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physicaltherapy: 05 Feb : 06:54 pm

Is there anyone who has gone through CWT6 or type 1 evaluation with FCCPT?
If so, kindly let me know from where can the following deficiencies be fulfilled?
1. History
2. Systems Review
3. Findings that warrant referral
4. Supervision of support staff
5. Documentation

nani: 28 Sep : 04:31 am

plz pleasec tell me where to do phd in india

Nikhilphysio: 02 Jun : 03:55 am

I am working as physiotherapist in Shalby hospital ahmedabad for 4 years. I have passed out from Rajiv gandhi university of health and sciences Bangalore. I want to apply for Newzealand physiotherapy board registration so anyone there from India who got registered as physiotherapist in new zealand please help me.

Arun: 10 May : 12:36 am

Hi Priyank, welcome. Feel free to go through these forum threads returned by search [link]

Priyank: 09 May : 10:28 pm

Hi..need advice. What are the options in Australia after MPT?

Whole Body Vibration Improves Exercise Benefits in COPD Rehabilitation.

Wednesday 14 December 2011 - 14:09:16

According to a study by Rainer Gloeckl, from the Department of Respiratory Medicine, Schoen Klinik Hospital, Schoenau amcopd.jpg Koenigssee, Germany, and colleagues and published in the online November issue of Respiratory Medicine, patients with chronic obstructive pulmonary disease (COPD) show improvements in rehabilitative exercise efforts when the activities are complemented with whole-body vibration sessions.
When using whole-body vibration, patients exercise on a vibrating platform that produces sinusoidal oscillations. The method has been associated with improved neuromuscular and hormonal responses in healthy participants compared with resistance training alone, and it has also been shown to offer benefits for patients with other diseases. Endurance and strength training are considered essential components for rehabilitation of patients with COPD, who suffer from limitations in exercise capacity that are associated with poor quality of life and an increased mortality risk.
In an effort to determine the benefits of incorporating whole-body vibration into endurance and strength training for COPD rehabilitation, the researchers randomly assigned 82 patients with stage 3 or 4 COPD enrolled in a 3-week inpatient rehabilitation program to either a group that performed 3 × 3 minutes of bilateral dynamic squat exercises on a side-alternating vibration platform at 24 to 26 Hz 3 times per week  or a control group to receive the same amount of exercise time without whole-body vibration. All patients also received endurance training, including 15 minutes of cycling at 60% peak Watts, and strength training involving 4 to 6 exercises with 3 sets at a 20-repetition maximum for major muscle groups. At the end of the study, patients in the whole-body vibration group showed significantly higher improvements in 6-minute walking distance compared with patients in the control group (whole-body vibration group, 64 ± 59 m; control group, 37 ± 52 m, with a between-group difference of 27 m). In addition, patients in the whole-body vibration group also showed decreases in the time required for a sit-to-stand test compared with patients in the control group (whole-body vibration group, −4.0 ± 4.8 seconds; control group, −2.0 ± 3.1 seconds, with a between-group difference of −1.9 seconds).
Both groups demonstrated similar improvements in health-related quality of life. Five patients in the whole-body vibration group discontinued the intervention because of acute exacerbation, and 1 discontinued for acute gonarthrosis, whereas 3 patients in the control group discontinued for acute COPD exacerbation, and 1 for an acute abdominal issue. Study limitations include lack of follow up, blinding, and record keeping of the number of repetitions for each patient. "In consideration of the short total exposure time to [whole-body vibration] (81 min in 3 weeks), the additionally attained effects are quite striking," the authors wrote.
The whole-body vibration concept originated in the 1970s as a means for Russian cosmonauts to train in space and prevent the loss of bone mineral and muscle mass during space flights, and the method was revived in the 1990s for use by professional athletes in exercise training. Since then, whole-body vibration has gained favor in therapeutic settings.
The technology used in the study (Galileo, Novotec Medical GmbH) was used at 24 to 26 Hz and 6 mm peak-to-peak amplitude and provided a side-alternating movement said to induce "muscle contractions on the entire flexor and extensor chain of muscles in the legs and all the way up to the trunk," according to the authors. Muscle contractions that occur during the vibration training are caused by stretch reflexes instead of the voluntary muscle control that occurs with common resistance training, the authors explained. "The user has no direct influence on muscle activity itself and can only control body posture, movement and exercise objective."
The authors note that the whole-body vibration method should not be used to replace conventional exercise training for reasons including that "specific exercises for arms, accessory respiratory muscles or the upper trunk cannot be easily performed on a vibration plate and it is not possible to undertake endurance training on a vibration platform."
Sourced from: Respir Med. 2012;106:75-83., and http://www.medscape.com/viewarticle/755069

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