We found a high prevalence of PGP in Indian women during the first three months of postpartum period. Our finding suggests that unilateral posterior pelvic pain provocation test (P4), ASLR test score ≥4, caesarean section delivery and sitting in breast-feeding posture were associated with increased risk of PGP during postpartum.
We found high prevalence of PGP in women who had caesarean delivery than those who had a vaginal delivery. Our finding suggests that, during postpartum period, LBP before pregnancy, parity, ASLR test score ≥ 4, bilateral P4 test, and sitting position during breast-feeding were significantly associated with increased risk of PGP in both vaginal and caesarean modes of deliveries, but further studies are needed for definitive conclusions.
The aim of this retrospective cohort study was to compare home physiotherapy with or without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty.
Methods
A total of 900 patients (including 810 females and 90 males) who had undergone total knee arthroplasty were divided into group A (n = 300) and group B (n = 600). Patients in group A had home physiotherapy on their own after discharge from hospital. The physiotherapist did not visit them at home. Patients in group B received home physiotherapy under supervision of physiotherapist for 6 weeks after discharge from hospital. Patients’ age, range of motion of the knee, and forgotten joint score-12 were assessed. A p < 0.05 was considered statistically significant.
Results
In group A, the mean age was 69.1 ± 14.3 years (range: 58 to 82 years); in group B, the mean age was 66.5 ± 15.7 years (range: 56 to 83 years) (p > 0.05). Preoperatively, the mean range of motion of the knee in group A and B was 95.8° ± 18.1° and 95.4° ± 17.8°, respectively (p > 0.05). The mean forgotten joint score-12 of group A and B were 11.90 ± 11.3 and 11.72 ± 12.1 (p > 0.05), respectively. Six weeks after total knee arthroplasty, the mean ROM of the knee in group A and B was 109.7° ± 22.3° and 121° ± 21.5°, respectively (p < 0.05). The mean postoperative forgotten joint score-12 of the group A and B was 24.5 ± 16.4 and 25.6 ± 17.4, respectively (p > 0.05). The rate of manipulation under anaesthesia was 3% in group A and 0.2% in group B (p < 0.05).
Conclusion
After total knee arthroplasty, frequent physiotherapist’s instruction helps the patients improve knee exercises and therefore decrease the risk of revision surgery. The home physiotherapy under supervision of physiotherapist lowers the rate of manipulation under anaesthesia.
Level of evidence
Therapeutic study, Level IIa.
Background and objective: Postmenopausal women are subjected to various health issues amongst which the musculoskeletal conditions are most prevalent. Various studies have been done to find out the prevalence of numerous menopausal symptoms but, there are very few studies done especially in India to evaluate the burden of various musculoskeletal disorders using standardized questionnaire.Objective: To find out the prevalence of musculoskeletal pain among postmenopausal women.Methods: A total 351 postmenopausal women were screened as per inclusion and exclusion criteria from S.D.M College of medical sciences and hospital, Dharwad. Data was obtained on sociodemographic and region wise musculoskeletal pain using standardized Nordic questionnaire.
Results:The prevalence of musculoskeletal pain among postmenopausal women was found to be 56% with mean age of onset of menopause as 46 yrs. Region wise analysis of musculoskeletal pain among postmenopausal women showed back (57%) and knee (72%) pain to be most prevalent.
Conclusion:Prevalence of musculoskeletal pain in postmenopausal was considered to be higher in this part of India. Most of the postmenopausal women are affected with musculoskeletal pain mainly in the back and knee regions and the causes for the same are multifactorial among Indian population.
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