BACKGROUND: Chronic low back ache is one of the most common health problems affecting around 80% of the population sometime during their lifetime. It mostly affects the working age-group, have major economic impact. Exercise programs, designed to strengthen muscles, maintain and increase the range of movements and improve endurance are the cornerstone of management of chronic low back pain. Shortwave diathermy is a proven therapy for these patients. OBJECTIVES: To assess the effectiveness of abdominal strengthening and spinal extensors strengthening along with SWD in reducing pain, disability and improving range of motion in subjects with chronic low back ache, and to compare this effectiveness between the two groups. METHODS: Sixty subjects aged 30-50 years with chronic low back ache were treated with either abdominal strengthening exercises or SWD (Group A, n=30) or spinal extensor strengthening exercises and SWD (Group B, n=30) at a frequency of 3 times a week for 8 weeks. Treatment outcomes were assessed using Visual Analog Scale (VAS) for pain intensity, Modified-Modified Schober's Test for range of motion, and Modified Oswestry Disability Questionnaire (MODQ) for functional disability. RESULTS: After eight weeks of intervention, in both treatment groups, there was a significant improvement in all three parameters, when compared to baseline (VAS scores: Group A, 7.03±0.77 at baseline vs. 1.60±0.56 at Week 8 and Group B, 7.37±0.86 vs. 2.23±0.57; MMST: Group A, 12.23±1.33 vs. 21.73±1.02 and Group B, 12.70±1.34 vs. 20.47±1.04; MODQ, Group A, 43.85±8.43 vs. 13.63±4.11 and Group B, 51.75±9.40 vs. 18.67±3.51; P<0.05 for all comparisons). CONCLUSION: Shortwave diathermy with abdominal strengthening exercises is more effective than with spinal extensor strengthening exercises in reducing pain and enhancing functional performance in subjects with chronic low back ache.
Background: Osteoarthritis (OA) is the most common progressive musculoskeletal condition that can affect joints, but it mainly affects the hips and knees as predominant weight-bearing joints and is characterized by structural modifications to primarily articular cartilage and subchondral bone, Hoffa’s fat pad, synovia, ligaments and muscles, leading to the concept of OA as a whole joint disease. Hence the present study was undertaken to evaluate the outcomes of platelet rich plasma (PRP) and hyaluronic acid (HA) intra-articular injections in patients with OA in terms of pain by numerical pain score and VAS and to evaluate the outcomes of PRP and HA intra-articular injections in patients with OA in terms of functional outcome by WOMAC scores.
Methods: The study was a prospective hospital-based study in Kempegowda Institute of Medical Sciences between 2020 to 2022. The study was conducted on 100 patients, more than the age of 50 years of either gender with grade I-III OA of the knee fulfilling the inclusion and exclusion criteria. Patients were followed up at 6, 12 and 24 weeks for data collection and data was analyzed after follow-up visits were completed for all patients.
Results: On intragroup analysis, there was significant reduction in the mean WOMAC score in both the study groups across time-points (p<0.05). On intragroup analysis, there was significant reduction in the mean VAS score in both the study groups across time-points (p<0.05). On intergroup analysis at any time point of follow-up, the mean WOMAC score was noted to be statistically comparable between the study groups (p>0.05).
Conclusions: In patients with symptomatic knee OA, intra-articular HA and PRP provide short term improvement in pain and function. Both the therapy agents for OA were associated with equivalent safety, with no complications.
We designed less expensive halo vest brace using an Ilizarov ring and a threaded rod, which is as effective as the normal halo vest. It can be used in any orthopedic set-up.
INTRODUCTIONDistal end radius fractures are the most common fractures of the upper extremity encountered in practice, and constitute 17% of all fractures and 75% of all forearm fractures.
1There is an increase in the incidence of distal end radius fractures and its complications in the general population due to the increase in the lifespan of the population, in whom osteoporosis is frequently encountered.
2The complex anatomy of the wrist contributes to an equally complex variety of traumatic injuries, many of which permanently compromise the wrist function.These fractures have a bimodal distribution characterized by two groups. Results: In our study, 14 (46.6 %) patients had excellent results. Whereas, 11 (36.7%) patients had good results and 3 (10%) had fair and only 2 (6.7%) patients had poor results. Most of the fractures united by 12 weeks. Complications associated with the study was stiffness, malunion, sudeck's osteodystrophy and pin tract infection. Conclusions: The uniplanar external fixator augmented with k-wire is a good choice in the treatment of distal end radius fractures in terms of providing a good functional outcome if proper preoperative planning, good reduction and surgical technique are followed, leading to high rate of bone union, minimal soft tissue damage and complications.
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