Displaying publications 1 - 20 of 25 in total

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  1. Fulltext The effects of hospital based respiratory physiotherapy an intervention study among COPD patient in Al-Zawia city, Libya
    Zafar Ahmed, Sharifa Ezat Wan Puteh, Aisha Abdussalam, Mahmud Hanesh, Suriati Sukeri, Joseph, Leonard
    Int J Public Health Res, 2012;2(1):65-74.
    MyJurnal
    OBJECTIVE. Chronic obstructive pulmonary disease (COPD) is a one of the major cause of death and disability worldwide. This study aimed to compare the quality of life (QOL), Activity of Daily Living (ADL), Pulmonary Function Test (PFT) and general health symptoms pre and after hospital-based respiratory physiotherapy program among COPD patients. METHODS. Pre and post intervention study was conducted between January and July 2010. A total of 54 subjects aged between 30 to 40 years old were recruited for this study using universal sampling method from Alzawia Teaching Hospital, Libya. Data collected were socio-demographic data, QOL (before and after the intervention) using the Short Form-36 (SF-36) questionnaire, ADL using the Barthel Index and the General Health Symptoms.
    RESULTS.. The mean SF-36 score for QOL is 30.13 (SD = 8.06) and 63.46 (SD = 13.53) before and after the physiotherapy respectively (with the p <0.0001). Patients’ Activity of Daily Living mean scores are 70.18, (SD = 16.50) and mean = 88.89 (SD = 13.28) before and after program (p< 0.0001). The general medical condition mean score after respiratory physiotherapy is 3.72 as compared to 4.96 before the respiratory physiotherapy (p< 0.0001). Pulmonary Function Test shows improvement in actual/predicted FEV1 ratio in all 54 cases with mean improvement from 55.85 before to 81.67 after the pulmonary physiotherapy (with the p <0.0001).
    CONCLUSION. Hospital based respiratory physiotherapy program had significantly improved QOL, pulmonary function and activities of daily living among the subjects.
  2. Chest wall stretching exercise as an adjunct modality in post operative pulmonary management
    Vikram, M., Joseph, Leonard H., Kamaria, K.
    Journal of Surgical Academia, 2012;2(1):39-41.
    MyJurnal
    Emphysematous pyelonephritis is a form of infection of the kidney. Chest physiotherapy was executed on a 15-year-old girl who had complications such as secretion retention and pleural effusion following percutaneous pigtail nephrostomy in addition to oxygen therapy and medical management to promote respiratory functions. The processes to increase chest wall mobility includes particular passive stretching and mobilization. Chest mobility exercises composed of an intercostal stretch on a determined intercostal space using index fingers, thoracic rotation and anterior compression with stretching in sitting position to improve respiratory functions. These exercises were suggested to the patient as a regular daily treatment along with low-level incentive spirometry breathing exercises. Following 9th sessions of treatment patient demonstrated satisfactory improvement by means of increasing in chest expansion and reduction in dyspnea level without using supplemental oxygen. The results expressed a substantial clinical improvement in reduction of dyspnea level and improvement in chest expansion
  3. Fulltext Effectiveness of exercise and protein supplementation intervention on body composition, functional fitness, and oxidative stress among elderly Malays with sarcopenia
    Shahar S, Kamaruddin NS, Badrasawi M, Sakian NI, Abd Manaf Z, Yassin Z, et al.
    Clin Interv Aging, 2013;8:1365-75.
