Papers by Jagatheesan Alagesan
The aim of this review was to identify and summarize the existing evidences on mirror box therapy... more The aim of this review was to identify and summarize the existing evidences on mirror box therapy for the management of various musculoskeletal conditions. A systemic literature search was performed to identify studies concerning mirror therapy. The included journal articles were reviewed and assessed for its significance. Fifty-one studies were identified and reviewed. Five different patient categories were studied: 24 studies focussed on mirror therapy after stroke, thirteen studies focussed on mirror therapy after an amputation, three studies focussed on mirror therapy with complex regional pain syndrome patients, two studies on mirror therapy for cerebral palsy and one study focussed on mirror therapy after a fracture. The articles reviewed showed a trend that mirror therapy is effective in stroke, phantom limb pain, complex regional pain syndrome, cerebral palsy and fracture rehabilitation.
Keywords: Mirror Therapy, Stroke, Cerebral Palsy, Fracture Rehabilitation.
International Journal of Physiotherapy and Research, 2015
Devising equipment for postural rehabilitation where the subjects can rehearse the movements with... more Devising equipment for postural rehabilitation where the subjects can rehearse the movements with minimal physiotherapist guidance is must. Determine the effect of
“Trunk Dissociation Retrainer” (TDR) in improving balance, functional activities and gait in hemiplegia. In this single blinded randomised controlled trial,56subjects were equally
allotted by Simple random sampling into TDR Group and Control group (CG). Berg balance scale(BBS), Functional Independent Measure scale(FIMS)and Gait velocity(GV)
were used as outcome measures.Both groups were homogeneous at baseline. TDR group showed statistically significant improvement in the within group analysis for BBS,
FIMS and GV with p<0.001.CG showed statistically significant improvement in the within group analysis for BBS, FIMS and GV p< 0.0001. TDR group showed statistically significant improvement than the CG in GV and FIMS with p<0.001 and BBS with p<0.007. TDR is a better alternative tool in improving balance, functional activities and gait in hemiplegia as compared to manual techniques.
Low Back Ache (LBA) is the second most common cause of disability. Proprioceptive Neuromuscular F... more Low Back Ache (LBA) is the second most common cause of disability. Proprioceptive Neuromuscular Facilitation (PNF) is a form of flexibility training that involves both the stretching and contraction of the muscle group being targeted. Recent advances have shown that Dynamic Soft Tissue Mobilization (DSTM) is an effective means to produce beneficial effects such as increase in muscle perfusion and decrease muscle stiffness in improving hamstring flexibility in patients with LBA. The aim of this study is to compare the effectiveness of PNF stretching and DSTM on hamstring flexibility in subjects with LBA.103 subjects satisfying selection criteria in the age group of 20-35 years were randomly allotted in to PNF or DTSM group and were assessed for hamstring flexibility and pain using Active Knee Extension (AKE) test and Numeric Pain Rating Scale (NPRS) respectively. Subjects were treated as per their group allotment for four weeks. Within group analyses showed significant difference in both outcome measures with p less than 0.0001. This study concludes that Dynamic Soft Tissue Mobilization is more effective than Proprioceptive Neuromuscular Facilitation Contract Relax Antagonist Contract stretching in improving hamstring flexibility and decreasing pain in low back ache subjects.
Purpose of this study was to find out the effects of Inspiratory muscle Strength training in obes... more Purpose of this study was to find out the effects of Inspiratory muscle Strength training in obese individuals with Inspiratory
muscle weakness. We conducted 4 weeks Experimental study for 47 obese subjects with Inspiratory muscle weakness randomised into two groups based on the selection criteria. Group A –Experimental group (25 subjects) and Group B – Control group (22 subjects). Informed consent obtained from all participants. Outcome measures were modified Borg scale to record dyspnea and quality of life questionnaire using Nottingham extended activities of daily living, Maximum voluntary ventilation, Forced Expiratory Volume in one second and Forced vital capacity performed using Spirometer were tested at baseline and after intervention. Inspiratory muscle training using Incentive spirometer was performed as an
intervention. Participants Age and BMI were similar for both the groups. Experimental group showed
significant differences in improving Maximum voluntary ventilation, Forced expiratory volume in one second, Forced vital capacity. Reduce in dyspnea was reported in experimental group and improved quality of life.
