Physiotherapist Vacancies in MPSC [Meghalaya Public Service Commission]

Name of the Post- Physiotherapist

Organisation- MPSC [Meghalaya Public Service Commission]

No. of Posts- 4 (Four)

Educational Requirements: Twelve (Science) + Bachelor Degree in Physiotherapy from any recognised Institute.

Pay Scale: Rs. 14100-350-16550-EB-460-20690-620-27510/-pm

Last Date: 31st July, 2014

Age Limit: 18-27 Years (Upper age limit is relaxable by 5 years in case of SC/ST candidates)

For more details visit: http://mpsc.nic.in/mpsc/notify/adv17062014.pdf



Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Proud to be a Physiotherapist

Role of Physiotherapy in Diabetes

Physiotherapy is an ancient science, which involves physical treatment techniques, such as massage, and the use of electrotherapeutic and mechanical agents – rather than drug therapy – for the management of a condition.

Physiotherapists play an important role in helping people to overcome disability and pain related to orthopedic, musculoskeletal, neurological and rheumatologic illnesses.

Any person with diabetes whose aching legs have experienced relief after a massage, or whose painful feet have been relaxed after a soak in cool water will testify to the importance of physiotherapy in relieving their symptoms.

Preventing diabetes-

The Diabetes Prevention Project demonstrated that lifestyle modification, including intensive exercise, is more effective in preventing diabetes than pharmacological therapy, and highlighted the role of trained professionals in motivating people to follow lifestyle interventions. Similar results have been reported by the Malmö Study, the Da Qing Study, the Finnish Diabetes Prevention Study and the Wenying Study. Physiotherapists are able to help people, to plan an individualized exercise programme in order to maintain good blood glucose control and achieve optimal weight. Furthermore, physiotherapy leads to metabolic improvements even in the absence of weight loss, reducing the frequency of cardiovascular events and improving life expectancy. Effective exercise counseling ensures both cardio respiratory and musculoskeletal fitness. This helps people with diabetes improve their quality of life, and contributes to overall control of blood glucose. The use of alternative therapies, such as yoga, can contribute to the achievement of optimal cardio-respiratory health.

Physiotherapists can help people to maintain good blood glucose control and achieve optimal weight. Physiotherapists, with their knowledge of physiology and anatomy, can suggest specific exercises for people with coexisting complications, cautioning against certain movements that might be detrimental to their health. For example, an isotonic exercise like jogging will benefit a person with high blood pressure and diabetes, but the repeated foot trauma associated with jogging may harm someone with peripheral sensory neuropathy or Charcot foot.

Beyond exercise counseling-

Most people with diabetes suffer from musculoskeletal complications, which might include frozen shoulder, back pain or osteoarthritis. Many people with poorly managed type 1 diabetes develop a syndrome of limited joint mobility. Diabetic amyotrophy is a type of neuropathy that involves muscle wasting and weakening, especially in the thighs. Carpal tunnel syndrome and sciatica are other neurological conditions that are commonly suffered by people with diabetes. In all these conditions, physiotherapy plays a pivotal role in returning people to normal levels of health and wellbeing. The physiotherapist uses a combination of active and passive exercises, and mechanical and electrical aids to

improve musculoskeletal and neurological functions.

Pain relief-

Physiotherapy offers various effective non-pharmacological approaches for pain relief. Transcutaneous electrical nerve stimulation (TENS) involves electrical nerve stimulation through the skin, sending a painless current to specific nerves. The mild electrical current generates heat that serves to relieve stiffness, improve mobility, and relieve pain.

Interferential therapy (IFT) uses the strong physiological effects of low frequency electrical stimulation of nerves.

TENS and IFT are considered gold-standard therapies for the relief of neuropathic pain, and have proven benefits in the management of painful diabetic neuropathy, edema (build-up of fluid in tissue) and resistant foot ulcers. TENS has been shown to be most effective against burning and stabbing pain, but comparatively less efficient for the relief of painfully sensitive skin and restless legs syndrome. Other modalities, such as ultrasonic therapy and hot wax, are useful for specific conditions in both people with diabetes and people without the condition. In spite of the benefits – safety, lack of drug interactions, efficacy, cost – associated with these methods, few centers’ have adopted TENS/IFT as primary treatments for painful neuropathy. Perhaps this underscores the need to create specialized diabetes physiotherapy units, staffed by qualified physiotherapists specializing in the care of

people with diabetes.

