Rija Tariq, Mária, A. Jabeen, Sehar Murtaza, Hamza Dastgir, Laraib Khalid
Background: It can be very stressful for students to be under constant pressure to succeed in becoming highly qualified healthcare professionals. Postgraduate and professional students were found to experience higher levels of stress than usual when age and gender were compared with populations of the same type. Negative effects of stress include poor academic performance, diminished reasoning ability, decreased coping and difficulty following graduate courses. Objective: To learn about coping mechanisms and stress among postgraduate medical students in Lahore. Methods: This study included 101 postgraduate medical students from the campuses of private universities in Lahore and Islamabad. Informed consent forms were used to include participants. Google forms were used to create an online survey, which was then shared on Instagram and WhatsApp. A perceived stress scale was used to access the various stressors and the brief COPE inventory was used to look at the students' efficient coping mechanisms. An analysis of postgraduate students' coping mechanisms and the relationship between stress and gender was done. The data from Google forms were processed, placed into Microsoft Excel and analyzed with SPSS version 25. The findings were presented in the form of tables and graphs. Results: Among postgraduate medical students or nearly one-fourth (21.8%) of participants reported high stress, while 72.3% reported moderate stress, with men reporting higher levels of stress than women. The most common coping strategies were active coping, acceptance, planning and religion. Conclusion: It seems that graduated students are under more stress and positive psychological approaches should be made available by university administration and professors to help students deal with the demands of pursuing a degree in the medical field. Ignoring these elements would not give students the best chances for learning and employment.
背景:学生在持续的压力下成功地成为高素质的医疗保健专业人员是非常有压力的。研究发现，与年龄和性别相同的人群相比，研究生和专业学生的压力水平高于平时。压力的负面影响包括学习成绩差、推理能力下降、应对能力下降和研究生课程学习困难。目的:了解拉合尔地区医学研究生的应对机制和压力状况。方法:本研究包括来自拉合尔和伊斯兰堡私立大学的101名医学研究生。使用知情同意书纳入参与者。谷歌表单被用来创建在线调查，然后在Instagram和WhatsApp上分享。采用感知压力量表对不同压力源进行评估，并采用简短的COPE量表考察学生的有效应对机制。分析了研究生的应对机制以及压力与性别的关系。对谷歌表格中的数据进行处理，放入Microsoft Excel中，并使用SPSS version 25进行分析。调查结果以表格和图表的形式呈现出来。结果:在医学研究生中，近四分之一(21.8%)的参与者报告了高压力，而72.3%的参与者报告了中等压力，男性报告的压力水平高于女性。最常见的应对策略是积极应对、接受、计划和信仰。结论:毕业生的压力似乎更大，大学管理部门和教授应该提供积极的心理方法来帮助学生应对在医学领域攻读学位的需求。忽视这些因素不会给学生最好的学习和就业机会。
{"title":"Stress and Coping Strategies Among Postgraduate Medical Students in Lahore","authors":"Rija Tariq, Mária, A. Jabeen, Sehar Murtaza, Hamza Dastgir, Laraib Khalid","doi":"10.55735/hjprs.v3i3.140","DOIUrl":"https://doi.org/10.55735/hjprs.v3i3.140","url":null,"abstract":"Background: It can be very stressful for students to be under constant pressure to succeed in becoming highly qualified healthcare professionals. Postgraduate and professional students were found to experience higher levels of stress than usual when age and gender were compared with populations of the same type. Negative effects of stress include poor academic performance, diminished reasoning ability, decreased coping and difficulty following graduate courses. Objective: To learn about coping mechanisms and stress among postgraduate medical students in Lahore. Methods: This study included 101 postgraduate medical students from the campuses of private universities in Lahore and Islamabad. Informed consent forms were used to include participants. Google forms were used to create an online survey, which was then shared on Instagram and WhatsApp. A perceived stress scale was used to access the various stressors and the brief COPE inventory was used to look at the students' efficient coping mechanisms. An analysis of postgraduate students' coping mechanisms and the relationship between stress and gender was done. The data from Google forms were processed, placed into Microsoft Excel and analyzed with SPSS version 25. The findings were presented in the form of tables and graphs. Results: Among postgraduate medical students or nearly one-fourth (21.8%) of participants reported high stress, while 72.3% reported moderate stress, with men reporting higher levels of stress than women. The most common coping strategies were active coping, acceptance, planning and religion. Conclusion: It seems that graduated students are under more stress and positive psychological approaches should be made available by university administration and professors to help students deal with the demands of pursuing a degree in the medical field. Ignoring these elements would not give students the best chances for learning and employment.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116830903","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}
The emergence of coronavirus back in 2019 posed an epidemic threat to global public health security even after the execution of precautionary and control measures. The infectious disease was first identified in Wuhan, China and spread rapidly to multiple countries. Gradually, it caused casualties of people with a large number of coronavirus cases. Different countries implemented several interventions to mitigate the human-to-human transmission of this disease including travel restrictions, setting up isolation centers, lockdowns, and social quarantine. A systematic search was implemented through five electronic databases (PubMed, WHO, NIH, Scopus and Google Scholar). Research studies that were published until 30th May 2021 were included in this study, and eligibility criteria were selected for this review. The study shed light on the critical aspects of the implications of social quarantine preventive intervention to avoid the spread of COVID-19. The lessons learned from the pandemic can help the future preparedness and response plan to combat the progression of this disease. Yet limited studies have been conducted about the socio-economic impact of these social-distancing measures for most vulnerable populations. In this study, various research studies that have reported the positive and negative impact of physical distancing on the population were evaluated. In this situation, the Pakistani government must combat the coronavirus disease and take steps to improve the economic condition of the country. Special attention must be paid to the most disadvantaged and vulnerable populations such as the disabled, older population, homeless and poor populations to lessen the risks of coronavirus disease. Policymakers must ensure transparency in communication and provide evidence-based interventions to tackle the worse situation. The countries must coordinate their efforts to develop antivirals and vaccines for the treatment of infectious fatal diseases. Government must support the community through access to the use of technology, and home care to older residents, deliver health counseling services, and deliver home-based learning. All countries must use print, electronic and social media wisely and they must be coordinated, and provide education and social awareness among the citizenry regarding how to avoid being infected.
