Background: Sacroiliac joint dysfunction frequently causes pain in low back. Localized tenderness and pain around the sacroiliac joint are signs of sacroiliac joint dysfunction, which is made worse by strenuous activities. Objective: This study aimed to compare the effectiveness of mulligan mobilization Technique Versus McKenzie exercises among patients with sacroiliac joint Dysfunction. Methodology: Total 58 patients, with sacroiliac joint dysfunction were included who were fulfilled the eligibility criteria.This trial was registered with Registration number: NCT05404451 Dated 01-08-2022. This study is assessor blind. We have used the convenient sampling technique and the Lottery Method was used to randomly select a participant who met the criteria for participation, and participants were then divided into the two groups at random. The researcher and participants were not informed of the allocation process. A research assistant who was unrelated to the next stage of the study covered up the allocation method. In envelopes, the allocation was concealed. The study subjects were categorized into two groups. Group A received treatment with mulligan mobilization technique while group B received treatment with McKenzie exercises. Both groups received treatment for four weeks. Using the VAS and the MODI scale, pain and disability were evaluated before and after treatment. Results: Results indicated that individuals of both therapy group mulligan and McKenzie showed improvement in VAS and MODI ratings P value was (>0.005). Additionally, it was observed that McKenzie exercises were more effective than Mulligan mobilization techniques at reducing pain, disability, and enhancing sitting, standing, and walking in patients P value was (>0.005). While there was no significant difference has been observed in personal care lifting, sleeping, when comparing both groups P value was (>0.005). Conclusion: This study concluded that Mulligan's Mobilization and McKenzie exercises are both beneficial in reducing pain and improving disability. The McKenzie exercises, however, are more efficient than Mulligan's Mobilization technique when the two groups are compared (at reducing pain, disability, and enhancing sitting, standing, and walking in patients). Trial Registration number: NCT05404451 Dated 03-06-2022
Background: Stroke is a dominant cause of death universally and the primary determinant of motor loss and impairment. Aerobic training walking is use for chronic stroke patient Objectives: Objective of this study was to compare the effects of Aerobic Exercise (Walking) Training and conventional physical therapy treatment among Chronic Stroke patient Methods: This randomized control trial was conducted on stroke patient in 6 months’ duration. A sample of 60 participants fulfilling the inclusion criteria was recruited through convenient sampling and randomly assigned to two groups. Design: Assessor blind Randomized Control trial Setting: Chaudhary Akram Teaching hospital rewind road Lahore. Duration: 12 weeks (3 months) Subjects: Chronic Stroke patient Intervention: Group A received aerobic training walking (n=30) walked over ground for 30 minutes, 3 times per week this will continue till 12 weeks and conventional treatment and group B (n=30) received conventional physical therapy including stretching and strengthening with massage to involved limb this treatment session will continue 30 minutes, 3 times per week this was continue till 12 weeks Main measure: Primary outcome of the treatment was measured using Health related quality of life Sf-36. Morticity index was measured as secondary outcome. Results: Mean of difference of pretest-posttest HRQOL in Group A was325.66±92.58 and in Group B was 233.33±101showing that there was statistically significant difference in improvement of both groups (P-value<0.05) and interventions of Group A (aerobic training) are better in improving quality of life as compared to interventions in group B (conventional physical therapy) Conclusion: Aerobic training walking shows better results as compared to conventional treatment stretching strengthening and massage in improving quality of life of chronic stroke patient
Background: Knee OA is the most common degenerative disease in old individuals which affects ability of walking, sitting and climbing stairs. There are several manual therapy techniques for limited and painful knee flexion, but there is very few evidence about the combined effect of Exercise therapy and Mulligan's Mobilization with Movement (MWM) in osteoarthritis of the knee.Objective: To determine the effect of exercise therapy and mulligan*s mobilization with movement techniques on pain and difficulty in performing ADLs with knee OA in household females. Methodology:It was randomized control trail study. The study was done among the household females with knee OA. The study was completed in six months after the approval of synopsis. The 38 participants involved in this study age ranges from 40-60. The participants were divided into 2 groups. Group A include 19 patients which receive Exercise therapy and group B also include 19 patients which received the MWM. Outcome measures were WOMAC score and VAS score.Results: In this study 38 female participates. The results shows that the participants with different age and percentage. Before treatment the Mean and Standard deviation for VAS scale as follow Mean 7.08 with SD 0.997. After treatment the VAS scale shows Means 3.42 with SD 1.826 for both groups. On the other hand the pre WOMAC index shows the Mean 50.87 with SD 13.368 and post WOMAC index shows Mean 26.97 with SD 14.070 for both groups. Lower score implies a better post-treatment improvement. P-value shows that the mean difference of knee Osteoarthritis before and after treatment is significant. Conclusion:The research shows that that the group which receives the Mulligan's Mobilization with movement are more effective than the group which receives Exercise therapy and is important in the treatment and reducing symptoms of grade I and II knee osteoarthritis among household female patients.
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