    PMID: 24143082 DOI: 10.2147/CIA.S46826
    Sarcopenia, characterized as muscle loss that occurs with aging, is a major health problem in an aging population, due to its implications on mobility, quality of life, and fall risk. Protein supplementation could improve the physical fitness by increasing protein anabolism, and exercise has a documented evidence of positive effect on functional status among the elderly. However, the combined effect of both protein supplementation and exercise has not been investigated among sarcopenic elderly in the Asian population. Thus, this study aimed to determine the effectiveness of exercise intervention and protein supplementation either alone or in combination for 12 weeks, on body composition, functional fitness, and oxidative stress among elderly Malays with sarcopenia. Sixty five sarcopenic elderly Malays aged 60-74 years were assigned to the control group, exercise group (ExG), protein supplementation group (PrG), or the combination of exercise and protein supplementation group. A significant interaction effect between body weight and body mass index (BMI) was observed, with the PrG (-2.1% body weight, -1.8% BMI) showing the highest reductions. Further, there was a decrease in % body fat (-4.5%) and an increase in fat-free mass (kg) (+5.7%) in the ExG after 12 weeks (P < 0.05). The highest increments in lower and upper body strength were observed in the PrG (73.2%) and ExG (47.6%), respectively. In addition, the ExG showed a reduction in superoxide dismutase (SOD) levels, and both interventions did not alter either lipid or protein oxidation. In conclusion, the exercise program was found to improve muscle strength and body composition, while protein supplementation reduced body weight and increased upper body strength, among sarcopenic elderly in Malaysia.
  4. Fulltext Learning pathways during clinical placement of physiotherapy students: a Malaysian experience of using learning contracts and reflective diaries
    Ramli A, Joseph L, Lee SW
    J Educ Eval Health Prof, 2013;10:6.
    PMID: 23997897 DOI: 10.3352/jeehp.2013.10.6
    Learning contracts and reflective diaries are educational tools that have been recently introduced to physiotherapy students from Malaysia during clinical education. It is unclear how students perceive the experience of using a learning contract and reflective diary. This study explores the learning pathways of the students after using a learning contract and a reflective diary for the first time in their clinical placement.
  5. Lumbopelvic Core Stabilization Exercise and Pain Modulation Among Individuals with Chronic Nonspecific Low Back Pain
    Paungmali A, Joseph LH, Sitilertpisan P, Pirunsan U, Uthaikhup S
    Pain Pract, 2017 11;17(8):1008-1014.
    PMID: 28042685 DOI: 10.1111/papr.12552
    BACKGROUND: Lumbopelvic stabilization training (LPST) may provide therapeutic benefits on pain modulation in chronic nonspecific low back pain conditions. This study aimed to examine the effects of LPST on pain threshold and pain intensity in comparison with the passive automated cycling intervention and control intervention among patients with chronic nonspecific low back pain.

    METHODS: A within-subject, repeated-measures, crossover randomized controlled design was conducted among 25 participants (7 males and 18 females) with chronic nonspecific low back pain. All the participants received 3 different types of experimental interventions, which included LPST, the passive automated cycling intervention, and the control intervention randomly, with 48 hours between the sessions. The pressure pain threshold (PPT), hot-cold pain threshold, and pain intensity were estimated before and after the interventions.

    RESULTS: Repeated-measures analysis of variance showed that LPST provided therapeutic effects as it improved the PPT beyond the placebo and control interventions (P < 0.01). The pain intensity under the LPST condition was significantly better than that under the passive automated cycling intervention and controlled intervention (P < 0.001). Heat pain threshold under the LPST condition also showed a significant trend of improvement beyond the control (P < 0.05), but no significant effects on cold pain threshold were evident.

    CONCLUSIONS: Lumbopelvic stabilization training may provide therapeutic effects by inducing pain modulation through an improvement in the pain threshold and reduction in pain intensity. LPST may be considered as part of the management programs for treatment of chronic low back pain.

  6. Fulltext Test–retest reliability of the malay version job content questionnaire ((M-JCQ) among linemen working in the electrcity sector
    Padmanathan, Vinothini, Baharrudin Omar, Joseph, Leonard
    Malaysian Journal of Public Health Medicine, 2016;16(1):99-105.
    MyJurnal
    This cross sectional study investigated the test –retest reliability of the Malay Version Job Content
    Questionnaire (M- JCQ) among electricity linemen. The M-JCQquestionnaire was administered to 10
    electricity linemen working in private sub-contract company. The data were collected at two occasions
    with one week interval of time between each sessions. Intraclass Correlation Coefficient (ICC) and Bland
    Altman plot were used to analyze the reliability of the M-JCQ. The ICC for the ‘psychological demand’,
    ‘decision latitude’, ‘work related social support’ and ‘job insecurity’ scale were 0.96, 0.52, 0.99 and 0.55
    respectively. The Bland Altman plot indicated that the tests and retest score for all the four scales had an
    acceptable agreement. These findings indicated that the M- JCQ is reliable and consistent for assessing
    work related psychosocial risk factors among electricity linemen.