{"title":"Prevalence of COVID-19 Pandemic Threat; Implications of Social Quarantine as Preventive Public Health Intervention","authors":"Shiza Kazmi","doi":"10.55735/hjprs.v3i3.111","DOIUrl":"https://doi.org/10.55735/hjprs.v3i3.111","url":null,"abstract":"The emergence of coronavirus back in 2019 posed an epidemic threat to global public health security even after the execution of precautionary and control measures. The infectious disease was first identified in Wuhan, China and spread rapidly to multiple countries. Gradually, it caused casualties of people with a large number of coronavirus cases. Different countries implemented several interventions to mitigate the human-to-human transmission of this disease including travel restrictions, setting up isolation centers, lockdowns, and social quarantine. A systematic search was implemented through five electronic databases (PubMed, WHO, NIH, Scopus and Google Scholar). Research studies that were published until 30th May 2021 were included in this study, and eligibility criteria were selected for this review. The study shed light on the critical aspects of the implications of social quarantine preventive intervention to avoid the spread of COVID-19. The lessons learned from the pandemic can help the future preparedness and response plan to combat the progression of this disease. Yet limited studies have been conducted about the socio-economic impact of these social-distancing measures for most vulnerable populations. In this study, various research studies that have reported the positive and negative impact of physical distancing on the population were evaluated. In this situation, the Pakistani government must combat the coronavirus disease and take steps to improve the economic condition of the country. Special attention must be paid to the most disadvantaged and vulnerable populations such as the disabled, older population, homeless and poor populations to lessen the risks of coronavirus disease. Policymakers must ensure transparency in communication and provide evidence-based interventions to tackle the worse situation. The countries must coordinate their efforts to develop antivirals and vaccines for the treatment of infectious fatal diseases. Government must support the community through access to the use of technology, and home care to older residents, deliver health counseling services, and deliver home-based learning. All countries must use print, electronic and social media wisely and they must be coordinated, and provide education and social awareness among the citizenry regarding how to avoid being infected.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132819809","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}
Faraya Yousaf, Amena Batool, Asifa Qurat Ul Ain, Ayesha Nawaz, Mohammad Rehan Amjad, Anfal Sadaqat
Background: Using computers in an awkward posture for a prolonged period leads to musculoskeletal disorders. The proper use of ergonomics while using a computer or laptop is imperative. Improper use of computers may affect health and cause musculoskeletal disorders. Objective: To determine the knowledge and practices of ergonomics in students of private universities using computers or laptops. Methods: It was a cross-sectional survey conducted in different private universities in Lahore the data was collected through a self-made questionnaire. The sample size is 600 calculated by using a 90% confidence interval and a 5% margin of error. Data were collected from both male and female students aged between 18 to 26 years’ private university students using laptops or computers for at least five years and students who have musculoskeletal disorders and desktop computer users for less than five years were excluded. The categorical variables were evaluated by frequency and percentages, while mean and standard deviation were calculated by continuous variables. Results: Despite the presence of chair arms, 46.2% of employees can easily reach their workstations, while 53.8% are unable to do so. About 46.2 percent of people find it difficult to relax their arms and shoulders without the arms of their chair interfering. 53.8% of people can relax their arms and shoulders without being hindered by the arms of their chair. When working on a keyboard, 55.3% of people have their shoulders relaxed and not raised, whereas 44.7% have their shoulders raised and are not relaxed. 54% of people prefer to rest their arms at their sides rather than have them extended out in front of them, while 46% prefer not to rest their arms at their sides and instead have them stretched out in front of them. Conclusion: It was concluded that knowledge and practices of computer ergonomics in students are essential to avoid various health, postural and musculoskeletal problems. Ergonomics interventions aimed to prevent musculoskeletal disorders can be applied through the assessment of risks and safety measures. Similarly, occupational therapists and physical therapists can help computer workers regarding the posture and guidelines required for prolonged computer work.