Introduction: Success in many sports depends heavily upon the athlete’s explosive leg power and m... more Introduction: Success in many sports depends heavily upon the athlete’s explosive leg power and muscular strength, in jumping, throwing, track field events and other activities. The distinct method of training for power or explosiveness has been termed Plyometrics. The purpose of this study was to compare the effects of weight training with and without plyometrics. Subjects and Methods: Subjects were 40intercollegiate athletes assigned to two training groups randomly: plyometric weight training and weight training. Each group completed a 6-week training program. Results: There was more significant improvement in anaerobic power and muscle strength for the athletes trained with Plyometric weight training methods than weight training alone. There was significant improvement of vertical jump height, 50 yard dash and 1RM squat performance in plyometrics and weight training group than the weight training group alone. Conclusion: Plyometric with weight training is more effective in improving vertical jump, 50 yard dash and 1 RM squat performance in athletes than the weight training alone.
Premkumar M, Jagatheesn Alagesan, Neha Vaidya. Effect of Instability Exercise Training of Abdomin... more Premkumar M, Jagatheesn Alagesan, Neha Vaidya. Effect of Instability Exercise Training of Abdominal Muscles in Healthy Young Females - An Experimental Study. International Journal of Pharmaceutical Science and Health Care. 2012;2(3):91-97.
Influence of treadmill training on insulin resistance and quality of life in diabetic stroke. Jou... more Influence of treadmill training on insulin resistance and quality of life in diabetic stroke. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013, March; 28(28): 629-632. (Article no 08)
Stroke has a major impact of quality of life and third leading cause of death and disability. Hig... more Stroke has a major impact of quality of life and third leading cause of death and disability. High blood pressures are very common in acute ischemic stroke affecting 80% of patients. Both low and high BP is associated independently with early death and late death/disability. Lot of research is performed across the world to control or to manage the hypertension in stroke. Physical therapy, one of the prominent evolving professions in the present scenario has an important role to play tackling the effects of this disease and improve the quality of life. In this review document the Effectiveness of treadmill aerobic training in control of blood pressure following stroke and improve quality of life. This review consists of identifying the documented evidence in relation to the Effectiveness and advantages of physical therapy treadmill aerobic training in control of blood pressure following stroke for the past 15 years. This report highlights the importance of this exercise intervention and its positive effects seen in patients with stroke.
Background: Carrying heavy backpacks could cause a wide spectrum of musculo-skeletal disorders an... more Background: Carrying heavy backpacks could cause a wide spectrum of musculo-skeletal disorders and postural
dysfunction. A relative lack of awareness of the very high rates of postural deviation caused due to backpack leads to altered biomechanics. Limited researches have been made with regard to physical exercise used as intervention in preventing these postural deviations. The purpose of the study was to establish the effectiveness of exercise therapy in preventing postural deviation caused by back pack
in school children.
Methodology: 40 subjects of both genders, between the ages of 10 and 14 years were randomly selected on the basis
of selection criteria were assigned to the two groups with 20 subjects in each group - Control Group and Experimental Group. The experimental group subjects were under a structured 6 weeks exercise program for 30 minutes each day for 6-days a week and the control group subjects were not under any exercise program. Angular deviations caused due to backpack for all the subjects were measured by Imaging Tool.
Result: There is statistically significant reduction in cranio vertebral angle and cranio horizontal angle in experimental group with p value less than 0.05 after 6 weeks of supervised exercise program.
Conclusion: The results of the present study, suggest that structured exercise program are highly effective in reducing the postural deviation caused by backpack in school children.
Introduction: Previous research has reported impaired hand function on the “unaffected” ipsilater... more Introduction: Previous research has reported impaired hand function on the “unaffected” ipsilateral side after stroke, but its incidence, origins, and impact on rehabilitation remain unclear. Ipsilateral side deficits are usually not given much importance in stroke rehabilitation. The objective of this study is to evaluate the ipsilateral upper extremity muscle strength and grip strength and compare it with normal individuals. Materials and Methods: A comparative study was done by convenient sampling of 50 subjects of ischemic stroke of 1 month duration and 60 normal subjects matched with age, sex and hand dominance with the stroke subjects were taken for the study. Ipsilateral upper extremity muscle strength and grip strength of stroke subjects and corresponding normal were assessed using Hand Dynamometer and Manual Muscle Testing. Results: There was significant difference between the ipsilateral upper extremity muscle strength and grip strength of stroke subjects and that of normal (p< 0.05) independent of the side of lesion. Conclusion: The ipsilateral upper limb which is considered normal is also affected after stroke not only in dexterity of hand as stated earlier by other researchers but also in the muscle strength as well as in the grip strength regardless of the side of involvement.
