Day :
- Kinesiology
Chair
Er D. Petil
St. Dominic College of Asia, Philippines
Session Introduction
Daniel Yazbek
The Chiro Hub, Australia
Title: The effect of resistance training on gait kinematics and Kinetics in children with cerebral palsy: a systematic review
Biography:
Daniel graduated in the field of exercise and sports science from the Australian catholic university in 2012. Prior to this he had been heavily involved as an athlete and personal trainer for many amateur and professional athletes. He has recently become a masters graduate in chiropractic from Macquarie university. Throughout his professional and academic career, he has extended his clinical understanding in the development of both diagnostic and treatment disciplines, of which include dry needling, management of migraine headache, spinal diagnosis, selected functional movement assessment, along with co-management of dizziness, balance and postural disorders.
Abstract:
Aim: This paper reports a systematic review of Progressive resistance training (PRT) interventions for children with Cerebral Palsy. The sum of randomised controlled trials (RCT’s) within this review, aims to quantify if regular strength training increases gait velocity.
Background: Secondary problems associated with Cerebral Palsy affect normal gait mechanics compared to healthy people. Those with CP have shown to be significantly weaker than their healthy counterparts. Muscle weakness has been found to negatively affect walking speed and gait efficiency.
Methods: A comprehensive literature search identified all studies of those which contained the key words Cerebral palsy (CP), Gait and Resistance training. It included 4 electronic database journals and two internet search engines. Language was limited to English and was dated from 1998 – 2012. Progressive resistance training studies and there effects on gait parameters were selected for review.
Results: An overall mean affect 0.06 (-0.33 – 0.46) showed that gait velocity favoured the intervention over the control group.
Conclusion: Muscle weakness may not be the only contributor to poor gait performance. To achieve a greater overall mean increase in gait velocity, resistive exercise design that targets both agonist and antagonist training simultaneously should be combined with other interventions such as gait training, balance and proprioception. If gait velocity is to be maximised it is imperative to treat the cause of gait compensations and to address impaired selective voluntary motor control, abnormal stretch reflexes and to ensure sufficient heel strike at initial contact.
Marcia Monroe
New York State University, United States
Title: Iyengar yoga and movement re-education in the management of adult Idiopathic scoliosis: a case report
Biography:
The Iyengar Yoga regimen has helped the patient to improve her posture, strength, stability, balance, proprioception, awareness of multidimensional breath, functional movement, and over all well-being. The integration of concepts of movement reeducation based on bio mechanics and motor development has helped the improvement of sensory integration, awareness, and motor coordenation, and gait in addition the mild swimming to release the internal compression caused by the scoliosis and gravity. She is now 57 years old, pain free, and living a functional and very active life.
Abstract:
INTRODUCTION:
Adolescent idiopathic scoliosis is a lateral curvature of the spine measuring at least 10 degrees via Cobb angle measurement and with the presence of vertebral rotation. Intervention options include surveillance only, surveillance in addition to exercise, bracing, and surgery. Generally, curve magnitudes exceeding 45-50degrees fall into surgical range, an intervention wherecosts and benefits must be carefully weighed. Of emerging interest has been a greater push to improve management of adults with spine deformity, to include adults with AIS persistent into adulthood, as well as adults with onset of scoliosis in after skeletal maturity.
OBJECTIVE:
The objective of this poster presentation is to describe the use of a modified Iyengar Yoga practice in the management of a 57-year-old woman with idiopathic scoliosis. The patient had been diagnosed with idiopathic scoliosis and recommended for spinal fusion during her early adolescent years. The subject reported that the prognosis for not undergoing the surgery was the continuation and growth of the curvature, affecting breathing, equilibrium, and gait as well as expectations of a limited functional life with episodes of acute pain and major health implications. She instead chose to work with conservative therapy, using the Milwaukee brace that did not work as she could not breathe and have a spatial orientation. She also was under specific physiotherapy sessions for scoliosis during
a period of one year. She then opted to work with somatic movement reeducation techniques, Iyengar Yoga and swimming.
METHODS:
The poster will demonstrate through a sequenceof pictures, descriptions, and updated x-rays,Iyengar Yoga management strategies over a period of eighteen years.
RESULTS/DISCUSSION:
The subject has been studying and teaching world wide Iyengar Yoga classes reinforced by her background on somatic movement based on motor development and biomechanics.