{"title":"Knowledge and Practices of Ergonomics in Students of Private Universities Using Computers","authors":"Faraya Yousaf, Amena Batool, Asifa Qurat Ul Ain, Ayesha Nawaz, Mohammad Rehan Amjad, Anfal Sadaqat","doi":"10.55735/hjprs.v3i2.122","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.122","url":null,"abstract":"Background: Using computers in an awkward posture for a prolonged period leads to musculoskeletal disorders. The proper use of ergonomics while using a computer or laptop is imperative. Improper use of computers may affect health and cause musculoskeletal disorders. Objective: To determine the knowledge and practices of ergonomics in students of private universities using computers or laptops. Methods: It was a cross-sectional survey conducted in different private universities in Lahore the data was collected through a self-made questionnaire. The sample size is 600 calculated by using a 90% confidence interval and a 5% margin of error. Data were collected from both male and female students aged between 18 to 26 years’ private university students using laptops or computers for at least five years and students who have musculoskeletal disorders and desktop computer users for less than five years were excluded. The categorical variables were evaluated by frequency and percentages, while mean and standard deviation were calculated by continuous variables. Results: Despite the presence of chair arms, 46.2% of employees can easily reach their workstations, while 53.8% are unable to do so. About 46.2 percent of people find it difficult to relax their arms and shoulders without the arms of their chair interfering. 53.8% of people can relax their arms and shoulders without being hindered by the arms of their chair. When working on a keyboard, 55.3% of people have their shoulders relaxed and not raised, whereas 44.7% have their shoulders raised and are not relaxed. 54% of people prefer to rest their arms at their sides rather than have them extended out in front of them, while 46% prefer not to rest their arms at their sides and instead have them stretched out in front of them. Conclusion: It was concluded that knowledge and practices of computer ergonomics in students are essential to avoid various health, postural and musculoskeletal problems. Ergonomics interventions aimed to prevent musculoskeletal disorders can be applied through the assessment of risks and safety measures. Similarly, occupational therapists and physical therapists can help computer workers regarding the posture and guidelines required for prolonged computer work.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126139658","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}
Mehak Imtiaz, Asna Waseem, Maida Chaudhary, A. Sultan, Nouman Abid, Dua Shahzad
Methods: This study was a Randomized Controlled Trial conducted at The University of Lahore Teaching Hospital, University Institute of Physical Therapy, Lahore. n= 84 patients with Cervical Dystonia were recruited in this study using non- probability convenient sampling technique. Patients suffering with Cervical Dystonia who aged between 30 till 50 years were randomly assigned into two groups, 42 patients in each group. First Group A which was the control group which was treated with Functional Electrical Stimulation and routine physical therapy only while Group B was the Experimental group which was treated with Functional Electrical Stimulation also with kinesiotherapy and routine physical therapy. Both the groups were evaluated and assessed using the Toronto Western Spasmodic Torticollis Rating Scale, the Pain Numerating Scale, the 36- item short form health survey( SF-36), Neck Disability index and range of motion of neck flexion, neck extension and neck rotation was measured using universal goniometer. Results: Functional Electrical Stimulation combined with kinesiotherapy given to the experimental group showed more improvement in range of motion, quality of life , functional disability and the symptom of the pain also was reduced in the experimental group as compared to the control group. The mean values showed that there was a statistically significant difference in different variables between both the groups. When the scores( scores at baseline and at 16th week) for Toronto Western Spasmodic Torticollis Rating Scale for both the groups were compared it showed statistical difference between both the groups(p<0.05). Conclusion: Despite the fact that cervical dystonia has central neurological etiology, this study concludes that multimodal kinesiotherapy program which included stretching and relaxation, active exercises in addition to Functional Electrical Stimulation and Routine Physical Therapy tempts to have beneficial effects on a patient suffering from Cervical Dystonia. It showed beneficial effects on pain, quality of life, functional disability and range of motion of patients with cervical dystonia. Key Words: Functional Electrical Stimulation, Kinesiotherapy, Cervical Dystonia, Pain, Rang of Motion, Quality of life
