Objective: This systematic review was conducted to explore the current evidences on effects of trigger point dry needling as a treatment strategy on pain and range of motion among the subjects with lower extremity myofascial trigger areas. Methods: A systematic review was performed and searched databases including Cochrane Library, PubMed, SPORTDiscus and PEDro. PRISMA guidelines were followed. Inclusion and exclusion of studies were made according to PICOS format. Ten studies were recruited for assessment based on eligibility. Cochrane Risk of Bias tool was used to assess the Randomized and Non-Randomized controlled trials and the methodological assessment was also performed using PEDro 10-point scale. Data synthesis was performed by Vote Counting Method as a descriptive tool. Results: Seven of the total ten studies deemed High score on PEDro and three were scored Fair on the scale. Each of the ten studies documented improvement in the pain over time with the dry needling strategy. None of the studies targeted the other outcomes like anxiety and sleep disturbances related with myofascial trigger points. Conclusion: On basis of the best evidences available dry needling seems to be effective in pain reduction related to lower extremity myofascial trigger points. Evidence also suggests that there is not much positive effect of myofascial trigger point dry needling on depression, anxiety, muscular strength and quality of life. Keywords: Acupuncture therapy, Dry Needling, Lower extremity, Myofascial trigger points Continuous....
Developing and emerging countries of Asia have shown a tremendous improvement in economic growth rates couple with the significant strides in extreme poverty reduction. However, most of the economies are still facing some challenges like income and non-income disparities in sharing benefits and participation into social and economic activities. It requires attention that economic growth must be accompanied by reduction in poverty and income & non-income inequalities, and promoting equitable participation, i.e. growth must be inclusive. To address these challenges, present study presents a pioneer work to construct a unique but comprehensive inclusive growth index (IGI) over the period of last two decades for 17 Asian and 8 developed countries. The study made a comparative analysis of inclusive growth performances of developing and emerging countries of Asia and compared their final score with the benchmark set by developed countries of the world. The study highlighted the clusters of variables which required attention in developing Asia to converge with emerging Asia, and in emerging Asia to converge with developed world. In short, the study provides a root map for developing countries to merge with emerging countries, and for emerging countries to merge with developed countries.
A number of research papers analyzed the factors that may have impacts on the balance of trade for the effective macroeconomic policies but the results of these studies have created ambiguity which implies that further research is needed as the worsening trade balance can limit the economic growth of any country. Hence the current paper is an effort to study the short-run and long-run relationships among trade balance, real effective exchange rate, GDP per capita, urbanization, unemployment and inflation rate for the Finnish economy. Autoregressive Distributed Lag (ARDL) bound testing methodology to co-integration along with error correction mechanism is applied by using time series data from 1990 to 2019 for checking the existence of long-run equilibrium between explained variable and its various determinants. Empirical findings of ARDL show that the long-run relationship among the factors of the estimated model holds. The results indicate that real effective exchange rate, urbanization and inflation are having a significant but negative impact on Finland’s trade balance for both the short-run and long-run while the impacts of GDP per capita and unemployment are significant and positive on the Finish balance of trade. In addition to above, the structural stability of mean and variance of the error term for the estimated ARDL model is verified with the help of CUSUM and CUSUM square graphs. Therefore, a reliable policy measure to improve the balance of trade by encouraging the domestic production and curtailing the imports is suggested in Finland.
Does the growth in non-agricultural sectors spill over to the agricultural sector of an economy? There is limited evidence available on the issue for the developing world, especially for Pakistan which has undergone large structural changes since its independence. This study examined the impact of sectoral growth linkages on agricultural output of Pakistan for the period of 1960–2016. We have estimated an econometric model which incorporates inter-sectoral linkages of Pakistan economy using a Vector Error Correction Model (VECM). Our analysis revealed that the economy of Pakistan has shifted from an agricultural dominant economy to services-based economy during the past six decades. Results of VECM show that the industrial sector has a negative impact on the performance of agricultural output whereas services sector is influencing the output of agriculture sector positively in the long run. Short run results show that industrial sector is affecting the performance of agricultural output positively whereas services sector is influencing the output of agriculture sector negatively. Negative impacts of industry in the long run and services in the short run imply that agricultural sector should be given its due share in public investment and the role of middle man should be minimised at the time of sale of agricultural production in the markets.<br />
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