Quadratus lumborum (QL) myofascial trigger points (MTrP)

No abstract

No abstract

IntroductionPatient education specific to the disease must be incorporated into the management of coronary artery disease (CAD) or any other disease as the patients understand the education provided in their native language better. The brief version of the CAD education questionnaire is a valid and reliable instrument for evaluating patients' understanding of the condition. To the best of our knowledge and understanding from the literature review, no questionnaire evaluating the knowledge of CAD in the Marathi language had been found because of which this study was carried out. MethodsFor the process of translation and cross-cultural adaptation, the framework for self-report measures was taken into consideration in which qualified translators translated both ways forward into the Marathi language and backward into the English language. The translators and a recording observer combined their efforts to create one synthesized version. The questionnaire was fine-tuned by the expert group to produce the final version and 30 diagnosed cases of CAD were tested with the pre-final version. The Marathi version of the questionnaire's validity and reliability were evaluated using Cohen's kappa (k) and Cronbach's alpha (α). ResultsThirty individuals with CAD were recruited (mean age 68±12.36, consisting of 22 males and 08 females) to test the pre-final version, and equivalence was tested for every item by probing the participants for the understanding of the item. The Likert scale demonstrated that patients understood the purpose of each question. A total of 200 participants -153 males population and 47 females with a mean age of 66.64±5.6094 years who can read and speak in the Marathi language were considered to assess the test-retest reliability and internal consistency who completed the questionnaire twice, with a gap of two weeks but only 188 participant's data was analyzed as twelve participants dropped out of the study because they could not report due to transportation and health-related issues. The obtained α value demonstrated satisfactory internal consistency, while the k value indicated almost perfect agreement. ConclusionThe study concluded that the Marathi version of the CAD education questionnaire short version is reliable and cross-culturally adapted; therefore, it is an effective tool for evaluating the knowledge of CAD among Marathi language-speaking patients.

Introduction: Cardiac rehabilitation and patient education are the two parallel components in the management of coronary heart disease. Although, it is recommended strongly to join an outpatient cardiac rehabilitation program, the enrollment rates are always low. The role of structured patient education in increasing the enrollment in an outpatient cardiac rehabilitation program and its impact on the disability profile of conservatively treated medically stable postmyocardial infarction individuals, after joining and completing the rehabilitation program has not been studied. Aim: To study the impact of structured patient education and outpatient cardiac rehabilitation program on the disability profile of conservatively treated medically stable postmyocardial infarction individuals. Materials and Methods: The study is a mixed method design and will be conducted in two steps. Step 1: It is a qualitative study in which a structured patient education program will be developed based on the framework given by the working Group of Exercise Rehabilitation and Sports (GERS). Step 2: Implementation of the developed program and an outpatient cardiac rehabilitation program in an open-label non randomised clinical trial. Conclusion: The findings of this study will evaluate the need for the development of structured patient education programs for coronary artery disease patients, which may increase the enrollment rates in outpatient cardiac rehabilitation programs and thereby, reducing their disability.

No abstract

Introduction: The Coronavirus Disease-19 (COVID-19) pandemic caused by 2019 novel coronavirus was first reported in Wuhan, China. It is a disease of the respiratory system with clinical presentation of fever, cough, breathlessness, headache, fatigue etc. Transmission route is through person to person contact and through direct contact with respiratory droplets generated when an infected person coughs or sneezes. In such cases usage of facemasks is very crucial. At the same time awareness regarding the same in the community is very important. Hence, through this survey authors have assessed and recorded the awareness about facemasks and its usage in the community in the Indian population along with the basic hygiene precautions taken by the people. Aim: To conduct a detailed survey regarding the awareness and usage of facemask in the rural population in Maharashtra. Materials and Methods: The study was a three month cross- sectional online survey conducted by Maharashtra Academy of Engineering Education and Research’s (MAEER’s) Talegaon Dabhade Physiotherapy College in the rural community of western Maharashtra, India, from October to December 2020. A self-administered online questionnaire consisting of 20 questions was prepared regarding the awareness about masks usage and proper methods to be considered with reference to the guidelines given by World Health Organisation (WHO), Indian Council of Medical Research (ICMR), Centers for Disease Control (CDC) and Prevention and literature reviews. The forms were shared on social media platforms such as WhatsApp, Facebook, and Instagram using Google forms. Statistical analysis was done by descriptive analysis using percentage. Results: Out of total 390 participants, 210 (53.84%) were males and 180 (46.15%) were females. Considering the knowledge about the types of masks available was 67.1%, self-education was 88%. A 44% of the population thinks that one can wear a facemask up to eight hours if worn properly. Similarly knowledge about disinfecting the mask before throwing was 86%. Active efforts to maintain good hygiene by washing hands was 90%. Also, 55% of the population avoids touching their mask frequently. In practice, 56.1% of the population avoids wearing a mask while walking or jogging. Varieties of masks are being used by the people depending on the cost and availability. Conclusion: The coronavirus pandemic has evoked a sense of awareness about self-care, hygienic habits and being updated about one’s health. Further work can be done on cost effectiveness and availability of the good quality masks.

No abstract