Message from the SecretaryMessage from the SecretaryMessage from the Secretary

Message from the DirectorMessage from the DirectorMessage from the DirectorOur institute has completed 5 yrs. and this year also as in earlier sessions the annual result have been very encouraging for IIIrd & IV yrs. In an important profession like physiotherapy, the General level of awareness is increasing every day and it is appropriate that this 1- day

conference at this time educates every one. The present conference on “ Anterior Cruciate Ligament Injury - A Comprehensive Approach” covering all its aspects is a learning experience for the students and all of us from this learned panel of specialists. I convey my best wishes to all the faculty & staff members for their valuable input.

Dr. Suvira Gupta

Dear Reader,

The work at BCIP touches many lives each day. Its student volunteer programs lift up needful hearts in our clinical facilities. Its faculty contributes to new

knowledge in a spectrum of important fields related to health care education. Not only are these individuals intellectually accomplished and well trained in their chosen fields, but are also formed in a traditional educational environment. A few years back when the society started this institute with a vision, I was sure that whether as faculty, staff, alumni, or friends, you will take great pride in what you have helped me to accomplish. The professionals produced by BCIP are a living expression of our vision, generosity, and devotion. The contents of this publication are not just to make you aware about accomplishment of BCIP but, its an inspirational dossier for our new students as well. I wish all faculty and students continual learning and inspire them to the highest realms of effort and achievement.

Message from the EditorMessage from the EditorMessage from the EditorWelcome Readers

It is an honour for me to present this issue of “BCIP Today”. It is satisfying that the publication has assumed quite an informative and interesting shape. This publication is also a forum to peep into various academic and co-curricular activities

that are conducted at our campus. As this magazine continues to evolve with its new look, so too does our editorial content. This issue features achievements of some of our best and brightest! & a wide focus on general and technical issues through a variety of media. I express my sincere gratitude towards our advertisers and look forward for their similar support in future also. As a closing statement, I thank all our partners in this accomplishment; it was a real pleasure to sum up the material collected for this publication!

Dr. Sanjeev Gupta

Bhuwan Mohan

Banarsidas Chandiwala Institute of Physiotherapy (BCIP) is one of the Institutes

being run by the charitable society namely, Shri Banarsidas Chandiwala Sewa

Smarak Trust Society, which was established in 1952 by the dynamic and

visionary Late Shri Brijkrishan Chandiwala, a veteran Gandhian and

philanthropist, in memory of his illustrious father Late Shri Banarsidas

Chandiwala, President of prominent social service organisations such as Bharat

Sewak Samaj and Sadachar Samiti. Shri Brijkrishan Chandiwala was a simple

man, endowed with visionary mind and was awarded “PADMASHRI”. He

formed the Society with the mission:

“To Provide Yeomen Service in the Field of Health and Education.”

Shri Banarsidas Chandiwala Sewa Smarak Trust Society is a registered society under the Societies Registration Act

and is located at Chandiwala Estate in the green belt of Kalkaji, New Delhi. To fulfill the mission, the Society provides

services in health, education & sports in Delhi .

Shri Autar Krishna is the Chairman of the Society and Shri Bhuwan Mohan is the Secretary, who has been tirelessly

managing the Society and has been instrumental in the growth of institutions. Besides BCIP, the Society runs the

following institutions:

Janaki Devi College for Women, New Delhi affiliated to Delhi University. This college, besides imparting

education in regular degree courses, provides number of vocational training programmes to the needy and the poor

girls to prepare them to be self-employed.

Banarsidas Chandiwala Institute of Medical Sciences is multi-speciality hospital located at Chandiwala Estate,

Kalkaji, New Delhi.

Banarsidas Chandiwala Institute of Hotel Management & Catering Technology (BCIHMCT), New Delhi was

established in 1999 by the trust to provide a 4 year program of Bachelor in Hotel Management & Catering

Technology.

Banarsidas Chandiwala Institute of Information Technology (BCIIT), New Delhi provides a Three-Year Master of

Computer Application (MCA) programme.

Banarsidas Chanadiwala Institute of Professional Studies, New Delhi, a multi disciplinary business school has

been established by the trust in 2008.

All these institutes are affiliated with Guru Gobind Singh Indraprastha University, Delhi for awarding the degree

and are approved by the All India Council of Technical Education (AICTE).

About the Society

About the Institute

Pedagogy

Banarsidas Chandiwala Institute of Physiotherapy (BCIP) was established in

2003 to run four & half year Bachelor of Physiotherapy programme (BPT). The

Institute is affiliated to Guru Gobind Singh Indraprastha University, Delhi and

is approved by the Delhi Council of Physiotherapy and Occupational Therapy

(DCPTOT). BCIP has been awarded “Category A” by Department of higher

education, Government of NCT of Delhi. The faculty and the students – share

the vision and mission of the Institute and are active partners in its

implementation.

Teaching-Learning process at BCIP is implemented by the dedicated faculty

through rigorous planning and keeping in view the needs of Physiotherapy curriculum. Students undergo

classroom lectures, tutorials, practicals, case studies, assignments, seminars, workshops, multimedia presentations,

lectures from guest speakers & visiting faculty and clinical training in various hospitals in their III & IV yr.

2

Placements

Institute Industry Relationship

Faculty

Results

Our first batch completed their internship in March 2007. All the students are well placed after completing the

course.

• Working at various reputed hospitals and institutions all over delhi like Apollo Hospital, Max Saket, Max

Gurgaon, Batra Hospital, Orthonova Hospital, BCIMS, Charitable Clinic, Maharaja Agarsen Hospital, Indian

Spinal Injury Centre, Reebok Institute etc.

• Eight of them are pursuing their masters in physiotherapy from reputed universities like Jamia Hamdard,

GGSIP University.

• One student is pursuing her masters in Biomechanics from USA

• Five of them are pursuing their masters in Business Administration from GGSIP University.

• Students are encouraged to attend various workshops and conferences to widen the horizons of their

knowledge all through the year

• Final year students visited the Prosthetic and Orthotic Department of IPH accompanied by the faculty.

