Original Article
 
Effectiveness of physiotherapy treatment for post chikungunya arthralgia
Mohammad Habibur Rahman1, Nasirul Islam2, Md. Obaidul Haque3, Md. Zahid Hossain4, Samena Akter Kakuli5, Nowab Reza Md. Rashif6
1Assistant Professor of Physiotherapy, Bangladesh Health Professions Institute, the Academic Institute of Centre for the Rehabilitation of the Paralysed, Savar
2Associate Professor & Principal (Acting), Bangladesh Health Professions Institute, the Academic Institute of Centre for the Rehabilitation of the Paralysed, Savar
3Associate Professor & Head, Department of Physiotherapy, Bangladesh Health Professions Institute, the Academic Institute of Centre for the Rehabilitation of the Paralysed, Savar
4Lecturer, Department of Physiotherapy, Bangladesh Health Professions Institute, the Academic Institute of Centre for the Rehabilitation of the Paralysed, Savar
5Senior Clinical Physiotherapist, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed, Savar
6Senior Clinical Physiotherapist and In charge, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed, Mirpur

Article ID: 100017P16MR2017
doi:10.5348/P16-2017-17-OA-9

Corresponding Author:
Mohammad Habibur Rahman
Assistant Professor
Department of Physiotherapy
BHPI, CRP, Savar
Dhaka 1343
Bangladesh

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How to cite this article
Rahman MH, Islam N, Haque MO, Hossain MZ, Kakuli SA, Rashif NRM. Effectiveness of physiotherapy treatment for post chikungunya arthralgia. Edorium J Public Health 2017;4:69–75.


ABSTRACT

Aims: Chikungunya virus is an arthropod-borne Alphavirus primarily transmitted by Aedes mosquitoes. The disease exhibited by high grade fever and in the resolving time characterized by arthralgia. Though potential chemical mediators exaggerate the symptoms, a combination of direct tissue and cell damage caused by viral replication and indirect immune activation responses in the target tissues causes surrounding muscle atrophy, pain and disability in daily activities. Therefore, physiotherapy treatment plays an important role among recovering patients.
Methods: A pre-test and post-test study design was used to evaluate the effectiveness of physiotherapy treatment to reduce pain and minimize disability level among patients with chikungunya arthralgia. Among the 10 participants, the mean (±SD) age was 38±9 and 3(30%) were males and 7(70%) were females. Among the 10 participants, 3 complained of pain in lower back and knee joint, 3 complained of pain in lower back and ankle joint and 4 had pain in neck and shoulder region.
Results: General pain intensity at rest was found (p < 0.04) effective after application of dose based physiotherapy treatment. Besides, disability level was also analyzed and results found that after application of physiotherapy treatment statistically significant (p < 0.01) level of disability was minimized and patient improved their functional status and level of independence. In the individual eight sections of health assessment questionnaire (HAQ), significant outcome found was found such as arising (p = 0.040), eating (p = 0.008), hygiene (p = 0.016), grip (p = 0.034) except dressing (p > 0.05), walking (p > 0.05) and activities (p > 0.05).
Conclusion: There is limited trial on the efficacy of physiotherapy management of recovering chikungunya patients. However, this study have drawn a guideline for the management of pain and disability following chikungunya.

Keywords: Arthralgia, Chikungunya, Physiotherapy


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Acknowledgements
We would like to acknowledge Md. Fazlul Karim Patwary, Associate Professor of Statistics, Jahangirnagar University, Savar, Bangladesh for support us in the statistical section of this research.

Author Contributions
Mohammad Habibur Rahman – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nasirul Islam – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Md. Obaidul Haque – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Md. Zahid Hossain – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Samena Akter Kakuli – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Nowab Reza Md. Rashif – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Drafting the article, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2017 Mohammad Habibur Rahman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


ABOUT THE AUTHORS

Mohammad Habibur Rahman is Assistant Professor, Department of Physiotherapy in Bangladesh Health Professions Institute (BHPI). He obtained MSc in Physiotherapy degree in 2016 under Faculty of Medicine, University of Dhaka. He has published 17 research paper in reputed national and international journals.


Nasirul Islam is Associate Professor & Principal (Acting) at Bangladesh Health Professions Institute (BHPI). He is also the President of Bangladesh Physiotherapy Association (BPA), a member organization of the World Confederation for Physical Therapy (WCPT). He is currently studying PhD under Jahangirnagar University, Savar, Dhaka, Bangladesh and expecting to obtain the degree in 2018. His area of interest is to work extensively for developing unified theory of rehabilitation and regional physiotherapy approach for the management of mechanical spinal pain.


Md. Obaidul Haque is Associate Professor and Head of Physiotherapy Department. He earned MSc degree in Physiotherapy under Faculty of Medicine, University of Dhaka and earned Mater of Public Heath in epidemiology from North South University.


Md. Zahid Hossain is a Lecturer of Physiotherapy in Bangladesh Health Professions Institute, University of Dhaka. He obtained BSc (Hon’s) in Physiotherapy and MSc in Rehabilitation Science from Faculty of Medicine, University of Dhaka. His research interests include Musculoskeletal conditions and sports biomechanics.


Samena Akter Kakuli is a Senior Clinical Physiotherapist at Pediatric Unit, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed, Savar, Bangladesh. She earned MSc degree in Rehabilitation Science from University of Dhaka.


Nowab Reza Md. Rashif is a Senior Clinical Physiotherapist and incharge Physiotherapy Department in Centre for the Rehabilitation of the Paralysed, Mirpur, Dhaka, Bangladesh. He has completed Masters in Public Health from ASA University Dhaka, Bangladesh. He has published two research papers in national and international academic journals.