This study proposed to find out the level of cardiovascular fitness among software professionals.... more This study proposed to find out the level of cardiovascular fitness among software professionals. 531 software professionals were selected based on the selection criteria, Body Mass Index (BMI) was measured and subjects asked to perform the 3 minute step. Pulse rate was recorded before and after the 3 min step test. Measured pulse rate was compared with the YMCA fitness chart to find out cardiovascular fitness level. Study revealed 3 levels of cardiovascular fitness based on YMCA fitness chart, 25% Good to Excellent, 33% Average to Above Average, and 42% Poor to Fair among Software Professionals in that females have slightly poor cardiovascular fitness than men and the Percentage of BMI shows that 44% of software professionals have normal BMI and 56% are overweight.
International Journal of Pharma and Bio Sciences
Exercise is an important component of healthy lifestyle to reduce a person’s risk of developing t... more Exercise is an important component of healthy lifestyle to reduce a person’s risk of developing the disease and subsequent disability. Health care professional students’ physical activity behaviours may provide an indicator for the future of physical activity among those in the profession. This study compared the exercise habits of health care professional students and non-health care professional students. A cross sectional survey was done among the health care professional and non-health care professional students of Saveetha University, Chennai to find out exercise habits through questionnaire. A total of 1274 subjects participated in the study with the Mean ± SD age of 19.81±1.84 years. Exercise habits were analysed under three categories namely vigorous exercises, moderate exercises and strength training. There were no significant difference between health care professional students and non-health care professional students in exercise habits with p value more than 0.05. This s...
HIV infection is one of the chronic illnesses with an uncertain natural disease history. Exercise... more HIV infection is one of the chronic illnesses with an uncertain natural disease history. Exercise is well accepted as an adjunct therapy in the management of HIV. This study is intended to ascertain to see the effects of isometric exercise on cardiovascular fitness and quality of life. Method: Fifteen HIV infected individuals were given isometric exercise for 45 minutes, three days per week for three months after obtaining informed consent. Cardiovascular fitness and quality of life were assessed at the beginning and after three months of exercises. Result:The Mean ± SD before and after intervention for 3 minute step test is 3.40 ± 0.83 and 4.17 ± 0.79, for MOS -HIV Health Survey is 55.43 ± 8.64 and 62.87 ± 6.13 with p value equal to 0.001 for both outcome measures. Conclusion:This study concludes that isometric exercises are effective for improving cardiovascular fitness and quality of life in HIV infected individuals.
Background and Objective: HIV infection is one of the chronic illnesses with an uncertain natural... more Background and Objective: HIV infection is one of the chronic illnesses with an uncertain natural disease history. Exercise is well accepted as an adjunct therapy in the management of HIV. This study is intended to ascertain the effects of Progressive Resistance exercise on cardiovascular fitness and quality of life. Study Design: Pilot study Setting: Sneha Sadan HIV Home, Kaikamba. Outcome Measures: 3 Minute Step Test and MOS - HIV Health Survey Method: Fifteen HIV infected individuals were given Progressive Resistance exercise for 45 minutes, three days per week for three months after obtaining informed consent. Cardiovascular fitness and quality of life were assessed at the beginning and after three months of exercises. Result: The Mean ± SD before and after intervention for 3 minute step test is 3.60 ± 0.63 and 4.33 ± 0.72, for MOS-HIV Health Survey is 54.53 ± 8.44 and 62.40 ± 7.28 with p value equal to 0.001 for both outcome measures. Conclusion: This study concludes that Progressive Resistance exercises are effective for improving cardiovascular fitness and quality of life in HIV infected individuals.
