Background: Management of osteoarthritis of knee joint is very important. Objective: The purpose of the present study was to observe the efficacy of transcutaneous electrical nerve stimulation (TENS) in the treatment of osteoarthritis (OA) of the knee. Methodology: This study was designed as randomized control trial which was conducted in the Department of Physical Medicine at Dhaka Medical College Hospital, Dhaka Bangladesh from July 2007 to December 2007 for a period of six (06) months. Patients presented with osteoarthritis at the age group of more than 30 years to 60 years with both sexes who were attended in Physical Medicine and Rehabilitation department in the Dhaka Medical College Hospital, Dhaka were selected as study population. The study populations were included by purposive sampling method after fulfilling the inclusion and exclusion criteria and were divided into two groups designated as intervention group (group A) and control group (group B). Group A was treated with TENS, therapeutic exercise, NSAID and ADL. Group B was treated with therapeutic exercise, NSAID and ADL. Results: A total of 60 patients with osteoarthritis (OA) of the knee joint were included in the study group. The mean age of both sexes were 46.67±7.04 years and male (46.83±7.73) patients were higher than female (46.56±6.41). There was significant difference in improvement of pain between two groups after treatment for two week (p=0.002); however, finally it was found that there was no significant difference in improvement of pain between two groups after treatment for 6(six) weeks. There was no significant difference in improvement of range of movement (ROM) between two groups after treatment for six weeks (p=0.946). There was no significant difference in improvement of walking speed between two groups after treatment for six weeks (p=0.611). Conclusion: In conclusion significant decrease of pain with increase of ROM and walking speed is found in all patients group with OA knee regardless of the treatment program. [Journal of National Institute of Neurosciences Bangladesh, 2017;3(2): [75][76][77][78][79]
Background: Low back pain (LBP) has been identified as one of the most frequent, disabling and costly condition which create a significant clinical and socioeconomic burden on national economy. The Roland Morris Disability Questionnaire (RMDQ)is one of the most commonly used outcome measures in patients with LBP. Objectives: To develop a culturally adapted Bangla version of RMDQ and to test its reliability and validity in patients with low back pain. Materials and Methods: This observational study was carried out from September 2015 to August 2016. The US English RMDQ was translated into Bangla after established crosscultural adaptation procedures, recommended by Beaton et al. Reliability was assessed by using internal consistency (Cronbachs' alpha coefficient) and inter-rater reliability (the intra-class correlation coefficient - ICC). The Content validity was evaluated by three expert Physiatrists and construct validity was tested by association with the physical functioning (PF-10) subscale of 36-items short form health survey (SF-36). Results: 100% participants had responded to all items of RMDQ. It was found to have 100% content validity. 50 % respondents did not have any difficulty in understanding the Bangla RMDQ and 30% faced difficulty in understanding in 1 item and 20% faced difficulty in 2 items (n=30). The values of Cronbachs' alpha coefficient and ICC were 0.89 and 0.95 respectively. Bangla RMDQ showed good correlation (r=-0.81) with Physical Functioning (PF-10) subscale of SF-36 in assessing construct validity. Conclusion: Bangla RMDQ appears to be an acceptable, reliable, and valid instrument for assessing disability in patients with LBP. KYAMC Journal Vol. 11, No.-1, April 2020, Page 21-25
Background: Chronic non-specific low-back pain (NSLBP) has become one of the main causes of disability in the adult population around the world. Therapeutic ultrasound is frequently used by physiatrists in the treatment of LBP and is one of the most widely used electro-physical agents in clinical practice. Objective: To see the effects of ultrasound therapy (UST) in the patients with chronic nonspecific low back pain. Methodology: This randomized control trial was performed in the Department of Physical Medicine & Rehabilitation of Dhaka Medical College Hospital during the period from December 2014 to May 2015. Patients presented with chronic nonspecific LBP in an age between 18 and 55 years of both sexes attending in the Department of Physical Medicine & Rehabilitation at Dhaka Medical College Hospital, Dhaka were included as study population. A total of 80 patients presented with chronic nonspecific LBP who had fulfilled the selection criteria were taken as study population. They were divided into two groups named as treatment group (Group A) and control group (Group B). Each group had 40 patients. During follow up 8 patients (4 patients from each group) were lost. Final analysis was done with data collected from 72 patients. Patients of group A were given UST, NSAIDS, exercises and ADL instructions whereas patients of group B were given same treatment except UST. Result: In both groups female were predominant than male. Most of the patients were in 31 – 40 years age group. Mostly housewives suffered from NSLBP. All patients were from either poor or middle-class family. Mean (±SD) duration of pain was 11.3 (±12.5) months and 11.7 (±8.7) months in group A and group B respectively. Sedentary life style and repetitive lifting are the major risk factors in both groups. Character of pain was mostly dull in both groups, severity of pain was mostly moderate and relieving factor was mostly rest in both groups. Prolonged standing and prolonged sitting were the major aggravating factors in both groups. VAS and ODI were reduced gradually in both groups. Conclusion: Ultrasound therapy has a significant role in the management of chronic nonspecific low back pain. Journal of National Institute of Neurosciences Bangladesh, July 2021, Vol. 7, No. 2, pp. 122-125
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