  7. Fulltext Ergonomic Intervention for Musculoskeletal Disorders in Construction Workers
    Padmanathan V, Joseph L, Nawawi R
    Saf Health Work, 2016 Mar;7(1):86-7.
    PMID: 27014497 DOI: 10.1016/j.shaw.2015.06.006
  8. Fulltext Prevalence of musculoskeletal disorders and related occupational causative factors among electricity linemen: A narrative review
    Padmanathan V, Joseph L, Omar B, Nawawi R
    Int J Occup Med Environ Health, 2016;29(5):725-34.
    PMID: 27518883 DOI: 10.13075/ijomeh.1896.00659
    Occupational tasks of linemen are highly associated with the development of work related musculoskeletal disorders (WRMDs). Although linemen are prone to develop WRMDs, there is paucity of information on the prevalence of WRMDs and related occupational causative factors. Therefore, the present review was conducted to report on the prevalence of WRMDs and to outline causative risk factors within occupational tasks in the lineman profession. Literature search was conducted in various databases such as Scopus, PubMed and ScienceDirect for articles published between 1996-2013. The articles were analyzed, selected and retrieved based on predetermined objectives, inclusion criteria and Medical Subject Headings (MeSH). In the review process only articles published in English were considered. The review identified moderate to high prevalence of WRMDs among the linemen population. Back and shoulder regions were highly affected compared to the other body regions. The review also reported occupational tasks such as bar installation, insulator fixation and manual handling of tools as high risk tasks that lead to the development of WRMDs. In addition, occupational tools such as ladders, manual cutters and manual presses were also identified as a potential ergonomic hazard. In conclusion, the current review identified that WRMDs are common in the back and shoulder regions among linemen. Also, a number of occupational risk factors were identified to be associated with WRMDs among the linemen. Hence, future research on prevention and intervention studies concerning lineman profession population in order to develop a good job practice are recommended. Int J Occup Med Environ Health 2016;29(5):725-734.
  9. Posture correction exercises and posture measurement in adolescents
    Muniandy Y, Omar B, Joseph LH
    Man Ther, 2016 Apr;22:e1.
    PMID: 26386911 DOI: 10.1016/j.math.2015.09.001
  10. Intra-rater and inter-rater reliability of total faulty breathing scale using visual observation and videogrammetry methods
    Mohan V, Perri M, Paungmali A, Sitilertpisan P, Joseph LH, Jathin R, et al.
    J Bodyw Mov Ther, 2017 Jul;21(3):694-698.
    PMID: 28750986 DOI: 10.1016/j.jbmt.2016.10.007
    Faulty breathing is an aspect of alteration in the normal fundamental pattern of breathing. The available existence of scales in assessing faulty breathing has not frequently been used. Measurement errors in assessing and quantifying breathing patterns may originate from unclear directions and variation between observers. This study determined the measure reliability of the Total Faulty Breathing Scale (TFBS) for quantifying breathing patterns. Twenty seven participants were recruited comprising healthy and unhealthy subjects. Two examiners assessed their breathing patterns using the TFBS on two different occasions with visual observation and a videogrammetry method. Evaluation of the observational breathing pattern method for intra-rater and inter-rater showed agreement of 96.30% and a kappa score of greater than 0.78, which indicated substantial agreements. The videogrammetry method showed a percent agreement of (100%) with a kappa score of (1.00). This study indicates that the TFBS is a considerably reliable tool for evaluating breathing patterns with both visual observation and a videogrammetry method.
  11. Feasibility of telemedicine or telephone-based family intervention for rural paediatric obesity: Cluster randomized control trial
    Mani S, Joseph LH, Sharma S
    J Telemed Telecare, 2016 06;22(4):264-5.
    PMID: 26362563 DOI: 10.1177/1357633X15601524
  12. Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review
    Mani S, Sharma S, Omar B, Paungmali A, Joseph L
    J Telemed Telecare, 2017 Apr;23(3):379-391.