{"title":"Effects of Functional Electrical Stimulation with and without Kinesiotherapy on Pain, Range of Motion and Quality of Life in Patients with Cervical Dystonia; A Randomized Clinical Trial","authors":"Mehak Imtiaz, Asna Waseem, Maida Chaudhary, A. Sultan, Nouman Abid, Dua Shahzad","doi":"10.55735/hjprs.v3i2.110","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.110","url":null,"abstract":" \u0000Methods: This study was a Randomized Controlled Trial conducted at The University of Lahore Teaching Hospital, University Institute of Physical Therapy, Lahore. n= 84 patients with Cervical Dystonia were recruited in this study using non- probability convenient sampling technique. Patients suffering with Cervical Dystonia who aged between 30 till 50 years were randomly assigned into two groups, 42 patients in each group. First Group A which was the control group which was treated with Functional Electrical Stimulation and routine physical therapy only while Group B was the Experimental group which was treated with Functional Electrical Stimulation also with kinesiotherapy and routine physical therapy. Both the groups were evaluated and assessed using the Toronto Western Spasmodic Torticollis Rating Scale, the Pain Numerating Scale, the 36- item short form health survey( SF-36), Neck Disability index and range of motion of neck flexion, neck extension and neck rotation was measured using universal goniometer.\u0000Results: Functional Electrical Stimulation combined with kinesiotherapy given to the experimental group showed more improvement in range of motion, quality of life , functional disability and the symptom of the pain also was reduced in the experimental group as compared to the control group. The mean values showed that there was a statistically significant difference in different variables between both the groups. When the scores( scores at baseline and at 16th week) for Toronto Western Spasmodic Torticollis Rating Scale for both the groups were compared it showed statistical difference between both the groups(p<0.05).\u0000Conclusion: Despite the fact that cervical dystonia has central neurological etiology, this study concludes that multimodal kinesiotherapy program which included stretching and relaxation, active exercises in addition to Functional Electrical Stimulation and Routine Physical Therapy tempts to have beneficial effects on a patient suffering from Cervical Dystonia. It showed beneficial effects on pain, quality of life, functional disability and range of motion of patients with cervical dystonia.\u0000Key Words: Functional Electrical Stimulation, Kinesiotherapy, Cervical Dystonia, Pain, Rang of Motion, Quality of life\u0000 \u0000 \u0000 ","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115891066","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}
H. Ghani, Madiha Younas, M. Mustafa, Mahreen Aslam, Hamza Dastgir, Hira Rafique
Background: Pelvic floor dysfunction is the inability to relax and integrate the pelvic muscles appropriately. Constipation, bladder/bowel incontinence, and frequent bladder urges are the common symptoms. Objective: To determine the effects of physical therapy on pelvic floor dysfunction among women. Methods: It was a randomized controlled trial conducted between February to December 2021. About 72 patients were included using convenient sampling and they were equally divided into an experimental group receiving pelvic floor physical therapy and a control group receiving routine care. The woman aged between 18 to 60 years having pelvic floor dysfunction were included in the trial. Patients with pelvic organ prolapse more than stage II, urinary or vaginal tract infections and inability to understand or follow instructions were excluded. The assessment was made at baseline and after 4th week of intervention. Variables like age, body mass index and parity were presented as mean and standard deviation. The normality of the data was assessed using the Shapiro-Wilk test. The difference between pre and post-treatment readings was calculated using paired sample t-test for this parametric data. Statistical significance was set at p≤0.05. Results: The demographics including age, body mass index and parity were found to be 49.31 (12.43%), 25.71(4.56%) and 2.6(0.81%) in the pelvic floor physical therapy group and 51.23 (9.37%), 26.33(5.32%) and 2.2(93%) in the control group respectively, without any significant difference (p-value>0.05). After treatment at the 4th-week assessment, peak perineometer values (cmH2O) were found to be 6.4(5.8) in the experimental group versus 10.3(6.7) in the control group, pelvic floor distress inventory short form 27.43(17.6) versus 42.8(31.8) and short form of pelvic floor impact questionnaire 9.86(4.39) versus 16.87(6.78), with a significant difference in favor of physical therapy group (p-value>0.05). Conclusion: The study concluded that pelvic floor physical therapy is significantly better as compared to the control group for relieving pelvic floor dysfunction including its control, coordination and distress.