Physiotherapy can play an important role in preventing and managing foot problems.

Improving feet-

Physiotherapy centers’ can play an important role in preventing and managing foot problems. Teaching the importance of correct gait and posture, along with the basic principles of off-loading when required, can prevent or stabilize a number of foot complications. In people with tropic ulcers, for example, which are typical in people with diabetes-related foot problems, the effective use of crutches or foot splints can ensure off-loading and early healing. In people who are unfortunate enough to undergo an amputation, the physiotherapist helps with post-operative pain relief, rehabilitation, limitation of disability, and the optimum use of prostheses. Similar rehabilitative measures, exercises and therapeutic aids are available for people who are recovering from heart attack, stroke, peripheral

vascular surgery, or other traumas or surgical interventions.

Wider benefits-

Physiotherapeutic interventions, usually delivered on a one-to-one basis are patient-centered, in line with the contemporary approach that all providers of chronic medical care, including endocrinologists, try to provide to people in their care. The time spent with the physiotherapist during the course of treatment can strengthen patient provider bonding and enhance communication.

As the number of people with diabetes continues to rise, and as the existing diabetes population ages, the need for efficient physiotherapy services will continue to grow. Including specialized physiotherapists as equal members of the diabetes care team will help us to utilize their services effectively in order to improve the health and well-being of all people with diabetes.

Asst. Prof. Jobs in Physiotherapy dept.- Guru Nanak Dev University

Organisation- Guru Nanak Dev University

Department- Sports Medicine & Physiotherapy

Post- Asst. Professor

No. of Posts- 2 (Two)

Walk in Interview date- 26/6/2014

For contact and oter more details visit-
http://www.gndu.ac.in/gndu2014/DetailedAdv.pdf

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Treatment of Osteitis Pubis

Osteitis Pubis is a condition that many consider rare, however, it is probably more common than you may think. The incidence of groin pain, in some sports, is as high as 13% (Ekstrand and Ringbord, 2001). Thus, it is highly likely that as a sports physiotherapist you will encounter may athletes with a diagnosis of osteitis pubis. Therefore, as is frequently stated on this site, you need to be aware of the current research and evidence based practice, even in a world with limited research

OVERVIEW
Osteitis pubis is defined as a painful inflammatory process involving the pubic symphysis and surrounding structures including the pubic rami, cartilage, musculotendinous and ligamentous pelvic structures (Batt et al, 1995). It is suggested that this is caused by repetitive stresses of the pubic symphysis during strenuous physical activity, most commonly secondary to reduced hip range of motion (LeBlanc and LeBlanc, 2003).

TREATMENT
The following discussion regarding treatment decisions is guided by the systematic review by Choi et al (2011). Whilst they searched for the best available evidence, they were unable to identify any RCTs regarding treatment decisions for osteitis pubis. Therefore, the following recommendations are based on clinical experience and case studies/series. Hint, hint… not a lot of rock solid evidence going around.

CONSERVATIVE MANAGEMENT
This generally involves the three mainstays of an inflammatory musculoskeletal condition: relative rest, NSAIDs, and physiotherapy!
Physiotherapy treatment, as always, should be based on the individual athlete and their assessment findings. Thus, as stated above, you should assess for biomechanical and functional impairments and treat accordingly. The components of a successful conservative rehabilitation program included (Wollin and Lovell, 2006):

*.Manual techniques to restore full range of motion in the lumbar, sacral and hip joints. This included soft tissue, MET, mobilisation and manipulative techniques
.*.Core Control Exercises (TrA and Pelvic Floor Training)
*.Adductor Strengthening (Progression of gentle isometric through to loaded isotonic strengthening)
*.Gluteal Strengthening
*.PNF patterns
*.Stationary Bike
*.Return to running program
*.Graduated and progressive return to play

Whilst this is by no means a recipe for your patients, it should serve as an indicator of the components of a successful rehabilitation program. In this small case series (n=4) all players returned to play at a mean timeof 13 weeks.The results of this study mirrored the overall findings of Choi et al (2011) who found that the mean return toplay for all patients undergoing conservative management was 9.55 weeks.

INJECTIONAL THERAPY
The studies examined two types of injectional therapy corticosteroid or prolotherapy.

*.Corticosteroid Injections: Overall 58.6% of patients RTP in 8 weeks, whilst there was no response in approximately 20% of patients.
*.Prolotherapy Injections: Topol et al (2005) examined prolotherapy injections in patients with chronic groin pain and found much more promising than the corticosteroid injections! 91.7% of the athletes RTP in 9 weeks, and there was a 8.3% no response rate.