• From third year onwards students go to various hospitals for their clinical training

Faculty is the most precious resource of the Institute. All faculty members are postgraduate and regular appointees.

They are dedicated to the cause of students and remain available to the students during the working hours of the

Institute on all days. Besides the regular faculty, guest faculty from reputed institutes/university and experts from

the field share their views on variety of subjects.

Director - Dr. Suvira Gupta

Senior Advisor - Dr. Geeta Rastogi

Regular Faculty - Dr. Chaya Garg, Dr. Abha Sharma, Dr. Angusmay R., Dr. Deepti Verma, Dr. Nidhi Pathak,

Dr. Abha Khurana, Dr. Sumit Kalra, Dr. Davinder Kr. Gaur , Dr. Niti Aggarwal ,

Dr. Savita Tamaria, Dr. Sukhmeet Singh

Visiting Faculty - Prof . Krishna Garg (Anatomy), Dr. Anita Sharma (Physiology) ,

Prof. Nancy Kaul (Biochemistry), Dr. Kiran Vasudeva (Anatomy),

Ms. Poonam Dhanda (Sociology), Dr. Anita Gupta (Psychology),

Prof. G.G. Mansharamani (Medicine), Prof. Neena Diwan (Microbiology),

D r. A s h i s h D i x i t ( Pa e d i a t r i c s ) , D r. S h i k h a G u p t a ( S u r g e r y ) ,

Prof. Shashi Bala Gupta (Pharmacology), Dr. Usha Modi (Pathology),

Prof. Uma Goyal (Gynae & Obs), Prof. Meena Gupta (Neurology) ,

Dr. S.S. Rawat (Orthopaedics), Dr. Dhananjay Gupta (Orthopaedics)

Dr. Anita Gupta (Biostatistics )

- Mr. Sarvan Kumar

• Students of BCIP showed exemplary performance in end term

examinations 2008.

• III and IV year students achieved 100% result with 128 and113

subject distinctions respectively.

• For II and I year students passing percentage was 86.7 and 75.4

respectively.

Head of Department - Dr. Sanjeev Gupta

Administrative

Officer

75.36

86.7100 100

0

20

40

60

80

100

Students passed (%)

BPT

1st year

2nd year

3rd year

4th year

3

n view of metropolitan life when time and cost

overpowers the interest for every activity then

books shine out as a milestone above everyone.IThe written word, by virtue of itself is powerful. Like an

incantation or a spell that by itself can create magic, a

word, unembellished by images and sound, can create a

world. Reading is quite unlike seeing, listening, smelling

or feeling. But it is like living. The world of books changes

not only with change of book, it changes with how a book

is read and what part depicts the reality of life. And it

changes the world by letting the changes to come in the

person’s personality. The written word is essentially and

infinitely more powerful, a vista into parallel universe;

the word can do endlessly more than any other mode of

entertainment or knowledge.

Books can twist and turn, make works glossy and

fade, with the stroke of ink. They can challenge us, work our senses. Since the screen deals with

the bare reality, it makes all else depend on that reality. We can see things, hear them and what is

not obvious, we are not inspired to do. Reading asks everything of your minds, so one tends to

do everything-feel, smell, touch, sense, and breathe in and out. It makes us a participant, not a

passive observer simply because we are creating and constructing world, not watching it being

made.

One can explore maximum cities and play sacred games, indulge in conspiracies and enter

chamber of secrets, unlock houses of mirth or steal away Helen of Troy. A book is neither an

immediate perspective nor a current event. It is written at leisure, penned down in waves of

understanding and read with hindsight. Unlike other sources of knowledge, the written word

in print is astoundingly trust worthier and infinitely more nuanced. Fiction written is more

than a story, it is a gateway to the world of beautiful, grotesque, unreal things- a world that is

our to visit and revisit, construct and deconstruct.

There is no better time than now to take book reading as a noble hobby. The city is frozen stiff;

lick frost off the air. So, curl up in a warm corner, with a few hundred pages of something and

devour and savor ringlets and curls of black rich ink; giggle; sob; rejoice and ponder a bit. Slow

Down! The world will not move forward leaving us behind, simply because we were reading a

book rather, we will be a few steps ahead when we are done.

Books are friends for ever!Books are friends for ever!Books are friends for ever!

JASPREET KAUR

BPT Student4

iabetes is a syndrome of disordered metabolism, usually

due to a combination of hereditary & environmental

causes, where the human body either doesn’t produce or Dproperly use insulin, a hormone which converts sugar and other

food into energy resulting in abnormally high Blood Sugar levels.

People with Diabetes usually complain of frequent thirsts, frequent

urination, excessive hunger, tiredness & it may also lead to visual

problems of which Retinopathy can be the biggest disability. INDIA

has the highest number of diabetic patients in the world & the

situation is becoming worse day by day.

Thanks to modern medical & technological development

management of diabetes has become a household affair.

A Diabetic can lead a healthy life by following:

Regular exercise: for 30 mins to 1 hr. in the form of

Running, jogging, cycling, swimming, yoga, aerobics or

games like Badminton or tennis etc. (b) Healthy diet: -

Avoid chips, bakery products, fried food etc., take

plenty of fruits & vegetables, Eat 4-5 meals at regular

interval, Minimal intake of sugar in form of sugar

substitute tablet for calorie control, (c) Regular Health Check ups (for Blood sugar, cholesterol,

etc.) advised every 6 months.

Patients can themselves check their blood sugar by an

instrument “GLUCOMETER”. Hence, it can be said that

Diabetes no longer is a life threatening disease ;it is just a

medical condition that requires a little lifestyle modification for

its management.

(a)

HAVE DIABETES? DON’T WORRY!!HAVE DIABETES? DON’T WORRY!!HAVE DIABETES? DON’T WORRY!!

KRITI SACHDEVA

BPT Student

5

t is a place where the trees represent the height or the extent to which the kindness or help of God

reaches towards his devotee. IIt is a place where the mother plant give birth to the daughter plant and flourish the happiness all around.