    PMID: 27036879 DOI: 10.1177/1357633X16642369
    Purpose The purpose of this review is to systematically explore and summarise the validity and reliability of telerehabilitation (TR)-based physiotherapy assessment for musculoskeletal disorders. Method A comprehensive systematic literature review was conducted using a number of electronic databases: PubMed, EMBASE, PsycINFO, Cochrane Library and CINAHL, published between January 2000 and May 2015. The studies examined the validity, inter- and intra-rater reliabilities of TR-based physiotherapy assessment for musculoskeletal conditions were included. Two independent reviewers used the Quality Appraisal Tool for studies of diagnostic Reliability (QAREL) and the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool to assess the methodological quality of reliability and validity studies respectively. Results A total of 898 hits were achieved, of which 11 articles based on inclusion criteria were reviewed. Nine studies explored the concurrent validity, inter- and intra-rater reliabilities, while two studies examined only the concurrent validity. Reviewed studies were moderate to good in methodological quality. The physiotherapy assessments such as pain, swelling, range of motion, muscle strength, balance, gait and functional assessment demonstrated good concurrent validity. However, the reported concurrent validity of lumbar spine posture, special orthopaedic tests, neurodynamic tests and scar assessments ranged from low to moderate. Conclusion TR-based physiotherapy assessment was technically feasible with overall good concurrent validity and excellent reliability, except for lumbar spine posture, orthopaedic special tests, neurodynamic testa and scar assessment.
  13. Fulltext Evaluation of limb load asymmetry using two new mathematical models
    Kumar SN, Omar B, Joseph LH, Htwe O, Jagannathan K, Hamdan NM, et al.
    Glob J Health Sci, 2015;7(2):1-7.
    PMID: 25716372 DOI: 10.5539/gjhs.v7n2p1
    Quantitative measurement of limb loading is important in orthopedic and neurological rehabilitation. In current practice, mathematical models such as Symmetry index (SI), Symmetry ratio (SR), and Symmetry angle (SA) are used to quantify limb loading asymmetry. Literatures have identified certain limitations with the above mathematical models. Hence this study presents two new mathematical models Modified symmetry index (MSI) and Limb loading error (LLE) that would address these limitations. Furthermore, the current mathematical models were compared against the new model with the goal of achieving a better model. This study uses hypothetical data to simulate an algorithmic preliminary computational measure to perform with all numerical possibilities of even and uneven limb loading that can occur in human legs. Descriptive statistics are used to interpret the limb loading patterns: symmetry, asymmetry and maximum asymmetry. The five mathematical models were similar in analyzing symmetry between limbs. However, for asymmetry and maximum asymmetry data, the SA and SR values do not give any meaningful interpretation, and SI gives an inflated value. The MSI and LLE are direct, easy to interpret and identify the loading patterns with the side of asymmetry. The new models are notable as they quantify the amount and side of asymmetry under different loading patterns.
  14. Perception of lower extremity loading in stroke
    Kumar SN, Joseph LH, Pharmy Jalil A
    Clin Neurophysiol, 2015 Jul;126(7):1453-4.
    PMID: 25468242 DOI: 10.1016/j.clinph.2014.09.031
  15. Fulltext Reliability, agreement, and validity of digital weighing scale with MatScan in limb load measurement
    Kumar SN, Omar B, Htwe O, Joseph LH, Krishnan J, Jafarzedah Esfehani A, et al.
    J Rehabil Res Dev, 2014;51(4):591-8.
    PMID: 25144172 DOI: 10.1682/JRRD.2013.07.0166
    Limb loading measurements serve as an objective evaluation of asymmetrical weight bearing in the lower limb. Digital weighing scales (DWSs) could be used in clinical settings for measurement of static limb loading. However, ambiguity exists whether limb loading measurements of DWSs are comparable with a standard tool such as MatScan. A cross-sectional study composed of 33 nondisabled participants was conducted to investigate the reliability, agreement, and validity of DWSs with MatScan in static standing. Amounts of weight distribution and plantar pressure on the individual lower limb were measured using two DWSs (A, B) and MatScan during eyes open (EO) and eyes closed (EC) conditions. The results showed that intra- and interrater reliability (3, 1) were excellent (0.94-0.97) within and between DWS A and B. Bland-Altman plot revealed good agreement between DWS and MatScan in EO and EC conditions. The area under the receiver operating characteristic curve was significant and identified as 0.68 (p = 0.01). The measurements obtained with DWSs are valid and in agreement with MatScan measurements. Hence, DWSs could be used interchangeably with MatScan and could provide clinicians an objective measurement of limb loading suitable for clinical settings.