SURGICAL MANAGEMENT
As you may expect surgical management should only be considered as a last resort. Dependant on the choice of surgery, which is widely variable in clinical practice, it can be a season ending operation. Therefore, it is not a decision to make lightly. The case series literature describes three surgical techniques (Choi et al, 2011).

These are discussed below:
1.Curettage of Pubic Symphysis: 72% RTP at an average of 5.6 months
2.Arthrodesis of the Pubic Symphysis: 87% RTP at an average of 6.6 months, with a 25% complication rate.
3.Polypropylene Mesh Placement into the Preperitoneal Retropubic Space: 92.3% RTP at an average of7.2 weeks.

HOME MESSAGES
*.There is a dearth of quality research to guide treatment decisions for osteitis pubis.
*.Conservative management should always be the first line of treatment for osteitis pubis.
*.Optimal management is individualised and always looks “beyond the groin”!
*.Prolotherapy could be used if physiotherapy fails (but it hurts!).
*.Surgery is a last resort only

Source-
http://www.thesportsphysiotherapist.com/osteitis-pubis-treatment-decisions-in-a-world-with-limited-research/

Physiotherapist Jobs in Bangalore

Organisation: Mobility India

Qualification: BPT

Vacancies: 4 positions

Experience: Fresher

Address:
Mobility India,
J.P. Nagar,
2nd Phase,
Bangalore.

Contact Email id: hrd@mobility-india.org

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Occupational Therapist Job in Bangalore

Organisation Name- Mobility India

Qualification- BOT

Experience- Fresh

Salary- 12000 per month + other benefits like insurance, ESI, PF etc.

Address-
Mobility India,
J.P. Nagar,
2nd Phase,
Bangalore.

Contact Email id- hrd@mobility-india.org

Disclaimer-
This post is purely for helping other professionals. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining/applying.

Lumbar Canal Stenosis and Associated Deformities

Degenerative lumbar spinal stenosis results from pathological degeneration of the facet joints, disc herniation, hypertrophy and buckling of the ligamentum flavum, and spondylolisthesis. Degenerative changes in the three-joint complex (the intervertebral disc and two facet joints) explain the fluctuation in symptoms with alterations in posture, load, and duration of load. Lumbar intervertebral disc degeneration represents a cascade of events involving disc herniation, bulging of the disc and ligamentum flavum into the canal, and resulting chronic facet arthrosis, sclerosis, and osteophytic growth. Hypertrophy of the ligamentum flavum is also an important element in the development of spinal stenosis. Lumbar spinal encroachment induces ligamentum flavum hypertrophy, which further aggravates stenosis. Disease of the nerve roots and cord, however, does not typically result directly from compression of the nerves. Rather, the resulting stenosis causes decreased flow of cerebrospinal fluid, which represents approximately 60% of the nutritional supply to the cauda equina, and increased venous pressure. In such a scenario, any concurrent spinal deformities may critically compromise the nerve roots and cord, as well as exacerbate neurological symptoms of lumbar stenosis.

Spondylolisthesis can be caused by congenital, developmental, traumatic, neoplastic, or degenerative conditions. In degenerative spondylolisthesis, the most common type observed with lumbar stenosis, anterior/posterior displacement of a VB results from facet joint erosion and attenuation of the muscular, capsular, and ligamentous structures. Fourfold more common in females than in males, degenerative spondylolisthesis occurs most frequently at the L4-5 and L5-S1 levels.Disc degeneration causes spondylolisthesis with resulting segmental hypermobility, compounded by arthritis in sagittal facet joints.

There are many other spinal deformities associated with the LCS. For the detailed article visit-

http://www.medscape.com/viewarticle/448310_2

Why Do Some Runners Overuse Rectus Femoris?

The answer with detailed reasons can be found at-

http://www.kinetic-revolution.com/qa-why-do-runners-overuse-rectus-femoris/

By- James Dunne, a Sports Rehab. Specialist & Running Coach.

Ultrasonography in myofascial neck pain: randomized clinical trial for diagnosis and follow-up

Chronic neck pain (CNP) is a very prevalent condition affecting 10–24 % of the population. There is great interest regarding the role of musculoskeletal ultrasound (MSU) in the diagnosis of myofascial pain. MSU isa readily available, portable, and inexpensive imaging modality, suitable for use in a physiotherapists office to complement physical examination and to evaluate treatment outcomes.