{"title":"Effects of Physical Therapy on Pelvic Floor Dysfunction Among Women; A Randomized Controlled Trial","authors":"H. Ghani, Madiha Younas, M. Mustafa, Mahreen Aslam, Hamza Dastgir, Hira Rafique","doi":"10.55735/hjprs.v3i2.120","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.120","url":null,"abstract":"Background: Pelvic floor dysfunction is the inability to relax and integrate the pelvic muscles appropriately. Constipation, bladder/bowel incontinence, and frequent bladder urges are the common symptoms. Objective: To determine the effects of physical therapy on pelvic floor dysfunction among women. Methods: It was a randomized controlled trial conducted between February to December 2021. About 72 patients were included using convenient sampling and they were equally divided into an experimental group receiving pelvic floor physical therapy and a control group receiving routine care. The woman aged between 18 to 60 years having pelvic floor dysfunction were included in the trial. Patients with pelvic organ prolapse more than stage II, urinary or vaginal tract infections and inability to understand or follow instructions were excluded. The assessment was made at baseline and after 4th week of intervention. Variables like age, body mass index and parity were presented as mean and standard deviation. The normality of the data was assessed using the Shapiro-Wilk test. The difference between pre and post-treatment readings was calculated using paired sample t-test for this parametric data. Statistical significance was set at p≤0.05. Results: The demographics including age, body mass index and parity were found to be 49.31 (12.43%), 25.71(4.56%) and 2.6(0.81%) in the pelvic floor physical therapy group and 51.23 (9.37%), 26.33(5.32%) and 2.2(93%) in the control group respectively, without any significant difference (p-value>0.05). After treatment at the 4th-week assessment, peak perineometer values (cmH2O) were found to be 6.4(5.8) in the experimental group versus 10.3(6.7) in the control group, pelvic floor distress inventory short form 27.43(17.6) versus 42.8(31.8) and short form of pelvic floor impact questionnaire 9.86(4.39) versus 16.87(6.78), with a significant difference in favor of physical therapy group (p-value>0.05). Conclusion: The study concluded that pelvic floor physical therapy is significantly better as compared to the control group for relieving pelvic floor dysfunction including its control, coordination and distress.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133459258","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}
Malik Muhammad Atif, Aqsa Tahir, Talha Mazhar, Konain bakht, Muhammad Dilshad, Tahreem Akhtar
Abstract:Background: Pinched nerves, or cervical radiculopathy, are caused by damage to the nerves or changes in the way they function. A nerve root close to the cervical vertebrae is compressed, causing the pain. Objective: The aim of this study is to determine the frequency of cervical radiculopathy among teachers and to find out difference in prevalence of cervical radiculopathy with respect to demographics. Methodology: The population of the study was composed of teachers of Faisalabad city i.e. male and female from different institutes. Sample was approached using purposive convenient sampling in their offices. Final size of sample was as; Male Teachers (n = 50) and Female teachers (n = 50). It was Cross-sectional study and Purposive sampling technique. Results: It highlights the prevalence of cervical radiculopathy among male and female teachers separately with male teachers experiencing more symptoms than female teachers. It showed a strong connection between height of chair, table, whiteboard, life style, age and cervical radiculopathy. It suggested that teachers must have active life style to not being victim of cervical radiculopathy. Conclusion: Male teachers scored high on cervical radiculopathy as compared to female. It was also found that teachers with more age scored higher on cervical radiculopathy. Furthermore, teachers who were using chair and table of height less than 20 inch scored more on cervical radiculopathy. Moreover, teachers who were using whiteboard with less height also scored higher on cervical radiculopathy.
{"title":"Prevalence of cervical radiculopathy among teachers","authors":"Malik Muhammad Atif, Aqsa Tahir, Talha Mazhar, Konain bakht, Muhammad Dilshad, Tahreem Akhtar","doi":"10.55735/hjprs.v3i2.132","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.132","url":null,"abstract":"Abstract:Background: \u0000Pinched nerves, or cervical radiculopathy, are caused by damage to the nerves or changes in the way they function. A nerve root close to the cervical vertebrae is compressed, causing the pain. \u0000Objective: \u0000The aim of this study is to determine the frequency of cervical radiculopathy among teachers and to find out difference in prevalence of cervical radiculopathy with respect to demographics. \u0000Methodology: \u0000The population of the study was composed of teachers of Faisalabad city i.e. male and female from different institutes. Sample was approached using purposive convenient sampling in their offices. Final size of sample was as; Male Teachers (n = 50) and Female teachers (n = 50). It was Cross-sectional study and Purposive sampling technique. \u0000Results: \u0000It highlights the prevalence of cervical radiculopathy among male and female teachers separately with male teachers experiencing more symptoms than female teachers. It showed a strong connection between height of chair, table, whiteboard, life style, age and cervical radiculopathy. It suggested that teachers must have active life style to not being victim of cervical radiculopathy. \u0000Conclusion: \u0000Male teachers scored high on cervical radiculopathy as compared to female. \u0000It was also found that teachers with more age scored higher on cervical radiculopathy. Furthermore, teachers who were using chair and table of height less than 20 inch scored more on cervical radiculopathy. Moreover, teachers who were using whiteboard with less height also scored higher on cervical radiculopathy.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115108442","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}
Kanwal Rizwan, Mahreen Aslam, Quratulain Azhar, Muhammad Imran Hussain, Hamza Dastgir, Masooma Saleem
Background: Individuals of all ages use smartphones, from college students to the elderly. Smartphone users often use the small screen to look at the internet, talk to other people, use social networking services (SNS), write papers and do other tasks. Objective: To determine the association between smartphone usage and subjective musculoskeletal symptoms among adolescents. Methods: This was a cross-sectional study that was carried out from July to December 2021 and was conducted at the Link Medical Centre, Lahore. Students from different universities in Lahore were asked to fill out a questionnaire that they would later administer to themselves. The results of the final analysis, conducted using SPSS 25.0, were based on the 365 completed questionnaires. Using SPSS statistics version 25.0, the data were analyzed. The chi-square test was applied to assess if smartphone characteristics relate to subjective musculoskeletal pain. A p-value less than or equal to 0.05 was judged statistically significant. Results: The results showed that the musculoskeletal symptoms were found in various regions in descending order of percentage as neck 24%, shoulder 25%, waist 15%, hands 10%, arms and fingers 9%. The statistics using the chi-square test showed that there was a significant correlation between less screen size and musculoskeletal symptoms in the wrist, hands, shoulders, neck and waist (p-value<0.05) except those of leg and feet and arms (p>0.05), while the same significant association was found with musculoskeletal symptoms in all regions except that it was not significantly associated with fingers. Conclusion: The study concluded that there was a significant association between higher duration of smartphone usage and small screen size with musculoskeletal symptoms in various body regions, especially the upper extremity and waist. It is essential to enhance their utilization and devise a preventative program to alleviate the discomfort produced by bone and muscle dysfunction. The upcoming smart glasses can also be the solution to such musculoskeletal problems.
