Cervicogenic headache may imitate those usually connected through essential headache problems. Objective: To determine the effects of ischemic compression and positional release procedure on pain and Headache Disability Index in Cervicogenic headache. Methods: Data were collected from Physiogic Physiotherapy Clinic Lahore, for 6 months. Quasi Experimental study was conducted on 18 patients of Cervicogenic headache. All were randomly allocated to ICT group and PRT group, both groups were treated for 12 sessions in 4 weeks. NPRS, HDI were used to measure the treatment effect before and after treatment of 12 sessions in 4 weeks. Data was analyzed by SPSS 21. Results: There were 9 (50.0%) participation with mean of 26.22 and SD 2.90 in group A and 9 (50.0%) participants with mean of 24.55 and SD 2.55 in group B. Across the gathering correlation of VAS, KOOS AND AKPS with mean difference and standard p value of pre and post treatment values and within group comparison of VAS, KOOS AND AKPS showed significant difference in Group A as compared to group B. Conclusions: Result showed that significant difference found between the mean values of both technique after treatment (Post-Treatment) in HDI & NPRS in the favor of PRT because there is more variation in mean of PRT as compared to IC technique.
Adhesive capsulitis is frequently recognized as ‘Frozen Shoulder’, which is characterized by primarily painful joint range of motions and later progressively restricted range of motion of the glenohumeral joint. Other common names used for adhesive capsulitis includes ‘Periarthritis and Painful stiff shoulder’ and ‘Shoulder arthrofibrosis’. Objective: To compare the effects of scapular proprioceptive neuromuscular facilitation and Myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis. Methods: Quasi Experimental study was conducted on 34 patients of Scapular dyskinesia associated with Adhesive Capsulitis. Subjects were allocated to either to PNF technique group and Myofascial release technique groups. Both were treated for 12 sessions in 6 weeks. NPRS and SPADI scale were used to evaluate the treatment effects at baseline, 2 weeks, 4 weeks and 6 weeks. Results: The mean age of Group A was 43.12± 5.25. The mean age of Group B was 43.0±5.95. There was a significant difference between the mean value of baseline, 2 weeks, 4 week and 6-week NPRS score and baseline, 2-week, 4 week and 6-week SPADI score with P value <0.05 in both study groups. There was more significant mean difference of 6.23 between baseline and week 6 NPRS in Group A but there was less significant mean difference of 4.00 between baseline and week 6 NPRS in Group B. There was more significant mean difference of 70.70 between baseline and week 6 SPADI in Group A but there was less significant mean difference of 46.17 between baseline and week 6 SPADI in Group B. Conclusions: The study concluded that PNF technique and Myofascial release techniques were led to significant difference in NPRS and SPADI score, but PNF technique had shown more significant results than myofascial release technique to improve pain and function in scapular dyskinesia associated with Adhesive capsulitis.
Objective: To compare the effects of Post Isometric Relaxation (PIR) of gluteus maximus and Static Stretching (SS) of hip flexors on pain and functional status in patients with Anterior Innominate Dysfunction. Methodology: A quasi experimental trial was conducted on thirty six patients of Anterior Innominate Dysfunction. All were randomly allocated to post isometric relaxation group and static stretching group. Both groups were treated with 12 treatment sessions in 4 weeks at frequency of 3 sessions per week. Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Index (MODI) were used to measure the treatment effect at baseline, after 2 weeks and after 4 weeks. Data was analyzed by SPSS 21. Results: Mean Age of Group A (PIR) was 34.28±7.76 and Group B (SS) was 35.72±7.16. Mean BMI of participants was 23.84±3.29. Across group, both post isometric relaxation and static stretching had shown significant results with P value <0.05. But within group, post isometric relaxation had shown more significant results as compared to static stretching with P value <0.05. Conclusion: Both treatment techniques; Post isometric relaxation and Static stretching are effective and produced significant difference in NPRS and MODI score to improve pain and functional status but PIR had shown more promising results in patients with anterior innominate dysfunction. Key words: Sacroiliac Joint Dysfunction (SIJD), Muscle Energy Technique (MET), MODI (Modified Oswestry Disability Index).
Background:Lumbopelvic pain (LPP) is common during pregnancy associated with postpartum depressive symptoms. These negatively affect maternal health and behavior, such as exercise and physical activity ultimately leads to kinesiophobia. Objective: To determine the association of kinesiophobia with postpartum depression in females with lumbo-pelvic pain. Methods: A cross-sectional study was conducted on 89 postpartum women with lumbo-pelvic pain within six months of delivery in Jinnah Hospital, Lahore. Nonprobability convenience sampling was used to collect the data. Females presenting with lumbo-pelvic pain were selected on the basis of inclusion and exclusion criteria. Lumbo-pelvic pain severity, kinesiophobia and depression were measured by Visual Analogue Scale, Tampa Scale and Zung Self Rating Depression Scale, respectively. Pearson correlation was used to determine the correlation between kinesiophobia and depression. Results: The mean age of participants was 29.14 + 3.28 years. The mean pain score of lumbosacral pain was 1.989, Kinesiophobia was 47.5169 and depression was 60.2247. There was significant strong positive correlation (r=0.786, p<0.001) between Kinesiophobia and postpartum depression among female having lumbosacral pain. Conclusion: There was strong association of kinesiophobia with postpartum depression in females with lumbo-pelvic pain Key words: Depression, kinesiophobia, lumbo-pelvic pain, pregnancy
To determine the effects of combined isotonic and deep friction soft tissue techniques on pain and function in patient with chronic lateral epicondylitis. Study Design: Quasi Experimental study. Place and Duration of study: Data was collected from Mednic clinic and services hospital Lahore, for 6 months of duration after the approval of synopsis. Method: Quasi Experimental study was conducted on twenty-two patients of chronic lateral epicondylitis. Participants were allocated to either combined isotonic technique group and deep friction soft tissue technique group, both groups were treated for 12 sessions in 4 weeks. NPRS and PRTEE scale were used to measure the treatment effect before and after treatment of 3 session per week, total 12 sessions in 4 weeks to each participant. Data was analyzed by SPSS 21. Results: Total participants 22 were classified into two groups, Group A (combined isotonic technique) and Group B (deep friction soft tissue technique group). Minimum age was 30, maximum age was 46, mean age 37 and standard deviation was ±4.93. The significance was greater than 0.05 which mean the data is normally distributed as the value of Shapiro wilk test for NPRS .88 and for PTREE was .208, therefore parametric test (paired and independent T test) was applied. The significance values for all statistical tests were set to 0.05. Paired sample T test for NPRS mean difference reading for group A was 2.63 ±.9244 and group B was 1.09 ±.3015 and for PRTEE mean difference for group A was 14.09 ±7.8288 and group B was 5.81 ±3.945 showed that although in both group changes were significant but difference of mean was greater in Combined isotonic technique group. Independent T test comparison of mean score of NPRS and PRTEE between Group A and Group B showed that there was significant difference in value, pretreatment NPRS mean difference was .011 and post treatment NPRS score was 1.54. pretreatment PRTEE mean difference was 1.90 and post treatment NPRS score was 6.36 so combined isotonic technique showed greater mean difference after treatment. Conclusion: The study concluded that combined isotonic exercises group showed better results than deep friction soft tissue technique group for improvement of pain and functional disability in lateral epicondylitis patients
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