The aim of this study was to quantify the thickness of the deep fasciae of the neck and their sub-layers, by means of ultrasound imaging with and without CNP. This will help to document MSU as a suitable instrument for diagnosing myofascial neck pain.

Full the full access to the study, kindly visit-

http://anatomy-physiotherapy.com/component/content/article/36-articles/systems/musculoskeletal/spine/cervical/643-ultrasonography-in-myofascial-neck-pain-randomized-clinical-trial-for-diagnosis-and-follow-up

Proprioceptive changes in the contralateral knee joint following anterior cruciate ligament injury

There is loss of both stability and proprioception in the knee following an injury to the anterior cruciate ligament (ACL).The afferent nerves responsible for proprioception arise from the ligaments, capsule, surrounding mus- cles and skin, activating muscle contraction, which may be assumed to help stabilise the injuries, including ACL tears, are likely to disrupt this process. Loss of proprioception following an anterior cruciate ligament (ACL) injury has been well documented.

For the full study, kindly visit-

http://anatomy-physiotherapy.com/component/content/article/28-articles/systems/musculoskeletal/lower-extremity/knee/646-proprioceptive-changes-in-the-contralateral-knee-joint-following-anterior-cruciate-injury

Athletic performance improved even after deception revealed

Indiana University researchers say a little deception caused cyclists in their 4-kilometer time trial to up their performance even after they realized they had been tricked.

The findings support the idea that the brain plays a powerful role in how hard athletes push their bodies.

"The idea is that there's some sort of governor in your brain that regulates exercise intensity so you don't overheat, or run out of gas, so to speak," said Ren-Jay Shei, a doctoral student in the IU School of Public Health-Bloomington. "In this case, the governor was reset to a higher upper limit, allowing for improved performance."

For the study, 14 trained, competitive male cyclists participated in four time trials. For each session, they rode cycle ergometers, which are stationary bikes that measure such variables as speed and power output and display the readings on computer monitors on the handlebars.

For the full research, visit-

http://www.medicalnewstoday.com/releases/277537.php

Vibration Exercise- A Relief for Fibromyalgia

Whole-body vibration exercise may reduce pain symptoms and improve aspects of quality of life in individuals diagnosed with fibromyalgia, research shows. Whole-body vibration exercise involves standing, sitting or lying on a machine with a vibrating platform that causes muscles to contract and relax as the machine vibrates. The machines primarily are used by researchers but have begun appearing in fitness centers and are sold commercially.

A pilot study by Indiana University researchers found that whole-body vibration exercise may reduce pain symptoms and improve aspects of quality of life in individuals diagnosed with fibromyalgia.

For the whole study, visit-

http://www.sciencedaily.com/releases/2014/05/140529154009.htm

Structured physical activity program can help maintain mobility in vulnerable older people

A carefully structured, moderate physical activity program can reduce risk of losing the ability to walk without assistance, perhaps the single most important factor in whether vulnerable older people can maintain their independence, a study has found.

Older people who lose their mobility have higher rates of disease, disability, and death. A substantial body of researchhas shown the benefits of regular physical activity for a variety of populations and health conditions. But none has identified a specific intervention to prevent mobility disability.

In this large clinical study, researchers found that a regular, balanced, and moderate physical activity program followed for an average of 2.6 years reduced the risk of major mobility disability by 18 percent in an elderly, vulnerable population. Participants receiving the intervention were better able to maintain their ability to walk without assistance for 400 meters, or about a quarter of a mile, the primary measure of the study. Results of the large clinical trial, conducted by researchers at the University of Florida, Gainesville and Jacksonville, and colleagues at seven other clinics across the country, were published online on May 27, 2014, in the Journal of the American Medical Association. The researchers were supported by the National Institute on Aging (NIA) and the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health.

For the whole study, visit-

http://www.nih.gov/news/health/may2014/nia-27.htm

The Effects of Virtual Reality-based Yoga on Physical Function in Middle-aged Female LBP Patients

The objective of this research was to determine the effects of a virtual reality-based yoga program on middle-aged female low back pain patients. Thirty middle-aged female patients who suffered from low back pain were assigned to either a physical therapy program or a virtual reality-based yoga program for a period of four weeks. Participants could check their posture and weight bearing on a monitor as they shifted their weight or changed their postures on a Wii balance board. There were a total of seven exercise programs. A 30-minute, three times per week, virtual reality-based Wii Fit yoga program or trunk stabilizing exercise was performed, respectively. Repeated-measures analysis of covariance revealed significant differences in between before and after VAS, algometer, Oswestry low-back pain disability index (ODI), Roland Morris disability questionnaire (RMDQ), and fear avoidance beliefs questionnaire (FBQ) scores. The VAS, algometer, ODI, RMDQ, and FBQ scores exhibited significant differences in groups. Regarding the effect of time-by-group interaction, there were significant differences in VAS, ODI, ODI, and FBQ scores.

