Myofascial pain syndrome is a group of symptoms whose origin might be sensory, motor or autonomic. These symptoms usually results from painful spots in the fascia of the skeletal muscle known as myofascial trigger points (MTrP's). The efficacy of a number of manual techniques as well as combination therapies on MTrP's has been investigated through a number of research studies. Thus, the hypothesis of this study was to see if variants of Positional Release Technique yielded better results than the variants of ischemic compression technique or vice versa on MTrP in cases of Myofascial Pain Syndrome. The primary objective was to determine whether any modifications in the treatment duration of conventional parameters of two most effective soft tissue manipulation techniques i.e. the Positional Release Technique (PRT) and the Ischaemic Compression Technique (ICT) have any effect on the pain pressure threshold. 60 subjects with active MTrP over the upper trapezius were randomly allocated into three subgroups-A1, A2 and A3 for PRT group or group A and B1, B2 and B3 for ICT groups or group B.A1, A2 and A3 differed from each other in terms of starting position where in for A1 the starting position was flexed trapezius; for A2 it was extended or stretched trapezius and for A3 the muscle was moved from flexion to extension throughout the treatment duration. Whereas Group B was divided into B1, B2 and B3. For B1 the treatment duration was 30 seconds, for B2 it was 60 seconds whereas for B3 it was 90 seconds respectively. The intervention was given six days a week for two weeks. Although improvement was seen in all the variants of the PRT and ICT groups, the subjects from the 90 sec variant of ICT group i.e. B3 showed maximum and statistically significant improvement in the pain pressure threshold scores post intervention. The present study concluded that among the two most used soft-tissue manipulation techniques i.e. Positional Release Technique and Ischaemic Compression Technique,the 90 sec variant of Ischaemic compression technique yielded clinically significant results in terms of improving pain pressure threshold in cases of Myofascial Pain Syndrome with active trigger points.
Objective:The objective of this study was to find out whether there was any shoulder instability prevailing in the shot put throwers due to the rotational activities achieved in the respective sport. Methods: A total of 76 shot put throwers were recruited for the study. The multidirectional instability of the shoulder joint was tested by performing special tests.
Results:The study revealed that out of 76 shot put throwers, 49 individuals were found to be having shoulder instability, and 27 individuals were not having shoulder instability. This was confirmed by using a special test like the Sulcus sign and Rowe test followed by statistical analysis. The individuals diagnosed with multidirectional instability showed Sulcus sign and Rowe test positive, of which 30 individuals showed both the test positive and 19 individuals showed only Rowe test positive. Conclusion: About 64.47% of individuals were diagnosed with multidirectional instability in the shot put throwers while the rest 35.52% of individuals showed no signs of instability.
Background:Recent studies presenting first recommendations on respiratory rehabilitation management have failed to advocate a specific protocol as there is still missing data about the current specific needs due to COVID-19. This necessitates the extensive research to be carried out for investigating the efficacy of various physiotherapeutic interventional methods on these associated symptoms which often go unnoticed. In the same interest, an attempt was made to address the complications of prolonged immobilization by facilitating early ambulation along with incorporation of upper limb, lower limb as well as trunk movements. The aim was to facilitate chest expansion along with initiation of early ambulation in order to reduce the possible complications of ICU acquired weakness. Materials and Methods: 32 COVID-19 positive subjects were given the twist and raise walking technique as a rehabilitative intervention for a period of 7 days. Post intervention data for various outcome measures like inspiratory hold capacity and forced expiration were recorded. Results: Clinically significant results were seen in post-test scores of all the subjects in terms of Inspiratory Hold Capacity (p<0.0001) as well as Forced Expiration Volume (p<0.0001). Conclusion: Twist and Raise Walking Technique was proven significant in reducing the intensity of ICU-acquired weakness by improving both the inspiratory hold capacity as well as the forced expiration. This technique can be advocated as a effective rehabilitation intervention especially in COVID-19 patients to minimize the possible complications of ICU-acquired weakness.
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