Papers by Sriram Nelakurthy
OBJECTIVE:–Purpose of this study was to correlate NCS and CTQSto asses the severity of CTS in lon... more OBJECTIVE:–Purpose of this study was to correlate NCS and CTQSto asses the severity of CTS in long term key board users.METHODS :-35 healthy subjects of age group between 20 and 60were selected. Written consent was taken from subjects who fulfilledthe inclusion criteria and evaluated thoroughly, CTQS was given tosubjects and score were obtained. For The selected subjects NCS forthe median nerve of dominant extremity was recorded. Both sensoryand motor NCS finding were taken from the assessed extremity.RESULTS:-The correlation of CTQS with sensory symptoms is higherthan the motor symptoms. The results also showed that there was nocorrelation with DKBU and NCS with similar result to CTQS. So wecan assume that, there may be some other factors other than DKBUattributed to CTS pathogenesis found no correlation between CTQS andNCS in long term Keyboard user.CONCLUSION: - The study demonstrated that there is a correlationbetween CTQS and NCS in long term keyboard user. So we can assumethat...
Aims and objectives: Neck pain and postural changes in the cervical and thoracic spine are the fr... more Aims and objectives: Neck pain and postural changes in the cervical and thoracic spine are the frequent complaints which develop during pregnancy and postpartum. These may be due to the postural changes/adaptations seen usually in the prepartum and postpartum phase of pregnancy. The aim of the study to assess the cervical and thoracic postural angles of prepartum women with neck pain. To compare the cervical and thoracic postural angles in prepartum women without neck pain. To compare the cervical and thoracic postural angles in post-partum women without neck pain.To asses and document the cervical and thoracic postural angles in nulliparous,primagravidaand multi gravida women. Methodology: Subjects were nulliparous women (n=40),Prepartum women with and without neck pain(n-40) Postpartum women with and without neck pain(n=40).The subjects were invited to fill in the questionnaire after approval was taken. The sample was analysed by calculation the prevalence of neck pain. Chi square...
Objectives: The authors' goals were to compare the effectiveness of manual therapy (MT; mainly sp... more Objectives: The authors' goals were to compare the effectiveness of manual therapy (MT; mainly spinal mobilization), physical therapy (PT; mainly exercise therapy), and continued care by the general practitioner (GP; analgesics, counseling and education) over a period of 1 year.
… of orthopaedic and sports physical therapy, 2000
Study Design: A prospective randomized clinical trial. Objective: To compare the effectiveness of... more Study Design: A prospective randomized clinical trial. Objective: To compare the effectiveness of 2 physical therapy treatment approaches for impingement syndrome of the shoulder. Background: Manual physical therapy combined with exercise is a commonly applied but currently unproven clinical treatment for impingement syndrome of the shoulder.
Manual Therapy, 2001
The treatment of lateral epicondylalgia, a widely-used model of musculoskeletal pain in the evalu... more The treatment of lateral epicondylalgia, a widely-used model of musculoskeletal pain in the evaluation of many physical therapy treatments, remains somewhat of an enigma. The protagonists of a new treatment technique for lateral epicondylalgia report that it produces substantial and rapid pain relief, despite a lack of experimental evidence. A randomized, double blind, placebo-controlled repeated-measures study evaluated the initial effect of this new treatment in 24 patients with unilateral, chronic lateral epicondylalgia. Pain-free grip strength was assessed as an outcome measure before, during and after the application of the treatment, placebo and control conditions. Pressure-pain thresholds were also measured before and after the application of treatment, placebo and control conditions. The results demonstrated a significant and substantial increase in pain-free grip strength of 58% (of the order of 60 N) during treatment but not during placebo and control. In contrast, the 10% change in pressure-pain threshold after treatment, although significantly greater than placebo and control, was substantially smaller than the change demonstrated for pain-free grip strength. This effect was only present in the affected limb. The selective and specific effect of this treatment technique provides a valuable insight into the physical modulation of musculoskeletal pain and requires further investigation.
Manual therapy, 2000
Lumbar segmental instability is considered to represent a signi®cant sub-group within the chronic... more Lumbar segmental instability is considered to represent a signi®cant sub-group within the chronic low back pain population. This condition has a unique clinical presentation that displays its symptoms and movement dysfunction within the neutral zone of the motion segment. The loosening of the motion segment secondary to injury and associated dysfunction of the local muscle system renders it biomechanically vulnerable in the neutral zone. The clinical diagnosis of this chronic low back pain condition is based on the report of pain and the observation of movement dysfunction within the neutral zone and the associated ®nding of excessive intervertebral motion at the symptomatic level. Four dierent clinical patterns are described based on the directional nature of the injury and the manifestation of the patient's symptoms and motor dysfunction. A speci®c stabilizing exercise intervention based on a motor learning model is proposed and evidence for the ecacy of the approach provided.
Manual Therapy, 2001
Recent findings that spinal manual therapy (SMT) produces concurrent hypoalgesic and sympathoexci... more Recent findings that spinal manual therapy (SMT) produces concurrent hypoalgesic and sympathoexcitatory effects have led to the proposal that SMT may exert its initial effects by activating descending inhibitory pathways from the dorsal periaqueductal gray area of the midbrain (dPAG). In addition to hypoalgesic and sympathoexcitatory effects, stimulation of the dPAG in animals has been shown to have a facilitatory effect on motor activity. This study sought to further investigate the proposal regarding SMT and the PAG by including a test of motor function in addition to the variables previously investigated. Using a condition randomised, placebo-controlled, double blind, repeated measures design, 30 subjects with mid to lower cervical spine pain of insidious onset participated in the study. The results indicated that the cervical mobilisation technique produced a hypoalgesic effect as revealed by increased pressure pain thresholds on the side of treatment (P ¼ 0.0001) and decreased resting visual analogue scale scores (P ¼ 0.049). The treatment technique also produced a sympathoexcitatory effect with an increase in skin conductance (P50.002) and a decrease in skin temperature (P ¼ 50.02). There was a decrease in superficial neck flexor muscle activity (P50.0002) at the lower levels of a staged cranio-cervical flexion test. This could imply facilitation of the deep neck flexor muscles with a decreased need for co-activation of the superficial neck flexors. The combination of all findings would support the proposal that SMT may, at least initially, exert part of its influence via activation of the PAG. #
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Papers by Sriram Nelakurthy