{"title":"Association of Smartphone Usage and Subjective Musculoskeletal Symptoms Among Adolescents; A Cross-Sectional Survey","authors":"Kanwal Rizwan, Mahreen Aslam, Quratulain Azhar, Muhammad Imran Hussain, Hamza Dastgir, Masooma Saleem","doi":"10.55735/hjprs.v3i2.125","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.125","url":null,"abstract":"Background: Individuals of all ages use smartphones, from college students to the elderly. Smartphone users often use the small screen to look at the internet, talk to other people, use social networking services (SNS), write papers and do other tasks. Objective: To determine the association between smartphone usage and subjective musculoskeletal symptoms among adolescents. Methods: This was a cross-sectional study that was carried out from July to December 2021 and was conducted at the Link Medical Centre, Lahore. Students from different universities in Lahore were asked to fill out a questionnaire that they would later administer to themselves. The results of the final analysis, conducted using SPSS 25.0, were based on the 365 completed questionnaires. Using SPSS statistics version 25.0, the data were analyzed. The chi-square test was applied to assess if smartphone characteristics relate to subjective musculoskeletal pain. A p-value less than or equal to 0.05 was judged statistically significant. Results: The results showed that the musculoskeletal symptoms were found in various regions in descending order of percentage as neck 24%, shoulder 25%, waist 15%, hands 10%, arms and fingers 9%. The statistics using the chi-square test showed that there was a significant correlation between less screen size and musculoskeletal symptoms in the wrist, hands, shoulders, neck and waist (p-value<0.05) except those of leg and feet and arms (p>0.05), while the same significant association was found with musculoskeletal symptoms in all regions except that it was not significantly associated with fingers. Conclusion: The study concluded that there was a significant association between higher duration of smartphone usage and small screen size with musculoskeletal symptoms in various body regions, especially the upper extremity and waist. It is essential to enhance their utilization and devise a preventative program to alleviate the discomfort produced by bone and muscle dysfunction. The upcoming smart glasses can also be the solution to such musculoskeletal problems.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133935374","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}
Nabira Izhar, Anam Bint Irfan, Syed Naeem Abbas, Khalid Abbas, Momin Mukhtar, Hafiz Abdul Rehman
Background: Hamstrings tightness is commonly found among obese individuals and athletes. Many factors can result in hamstrings tightness such as overuse, bad posture and sports activities. It can result in major muscle imbalance which can predispose a person to muscle injuries. Objective: To evaluate the effectiveness of plantar fascial mobilization and static stretching on hamstrings flexibility in overweight individuals. Methods: This quasi-experimental study was conducted at the Physiotherapy department of Shalamar Hospital, Lahore for 6 months. About 50 participants were selected after meeting the eligibility criteria through non-probability purposive sampling. Participants were divided into two equal groups, Group A received static stretching of the hamstrings and Group B received plantar fascial mobilization for three consecutive days. Pre and post-treatment readings of the numeric pain rating scale and active knee extension were recorded in this study. Overweight individuals with having body mass index between 25 to 30 and age ranging from 18 to 35 years presented with hamstring tightness (at least 20 degrees of active knee extension were included in this study). Patients were excluded if they showed any red flags such as rheumatoid arthritis, fracture, tumor, osteoporosis, history of steroid use, lower limb injuries or surgery. The normality of data was assessed through the Shapiro-Wilk test. The difference between pre and post-treatment readings was calculated using paired sample t-test for this parametric data. Independent sample t-test was estimated for finding difference between groups. Results: Patients presented in both groups had an age between 18 and 50 with a mean age of 38.56+9.243. Data were analyzed through independent sample t-tests and paired sample t-tests. The results showed that plantar fascial mobilization along with static stretching was superior in improving hamstring flexibility (83.20+1.65) and reducing pain (1.96+1.48) than static stretching alone in improving hamstring flexibility (76.40+0.02) and in reducing pain (3.45+1.45). Conclusion: It concludes that both the treatment techniques, plantar facial mobilization and static stretching were effective in improving hamstring flexibility by increasing active knee extension and decreasing pain intensity however plantar fascial mobilization along with static stretching was superior to static stretching alone in improving the hamstring flexibility in overweight individuals.
