Common Neck pain is one of the most common issues in this era. Every other working woman have been complaining about neck problems. Objective: To determine the effect of intensive isometric and mild endurance training of neck muscles in women with chronic neck pain. Methods: Female patients suffering from neck pain were randomly enrolled into three groups. Group A was of control patients and group B and C were Interventional group. Consent form was taken and participants were fully informed about the task. This process ensured that in each group patients distributed with equal severity of neck pain. These states were assessed mainly by medical history and clinical examination before entering the study. Results: In current study, exercise program was examined at different intervals of follow-up visits through interviews. Conclusion: Strength and Endurance training both methods are effectively improving discomfort and debility in females by nonspecific, long-lasting neckline discomfort. Aerobic exercises and stretching along with strength training are more effective as compare to perform alone aerobic exercise.
Background Exercise is advised as a primary treatment for knee OA; however, the best exercise is still unknown among these patients with different comorbid like obesity. Hence, this trial was aimed to identify which regime is more suitable in patients with knee OA and obesity. Methods A randomized controlled trial conducted in Lahore, Pakistan, compared the effectiveness of two exercise regimens i.e. Group A: Weight-bearing functional exercise program and Group B: Quadriceps strengthening through non-weight bearing techniques in obese individuals aged 50 and above with painful medial knee OA. A total of 128 participants were randomly assigned to either group. They attended supervised sessions with a therapist 5 times/week for 12 weeks. Pain and physical function were measured as primary outcomes at baseline and after the intervention. Results The mean age of participants was 57±4.03, with 78 females and 50 males. The results revealed that outcomes were improved in both groups. However, Group B showed more significant results, with a mean of 3.92±0.9, whereas Group A results were also substantial, with a mean of 4.53±1.02. The findings were consistent for physical function, which improved more in Group B with a mean of 42.35±3.02 compared to Group A with a mean of 45.68±81. Conclusion Both groups showed significant improvement in both outcomes. However, participants in non-weight-bearing quadriceps strengthening show more statistically and clinically relevant results. Keywords Exercise, Obesity, Osteoarthritis, Pain, Physical Activity.
Background and aim: Human illness treated electrically in old concepts back in 2500 BC, electric fish used by ancient Egyptian to manage pain through “Shock”. Electro medical devices gained popularity in 19th century. TENS was developed by Melzack & Wall for pain management which in turn found to be a big invention to the field of medicine. For pain relieve TENS is considered as low budget, easy to used and non-invasive electrotherapeutical equipment around the world. Study was aimed to evaluate the approach of TENS for pain management by physical therapist. Methodology: This cross-sectional study conducted through survey among physiotherapist of Karachi. A total No of 101 physiotherapists recruited in this study. A Self-administrated Questionnaire given to each participant for the evaluation of effectiveness of TENS for pain control. SPSS version 23.0 used for analysis. Results: Almost 90% physiotherapist recommends TENS with other modalities. This indicates high prevalence of TENS as main modality for the management of pain by majority of the participants either solely or in combination with other modalities. Conclusion: TENS found to have a significant effect in managing pain. Type and electrode placement also found important role in reducing pain.
Background and Aim: To evaluate the association of pectoralis minor muscle length and the shoulder range of motion with and without shoulder pain. Methodology: A sample of 214 participants with and without shoulder pain were enrolled in an analytical cross sectional study at Institute of physical medicine and rehabilitation, Dow University of health sciences, Karachi. Questionnaire was provided to all participants after taking consent. Individuals were categorized into two equal groups i.e. one with and the other without pain). Shoulder active ranges were measured with universal goniometer and pectoralis minor length with measuring tape. Statistical Package of Social Sciences version 21 was used for data analysis. The descriptive variables were assessed for frequencies and percentages. Continuous variables were shown with mean and standard deviations and were correlated with bivariate correlation test. Considered significant was 0.05 p value. Results: Females were 176(82.2%) and males were 38 (17.8%). Mean ± SD of age, weight, height, and BMI were 26.82 ±7.50, 58.45 ±12.11, 160.59 ± 12.43, and 22.18 ±3.78 respectively. The pain intensity negatively correlated with shoulder range of motions (rs = -0.307 to -0.775, p< 0.05) except medial rotation. Significant difference (p< 0.05) is found for length of pectoralis minor and range of motion between groups. There was also weak positive correlation between pectoralis minor index and shoulder lateral rotation (rs =0.215; p = 0.003). Conclusion: The shoulder pain affects shoulder joint range of motion and pectoralis minor length. Decreased pectoralis minor muscle length accompanies limited shoulder range of motion except, medial rotation.
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