Premature birth is the most common cause for a stay in the neonatal intensive care unit (NICU) among neonates. Premature birth leads to prematurity, which is associated with complications such as respiratory distress syndrome (RDS), hyperbilirubinemia, gastroesophageal reflux (GERD), intraventricular hemorrhage (periventricular leukomalacia), retinopathy of prematurity (ROP), and so on. These secondary complications are of great concern and need to be handled with care to prevent the further deterioration of the quality of life of the baby as he grows. So, the early physiotherapeutic interventional approach comes into light and plays an important role in neonatal care. This case study demonstrates an infant boy of seven months chronological age, who had a preterm birth history with a poor APGAR (Appearance, Pulse, Grimace, Activity, and Respiration) score and NICU stay during the first three months of life. He approached the physiotherapy outpatient department with a complaint of delayed motor milestones like an absence of head holding, rolling, opening of hand, as well as delayed social-emotional development, Ryles tube (RT) in situ, with frequent episodes of GERD, neck rotated to the left side, high irritability, tactile defensiveness of both hands, and difficulty in regulating his sensory systems. Outcome measures used were gross motor function measure (GMFM), sensory profile, and rotating chair test. Early interventional physiotherapy was given including neurodevelopmental techniques (NDT), oromotor stimulation, sensory integration, passive stretching, and myofascial release for six days per week with each session of 45 minutes. The results demonstrated the achievement of motor milestones till sitting independently, reduced episodes of GERD, discontinued RT in situ, improved mobility of neck on both sides, reduced irritability, and started reaching, grasping along with bimanual tasks.

Background:Trapezitis or the inflammation of the trapezius muscle is the most common condition leading to a pain and spasm in the cervical region. This is often referred to as trapeziusmyalgia. Individuals having long working hours on desktop are the most subjected to develop this condition. It could result in slight discomfort to sever pain which may lead to suboccipital muscle tightness as well. Investigations: On the day of examination patient presented with severe pain and spasm in the muscles of upper back and neck. The range of motion was found to be reduced for cervical region on examination with goniometer. No radiological findings were available with the patient. Case Presentation: A 23 years old female patient presented with a complaint of pain in right upper back and at times in the left upper back with intermittent radiation in the arm. Presenting with a history of pain on prolonged sitting, studying. Discussion: Self proprioception neuromuscular facilitation (PNF) stretching technique along with self neural mobilization was the main physiotherapeutic intervention. The outcome measures for pain and tightness showed significant improvement. Conclusion: Self PNF stretching was found to be effective in patients with severe pain referring to arms along with the tightness, when traditional mode of treatment cannot be performed due to presence of extremely painful condition.

Background: Low back pain is a very common problem in adults. The clinical application of intermittent pelvic traction has become the common treatment for lumbar radiculopathy and is also used by clinicians in day to day practice. Only few authors have studied about the effectiveness of self neural tissue mobilization during intermittent pelvic traction. Hence the study was undertaken with an intention to find out the effect of intermittent pelvic traction with and without self neural tissue mobilization on pain and functional disability in patients with lumbar radiculopathy.Methodology: 74 patients with lumbar radiculopathy were included in the study. Subjects were randomly divided into two groups. Group A received only IPT and Group B received IPT with SNTM for 20 minutes with 10 second hold and rest time respectively. The treatment was given initially for 6 days continuously thereafter the treatment was given on alternate days for 1 week. Pre and post intervention pain (VAS) and functional disability (ODI) measures were noted.Results: On comparison between pre and post interventional values of pain and functional disability using paired 't' test, a significant difference (p<0.001) were found in both the groups. As well as the present study showed significant decrease in the pain measurement (p=0.023) and functional disability measures (p=0.043) in group treated with IPT with SNTM.Conclusions: This study concluded that both IPT and IPT with SNTM are effective in both pain and functional disability measures. But when both groups were compared with each other, the IPT with SNTM was more effective than that of IPT alone. So it can be chosen as a treatment for lumbar radiculopathy.

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The study aimed to evaluate the effectiveness of strengthening and plyometric resistance training on anaerobic power and muscular strength in badminton players. The design used for the research is an experimental study with pre-test and pos-test measurement. The sample size used for the study was 40 both male and female with age ranging from 18 to 24 years and with the inclusion criteria of athletes who are under training for at least 1-2 years (.elite). Study procedure was started by measuring the agility of each badminton player by t-test, vertical jump and plank test before the strengthening and plyometric training. The subjects recruited for the study were equally distributed in two groups which included group A training group and group B control group. The mean and standard deviation bar graphs were used for the comparison. Comparison between the three outcomes measures done for the training group for the pre and post-test, concluding that there was a significant improvement in the values of the post-intervention level.

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Background: Tennis elbow can be caused by repetitive wrist and arm motions. Pain is the primary symptom. It usually occurs on the outside of the elbow and sometimes in the forearm and wrist. Treatment includes rest, pain relievers and physiotherapy. Case Presentation: A 28years old male patient presented with a complaint of pain in outer side of the right side elbow. In subjective examination, He gave history of pain while playing tennis mainly in smashing the ball or passing shot, riding bike for more than 2kilometers, difficulty in holding objects sometimes as well. When this pain was unbearable to him he came to Physiotherapy department. Treatment: A Treatment session initially started with Cryotherapy (Ice Pack) application for 5min. On lateral epicondyle of right elbow. Then Ultrasound 0.8 watt/Cm² for 7minutes given, these helped in pain reduction. After 2days patient is asked to follow the commands to perform Triceps strengthening along with wrist strengthening with the help of Half Kg Dumb bell.  There was an effect on the reduction of the symptoms of the patient which were pain, reduce strength and limited range of motion of wrist in right hand. After 1week of treatment, we added Mobilization with movement (Mulligan) technique at elbow joint. The same procedure was continued for 2weeks after which patient's symptoms were minimized as to the day of assessment. Outcome measures used for the evaluation of the symptoms were NPRS Scale for Pain, Manual Muscle Testing (MMT) for Strength. Conclusion: Triceps strengthening along with Mulligan technique for elbow joint was found to be effective in patients with severe pain and reduced strength.