Cupping therapy is another solution than medicine which is performed by suction cups. It helps in relieving pain, inflammation, improving blood flow. It is also considered as deep tissue massage. The cups used to perform cupping therapy can be of following types:

• Glass
• Bamboo
• Silicone

As cupping therapy is used to treat number of ailments one such ailment focuses on migraine. Patients who have headaches can have treatment to relieve the escalated and recurrence of their migraine. Cupping therapy is a type of non-invasive therapy that uses suction cups to create suction on the parts to be treated on the body. The suction affects to increase blood flow to the tensed area being treated, which results or works on repairing and removes toxins.

Migraine is a term which is defined as vascular headaches occurring due to decrease in blood supply to the brain. Migraine can be defined as attacks of pulsating moderate to severe headaches that can be connected with nausea or photophobia. Migraine causing the disability of life and impeding social relationships is the second most burdensome neurological disease worldwide. Therefore, appropriate diagnosis and first-line acute and prophylactic treatments is required under proper assistance with proper interval of time. On an instant trigger, like stress, the muscles at the base of the skull will get into spasm and restrict the supply of blood to the brain. The vessels in the brain then dilates when the spasm occur to compensate for the lack of blood supply and reduced oxygen. The expanded vessels put pressure on the nerves, which then causes pain which is pulsating. Once the brain gets optimum blood and oxygen, the pain subsides.

It can help migraine by reducing the stress in the upper back and neck muscles, increasing circulation and promoting blood flow.

Therapy performed on forehead, cheek area, and base of neck makes the muscles relaxed which increases the blood supply. The process in a way is doing exactly the opposite of what caused the migraine pain. The cup is moved up and down over the forehead and sideways below the eyes. Other points, like the left and right carotid, are targeted also.

Other benefits of cupping therapy: –

• It increases circulation: The suction created by the cups helps in the better circulation of the blood towards the brain.
• It encourages tissues to release toxins: Cupping gives the body energy in releasing the toxins from the body. Focused blood flow helps the body by cutting-off built-up toxins through the lymphatic system.
• It helps in keeping the skin healthy: Cupping therapy tends to improve the blood flow of the skin by helping the increase of oxygen and other nutrients which is required to for a healthy skin.
• It helps in relieving the digestive problems: It helps in improving digestive problems caused by malnutrition, chronic stress etc
• It is also considered as a way of relaxation: Cupping therapy is also considered as massage agent which helps in increase of blood flow and oxygen leading to relaxation.

Hiteshi Kundra

President, Jalandhar District

Students Wing (Punjab)

GAPT

• Cerebral Palsy
• Ataxia
• Brain Injury
• Post Stroke Recovery
• Other Neurological Conditions
  
  

Benefits of Intensive Suit Therapy

The Intensive Program has many benefits including:

• Increases range of motion
• Improves coordination
• Aligns the body
• Enhances posture
• Retrains the nervous system
• Improves balance and flexibility
• Normalizes muscle tone

Disadvantage of Intensive Suit Therapy

• High blood pressure
• Heart and circulatory conditions
• Diabetes
• Kidney problems
• Severe scoliosis
• Hydrocephalus
• Uncontrolled seizures

In this new pandemic hit world, everyone regardless of age has found studies, work and life on their screens. The computers kept the world running when the virus hit the roads and shut down countries altogether. The world has learnt the way of living digitally but the problems it brings are yet to be tackled. In a research, done by medical students of Swami Vivekananda Subharti University under the guidance of Dr. Chhavi Kiran Gupta (Associate Professor)to find the baseline knowledge of correct practices of Computer Work Ergonomics amongst 100 employees it was concluded that the prevalence of headache and neck, shoulder, back pain in relation to age, sex, working hours and work set up was statistically significant. In the study, 83% were men and the rest 17% were women. It constituted of the age group between 25 to 45 year (62%), less than 45 years (15%) and less than 25 were 23%. Majority of the study constituted of working on computer for more than 6- 8 hours i.e. 40%. The rest 28% were working for more than 8 hours, 20% for 3-6 hours and 12% for less than 3 hours. The study inferred that only 37% and 52% employees were using correct wrist and hand posture respectively. The research showed that 32% had complaint of neck pain and 52% had more than one back and shoulder related pain while 24% had lower back pain. The study inferred that 52% employees had more than 1 eye problem.

