Background The objective of the study was to compare the effects of neuromobilization (NM) techniques and routine physiotherapy on pain and functional disability in patients having shoulder impingement syndrome (SIS). Present study was aimed to discover evidence based conservative and cost effective remedy on pain and functional disability. Study design Single blinded randomized control clinical trial. Methods A total of 80 patients with SIS were randomly assigned into care and experimental groups (40 in each group). After the baseline assessment routine physiotherapy was executed on both groups, while NM was applied additionally to experimental group. Pain and functional disability score were evaluated by Visual Analogue Scale and University of California at Los Angeles rating score at baseline, 5th and 11th week. Differences in outcome between groups were evaluated with clinical improvement. Results The experimental group compared with care group at 11th week had lower mean pain score 2.15(1.66–2.64) vs 4.90(4.41–5.40); between group difference, 1.82; 95% (CI), − 2.38 to − 1.25; P < 0.001 and Partial ƞ2 = 0.33, similarly functional disability score 28.58(27.32–29.83) vs 20.10(18.84–21.36); between group difference,5.62; 95%CI, (4.32–6.92); P< 0.001 and Partial ƞ2 = 0.49 respectively. In experimental group NM was a more effective technique to reduce the pain severity and disability in SIS patients as compare to care group. Conclusion Neuromobilization techniques in addition to routine physiotherapy were significantly effective for the treatment of SIS. Trial registration IRCT20190121042445N1, Registered 19 February 2019.
Background: Posture is the alignment or orientation of body segments by maintaining an upright position. The postural deviations associated with change in young people’s behavior have increased. Incorrect posture refers to an irregular state of the body in which the body does not sustain a steady state and tissues and organs function normally in an erect position. Objective: The objectives of this study were to check the knowledge about body posture, attitude towards good and bad posture and practice for correcting the wrong posture to prevent complications in physiotherapy students. Methodology: An observational cross sectional study was conducted among the physiotherapy students from University Institute of Physical Therapy (UIPT), The University of Lahore Chenab Campus; Pakistan. For knowledge section Questionnaire on level of awareness of body use in young people was used, for attitude section a self-structured questionnaire and for practice section (Q-BAPHYP) was used. Data were analyzed by using SPSS (version 21.0). Results: Out of 202 physiotherapy students, 21(10.4%) were males and 181(89.6%) were females. 12.4% students were from 2nd year, 37.1% from 3rd year, 28.2% from 4th year and 22.3% from 5th year. Average age was 21.43 years. Among the total 36(17.8%) student’s had knowledge of good posture, 143(70.8%) often good posture. 168(83.2%) students responded of having a positive attitude towards good posture and only 11(5.4%) always practices good posture in their daily life. There is a positive but a weak correlation between knowledge and attitude (Spearman Correlation value=0.138) Conclusion: It was found that the physiotherapy students had knowledge of good posture and showed a positive attitude towards good posture but they are not well practicing it in their daily routine. Key words: Bad posture, Ergonomics, Good posture, Kinematics, Posture, Scoliosis
Background: Tension type headache is claimed to be one of top ten disabling conditions in the world. The purpose of the study was to determine the effects of muscle energy technique on pain, range of motion at cervical spine and disability related to tension type headache. Methods: A randomized control trial was conducted on 48 participants of both genders whose age was 18 to 40 years with complain of tension type at Rehabilitation and Injury Management Department of Medcare International Hospital Gujranwala, from July to December 2019. Participants were randomly selected and allocated into two groups (experimental and control group). The experimental group received both muscle energy technique and myofascial release technique on trapezius and sternocleidomastoid of both sides. The intervention was applied for 6 weeks (3 sessions per week). Assessments were done at baseline, 4th week and 6th week. Numeric pain rating scale (NPRS), Headache disability inventory (HDI), headache impact test (HIT) and cervical range of motion with the help of Inclinometer were tools for assessment. Data analysis was done using SPSS (version 21). Results: The mean age of experimental group was 26.5±5.42 and control group was 27.7±5.70. The experimental group was shown significant improvement in terms of pain and flexion and side flexion range of motion with p-value ≤0.05. Conclusion: It is concluded that muscle energy technique is effective treatment for tension type headache; it is associated to decreased range of motion at cervical spine and disability related to TTH. Trial registration: IRCT20190121042445N2, Registered 07-02-2021.
