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Obesity and Overweight in Women with Knee Osteoarthritis Secondary to Menopause 绝经后继发膝骨关节炎妇女的肥胖和超重
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.66
Gulraiz Enderyas Gulraiz, S. Sania, F. Farooq, Asim Raza Asim, Nayab John Nayab
Background: Knee osteoarthritis, a degenerative joint disease, causes pain and stiffness in the knee joint, especially in obese people. Obesity is a significant risk factor for knee osteoarthritis. Objective: To estimate the prevalence of obesity and overweight in post-menopausal women secondary to knee osteoarthritis. Methods: This descriptive cross-sectional study was conducted from January to August 2022. A sample of 223 participants was collected from Aziz Bhatti Shaheed hospital Gujrat, tertiary headquarters hospital Lalamusa & Kharian and National orthopedics hospital Gujrat. Non-probability convenient sampling technique was used to recruit women categorized according to the set criteria of body mass index and waist-to-hip circumference ratio. Anthropometric measurements were taken by using a weight machine and measuring tape. Data were analyzed by using SPSS version 24. For descriptive analysis, mean and standard deviations were calculated for quantitative variables whereas frequency and percentages were used for qualitative variables. Results: Results indicate that out of 223 individuals 52% of participants were overweight, 20.2% participants were obese and 27.8 % participants were of normal weight. The mean age of the participants was 64.2±7.66. Age group and family history of knee osteoarthritis are highly associated with the body mass index of the participants (p<0.001). Family history of knee osteoarthritis and waist-to-hip circumference ratio were significantly associated with each other (p<0.001). Conclusion: The prevalence of overweight women is high and the calculated prevalence of obesity in people with knee osteoarthritis is relatively low. These findings are related to the age group and family history of the condition. Thus, obesity and being overweight are major contributors to knee osteoarthritis.
背景:膝关节骨关节炎是一种退行性关节疾病,引起膝关节疼痛和僵硬,尤其是肥胖人群。肥胖是膝骨关节炎的重要危险因素。目的:评估绝经后妇女继发膝骨关节炎中肥胖和超重的患病率。方法:描述性横断面研究于2022年1月至8月进行。从古吉拉特Aziz Bhatti Shaheed医院、三级总部医院Lalamusa & Kharian和古吉拉特国立骨科医院收集了223名参与者的样本。采用非概率方便抽样技术,按照设定的体重指数和腰臀比标准对女性进行分类。人体测量是使用称重机和卷尺进行的。数据采用SPSS version 24进行分析。对于描述性分析,定量变量计算平均值和标准差,而定性变量使用频率和百分比。结果:223名参与者中,52%的人超重,20.2%的人肥胖,27.8%的人体重正常。参与者平均年龄为64.2±7.66岁。年龄和膝盖骨关节炎家族史与参与者的体重指数高度相关(p<0.001)。膝骨关节炎家族史与腰臀围比有显著相关性(p<0.001)。结论:超重妇女患病率高,膝骨关节炎患者的肥胖计算患病率相对较低。这些发现与该疾病的年龄组和家族史有关。因此,肥胖和超重是导致膝骨关节炎的主要原因。
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引用次数: 0
Prevalence of Medial Elbow Pain in Taxi Drivers of Lahore; A Cross-Sectional Study 拉合尔市出租车司机肘关节内侧疼痛情况调查横断面研究
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.61
M. Azam, Asna Waseem, A. Rana, M. Idrees, Irfan H. Ahmed, Hamza Dastgir
Background: Pain in the medial side of elbow in taxi drivers is a work-related problem that normally comprises repetitive movement and occurs commonly in wrist flexion with pronation of the forearm. Objective: To determine the prevalence of medial elbow pain in taxi drivers in Lahore. Methods: This cross-sectional study comprised of 268 taxi drivers from Lahore. Questionnaires were given to taxi drivers who were recruited through convenient sampling. Consent forms, both in Urdu and English were explained before data collection. Professional participants who had taxi driving as an occupation and who were working for two years were involved in this study. To fulfill the criteria of a sample size that was 268 the record of taxi drivers was also gathered from the e-record of Uber and Careem, Lahore. Taxi drivers of age 20 to 55 years, both gender and those who had working hours of 5 to 8 or more hours were included in this study. Drivers