It is a place where the roots act as a placenta and nourish the small shrubs & herbs to develop into a

complete tree.

It is a place where different types of rocks represent the different souls of God which are the foundation

of a plant by giving support to its roots.

It is a place where the flowers give fragrance and add beauty, light & different shining colors to the life of

the lifeless people who see it.

It is a place where the manure is like the blood by the tree and the tree can’t live & service without it.

In all, the analysis of the garden is that a garden

is a beautiful scenery which can be painted

effectively by the painter. It is like a dream

house full of angels i.e. the beautiful things for the

nature lovers.

Therefore, we can say that a garden is like a temple for

the people who love beauty, peace and happiness. So, one

shouldn’t destroy the gardens for their personal purposes as it

is a temple of God.

GARDEN INSPIRESGARDEN INSPIRES

SAKSHI BAHL

BPT Student

Knowledge to Wisdom,

Selfishness to Selflessness,

Differentiation to Equality,

Day – dreaming to Reflection,

Silence of anger to Silence to introspection,

Restlessness to Dynamism,

My – ness to Oneness,

Criticism to Appreciation,

Argument to Discussion,

Pity to KindnessDR. ABHA SHARMA

Faculty

LET US CHANGE

LET US CHANGELET US CHANGE

6

he use of ultrasonics in physical therapy dates back to the 1940s. Following the development of

medical ultrasonics, therapeutic ultrasound gained progressive popularity in departments of

Physiotherapy worldwide. In early 1950s Therapeutic ultrasound (rather than diagnosis) Temerged as a major objective for use of Ultrasound in Medicine.

Raimar Pohlman (German physicist) is often hailed

for introduction of ultrasonics in physical therapy. He

proposed the idea of ultrasound application on tissue

first. He further advanced this idea in the late 1930s, at a

time when the required technology did not exist and

proposed that such technique could be used to cure

certain muscoloskeletal and related ailments. Later

Paul Langevin found that pain was induced in the

hand when placed in water insonated with high

intensity ultrasound. Following this in 1938 Raimar

Pohlman demonstrated the 'therapeutic" effects of

ultrasonic waves in human tissues. He introduced ultrasonic physiotherapy as a medical practice at the

Charite in Berlin.

The 1940s saw brisk claims on the effectiveness of ultrasound as an almost "cure-all" remedy, abeit the

lack of much scientific evidence. This included conditons such as arthritis, gastric ulcers, eczema,

asthma, thyrotoxicosis, haemorrhoids, urinary incontinence, elephantiasis and even angina pectoris!

Also skepticism and anxiety over harmful tissue damaging effects of ultrasound were also mounting,

which had curtailing consequences on the development of therapeutic ultrasound in the years that

followed.

Nevertheless there were some positive developments also that came to the rescue of clinical

application of ultrasonics. Jerome Gersten reported in 1953 the use of ultrasound in the treatment of

patients with rheumatic arthritis. Several groups such as the Peter Wells group in Bristol, England, the

Mischele Arslan group in Padua, Italy and the Douglas Gordon group in London used ultrasonic

energy in the treatment of Meniere's disease.

Since then physiotherapeutic applications of ultrasound have unfolded in unimaginable course. Its

practice has witnessed unparalleled growth and clinical acclaim. Hats off to those pioneers for their

revolutionary acumen and extra ordinary thinking to create this marvel in physiotherapy. Today

therapeutic ultrasound is a must occupant of every physiotherapy department.

ARCHIVES OF

THERAPEUTIC ULTRASOUND

ARCHIVES OF

THERAPEUTIC ULTRASOUND

DR. SANJEEV GUPTA

Head of the Department

7

ostural syndrome is essentially repetitive stress to the neck and thoracic spine, or the 12

vertebrae of the mid-back and chest area, from the so-called flex-forward position. Doctors Pand physical therapists say that the injury commonly targets the fourth, fifth and sixth discs

in the thoracic spine, leading to muscle tenderness, stiffness or, in some cases, nerve irritation.

A prolonged slouch over many years causes the disc space to narrow, which in turn can cause nerve

irritation that spreads underneath the shoulder blades, down the arms and down the back.

Sure, most office workers and their ergonomic specialists are familiar with the dangers of repetitive

motions with a mouse and keyboard at the PC all day, resulting in weakened wrists, tennis elbow or,

worse, carpal tunnel syndrome. But some physical therapists say that such injuries lately are taking

a backseat to patient complaints of pains in the mid- to upper back and neck.

"We call it the flex-forward posture, where your head's jetting forward, the abdominals shut down

and the majority of the pressure comes to the mid-back," "Your spine is going to have to give

somehow."

Repetitive stress injuries (RSI) are a group of conditions generally caused by placing too much stress

on a joint, and they vary in type and severity. Most repetitive stress injuries are linked to the stress of

repetitive motions at the computer or overuse injuries in sports. RSI in kids may occur from heavy

computer or video game use, playing musical instruments, or the repetitive motion of sports such as

tennis. RSI occurs when stress is placed on a joint, pulling on the tendons and muscles around the

joint. When the stress occurs repeatedly, the body does not have time to recover and becomes

irritated. The body reacts to the irritation by increasing the amount of fluid in that area to reduce the

stress placed on the tendon or muscle.

Carpal tunnel syndrome: swelling inside a narrow "tunnel" formed by bone and ligament in the

wrist; the tunnel surrounds nerves that conduct sensory and motor impulses to and from the hand,

leading to pain, tingling, and numbness

Cervical radiculopathy: disk compression in the neck, often caused by repetitive cradling of a phone

on the shoulder

Ganglion cyst: swelling or lump in the wrist resulting from jelly-like substance that has leaked from

a joint or tendon sheath Reflex sympathetic dystrophy: a condition characterized by dry, swollen

hands and loss of muscle control; consistently painful

Fortunately, only a small percentage of kids have RSI. You can help prevent RSI by taking preventive

measures and redesigning your home computer environment so that it fits your child.

