Objective: To compare the effect of muscle energy technique and Mulligan mobilisation with movement on pain, range of motion and disability in patients of adhesive capsulitis. Methods: The single-blind, randomised controlled study was conducted at the Physiotherapy Department of Mayo Hospital, Lahore, Pakistan, from July to December, 2018, and comprised patients of either gender aged 30-70 years with adhesive capsulitis stage 2. The subjects were randomised using the lottery method into Mulligan mobilisation with movement group A, and the muscle energy technique grouo B. Conventional treatment, including hot packs and exercises like pulley rope exercise, wall climbing, and shoulder wheel, were part of both the groups. Each technique was applied five times per set, 2 sets per session 3 days a week for three weeks. Baseline and post-intervention readings were recorded for pain, range of motion and disability Using numeric pain rating scale, goniometer, and shoulder pain and disability index. Data was analysed using SPSS 23. Results: Of the 70 individuals assessed, 64(91.4%) were included; 32(50%) in each of the two groups. The mean age in group A was 49.93±6.69 years, while in group B it was 49.17±8.92 years. Group A showed significantly better result compared to group B (p<0.05). Conclusion: Muscle energy technique and Mulligan mobilisation with movement were both found to be effective, but the latter was significantly better compared to the former. Clinical Trial Number: IRCT20200611047734N2 (https://www.irct.ir/trial/48851) Continuous...
The aim of this research was to ascertain the effect of constraint-induced movement therapy on individuals with Parkinson's disease's hand and arm functions. Methods: It was a randomized controlled experiment that ran from December 28, 2020, to March 3, 2021, at the physical therapy departments of the University of Lahore Teaching Hospital, Lahore General Hospital and Mayo Hospital. Between the ages of 50 and 80, 40 male and female Parkinson's disease patients were divided evenly into two groups. Patients in the experimental group (n = 20) received both routine physical treatment and constraint-induced movement therapy, while patients in the control group (n = 20) received just normal physical therapy. Six hours a day, for a total of four weeks, were spent treating the patients. Frenchay Arm Test was used to evaluate patients (FAT). The data were examined using IBM's Statistical Package for Social Sciences (SPSS) version 25. Results: Data for 40 individuals were evaluated, with 17 (42.5%) men and 23 (57.50%) women, and a mean age SD of 65.28 7.28 with a minimum age of 50 and a maximum age of 78. Patients improved in both groups; the mean difference between pre- and post-test results in the experimental group was 2.060.66 (p=0.000), whereas it was -0.940.64 (p=0.000) in the control group. Contrary to conventional physical therapy alone, however, patients reported greater improvement following treatment with constraint-induced movement therapy (p=0.003). Conclusion: According to this study, constraint-induced mobility therapy helped Parkinson's disease patients' hands and arms operate better
Cervical radiculopathy is a clinical condition that affects the nerve roots and is frequently brought on by inflammatory or compressive disease. Although many alternative techniques have been proposed for reducing patients' pain and disabilities, manual therapy has been proven to be an efficient method. The goal of the current study was to compare how well the Manual Cervical Traction and Natural Apophyseal Glides treated individuals with cervical radiculopathy for pain and impairment. Methods: The physiotherapy department of Mayo Hospital Lahore conducted a parallel design, randomized controlled experiment on 72 patients. Following baseline testing, participants were divided into two groups randomly. Natural apophyseal glides and baseline therapy were given to group A, whereas manual cervical traction and baseline treatment were given to group B. Three weeks of treatment were spent receiving three weekly sessions on a rotating basis. A neck disability index and a numeric pain rating scale were used for assessment at the baseline and second and third weeks of therapy. The data was examined using SPSS version 25. Results: Data was analyzed for 72 participants. Mean and standard deviation scores for pain in group A were 3.14 ± 0.601 and of group B were 3.34 ± 0.482 before treatment. The post treatment score for group A were 1.57 ± 0.502 and of group B were 1.63 ± 0.490 with P value 0.632. P value for disability was 0.11. Conclusion: Natural Apophyseal Glides is equally effective to manual cervical traction for relieving pain but found to be more effective for improving functional mobility.
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