Chronic shoulder pain is a complex and multidimensional phenomenon with multiple causative factors involved in its perpetuation. Alteration of central nervous system processing along with the central sensitization is a predominant feature in chronic pain. Reduction in physical function has an impact on the psychological well-being of an individual. The aim of the study was to compare pain, kinesiophobia, catastrophizing, disability and quality of life in chronic shoulder pain patients with and without central sensitization. Eighty chronic unilateral shoulder pain patients in the age group of 40 to 60 years were recruited. Of them, 38 were chronic shoulder pain with central sensitization and 42 without central sensitization, classified on the basis of central sensitization inventory. Pain catastrophizing was measured using the pain catastrophizing scale, kinesiophobia using Tampa scale of kinesiophobia, disability using Shoulder pain and disability index and quality of life using 36-Item Short Form Health Survey questionnaire was evaluated in both the groups. Increased pain catastrophizing (p=0.000), kinesiophobia (p=0.000) and disability (p=0.000) was observed in centrally sensitized chronic shoulder pain patients. Also, physical component summary (p=0.000) and mental component summary (p=0.000) of SF-36 quality of life were reduced in chronic shoulder pain with central sensitization as compared to without central sensitization. Hence, these components should be included during assessment which will provide a holistic and multimodal approach towards the understanding, planning and management of chronic shoulder pain patients.
Purpose: Educational environment has a significant impact on students' behavior, academic progress and quality of learning. The aim of this study was to evaluate the students’ perception of their learning environment in an Indian physiotherapy college and compare their perceptions in terms of demographic attributes and academic level. Methods: A cross-sectional study was conducted among 420 undergraduate physiotherapy students. The Dundee Ready Education Environment Measure (DREEM), a 50-item, self-administered inventory was employed to assess the student’s perception of learning environment. It comprises of five domains: students’ perceptions of learning; students’ perceptions of teachers; students’ academic self-perceptions; students’ perceptions of atmosphere and students’ social self-perceptions. Descriptive statistics, t-test and analysis of variance (ANOVA) were used to analyze data. P-value < 0.05 was considered as significant. Results: The mean DREEM score was 122.66 ± 17.39 reflecting a more of positive than negative educational environment in this institution. There was a significant difference in the overall DREEM score (p = 0.000) based on the year of study with highest mean score in first year (127.57 ± 13.81). Evaluating the sub-domains of perception, the students in all the years had a more positive perception of learning (29.22 ± 5.35), their perception of teachers moved in the right direction (26.52 ± 5.05), their academic self-perception was more on the positive side (21.23± 3.72), they had a more positive perception of atmosphere (28.56± 5.64) and their social self-perception could be graded as not too bad (17.13 ±3.08). No significant gender difference was noted for overall DREEM score and all domain scores. Conclusion: The present study revealed that all undergraduate physiotherapy students perceived their educational environment positively. However, some areas require remedial measures in order to enhance the educational experience. Advocating problem-based learning, student mentorship, counseling and workshops on teaching-learning for teachers might enable us to enrich our learning environment.
Background Functional ankle instability is a common musculoskeletal condition affecting the community. It is characterized by repetitive bouts of giving away, recurrent sprains, and sensation of instability leading to functional deficits in an individual. The present study aimed to assess the influence of kinesiophobia on physical function and quality of life in participants with functional ankle instability. A cross-sectional study was conducted in 30 participants with functional ankle instability. Kinesiophobia was assessed using the 17-item Tampa Scale of Kinesiophobia, physical function using the Foot and Ankle Ability Measure (FAAM) and the FAAM-Sport version (FAAM-S), and quality of life using SF-36. Results The TSK score showed a moderate negative correlation with FAAM-S (r = −0.5, p = 0.005) and a weak negative correlation with SF-36 physical component summary (r = −0.42, p = 0.02). However, TSK showed no significant correlation with FAAM-ADL and SF-36 mental component summary. Conclusion Increased fear of movement, reduced physical function, and health-related quality of life were observed in functional ankle instability individuals. Hence, evaluation of these parameters is imperative in these individuals.
Background: Smartphone has become a very popular necessity among students. An individual has to look at their phone's small monitor and perform repetitive movements in an awkward posture for a prolonged duration. Objectives: To assess the prevalence of musculoskeletal pain and associated risk factors in university students because of smartphone usage. Subjects and Methods: A cross-sectional study was conducted with 2000 university students using a semi-structured questionnaire comprising demographic profile, smartphone usage characteristics, presence of musculoskeletal pain, and specific area of pain according to the body region. Results: Among the 2000 students, 44.05% reported musculoskeletal pain. The most common sites of pain were the neck (34.2%), thumb (17.45%), lower back (16.7%), and elbow (16.6%). There was an association between prevalence of musculoskeletal pain with the size of the smartphone ( P = 0.005), the predominant purpose of smartphone usage ( P = 0.002), position preferred while using smartphone ( P = 0.000), and the level at which smartphone is held during usage ( P = 0.05). Logistic regression analysis revealed that the strongest predictor of musculoskeletal pain was the size of the smartphone. Conclusion: The study reported that the prevalence of pain in smartphone users is high with common sites being neck, thumb, and lower back region. Also, the size of the smartphone had a significant association with musculoskeletal pain.
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