Globally the need of rehabilitation is higher in low and middle income countries as compare to developed countries, to promote independence in function, participation in learning, productivity in terms of earning and perform roles significantly in the life. This rise in demand of rehabilitation has promoted the need of rehab professionals for health and wellbeing of an individual. Occupational therapy falls under the umbrella of profession in rehabilitation; it promotes functionality in an individual from physical to mental, individual to social and family to community. It has emerged as profession over the span of three centuries that assist in providing rehabilitation service to individuals with physical, mental or development impairment. In 1917 St. Catherine University offered the first occupational therapy assistant (OTA) program in USA.
BACKGROUND AND AIMS Low Back Pain (LBP) is considered as the second leading source of musculoskeletal disorders, affecting 85% individuals worldwide at some point in their life time. Numerous studies estimated Occupational Therapists have predominant risk of developing LBP due to nature of their daily activities therefore the aim of this study is to evaluate the effectiveness of lumbar stabilizing exercises among Occupational Therapists with non specific LBP. METHODOLOGY A single blind, RCT was conducted at Dr. Ziauddin Hospital included 30 Occupational Therapists divided in to Group A and B that received lumbar stabilization and general extension exercises respectively. Both the groups received 4 weeks of intervention on 6 days/week. Data was collected Pre and Post the treatment on Numeric Rating Scale and Oswestry LBP Disability Questionnaire. RESULTS Both the groups showed significant results (p<0.05), however Group A showed marked reduction in pain and disability in comparison to Group B that showed moderate decrease in both outcome measures. CONCLUSION Lumbar stabilization exercises are more effective to reduce LBP as compared to general extension exercises. Multi-center trials are recommended in the management of LBP in healthcare professionals to prevent musculoskeletal disorders.
Revolution in practice is required among the professionals of rehab members in holistic team while working parallel with each other for inhibition, development, refurbishment and decline of functioning among clients along with effective service delivery system. This describes the focus of rehab professional on the International Classification of Functioning, Disability and Health (ICD) model of disability. Rehab professionals move from lab to clinical practice and community is actually an interchange of conservative investigation pattern to translational research mode, not just the implementing research outcome but also evolving the guidelines for healthier service model. Professional locally has understood the significance of evidence based practiced though the carter to attain translational research is still at T1 and T2 phase which is from bench to bedside. Mostly the research activities involves around the implementation of knowledge in to practice or combination of effective interventions. Among the rehab professionals the pace of evidence based practiced is faster among the physiotherapist whereas the other members of team such as Occupational therapist, speech therapist and psychotherapist are at very initial stage. It could be the curriculum advancement, unavailability of learning resources and lack of professional awareness not only in general population but also among the health care provider.
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