Stephen Liu
University of California, United States
Title: The effects of an innovative posture garment technology on the scapular and lumbar muscle activity and scapular alignment
Biography:
​Stephen was a two-term Chairman of the National Association of Chinese-American Bankers Association. In 2013 he was elected as a founding board member of the Yale Asia Development Council. He has served on the board of Center Theater Group and World Affairs Council in Los Angeles. He was the recipient of the Verdugo Hills Hospital Foundation Humanitarian Award. He co-authored 7 books, published over 40 peer-reviewed articles, and has given over 100 lectures and presentations in over 25 countries. He was a clinical advisor to Asia J&J and to Stryker and became the director of the bio-skill laboratory while he was an assistant professor at UCLA School of Medicine. His team also commercialized several medical device R&D projects which were later acquired. In 2000 he founded IFG Health Media, a medical education animation company that was also acquired. Stephen holds a B.A. in Biology and Psychology from UCLA and an M.D. from the University of Southern California.
Abstract:
Aim: To determine the effect of a posture correcting garments technology (PPR) on the scapular alignment and sEMG of scapula and lumbar muscles.
Introduction: Poor posture leads to back and neck pain, loss of office productivity, and over 90B annual spent on treatment and prevention. This study evaluates an innovative garment posture technology (PPR) on the scapula alignment and muscle activities. [Subjects and Methods] A random sample of twenty individuals, 11 women and 9 men, was tested (n =20) and a homogenous variance between individual measurements was assumed. Each individual was asked to stand in the resting position while his/her scapula alignment was evaluated using the Lennie Test (3). Age and gender of each participant was recorded, as well as their status as an athlete. Individuals who spent more than 4 days per week in the gym for over 30 minutes were categorized as recreational athletes. IFGfit PPR garment technology integrated in a polycotton fabric light weight crew shirt was used for testing. Before the application of the shirt, an electromyograph was used to record muscle activation data of the middle trapezius and lower erector spinae. Patients were asked to stand comfortably and breathe normally. All EMG measurements used three electrodes, one for the middle muscle, one for the end of the muscle, and one reference electrode placed on unaffected muscle groups. EMG measurements were taken in 20 second intervals and transmitted over Bluetooth to be saved on a separate device. After the application of the shirt, an EMG was taken again using the same electrode positions.
Results: After performing a two-sample t-test, it was determined that the effect of the shirt on resting scapular position, was statistically significant (p<0.5). Using a 95% confidence interval, individuals who obtained a scapular positioning difference of between 6.64mm and 21.2mm. In addition, EMG data proved a statistically significant result that the mean frequency and mean voltage were lower in the mid trapezius after the application of the posturepedic shirt. EMG data also proved a statistically significant result that the mean frequency and mean voltage were higher in the erector spinae after the application of the posturepedic shirt.
Conclusion: Application of the IFGfit PPR technology integrated in a light weight crew shirt improves shoulder rounding by retracting the scapula and bringing the resting scapular distance closer to each other. The EMG data further support our hypothesis that by bringing the scapula’s closer together, the middle trapezius muscle shows less activity with less activation of sEMG, and the lumbar muscle has more muscle activation to provide better support. The study also revealed that there is no statistical significance of either age or gender on the effectiveness of the shirt however, recreational athletes did show increased scapular retraction compared to non-athletes.
Sumita Satarkar
International Quantum University for Integrative Medicine, United States
Title: 100 patterns of pulse for accurate diagnosis and healing in acupuncture
Biography:
Sumita Satarkar has completed her PhD at the age of 39 years from Open International University for Complementary Medicine , Colombo and doing another Doctorate and Phd in Integrative Medicine at International Quantum University of Integrative Medicine , USA. She has presented more than 50 papers in National and International conferences in India and overseas.
She is 1st Indian woman Acupuncturist represented in United Nations, Newyork.
Abstract:
Pulse is one of the most important diagnostic tool used from ancient times, which needs accuracy and focus. Unlike any other faculty of medicine, this age old science of alternative healing is a study of ‘energy’ which neither can be measured nor be seen .It can only be palpated at the wrist. Palpation and its interpretation bring forth the detail analysis of energy and its patterns and thus further can be accurately diagnose the exact illness or disorder. This is called a "Pulse diagnosis".
Because of the need of going deeper into my own understanding and knowledge, I started researching and studying this subject intensely and got some extraordinary results.
Following is the brief summary of my findings so far as my research is going on at present.
LAI Chin Loon Alan
Director of Fubic Singapore Pte Ltd, Dr.stretch, Singapore
Title: Why stretch is beneficial to general public health?
