Introduction: Approximately 40% of geriatric population in India experience some form of balance difficulty. It may be due to decreased muscular strength, flexibility, impaired vision and hearing problem. There are many approaches for improving balance such as Tai Chi exercise, stepping exercise, wobble board exercises, strengthening exercises. Tai Chi is a series of slow, smooth and graceful movements for improving neuromuscular function, endurance, joint sense and cognitive function. Stepping exercise is exercise performed using stepper. It improves balance by strengthening muscles, flexibility and range of motion. Objective: To compare the effect of Tai Chi and stepping exercise for improving balance in geriatric population. Method: In the present study, 40 participants of age group 60-80 years with balance problem were taken. Random sampling was done in two group, group A (n=20) and group B (n=20) giving Tai Chi and Stepping exercise respectively. Outcome measured used were BBS, TUG, FES and POMA. Results: In present study, Tai Chi exercise was more effective than Stepping exercise statistically proved with unpaired t test BBS (p=0.0001), TUG(p=0.0001), FES (p=0.0679) and POMA (p=0.0039). When comparison was done within the groups, all outcome measures showed significant values at pre and post intervention, BBS (p=<0.0001 in group A and B), TUG (p=<0.0001 in group A and B), FES (p=<0.0001 in group A and B) and POMA (p=<0.0001 in group A and B), Conclusion: Tai Chi exercise showed more effect than Stepping exercise in geriatric population with balance impairments. Key words: Tai Chi exercise, stepping exercise, geriatric population, Balance Training in Geriatrics, balance impairments.

Background: Cervicogenic headaches are one of the common musculoskeletal disorders that originates in the neck and are radiates from neck to head. Cervicogenic headache is usually treated with a comprehensive strategy that includes pharmacologic, nonpharmacologic, manipulative, anesthetic, surgical procedures and physiotherapy. Physiotherapy includes spinal manipulation, mobilization, myofascial release, exercises and electrotherapeutic modalities. Purpose: This case report aims to evaluate the effects of combination of cervical spine mobilization, TENS, Suboccipital release on cervicogenic headache in maintaining long-term benefits. Methods: This a case report of 31-year-old male having cervicogenic headache from 4-5 years. He reported symptoms like pain in right side neck which radiates into head till forehead and stiffness in neck. Physiotherapy treatment like cervical spine mobilization, TENS and Suboccipital release was given for 5 sessions (alternate days) for 10 days. Outcome Measures: Numerical pain rating scale, Neck disability Index and Cervical range of motion was used as outcome measures. Results: There was marked decrease in pain intensity from 8 on NPRS to 1 on NPRS. Also there was increase in cervical range of motion specially flexion, lateral flexion and rotation and decrease in neck disability index from 28 to 10. Conclusion: Physical therapy with TENS, Cervical spine mobilization & sub occipital release can be used as an effective intervention protocol for reducing pain and stiffness and increasing range of motion in patients with Cervicogenic Headache. Key words: Transcutaneous electrical nerve stimulation, Cervical Spine mobilization, Suboccipital release, Cervicogenic Headache, Numerical Pain Rating Scale, Neck Disability Index.

BACKGROUND: Neurodynamic tests (NDT) have shown to be useful in evaluating neural tissue involvement. Clinicians evaluate NDT using range of motion, sensory responses like location or quality of symptoms, Nerve conduction values and compare its results with normal values. Currently, there are no studies in lumbar radiculopathy patients that define the normal response to peroneal neurodynamic test (NDTPER) PURPOSE: To study the sensory responses to neurodynamic testing of peroneal nerve in patients with lumbar radiculopathy. DESIGN: A cross sectional study design. METHODS: NDTPER was performed on 57 patients with lumbar radiculopathy. Hip flexion angle was taken at the onset of symptoms (P1) and point of maximally tolerated symptoms (P2), quality and distribution of symptoms were recorded. Sensory nerve conduction velocity measure (SNCV) was also noted in those patients. MAIN RESULTS: The descriptor of nature of sensory responses most often used by patients was tingling (28.07%) in the lateral foot (26.32% ). Hip flexion was significantly higher at P2 than P1 (mean difference: 22.54±3.73°; 95% CI: 21.55°, 23.54°; p <  0.0001). The SNCV of affected limb was marginally reduced but not statistically significant compared to contralateral limb (mean difference: –1.467±0.8013; 95% CI: –3.054, 0.1209; p = 0.0698). CONCLUSION: This study describes the hip angle at which symptoms are reproduced, nature and distribution of sensory responses to the NDTPER in patients with lumbar radiculopathy. However, the sensory nerve conduction velocity of affected limb was reduced marginally but not statistically significant as compared to unaffected limb.