Carpal Tunnel Syndrome (CTS) is an ailment in which median nerve is trapped in carpal tunnel and as a result a person feels tingling, numbness, and weakness in the wrist joint. It is most caused when excessive pressure is applied on the wrist joint. Most of the professionals go through this condition because of the nature of their work. Hairdresser, dentists, and labourers are commonly affected by this condition. Objective: This study determines the prevalence of CTS among butchers in Pakistan. Methods: Butchers from different cities of Pakistan were selected to check out the prevalence of CTS. 400 butchers from different cities of Pakistan were selected. Observational study design was carried out and convenient sampling was used to collect the data. The butchers having the age of 20 to 40 years were included with having an experience of 3 years or more. All the butchers should use the manual instruments during the processing of meat. They were told about the purpose of our research and a consent form, personally designed CTS diagnosis questionnaire, Visual Analog Scale (VAS) and Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) were filled by them. Functional limitations and symptoms severity of butchers with CTS were also assessed. Results: The prevalence of CTS among butchers in Pakistan was 10.3%. The butchers having age between 26-30 years had 46% cases of CTS among them. 21-25 years old butchers had 17% of affected butchers among them. According to experience, butchers having 3-5 years’ experience was the most affected among them. 34% butchers of 3-5 years’ experience were involved. There was moderate level of functional limitation in CTS affected butchers according to BCTSQ. Next thing was the symptom severity with moderate level of symptoms severity was present in butchers suffering from CTS. Conclusion: The prevalence of CTS among butchers in Pakistan was 10.3%. All the butchers suffering from CTS had moderate level of intensity of pain. There was a moderate level of functional limitation and symptoms severity related to CTS affected butchers.
Often impacting elderly women, the urinary incontinence is defined as the involuntary urine loss. Objective: The purpose of this study was to see the comparative effectiveness of pelvic floor muscle exercise with pilates training for treatment of urinary incontinence. Methods: The study's 36 patients who met the eligibility requirements were accepted. Prior to conducting any examinations, we obtained written informed consents from each participant. Patients with urinary incontinence were divided randomly into two groups. In ‘group A’ pelvic floor muscle exercises were applied while in ‘group B’ pilates training was applied. Allocation of patients in two groups was done by computerised generated list. Both groups received conventional therapy, which was the same throughout the study. The conventional therapy includes adductor strengthening of thigh and hot pack for 15 minutes. Group A received conventional therapy and pelvic floor muscle exercise while group B received conventional therapy and pilates training. Treatment frequency was 2 times a week. The duration of treatment was 6 weeks in both groups. Each patient's informed consent was obtained before the questionnaire was filled out. Scores were derived using the Questionnaire for Female Urinary Incontinence Diagnosis (QUID) and the International Consultation on Incontinence Questionnaire (ICIQ). Results: Patients in group A significantly outperformed those in group B. Conclusion: According to the study's findings, strengthening the pelvic floor muscles is superior than practicing pilates for treating stress urine incontinence. Pelvic floor exercises not only improved the urine leakage problem but also strengthened the muscle of abdomen and pelvis. So these exercises programs should be included in treatment plans along with medications in public health care for the welfare of patients.
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