Objective: to compare cross friction massage (CFM) and stretching exercise (SE) in decreasing pain and disability in patients with piriformis syndrome. Methods: A randomized controlled trial was conducted at Benazir Bhutto Hospital Rawalpindi for duration of 1 year (June 2017-18). Non probability convenience sampling technique was used for data collection. A total of n=47 participants between 20-60 years with +ve FAIR test with mild to moderate level of disability on Oswestry disability index (ODI) were included in the study. A total of n=47 were divided into two groups, CFM group (n=23) and SE group (n=24). The demographic data was collected in term of age, gender, height, weight, BMI, sitting and standing duration. Each participant was evaluated for symptoms of piriformis syndrome on Oswestry Disability Index (ODI). Paired samples t-test was used to analyze with-in group changes in both groups and independent t-test was use to compare the effects of both rehabilitation protocols. Results: The mean age of study participants in both groups was 37.62±8.97. Between-group changes showed significant difference in overall ODI of CFM group & SE group (7.08±2.74 ver. 13.27, p<0.001). But individual item of ODI including lifting (1.13±0.91 ver. 1.58±0.97, p=0.10), standing (1.08±1.23 ver. 1.50±1.31, p=0.27) and sleeping 0.65±0.93 ver. 1.20±1.21, p=0.08) did not showed significant difference in both groups. Conclusion: it is concluded that cross friction massage is more effective in reducing pain and improving functional abilities in patients with piriformis syndrome as compare to stretching exercises. Keywords: friction massage, physical therapy, piriformis syndrome, stretching exercises, sciatica
Background: Dentists in their practice are daily exposed to work-related vibrations. The important cause of work disability is carpal tunnel syndrome. Methods: In this cross-sectional study data from 100 dentists was collected using convenient sampling technique. Prior to data collection consent form was sent to the respective dental section of government hospitals of Faisalabad. The dentists who met the inclusion criterion were invited to participate in the study. The Diagnosis was made according to clinical tests of Phalen and Tinel. Age, sex, years of experience, working hours per week and the type of procedure were then be considered as dependent variables Results: Overall, prevalence rate of 60% of carpal tunnel syndrome among old aged dentists was observed. Conclusion: The risk of carpel tunnel syndrome increases with age. It also concluded that 60% prevalence rate was found in the dentists. Older dentists of age 35-50 year were included in more risk group than younger 20-25 year. Keywords: Carpal tunnel syndrome, Phalen’s sign, Tinel’s sign, endodontic file
Objective: to determine the effects of graded motor imagery (GMI) on pain and disability in rotator cuff injuries. Methodology: A Randomized Control Trial conducted at national institute of rehabilitation medicine (NIRM) after the approval from the executive director. A total n=40 subjects were recruited through non probability convenient sampling technique and allocated randomly in the Conventional physical therapy (CPT) (n=20) and the graded motor imagery (GMI) group (n=20). Patients with age range 25-50 years having history of trauma with positive impingement sign were included and patient with diabetes were excluded from the study. The data was collected through General demographic questionnaire included age, gender, ADLs, Diabetes, Hyper tension etc. Shoulder Pain and Disability Index (SPADI) was used to measure current shoulder pain and disability in an outpatient setting. Data was compared at baseline and after 2nd week and 4th week. Results: The mean age of the study participants was 38.67±7.437 years. Within-group changes showed that both group improved significantly (p≤0.05) from 0-4th week regarding total shoulder pain and disability score. While comparing the both groups, significant improvement (p≤0.05) was found in as compare to conventional PT group. Conclusion: graded motor imagery (GMI) and conventional PT both are effective for management of pain and disability due to rotator cuff injuries. But GMI was found to be more effective than conventional PT. Keyword: rotator cuff injury, graded motor imagery, pain, disability, phantom limb pain
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