Background: Cervical radiculopathy, generally entitle as pinching of the nerves which causes severe shooting pain which mostly pass through the shoulder. Along with it causes muscle weakness and numbness into the arm and hand. In majority of the cases, cervical radiculopathy responds well to conservative mode of treatments which incorporate physical therapy with medical management. The aim of this study is to uncover the effective and evidence based conservative treatment of cervical radiculopathy. Method: Randomized controlled trial study conducted from January 2014 to December 2014. Participants were recruited from physiotherapy OPDs of tertiary care hospitals. A total number of, 100 subjects with a ratio of 50 men and 50 women were recruited between the ages of 25 and 55 years with unilateral cervical radiculopathy. Control group received combination of conventional AROM exercises and modalities including TENS and superficial thermotherapy as a treatment while experimental group received manual cervical traction and combination of conventional AROM exercises, modalities including TENS and superficial thermotherapy. For both groups, treatment was designed for two weeks (6 sessions/ week). Improvement in symptoms was assessed by evaluation of both groups on the basis of visual analogue scale (VAS). Results: After 2 weeks of treatment, patients with neck pain showed marked decreased in pain as compared with the control group (P<.001).For pre and post level a paired sample t-test was used and the results with p-value less than 0.05 were considered as significant. Mean difference of 0.94 (VAS) with a significant p-value (P<0.01) was obtained shows the respective improvements in the numeric pain scale scores. Conclusion:Manual cervical traction when used with conventional AROM exercises and modalities were effective methods for decreasing pain in cervical radiculopathy. Recent literature supports such protocols involving multiple interventions. Results of this study also supported the treatment options in cervical radiculopathy in a multimodal approach.
Background: LBP is a condition with a high prevalence and recurrence rate. This condition has the potential to create a major impact on the individual over extended periods of time. Numerous reasons and factors for lower back pain have been suggested; including age, gender, body mass index (BMI) and physical activity of the patient. There are different treatments and techniques being implemented, however their effects are minimal. Students at University level are at high risk of LBA due to prolonged sitting and standing hours.Methods: Research was conducted on 190 students of ISRA University, Karachi Campus. The duration of the study was 6 months, the participants were randomly selected, who were studying in ISRA University, Karachi Campus and self-administered questionnaires with consent forms were distributed to all the participants. Participants were asked to complete the questionnaire and return it to the concerned person after one week.Results: 71.6% had history of low back pain whereas 28.4% did not have history of low back pain. 84.7% students used computer whereas 15.3% did not use computer. 65.3% left the class room due to low back pain whereas 34.7% did not leave the class room. 61.6% students had prevented normal work from 1-7days due to low back pain during last 12 months, 26.8% prevented normal work from 0 days whereas 11.6% students had prevented normal work from 8-30days due to low back pain during last 12 months. Conclusion:The overall aim of this study was to analyze the prevalence of low back pain among the undergraduate students of ISRA University, Karachi Campus. The study provided a detailed awareness about the level of prevalence of lower back pain among the undergraduate students. The results of this study showed that most of the students were experiencing lower back pain, and it was also found that it is directly related to their work.
Background: Low back pain has been found to be the most prevailing musculoskeletal condition as well as a common cause of absence from workplace. Studies report that low back pain is common and accounts for a large number of reported disabilities among nurses. In fact nursing have one of the highest levels of back injury in all occupation groups. The aim of this study is to determine the prevalence of low back pain among nurses in a public sector teaching hospital of Karachi. This study has mainly focused on confounding factors leading to low back pain and level of education among nurses regarding patients handling or shifting techniques. Methods: A self-administered questionnaires comprises of three sections, were used to collect data. The first section requested for socio-demographic information, followed by medical history of back pain during last month and during last year.The second section assessed the medical history of LBP in two categories i.e. during last month and during last year.The third and last section inquired about participants' level of education about ergonomics with simply in yes or no pattern.The questionnaires were given to 100 nurses. All questionnaires were completed in the presence of the researcher. Out of 100 questionnaires distributed and recorded, only 47 participants returned the questionnaire. Results: Statistical Package for the Social Sciences (SPSS) version 19.0 was used for statistical analysis. Relationship between the prevalence of low back pain and training in patient moving techniques, manual material handling techniques is significant (p=0.017,p= 0.068). There is a weak relationship with the knowledge of ergonomics, biomechanics and back pain preventive measures (p=0.719,p=0.457,p=0.704). Conclusion:More than two third of the participated nurses were well trained in transfer techniques, manual material training and preventive measures of back pain. But they lack the biomechanical knowledge. The prevalence of back pain is more in the nurses and nursing students in public sector teaching hospitals of Karachi.The relationship between level of education about manual material handling/shifting techniques and frequency of low back pain has been established as well.
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