Biography:
Alan Lai has completed his Bachelor of Science (Exercise and Health Science) and Graduate Diploma in Exercise Rehabilitation at the age of 33 years from University of Western Australia. He is the director of Fubic Singapore Pte Ltd, Dr.stretch, a health service industry. Dr.stretch is a number 1 stretch shop in the stretching industry in Japan and have at least 140 shops world wide. Dr.stretch open it’s first shop in Singapore in 2016 and has 4 shops in the country now. He is also a 2017/2018 world champion stretch trainer in the company.
Abstract:
As health sciences are improving, the quality of our life (QOL) also improves. Thus, people are living longer. Base on WHO, between 2015 and 2050, the proportion of the world’s population over 60 years will nearly double from 12% to 22%. Therefore, it is important for us to have solutions to improve quality of life rather than capable of living longer. Dr.stretch provides a technique call Core Balance Stretch that was used to be available to professional athletes only, is now available to the general public (from young to old). This technique is not only non-invasive, having long lasting result and capable to improve problems quickly, but is also to prevent injuries from occurring. Our aim is to use stretch to improve flexibility and to prevent injury from happening, so that a better QOL is able to achieve. When muscle fibers are tangled (causes tiredness, fatigues, injury etc.), we use our method call shaking and moving to “untangled” the muscle fibers before stretching the muscle to increase the range of motion. This method changes muscle memory, to teach the muscle to know its original state. As muscle memory occurs, it also creates a habitual movement. Habitual movement takes minimum 21 days to form (University College London) and at least 66 days to create a habit, therefore if wrong habitual movements are not corrected, bad posture will occur and these creates limited range of movements which will leads to body aches and bad postures. The conclusion is that we are able to provide solutions to improve a better living and longer life span for everyone through stretch.
- Physical Therapy and Rehabilitation
Location: Holiday Inn Singapore Atrium
Session Introduction
Ghazal Kharaji
Iran University of Medical Sciences School of Rehabilitation Sciences, Iran
Title: Review of literature on the role proprioception deficits in stress urinary incontinence
Biography:
Ghazal Kharaji, MSc student. She is 24 years old. She is MSc student of Physical Therapy, Department of Physical Therapy, in Iran University of Medical Sciences, Tehran, Iran. She has worked in pelvic floor physiotherapy for more than 2 years. She is working in Iran University of Medical Sciences (IUMS) physical therapy clinic. She is interested in pelvic floor dysfunction physiotherapy. She is studying in this field specifically for proprioception of pelvic floor muscles, stress urinary incontinence and dynamometric measurements. She is making a modified dynamometer for pelvic floor muscles.
Abstract:
Urinary incontinence (UI) is more common than any other chronic disease. The prevalence of UI is between 9 and 74%. Among the various forms of UI, stress urinary incontinence (SUI) is the most prevalent (50%). Studies have shown that postural activity of the PFMs is delayed during rapid arm movements in women with SUI and they have decreased balance ability compared to continent women. Increased activity of the PF and trunk muscles in women with SUI may impair balance as a result of a reduced contribution of trunk movement to postural correction or compromised proprioceptive acuity. The aim of this study is investigating whether the proprioception matters in SUI or not. Totally 30 articles from different databases have been reviewed. Mechanoreceptors are present in the joint capsule, ligament, muscle, and skin, contribute to a complex reflex system, that acts to control posture and coordination. Timing is known as an important function of motor coordination and it is affected by proprioception as well. Proprioception has demonstrated profound effects on timing, muscle coordination, balance and postural activities which is impaired in women with SUI. Studies claimed that PFM training; vibration training and electrical stimulation have positive effects on SUI by improving proprioception that results in improve muscle coordination. Not only the strength of the PFM but also the timing of contraction of PFM is playing an important role in maintaining continence. Further research is needed to evaluate the proprioception of PFM in women with SUI as a matter of incontinence.
Seyed Mehdi Mohsenipour
Tarbiat Modares University, Iran
Title: Effects of pulsed ultrasound on postural sway in women with knee osteoarthritis
Biography:
He is MSc student of physical therapy, department of physical therapy, in Tarbiat Modares University, Tehran, Iran. He is interested in lower extremity biomechanics and also electrotherapy modalities. He has worked in musculoskeletal physiotherapy for more than 3 years.
Abstract:
Backgrounds:
Poor postural control in people with Knee osteoarthritis (KOA) is evidenced by Center of Pressure (COP) abnormal excursions. The effect of PUS on improving the structure and function of the joint and muscle have been proven in previous studies. In this study, we tried to examine the effects of pulsed ultrasound (PUS) on the postural sway in patients with KOA.
