Background: Patient Satisfaction is a standard which measures the level of contentment patients get after having a physiotherapy treatment for the musculoskeletal conditions. Mostly, geriatric population has a greater tendency to suffer from musculoskeletal problems so the research we conducted was purely based upon the satisfaction among elderly people in Pakistan. Objective: The purpose of this study was to check the level of patient satisfaction with musculoskeletal physical therapy treatment and the factors which influence patient satisfaction. Methodology: A cross sectional study using a validated outcome measurement tool (patient satisfaction questionnaire); designed by Arcade university of Applied Sciences in Finland. The Questionnaire comprised of 20 questions and terms used in questionnaire were 1-totally dissatisfied, 2- dissatisfied, 3- neutral, 4- satisfied, 5- totally satisfied. The researcher directly interviewed 400 patients in government hospitals of Punjab like Lahore, Sialkot, Faisalabad, Gujranwala and Multan during the time period of June 2020 to Nov 2020. The research included patients with musculoskeletal problems varies between the ages of 54-74 years. Results were analyzed by SPSS version 21. Results: The results were analyzed by SPSS Statistics 21, demonstrated Totally Dissatisfied 22%, Dissatisfied 31%, Neutral 13%, Satisfied 19% and Totally Satisfied were 15% with physiotherapy services. Conclusion: This outcome of the study concluded a high level of dissatisfaction of 22% in geriatrics by physiotherapy treatment for musculoskeletal conditions. The results of this study concluded that patient centered approach was not followed by physiotherapist and hence it leads to high level of dissatisfaction in geriatrics. Keywords: Patient satisfaction, musculoskeletal problems, Government sector, Physiotherapy treatment.
Objective: Quadratus Lumborum is actively used in our daily life for example in sitting and climbing stairs and trigger points are common in this region. The objective of this study was to find the effectiveness of dry needling and dry cupping in positional faults of pelvis due to myofascial trigger points in quadratus lumborum and to check if any of the techniques is superior to the other so that the best treatment option should be selected for patients. Methodology: This was a randomized clinical trial. A rehabilitation camp was arranged in Physiotherapy department of Islam Central Hospital, Sialkot Pakistan. 26 participants (by keeping 10% attrition rate) fulfilled the inclusion criteria. Convenient Random sampling method was done to divide the participants equally into 2 groups. Group A was treated by dry needling and Group B was treated by dry cupping. A conventional physiotherapy treatment (hot pack and stretching) was also given to both groups. The outcome measures of the study were numeric pain rating scale for subjective pain assessment, algometer for pressure pain threshold, pelvic goniometer for functional positional fault and measuring tape for muscle length. Participants were treated twice a week over a period of 3 weeks. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period. A follow up reading was also taken after 1 month for checking prolonged treatment effects. Results: To analyze data independent t-test (for Inter group comparison) and Repeated measure Anova (for Intra group comparison) were used. The research accepted Alternate hypothesis as the P value for all parameters was <0.005. Conclusion: The study concluded that dry needling was statistically superior to dry cupping for the treatment of pain and for improving pelvic positional fault. So, it should be applied to patients for the treatment of trigger points. Keywords: Dry needling, Dry cupping, Myofascial trigger points, Quadratus lumborum, positional fault of pelvis.
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