Background: urinary incontinence is said to be a condition in which there is involuntary urine loss. Although it is a common clinical condition among females whether it is stress urinary incontinence, urge urinary incontinence or mixed it leads to social embarrassment and isolation which affect their activities of daily living yet the exact prevalence is unknown as it depends upon different risk factors. In Pakistan there is lack of literature which could explain its dependency on varying risk factors. Objective(s): To evaluate prevalence of urinary incontinence among females of age 20-65 years. Methodology: A cross-sectional research with a sample size of 377 females from the general population of Gujrat District was done. Statistical Package of Social Sciences (SPSS) was used to analyze the obtained data. Findings were then interpreted using Chi-square test. Results: The results have been obtained after analyzing the data collected from 377 females. Prevalence of UI was 75.3% No significant associations were found as P-values were ?0.05. Conclusion(s): This study shows that urinary incontinence is a very common issue in females and it varies with age , parity, mode of delivery and menopause Key words: menopause, parity, Stress urinary incontinence, urge urinary incontinence, Urinary incontinence
Background: Pakistan is having higher prevalence of Diabetes Mellitus. Gestational diabetes mellitus (GDM) has been linked with substantial short- and long-term adverse health results, such as Diabetes Mellitus, increased risk of cardio-metabolic disorders later in life among both women and infants. GDM has seven times significantly increased risk of diabetes mellitus. The objective of this study is to calculate the prevalence of diabetes mellitus among multigravida females with the history of gestational diabetes. Methodology: A cross sectional study was conducted on 153 women with multigravida having history of gestational diabetes was selected by convenient sampling. This study was conducted between Augusts to December 2021. Data were collected by a self-structured questionnaire. Data were entered and analyzed by SPSS 24. P value ? 0.05 was considered as significant value. Results: Out of total 153, prevalence of diabetes mellitus persists among the females with multigravida and having the history of gestational diabetes was observed 71(46.40%). Obesity, stress, lack of physical activity, Family history of Diabetes, Hypertension, elevated birth weight are some major risk factors of Diabetes mellitus after GDM. Conclusion: Diabetes mellitus that persists after GDM have high prevalence and higher risk among multigravida females. For prevention of DM, early diagnosis screening, awareness should create about risk factors of DM and appropriate exercises during gestation period in females should perform. Keywords: Cross-sectional, Gestational Diabetes Mellitus, Diabetes Mellitus, Multigravida, Nulliparous.
Background: Dupuytren’s disease(DD) is characterized by progressive idiopathic fibrosis of the hand palm and the formation of nodules & contractures. Its prevalence ranges from 3 to 42% worldwide. Aim: To assess Dupuytren’s disease’s prevalence, severity and its association with different demographic factors. Study design: Analytical, Cross-sectional study done using Non-probability convenient sampling. Method: This study was conducted on 424 diabetic patients of age between 40 and 80. A questionnaire was used to assess different sociodemographic factors among them. Tubiana classification & tabletop test was used to assess the severity of the disease. Chi-square test was applied to find out the p-value for the association between variables. Results: About 9% of total participants were affected by DD. Most of the affected people were in the nodular stage or stage 1.There was a significant relationship found between DD and different factors like age group (p=<0.01),Family history of DD(p=<0.01), and previous hand injury (p=<0.01) Practical implication: This study provides us the baseline risk factors leading to the disease for better future interventions. Treatments gets easier when we reach the cause. Because nowadays the widely available treatment is surgical excision which is not a good option for everyone. Also there is a dearth of research on this emerging hand disability caused by diabetes that’s why this research is being conducted Conclusions: The results showed high prevalence of DD in diabetic patients with old age, positive family history of DD disease and previous hand injury. Therapeutic studies are required for the betterment of society and to prevent the disease from causing disability. Keywords: Contractures, Dupuytren’s disease, Dupuytren’s nodules, diabetes, personal factors, Family history.
Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle also can irritate the nearby sciatic nerve and cause pain, numbness and tingling. Starts at the lower spine and connects the upper surface of each femur (thighbone). Functions to assist in rotating the hip and turning the leg and foot outward Runs diagonally. Objective: To find out the prevalence of piriformis muscle syndrome among individuals with low back pain. Methods: Participation of population from Gujranwala city from various emergency clinics was remembered for this study in view of inclusion and exclusion criteria. The data was collected through non-probability convenient sampling technique. Affirmed instances of low back torment patients were added and get some information about their agony as indicated by VAS (visual simple scale) and outer muscle tests (FAIR test, pace sign, Piriformis stretch (test) were performed on patients. Results: The results have been obtained from 219 participants. The overall Prevalence of piriformis muscle syndrome among individuals with low back pain was 18.3%.The Mean±SD of exact BMI were 27.43±6.859. Out of 219 patients, male and female Pace sign were respectively (85.8% negative and 14.2% positive). (81.7%) Negative and (18.3%) Positive Prevalence of piriformis muscle syndrome in the general population in Age groups chi-square value is (47.753b) and P- Value (<0.001*). Conclusions: In this research, the positive prevalence rate is 18.3%. It demonstrates that several individuals with low back pain have piriformis muscle syndrome.
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