Osteoarthritis (OA) and diabetes mellitus (DM) are two medical conditions that frequently exist together and cause poor consequences. OA is described as joint pain and is one of the main reasons for impairment. Diabetes is high levels of glucose in blood because of disruption in insulin metabolism. Objective: To compare gender variations of severity of pain, stiffness and difficulty in functional performance among patients of second stage knee OA with diabetes. Methods: Data were collected from 360 individuals with mean age 52.32 ± 4.989 years for males and 50.73 ± 4.763 years for females. Individuals with definite osteophytes in knee joint and clinically diagnosed DM were included in the study. The severity of stiffness and functional limitation was calculated using WOMAC questionnaire. Results: The mean of pain score was 9.0833 ± 3.04322, stiffness score was 4.3389 ± 1.12446 and the mean of physical function score was 34.0944 ± 8.65135. Overall, 109 patients had less severe symptoms while 71 had more severe symptoms. Among 180 female participants, n=15 had mild, n=139 had moderate and n=26 had severe pain on NPRS. The mean of the pain score was 9.8778 ± 2.90762. The mean of stiffness score was 4.5167 ± 1.28365 and the mean of physical function score was 37.1611 ± 7.98963. Conclusion: Our findings concluded that the gender difference of severity of pain and physical function limitation was statistically significant, but no significant difference was found in severity of stiffness. Also, females with diabetes had more severe symptoms than males with diabetes
Patient centered approach is the cornerstone in health care facility. Therefore, patient satisfaction is of utmost importance. Factors related to satisfaction of patient in connection with manual therapy practice are not evaluated. Objective: The purpose of this survey was to evaluate satisfaction of patient receiving manual therapy for their musculoskeletal disorders in Ali Hospital Lahore, Pakistan. Methods: A retrospective survey of 82 male and female patients in the range of 18 and above years was conducted in 2021 for the patient who had availed the services from Ali Hospital. These patients were recruited through simple random sampling only to refrain from biasness. Patients were enrolled according to inclusion and exclusion criteria. Results: In current study, among 82 patients almost 31 will undoubtedly and 31 will most likely suggest manual therapy treatment to people close to them. While the remaining 20 participants did not show any interest of suggesting this therapy. 37.80% participants showed more satisfaction towards manual therapy treatment and close association found between patient satisfaction and experience of physical therapist. Patients showed higher level of satisfaction when treatment was done by experienced skilled Physical Therapist. Conclusion: Current study reveals that there is higher customer satisfaction from the skill of Physical Therapist but the follow up exercise plan at home is considered worthless by the recipient. Manual therapy provides more relish. Similarly, the results demonstrate that female recipients are more satisfied from physical therapy in this scenario as compared to males.
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