Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080202
Hafsa Jamil, S. Waqas, H. Asim
Back ground: Dyskinetic cerebral palsy (DCP) is an involuntary repetitive movement disorder characterized by alternating state of muscular hypertonia and hypotonia due to lesion in basal ganglia. Objective: To describe the functional abilities DCP subjects aged between 5-12 years. Methods: An observational case series on 48 children from special schools was conducted by convenient sampling. All diagnosed patients of DCP aged between 5-12 years with I.Q levels 70-79 were included and the children who had undergone any surgical procedure or on medication were excluded. Informed consent was taken from the parents of the children. Subjects were assessed with the help of functional independence measure (FIM) scale having validity (0.98) (1). The study variables were presented in the form of descriptive statistics. Results: The mean age of 48 participants was 7.21 with the standard deviation of 2.143. Five subjects required total assistance (level I) those were 0-25% independent, 36 subjects required maximal assistance (level II) those were 25-50% independent and 7 subjects required moderate assistance (level II) those were 50-75% independent in their daily tasks according to FIM. Conclusion: DCP patients require maximum assistance and were dependent on their caregivers for performing daily living tasks. Key terms: Dyskinetic Cerebral Palsy, functional independence measure
{"title":"FUNCTIONAL ABILITIES IN DYSKINETIC CEREBRAL PALSY CHILDREN BETWEEN AGE 5-12 YEARS","authors":"Hafsa Jamil, S. Waqas, H. Asim","doi":"10.5455/jrcrs.2020080202","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080202","url":null,"abstract":"Back ground: Dyskinetic cerebral palsy (DCP) is an involuntary repetitive movement disorder characterized by alternating state of muscular hypertonia and hypotonia due to lesion in basal ganglia. \u0000Objective: \u0000To describe the functional abilities DCP subjects aged between 5-12 years. \u0000Methods: \u0000An observational case series on 48 children from special schools was conducted by convenient sampling. All diagnosed patients of DCP aged between 5-12 years with I.Q levels 70-79 were included and the children who had undergone any surgical procedure or on medication were excluded. Informed consent was taken from the parents of the children. Subjects were assessed with the help of functional independence measure (FIM) scale having validity (0.98) (1). The study variables were presented in the form of descriptive statistics. \u0000Results: \u0000The mean age of 48 participants was 7.21 with the standard deviation of 2.143. Five subjects required total assistance (level I) those were 0-25% independent, 36 subjects required maximal assistance (level II) those were 25-50% independent and 7 subjects required moderate assistance (level II) those were 50-75% independent in their daily tasks according to FIM. \u0000Conclusion: \u0000DCP patients require maximum assistance and were dependent on their caregivers for performing daily living tasks. \u0000Key terms: \u0000Dyskinetic Cerebral Palsy, functional independence measure","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116927409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080209
Masooma Gull, S. Aziz
Background: Stroke is classically characterized as a neurological deficit attributed to an acute focal lesion of the central nervous system (CNS) due to a vascular cause, which includes cerebral infarction, intracerebral hemorrhage (HIC) and subarachnoid hemorrhage (SAH) and is an important cause of disability and death worldwide. Objective: The main objective of the study was to determine the effects of manual stretching and joint mobilization with the treatment of neurological development to improve functional mobility among stroke patients. Methodology: Twenty-four subjects from the Shalamar hospital aged between 35 and 65 were considered after 2 weeks of stroke. Manual stretching and joint mobilization techniques have been applied with neurodevelopment techniques to analyze functional improvement among stroke patients. The pre-evaluation was carried out using the Berg equilibrium scale, Ashworth scale and Time up and Go (TUG). Each patient underwent 30 treatment sessions, 5 days a week. Patients were re-evaluated on the same scales after treatment. Data was analyzed using SPSS. Results: The paired sample t-test was used to see the effects of manual stretching and joint mobilization with neurodevelopment treatment to improve functional mobility among stroke patients. 