The study concluded that for middle-aged female patients who have low back pain, a virtual reality-based yoga program was shown to have positive effects on physical improvements, and the program can be employed as a therapeutic medium for prevention and cure of low back pain.

For the full study, visit-

http://www.physiospot.com/research/the-effects-of-vr-based-wii-fit-yoga-on-physical-function-in-middle-aged-female-lbp-patients/

Physiotherapy Definitions- At Indian level & International level

1. World Health Organization (WHO): "Physiotherapists assess, plan and implement rehabilitative programs that improve or restore human motor functions, maximize movement ability, relieve pain syndromes, and treat or prevent physical challenges associated with injuries, diseases and other impairments. They apply a broad range of physical therapies and techniques such as movement, ultrasound, heating, laser and other techniques. They may develop and implement programmes for screening and prevention of common physical ailments and disorders" (Reference: http://www.who.int/hrh/statistics/Health_workers_classification.pdf )

2. The International Labour Organization (ILO ): Physiotherapists and related associate professionals treat disorders of bones, muscles and parts of the circulatory or the nervous system by manipulative methods, and ultrasound, heating, laser or similar techniques, or apply physiotherapy and related therapies as part of the treatment for the physically disabled, mentally ill or unbalanced. The International Labour Organization (ILO) is the international organization responsible for drawing up and overseeing international labour standards. It is the only 'tripartite' United Nations agency that brings together representatives of governments, employers and workers to jointly shape policies and programmes promoting Decent Work for all. (Reference: http://www.ilo.org/public/english/bureau/stat/isco/isco88/3226.htm )

3. International Standard Classification of Occupations (ISCO) is a tool for organizing jobs into a clearly defined set of groups according to the tasks and duties undertaken in the job. The World Health Organization (WHO) has classified physiotherapists in professional group (ISCO Code 2264) and paramedical professionals have been classified in a separate entity (ISCO code 2240). (Reference: http://www.who.int/hrh/statistics/Health_ workers_classification.pdf)

4. World Confederation of Physical Therapy (WCPT) : Physical therapists are qualified and professionally required to: -undertake a comprehensive examination/assessment of the patient/client or needs of a client group -evaluate the findings from the examination/assessment to make clinical judgments regarding patients/clients -formulate a diagnosis, prognosis and plan -provide consultation within their expertise and determine when patients/clients need to be referred to another healthcare professional -implement a physical therapist intervention/treatment programme -determine the outcomes of any interventions/treatments -make recommendations for self-management. (Reference: http://www.wcpt.org/what-is-physical-therapy)

5. Delhi Council for Physiotherapy & Occupational Therapy Bill 1997 : “Physiotherapy” means physiotherapeutic system of medicine which includes examination, treatment, advice and instructions to any persons preparatory to or for the purpose of or in connection with movement dysfunction, bodily malfunction, physical disorder, disability, healing and pain from trauma and disease, physical and mental conditions using physical agents including exercise, mobilization, manipulation, mechanical and electrotherapy, activity and devices or diagnosis, treatment and prevention. (Reference: http://delhiassembly.nic.in/aspfile/billspassed/141997.htm)

6. Maharashtra State OTPT Council: "Physiotherapy" means a branch of modern medical science which includes examination, assessment, interpretation, physical diagnosis, planning and execution of treatment and advice to any person for the purpose of preventing, correcting, alleviating and limiting dysfunction, acute and chronic bodily malfunction including life saving measures via chest physiotherapy in the intensive care units, curing physical disorders or disability, promoting physical fitness, facilitating healing and pain relief and treatment of physical and psychosomatic disorders through modulating physiological and physical response using physical agents, activities and devices including exercise, mobilization, manipulations, therapeutic ultrasound, electrical and thermal agents and electrotherapy for diagnosis , treatment and prevention. (Reference: http://www.msotptcouncil.com/OTPTActs.aspx )