Abstract Objective: To determine the effect of Biodex training on lower limb functional performance, balance, pain and properioception in symptomatic knee osteoarthritis patients. Methods: It was a Randomized control study conducted in Armed forces Institute of Rehabilitation Medicine (AFIRM) from February to June 2018. Ethical approval from Riphah research ethical committee was taken. Study included 48 patients of both genders with age between 35-65 years and grade II, III bilateral knee osteoarthritis (Kellgren-Osteoarthritis classification). Patients with Past Knee surgery, knee injury, Recent Intra articular injection and with Rheumatoid Arthritis were excluded. Purposive sampling technique was used for sample selection. Patients were randomly allocated through sealed envelope method into Control group (n=24) and Experimental group (n=24). Control group received traditional exercise program while Experimental group received balance training on biodex & traditional exercise program. Assessment was taken at baseline and post intervention. Pain was assessed through Numeric pain rating scale (NPRS), Functional performance was assessed through Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) and Time up and Go test (TUG), Balance was assessed through Biodex stability system this assessment include overall stability index, AP stability, ML stability, overall sway, AP sway and ML sway. Data was analyzed on SPSS version 21. Results: Participants of experimental group shows statically significant improvement in NPRS (P<0.005), Overall stability index (p=0.49) and in Anteroposterior stability index (p=0.046). Improvement in Mediolateral stability index (p=0.047) and overall sway index was (p=.049). Stability index improved in all direction except in Anteroposterior index in experimental group. Continuous...
Background: Mild cognitive impairment (MCI) is a common phenomenon which is noticeably common among the older individuals population. Progression of this disorder is known to increase risk of Alzheimer's disease and Dementia. Objective: The objective of this study was to determine the association of quality of life and mild cognitive impairment in geriatric population. Methods: The data was collected using Memory Symptom Assessment Scale-Short Form (MSAS-SF) and Quality of life- Alzheimer Disease (QOL-AD) during a time period of six months from 300 individuals aged between 55-85years. The data analysis of this study was done using SPSS 21 version. Spearman test values were calculated to obtain results. Results: MSAD-SF and QOL-AD showed a significant decline of QOL in individuals with mild cognitive impairment. MSAS-SF and QOL-AD had a significant association with pain, lack of energy, difficulty sleeping, problems with urination, lack of appetite, dizziness, feeling sad, worrying, feeling irritable, memory, ability to do chores around the house, physical health, self as a whole and ability to do things for fun (pvalue< 0.05). Domains in both questionnaires indicated a decline in QOL with significant p-values of <0.05. Conclusion: In conclusion, those who had higher impairment level had lower quality of life in multiple domains.
Background: Cerebral Palsy (CP) causes many sensory and motor deficits in children which may lead to deterioration of their functional activities and daily life. Effective interventions are required to be worked on, which can improve the movement status of such subjects. Objective: To determine the effects of sensory integration therapy (SIT) in addition with virtual reality (VR) and Conventional Physical Therapy in subjects with cerebral palsy. Methods: A Pilot randomized control trial (RCT) was conducted at Pakistan Railway Hospital Rawalpindi from July to December 2019. The n=26 subjects were recruited after fulfilment of inclusion criteria; male and female diagnosed spastic CP subjectswith age 5-12 years, gross motor function classification system (GMFC) level I-II, can independently walk ≥ 5 meters, spasticity of lower limb <3 on Modified Ashworth Scale (MAS), able to understand commands and play gamesThe subjects were randomly divided into group A, receiving sensory integration therapy (SIT) in addition to virtual reality (VR) and conventional physical therapy CPT), while group B received only virtual reality (VR) and conventional physical therapy CPT). The interventions were given for 6 weeks with assessments at baseline, 3rd and 6th weeks. The outcome measures were gross motor function measurement (GMFM) for assessment of gross motor functions, pediatric balance scale (PBS) for assessment of balance in children and 2-minute walk test (2MWT) for mobility. The analysis was done via SPSS 21 and ANOVA test was applied. Results: The mean age of the study participants was 7.52±2.25 years. The balance Scale and 2-minute walk test showed significant interaction (p<0.001) between intervention and time. Between group analyses done by one way ANOVA, the assessment at 3rd and 6 weeks has shown significant difference (p<0.001) for GMFM standing, walking/running and total along with PBS and 2 MWT. Conclusion: Augmentation of sensory integration therapy with virtual reality has significant effects on improving gross motor functions, balance and mobility in cerebral palsy as compared to virtual reality. Keywords: Balance, cerebral palsy, gross motor functions, virtual reality, sensory integration therapy
Objective: To compare the effects of task-based mirror therapy and Repetitive Facilitation Exercise on upper limb function in post stroke patient. Methodology: A randomized controlled trial was conducted in Pakistan Railway general hospital, Rawalpindi. The duration of this study was from 10th July to 31st December 2019. Non-probability purposive sampling technique was used with n=50 male and female subacute and chronic post-stroke patients between 40-50 years. The patients with Modified Ashworth Scale <3 and the first-ever stroke was included. The participants were randomly divided by the sealed envelope method into mirror therapy group (n=25) and Repetitive Facilitation Exercise group (n=25). The Upper extremity functional index (UEFI) was used to assess the functional impairment in individuals with upper limb dysfunction, Fugl Meyer (FMA-UE) for assessment of activity in post stroke patients, “Wolf Motor Function Test (WMFT) for upper extremity performance and functional capability” and Brunnstrom recovery scale (BRS) for motor function of the upper limb was used in a post stroke patient. All the patients were assessed at baseline than after 3 weeks and again after 6week for interventional session of 30 min,3 days of the week. Data were analyzed through SPSS version 23. Results: The mean age of Group A (MT) was 50.97±6.741 and 49.76±12.66 of Group B (RFE). After 6 weeks of intervention between groups analysis of Task-based mirror therapy showed significant improvement in mirror therapy group as compare to Repetitive Facilitation Exercise group ,for upper extremity functional index scores(p<0.001) but for motor assessment(FMA-UE), Wolf Motor Function Test (WMFT) and for stroke recovery (Brunnstrom) no statistically significant difference (p≥0.05) was found. Within-group analysis of both groups showed statistically significant results in all variables (p<0.001). Conclusion: Mirror therapy and Repetitive facilitation Exercise both were found to be effective in improving upper limb motor functions of acute stroke patients. However, Mirror therapy has shown significant effects in upper extremity functional index. Keywords: Mirror therapy, Physical therapy, Repetitive Facilitation Exercise, Stroke, Upper extremity.
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