24 patients received treatment with 30 sessions, 5 days a week. There was a significant improvement in their functional mobility. Their spasticity was also reduced. There was also a significant improvement in their cognitive abilities. Conclusion: The study concluded that techniques of manual stretching and joint mobilization with neurological development treatment show a significant improvement in functional mobility among stroke patients. Keywords: Stroke, Manual stretching, joint mobilization, neurodevelopmental techniques, functional mobility
背景:脑卒中是一种典型的神经功能障碍，由血管原因引起的中枢神经系统(CNS)急性局灶性病变引起，包括脑梗死、脑出血(HIC)和蛛网膜下腔出血(SAH)，是世界范围内残疾和死亡的重要原因。目的:本研究的主要目的是确定手动拉伸和关节活动对脑卒中患者神经发育治疗的影响，以改善功能活动能力。方法:选取来自Shalamar医院的24名年龄在35至65岁之间的受试者，在中风2周后进行研究。人工拉伸和关节活动技术已被应用于神经发育技术来分析脑卒中患者的功能改善。预评价采用Berg均衡量表、Ashworth量表和Time up and Go (TUG)量表。每位患者接受30次治疗，每周5天。治疗后对患者进行同样的评估。数据采用SPSS统计软件进行分析。结果:采用配对样本t检验观察手工拉伸和关节活动配合神经发育治疗对脑卒中患者功能活动能力的改善效果。24例患者接受30次治疗，每周5天。他们的功能活动能力有了显著的改善。他们的痉挛也减轻了。他们的认知能力也有了显著的提高。结论:本研究认为，在神经发育治疗的基础上，手工拉伸和关节活动技术可以显著改善脑卒中患者的功能活动能力。关键词:中风，手动拉伸，关节活动，神经发育技术，功能活动
{"title":"Effects of manual stretching and joint mobilization with neurodevelopmental treatment in improving functional mobility among stroke patients","authors":"Masooma Gull, S. Aziz","doi":"10.5455/jrcrs.2020080209","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080209","url":null,"abstract":"Background: Stroke is classically characterized as a neurological deficit attributed to an acute focal lesion of the central nervous system (CNS) due to a vascular cause, which includes cerebral infarction, intracerebral hemorrhage (HIC) and subarachnoid hemorrhage (SAH) and is an important cause of disability and death worldwide. Objective: The main objective of the study was to determine the effects of manual stretching and joint mobilization with the treatment of neurological development to improve functional mobility among stroke patients. Methodology: Twenty-four subjects from the Shalamar hospital aged between 35 and 65 were considered after 2 weeks of stroke. Manual stretching and joint mobilization techniques have been applied with neurodevelopment techniques to analyze functional improvement among stroke patients. The pre-evaluation was carried out using the Berg equilibrium scale, Ashworth scale and Time up and Go (TUG). Each patient underwent 30 treatment sessions, 5 days a week. Patients were re-evaluated on the same scales after treatment. Data was analyzed using SPSS. Results: The paired sample t-test was used to see the effects of manual stretching and joint mobilization with neurodevelopment treatment to improve functional mobility among stroke patients. 24 patients received treatment with 30 sessions, 5 days a week. There was a significant improvement in their functional mobility. Their spasticity was also reduced. There was also a significant improvement in their cognitive abilities. Conclusion: The study concluded that techniques of manual stretching and joint mobilization with neurological development treatment show a significant improvement in functional mobility among stroke patients. Keywords: Stroke, Manual stretching, joint mobilization, neurodevelopmental techniques, functional mobility","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116283485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080203
Khadija Masooma, Jawad Naweed, M. Razzaq, Noureen Latif, Sonia Wali
Background: Upper back pain is a major complaint of female beauticians and only poor posture is considered as a serious cause of upper back pain. Objectives: To find out the frequency of upper back pain and its causes in female beauticians. Methodology: Descriptive cross-sectional study was done on 200 female beauticians through convenient sampling technique data was collected through a semi-structured questionnaire including closed ended questions regarding pain and its causes by using VAS (Visual Analogue Scale), SPADI (Shoulder pain and disability Index), NDI (Neck Disability Index) as a tool ethical approval was taken from ethical review committee of Islamabad federal college. Written informed consent