Myofascial pain syndrome (MPS) is one of the common musculoskeletal conditions of the shoulder which may develop sensory-motor and autonomic dysfunctions at the various level of the neuromuscular system. The pain and dysfunction caused by MPS were primarily treated with physical therapy and pharmacological agents in order to achieve painfree movements. However, in recent years intramuscular electrical stimulation (IMES) with conventional electrode placement was used by researchers to maximise therapeutic values. But, in this study an inverse electrode placement was used to deliver electrical impulses intramuscularly to achieve neuro-modulation at the various level of the nervous system. Nine patients with MPS were treated with intramuscular electrode stimulation using inversely placed electrodes for a period of three weeks. All nine subjects recovered from their shoulder pain and disability within the few weeks of intervention. So, this inverse electrode placement may be more appropriate for chronic pain management.
Background: Carpal tunnel syndrome (CTS) is a constellation of symptoms associated with compression of the median nerve at the wrist in carpal tunnel. The Purpose of this study is to find the comparative effective of carpal bone mobilization and neural mobilization in improving pain, Functional Status and Symptom Severity in patients with CTS.
Background: Motor control exercises are isolated strengthening exercise for the deep spinal muscles (transverse abdominus, multifidus) whereas Core stability is achieved by global strengthening of the core muscles. There are not much studies available in the literature done or studied the short term effect of the motor control and core stabilization on subjects with low back pain. Therefore, the purpose of this study to find the comparative effect of motor control exercises versus core stabilization exercises on improvement of pain and disability in subjects with mechanical low back pain.Method: An experimental study design, 30 subjects with non-specific mechanical low back pain were randomized into 2 groups with 15 subjects each in Group A and Group B. Subjects in Group A received Motor control exercises and subjects in Group B received Core stability exercises. Both the group received conventional exercises. The duration of intervention was given for two weeks. Outcome measurements such as pain using VAS, Functional disability using Oswestry Disability Index Questionnaire were measured before and after two weeks of intervention.Results: Analysis using paired 't' test and wilcoxon signed rank test found that there is a statistically significant improvement (p<0.05) in pain, functional disability within the groups. Comparative analysis using independent 't' test and Mann Whitney U test for comparison of difference in improvement in VAS and ODI between two groups, it was found that there was significant difference in improvement of VAS and ODI between groups. Group-A showed better improvement in VAS and ODI compared to Group B with an effect size of 1.47 and 0.99 respectively.
Conclusion:It is concluded that the Motor control exercises showed statistically significant improvement in reducing back pain and disability when compared to the Core Stabilization exercises. Thus, performing Motor Control exercises reduces pain and disability significantly compared to Core stabilization among non specific mechanical low back ache subjects.
Background:The Q angle is a relevant clinical diagnostic measurement to detect various disorders of the knee. The common method used to measure the Q angle in the routine clinical practice is by radiography. An alternative to radiographic measurement is goniometry, by which exposure to x-rays can be avoided. Objectives: To compare and correlate the goniometric measurement of Q angle with radiographic measurement of the Q angle in patients with acute knee pain. Methods: We selected 45 patient participants with a mean age of 32.5 years who satisfied the inclusion criteria for this study. All the patients underwent goniometric measurement of the Q angle followed by x-ray imaging of the entire lower limb. Later the bony prominences were marked on the x-ray image and the Q angle formed was measured using a protractor. The Pearson correlation coefficient between the goniometric and radiographic measurements was determined. Results: We found a significant relationship between Q angles obtained using a goniometer and x-ray imaging in the supine position (r = 0.91, P = 0.001). The mean difference between the goniometric measurement of Q angle and the radiographic measurement was 0.1°, which is not significant. Conclusions: Goniometry can be used to measure Q angle as accurately as radiography, and can be used as an inexpensive and radiation free alternative.
Alkaptonuria is a rare autosomal recessive disorder characterised by the absence of homogentisic acid oxidase and the subsequent accumulation of homogentisic acid, a metabolic product of the aromatic aminoacids phenylalanine and tyrosine; which is deposited in articular cartilages, intervertebral discs, sclera, tympanic membrane, tendons and ligaments leading to their degeneration. Here we describe a case of spontaneous rupture of Achilles tendon1,2,3 due to Ochronosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.