{"title":"Effectiveness of Plantar Fascial Mobilization and Static Stretching on Hamstrings Flexibility among Overweight Individuals","authors":"Nabira Izhar, Anam Bint Irfan, Syed Naeem Abbas, Khalid Abbas, Momin Mukhtar, Hafiz Abdul Rehman","doi":"10.55735/hjprs.v3i2.116","DOIUrl":"https://doi.org/10.55735/hjprs.v3i2.116","url":null,"abstract":"Background: Hamstrings tightness is commonly found among obese individuals and athletes. Many factors can result in hamstrings tightness such as overuse, bad posture and sports activities. It can result in major muscle imbalance which can predispose a person to muscle injuries. Objective: To evaluate the effectiveness of plantar fascial mobilization and static stretching on hamstrings flexibility in overweight individuals. Methods: This quasi-experimental study was conducted at the Physiotherapy department of Shalamar Hospital, Lahore for 6 months. About 50 participants were selected after meeting the eligibility criteria through non-probability purposive sampling. Participants were divided into two equal groups, Group A received static stretching of the hamstrings and Group B received plantar fascial mobilization for three consecutive days. Pre and post-treatment readings of the numeric pain rating scale and active knee extension were recorded in this study. Overweight individuals with having body mass index between 25 to 30 and age ranging from 18 to 35 years presented with hamstring tightness (at least 20 degrees of active knee extension were included in this study). Patients were excluded if they showed any red flags such as rheumatoid arthritis, fracture, tumor, osteoporosis, history of steroid use, lower limb injuries or surgery. The normality of data was assessed through the Shapiro-Wilk test. The difference between pre and post-treatment readings was calculated using paired sample t-test for this parametric data. Independent sample t-test was estimated for finding difference between groups. Results: Patients presented in both groups had an age between 18 and 50 with a mean age of 38.56+9.243. Data were analyzed through independent sample t-tests and paired sample t-tests. The results showed that plantar fascial mobilization along with static stretching was superior in improving hamstring flexibility (83.20+1.65) and reducing pain (1.96+1.48) than static stretching alone in improving hamstring flexibility (76.40+0.02) and in reducing pain (3.45+1.45). Conclusion: It concludes that both the treatment techniques, plantar facial mobilization and static stretching were effective in improving hamstring flexibility by increasing active knee extension and decreasing pain intensity however plantar fascial mobilization along with static stretching was superior to static stretching alone in improving the hamstring flexibility in overweight individuals.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"317 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133557891","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: Stroke is the major source of death and disability and leads to impaired balance in post-stroke patients. Balance training is one of the main components of stroke rehabilitation. Virtual rehabilitation is gaining more popularity as it engages the patients attention in training. Objective: To evaluate the effects of virtual rehabilitation versus therapeutic exercises to improve the balance in patients with stroke. Methods: This randomized controlled trial conducted at Abdullah Hospital, Lalamusa from August to December 2022. The sample size of 30 participants was randomly divided into two groups virtual therapy group versus therapeutic exercises group, after taking their informed consent. Participants were recruited through the non-probability purposive sampling, between the age of 35 to 55 years, post-stroke survivors after 3 months and were able to stand up with or without assistive devices. Participants with auditory or visual dysfunction, a history of deep venous thrombosis, lower limb amputation, severe receptive or expressive aphasia, significant cognitive impairments and unstable hypertension were excluded. The data was collected from the patients by using Berg Balance Scale (BSS) at three different time frames: baseline, mid-intervention and post-intervention. The Shapiro-Wilk test was applied to calculate the normality of the data. For descriptive analysis, quantitative variables were calculated by mean and standard deviation whereas, for qualitative variables, frequency and percentages were used. To find significance an independent sample t-test was applied for between-group analysis and two-way repeated measure ANOVA was used to measure within-group analysis. Results: Both groups improved their balance after six months of intervention. Comparative analysis showed a significant improvement with p-value≤0.05 in both groups. The mean and standard deviation after six weeks of intervention in the virtual training group was 55.4±0.82 and the therapeutic exercise group was 54.47±1.3. This showed that the virtual rehabilitation group had improved balance in patients with stroke. Conclusion: Virtual rehabilitation was found to be effective in improving the balance of patients with stroke. It not only improves balance but also engages the patient in the treatment protocol. This rehabilitation is effective for the balance training of post-stroke patients.
