Background: Posture is the alignment or orientation of body segments by maintaining an upright position. The postural deviations associated with change in young people’s behavior have increased. Incorrect posture refers to an irregular state of the body in which the body does not sustain a steady state and tissues and organs function normally in an erect position. Objective: The objectives of this study were to check the knowledge about body posture, attitude towards good and bad posture and practice for correcting the wrong posture to prevent complications in physiotherapy students. Methodology: An observational cross sectional study was conducted among the physiotherapy students from University Institute of Physical Therapy (UIPT), The University of Lahore Chenab Campus; Pakistan. For knowledge section Questionnaire on level of awareness of body use in young people was used, for attitude section a self-structured questionnaire and for practice section (Q-BAPHYP) was used. Data were analyzed by using SPSS (version 21.0). Results: Out of 202 physiotherapy students, 21(10.4%) were males and 181(89.6%) were females. 12.4% students were from 2nd year, 37.1% from 3rd year, 28.2% from 4th year and 22.3% from 5th year. Average age was 21.43 years. Among the total 36(17.8%) student’s had knowledge of good posture, 143(70.8%) often good posture. 168(83.2%) students responded of having a positive attitude towards good posture and only 11(5.4%) always practices good posture in their daily life. There is a positive but a weak correlation between knowledge and attitude (Spearman Correlation value=0.138) Conclusion: It was found that the physiotherapy students had knowledge of good posture and showed a positive attitude towards good posture but they are not well practicing it in their daily routine. Key words: Bad posture, Ergonomics, Good posture, Kinematics, Posture, Scoliosis
Background: Achilles tendinopathy is highly prevalent and caused by intrinsic or extrinsic factors. The multiple minor traumas can lead to achilles tendinopathy. Physical therapy treatment includes soft tissue mobilization and exercises. Objective: To compare ultrasound and transverse friction massage in chronic Achilles tendinopathy. Methodology: The study was a randomized control trial from 1st March 2019 to 15th August 2019. The non-probability convenient sampling technique was used to include n=76 patients having pain and activity limitation of Achilles tendon and randomly allocated into groups A and B by lottery method. The outcome measuring tools were numeric pain rating scale (NPRS) for pain, the Victorian Institute of Sports Assessment- Achilles questionnaire (VISA-A) for severity and goniometry for ROM. The Group A was treated with transverse friction massage and the group B was treated with ultrasound therapy. Both groups also performed eccentric exercises. The assessment was done at the baseline on the 1st session, at end of the 9th and 18th session. The data was analysed by SPSS 23 using independent t-test and repeated measures ANOVA. Results: The results of RM-ANOVA with pairwise comparison showed that both groups improve significantly (p<0.05) throughout the treatment duration with large effect size for all variables. While comparing the groups with independent t-test, TFM group showed more improvement in all variables as compared to UST group (p<0.05) after 3rd week as well as after 6th week of intervention. Conclusion: The Transverse friction massage (TFM) was more effective than ultrasound therapy (UST) when combined with eccentric exercises in improving pain severity of tendinopathy and ROM of ankle. Keywords: Achilles tendon, eccentric exercises, pain stretching, myofascial release, ultrasonic therapy, tendinopathy.
Background: Pakistan is having higher prevalence of Diabetes Mellitus. Gestational diabetes mellitus (GDM) has been linked with substantial short- and long-term adverse health results, such as Diabetes Mellitus, increased risk of cardio-metabolic disorders later in life among both women and infants. GDM has seven times significantly increased risk of diabetes mellitus. The objective of this study is to calculate the prevalence of diabetes mellitus among multigravida females with the history of gestational diabetes. Methodology: A cross sectional study was conducted on 153 women with multigravida having history of gestational diabetes was selected by convenient sampling. This study was conducted between Augusts to December 2021. Data were collected by a self-structured questionnaire. Data were entered and analyzed by SPSS 24. P value ? 0.05 was considered as significant value. Results: Out of total 153, prevalence of diabetes mellitus persists among the females with multigravida and having the history of gestational diabetes was observed 71(46.40%). Obesity, stress, lack of physical activity, Family history of Diabetes, Hypertension, elevated birth weight are some major risk factors of Diabetes mellitus after GDM. Conclusion: Diabetes mellitus that persists after GDM have high prevalence and higher risk among multigravida females. For prevention of DM, early diagnosis screening, awareness should create about risk factors of DM and appropriate exercises during gestation period in females should perform. Keywords: Cross-sectional, Gestational Diabetes Mellitus, Diabetes Mellitus, Multigravida, Nulliparous.
Background: Stroke is the major source of death and disability and leads to impaired balance in post-stroke patients. Balance training is one of the main components of stroke rehabilitation. Virtual rehabilitation is gaining more popularity as it engages the patients attention in training. Objective: To evaluate the effects of virtual rehabilitation versus therapeutic exercises to improve the balance in patients with stroke. Methods: This randomized controlled trial conducted at Abdullah Hospital, Lalamusa from August to December 2022. The sample size of 30 participants was randomly divided into two groups virtual therapy group versus therapeutic exercises group, after taking their informed consent. Participants were recruited through the non-probability purposive sampling, between the age of 35 to 55 years, post-stroke survivors after 3 months and were able to stand up with or without assistive devices. Participants with auditory or visual dysfunction, a history of deep venous thrombosis, lower limb amputation, severe receptive or expressive aphasia, significant cognitive impairments and unstable hypertension were excluded. The data was collected from the patients by using Berg Balance Scale (BSS) at three different time frames: baseline, mid-intervention and post-intervention. The Shapiro-Wilk test was applied to calculate the normality of the data. For descriptive analysis, quantitative variables were calculated by mean and standard deviation whereas, for qualitative variables, frequency and percentages were used. To find significance an independent sample t-test was applied for between-group analysis and two-way repeated measure ANOVA was used to measure within-group analysis. Results: Both groups improved their balance after six months of intervention. Comparative analysis showed a significant improvement with p-value≤0.05 in both groups. The mean and standard deviation after six weeks of intervention in the virtual training group was 55.4±0.82 and the therapeutic exercise group was 54.47±1.3. This showed that the virtual rehabilitation group had improved balance in patients with stroke. Conclusion: Virtual rehabilitation was found to be effective in improving the balance of patients with stroke. It not only improves balance but also engages the patient in the treatment protocol. This rehabilitation is effective for the balance training of post-stroke patients.
Background: urinary incontinence is said to be a condition in which there is involuntary urine loss. Although it is a common clinical condition among females whether it is stress urinary incontinence, urge urinary incontinence or mixed it leads to social embarrassment and isolation which affect their activities of daily living yet the exact prevalence is unknown as it depends upon different risk factors. In Pakistan there is lack of literature which could explain its dependency on varying risk factors. Objective(s): To evaluate prevalence of urinary incontinence among females of age 20-65 years. Methodology: A cross-sectional research with a sample size of 377 females from the general population of Gujrat District was done. Statistical Package of Social Sciences (SPSS) was used to analyze the obtained data. Findings were then interpreted using Chi-square test. Results: The results have been obtained after analyzing the data collected from 377 females. Prevalence of UI was 75.3% No significant associations were found as P-values were ?0.05. Conclusion(s): This study shows that urinary incontinence is a very common issue in females and it varies with age , parity, mode of delivery and menopause Key words: menopause, parity, Stress urinary incontinence, urge urinary incontinence, Urinary incontinence
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