from the participants was taken before filling up each questionnaire. The analysis was done by using SPSS 21. Results: Out of 200 female beauticians with age of mean + SD 29.06 + 5.62, total body mass index were observed as 79 (39.5%) had normal BMI, 67(33.5%) had overweight, working hours had 94 (47%) worked for 7-9 hours, 84 (42%) worked for 10-13 hours, worst pain was 37 (18.5%), 61 (30.5%) had severe pain, rounded shoulder and forward head posture was 150 (75%), shoulder Pain and disability was 74 (37%) while neck disability was 69 (34.5%). Conclusion: It is concluded that the frequency of moderate to severe type of upper back pain and disabilities of neck and shoulder was higher in beauticians. Most obvious causes in beautician were overweight, poor posture and prolong standing as well as duty hours. Keywords: Disability, Female Beauticians, Thoracic-Cervical Pain, Upper Back Pain
{"title":"Prevalence of Upper Back Pain and its causes among Female Beauticians in Islamabad Pakistan","authors":"Khadija Masooma, Jawad Naweed, M. Razzaq, Noureen Latif, Sonia Wali","doi":"10.5455/jrcrs.2020080203","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080203","url":null,"abstract":"Background: Upper back pain is a major complaint of female beauticians and only poor posture is considered as a serious cause of upper back pain. \u0000Objectives: To find out the frequency of upper back pain and its causes in female beauticians. \u0000Methodology: Descriptive cross-sectional study was done on 200 female beauticians through convenient sampling technique data was collected through a semi-structured questionnaire including closed ended questions regarding pain and its causes by using VAS (Visual Analogue Scale), SPADI (Shoulder pain and disability Index), NDI (Neck Disability Index) as a tool ethical approval was taken from ethical review committee of Islamabad federal college. Written informed consent from the participants was taken before filling up each questionnaire. The analysis was done by using SPSS 21. \u0000Results: Out of 200 female beauticians with age of mean + SD 29.06 + 5.62, total body mass index were observed as 79 (39.5%) had normal BMI, 67(33.5%) had overweight, working hours had 94 (47%) worked for 7-9 hours, 84 (42%) worked for 10-13 hours, worst pain was 37 (18.5%), 61 (30.5%) had severe pain, rounded shoulder and forward head posture was 150 (75%), shoulder Pain and disability was 74 (37%) while neck disability was 69 (34.5%). \u0000Conclusion: It is concluded that the frequency of moderate to severe type of upper back pain and disabilities of neck and shoulder was higher in beauticians. Most obvious causes in beautician were overweight, poor posture and prolong standing as well as duty hours. \u0000Keywords: Disability, Female Beauticians, Thoracic-Cervical Pain, Upper Back Pain","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131374379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080205
Shahbaz Ahmad, Faiza Sharif, Iqra Karamat
Objective: To determine the Association and frequency of feeding problems at different level of Gross Motor Function among Cerebral Palsy children. Methodology: The study design was cross-sectional study; Data was collected from Rising Son and Children Hospital Lahore and completed within 4 months (from March 2019 to July 2019) after approval of synopsis. 41 children, age 2-8 years of age were selected. Data collected using Standardized variables by Nonprobability sampling & analyzed by SPSS-25. Results: Significant association was found between the level of GMFCS and feeding difficulties (Refuse to eat (P=0.007) and takes >20 minutes to finish meal (P=0.047). No Significant association was found between level of GMFCS and feeding difficulties including (food sits in child’s mouth (P=0.788), Child chokes or gags at mealtimes (P=0.723), child’s eats only ground, strained or soft food (P=0.620) and require NG feed (P=0.582)). Feeding problems including difficulty in chewing 26.8%, Choking during meal 29.26%, Takes >20 minutes for meal 68.3%, NG feeds 4.9%. food sits in child’s mouth and does not swallow it 26.83% Occasionally and 24.4% Regularly. 78.0% child’s eats only ground, strained or soft food. 22.05% refuse to eat but requests food immediately after the meal. Conclusion: Significant association was found between level of GMFCS and feeding difficulties (Refuse to eat and takes >20 minutes to finish a meal). No Significant association was found between level of GMFCS and feeding difficulties including (food sits in child’s mouth, Child chokes or gags at mealtimes, child’s eats only ground, strained or soft food and require NG feed). Keywords: Cerebral Palsy, Dysphagia Gross Motor Function Classification System
