The aim of the study is to investigate effect of high-power pain threshold ultrasound versus extracorporeal shock wave on myofascial trigger points. Methods: this randomized single blinded controlled trial included a sample of 60 subjects (age 20 to 26) years old with upper trapezius myofascial trigger points. Subjects randomly allocated into 3 groups; Extracorporeal shock wave (ESWT) group (n=20) which received low level energy ESWT plus neck stretching, strengthening exercise, High Power Pain threshold Ultrasound (HPPT) group (n=20) received high power-pain threshold ultrasound with intensity range from 0.5 to 2 Watt/cm² plus neck stretching, strengthening exercise and control group (n=20) received neck stretching, strengthening exercise, Arabic Neck Disability Index and Pressure algometer was used to measure neck functional disability (ANDI) and Pressure pain threshold (PPT). Results: within group study showed statistically significant improvement in ANDI and PPT in both ESWT group and HPPT group as p value was (P<0.0001), While between group analysis comparison demonstrated a statistically significant improvement in ESWT group compared to the HPPT group regarding the value of NDI and PPT (P<0.000). Conclusion: in young adult with upper trapezius myofascial trigger points, ESWT plus exercise produce better improvement in ANDI and PPT compared to HPPT Ultrasound.
ObjectiveTo translate, culturally adapt, validate, and investigate the reliability of Arabic version of Bournemouth questionnaire (BQ) for patients with low back pain.MethodThirty experts (three panels) and 70 low back pain patients (37.5 ± 13.9 years) were involved in this study. Test–retest as well as internal consistency analyses were used to assess reliability. Intraclass correlation coefficient (95% confidence interval) was used to assess test–retest analysis, whereas Cronbach alpha value was calculated to assess the internal consistency. BQ Arabic version validity was evaluated in forms of face, content, internal, and external construct validity. Internal construct validity was evaluated with factor analysis, and external construct validity was tested by the correlation between the Arabic version of BQ and short‐form (36) health survey (SF‐36) questionnaire.ResultsFactor analysis revealed that BQ had a single factor. BQ has a very good correlation with SF‐36 questionnaire (r = .74). Arabic version of BQ has a high internal consistency reliability where Cronbach alpha value was 0.889 at baseline and 0.911 after 1 week. The test–retest analysis was between 0.87 and 0.96 and for the BQ total score was 0.95 (p < .0001) indicating that test–retest results are highly correlated.ConclusionThe Arabic version of BQ is a valid, reliable, and feasible scale for assessment of low back patients. It is short, easy‐to‐apply, need short time to complete and comprehensive scale. So it may be considered as a preferable scale for clinical assessment of Arabic speaking patients with low back pain.
ObjectiveThis study aimed to investigate the efficacy of rectus femoris stretching on pain intensity, knee range of motion (ROM), spatiotemporal gait parameters and function in patients with knee osteoarthritis (KOA).MethodsThis parallel group, single-blinded randomised controlled trial was conducted in two outpatient physical therapy clinics. Study participants (n=60, with age>45 years) with mild-to-moderate bilateral KOA were randomised into the study group (SG) and control group (CG). SG received rectus femoris stretching exercises together with stretching exercises of the calf, hamstring and iliotibial band, strength exercises for the quadriceps, gluteus medius, gluteus maximus and calf muscles, whereas, the CG received all exercises mentioned for SG except rectus femoris stretching. Pain intensity, ROM, spatiotemporal gait parameters and function were measured before and after 4 weeks of treatment.ResultsThe SG showed a significant improvement in the visual analogue scale, Western Ontario and McMaster Universities measure and ROM (p<0.001). The SG also had a significantly greater step length and speed than CG (p<0.001). Extension ROM did not significant difference between the groups (p>0.05).ConclusionSimple rectus femoris stretching exercises are easy to perform even at home and are beneficial for pain, flexion ROM, function and spatiotemporal gait parameters, such as step length and speed, in KOA patients if the compliance with the exercise regimen is good.Trial registration numberPan African Clinical Trials Registry PACTR202003828737019.
Background: Adolescence is a sensitive period of personal and psychological maturity, so many factors like a deformity and physical discomfort can affect the quality of life of patients with AIS. Disability and impaired quality of life are common in people with thoracic scoliosis. For society, work disability results in decreased productivity. The presence of a spinal deformity is a risk factor for psychological depression regardless of the treatment the patient received. Aim of Study:The purpose of this study was to determine the effect of severity of Cobb angle of thoracic scoliosis in adolescence on the active range of motion of shoulder complex and cervical articulations in people with idiopathic scoliosis. Material and Methods:The study was conducted on 60 male and female patients and a control group consisting of 60 participants. Their age ranges from 12-18 years. The sample was sub grouped into three groups according to the severity of scoliosis and control group. Group 1 "G1": Twenty participants with Cobb angle 10-20 degree. Group 2 "G2": Twenty participants with Cobb angle 20-40 degree. Group 3 "G3": twenty participants with Cobb angle >40 degree. Group 4 "G4": Sixty participants with cobb angle 0 (control group). The ROM of cervical side bending, shoulder flexion and shoulder abduction on the convex side was recorded by digital camera and then was analyzed by kinovea software program.Results: There was a significant negative correlation between cobb angle and cervical side bending ROM, shoulder flexion and abduction ROM. However, this negative correlation increases with degree of severity of cobb angle. Conclusion:Based on the findings of this study, the severity of scoliosis affect the range of motion of shoulder joint and cervical spine.
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