Aim: The purpose of the study is to find out the effectiveness of lumbar stabilization exercises and extension exercises in patients with sub acute non-specific low back pain. Materials and Methods: 30 patients with non specific sub acute low back pain and no clinical signs suggesting spinal instability were recruited (Stabilization training: n=15; Mc Kenzies back extension: n=15). Both groups received 6 weeks of exercises intervention. Outcome measure were pain (Visual analog scale), range of motion (inch tape), disability (Modified Oswestry disability questionnaire) which were measured before and after intervention.Results: Both groups showed improvement post intervention. Statistically significant difference was observed between the 2 groups for relief of pain (mean difference=0.64, p=0.003), increase in range of motion (mean difference= 0.32,p=0.005) and reduction in disability scores (mean difference=3.40, p=0.003) favoring the trunk stabilization exercises.
Conclusion:The lumbar stabilization exercises programme has shown a significant improvement in outcome measures and reduced the disability to a greater extent with that of back extension exercise approach among subjects with sub acute non specific low back pain.
Background: It's a well-known fact that exercise is good for the mind and body making it beneficial for expectant and new mothers. The challenge of pregnancy, labor and looking after a new born is not an easy task. So the fitter you are the better you will cope with this life changing event.Method: Aerobic and strengthening exercises help in adjusting to the increasing weight and posture changes to cope effectively with the labor and the postnatal period. Although exercises in pregnancy are extremely beneficial, they can cause more harm than good if not done correctly. Medical screening for exercise should be done by the Doctor as well as the Physiotherapist to ensure that the patient underwent a basic screening, assessment or continued monitoring for the right exercise protocol for avoidance of any complications and to ensure the benefits of staying healthy and fit.Results: Evidence shows that exercise training programs designed and delivered by the Physiotherapists can relieve the prenatal post natal problems.
Conclusion:Number of studies has shown the positive effects of aerobic and strengthening exercises on pregnant women. The physical changes to a pregnant woman's body are multiple. There are center of mass changes, pressure on the organs and increased weight gain. In fact, over two thirds of pregnant women experience back pain, one fifth experience pelvic pain and over 40% experience urinary incontinence in their first pregnancy.
Background: Adhesive Capsulitis most commonly referred to as "Frozen Shoulder" is an insidious Painful Condition with progressive and gradual restriction of all planes of movement in the glenohumeral joint. Evidence shows Mulligan's mobilization with movement (MWM) mobilization technique is more effective than muscle energy techniques (MET) and conventional therapy in improving shoulder function. Therefore the present study intends to determine the efficacy of muscle energy techniques along with Mulligan's mobilization with movement, in adhesive capsulitis of the shoulder joint.
Methods:The present randomized controlled trial was conducted among 30 subjects including both sex groups aged between 40-60 years diagnosed with adhesive capsulitis of the shoulder. They were randomly assigned into two groups with 15 subjects each. Group A received Mulligan's mobilization alone, and Group B received Mulligan's mobilization along with MET. Both the groups received the treatment protocol six times a week for three weeks. Pre and post evaluation of pain was done by using the short-form McGill pain questionnaire, range of motion by the Universal Goniometer and the functional disability by using Shoulder Pain and Disability Index (SPADI).Result: There was a significant improvement (P<0.05) in pre and post-intervention levels in both groups. Between groups analysis, the results are: a range of motion improved 30%, and the values are flexion with a p-value of 0.010, for abduction, internal and external rotations with a p-value of 0.000 except for extension with a p-value of 0.109. On comparison of SPADI using Mann Whitney U test, it showed 50% improvement with a significant difference with a p-value of 0.001 and McGill improved for more than 70% with a p-value of 0.000.
Conclusion:Mulligan's mobilization along with Muscle Energy Technique is found to be more effective in improving quality of life among subjects with adhesive capsulitis of shoulder than Mulligan's mobilization alone.
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