Introduction. Thyroidectomy is a surgical operation where head and neck extension position is prescribed in the surgical procedure, which may lead to postoperative neck pain and neck range of movement limitation. The study aimed to determine the effect of neck stretching exercises vs. neck Kinesio Taping on neck discomfort following total thyroidectomy. Methods. A quasi experimental design was applied in the pre-test post-test study. overall, 30 female patients after total thyroidectomy were included and randomly assigned into 2 equal groups. Group A received neck stretching exercises while group B received Kinesio Tape for posterior neck muscles; both groups were treated for 1 month after surgery. A universal goniometer was used to assess neck range of motion. The Neck Pain and disability Scale questionnaire served to evaluate pain and disability. Results. There were statistically significant differences in both groups for pre-and post-treatment pain and neck range of motion. For neck range of motion, a statistically significant post-treatment difference was observed between the 2 groups in favour of group A, while for Neck Pain and disability Scale scores, there was no statistically significant post-treatment difference between the 2 groups. Conclusions. Both active neck stretching exercises and Kinesio Taping had a significant effect on pain and range of motion in neck discomfort following total thyroidectomy in postmenopausal women 1 month after treatment, while active neck stretching was more effective on neck range of motion than Kinesio Taping.
Background: Low back pain is defined as discomfort or pain located at the area from the 12th rib down to the gluteal area.
Purpose:To compare short term effect of high velocity low amplitude thrust manipulation versus muscle energy technique on somatic dysfunction in mechanical low back pain patients in terms of pain and tenderness. Subjects and Methods: 40 patients with mechanical low back pain, their ages range from 20-30 years. They were randomly assigned into two equal groups. Group A (24±3.69 years) received a single high velocity low amplitude thrust manipulation technique for lumbar spine, while group B (24.3±3.57 years) received 3 contractions of muscle energy technique. Visual analogue scale and pressure algometer were used to assess pain and tenderness respectively pre and post treatment.
Results:The study revealed that there was significant decrease in pain and tenderness post treatment in both groups. While there was no significant difference in tenderness between both groups post treatment, there was significant difference in pain between both groups post treatment where group A revealed significant decrease in pain.
Conclusion:Both high velocity low amplitude thrust manipulation and muscle energy technique have significant short term effect on somatic dysfunctions in mechanical low back pain patients. However, high velocity low amplitude thrust manipulation is more effective in decreasing pain perception.
KEY WORDS:Mechanical low back pain, Somatic dysfunction, High velocity low amplitude thrust manipulation, Muscle energy technique.
Background: Lymphedema is the most common complication of lymph node dissection for cancer treatment.Purpose of the study: was to compare the effect of kinesiotaping versus low level laser therapy intervention in treating carpal tunnel syndrome in postmastectomy lymphedema for postmenopausal women.Methods: Thirty females were recruited from the surgical department at National Cancer Institute, Cairo, Egypt, their mean ages 55.55± 2.350 years. They were randomized into two equal groups; both groups were received complex physiotherapy in addition to intermittent pneumatic compression at 50 mmHg as part of a congestive drainage treatment protocol three times per week for three months for lymphedema, also they were received strengthening and stretching exercises for wrist muscles and ligaments three times per week while group (A) received kinesio tape application for carpal tunnel syndrome and group (B) low level laser therapy, each patient received 24 treatment sessions at a rate of two sessions/week. Measurements were conducted before starting the treatment as a first record and at the end of treatment after three months as a second record for limb size, grip strength and Boston Questionnaire for carpal tunnel syndrome.Results: Finding showed that there was significant differences pre and post treatment in both groups for limb size, grip strength and Boston Questionnaire scores while also there was no significant difference between both groups post treatment.Conclusion: Both kinesiotaping and Low Level Laser Therapy are effective in treating carpal tunnel syndrome in postmastectomy lymphedema for postmenopausal women.
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