Background: Coronary artery bypass surgery is associated with sever alteration of Lung parameters after 1st post-operative day. The purpose of this study to determine The effect of CPAP on, arterial blood gasses, walking time and long term effect on Ejection fraction and quality of life. Objective: To determine the effect of continues positive airway pressure on arterial blood gases, walking time, long term effect on ejection fraction and quality of life in post coronary artery bypass grafting patients. Methods: Randomized control study was conducted in North West General Hospital Peshawar, from July 2019 to December 2019. Patients underwent coronary artery bypass grafting were included in cardiac rehabilitation. 60 patients were randomly divided into two groups with equal half’s. Experimental group received exercises with continues positive airway pressure (CPAP) and control group received only exercise. PAP was applied 20 minutes prior to exercise and ABG’s test and Vitals were recorded after 5minutes of exercise. Walking time was observed by 6MWT on last day of hospital discharge. Ejection fraction was observed by Echo and quality of life by SF12 questionnaire after four weeks. Results: mean age in control group was (55.27±8.80) and in experimental group was (4.70±1.535). Mean and standard deviation of post Echo in experimental group was 48.30±1.493 and control group was 46.17±1.191. Both groups showed significant difference P value less than 0.05 in arterial blood gases PH, HCO3, and PCO2. PO2 showed significant difference only in experimental group. Both groups showed statistically significant difference for 6 MWT. Mean of quality of life in experimental group was 37.4±5.062 and in control was 36.54±4.46. Conclusion: it is concluded that the use of CPAP in post CABG patients have effective outcome in arterial blood gases, walking time, ejection fraction and in quality of life. Keywords: Continuous Positive Airway Pressure, Coronary artery bypass graft surgery, Inpatients rehabilitations.
To evaluate the effectiveness of brisk walking and stair climbing on cardiopulmonary endurance in university students. Methods: 28 (male=14, female=14) young healthy adults were recruited for this study. VO2max and BMI, baseline measures were taken before the follow up. Participants in stair climbing group were asked to climb 60 stairs (height= 15cm each step) comprises of three flights per bout and a total of 180 stairs per session; three days a week, for a total of 12 training sessions over 4 weeks. In group B participants were asked to walk briskly for least 20 min a day, 3 times a week, for a total of 12 sessions for four weeks. VO2max and BMI measures were taken after the follow up.Results: Out of a sample of 28 participants, In Group A (Stair Climbing) the age of participants was (21.86 ±1.45 years, BMI pre was 21.96±3.31 kg/m2, which decreased to BMI post was 21.93±3.29 kg/m2, VO2 max pre was 42.45±4.57 (mL.kg-1.min-1) and VO2 max post was increased to 46.07±4.51; mean ± SD). In Group B (Brisk Walking) the age of participants was (22.92±1.85 years, BMI pre was 22.03±2.75 kg/m2, BMI post was 21.53±1.93 kg/m2, VO2 max pre was 42.07±3.52 (mL.kg-1.min-1) and VO2 max post was increased to 43.84±3.36; mean ± SD). Conclusion: It is concluded from the study that stair climbing can improve cardiopulmonary endurance in young healthy university students as compared to the brisk walking.