who had any recent traumatic injury or had been in a recent road traffic accident, undergone surgery were excluded from this study. The visual analogue scale was used as an outcome measuring tool to assess the medial elbow pain in taxi drivers. The taxi drivers were asked to fill out questionnaires, which consisted of questions focusing on pain, daily activities, difficulties in function and personal care. Data was analyzed by SPSS version 23, qualitative data was presented as frequency and percentages. Results: The prevalence of medial pain elbow pain came out to be 38.8% (103 participants), 30 (11.2%) were having mild pain, 64 (23.9%) moderate, 9 (3.4%) severe while 165 (61.5%) were free from medial elbow pain. Conclusion: This study showed that the prevalence of medial elbow pain in professional taxi drivers was 38.4% and affected the activities of daily living of drivers. Most drivers reported the pain within mild to moderate range. Pain in the medial aspect of the elbow can arise in taxi drivers due to the nature of their work and factors such as long working hours, prolonged sitting, whole body vibration and poor ergonomic design of taxi.
背景:出租车司机肘部内侧疼痛是与工作相关的问题,通常包括重复性运动,常见于腕屈曲和前臂旋前。目的:了解拉合尔出租车司机肘关节内侧疼痛的患病率。方法:对拉合尔市268名出租车司机进行横断面研究。通过方便抽样的方式,向招录的出租车司机发放问卷。在收集数据之前,对乌尔都语和英语两种同意书进行了解释。以出租车司机为职业且工作两年的专业参与者参与了本研究。为了满足268个样本量的标准,出租车司机的记录也从Uber和Careem, Lahore的电子记录中收集。年龄在20至55岁之间的出租车司机,无论男女,以及工作时间在5至8小时或以上的出租车司机都被纳入了这项研究。最近有任何创伤性损伤或最近发生过道路交通事故,接受过手术的驾驶员被排除在本研究之外。使用视觉模拟量表作为结果测量工具来评估出租车司机肘关节内侧疼痛。出租车司机被要求填写调查问卷,问题主要包括疼痛、日常活动、功能障碍和个人护理。数据采用SPSS version 23进行分析,定性数据以频次和百分比表示。结果:103人肘关节内侧疼痛发生率为38.8%,其中轻度疼痛30人(11.2%),中度疼痛64人(23.9%),重度疼痛9人(3.4%),无肘关节内侧疼痛165人(61.5%)。结论:本研究显示职业出租车司机肘关节内侧疼痛患病率为38.4%,影响司机的日常生活活动。大多数司机报告疼痛在轻度到中度范围内。由于的士司机的工作性质及工作时间长、久坐、全身震动及的士不符合人体工程学设计等因素,他们会出现肘部内侧疼痛。
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引用次数: 0
Conjunct Effects of Supported Standing and Functional Electrical Stimulation on Strength and Functional Mobility in Acute Stroke: A Randomized Clinical Trial 支持站立和功能性电刺激对急性脑卒中患者力量和功能活动能力的联合影响:一项随机临床试验
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.76
S. Iftikhar, Hafiz Syed Ijaz Ahmed Burq, A. Raza, Ejaz Ali, Raheela Kousar
Background: After an acute stroke, many patients face difficulty while performing activities of daily living. Supported standing is used for the early mobilization of patients with stroke. The use of functional electrical stimulation is an adjunct component of rehabilitation to augment the strength of lower limbs resulting in better trunk control during functional mobility. Combined effects of electrical stimulation with early weight-bearing exercises can be an effective treatment as compared to typical conventional post-stroke rehabilitation. Objective: To evaluate the conjunct effects of supported standing and functional electrical stimulation on strength and functional mobility in acute stroke. Methods: A single-blinded randomized clinical trial was conducted from March to September 2021. Participants aged between 30 to 65 years, both gender, after fulfilling the inclusion criteria were allocated randomly into two groups (32 patients per group). The conventional therapy included positioning, ROM exercises and bed mobility exercises along with supporting standing on tilt tables initially and later on standing frames and walkers for 30 minutes/day five times per week, for almost six weeks while the experimental group received functional electrical stimulation in standing position on the tilt table in addition to conventional therapy. The trial was registered in the Iranian Registry of Clinical Trials and was approved by the ethics committee of Riphah International University. The data was analyzed using SPSS version 24 and for descriptive analysis, mean and standard deviation were used for numerical continuous variables while categorical variables were presented by frequencies, percentages and median (IQR).  