What Are Repetitive Stress Injuries?

Conditions that occur as the result of repetitive stress injuries include the following.

Epicondylitis: elbow soreness often known as "tennis elbow"

Tendonitis: tearing and inflammation of tendons connecting bones to muscles

REPETITIVE STRESS INJURIES

8

DR. SUMIT KALRAFaculty

Symptoms

Preventing Computer-Related Injuries

Here are some tips:

The following complaints are typical in patients that might receive a

diagnosis of RSI

Pain in the arm (typically diffuse--i.e. spread over many areas).

The pain is worse with activity.

Weakness, lack of endurance.

Muscles in the arms and shoulders feel hard and wiry when palpated.

The symptoms tend to be diffuse and non-anatomical, crossing the distribution of nerves, tendons,

etc. They tend not to be characteristic of any discrete pathological conditions.

The typical patient presents with a strong intuition that their pain indicates existing and ongoing

tissue damage.A good way to understand this is that they have a strong "pain alarm"--pain tends to

be accepted as a sign of danger and they have difficulty modulating

this intuitive uneasiness with pain (e.g. turning down or turning off

the "pain alarm".

To prevent injuries from computer use, make sure your computer

equipment and furniture fit you properly and that you use correct

typing and sitting positions.

Make sure the top of your computer screen is aligned with your forehead.

Sit up straight with your back touching the back of your seat. Chairs that provide extra support,

especially lumbar (lower back) support are helpful. Avoid slouching over your keyboard or tensing

your shoulders, which can place unnecessary stress on your neck, back, and spine.

Let your legs rest comfortably with your feet flat on the floor or on a footrest. (To test whether your

legs are in a good position, try placing a pencil on your knee — the pencil should roll toward your

waist, not off of your knee.)

Use a light touch when typing. Place the keyboard close to you so that you don't have to reach for it.

Fingers and wrists should remain level while typing. Try a wrist rest for extra support. Your wrists

and forearms should be at a 90-degree angle to the upper part of your arms. Elbows should be

placed close to the side of the body to prevent bending the wrists side to side.

It's easy to lose track of time when you're surfing the Internet or immersed in a homework

assignment. Be sure to take breaks (to stretch or walk around) about every 30 minutes — even if you

don't feel tired or feel any pain. (If you lose track of time, use a timer so you know when you're

due for a break.)

Try an ergonomic ("ergonomic" means specially designed for comfort) keyboard that has a curved

design, and use a trackball instead of a mouse.

If you are experiencing symptoms such as pain, swelling, numbness, or stiffness while playing your

sport, stop playing right away and see your physical thaerpist as soon as possible.

9

10 year old child with complaint of difficulty in grasping with left hand and maintaining sitting Abalance.

History of Present illness: Patient suffered RTA. CT Scan was done which revealed – small contusions in

right basal Ganglia with no mass effect. Was given conservative treatment including Botox Therapy.

Physiotherapy sessions began at our Physio Department.

Presentation: Walked with a circumductory gait, had lack of full control of spontaneous movements,

mouth deviated towards right side, mild hypoesthesia present over left limb, Grade 1 tonicity was

present, had weakness of shoulder flexor(3/5), elbow extensor (3/5), wrist extensor (2/5), hip flexor (2/5),

knee extensor (3/5) and ankle dorsiflexor(3/5), Biceps, triceps, and ankle jerk were exaggerated, trunk

drooped towards left side while sitting. Functionally Patient had difficulty in grasping, and performing

fine coordination activities.

Physiotherapy: Exercises including facial muscle exercises, strengthening exercises for Upper limb &

Lower limb, balance training, mat activities were given. PNF patterns of arm, leg & Trunk were also

instituted.

Follow up: (After 1 month)

• Patient had significant improvement in reaching & grasping activities.

• There was 50% reduction in drooping of the trunk while sitting.

LEFT SIDE HEMIPARESIS

Dr. NIDHI KASHYAPFaculty

MUSIC THERAPYA new Revolution

MUSIC THERAPYA new Revolution

usic therapy is very much in demand these days. Music is used

in many facets —physical, emotional, mental, social, aesthetic

and spiritual.It help clients to improve or maintain their health. MIn some cases, the client's needs are addressed directly through

music. It is used with individuals of all ages. It is used in a variety of

conditions like psychiatric disorders, medical problems, physical

handicaps, sensory impairments, substance abuse, communication

disorders, interpersonal problems, and aging. It is also used to improve

learning, build self-esteem, reduce stress, support physical exercise. New

Age medical practitioners are increasingly relying on the therapeutic

powers of music to heal their patients. It has been known to have soothing

effects on overwrought nerves since ancient times. To maximize the

effectiveness of the music, go for music you are familiar with that breeds

calmness. Walking with your favorite music is also a great stress reliever. To

wash away stress take a "Sound Bath” with relaxing music on your stereo.

Music with slow rhythm is found to be very effective. For stimulation after a day of work go for faster

music. Listening to the sounds of nature such as ocean waves can reduce stress.

NIDHI KATHURIABPT Student

10

Top performers from a variety of sports imagine themselves performing a sports activity. They imagine

themselves performing these activities successfully, enjoying the activity and feeling satisfied with their

performance. They see, hear, feel, touch, smell and perform, as they would have to perform in the real

life.

This process is known as “Mental imagery”. Also called visualization and mental rehearsal, mental

imagery is the experience that resembles perceptual experience, but which occurs in the absence of the

appropriate stimuli for the relevant perception. Whenever one imagines himself performing an action in

the absence of physical practice, he is said to be using imagery.

MODES OF MENTAL IMAGERY

1. Visual mode (most commonly used) 2. Auditory mode 3. Kinesthetic mode

TYPES

1. External Imagery: is predominantly visual and characterized as a third-person perspective (seeing

oneself performing)

2. Internal (motor) Imagery: is kinesthetic and explained as a first-person perspective (feeling oneself

performing)

THREE-STAGE DEVELOPMENT PLAN

STAGE I Sensory Awareness: Dedicated to appreciating things that individuals take for granted. Along

with visualisation, imagery includes the feelings of movements, sounds, emotions and, even smells.