Background and objectives:Physiotherapy treatment plans developed for a wide variety of orthopedi... more Background and objectives:Physiotherapy treatment plans developed for a wide variety of orthopedic and neurologic diseases frequently includes the goal of increasing the strength of specific muscles or muscle groups. Techniques used by physical therapists to improve muscle strength include resistance exercises with weights, elastic bands, isotonic and isokinetic
machines and the use of neuromuscular electrical stimulation. Research studies have suggested that, through the use of motor imaginary technique, it may be possible to improve muscle strength without actually requiring significant muscle contraction. The objective of the study was to find the effect of motor imaginary technique to increase the strength of quadriceps muscle. Method: 40 college going female students of the age group between 18 to 25 years satisfying the inclusion criteria were included in the study after obtaining informed consent. Subjects were randomly assigned into two groups- motor imaginary group and strengthening group the by lottery method. The outcome measure i.e. Quadriceps strength was calculated and recorded as 1 RM for each subject before and after the intervention.
Results: The statistical analysis of the data showed a significant increase in 1 RM of quadriceps strength in both the groups with p=0.116. Mean and standard deviation of motor imaginary group is 22.05 and 1.66 respectively. Mean and standard deviation value of strengthening group is 21.05 and 1.60.
Conclusion: The influence of motor imagery technique on quadriceps muscle
strengthening is as significant as quadriceps muscle strengthening exercises in improving quadriceps muscle strength.
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Papers by Jagatheesan Alagesan
Keywords: Mirror Therapy, Stroke, Cerebral Palsy, Fracture Rehabilitation.
“Trunk Dissociation Retrainer” (TDR) in improving balance, functional activities and gait in hemiplegia. In this single blinded randomised controlled trial,56subjects were equally
allotted by Simple random sampling into TDR Group and Control group (CG). Berg balance scale(BBS), Functional Independent Measure scale(FIMS)and Gait velocity(GV)
were used as outcome measures.Both groups were homogeneous at baseline. TDR group showed statistically significant improvement in the within group analysis for BBS,
FIMS and GV with p<0.001.CG showed statistically significant improvement in the within group analysis for BBS, FIMS and GV p< 0.0001. TDR group showed statistically significant improvement than the CG in GV and FIMS with p<0.001 and BBS with p<0.007. TDR is a better alternative tool in improving balance, functional activities and gait in hemiplegia as compared to manual techniques.
muscle weakness. We conducted 4 weeks Experimental study for 47 obese subjects with Inspiratory muscle weakness randomised into two groups based on the selection criteria. Group A –Experimental group (25 subjects) and Group B – Control group (22 subjects). Informed consent obtained from all participants. Outcome measures were modified Borg scale to record dyspnea and quality of life questionnaire using Nottingham extended activities of daily living, Maximum voluntary ventilation, Forced Expiratory Volume in one second and Forced vital capacity performed using Spirometer were tested at baseline and after intervention. Inspiratory muscle training using Incentive spirometer was performed as an
intervention. Participants Age and BMI were similar for both the groups. Experimental group showed
significant differences in improving Maximum voluntary ventilation, Forced expiratory volume in one second, Forced vital capacity. Reduce in dyspnea was reported in experimental group and improved quality of life.
dysfunction. A relative lack of awareness of the very high rates of postural deviation caused due to backpack leads to altered biomechanics. Limited researches have been made with regard to physical exercise used as intervention in preventing these postural deviations. The purpose of the study was to establish the effectiveness of exercise therapy in preventing postural deviation caused by back pack
in school children.
Methodology: 40 subjects of both genders, between the ages of 10 and 14 years were randomly selected on the basis
of selection criteria were assigned to the two groups with 20 subjects in each group - Control Group and Experimental Group. The experimental group subjects were under a structured 6 weeks exercise program for 30 minutes each day for 6-days a week and the control group subjects were not under any exercise program. Angular deviations caused due to backpack for all the subjects were measured by Imaging Tool.
Result: There is statistically significant reduction in cranio vertebral angle and cranio horizontal angle in experimental group with p value less than 0.05 after 6 weeks of supervised exercise program.
Conclusion: The results of the present study, suggest that structured exercise program are highly effective in reducing the postural deviation caused by backpack in school children.
machines and the use of neuromuscular electrical stimulation. Research studies have suggested that, through the use of motor imaginary technique, it may be possible to improve muscle strength without actually requiring significant muscle contraction. The objective of the study was to find the effect of motor imaginary technique to increase the strength of quadriceps muscle. Method: 40 college going female students of the age group between 18 to 25 years satisfying the inclusion criteria were included in the study after obtaining informed consent. Subjects were randomly assigned into two groups- motor imaginary group and strengthening group the by lottery method. The outcome measure i.e. Quadriceps strength was calculated and recorded as 1 RM for each subject before and after the intervention.