Independent sample t-test was applied for the comparison between both groups in quantitative variables, whereas thechi-square test and Fisher Exact test were used for qualitative variables at baseline (Table I).  Non-parametric Mann-Whitney U test and Wilcoxon Signed Rank test was applied to assess the average difference between and within group comparison. Results:  The findings showed that the score of all scales were statistically significant for both within and between the groups (p-value<0.001). Conclusion: It was concluded that supported standing technique along with functional electrical stimulation and conventional physical therapy was found to be more effective in improving functional mobility, balance and strength among acute stroke patients rather than standard physical therapy alone.
背景:急性脑卒中后,许多患者在进行日常生活活动时面临困难。支撑站立用于中风患者的早期活动。使用功能性电刺激是康复的辅助组成部分,可以增强下肢的力量,从而在功能活动期间更好地控制躯干。与典型的常规脑卒中后康复相比,电刺激与早期负重锻炼的联合作用是有效的治疗方法。目的:探讨支撑站立和功能性电刺激对急性脑卒中患者力量和功能活动能力的影响。方法:于2021年3月至9月进行单盲随机临床试验。年龄在30 - 65岁之间,男女均可,符合纳入标准后随机分为两组(每组32例)。常规治疗包括定位,ROM练习和床上活动练习,以及最初支持站立在倾斜桌上,然后在站立框架和助行器上站立30分钟/天,每周5次,持续近6周。实验组在常规治疗的基础上,在倾斜桌上站立位置接受功能性电刺激。该试验已在伊朗临床试验登记处注册,并得到Riphah国际大学伦理委员会的批准。数据采用SPSS version 24进行分析,描述性分析中,数值连续变量采用均值和标准差,分类变量采用频率、百分比和中位数(IQR)表示。两组间定量变量比较采用独立样本t检验,定性变量基线采用卡方检验和Fisher精确检验(表1)。组间和组内比较采用非参数Mann-Whitney U检验和Wilcoxon sign Rank检验。结果:研究结果显示,组内和组间各量表得分均有统计学意义(p值<0.001)。结论:支持站立技术联合功能电刺激和常规物理治疗对急性脑卒中患者的功能活动能力、平衡能力和力量的改善效果优于单纯的标准物理治疗。
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引用次数: 0
Medicinal Plants: An Insight into Wound Healing 药用植物:洞察伤口愈合
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.96
F. Ullah, M. Kashif, Muhammad Jamil, Habib Ullah, Umer Farooq, Muhammad Waseem Nazar
Medicinal plants have been used for centuries to treat trauma, infection, sickness, and injury as these are affordable, easy to access and have fewer side effects than commercial pharmaceuticals. Recent research has shown that several medicinal plants can treat wounds using in vivo and in vitro pre-clinical models of wound recovery. Furthermore, the mechanisms by which these medicinal plants enhance wound therapy have also been revealed. Medicinal herbs have been shown in research to have the ability to have an antioxidant effect, to promote angiogenesis, to activate NF-B, to favor specific pro-inflammatory cytokines, to boost the appearance of iNOS and α-1 type-1 collagen, and to favor certain pro-inflammatory cytokines. All these effects can be brought about by medicinal herbs. Considering this, throughout this evaluation, an effort was made to provide a glimpse into freshly discovered medicinal plants that have wound recovery mechanisms and may be effective in the treatment and the invention of new wound-healing pharmaceuticals. Herbal medicines involve disinfection, debridement, and creating a healing environment. The purpose of the study was to review and gather the evidence related to the use of medicinal plants in wound healing. The use of herbal remedies is found to be both affordable and effective, mainly when used in conjunction with wound healing, bacterial activity and reducing oxidative stress in animals. During this evaluation, the cellular processes of recently discovered medicinal plants with a capacity for wound healing were brought to light. These mechanisms can potentially be helpful in therapeutic practice and the advancement of innovative medications for treating wounds. Several factors can delay the wound-healing process such as anemia, diabetes, nutritional deficiency, hematoma, local infections, etc. In the treatment of wounds, many medicinal plants and other herbal immunomodulators are considered useful. Through different pathways, these herbal ointments promote healing and regeneration of the lost tissues without producing side effects.