{"title":"FEEDING PROBLEMS AT DIFFERENT LEVEL OF GROSS MOTOR FUNCTION IN CHILDREN WITH CEREBRAL PALSY.","authors":"Shahbaz Ahmad, Faiza Sharif, Iqra Karamat","doi":"10.5455/jrcrs.2020080205","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080205","url":null,"abstract":"Objective: To determine the Association and frequency of feeding problems at different level of Gross Motor Function among Cerebral Palsy children. \u0000Methodology: The study design was cross-sectional study; Data was collected from Rising Son and Children Hospital Lahore and completed within 4 months (from March 2019 to July 2019) after approval of synopsis. 41 children, age 2-8 years of age were selected. Data collected using Standardized variables by Nonprobability sampling & analyzed by SPSS-25. \u0000Results: Significant association was found between the level of GMFCS and feeding difficulties (Refuse to eat (P=0.007) and takes >20 minutes to finish meal (P=0.047). No Significant association was found between level of GMFCS and feeding difficulties including (food sits in child’s mouth (P=0.788), Child chokes or gags at mealtimes (P=0.723), child’s eats only ground, strained or soft food (P=0.620) and require NG feed (P=0.582)). Feeding problems including difficulty in chewing 26.8%, Choking during meal 29.26%, Takes >20 minutes for meal 68.3%, NG feeds 4.9%. food sits in child’s mouth and does not swallow it 26.83% Occasionally and 24.4% Regularly. 78.0% child’s eats only ground, strained or soft food. 22.05% refuse to eat but requests food immediately after the meal. \u0000Conclusion: Significant association was found between level of GMFCS and feeding difficulties (Refuse to eat and takes >20 minutes to finish a meal). No Significant association was found between level of GMFCS and feeding difficulties including (food sits in child’s mouth, Child chokes or gags at mealtimes, child’s eats only ground, strained or soft food and require NG feed). \u0000Keywords: Cerebral Palsy, Dysphagia Gross Motor Function Classification System","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122051860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080201
Saira Waqqar
{"title":"Raise Rehab Education Quality bar with implementation of Outcome Base Education","authors":"Saira Waqqar","doi":"10.5455/jrcrs.2020080201","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080201","url":null,"abstract":"","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131716855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Stress in the working environment occur when there is imbalance between demand and ability of physiotherapists to fulfill those demands. Objective: This study aims to find out the stressors causing stress at the workplace and to determine the association of stress experienced by physiotherapists with their age. Methodology: A total of 100 physiotherapists from Faisalabad was included in this study to see the effect of workplace stressors in relation to their age, by giving them questionnaires. Simple Random sampling technique was used in this study and written informed consent was taken from all the participants. Criteria included age between 24-60, working hours 4 to 7 and experience of 1 year or more prominent. Results: Caseload Quantity, complexity of patients, staff shortage and increased work demand were identified as main workplace stressors. Physiotherapists aged below 25 years (junior physiotherapists) have experienced higher symptoms of the stress in their working environment as compared to senior and senior most physiotherapist (X2 = 9.752, p<0.01). Seventy-seven percent of junior physiotherapists taken leave from the duty (X2 = 11.54, p<0.01) because of above-mentioned workplace stressors. Conclusion: Junior physiotherapists (age below 25) tend to be more affected at the workplace due to emotional and physical stress. Due to shortage of staff the have experienced more stress and have taken more leaves from duty and as a result their job performance becomes poor when contrasted with senior physiotherapists (age between 25-40) and most senior physiotherapists (age above 40). Keywords: Anxiety, Hypertension, Occupational health, Physiotherapists, Workplace stress