Background: Polycystic ovary syndrome (PCOS) is a metabolic disorder, which impacts and effects body's multiple system. Female with more fat deposition in her body and higher body mass index (BMI) will eventually face metabolic disorders like polycystic ovary syndrome, diabetes and urinary incontinence (UI). Muscles in the pelvic floor are susceptible and sensitive to androgen and are easily stimulated by presence or increased levels of androgen and due to hyperandrogenemia muscle mass increases and eventually pressure on Levator Ani and urethral sphincter increases and it causes muscle weakness in the pelvic floor and urinary incontinence and patients often complains with urine leakage. Objective: To describe the association between urinary incontinence and the body mass index with polycystic ovary syndrome. Methodology: The study was analytical cross-sectional study. This study included the sample of 113 nulliparous females having age between 18-45 years. Quota sampling technique was used in this study. Participants were divided into two groups, in one group females with diagnosed PCOS were taken and in other quota we had females without PCOS condition. We provided them the International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF), which is a specific questionnaire that assesses the problem of UI symptoms. Results: ICIQ-SF statistics were checked applying chi-square testing. Results showed value less than Alpha value which was 5% (0.05) so, the results were statistically significant and alternate hypothesis was accepted which showed UI and BMI had a significant relation with PCOS. This study will be beneficial in creating awareness among society that endocrine system and body mass index play important role in causing Urinary Incontinence and other health issues. Conclusion: According to this study's findings, there is a strong correlation between UI and BMI with PCOS. Keywords: Urinary incontinence (UI), Body mass index (BMI), Polycystic ovary syndrome (PCOS), International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI), Pelvic Floor Dysfunction (PFD).
Background: To determine the functional restrictions in functional activities of daily lives in middle aged asthmatic adults and association of BMI with limitations in their daily life activities. Method: An observational cross sectional study was carried out at pulmonology opd of Shalamar hospital. A sample of 36 diagnosed asthmatic adults of middle aged with moderate to severe allergic asthma was taken. A Purposive sampling technique was used to conduct the study. Prediction of functional limitations in everyday activities through Short Physical Performance Battery test was determined. Three series of tests named balance test, gait speed test, repeated chair stand test were conducted which were the part of short physical performance battery test. Each test scored 4 and there was the total of 12 score. Those subjects who had less than 10 score were at risk of limitations in their daily life activities in future. Result: Sample of 30 participants were included for this study from age 35 to 55. Out of which 13 participants were of normal weight with BMI of less than 23.9 and 17 were overweight with the BMI ranges from 24.0 to 30.0. Participants with greater BMI were at the high risk of mortality. The results showed that the 13 subjects were overweight had the high risk of mortality, 13 had the risk of functional limitations in activities of daily living and 4 had the good functional status. There was statistical difference between the BMI and Short Physical Performance Battery test score. (P value= 0.001) Conclusion: This study concluded that middle aged asthmatic adults with moderate allergic asthma had greater risk of functional limitations and high risk of mortality due to the disease effect. This study also showed that the predictive value of functional limitations was more pronounced in females with greater BMI than males. Keywords: Allergic asthma, Activities of daily living, Functional Limitations, Short Physical Performance Battery test,
Seated Medicine Ball Throw (SMBT)test at 45 degrees throw angle is used to measure the Upper body power. Measurement of grip strength, is an important component in body strength evaluation and can provide us with a quick assessment of an individual’s upper limb strength. Objective To assess the relationship between handgrip strength and upper body power among physiotherapy students via Digital Handgrip Dynamometer and Seated Medicine Ball throw test respectively. Methods: A cross-sectional study was carried out at Shalamar School of Allied Health Sciences, Lahore. This study recruited 45 participants of both gender, age between 18 to 24 years. Peak grip strength of both hands was taken using digital handheld dynamometer in kg. Seated Medicine Ball Throw, also called the medicine ball chest pass was performed by the participants using 2 kg medicine ball. SPSS was used to calculate the correlation of all variables. When the ball is released at 45 degrees, this study found a high association between handgrip strength and Seated Medicine Ball throw distance. SMBT has a mean of 149.7837.14, Right Handgrip Strength has a mean of 21.26kg5.3, and Left Handgrip Strength has a mean of 20.53kg4.69. Results: Grip strength left (r=.0.899) and right (r=.871) were found to have a significant link with Seated Medicine Ball throw (SMBT) performance in Pearson product-moment analysis. The dependent variable, SMBT, and the independent variables, HGS and Height, had a strong positive linear association (r=0.908). Conclusion: A higher Handgrip strength leads to a longer Throw distance, implying that a stronger Handgrip signifies a stronger Upper body.
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