几个世纪以来,药用植物一直被用来治疗创伤、感染、疾病和伤害,因为它们价格合理、容易获得,而且比商业药品的副作用更少。最近的研究表明,几种药用植物可以治疗伤口,使用体内和体外伤口恢复的临床前模型。此外,这些药用植物促进伤口治疗的机制也被揭示。研究表明,草药具有抗氧化作用,促进血管生成,激活NF-B,有利于特定的促炎细胞因子,促进iNOS和α-1型胶原蛋白的出现,并有利于某些促炎细胞因子。所有这些作用都可以通过草药来实现。考虑到这一点,在整个评估过程中,我们努力提供对新发现的具有伤口恢复机制的药用植物的一瞥,这些植物可能在治疗和发明新的伤口愈合药物方面有效。草药包括消毒、清创和创造愈合环境。本研究的目的是回顾和收集有关药用植物在伤口愈合中的应用的证据。人们发现,使用草药既实惠又有效,主要是在与伤口愈合、细菌活性和减少动物氧化应激结合使用时。在这次评估中,最近发现的具有伤口愈合能力的药用植物的细胞过程被曝光。这些机制可能有助于治疗实践和创新药物治疗伤口的进步。贫血、糖尿病、营养缺乏、血肿、局部感染等因素可延缓伤口愈合过程。在伤口治疗中,许多药用植物和其他草药免疫调节剂被认为是有用的。通过不同的途径,这些草药软膏促进愈合和再生失去的组织没有产生副作用。
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引用次数: 0
Factors Associated with Risk of Fall in Elderly Population 老年人跌倒风险的相关因素
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.84
Barirah Naseer, Hamza Dastgir, A. Sadiq, Sumbal Salik, Nouman Abid, Musfira Tayyab
Background: Fall-related injuries and complications are common in the elderly population. Falls can be induced by a variety of internal or extrinsic circumstances. In Pakistan, awareness about the risk factors associated with falls in the elderly population might be a great step in saving the expenses leading to the treatment of the elderly population. Objective: To determine the factors associated with fall risk in the elderly population. Methods: After taking approval from the ethical committee of the university, this cross-sectional study based on a research survey that included subjects above 60 years of age was conducted. Local Pakistani regions like Islamabad and Rawalpindi were included in the community. Individuals with neurological deficiencies or comorbid conditions, a history of falls, fractures or any surgery were excluded from the study. A sample size of 184 older participants was recruited in this study using non-probability convenient sampling. The self-structured questionnaire was used asking the older population about their age, previous history of falls and fears concerning falls while the outcome measuring scales used were the activities-specific balance confidence scale and the Berg balance scale. Results: Out of 184, there were 108 (55.97%) men and 81 (44.02%) women. The mean age was 69.76 ±8.5, with a minimum age of 60 and a maximum age of 108. When assessed using an activities-specific balance confidence scale, surgical history, medical history, incidents due to falls, and previous episodes of fall show a significant association with a minimum score of 15.12 and a maximum score of 99.30 with a mean of 68.83±24.39. On the contrary, medical history, history of fall injuries due to falls, and p-value less than 0.05 are significant factors when assessed using the Berg balance scale with a minimum score of 9 and a maximum score of 56 with a mean of 43.57±12.3. Conclusion: Elderly Females are at greater risk of falls while physical inactivity is another factor that leads to falling. There is no link between systemic, respiratory, or cardiac history and fall risk but problems in the vestibular system concerning the inner ear which controls balance are associated with falls in the elderly population.  