{"title":"Association of Workplace stress with age among physiotherapists working in public and private sectors of Faisalabad.","authors":"Aysha Iftikhar, Khushboo Humayun, Memoona Azhar, Ishtiaq Ahmed, Wajid Khalil","doi":"10.5455/jrcrs.2020080210","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080210","url":null,"abstract":"Background: Stress in the working environment occur when there is imbalance between demand and ability of physiotherapists to fulfill those demands. \u0000Objective: This study aims to find out the stressors causing stress at the workplace and to determine the association of stress experienced by physiotherapists with their age. \u0000Methodology: A total of 100 physiotherapists from Faisalabad was included in this study to see the effect of workplace stressors in relation to their age, by giving them questionnaires. Simple Random sampling technique was used in this study and written informed consent was taken from all the participants. Criteria included age between 24-60, working hours 4 to 7 and experience of 1 year or more prominent. \u0000Results: Caseload Quantity, complexity of patients, staff shortage and increased work demand were identified as main workplace stressors. Physiotherapists aged below 25 years (junior physiotherapists) have experienced higher symptoms of the stress in their working environment as compared to senior and senior most physiotherapist (X2 = 9.752, p<0.01). Seventy-seven percent of junior physiotherapists taken leave from the duty (X2 = 11.54, p<0.01) because of above-mentioned workplace stressors. \u0000Conclusion: Junior physiotherapists (age below 25) tend to be more affected at the workplace due to emotional and physical stress. Due to shortage of staff the have experienced more stress and have taken more leaves from duty and as a result their job performance becomes poor when contrasted with senior physiotherapists (age between 25-40) and most senior physiotherapists (age above 40). \u0000Keywords: Anxiety, Hypertension, Occupational health, Physiotherapists, Workplace stress","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132959038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-12DOI: 10.5455/jrcrs.2020080208
Kiran Khushnood, S. Qureshi, N. Sultan, Shafaq Altaf, Malik Muhammad Ali Awan, Riafat Mehmood
Background: Recent evidence has suggested that mental health and cognitive functions improve as the individual involves himself in routine physical exercise thus enhancing self-motivation and confidence levels. Objective: The objective of this study was to find out the effect of Wii-Fit Exer-gaming on the confidence levels and quality of life of diabetic patients. Methodology: A randomized controlled trial was conducted on 66 diabetic patients who fulfilled the inclusion criteria of stable vitals, 45 to 70 years of age with no serious systemic illness and diabetic ulcers scoring <40 on berg balance scale. Sealed envelope method was used to randomize the patients into two groups in the physical therapy department of Kulsum International Hospital, Pakistan. Baseline measurements and demographic data were taken including activities-specific balance confidence scale (ABC) and European Quality of Life-5 Dimensions (EQ-5D-5L) respectively. Interventional group (group A) Wii Fit based games for 30 minutes twice a week, whereas control group was provided by balance training exercises twice a week for 8 weeks. The data was analyzed through SPSS version 21. Results: There was a significant improvement in ABC, Euro 5Q 5L components (p≤0.05) except for pain/discomfort (group A, B) and anxiety/depression (group B) (p ≥.05) within the group. The independent sample T test showed a significant improvement in ABC and EURO 5Q-5D-5L (p≤0.05) in the experimental group as compared to control group. Conclusions: All subjects who participated in training with Wii Fit exer-gaming showed statistically significant improvements in balance confidence and quality of life, although clinical presentation has improved in participants of both groups. Keywords: Balance Confidence and Quality of Life, Exer-Gaming.
