M. P. E. T. Chart

M. P. E. T. CHART MUSCLE POWER EVALUATION AND THRAPEUTIC CHART

OR

                                                                                          MAHBOOB POWER EVALUATION AND THERAPEUTIC CHART                                                                                                     ABSTRACT, EVALUATION and RESULTS

/admin/assets/files/MPET%20CHART%20ABSTRACT(1).docx
 

Effective Tool in Polio Management

“Mahboob Power Evaluation and Therapeutic (MPET) Chart”

Original Research Article by Mahboob ur Rahman

 

ABSTRACT

Background:

Elimination of disease of Polio is the top most priority of the Govt. of Pakistan as well as all the provincial governments. Each year polio eradication efforts are made on regular basis in which various governments, non-government organizations, INGOs, International donors and civil society takes active part. But despite all these enormous efforts still a considerable number of polio affected children emerge throughout the country. The province of Khyber Pakhtunkhawa is especially very vulnerable in this regard due various reasons; the migrants and refusals are the two most common causes. Thus, the people especially the children when get affected by the polio and become paralyzed then they need special and long treatment at home and the at the health facilities. There are various treatment and rehabilitation measures for treatment of polio and use of MPET chart is one of them.  

Objectives:

The aim of our study was to use and see the utility of the redesigned Mahboob Power Evaluation and Therapeutic chart in the treatment of polio affected children.

Discussion:

Muscle Power of Polio affected children were assessed and evaluated by Oxford Muscle Testing Chart. The chart as a diagnostic tool gives the strength of muscles for the purpose of surgical interventions or physical regime. But the said chart could not be used successfully as it focused only on the diagnostic component and did not give the Therapeutic Regime. Thus, the need was felt to fill the gap in the Oxford chart and to make it useful in the Therapeutic Regime of polio affected children. Mahboob School of Physiotherapy took an initiative and its Chairman, Dr, Mahboob ur Rahman, redesigned the said chart with the name of MPET chart which also includes the Therapeutic component. The redesigned chart may now be called as Mahboob Power Evaluation and Therapeutic (MPET) chart. It gives Therapeutic plan along with the diagnostic or assessment of the muscle power of the polio affected children. By using this chart by the Therapist, the parents of the children or even the children by themselves can perform the exercise and improve the muscle power. It has been practiced since the last decade and has proved its worth.

Methods:

The study was under taken in a controlled environment in Habib Physiotherapy Complex, Peshawar. Physical Observation method was used for treatment and assessment of results of the Physiotherapy tool. In the treatment muscle assessment was done, reviewed after 4 months. The improvement in Muscle power is noted and new plan given.

Data was collected through recording results from the Muscle chart. The participants were selected random on the basis of as and when came to HPC for treatment. The whole polio affected population of Khyber Pakhtunkhawa was the population of the Study and 30 number of polio affected people was the sample size. 

Conclusion:

The MPET Chart is an effective tool in Post Polio Paralysis Management.

Key Words:

Key words used were:-

  1. Physiotherapy
  2. MPET Chart
  3. Redesigned MPET Chart
  4. Therapeutic  Regime
  5. Oxford Muscle Testing Chart

 

 

 

 

 

 

 

 

 

 

 

M.P.E.T CHART

M.P.E.T CHART

 

MAHBOOB POWER EVALUATION AND THERAPEUTIC CHART

Physio-care free polio clinic

GROUP

GRADE

POSITION FOR EXERCISE

 

EXERCISE PLAN

 

HIP Flexors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Extensors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Abductors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Abductors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Ext. Rotators

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Ent. Rotators

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

KNEE Flexors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Extensor

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

FOOT Invertors Ant. Tibialis

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Invertor Post Tibialis

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Evertors Peroneus Brev. And longus

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

TOES Flexors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Extensors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

HALLUX Flexors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

Extensors

0,1,2,3,4,5

Prone, Supin, SideLying

Active

Active assist

Active resist

Active Free

Passive

Passive force

 

SPECAIL FINDING/REMARKS AND INSTRUCTIONS ______________________________________________________________________________________________________________________

 

Result

Improvement Status of Polio Patients after Implementation of MPET Chart (n=30)

 

Response Status

 

Responded

 

 

63 %

 

No  Responded

 

 

36 %

19

11

 

 

 

 

 

 

Followed (n= 13)                                                           Not Followed (n=6 )

 

Improvement Status

Yes

 

61 %

No

 

38 %

08

05

 

Non Improvement Status

Yes

 

0 %

No

 

100 %

0

06

 

 

 

 

 

 

 

 

 

 

References

1.         JC Agre, AA Rodriquez, TM Franke

            Strength, endurance, and work capacity after muscle strengthening exercise in postpolio subjects

             Archives of physical medicine and …, 1997 – Elsevier

        2.         B Jubelt, NR Cashman

                    Neurological manifestations of the post-polio syndrome

            Critical reviews in neurobiology, 1986 - europepmc.org

        3.         E Farbu, NE Gilhus, MP Barnes, K Borg…

                    EFNS guideline on diagnosis and management of post-polio syndrome. Report of an EFNS task force

             European Journal of …, 2006 - Wiley Online Library

  1. MC Dalakas

The post-polio syndrome as an evolved clinical entity

Annals of the New York Academy of Sciences, 1995 - Wiley Online Library

5.         J Ramlow, M Alexander, R LaPorte…

                    Epidemiology of the post-polio syndrome

             American Journal of …, 1992 - Oxford Univ Press

        6.         TJ Birk

            Poliomyelitis and the post-polio syndrome: exercise capacities and adaptation--current research, future directions, and widespread applicability

                    Medicine and science in sports and exercise, 1993 - europepmc.org

 

 

 

        7.         AC Davidson, V Auyeung, R Luff…

                    Prolonged benefit in post-polio syndrome from comprehensive rehabilitation: a pilot study

            Disability & …, 2009 - informahealthcare.com

8.         F Nollet, A Beelen, MH Prins, M de Visser…

                    Disability and functional assessment in former polio patients with and without postpolio syndrome

             Archives of physical …, 1999 – Elsevier

9.         MC Dalakas, G Elder, M Hallett, J Ravits…

                    A long-term follow-up study of patients with post-poliomyelitis neuromuscular symptoms

                    England Journal of …, 1986 - Mass Medical Soc

10.       JC Agre

                    The Role of Exercise in the Patient with Post-Polio Syndrome

            Annals of the New York Academy of Sciences, 1995 - Wiley Online Library

11.       MC Dalakas

                    Post-Polio Syndrome 12 Years Later

                     Annals of the New York Academy of Sciences, 1995 - Wiley Online Library

12.       JK Stanghelle, LV Festvåg

                    Postpolio syndrome: a 5 year follow-up.

            Spinal cord, 1997 - europepmc.org

 

 

 


 


 

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