Background: Cervical radiculopathy is one of the regularly happened conditions caused by the pressure of nerve roots and manual exercise based recuperation has the key part in its administration. Both the strengthening activities and traction has its adequacy, and the present investigation was intended to evaluate their belongings. Aim: To determine the effects of traction on cervical region verses effects of strengthening exercises in patients diagnosed with cervical radiculopathy. Methods: A total of 20 patients (10 males and 10 females) were arbitrarily chosen and retained into two groups A and B. The inclusion standard was patients who were with diagnosed cervical radiculopathy on physical examination with age ranged 25-50 years. The Group A was treated with cervical traction, while group B was treated with strengthening exercises for 3 weeks. The NDI (Neck Disability Index) and Visual Analogue Scale (VAS) were used to amount and measure the disability and searing pain. To analyze the data SPSS version 21 was used and paired t- test was applied at 95% level of implication to determine the statistical results. Results: Patients in group A showed marked improvement as compare to group B. P-value (0.000) less than 0.05 is considered significant. Conclusion: It is concluded that manual traction is far more operative and effective than strengthening exercises for the management of disability and radicular pain in patients diagnosed with cervical radiculopathy. Keywords: Cervical radiculopathy, Manual Traction, Strengthening exercises
Osteoarthritis is a joint degenerative disease. Old age is the usual cause of knee osteoarthritis. Knee osteoarthritis affects quality of life (physical, social and psychological) of patient and can cause other health related problems. Most people who undergo knee osteoarthritis have serious consequences, which affect their quality of life. Objective: The purpose of this study was to evaluate the quality of life in patient by knee osteoarthritis. Methods: This was a cross sectional study that was conducted in Lahore, Pakistan in 2017. The sample size of 192 was taken with the age range of 30 to 70 years. SF-36 V2 extracted questionnaire was used to find out the quality of life in patients by knee osteoarthritis. People were asked about the effect of knee osteoarthritis on their physical, social and psychological health and result was calculated. Results: Quality of life was seen in 192 individuals having knee osteoarthritis with mean age of 47.66 years (range from 30 to 70). A strong impact of osteoarthritis was found on quality of life of such patients. Physical health limitation was found to be 59.9% and psychological impact was 49.5%. Conclusion: It was concluded that people with knee osteoarthritis had poor quality of life. Their physical, social and psychological health was compromised to a healthy individual.
Objective: The aim of this study is to compare the effects of strengthening exercises of Hip and conventional Knee exercises on pain, muscle strength and functional status in sprinters with Patello femoral pain syndrome Methodology: A randomized controlled trial was performed on 28 sprinters. Participants were selected through non-probability convenient sampling. The study was single blinded and was completed in 6 months. The assessor was unaware of the treatment given to both groups. Group 1 received Conventional knee exercises and weight bearing hip strengthening exercises and Group 2 received traditional knee exercises and strengthening exercises of hip with resistance. All Exercises were performed with 12 reps and 3 sets, 3 times a week for 6 weeks. Numeric Pain Rating Scale (NPRS) for pain, AKPS (anterior knee pain scale) for functional status and make test applied through hand held dynamometer measured strength through contractions of knee muscles. Results: The mean age of individuals in interventional group is 22.79 ±4.28 and the individuals in control group is 24.07 ±4.51. Both groups showed significant improvements in pain, function and muscle strength with p<0.05. There were not any significant changes in both groups with p>0.05. Conclusion: Both interventions are equally effective in reducing pain, improving strength and function in sprinters with PFPS which showed that these interventions can be included in the rehabilitation plan of these athletes. Keywords: Knee pain, Runners, Strengthening exercises, Rehabilitation exercises, strength
85% of the population has non-specific back pain. Posteroanterior (PA) lumbar mobilization and Push-up exercises are primarily used in physical therapy for back pain. Objective: To know the outcomes of posteroanterior spinal mobilization and prone push-ups on nonspecific lower back pain. Methods: The randomized clinical trial was done with 30 subjects meeting inclusion criteria and were randomly selected by non-probability/purposive sampling technique from the Department of Physical Therapy, Mayo Hospital Lahore. The 4 weeks study was conducted in which 2 groups with 15 in each group were formed. Group I was treated with PA lumbar glide while group II was treated with prone Push-ups. VAS and functional disability index were used to evaluate pre-treatment and post-treatment. Results: A significant decrease in mean pain score was noted in both groups. Results did not show any statistically significant differences between groups for any parameter. The study has given evidence that supports the use of posteroanterior mobilization and prone push-ups to reduce pain, improve range of movement, and disability reduction in patients with nonspecific low back pain. It also showed that posteroanterior mobilization was more beneficial than prone Push-ups. Conclusion: Both PA mobilization and Push-ups can be used as effective maneuvers for the treant of non-specific low back pain
Non-specific neck pain is a condition which is diagnosed through symptoms when serious and objective cervical spinal pathology (e.g., trauma, malignancy, radiculopathy, etc.) has been ruled out. Many studies have done previously for both techniques, muscle energy technique and strain-counter strain technique, for treatment of patients with non-specific neck pain Objective: To compare the effectiveness of Muscle Energy Technique with Strain Counter- Strain Technique in patients with non-specific neck pain Methods: Single blinded randomized clinical trial was conducted. The assessor was blinded from the allocation in the groups. Forty Patients were included in the study divided into two groups; each group received one technique. They were followed for Seven sessions. Questionnaire including visual analogue scale, NDI were used to collect pre-treatment and post- treatment data. Data was analyzed by using SPSS ver. 21. Independent sample t test was applied to compare means of patients Results: Neck flexion of the Patients pretreatment Mean Group 1:24.6500, Group2:23.0500. Neck Flexion of the patient after treatment Mean Group 1(SCS) 32.0500 Group 2(MET) 40.0000 Neck Extension of the Patient pretreatment Mean Group 1: 33.8500 Group 2: 30.6500. Neck extension of the patients. Post treatment Mean SCS 41.5000 MET53. 2500.The given results and detailed results given in the table shows that both techniques are improving ROM, but MET are more effective than SCS. p value is 0.001 which is significant Conclusion: This study concluded that Muscle Energy Technique is better in reducing pain as compared to Strain Counter Strain Technique
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