{"title":"Exer-gaming; an effective way to improve balance confidence and quality of life of subjects with diabetes","authors":"Kiran Khushnood, S. Qureshi, N. Sultan, Shafaq Altaf, Malik Muhammad Ali Awan, Riafat Mehmood","doi":"10.5455/jrcrs.2020080208","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080208","url":null,"abstract":"Background: Recent evidence has suggested that mental health and cognitive functions improve as the individual involves himself in routine physical exercise thus enhancing self-motivation and confidence levels. \u0000Objective: The objective of this study was to find out the effect of Wii-Fit Exer-gaming on the confidence levels and quality of life of diabetic patients. \u0000Methodology: A randomized controlled trial was conducted on 66 diabetic patients who fulfilled the inclusion criteria of stable vitals, 45 to 70 years of age with no serious systemic illness and diabetic ulcers scoring <40 on berg balance scale. Sealed envelope method was used to randomize the patients into two groups in the physical therapy department of Kulsum International Hospital, Pakistan. Baseline measurements and demographic data were taken including activities-specific balance confidence scale (ABC) and European Quality of Life-5 Dimensions (EQ-5D-5L) respectively. Interventional group (group A) Wii Fit based games for 30 minutes twice a week, whereas control group was provided by balance training exercises twice a week for 8 weeks. The data was analyzed through SPSS version 21. \u0000Results: There was a significant improvement in ABC, Euro 5Q 5L components (p≤0.05) except for pain/discomfort (group A, B) and anxiety/depression (group B) (p ≥.05) within the group. The independent sample T test showed a significant improvement in ABC and EURO 5Q-5D-5L (p≤0.05) in the experimental group as compared to control group. \u0000Conclusions: All subjects who participated in training with Wii Fit exer-gaming showed statistically significant improvements in balance confidence and quality of life, although clinical presentation has improved in participants of both groups. \u0000Keywords: Balance Confidence and Quality of Life, Exer-Gaming.","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131627105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-30DOI: 10.5455/jrcrs.2020080104
A. Akodu, T. Ajepe, M. Sorunke
Objectives: To evaluate the efficacy of neck stabilization and isometric neck exercises on pain-related disability, sleep disturbance, psychological status and cardiopulmonary parameters in patients with non-specific chronic neck pain (NSCNP). Methodology: This study was done within a period of May-October, 2019. 14 patients with NSCNP were involved in this research. The patients were enrolled into the research from two post secondary health facilities in Lagos state and distributed into groups A, B and C with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were evaluated for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. Results: This research showed that neck stabilization combined with isometric exercise improved pain-related disability (p=0.04), anxiety (p=0.04) and depression (p=0.04) after 4 weeks intervention. Some pulmonary parameters, FVC (p=0.05, p=0.02), FEV1 (p=0.02, p=0.01) improved significantly post intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p=0.02, p=0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post intervention. Conclusion: This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with NSCNP. Keywords: Exercise, chronic neck pain, pilot, study
{"title":"EFFECTS OF NECK STABILIZATION AND ISOMETRIC NECK EXERCISES ON NON-SPECIFIC CHRONIC NECK PAIN: A PILOT STUDY","authors":"A. Akodu, T. Ajepe, M. Sorunke","doi":"10.5455/jrcrs.2020080104","DOIUrl":"https://doi.org/10.5455/jrcrs.2020080104","url":null,"abstract":"Objectives: To evaluate the efficacy of neck stabilization and isometric neck exercises on pain-related disability, sleep disturbance, psychological status and cardiopulmonary parameters in patients with non-specific chronic neck pain (NSCNP). \u0000Methodology: This study was done within a period of May-October, 2019. 14 patients with NSCNP were involved in this research. The patients were enrolled into the research from two post secondary health facilities in Lagos state and distributed into groups A, B and C with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were evaluated for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. \u0000Results: This research showed that neck stabilization combined with isometric exercise improved pain-related disability (p=0.04), anxiety (p=0.04) and depression (p=0.04) after 4 weeks intervention. Some pulmonary parameters, FVC (p=0.05, p=0.02), FEV1 (p=0.02, p=0.01) improved significantly post intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p=0.02, p=0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post intervention. \u0000Conclusion: This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with NSCNP. \u0000Keywords: Exercise, chronic neck pain, pilot, study","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123067467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-30DOI: 10.5455/JRCRS.2019070103
Shahrukh Mehtab, Nafeesa zamurd
Background: Mechanical neck pain is the most common musculoskeletal disorder of general population. Mechanical neck pain is also known as axial neck pain or nonspecific neck pain as it is non radiating pain and has an acute or sudden onset without known etiology. Objective: To compare the effectiveness of isometric exercises and stretching versus isometric exercises and stretching with ergonomic modifications for mechanical neck pain. Material and Methods: This is an RCT randomized control trial, single blind study which consists of 30 subjects (n=30) of age 20-45 years, with 15 subjects (n=15) in experimental group (isometric exercises and stretchings with ergonomic modifications were applied) and 15 subjects (n=15) in control group (isometric exercises and stretchings were applied).Duration of study was 6 months. Pre and post treatment assessment was done. Interventions were applied with moderate intensity 3 times a week (10rep/ 3 set per day) for 4 weeks (12 sessions) in both groups. Questionnaire, visual analogue scale (VAS) for pain intensity and neck disability index (NDI) for functional disability was used as data collection tools. Level of significance a= 5 % or 0.05, P value 0.05, Confidence interval0.95 and power 0.8. Sample size was calculated through epitool. Results: Both VAS and NDI scores showed more improvement in experimental group (isometric neck exercises and stretching with ergonomic modifications) as compared to control group (isometric neck exercises and stretching). One way ANOVA was used for between group analysis and paired t-test was used for within group analysis. As P-value < 0.05 so we rejected null hypothesis, there is a significant difference between groups. Conclusion: This study concluded that ergonomic modifications with isometric exercises and stretching result in improvement of posture, reduce muscle stress, increase muscle balance, increase range of motion as compared to isometric exercises and stretching. Isometric exercises and stretching cause removal of waste product from neck muscles by improving blood circulation that reduce muscle stiffness and spasm which causes pain relief and improves range of motion and ergonomic modifications improve posture alignment of body that reduce stress, increase muscular balance and reduce muscle spasm.
