理学療法と理学リハビリテーションのジャーナル

Background: Since past 100 years SI joint has been a topic of interest in medicine. Hippocrates was one who described pelvic separation during labor. He said it remained so even after birth. Well-known spine specialists reported that SI joint dysfunction can be the main source of SI joint and low back pain. The purpose of study was to find out the age wise prevalence of sacroiliac joint dysfunction in females and to find the severity of sacroiliac joint dysfunction in primipara and multipara subjects.

Method: Approval of Institutional ethical committee was obtained. Written informed consent in their own language was obtained from all the subjects. Subjects were briefed about the procedure and purpose of the study. The tests like posterior pain provocation test and March test was conducted.

Conclusion: We found that 26% of postpartum women suffered with SIJ dysfunction which was unreported. Prevalence of SI joint dysfunction was highest in Full Term Normal Delivery (FTND) than lower segment Cesarian section (LSCS).

Background: Diabetes mellitus is a highly prevalent metabolic disease, particularly in the elderly population. Diabetic peripheral neuropathy (DPN), the most common complication, is present in up to half of the people with diabetes, leading to sensory and autonomic motor impairment, and possibly increasing the risk of falling. DM is also associated with geriatric conditions falls, incontinence, low body mass index, dizziness, vision, hearing and cognitive impairments and dependence on activities of daily living. Balance is one of the major factors which associated with falls in the elderly population. Diabetes in addition may cause further damage to the nervous system thereby resulting in impaired balance leading to increased risk of falls. It is essential to investigate relationship between balances and falls in diabetic individuals.

Material and methods: After getting approval from institutional ethical committee, 100 elderly patients (50 diabetics and 50 non-diabetics) were examined for balance. Mini mental status examination, body mass index, berg balance scale, modified falls efficacy scale, time up and go test was taken. For balance assessment Berg Balance Scale is used to test static and dynamic balance it includes 14 balance related task. For functional mobility assessment Timed up and go test is used and requires both static and dynamic balance. For falls assessment Modified falls efficacy scale is used. It has a 14 activity questionnaire.

Result: In diabetic subjects mean and standard deviation for MMSE 28.2+1.799 and for non-diabetic 29.2+1.3, BBS non-diabetic 51.9+6.22 and for diabetic 46.2+9.04, MFES non-diabetic 9.96+0.28 and diabetic 9.92+0.39, tug test non-diabetic 9.42+1.17 and for diabetic 10.8+1.82. So here, correlation between balance, functional mobility and falls are assessed. In correlation test it was noted that in diabetic mellitus subjects there is a positive correlation between berg balance scale and modified falls efficacy scale. In non-diabetic subjects there is negative correlation between berg balance scale and modified falls efficacy scale. In diabetic subjects there positive correlation in modified falls efficacy scale and timed up and go test. In non-diabetic mellitus subjects there is negative correlation between modified falls efficacy scale and timed up and go test. In diabetic mellitus subjects, there is positive correlation between Body mass index and berg balance scale, modified falls efficacy scale and timed up and go test. In non-diabetic mellitus subjects, there is negative correlation between body mass index and modified falls efficacy scale, timed up and go test, berg balance scale.

Conclusion: From the study it is concluded that there is significant correlation between BMI balance and functional mobility and perception about fall with the help of modified falls efficacy scale.