背景:跌倒相关损伤及其并发症在老年人中很常见。跌倒可以由各种内部或外部环境引起。在巴基斯坦,认识到与老年人口跌倒有关的危险因素可能是节省老年人口治疗费用的重要一步。目的:探讨老年人跌倒危险的相关因素。方法:经学校伦理委员会批准,本研究基于60岁以上的研究调查进行横断面研究。当地的巴基斯坦地区,如伊斯兰堡和拉瓦尔品第,也包括在社区内。有神经系统缺陷或合并症、跌倒史、骨折史或任何手术史的个体被排除在研究之外。本研究采用非概率方便抽样方法,招募了184名老年参与者。采用自结构问卷,询问老年人的年龄、跌倒史和对跌倒的恐惧,使用的结果测量量表为特定活动平衡信心量表和伯格平衡量表。结果:184例患者中,男性108例(55.97%),女性81例(44.02%)。平均年龄69.76±8.5岁,最小年龄60岁,最大年龄108岁。当使用特定活动平衡置信度量表进行评估时,手术史、病史、跌倒事件和以前的跌倒事件显示与最低分15.12分和最高分99.30分显著相关,平均为68.83±24.39分。而使用Berg平衡量表评估时,病史、跌倒损伤史、p值小于0.05为显著因素,最低分9分,最高分56分,平均43.57±12.3分。结论:老年女性发生跌倒的风险较大,而缺乏运动是导致跌倒的另一个因素。全身、呼吸或心脏病史与跌倒风险之间没有联系,但与控制平衡的内耳有关的前庭系统问题与老年人跌倒有关。
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引用次数: 0
Role of Physical Activity Among Medical Students; An Observational Study 体育锻炼在医学生中的作用观察性研究
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.64
Dania Khan, Kanwal Rizwan, M. Riaz, Muheet Shahid, Noor Ul ain, M. Ajmal
Introduction: Sedentary life style and low physical activity have become major health problem among young generation now days. Musculoskeletal problems are common in students and working adults, associated with ergonomic problems. Objective: To determine the role of physical activity among medical students. Methods: This observational study was performed from August 2021 to January 2022 on medical students of Fatima Memorial Medical College, Lahore, Pakistan after approval of synopsis from Advanced Studies and Research Board, using non-probability convenient sampling technique to collect data from male and female participants doing physical activity after obtaining written informed consent. This survey was conducted by using International Physical Activity Questionnaire to determine physical activity levels, in mild, moderate and vigorous levels. Data was analyzed for descriptive and inferential statistics by Statistical Package for Social Sciences 23.0 and continuous variables were calculated by using mean and standard deviation while categorical variables by using frequency and percentages. Results: According to the results of the study out of total 362 students, 21% students perform vigorous activity, 45% students do moderate activity and 33.9 % students do mild activity. Conclusion: The frequency of physical activity among medical students was measured which showed most of the students were involved in walking for more than 30 minutes to 1 hour and they focus on their health and fitness.