{"title":"Effectiveness of Virtual Rehabilitation Versus Therapeutic Exercises in the Balance Training of Lower Limb Among Post-Stroke Patients","authors":"Hana Pervaiz, Raheela Kousar, Farooq Islam, Asim Raza Thakur, Khushboo Gulzar, Sumbal Asif","doi":"10.55735/hjprs.v3i1.119","DOIUrl":"https://doi.org/10.55735/hjprs.v3i1.119","url":null,"abstract":"Background: Stroke is the major source of death and disability and leads to impaired balance in post-stroke patients. Balance training is one of the main components of stroke rehabilitation. Virtual rehabilitation is gaining more popularity as it engages the patients attention in training. Objective: To evaluate the effects of virtual rehabilitation versus therapeutic exercises to improve the balance in patients with stroke. Methods: This randomized controlled trial conducted at Abdullah Hospital, Lalamusa from August to December 2022. The sample size of 30 participants was randomly divided into two groups virtual therapy group versus therapeutic exercises group, after taking their informed consent. Participants were recruited through the non-probability purposive sampling, between the age of 35 to 55 years, post-stroke survivors after 3 months and were able to stand up with or without assistive devices. Participants with auditory or visual dysfunction, a history of deep venous thrombosis, lower limb amputation, severe receptive or expressive aphasia, significant cognitive impairments and unstable hypertension were excluded. The data was collected from the patients by using Berg Balance Scale (BSS) at three different time frames: baseline, mid-intervention and post-intervention. The Shapiro-Wilk test was applied to calculate the normality of the data. For descriptive analysis, quantitative variables were calculated by mean and standard deviation whereas, for qualitative variables, frequency and percentages were used. To find significance an independent sample t-test was applied for between-group analysis and two-way repeated measure ANOVA was used to measure within-group analysis. Results: Both groups improved their balance after six months of intervention. Comparative analysis showed a significant improvement with p-value≤0.05 in both groups. The mean and standard deviation after six weeks of intervention in the virtual training group was 55.4±0.82 and the therapeutic exercise group was 54.47±1.3. This showed that the virtual rehabilitation group had improved balance in patients with stroke. Conclusion: Virtual rehabilitation was found to be effective in improving the balance of patients with stroke. It not only improves balance but also engages the patient in the treatment protocol. This rehabilitation is effective for the balance training of post-stroke patients.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128483337","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}
Genetic makeup, gut microorganisms, autoimmunity and environmental factors are the major risk factors of ulcerative colitis; an inflammatory bowel disease. Because of its severe effects on nutritional status, this case was taken with an aim to improve the nutritional status; with dietary management. An 18 years old adolescent girl was presented to medicine ward of Sheikh Zayed Hospital Lahore with diagnosed ulcerative colitis and presently, she had the complaint of loose stools, nausea/vomiting, decreased appetite and micronutrient deficiencies. Patient’s regimen was formulated on the basis of all presenting complaints to overcome the worsening symptoms and to improve her nutritional status. Planned regimen helped patient in obtaining satisfactory results, her baseline markers and symptoms were compared with her latest ones for proper evaluation. In current case report, consumption of white bread, rice and tapioca pearls was recommended from bread and cereals and the consumption of whole grain or bran products was severely restricted. Use of fibrous vegetables or leafy vegetables was also restricted and the consumption of starchy vegetables was recommended to the patients from the vegetables group. Consumption of fruits without peel was recommended to patient; preferably to consume banana and apple sauce to prevent aggravation in gastrointestinal symptoms whereas the consumption of fruits with high fiber content was restricted. In current case study consumption of lactose free milk and yogurt was recommended to patient whereas consumption of lactose containing milk and milk products was restricted. Dietary management played a very significant role on her nutritional status; thus proper medical nutritional therapy along with lifestyle modification can help in managing ulcerative colitis.
{"title":"Dietary Management of Ulcerative Colitis: Case Report","authors":"Zoha Sohail","doi":"10.55735/hjprs.v3i1.115","DOIUrl":"https://doi.org/10.55735/hjprs.v3i1.115","url":null,"abstract":"Genetic makeup, gut microorganisms, autoimmunity and environmental factors are the major risk factors of ulcerative colitis; an inflammatory bowel disease. Because of its severe effects on nutritional status, this case was taken with an aim to improve the nutritional status; with dietary management. An 18 years old adolescent girl was presented to medicine ward of Sheikh Zayed Hospital Lahore with diagnosed ulcerative colitis and presently, she had the complaint of loose stools, nausea/vomiting, decreased appetite and micronutrient deficiencies. Patient’s regimen was formulated on the basis of all presenting complaints to overcome the worsening symptoms and to improve her nutritional status. Planned regimen helped patient in obtaining satisfactory results, her baseline markers and symptoms were compared with her latest ones for proper evaluation. In current case report, consumption of white bread, rice and tapioca pearls was recommended from bread and cereals and the consumption of whole grain or bran products was severely restricted. Use of fibrous vegetables or leafy vegetables was also restricted and the consumption of starchy vegetables was recommended to the patients from the vegetables group. Consumption of fruits without peel was recommended to patient; preferably to consume banana and apple sauce to prevent aggravation in gastrointestinal symptoms whereas the consumption of fruits with high fiber content was restricted. In current case study consumption of lactose free milk and yogurt was recommended to patient whereas consumption of lactose containing milk and milk products was restricted. Dietary management played a very significant role on her nutritional status; thus proper medical nutritional therapy along with lifestyle modification can help in managing ulcerative colitis.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129231392","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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