{"title":"Comparison of isometric neck exercises and stretching with ergonomic modifications versus isometric neck exercises and stretching for mechanical neck pain: A randomized controlled trail","authors":"Shahrukh Mehtab, Nafeesa zamurd","doi":"10.5455/JRCRS.2019070103","DOIUrl":"https://doi.org/10.5455/JRCRS.2019070103","url":null,"abstract":"Background: Mechanical neck pain is the most common musculoskeletal disorder of general population. Mechanical neck pain is also known as axial neck pain or nonspecific neck pain as it is non radiating pain and has an acute or sudden onset without known etiology. \u0000Objective: To compare the effectiveness of isometric exercises and stretching versus isometric exercises and stretching with ergonomic modifications for mechanical neck pain. \u0000Material and Methods: This is an RCT randomized control trial, single blind study which consists of 30 subjects (n=30) of age 20-45 years, with 15 subjects (n=15) in experimental group (isometric exercises and stretchings with ergonomic modifications were applied) and 15 subjects (n=15) in control group (isometric exercises and stretchings were applied).Duration of study was 6 months. Pre and post treatment assessment was done. Interventions were applied with moderate intensity 3 times a week (10rep/ 3 set per day) for 4 weeks (12 sessions) in both groups. Questionnaire, visual analogue scale (VAS) for pain intensity and neck disability index (NDI) for functional disability was used as data collection tools. Level of significance a= 5 % or 0.05, P value 0.05, Confidence interval0.95 and power 0.8. Sample size was calculated through epitool. \u0000Results: Both VAS and NDI scores showed more improvement in experimental group (isometric neck exercises and stretching with ergonomic modifications) as compared to control group (isometric neck exercises and stretching). One way ANOVA was used for between group analysis and paired t-test was used for within group analysis. As P-value < 0.05 so we rejected null hypothesis, there is a significant difference between groups. \u0000Conclusion: This study concluded that ergonomic modifications with isometric exercises and stretching result in improvement of posture, reduce muscle stress, increase muscle balance, increase range of motion as compared to isometric exercises and stretching. Isometric exercises and stretching cause removal of waste product from neck muscles by improving blood circulation that reduce muscle stiffness and spasm which causes pain relief and improves range of motion and ergonomic modifications improve posture alignment of body that reduce stress, increase muscular balance and reduce muscle spasm.","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130649849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.5455/jrcrs.2019070106
Aqsa Irum, Hina Sultana, Amna Asghar
Background: Speech Language Pathology is guided by ethical principle as it is the tool for professional discipline. It is generally agreed that morality is all about right and wrong conduct based on socially approved norms. Healthcare ethics deals with moral code of conduct to patients in healthcare setting, taking in consideration of individuality, safety, welfare and self respect of them. Increase in unethical behavior from healthcare professional is an problematic issue of immediate concern. Objective: To assess the knowledge, attitudes and practice of health care ethics among speech language pathologists. Methodology: The Cross Sectional study was done among Speech Language Pathologists at Riphah College of Rehabilitation Sciences, Lahore, within the duration of six months from 1st Jan 2017 to 30th June 2017 by using Convenient Sampling Technique. 