Association of use of different type of manual therapy approach with upper extremity pain in manual therapists of Lahore”

Hafiz Muneeb ur Rehman, Hunza Zulfiqar, Hajira Anwer, Nayab Naina
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Abstract

This study was conducted to assess the upper limb pain in manual physiotherapists by using different manual therapy techniques.There was no such type of study in Pakistan and also there was less literature found  on this study internationally.It was a cross sectional study . Data was collected from the manual physiotherapists of Lahore from different clinical settings. The data collection was done by using Non probability convenient sampling technique. The Sample size was 126, calculated from (“Raosoft” software). The questionnaire used to assess pain was the Standard Nordic musculoskeletal questionnaire. For the statistical analysis, SPSS 20 software was used to find the association of use of a different type of manual therapy approach with upper extremity pain in the manual therapist. The mean age of physiotherapists was 34.6 (SD = 5.996). Out of 126, male physiotherapist 66 and 60 were female. Mostly Physiotherapists who were included in this study had working experience of more than 5 years and practicing more than 3 hours a day had upper limb pain. Physiotherapists using manual therapy techniques Kalterborn technique had more pain in the neck, shoulder, elbow,wrist and hand than physiotherapists using Mulligan and Maitland. There was no association of any technique used by physiotherapists with shoulder, elbow, wrist/hand and neck pain (p>0.05). This study concluded that physiotherapists using Kalternborn technique reported more upper limb pain than therapists using the maitland and mulligan techniques. There was no association of any technique used by  hysiotherapists with shoulder, elbow, wrist/hand and neck pain.
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拉合尔手工治疗师使用不同类型的手法治疗方法与上肢疼痛的关系
本研究通过不同的手法治疗技术来评估手工物理治疗师的上肢疼痛。在巴基斯坦没有这种类型的研究,在国际上也很少有关于这一研究的文献。这是一个横断面研究。数据收集自拉合尔不同临床环境的手工物理治疗师。数据采集采用非概率方便抽样技术。样本量为126,由(“饶软”软件)计算得出。用于评估疼痛的问卷是标准北欧肌肉骨骼问卷。使用SPSS 20软件进行统计分析,发现不同类型的手法治疗方法与手法治疗师上肢疼痛的关系。物理治疗师平均年龄为34.6岁(SD = 5.996)。在126名男性物理治疗师中,66名是男性,60名是女性。大多数参与这项研究的物理治疗师都有超过5年的工作经验,每天工作超过3个小时,都有上肢疼痛。使用Kalterborn手法的物理治疗师比使用Mulligan和Maitland手法的物理治疗师在颈部、肩部、肘部、手腕和手部有更多的疼痛。物理治疗师使用的任何技术与肩、肘、腕/手和颈部疼痛无关(p>0.05)。本研究得出结论,使用Kalternborn技术的物理治疗师比使用maitland和mulligan技术的理疗师报告更多的上肢疼痛。物理治疗师使用的任何技术与肩、肘、腕/手和颈部疼痛无关。
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