  16. Fulltext Accuracy of a digital weight scale relative to the nintendo wii in measuring limb load asymmetry
    Kumar NS, Omar B, Joseph LH, Hamdan N, Htwe O, Hamidun N
    J Phys Ther Sci, 2014 Aug;26(8):1205-7.
    PMID: 25202181 DOI: 10.1589/jpts.26.1205
    [Purpose] The aim of the present study was to investigate the accuracy of a digital weight scale relative to the Wii in limb loading measurement during static standing. [Methods] This was a cross-sectional study conducted at a public university teaching hospital. The sample consisted of 24 participants (12 with osteoarthritis and 12 healthy) recruited through convenient sampling. Limb loading measurements were obtained using a digital weight scale and the Nintendo Wii in static standing with three trials under an eyes-open condition. The limb load asymmetry was computed as the symmetry index. [Results] The accuracy of measurement with the digital weight scale relative to the Nintendo Wii was analyzed using the receiver operating characteristic (ROC) curve and Kolmogorov-Smirnov test (K-S test). The area under the ROC curve was found to be 0.67. Logistic regression confirmed the validity of digital weight scale relative to the Nintendo Wii. The D statistics value from the K-S test was found to be 0.16, which confirmed that there was no significant difference in measurement between the equipment. [Conclusion] The digital weight scale is an accurate tool for measuring limb load asymmetry. The low price, easy availability, and maneuverability make it a good potential tool in clinical settings for measuring limb load asymmetry.
  17. Fulltext Prophylactic Effects of Sauna on Delayed-Onset Muscle Soreness of the Wrist Extensors
    Khamwong P, Paungmali A, Pirunsan U, Joseph L
    Asian J Sports Med, 2015 Jun;6(2):e25549.
    PMID: 26446307 DOI: 10.5812/asjsm.6(2)2015.25549
    High-intensity of exercise or unaccustomed eccentric exercise can cause the phenomenon of Exercise-Induced Muscle Damage (EIMD) which usually results in cramps, muscle strain, impaired muscle function and delayed-onset muscle soreness.
  18. Clinical evaluation of the anterior translation of glenohumeral joint using ultrasonography: an intra- and inter-rater reliability study
    Joseph LH, Hussain RI, Pirunsan U, Naicker AS, Htwe O, Paungmali A
    Acta Orthop Traumatol Turc, 2014;48(2):169-74.
    PMID: 24747625 DOI: 10.3944/AOTT.2014.3184
    The aim of this study was to investigate the intra- and inter-rater reliability of ultrasonography (US) to measure anterior translation of the humeral head (ATHH) among healthy subjects and patients with sacroiliac joint dysfunction.
  19. Corrigendum to 'Therapeutic effects of connective tissue manipulation on wound healing and bacterial colonization count among patients with diabetic foot ulcer' [Journal of Bodywork & Movement Therapies 20 (2016) 650-656]
    Joseph LH, Gan JH, Paungmali A, Dixon J, Holey L, Naicker AS, et al.
    J Bodyw Mov Ther, 2019 Jul;23(3):440.
    PMID: 31563348 DOI: 10.1016/j.jbmt.2019.03.007
  20. Therapeutic effects of connective tissue manipulation on wound healing and bacterial colonization count among patients with diabetic foot ulcer
    Joseph LH, Paungmali A, Dixon J, Holey L, Naicker AS, Htwe O
    J Bodyw Mov Ther, 2016 Jul;20(3):650-6.
    PMID: 27634091 DOI: 10.1016/j.jbmt.2016.01.010
    This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p 
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