2^nd World Physical Medicine and Rehabilitation Conference June 13-14, 2019 Helsinki, Finland

Biography:

Brian Wadsworth is a Physical Therapist at Rusk Rehabilitation at NYU Langone Health in New York City. He completed his Residency in Neurologic PT at NYU Rusk in 2017-2018 after graduating from Sacred Heart University with his DPT in July 2017.

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Biography:

Beth Harman has completed her MBA and has worked in Allied Health environments for over 20 years. Her current company was founded in 2014 and has grown x 5 folded in that time. She has over 55 staff and contractors delivering to a daily average of 500 ‘active’ clients in an area the size of Belgium which has just over 18% of NZ’s population via a hub and spoke model.

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New Zealand has a unique universal insurance cover whereby all citizens (+ visiting tourists) injured accidentally at work, leisure, sport, in the home, via traumatic events or medical misadventure, have entitlement to comprehensive rehabilitation.  This is funded by an employer and employee levy taxed at source of income - in the case of employers it takes into account their turnover, staff no’s, risk profile and health and safety record in relation to work related notified injury events. This funds the Accident Compensation Body (ACC) an SOE to deliver; rehab to all injured (1 week to 100 years +); to support injured workers with weekly compensation (80% usual income) employers being free to use usual salaries to ‘fill the gap’; assistive equipment; household / vehicle adaptions; lump sums relating to their on-going % of disability.  Advantage South (AS) is accredited to ACC to provide a suite of programmers designed to rehab their clients returning them to either their preinjury levels of independence or the optimum level of independence they can achieve. AS deliver within the home, community or our clinics. Programmers AS deliver include rehab for mild, moderate and severe TBI, Pain interventions - chronic and acute, Training for Independence programmers (for M/SK injuries, other injuries, TBI, pediatric and sensitive claim clients), Psychological services, Sensitive Claim (sexual abuse), Needs assessments, Neuropsychological and vocational (return to work) assistance. Programmers are largely not time bound. Clients depending on their level of need can receive multiple interventions over an extended timeframe including concurrent programmers. They can leave the service and return if they need further injury related supports.  AS Interdisciplinary teams can include; Medical Specialists (Neuro, Pain, Psychiatric, Sports Med, OH); Clinical Psychologists, Neuropsychologists, Psychotherapists, Counselors, Social Workers, Physiotherapists, Occupational Therapists, Registered/OH Nurses, Speech and Language Therapists, Dieticians, Literacy and Vocational Coaches, Rehab Coaches and Care Workers.

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Sultan Alzubeidi completed his Bachelor degree at the age of 25 years from King Saud University, Saudi Arabia and his Master degree from University of Salford School of Medicine, U.K. He is the Director of Rehabilitation Services at King Salman Armed Forces Hospital, Tabuk, and K.S.A.

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Mohammad Hassan Khan is working as a physiotherapist in Karachi, Pakistan. He is currently pursuing master by research in management of cervical disorders. His practice and research area include cervical pain, neck syndrome.

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Purpose: The sacroiliac joint (SIJ) can be a cause of low back pain and sciatica. The aim of this study was to assess and introduce a new physiotherapy manipulation intervention for SIJ-related back and leg pain.

Methods: As a double-blinded, randomized trial, we evaluated the short-term therapeutic efficacy of a new intervention therapy against the current traditional practice. In this study, 60 patients with SIJ-related leg and back pain were studied. Following the initial assessment of each patient with respect to their perception of pain and quality of life (QOL), the effect of the treatment was evaluated. Using the visual analogue scale (annexure 1), perception of pain was assessed before and after the 1st, 2nd and 5th day (3rd day) of treatment. The instrument used for evaluation of quality of life was SF-36 (annexure1). At the outset of the study, QOL status was determined using this instrument. After the course of treatment by the assigned treatment method, each patient was reassessed using the SF-36 at the 5th week following a lapse of 4-week treatment free period. Except for having to drop out one patient for his failure to keep to the appointment, another 59 patients were treated successfully.

Result: The results show that the effect is highly significant at α = 0.001(CI 4.3+0.7) for pain reduction and α = 0.001(CI 1447.5+24.2) for QOL improvement. Of the 59 patients, 100% (n=30) have recovered from pain with the new treatment after the 3rd visit, while the recovery rate among patients who received the traditional treatment is 6.8% (n=29) after the 3rd visit.

