BACKGROUND AND OBJECTIVE:Trapezius pain is the classic stress pain and it is the most common musculoskeletal disorder. It is usually caused by placing too much stress or strain over the trapezius muscle. The upper trapezius muscle is designated as postural muscle and it is highly susceptible to overuse. Trapezius muscles help with the function of neck rotation, side bending and extension. Tightness in the muscles can decrease the range of motion of the neck. The decrease in motion can negatively affect the mobility of the cervical joints. Limited range of motion creates an increase in soft tissue tightness, with an ensuing pain-spasm cycle which can be difficult to break. Physiotherapy techniques like myofascial release technique and Positional release therapy has been proposed as an adjunct to conventional therapy to treat trapezitis. Giving myofascial release technique and positional release therapy along with LASER and exercises improves the cervical range of motion and relieves pain and enhances quality of life in the patient with trapezitis. Hence this study is aimed to determine the effect of myofascial release technique and positional release therapy in trapezitis. STUDY DESIGN: Comparative study design SETTING: Out Patient
Background: Lumbar radiculopathy is a disease of the spinal nerve root generally accompanied by radicular pain in dermatomal distribution and/or neurologic symptoms. The previous studies were focusing on finding the disability and pain caused due to Lumbar Radiculopathy. This study is focusing on the disability, pain, range of motion of the spine and SLR. The objective of the study is to evaluate the effectiveness of Mckenzie method with TENS on reducing symptoms and disability of Lumbar radiculopathy. Methods: In the present prospective study patients with Lumbar radicular pain due to disc herniation or prolapse at level L4, L5 & S1 were randomized into two groups -Group A and Group B. the study included 40 patients, with 20 in each group. The selection criteria was based on the following -with age group 22-55years, both sexes -male and female, with radicular pain in L4, L5 & S1 dermatomes, disabling leg pain for 6-12 weeks duration, evidence of disc herniation confirmed on MR imaging. The radicular pain was measured using the SLR test, pain was measured using the VAS scale of 0 -100, disability was measured using the MODI and Lumbar Spine ROM was measured using the MMST. Group-A were treated with McKenzie methods with TENS and Group-B were treated with general exercise with TENS. Results: This study showed that there was a significant reduction of pain on the VAS, improvement in SLR, lumbar spine range of motion using MMST and disability using MODI for both the groups. The statistical analysis found that experimental group showed earlier control of all the outcome measures when compared to controlled group at the end of the 6th week. Conclusion:After 6 weeks of Mckenzie method with TENS intervention for 30 minutes for 5 days in week the statistical analysis concluded that the experimental group had significantly faster rates of reducing the symptoms of lumbar radiculopathy and reducing the disability due to lumbar radiculopathy.
To estimate the effectiveness of balance training on unilateral transtibal amputee with conventional prosthesis and ultramodern prosthesis. To compare the Effectiveness of balance training in conventional prosthesis versus ultramodern prosthesis in unilateral transtibial amputee by using Flamingo balance test. MATERIALS AND METHODS: After obtaining informed consent from the patients, we studied a total of 40 patients, aged between 30-60 yrs, where they were randomly allocated into two groups. 20 patients in Group A with conventional prosthesis and 20 patients with ultramodern prosthesis in group B were subjected to 3 weeks of structured exercise programme after initial assessment of balance with Flamingo's balance test and ten metre walk test. These tests were repeated in repeated in both the groups after the exercise programme and the results were tabulated and analysed. RESULTS: The mean age of population in group A was 50.55± 7.20 and in group B was 48.55±5.58, with age group ranging from 30-60 yrs. In group A the pre and post interventions mean values in Flamingo's balance test were 15.55±2.58 and 13.05±3.05 respectively. In group B the pre and post intervention mean values were 12.35±1.26 and 8.3±0.86 respectively. In group A the pre and post interventions mean values in ten metre walk test are 45.00±3.62 and 35.00±6.39 respectively. In group B the pre and post intervention mean value are 40.00±4.29 and 26.70±2.95 respectively. The mean difference of balance using Flamingo Balance test during pre and post intervention in both the groups were compared using independent 't' test, which showed (t of 4.971 vs 6.805 in Groups A and B respectively; p=000*). The mean difference of balance in both the groups for ten metre walk test were t of 3.979 vs 5.650 in Groups A and B respectively (; p= 000*). CONCLUSION: In both groups there are statistically significant improvements in scores flamingo balance test and 10mt. walk test (p=000*). The improvements in patients with ultramodern prosthesis were statistically more significant than in patients with conventional prosthesis. So exercise program of 3 weeks duration proved to be an effective method to reduce the imbalance and improve the gait efficiency. KEYWORDS: balance training conventional prosthesis ultramodern prosthesis flamingo balance test INTRODUCTION: Transtibial amputation is taken up in one fourth of the lower limb amputees and is quite common in middle age population. After an initial period of interim and temporary prosthesis usage, these patients can be fitted with permanent/ definitive prosthesis as a part of their rehabilitation.