When the problem has gripped so many and can cause a big threat by affecting activities of daily living of an even bigger population in the years to come its preventive measures and solutions should be sprinkled around. A physiotherapist can assess and treat all the above mentioned musculoskeletal problems but a professional’s work doesn’t end there. A professional spreads “awareness* and puts input where correction is needed to avoid future damage. A lot can be done to avoid work related injuries.

The physiotherapists can teach the people about correct sitting and standing posture by conducting workshops. The person should have a distance of at least 45 centimeters between the eyes and the monitor. The head should be held upright with eyes slightly looking downward without bending the neck. The back should be supported, elbows bent at 90° and forearms should be horizontal. The shoulders should be relaxed, but not depressed. The wrist in a neutral posture (straight) The thighs horizontal with a 90˚–120˚ angle at the hip and feet fully supported, flat on the floor. The workstation should be arranged in a smart manner. The space can be divided in three zones. Items used frequently should be located within easy reach, the primary zone. The items needed occasionally should be put a little far, the secondary zone. Lastly, rarely used items can be placed the farthest, the tertiary zone.

On an organizational level, they can advise the organizations on what kind of furniture and equipments to opt for when building a *workspace” for their students and employees. The height of the chair should be adjustable and it should support the neck and back properly. The chair should have armrests.  The table should have optimal height so that the wrist can rest parallel to the floor on it. A height adjustable table which can turn into a standing desk (sit-stand station) is a better choice. The organization can offer document holder, palm rest and foot rest if necessary. This will not only keep the pain at bay but also improve the work efficiency.

On a personal level, the importance of frequent breaks and stretching should be highlighted. The practice of taking breaks regularly should be ingrained in people. It can be followed actively by getting up for a quick walk around the room every 25-30 minutes or can be followed passively by putting off the tasks like printing documents to get done during these breaks. Following a stretching routine for 2-3 minutes every few hours throughout the day should be encouraged to avoid stiff muscles.

Along with the above mentioned tips, keeping an active lifestyle can help keep away issues like carpal tunnel syndrome, frozen shoulder, chronic shoulder pain, impingement syndrome, writer’s cramp, lower back pain, tension neck syndrome, occupational cervicobrachial disorder, herniated disc, etc. The use of computers is for the betterment of humanity. Just how we have adapted new technology in all work fields, measures to stay safe and healthy can also be taught and implemented with joint effort of professionals and general public. A musculoskeletal system friendly workspace is the need of the hour in this tech-savvy world.

“The purpose of technology is not to confuse the brain but to serve the body”

–William S. Burroughs

Gone are the days when computers were new to the world. Today, technology is the air every sector breathes. The babies come out of the womb and see the parents already working away on their screens. A machine reduces human effort and while computers surely make humans less stressful, they also have a huge role in stressing out their musculoskeletal system. The long hours sitting in front of a computer do not only tire the body mentally, the long shifts affect the eyes, neck, shoulders, elbows, wrist & hands and back too. The problem can stem to hips, knees and ankles as well. These problems create mild discomfort in short term and turn into monsters who do not let you sleep in the long run.

In this new pandemic hit world, everyone regardless of age has found studies, work and life on their screens. The computers kept the world running when the virus hit the roads and shut down countries altogether. The world has learnt the way of living digitally but the problems it brings are yet to be tackled. In a research, done by medical students of Swami Vivekananda Subharti University under the guidance of Dr. Chhavi Kiran Gupta (Associate Professor)to find the baseline knowledge of correct practices of Computer Work Ergonomics amongst 100 employees it was concluded that the prevalence of headache and neck, shoulder, back pain in relation to age, sex, working hours and work set up was statistically significant. In the study, 83% were men and the rest 17% were women. It constituted of the age group between 25 to 45 year (62%), less than 45 years (15%) and less than 25 were 23%. Majority of the study constituted of working on computer for more than 6- 8 hours i.e. 40%. The rest 28% were working for more than 8 hours, 20% for 3-6 hours and 12% for less than 3 hours. The study inferred that only 37% and 52% employees were using correct wrist and hand posture respectively. The research showed that 32% had complaint of neck pain and 52% had more than one back and shoulder related pain while 24% had lower back pain. The study inferred that 52% employees had more than 1 eye problem.