Conclusion: In this double-blinded intervention study, the new manual therapy technique appeared to be the choice of treatment and more beneficial to the patients with back pain due to sacroiliac dysfunction than the traditional treatment. Further study to investigate its benefits with larger population should be encouraged. 

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Platelet-rich plasma (PRP) is one of many new developments within the field of regenerative medicine. Medical practitioners in areas such as musculoskeletal pain medicine, physical medicine and rehabilitation, and rheumatology have been exploring the benefits of this novel therapy. The idea of using platelet-rich plasma (PRP) in medicine has been around since the 1980s. Its use has been employed in the area of musculoskeletal medicine recently in the past few years. Platelet-rich plasma in this field has received much media attention due to being used by many celebrity sports athletes for sports injuries. PRP is a promising treatment for some musculoskeletal conditions; however, evidence of its efficacy has been highly variable depending on the specific indication. Therefore, it is essential for practitioners to be aware of the concepts surrounding their use and application. The presentation will cover what platelet-rich plasma is? How is it prepared and administered? Its potential clinical application, and what the current literature discusses in the various areas of clinical musculoskeletal medicine and rehabilitation.

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Introduction: Studies published on exercises in pulmonary rehabilitation are focusing mainly on aerobic exercises. Exercises using Weight Loaded Equipment’s (WLE) are not discussed much on studies.

Objectives: This study is focusing on exercises with WLE along with conventional pulmonary rehabilitation.

Methodology: 40 patients prescribed for pulmonary rehabilitation were selected. Control group is applied with Conventional Pulmonary Rehabilitation (CPR) techniques. Interventional group is applied with exercises using WLE with Conventional Pulmonary Rehabilitation (EWLE). The CPR protocol is applied for 30-45 minutes per session for 12 weeks and EWLE for 45-60 minutes of sessions with weight loaded equipment with weights from 5 kg to 20 kg with progressive 60 repetitions for 12 weeks. MRC breathless scale and 6 minute walk tests have been used as measuring tools pre and post- exercise sessions. All the 30 patients completed the activity for 12 weeks as a study group.

Results and Conclusion: Both groups have shown significant improvement with 6-minute walk test (p < 0.05), but EWLE group has shown better improvement p (30 ± 10% versus 12 ± 10% [mean ± SD] in the CPR group, p < 0.005). Strengthening of upper and lower limb muscles has been noted as a factor increases the endurance in MRC breathless scale as 20 ± 10% (p < 0.001) in EWLE, but CPR group has shown very lower level of improvement in endurance (5 ± 8% p > 0.05). The difference between SCPR and CPR in terms of functional improvement has been noted significantly (p < 0.01). Addition of exercises using WLE increases endurance and shown better result in interventional group compared to control group in MRC breathless scale and 6 minute walk test. Thus, the study has concluded that adding exercises with WLE increases the endurance thereby breathless is reduced significantly in pulmonary rehabilitation.

Biography:

Najla Alhashil is dealing with the Division of Rehabilitation and Ageing in the School of Medicine, University of Nottingham, UK. Her research interest is in the field of Neurological Rehabilitation.

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This study aims to evaluate the effect of nutritional risk screening tool (NRS2002) on identifying malnutrition in cancer patients undergoing radiotherapy based on Patient-Generated Subjective Global Assessment (PG-SGA). The nutritional status of cancer patients before radiotherapy in two tertiary hospitals in Shanghai and Zhejiang province were screened and evaluated by NRS2002 and PG-SGA. The Sensitivity, Specificity, Yoden index, Kappa value and area under ROC curve of NRS2002 were calculated using PGSGA as a gold standard. A total of 368 cancer patients were enrolled in this study. Among them, 27.1% of the cancer patients had NRS2002 ≥3 points at admission and 35.9% had PG-SGA ≥ 4 points. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening malnutrition (PG-SGA ≥ 4) were 37.87%, 87.28%, 69.56% and 25.16%, respectively. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening severe malnutrition (PG-SGA ≥ 9) were 62.06%, 96.18%, 80.16% and 58.35%. Results shows that NRS2002 has a low sensitivity but a high specificity for malnutrition screening. Therefore, it is still necessary to carry out nutritional assessment for low nutrition risk cancer patients with radiotherapy, and further nutritional support should be given to those who are in nutrition risk.

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