BACKGROUND AND OBJECTIVES: Subacromial impingement syndrome (SIAS) is a painful condition resulting from the entrapment of anatomical structures between the anterioinferior corner of the acromion and the greater tuberosity of the humerus. Subacromial impingement syndrome (SAIS) of the shoulder is the most common disorder of the shoulder, accounting for 44-65% of all complaints of shoulder. SAIS is usually treated conservatively, but sometimes it is treated with arthroscopic surgery or open surgery. Conservatively treatment includes rest, cessation of painful activity, ultrasound therapy, laser and physiotherapy focused at maintaining range of movement and avoids shoulder stiffness. NSAIDS's and ice packs may be used for pain relief. Therapeutic injections of corticosteroid and local anesthetic may be used for persistent impingement syndrome. Hence this study aimed to compare and see the effectiveness of ultrasound, kinesio taping and exercises with low level laser, kinesio taping and exercises. STUDY DESIGN: Comparative study design SETTING: Outpatient
ABSTRACT:Fractures of the forearm present a unique management problem for years. A forearm fracture involving both bones requires open anatomical reduction with stable fixation. [1] The forearm represents the critical anatomic unit of upper limb, permitting the effect of organ of the upper limb, the hand, to perform multi axial daily activities of living. Historically, the closed management of forearm fractures has been met with frustration in adults and resulted in poor functional outcome, hence perfect fracture reduction and rigid fixation is mandatory and achieved by plating. [2] The number of forearm fractures is increasing faster than the predicted rate due to increasing number of road traffic accidents, increased incidence of violence, rapid industrialization, and various sports activities. Conservative treatment has resulted in malunion, non-union, synostosis and ultimately poor functional outcome. [3] The present study is undertaken to know the functional outcome, advantages and complications of the LC-DCP. Thirty cases of fracture both bones of forearm were selected along the inclusion criteria's and treated with LC-DCP in Department of Orthopedics, Kempegowda Institute of Medical Sciences, Bangalore. BACKGROUND: Fractures of forearm are difficult to treat because of rupture of interosseous membrane, interposition of soft tissue and malunion and nonunion.
Introduction: Adhesive capsulitis is a self-limiting regional skeletal condition of uncertain aetiology characterised by a progressive loss of both active and passive mobility of the glenohumeral joint in the shoulder complex. It begins insidiously with shoulder pain and dysfunction in middle aged and elderly population. Adhesive capsulitis predominantly affects the older population, affecting both the sexes; however, female patients are affected more. Aim: To find the effect on pain, Range of Motion (ROM) and disability in subjects with adhesive capsulitis treated with hot pack along with caudal glide versus hot pack along with antero-posterior glide mobilisation. Materials and Methods: The study, quasi experimental, was conducted on 80 subjects which were further divided into two groups with 40 subjects in each groups. Subjects were evaluated for pain, ROM and disability index. Group A received antero-posterior glide mobilisation with the hot pack, where as Group B received caudal glide mobilisation with hot pack for thrice a week for three weeks completing a total of nine sessions. The statistical analysis was done using one-way ANOVA and post-hoc t-test for calculating within and between group differences. The parameters that were measured were Visual Analogue Scale (VAS), ROM, Shoulder Pain and Disability Index (SPADI). Results: The p-value after three weeks between the groups was 0.02, 0.0001, and 0.014 for VAS, ROM and disability. There was significant difference in the pre and post values in both Group A and Group B. Post-treatment values of VAS (p=0.0001), ROM (p=0.0001), and SPADI (p=0.0001) in Group B were showed more improvement than the post-treatment values of VAS, ROM and SPADI in Group A. Conclusion: Caudal glide mobilisation is more effective in improving pain, abduction ROM and SPADI index in patients with adhesive capsulitis.
ABSTRACT:In industrialized countries, approximately 50-80% of the populations have low back pain at some times in their lives. Lumbar disc Herniation with low back pain is one of the most frequent reason for physical & functional restriction in patients. There is a steady rise in surgical interventions for the disc herniation. Microdiscectomy is a choice for symptomatic, single level lumbar disc herniation. The question is whether a post-microdiscectomy physiotherapy intervention reduces low back pain & enhances functional activities has not been systematically exploredWe have done this study to assess effectiveness of SWD with back extensor exercises to reduce disability and improve quality of life after single level lumbar microdiscectomy, to assess effectiveness of US with back extensor exercises to reduce disability and improve the quality of life after single level lumbar microdiscectomy.
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