Total knee arthroplasty is gaining popularity in individuals with advanced stages of knee osteoarthritis among the affording economic class. The aim of the study was to assess the effects of preoperative rehabilitation in the management of post-operative quadriceps lag. The study design was non-randomised clinical study conducted from January 2017 to March 2017 at Ghurki Trust Teaching Hospital, Lahore, Pakistan. Non probability convenient sampling technique was applied to collect data of 30 patients with TKA. The data was collected by self-designed questionnaire, and goniometric range of knee extension was used as the main outcome. Independent sample t-test was applied to assess the difference between the groups. The mean age of the patients was 64.37±11.66 years. The mean score for Extensor Lag with pre-operative rehabilitation regime was 12.53º±36.57º and without this regime it was 23.20 ±79.18º (p value 0.005 & t-value -3.035).
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Background: To analyze the change in behavioral patterns, its impact, and peer pressure caused by COVID-19 lockdown among the adolescent population.
Methods: It was an observational study with sample size of 443 participants. The study was conducted after ethical approval. Data were collected from different academic institutions in Sialkot, Pakistan using Burnout rating scale. The target population was adolescents of age 13-19 years. Regression analysis was done to find predictor factors mobile use and lockdown on the dependent variable Burnout score. The correlation was applied among mobile phone use, lockdown, and burnout score. IBM software SPSS version 21 was used to analyze data.
Results: Among 443 participants, 305 were female and 138 were male making 68.8% and 31.2% respectively. 57.1% of participants were doing well, 24.8% became candidates for burnout. In 13.3% of candidates, the burnout made changes, and for only 4.7% action should be taken for their health. The correlation coefficient among burnout and using mobile was 0.194 that is highly significant showing a direct positive association between these two variables. The correlation coefficient (R) has a value of -0.222 between burnout and lockdown also showing significance.
Conclusion: Behavioral changes in adolescents concerning burnout due to COVID-19 lockdown was more exaggerated than the actual burnout rate. Behavioral outcome due to COVID-19 lockdown was not that much destructive for adolescent mental health, but only if combined with the other negative traits of the individual.
The protocol of the study was registered on ClinicalTrials.gov wide Identifier: NCT04697030
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