STAGE II Develop Vividness This is the stage to be creative and experiment by using various scenes and

experiences that are very familiar. These exercises do not need to be sport-specific at first, as the idea is to

promote overall clarity of image.

STAGE III Control It is important to have control over the images as imagery

can be destructive also. If, for example, a golfer is imagining the path of the ball

but continually sees himself missing the target, it will not be helpful.

PHYSIOLOGICAL MECHANISMS

1. Correlative activations at the cortical level as well as in the musculature

imagined as being used.

2. Similar activity in the motor execution cortical areas, cortical motor evoked

potentials, and cerebral blood flow as when actual movement is performed.

3. Similar electromyographic (EMG) activity, in the muscles imagines as while

performing the movement.

4. Identical cerebellar control mechanisms.

EFFECTS & USES

1. Positive effect on Strength, Endurance, Aim and Precision.

2. When combined with Physical Practice, Accelerates Motor Learning and

Improves subsequent Physical Performance.

3. Improves balance and co-ordination in elderly and neurological

patients.

4. Improves posture with abnormal curvature of the spine and other

postural deviations. DR. CHAYA GARG

Faculty

The Mental Edge

11

February 2008

DR. ABHA SHARMA

Faculty

STUDY REPORT FROM DEPARTMENT OF

PHYSIOTHERAPY RHEUMATOLOGY &

ORTHOPAEDIC SURGERY ON PA SHOULDER

Comparison of various treatment approaches.

A of the shoulder remains one of the commonest disorders in an Orthopaedic &

Physiotherapy OPD department. Various treatment approaches like ultrasound, heat – Psuperficial & deep, exercise, Massage, current therapy, Laser, analgesics, intra-articular

cortisone injections have been widely used in various combinations.

A study done by P.N. Lee et al, published in Annals of Rheumatic Disease Annals of Rehm.

Dis. (1974), 33, 116, divided PA patients in 4 groups, 15 patients in each receiving the following

treatment –

Group - I - Heat & Exercises

Group - II - Analgesics

Group - III - Hydrocortisone to the Joint & Exercises

Group - IV - Hydrocortisone to biceps & Exercises

Treatment was given for a period of 6 weeks and active abduction, passive abduction, internal

rotation & external rotation was measured before the treatment and at weekly intervals for 6

weeks.

Result & conclusion from the study showed : -

1) From the point of view of movement analgesic group fared worse than any of the others

and that hydrocortisone to the joint and exercises was the best treatment option given.

2.) Analysis of variance showed that the 3 treatment gave significantly better result than

analgesics (P < 0.01), but no significant difference between the three treatment.

3) Analysis of variance of the individual time differences for the three treatments gave only one

significant result, there was superiority of Hydrocortisone to the joint for time frame in

recovery.st

4) 1 three weeks of treatment showed greater improvement in recovery than the last, 3

weeks.

In light of the above study one would like to emphasize that –

1) Groups that performed exercises fared much better than non-exercise group. This

shows the importance of exercises in improving the ROM for the joint and early

recovery.

2) Secondly, over years of clinical practice with patients having restriction of > 50% of

movement and intolerable pain show best results with hydrocortisones given intra –

articularly followed by exercises. The dramatic relief in pain & inflammation helps

markedly improving the ROM.

14

he study comprised of 2 groups, 10 females each, age group 18 -25 years with chief complaint as

pre - menstrual discomfort. None of the participants had any pathology like fibroids, cysts or Tpregnancy. Experimental group was explained a set of pelvic floor exercises for 3 months to be

done twice a day. Menstrual pain grading system was used to determine the pre & post test menstrual

pain score. Control group was not advised any exercises. The improvement in menstrual pain in

experimental group was 42.86 % and in control group 3. 85% (incidental).

The study supports similar study by Kegel Master who stated that Kegel exercises promote pelvic

vascularity which causes toxins to be flushed out bathing the entire pelvic region with fresh blood

supply, reducing the length of each menstrual period & menstrual cramps. Other studies by Hay Smith et

al, also support that pain is gradually diminished due to strengthening of pelvic musculature.

Though our study had limitation of small number of subjects as it could be done for 3 months only, we

would like to do a long term study.

The Benefits of Pelvic Floor Muscles Exercises in Dysmenorrhea

The Benefits of Pelvic Floor Muscles Exercises in Dysmenorrhea(A project report prepared by Nidhi Singh (Student BCIP)

under guidance of Abha Sharma (Lecturer, BCIP), 2006 – 2007.)

DR. ABHA SHARMA

Faculty

emographers, intellectuals and all other concerned people of India are

worried over the declining ratio of girls which has dropped from 972 in 1901

to 933 in 2002 per 1000 males and is still declining. A recent study shows that Dthere are still many countries in India which do not welcome the birth of a

girl child.

Can a country ever dream of becoming great if it doesn’t give equal right to all the citizen? In the deeply

conservative, patriarchal societies of rural India, women’s are still considered inferior to men. They are

unwanted at births, ill-treated and kept under-fed as infants and not educated in childhood. Even in

educated societies, the gender bias continues to prevail. Male child is considered as he is the bread-

earner, carries on the lineage and brings dowry at the time of marriage.

Today girls are no less capable than boys. They have proved their mettle in all spheres of human

enterprises. So, government and activists must strengthen their strategies to secure the right of a girl

child. Female infanticide, feticide, and sex determination are now already punishable offence under law.

Still a strict check should be kept as even till now all these offences do take place.

Education empowers women and helps them to gain independence and support her family.

Acceptance of a girl child with joy, can alone take the society on the path of real success. One must

remember that women are worshipped in India as Shakti, so they must not be treated as second class

citizens. Reservation of seats in local administrative bodies, enforceable property rights, and equal

wages will go a long way in improving the status of women. So, the government,

medical fraternity, media and social reformers must be galvanized into action and

launch a nation-wide campaign to protect and strengthen the right of a girl child.