When the problem has gripped so many and can cause a big threat by affecting activities of daily living of an even bigger population in the years to come its preventive measures and solutions should be sprinkled around. A physiotherapist can assess and treat all the above mentioned musculoskeletal problems but a professional’s work doesn’t end there. A professional spreads “awareness* and puts input where correction is needed to avoid future damage. A lot can be done to avoid work related injuries.

The physiotherapists can teach the people about correct sitting and standing posture by conducting workshops. The person should have a distance of at least 45 centimeters between the eyes and the monitor. The head should be held upright with eyes slightly looking downward without bending the neck. The back should be supported, elbows bent at 90° and forearms should be horizontal. The shoulders should be relaxed, but not depressed. The wrist in a neutral posture (straight) The thighs horizontal with a 90˚–120˚ angle at the hip and feet fully supported, flat on the floor. The workstation should be arranged in a smart manner. The space can be divided in three zones. Items used frequently should be located within easy reach, the primary zone. The items needed occasionally should be put a little far, the secondary zone. Lastly, rarely used items can be placed the farthest, the tertiary zone.

On an organizational level, they can advise the organizations on what kind of furniture and equipments to opt for when building a *workspace” for their students and employees. The height of the chair should be adjustable and it should support the neck and back properly. The chair should have armrests.  The table should have optimal height so that the wrist can rest parallel to the floor on it. A height adjustable table which can turn into a standing desk (sit-stand station) is a better choice. The organization can offer document holder, palm rest and foot rest if necessary. This will not only keep the pain at bay but also improve the work efficiency.

On a personal level, the importance of frequent breaks and stretching should be highlighted. The practice of taking breaks regularly should be ingrained in people. It can be followed actively by getting up for a quick walk around the room every 25-30 minutes or can be followed passively by putting off the tasks like printing documents to get done during these breaks. Following a stretching routine for 2-3 minutes every few hours throughout the day should be encouraged to avoid stiff muscles.

Along with the above mentioned tips, keeping an active lifestyle can help keep away issues like carpal tunnel syndrome, frozen shoulder, chronic shoulder pain, impingement syndrome, writer’s cramp, lower back pain, tension neck syndrome, occupational cervicobrachial disorder, herniated disc, etc. The use of computers is for the betterment of humanity. Just how we have adapted new technology in all work fields, measures to stay safe and healthy can also be taught and implemented with joint effort of professionals and general public. A musculoskeletal system friendly workspace is the need of the hour in this tech-savvy world.

“The purpose of technology is not to confuse the brain but to serve the body”

–William S. Burroughs

The scope of practice has definitely increase in recent times to include all health concerns of women’s like:

1. Pre-natal and post-natal 
2. Incontinence
3. Osteoporosis
4. Generalize weakness

Pre-natal and post-natal: Exercises and physical therapy during and after pregnancy. As studies have shown that exercises can reduce pregnancy complications and optimizes maternal and foetal health. Aerobic and resistance training to achieve greater benefits.

Urinary Incontinence and Pelvic floor dysfunction-Physiotherapy intervention, Pelvic floor muscles strengthening, abdominal muscles strengthening are very helpful for this.

Housemakers; mothers and women engaged in long sitting work may develops backpain, Pelvic griddle pain, Cervical pain and Scoliosis. Most of the women tends to ignore these pains but in long run this pain may turn out to be critical. Women should immediately consult a physiotherapist while observing early signs and symptoms of back related issues. Physiotherapy will recommend various exercises and manual therapy to reduce pain. Treatment will focus on strengthening exercises and stretching exercises, flexibility and pain management.

 Now in offices they provide ergonomics chair, time to time organise seminars and various programmes on ergonomics so that employees can have a healthy work life balance. Exercises and Physical activities can improve quality of life.

Special programme to ease menstrual discomforts in young girls. There is increased awareness and focus to health issues related to female in recent times.

Physiotherapist will create and design a personalised aerobic exercises programme to help recover safely.

