda palsy, part I: Description,
(1999). Augmentative and incidence, and etiology. Neoratel
Alternative Communication: Netw 1997; 16(3): 7-12.
Management of severe
4. “Cerebral Palsy – Topic
communication disorders in
Overview”.
children and adults. Pat (2 ed.).
http://children.webmd.com/tc/cereb
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CORRESPONDENCE:
*Neuro-Physiotherapist, GNRC, Guwahati, Assam. Email: kukzzmail@gmail.com Cont: +91-8822485959.
**HOD, Dept of Physiotherapy, AIER, Ghaziabad, U.P., India
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Vol.1 ● No.1 ● 2012 Scientific Research Journal of India 25
Postal Address:
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