Girl ChildGirl ChildGirl Child

Give them place in your heart and you will see them succeeding everywhere! JASPREET KAUR

BPT, Student

15

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RUMIT SINGH

BPT Student

DISABILITY REPORTERBUDGET 2007-08 HAS A SILVER LINING - F.M. EARMARKS RS. 1,800 CRORE FOR EMPLOYMENT

OF DISABLED PEOPLE

LALU PROMISES MORE DISABLED-FRIENDLY COACHES

I.I.M.-B. REJECTS BRIGHT DISABLED STUDENT; REBUFFS R.T.I. PLEA FOR

DETAILS OF SELECTION

POWER BILLS IN BRAILLE TO BE INTRODUCED IN CAPITAL

VISUALLY IMPAIRED PEOPLE EXERCISE THEIR FRANCHISE INDEPENDENTLY

CELLPHONES TO AID VISUALLY IMPAIRED PEOPLE

CHENNAI HOSPITAL CLAIMS STEM CELL SUCCESS ON PARAPLEGIC

NEW TWO RUPEE COIN CREATES CONFUSION IN MINDS OF VISUALLY IMPAIRED PEOPLE

DELHI UNIVERSITY’S DISABILITY BOARD RECONSIDERED THEIR DECISION ABOUT

ALLOWING A 20 YEAR OLD BOY PURSUE A CAREER IN PHYSIOTHERAPY

In a major breakthrough in the area of employment for disabled people, Finance Minister P. Chidambaram

announced that he has earmarked Rs. 1,800 crore for the employment of disabled people. He also announced

incentives and proposed a scheme under which the Government will reward the employer once the

physically disabled employee is regularised and is enrolled under the Employees Provident Fund (E.P.F.) and

the Employees State Insurance (E.S.I.).

Union Railway Minister Lalu Prasad Yadav introduced the Railway budget 2007-2008 on 27 February 2007

and announced increase in provision of special coaches (S.L.R.D. and S.R.D.) for physically disabled

passengers.

This is not the first time, and sure it will not be the last. Educational institutions all over India continue to be

discriminatory in their approach to disabled students, and brilliant ones at that! The sad story continues as

I.I.M.-B. turns away another bright visually impaired student with a percentile score of 89.29 in Common

Admission Test (C.A.T.) 2006.

B.S.E.S., the power distribution company in the Capital, is all set to introduce electricity bills in Braille. This

initiative will enable visually impaired people to read their electricity bills, thereby making them self-reliant.

All they need to do is to inform the local office.

In a shining example for all other states to follow, the Election Commission has set up a separate polling booth

for visually impaired people at National Institute for Visually Handicapped (N.I.V.H.) in the Rajpur

Assembly constituency of Uttarkhand, where they can cast their vote independently. It is the first one of its

kind in the country.

In a pathbreaking initiative, cellphone-based technology designed to help visually impaired persons find

their way in a particular location, is being developed by the International Institute of Information

Technology–Bangalore (I.I.I.T.-B.), and Chennai based companies, Lattice Bridge Info and Spatial Data

(Spinfo).

In the first ever instance in India, and perhaps second in the world, Lifeline Multi Specialty Hospital in

Chennai in collaboration with the Niche-in Centre for Regenerative Medicine has ‘almost’ cured a paraplegic,

Akbar Ali. 23-year-old Ali was wheelchair bound with no sensation below his chest after a fall from the fourth

floor of a building in Abu Dhabi on 12 October 2006.

The new two rupee coin recently introduced by the Reserve Bank of India (R.B.I.) is causing confusion in the

minds of visually impaired people as it is difficult to distinguish it from the one rupee coin.

Earlier rejected by Delhi University’s Disability board Ravdeep Singh suffering from cerebral palsy finally

managed to convince the board to allow him to enroll for the physiotherapy course at Deen Dayal Upadhyay

College.

18

CRUSH INJURY OF HAND – CLINICAL REVIEW 26 year old male presented with a complaint of Stiffness in the left index finger & Inability to move the finger Aduring activities of daily living.

H/O: Crush injury on left index finger while working on a machine. X-ray was done which revealed an intra-articular

fracture of head of proximal phalanx, base and head of middle phalanx, and base of distal phalanx of the left index

finger. Wound debridement and tendon repair was done. Dressing with strapping of index and middle finger was

done. Physiotherapy sessions began at our physio department

PRESENTATION: All joints of index finger were held in slight flexion. Moderately adherent scar was present on

dorsal and volar aspect of index finger. Tenderness was present on medial aspect of PIP of left index finger. Active

ROM of PIP was not possible while Passive was 10º- 15º & at DIP both Active and Passive were not possible. Rest all

joints had complete and pain free ROM. Index finger strength was not taken because no Active ROM available.

Radial deviator was (3/5). Rest all muscle strength was (4/5). Sensations were normal. Functionally patient had

difficulty in holding glass of water, tie shoe laces, & buttoning.

Patient was diagnosed as CRUSH INJURY left index finger.

PHYSIOTHERAPY: Hot pack was given to left index & middle finger, Soft tissue manipulation- finger kneading

around the scar, Mobility exercises- Active assisted exercises to MCP & IP jt, Mobilization exercises (grade 1),

Strengthening exercises & Functional activities were given to the patient.

FOLLOW UP: Patient reported 50% improvement in mobility and functional performance after 4 months. ROM at

PIP & DIP joint flexion was found to be ( 0º- 50º) & ( 0º- 15º ) respectively.

CONCLUSION: It is a common observation that mobility and functional performance after crush injuries is not very

significant. But, on the basis of the improvement shown by this patient it is recommended that a comprehensive

approach involving mobilization exercises, soft tissue manipulation, and functional activities can prove to be

beneficial in such cases. DR. SAVITA MEENAFaculty

he medical significance of water is well known. It is a good medium of exercise

as it provides a stress free and relaxed environment for movement. Aquatic

Therapy is simply water therapy and has been used by people for hundreds of Tyears. In this, water is used for medical treatment and relaxation.