Methods:
11 healthy elderly female and 27 age and weight matched subjects with bilateral KOA randomized into three sham with exercise, ultrasound, and ultrasound with Exercise groups and were examined in Comfort Double Leg Standing (CDLS), Romberg Standing (RS), and Near Tandem Standing (NTS) on a force plate. PUS was set at a frequency of 1 MHz and power of 1 W/CmÛ² for 10 sessions. In groups containing exercise therapy, prescribed lower limb strengthening exercises were also performed.
Findings:
At baseline, mediolateral (ML) was the most affected COP sway direction in KOA compared to healthy control. After treatment, in the US group, the ML Range (P=0.006) and standard deviation of the ML range of the COP (P=0.009) in CDLS position significantly increased. In the US with exercise group, antroposterior (AP) range (P=0.013), standard deviation of ML velocity (P=0.010), and ML mean velocity (P=0.014) significantly decreased in RS position.
Conclusion:
In female KOA patients, ML displacement of the COP is impaired more than other postural sway parameters. PUS also improved postural sway parameters in the ML direction and brought them closer to the healthy subjects group.
Sarah Blyton
University of Newcastle, Australia
Title: Associations between neck kinematics and pain in individuals with chronic idiopathic neck pain
Biography:
Sarah has completed her Bachelor of Physiotherapy degree with honours class 1 at the Univesrity of Newcastle. Sarah has presented research at the University of Newcastle and a national conference. She currently works in private practice treating primarily musculosketal conditions, and on weekends work sas a physiotherapist for a local netball assoication.
Abstract:
Aim: To determine associations between kinematics and chronic idiopathic neck pain intensity.
Method:
Three-dimensional motion capture quantified kinematics in 10 individuals with chronic idiopathic neck pain performing overhead reach to the right and putting on a seatbelt at baseline, 6 weeks and 6 months. Kinematic variables included maximum joint angle (°), time to maximum (% movement phase), total range of motion (°) and velocity (m/s) for head segment relative to neck (HN) and head/neck segment relative to thoracic (HNT). Visual analogue scale quantified pain at each time point. Mixed regression models determined associations between pain and kinematic variables both over time, and cross-sectionally at each time point.
Results:
Higher pain associated with less maximum HN rotation at baseline (reach: β = -0.32°, 95% CI -0.13 to -0.52, p = 0.003; seatbelt: β = -0.52°, 95% CI -0.30 to -0.72, p < 0.001), and less HN total rotation range of motion at baseline (seatbelt: β = -0.29°, 95% CI 0.10 to -0.49, p = 0.006) and 6 months (reach: β = -0.19°, 95% CI -0.38 to -0.002, p = 0.048). Higher pain associated with delayed timing to reach maximum HNT rotation over time (reach: β = .46%, 95% CI 0.099 to 0.82, p = 0.015). Pain not associated with other kinematic variables.
Conclusion:
• Higher neck pain associated with lower maximum and total rotation during functional tasks requiring cervical rotation.
• Supports clinical observation of altered movement strategies in individuals with chronic idiopathic neck pain.
Biography:
David Lee, Ph.D., is a licensed acupuncturist and an Asian herbal medicine practitioner. He received his Doctorate of Philosophy in Oriental medicine in 2006 from American Liberty University in Fullerton, California. In addition, he received his Master in Oriental Medicine in 1999 from Emperor’s College of Traditional Oriental Medicine. He completed an externship at the Daniel Freeman Hospital in the city of Marina del Rey, California, and at the University of California Los Angeles Arthur Ashe Student Health and Wellness Center. He studied pre-medicine and received a Bachelor of Arts in Psychology at University of California, Irvine. Dr. Lee has been practicing since 2000 and is currently based in California.
Abstract:
Bisoma acupuncture introduces a simple, effective, and user-friendly protocol that requires a short amount of the practitioner’s time to effectively establish a medical treatment. Only two sets of five acupuncture points, called “transporting horary points,” are used. Additional points are optional but generally not necessary. Improvement of the patient’s condition has been shown to be immediate and dramatic. Bisoma acupuncture relieves pain for a wide range of acute and chronic health problems that acupuncture is known to treat, such as muscle-joint pain, chemical dependency, anxiety/depression, hot flashes, migraine, neuropathy, and vertigo. In addition, multiple patients can be treated at one time without compromising efficacy. Due to the ease of learning about and the implementation of Bisoma acupuncture, this study shows it can be utilized to treat anyone, anywhere. Further studies on the use of Bisoma acupuncture should be conducted so that any person may receive an accessible and effective medical care for their condition.