Regards

DR. SNEHA SHARAN

General Secretary of Women’s Wing Bihar

Fitness training was limited only to sports person but now; individuals without any ailment are consulting for preventive Physiotherapy treatment sessions which can be briefly postulated as:

• Posture Rehabilitation– Knowledge about ideal posture, it’s significance and advantages.
• Brain gym exercises– These help in keeping the brain active by increasing focus on motor activities and body awareness.
• Co-ordination and balance exercises– They help to delay Alzheimer’s disease and many neuro- degenerative disorders.
• Breathing exercises– Due to Covid-19, every individual is highly aware of importance of breathing exercises for maintenance of lung function.

All the above exercises help a non-ailing person lead a better life by delaying the degenerative ailments and even improving mental health of the person as the saying goes, “Sound mind in a Sound body” which we all know!

Physiotherapy being an evidence-based practice has proven that proper physical exercise training helps in prevention of many Psychosomatic disorders as well, which is a part of mental health.

Thus, Physiotherapy treatment binds completely with universal definition of health as a treatment taken for “state of complete physical, mental and social well being and not merely an absence of any disease or infirmity”.

Due to some limited effectiveness in conventional therapy (CT) various task-oriented virtual reality rehabilitation programs have been designed for upper limb and lower limb. Application of Wii Games as Kinetic sports in rehabilitation has been achieving as the  most favourable treatment option because it not only helps in motor recovery but also act as a motivational adjunct for the patient .

Ninentendo games has got its popularity in rehabilitation by providing real-time information on performance using sensory, auditory , visual feedback.

Now a days X box kinect has been used in the stroke rehabilitation which enables the user to watch his posture and movement on screen and indulge himself in a real time virtual reality environment. 

While performing on virtual reality X box kinect,  patient feels motivated and engaged with more repetition and higher intensity which is helpful in introducing neuroplasticity.

It also facilitates functional neuroplasticity which results in activating the  mirror neuron system hence improve his functional outcome.

Virtual Reality training has also been used in rehabilitation for balance dysfunction .

These virtual activities helps in in a activation of cerebral cortex and improve the spatial orientation which facilitates the cortex to control balance and increase motor functions.

Virtual Reality field helps in generating the pseudo sensation of walking also. Walking- in -place produces a pseudo sensation which stimulates their leg movements which are more or less similar to the actual leg movements . Repetitive task training in VR field also improves walking distance, speed and upper & lower limb functions.

Virtual reality also resulted in a slightly better ability to manage everyday activities such as showering and dressing.

While practice conventional therapy Virtual reality should be an important part of Neuro rehabilitation which helps in indulging the stroke survivors in all his domains which are  hampered after the stroke.

To enhance communication, one may use alphabet charts, pictures, charts with phrases (like ‘I have pain’, ‘please turn me over’ etc) and patients can point to their needs using these. Ask questions which can be answered in yes/no via head nodding. Try to pick up other non-verbal gestures/cues sent by patients. Exercise regularly as it will improve their strength. Augmentative and Alternative Communication (AAC) is also used in a few settings.

So, next time you see patients in ICU, don’t forget to reassure them, touch them, be kind to them, and listen to them as all these have the potential to turn a life around.

Costochondral junction Pain (Tietze Syndrome):-

Inflammation of costochondral or costosternal junction is frequently mistaken for cardiac pain. The Second, Third & Fourth Costal junction on left are frequently involved. Pain is also associated with nausea, vomiting, dizziness. Chest pain is due to compression of Nerve or vessels.

Herpes zoster:-

Prior to development of rash involving peripheral nerves.

Pulmonary causes of chest pain:-

Most pain of pulmonary origin is pleuritic. Due to Pulmonary infraction or Pneumonia.

Other causes of chest pain:-

Menders disease:-Is thrombophlebitis of breasts.

Shoulder hand syndrome:-Due to myocardial infraction.

Aortic Arch syndrome:-Inflammation of Aorta.

Pericardial Migraine:-Migraine & Headaches.

Neurocirculatory Asthenia:-It consists of chest pain, dyspnea, sweating, dizziness, palpitation & anxiety.

Physiotherapy Management of chest pain for Musculoskeletal:-First of all using Electrotherapy for reducing pain and inflammation then rehabilitate for Breathing exercises & postural drainage. In ICU patient’s inhalation, Exhale & Ambulation, Helpful for lungs clearance & relief for chest pain, Muscles Relaxed.

Dr Pankaj Singh

Head of Deptt. Physiotherapy

Navin Hopsital, Greater Noida, UP.

GAPT/21/L00011