The unique effect of water is due to buoyancy which reduces stress on weight bearing joints

by reducing gravitational forces. Therefore, all levels of exercises can be performed in water. Exercises in

water are progressed by working through the stages of buoyancy - assisted, neutral, and resisted.

Exercises performed in warm water provides an additional advantage. It increases circulation to the tissues, thus

providing more oxygen and nutrients and removes waste products from them.

Patients of various musculoskeletal and neurological problems such as all forms of arthritis, Low back pain, muscle

disorders, fractures, post surgical cases, paralysis, Polio, Parkinson’s Disease, Stroke or those with balance and

coordination problems can be benefited from Hydrotherapy.

However it may not be appropriate to advice it in patients with Severe Cardiac diseases, patients with

low/high blood pressure, Uncontrolled Diabetes, Gastrointestinal Infections, Incontinence of

faeces, unless on a controlled regime, Wound or skin Infections, Vertigo / Dizziness, Hydrophobia,

etc.

The Basic Advantages: Why Aquatic Therapy

It helps in early initiation of exercises. Even difficult exercises can be performed with great ease

if they are done in water. It helps to relax tense muscles, relieve pain, improve joint mobility,

muscle strength, balance, cardio-vascular and respiratory function. Swimming skills are not

required to perform exercises in water. Its psychological and social benefits are numerous,

especially when the activity takes place in a group.

As it can be given to maintain and improve general health and well-being for all ages from the very

young to the frail elderly, it is emerging as a therapy of choice in developed countries.

Dr. ABHA KHURANA

Faculty

A MAGICAL DIP IN WATERA MAGICAL DIP IN WATER

19

In the west of the west side of our college lies a dingy little class,

Which actually seems like a twisted tree lodge.

With all the fiction terror makers as people say

We’ve even heard teachers whisper that we feed on hay.

Together we make nose like unceasing traffic, for sure,

Sometimes for others it is hard to endure.

Our class is surely full of many shining stars,

But its horoscope is not good, we are influenced by bad stars.

Astrologers say Jupiter has for us his eye benign,

But Saturn and Mars are not properly aligned.

So though the students of first year are at the top,

Each teacher checks us like a hardened cop.

Let me tell you a little about our potential

For all the events in the college we are essential.

Some are seen at debating meets,

While others are all athletes.

Some of us are in the making,

While others to the paint brush are taking.

We constitute a major chunk of sports fanatics,

We all are really good at dramatics.

All together we sing like nightingales

Alas! A bad name still along with us trails.

Yes, honestly speaking we do have some pranksters,

Never mind a little fun, after all we are youngsters.

We are sometimes dumb but sometimes we are shrewd,

Polite we are, only at times just a little rude.

Teachers consider us notorious as pubs,

Mind one thing we don’t belong to neon clubs.

We have moral values and ethics always to guide us,

But any problem in college and the blame is fixed on us.

Ever wondered how your eyes work as a password to enter into a digital gate-The answer is

Retinography. It is a biometric device that contains a special scanner that can map the unique pattern of

blood vessels on the retina.

How does this scanner works ?

A retinal scanner uses infrared light for mapping. As you look into the eyepiece, an

invisible beam of low-energy infrared light traces a circular path on the retina at the back

of the eye. The blood-filled capillaries absorb more of the infrared light than the

surrounding tissue. Because of this, there is a variation in the intensity of the reflection. The

scanner measures this reflection along the beam path. It then assigns an intensity grade.

The resulting numbers are compressed into an 80-byte computer code. This code can then

be compared with patterns that have already been entered into the computer's database.

Future use

New concerns about security from terrorism and bank and credit card fraud

have caused many organizations to think seriously of using retina scans or other

biometric means to identify people at airports and ATM machines.

RetinographyRetinography

NIDHI MOHLA

BPT Student

An

Ode

to

First

Year

An

Ode

to

First

Year

An

Ode

to

First

Year

SHRESHTHA SHARMA

BPT Student

20

BE CAREFUL ABOUT THE CHARACTERISTICS OF WORK RELATED MUSCULOSKELETAL DISORDER………..!!!!!!!

WORK CAN ALSO LEAD TO PAIN;DO YOU KNOW? WORK CAN ALSO LEAD TO PAIN;DO YOU KNOW? work related musculoskeletal disorder (WRMD) may be caused by a

single trauma, not necessarily a repetitive or cumulative one. Certain Aoccupations are associated with a high risk for lower back, neck and

arm pain such as computer professionals, doctors, laboratory workers working

in awkward positions of the neck, arm and shoulder. It is important to recognize that personal characteristics andother environmental and socio-cultural factors

usually play a role in these disorders. If you are suffering from neck pain you may attain a sustained contraction of the neck muscles, usually trapezius

muscle during work, inducing pain and stiffness.

ain and stiffness gradually increase during work and are

worst at end of working day and week. Pain localized to Plower back, neck region and angle between neck and

shoulder but usually no radiation of pain to the arm or legs.

Symptoms improved by heat and worsened in cold environment.

Pain while pressing over neck and shoulder muscles and reduced

range of movement of cervical spine.

BE CAREFUL ABOUT THE CHARACTERISTICS OF WORK RELATED MUSCULOSKELETAL DISORDER………..!!!!!!!

requently people with WRMD seek treatment only when the

symptoms start to seriously interfere with their work or

when their pains persist even during rest. This is unfortunate Fas early management produces the best and fastest results. Rest

alone does not cure WRMD's, it may at best settle the symptoms

temporarily. However, prolonged rest will lead to a deconditioning

and weakening of the muscles and associated structures.

Emphasis is being placed on self- management with new postural

and work habits to be formed and a set of exercises to be carried out

regularly. There is no standard treatment period but for some

people who seek treatment early, three or four sessions are

sufficient.