Results: The statistical analysis of the data showed a significant increase in 1 RM of quadriceps strength in both the groups with p=0.116. Mean and standard deviation of motor imaginary group is 22.05 and 1.66 respectively. Mean and standard deviation value of strengthening group is 21.05 and 1.60.
Conclusion: The influence of motor imagery technique on quadriceps muscle
strengthening is as significant as quadriceps muscle strengthening exercises in improving quadriceps muscle strength.
Keywords: Mirror Therapy, Stroke, Cerebral Palsy, Fracture Rehabilitation.
“Trunk Dissociation Retrainer” (TDR) in improving balance, functional activities and gait in hemiplegia. In this single blinded randomised controlled trial,56subjects were equally
allotted by Simple random sampling into TDR Group and Control group (CG). Berg balance scale(BBS), Functional Independent Measure scale(FIMS)and Gait velocity(GV)
were used as outcome measures.Both groups were homogeneous at baseline. TDR group showed statistically significant improvement in the within group analysis for BBS,
FIMS and GV with p<0.001.CG showed statistically significant improvement in the within group analysis for BBS, FIMS and GV p< 0.0001. TDR group showed statistically significant improvement than the CG in GV and FIMS with p<0.001 and BBS with p<0.007. TDR is a better alternative tool in improving balance, functional activities and gait in hemiplegia as compared to manual techniques.
muscle weakness. We conducted 4 weeks Experimental study for 47 obese subjects with Inspiratory muscle weakness randomised into two groups based on the selection criteria. Group A –Experimental group (25 subjects) and Group B – Control group (22 subjects). Informed consent obtained from all participants. Outcome measures were modified Borg scale to record dyspnea and quality of life questionnaire using Nottingham extended activities of daily living, Maximum voluntary ventilation, Forced Expiratory Volume in one second and Forced vital capacity performed using Spirometer were tested at baseline and after intervention. Inspiratory muscle training using Incentive spirometer was performed as an
intervention. Participants Age and BMI were similar for both the groups. Experimental group showed
significant differences in improving Maximum voluntary ventilation, Forced expiratory volume in one second, Forced vital capacity. Reduce in dyspnea was reported in experimental group and improved quality of life.
dysfunction. A relative lack of awareness of the very high rates of postural deviation caused due to backpack leads to altered biomechanics. Limited researches have been made with regard to physical exercise used as intervention in preventing these postural deviations. The purpose of the study was to establish the effectiveness of exercise therapy in preventing postural deviation caused by back pack
in school children.
Methodology: 40 subjects of both genders, between the ages of 10 and 14 years were randomly selected on the basis
of selection criteria were assigned to the two groups with 20 subjects in each group - Control Group and Experimental Group. The experimental group subjects were under a structured 6 weeks exercise program for 30 minutes each day for 6-days a week and the control group subjects were not under any exercise program. Angular deviations caused due to backpack for all the subjects were measured by Imaging Tool.
Result: There is statistically significant reduction in cranio vertebral angle and cranio horizontal angle in experimental group with p value less than 0.05 after 6 weeks of supervised exercise program.
Conclusion: The results of the present study, suggest that structured exercise program are highly effective in reducing the postural deviation caused by backpack in school children.
machines and the use of neuromuscular electrical stimulation. Research studies have suggested that, through the use of motor imaginary technique, it may be possible to improve muscle strength without actually requiring significant muscle contraction. The objective of the study was to find the effect of motor imaginary technique to increase the strength of quadriceps muscle. Method: 40 college going female students of the age group between 18 to 25 years satisfying the inclusion criteria were included in the study after obtaining informed consent. Subjects were randomly assigned into two groups- motor imaginary group and strengthening group the by lottery method. The outcome measure i.e. Quadriceps strength was calculated and recorded as 1 RM for each subject before and after the intervention.
Results: The statistical analysis of the data showed a significant increase in 1 RM of quadriceps strength in both the groups with p=0.116. Mean and standard deviation of motor imaginary group is 22.05 and 1.66 respectively. Mean and standard deviation value of strengthening group is 21.05 and 1.60.
Conclusion: The influence of motor imagery technique on quadriceps muscle
strengthening is as significant as quadriceps muscle strengthening exercises in improving quadriceps muscle strength.