Objective: Trigger points commonly develop in upper trapezius muscle. These might be associated with neck pain arising from trigger points of trapezius. This study was conducted to compare the effectiveness of conventional physical therapy (CPT) with and without low level laser therapy (LLLT) on pain and cervical range of motion (ROM) in patients with trigger point of upper trapezius muscle. Methodology: An RCT was conducted with a sample size of 62 patients. The study was completed within 9 months after approval of synopsis. Data were collected from Health Care Physiotherapy, Sports, Spine & Rehabilitation Center, Faisalabad (Pakistan). Patients were randomly allocated into two equal groups; 31 patients of Group-1 received low-level laser therapy with CPT, while Group-2 (n=31) patients received CPT as the only treatment protocol. Patients pain level was assessed using Numeric Pain Rating Scale (NPRS) and cervical ROM was measured by goniometry at baseline and subsequently at 2nd and 4th week follow-ups. Results: Results of the study obtained by applying repeated measures ANOVA showed that there was mean reduction in pain scores from day 1 to week 4 in within group analysis of LLLT + CPT Group (Group=1) and within group analysis of CPT Group (Group=2) (p < 0.05). Statistically significant improvement was observed in all mean cervical ROMs especially for lateral flexion ROM for both groups in within group analysis (p < 0.05). Statistically significant improvement was seen in NPRS score at week four between Group-1 and 2, measured by independent sample t-test with p < 0.05. Whereas, independent sample t-test results showed no significant improvement in cervical ROMs at week four between Group-1 and 2 (p ˃ 0.05). Conclusion: Conventional physical therapy and low level laser therapy used in combination are more effective than conventional physical therapy alone in patients of trigger points of upper trapezius. Citation: Waseem I, Tanveer F, Fatima A. Can addition of low level laser therapy to conventional physical therapy be beneficial for management of pain and cervical range of motion in patients with trigger point of upper trapezius? Anaesth pain & intensiv care 2019;23(2):__ DOI: https://doi.org/10.35975/apic.v24i1. Received – 4 September 2019, Reviewed – 31 December 2019, 26 January 2020, Revised – 18 March 2020, Accepted – 9 May 2019
Background: Piriformis syndrome is disorder which is neuromuscular, caused by sciatic nerve compression and lead to compromised Hip functions. This problem, as well as the management for the restoration of hip functions need to addressed. Objective: To determine the effectiveness of passive mobilization versus self-mobilization in managing pain and improving quality of life in patients with Piriformis syndrome. Methodology: A quasi-experimental study was conducted at Imran Idrees Hospital Sialkot from April to October 2019. The simple random sampling was used to collect n=30 subjects with pain in the gluteal region from more than 2 months, both genders in age of 30-50 years were included. The Passive Sciatic Mobilization was given in one group, while other group was only taught the self-mobilization of the sciatic nerve along with home planThe Visual analogue scale and hip outcomes were measured at baseline, 2nd, 3rd, and 4th week using International Hip Outcome Tool (IHOT) Repeated measurement ANOVA for within-group and independent-sample t-test between groups were used. The level of significance was set at 95% (p<0.05).Results: The mean age of participants in self-mobilization was 41.20 +5.79 and passive mobilization was 42.87 +4.82. Out of 30 participants, 17(56.66%) were male and 13(43.33%) were females participants. The mean of pain at baseline in experimental group was 4.86± 1.30 and reduced to 2.06 ± 1.09 after 4 weeks of passive mobilization and Hip functions at baseline was 131.73 ± 22.59 and improved to 232.00 ± 19.39. Between the groups comparison of pain and hip functions showing that both techniques were effective in reduction of pain and improving Hip functions but passive mobilization group has was dominant over the self-mobilization p value P =0.00 Conclusion: The current study concluded that passive mobilization of sciatic nerve was effective in the management of piriformis syndrome compared to the self-mobilization for improving pain and hip functions. Key words: Hip Functioning Pain, Nerve Mobilization, Piriformis Syndrome, Passive Mobilization,Sciatic Nerve, Self-stretching
Background: The quality of medical teaching can be refined based on the attitude of the students towards their clinical and teaching environment. The objective was to determine student attitudes towards their profession and education in Punjab. Methodology: This cross-sectional survey was conducted from 20th July to December 2021 after taking ethical approval. The data was collected through an online google document from physical therapy undergraduates and post graduates from different institutes of Punjab. The outcome was measured using “physical therapy student attitudes questionnaire (PSAQ)”.It had four sections, section A is about the knowledge of the profession, section B includes beliefs about future, section C is about patient exposure in clinical trainings and section D is about level of satisfaction from the learnings. The data was encoded and analyzed using SPPS V.23. The descriptive statistics and mean+ standard deviations were used to present the scores. The independent sample t-test was used to find the difference in mean scores of males and females with p value ≤ 0.05 taken as significant. Results: The current study comprised of 82(32.15%) males and 173(67.84%) females with mean age of 22.5+6.5 years. The overall satisfaction level regarding knowledge, future beliefs, clinical exposure and learning was good with total mean± SD of 87.62+17.64 for males and 87.97+18.67 for females. There was no statistically significant difference of satisfaction among male and female students with P >0.05 Conclusion: The student attitude was quite satisfactory regarding their choice of physical therapy profession, good future, patient exposure and learning skills. There was no statistically significant difference based on the gender. Keywords: Education, Patients, Physical therapy, Satisfaction, Training.
De Quervain tenosynovitis of the wrist is a tightening or compression along with the inflammation of the 1st dorsal compartment. Objectives: To determine the magnitude of De Quervain's Tenosynovitis, functional disability and pain association with Mobile Texting among the students of The University of Lahore. Methods: A non-probability convenience sampling strategy was used to conduct a cross-sectional research among 191 individuals from the University of Lahore. The data was obtained using the Standardized Michigan Hand Outcomes Questionnaire after informed written agreement. The Numeric Pain Rating Scale (NPRS) was used and Finkelstein's test was performed. The data was analyzed using the SPSS. For categorical data, frequency and percent-ages were used, and the chi-square test to find the relation between the variables. P-value of <0.05 was considered significant. Both male and female patients who matched the inclusion criterion of being between the ages of 22 and 32 were taken in study. Results: Out of 191 university students, 100 (52.4%) were male and 91(47.6%) were female, the age was 27 ± 0.32, dominant hand of 177 (92.67%) was right and 14 (7.33%) were left-handed. There was a positive association among Finkelstein's test and Michigan hand questionnaire (MHQ) as p < 0.001 as well as Numeric Pain Rating Scale (NPRS) and Michigan hand questionnaire (MHQ) as p<0.001. Conclusions: The study discovered that nearly significant proportion of the student’s text on their phones, and that as a consequence of their mobile phones usage and extreme texting speed and they experience De Quervain's. There is an affirmative correlation between frequent text messaging and thumb pain.
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