104 Speech and language Pathologist (SLP) were included in the study. To conduct the research, standardized questionnaire was used which was previously used for assessing the (KAP) knowledge, attitudes and practice healthcare ethics among physiotherapists and medical students. The data was analyzed by Statistical package for Social sciences ( SPSS ) software 20.Percentage of responses were calculated. Chi-square test was applied to check the level of significance among different categories of available variables. Results: A total of 104 respondent speech language pathologists, were included in the study. The distribution of gender comprised of 37.5% (n=39) males and 62.5% (n=65) females with 72.1% age range from the 23-28 years age group.62% (n=65) speech language pathologists were unaware about the main contents of ethical knowledge.42%(n=44) speech language pathologists responded that knowledge of ethics is very important to their work and majority 35.58%(n=37) got knowledge through lectures and seminars.83.6% respondents were aware about the existence of no ethical committee at their institutions. As far as gender distribution was concerned 12% male and 27% female responded that knowledge of ethics is very important in work setting. Knowledge and attitude of healthcare ethics have a general manifestation on practical application of healthcare ethics. Conclusion: Overall results of the study showed gaps in knowledge but significant relationship towards attitude and practice of healthcare ethics in speech language pathologists and institutions. Effort should be made to increase the knowledge about the ethics in medical profession. Keywords: ethical committee, Healthcare Ethics, Speech Language Pathologist
{"title":"Knowledge, Attitude and Practice Health Care Ethics among Speech Language Pathologists","authors":"Aqsa Irum, Hina Sultana, Amna Asghar","doi":"10.5455/jrcrs.2019070106","DOIUrl":"https://doi.org/10.5455/jrcrs.2019070106","url":null,"abstract":"Background: Speech Language Pathology is guided by ethical principle as it is the tool for professional discipline. It is generally agreed that morality is all about right and wrong conduct based on socially approved norms. Healthcare ethics deals with moral code of conduct to patients in healthcare setting, taking in consideration of individuality, safety, welfare and self respect of them. Increase in unethical behavior from healthcare professional is an problematic issue of immediate concern. \u0000Objective: To assess the knowledge, attitudes and practice of health care ethics among speech language pathologists. \u0000Methodology: The Cross Sectional study was done among Speech Language Pathologists at Riphah College of Rehabilitation Sciences, Lahore, within the duration of six months from 1st Jan 2017 to 30th June 2017 by using Convenient Sampling Technique. 104 Speech and language Pathologist (SLP) were included in the study. To conduct the research, standardized questionnaire was used which was previously used for assessing the (KAP) knowledge, attitudes and practice healthcare ethics among physiotherapists and medical students. The data was analyzed by Statistical package for Social sciences ( SPSS ) software 20.Percentage of responses were calculated. Chi-square test was applied to check the level of significance among different categories of available variables. \u0000Results: A total of 104 respondent speech language pathologists, were included in the study. The distribution of gender comprised of 37.5% (n=39) males and 62.5% (n=65) females with 72.1% age range from the 23-28 years age group.62% (n=65) speech language pathologists were unaware about the main contents of ethical knowledge.42%(n=44) speech language pathologists responded that knowledge of ethics is very important to their work and majority 35.58%(n=37) got knowledge through lectures and seminars.83.6% respondents were aware about the existence of no ethical committee at their institutions. As far as gender distribution was concerned 12% male and 27% female responded that knowledge of ethics is very important in work setting. Knowledge and attitude of healthcare ethics have a general manifestation on practical application of healthcare ethics. \u0000Conclusion: Overall results of the study showed gaps in knowledge but significant relationship towards attitude and practice of healthcare ethics in speech language pathologists and institutions. Effort should be made to increase the knowledge about the ethics in medical profession. \u0000Keywords: ethical committee, Healthcare Ethics, Speech Language Pathologist","PeriodicalId":127606,"journal":{"name":"Journal of Riphah College of Rehabilitation Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126143443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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