The physiotherapy techniques that have been found to be most effective include exercise, electrical

modalities, life style modification and counseling.

Exercises are a crucial part of treatment and a specific programme should be developed for each

individual to follow. This should include exercises to be used both at home and at work. We often

recommend taking up some form of general exercise. This can involve gentle gym workouts, swimming

or organized classes. As a rule swimming, yoga, gentle stretch classes and walking are preferable to

racquet sports and weight training. People with an established and chronic condition will benefit from a

formal work rehabilitation programme, which will progressively increase the tolerance to the critical

activity.

YOU CAN PREVENT IT FROM HAPPENING TO YOU…..!!!!!!!!!!YOU CAN PREVENT IT FROM HAPPENING TO YOU…..!!!!!!!!!!

DR. DAVINDER KR. GAURFaculty

21

THAT SIMPLE SMILEymming, running, walking—you do all these to keep healthy. But do you know which is the best

workout for your lungs, heart and soul? Laughter is indeed the best medicine…GAnswer a simple question: How long has it been since you laughed out loud? Not that silly LOL on the chat.

Really laughed out loud.

I don’t remember my last hearty laugh. If you too feel that it’s been ages since you

laughed without a care in the world, then beware!! Because you are missing out on one

of the most important workouts for your body and soul.

Laughter secretes anti-stress chemicals in the brain, associated with the feeling of

happiness. As we grow old, the production of these chemicals in the body decreases. So

laughing becomes all the more important with increasing age. (Explains the Laughter

club membership?).

BENEFITS OF THAT PEARLY GRIN:

Laughter decreases blood pressure and normalizes heart rate. It’s a great workout that helps lungs breathe

better and keeps muscles in the diaphragm, abdomen, respiratory tract, Face, legs and back healthy. It also

helps to prevent heart diseases

It takes more muscles to frown than to smile. So give your muscles some relief and smile your way through

life… smile for your loved ones and also for those you don’t know because that’s the only thing you can do for a

stranger!!

ROLE OF SPORTS PHYSIOTHERAPIST

KAMAKSHI DHALIWAL

BPT Student

hysical Therapy has a major role in the sports arena as it greatly benefits

athletes, both amateurs as well as professionals, to get well from the

injuries sustained and to resume taking part in the games they hold dear.PEven though sports physical therapy actually was introduced at the professional

as well as Olympic levels, it rapidly spread to cover leisure sports pursuits and

the high school categories. In fact in present times, it is a regular practice for

every institution, from high school to professional associations to have sports

physical therapists present at competitions. Consider the advantages of having

an expert physical therapist readily available to deal with any injuries suffered by sportspersons. The athlete

will certainly have a very good impression of how to promptly treat the injury because he or she has observed

the way it was dealt with. If one has to wait for first aid, then the damage can additionally detrimentally affect

the sportsperson's extent of movement, strength and flexibility.

Methods like cold/hot packs, water treatments, electrical stimulation, and personalized exercise plans are

frequently made use of to assist with treating injuries to the musculoskeletal system. Most therapists go a step

further in making available to the recuperating sportsperson a preventive exercise program to prevent the

very same injury from recurring.

Sports physical therapy has made rapid strides in a comparatively brief time frame. Thus, sportspersons of any

standing can now expect fast, effective treatment the moment the injury happens in addition to follow up

treatment to make sure that they return to their favorite pursuits very soon. The manner in which

sportspersons today are looked after, has motivated a lot of persons to persist with their game, when not so

long age, it was more a less time to bring down the curtains on their career.

NAVIKA RAJPUT

BPT Student22

WAKE UP to a new morning

nactive lifestyle is perhaps the biggest killer. It not only increases mortality but also doubles the risk of

diabetes, obesity and other several diseases. Besides the well known benefits of exercises like increasing Iblood circulation, improving heart condition, maintaining joint motion there are also some less known

benefits. Exercise maintains blood sugar, improves good and bad cholesterol ratio, and improves the

functioning capacity of heart. Also it acts as a mood elevator as it causes brain to release endorphins (the happy

chemicals). Along with a balanced diet, physical exercise plays a vital role in achieving a long disease-free life.

WALK towards a new life

he world over walking is the most popular, convenient, the simplest and an ideal exercise since it

involves the maximum number of body’s muscles and joints. Further, walking is beneficial for all ages Tas it can be easily tailored as per the needs of the individual. Also, it can be done anywhere, any time

and has the lowest dropout and injury rate. A minimum of half an hour of walking or jogging three times a

week is enough to keep one fit, agile and healthy. Walking briskly in the morning leaves one de-stressed, fresh,

alert and mentally charged for the rest of the day. If one cannot maintain 20-30 minute exercises, several shorter

sessions of slow to moderate exercises too are healthy. Shorter walking bouts are a good starting point for the

aged or those who are habitually sedentary. It has been noted that,’ walking just over 3 kilometers a day halved

the death rate in men 61 or above’.

WAIT-you need a break

he important things to know are-how much walking is too much or too less, whether slow walking is

also beneficial or it always has to be fast and strenuous? Generally it is advised that 40 minutes to 1 hour Tof fast walking 3-4 times a week is adequate for a young healthy person. If brisk walking cannot be

maintained for long periods, 10-15 minutes walking two to three times a day is equally beneficial.

The moment one experiences severe breathlessness, dizziness, nausea or headache one should discontinue

further walking at that time. It is also important to ensure that one is well hydrated. Doctors warn that heart

patients and hypertensives as well as those who are 65 years of age are at higher risk of dehydration. Early

symptoms of dehydration include any sign of headache, dizziness, faintness, excessive sweating, nausea,

cramps. To prevent dehydration it is advised to have a glass or two of water15 minutes to half an hour before

one starts walking. Age should not discourage the senior citizens to start walking. Thin or fat, lean or flabby,

young or old, anyone who walks regularly gets healthier for sure.

VIDHU SINDHWANI

BPT Student23

WALK UP TO GOOD HEALTH

Farewell 2008 Farewell 2008