久坐不动的生活方式和缺乏体育锻炼已经成为当今年轻一代的主要健康问题。肌肉骨骼问题在学生和工作的成年人中很常见,与人体工程学问题有关。目的:探讨体育锻炼在医学生中的作用。方法:本观察性研究于2021年8月至2022年1月在巴基斯坦拉合尔法蒂玛纪念医学院的医学生中进行,经高级研究和研究委员会批准概要,采用非概率方便抽样技术收集在获得书面知情同意后进行体育锻炼的男性和女性参与者的数据。本次调查采用国际身体活动问卷来确定身体活动水平,分为轻度、中度和剧烈水平。数据分析采用Statistical Package for Social Sciences 23.0进行描述性统计和推理统计,连续变量采用均值和标准差计算,分类变量采用频率和百分比计算。结果:根据研究结果,在362名学生中,21%的学生进行剧烈运动,45%的学生进行中度运动,33.9%的学生进行轻度运动。结论:对医学生的体育活动频率进行了测量,结果显示医学生的步行时间大多在30分钟~ 1小时以上,注重健康和健身。
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引用次数: 0
Mechanism of Meniscal Injury and its Impact on Performance in Athletes 运动员半月板损伤的机制及其对运动成绩的影响
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.98
Abdul Rehman khalid Makki, Muhammad Tahir, Umer Amin, Muhammad Maaz Bin Tabassum, Madiha Kamran, Fazeelat Tahir
Background: In today’s life style, the gap between athletic activities and daily life activities is becoming wider. The daily life routine is becoming sedentary due to technology and sports activities and thus require high level of physical performance. Knee joint is the most vulnerable to rapid forces and injuries, in which meniscal injury is quite noticeable. Objective: To determine the mechanism of meniscal injury and its impact on performance in athletes after knee meniscal injury. Methods: After taking approval from ethical committee, consent was taken from the athletes prior to filling out the forms. The study was conducted on 145 male athletes in Lahore, aged between 17 to 40 years. Data was collected through international knee documentation committee subjective knee form which consisted of demographical data and questions which were divided into three sections; symptoms, sports activities and knee functions. Results: The main results regarding the mechanism of meniscal injury showed that there were 29% athletes having insidious tear, 16.6% acute noncontact, 32.4% contact with player and 22.1% non-specific mechanism of tear. The mean and standard deviation of total international knee documentation committee score was found to be 66.64±3.83, reflecting a moderately affected level of performance. Conclusion: The findings concluded that the common mechanism of meniscal injury was during contact with player or defense strategy during activity. The athletic performance level due to meniscal injury was moderately affected.
背景:在当今的生活方式中,体育活动与日常生活活动之间的差距越来越大。由于科技和体育活动,日常生活变得久坐不动,因此需要高水平的身体表现。膝关节是最容易受到快速力量和伤害,其中半月板损伤是相当明显的。目的:探讨膝关节半月板损伤后运动员半月板损伤的发生机制及其对运动成绩的影响。方法:经伦理委员会批准,征得运动员同意后填写表格。这项研究是在拉合尔对145名年龄在17到40岁之间的男性运动员进行的。数据通过国际膝关节文献委员会主观膝关节表收集,该表格由人口统计数据和问题组成,分为三个部分;症状,运动和膝盖功能。结果:半月板损伤机制的主要结果显示,运动员隐匿性撕裂占29%,急性非接触性撕裂占16.6%,与运动员接触性撕裂占32.4%,非特异性机制撕裂占22.1%。国际膝关节文献委员会评分的平均值和标准差为66.64±3.83,反映了中度影响的表现水平。结论:半月板损伤的发生机制主要是运动员与运动员的接触或运动过程中的防守策略。半月板损伤对运动表现水平有中度影响。
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引用次数: 0
Types of Repetitive Behaviors in Autism Spectrum Disorder 自闭症谱系障碍的重复行为类型
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.95
N. Fatima, A. Ikram, Wajeeha Abdulahad, F. Yousaf
Background: Autism spectrum disorder is a neurodevelopmental disorder occurring in children. Each child on the spectrum has different behaviors. Objective: To identify different types of repetitive behaviors in patients with autism spectrum disorder. Methods: This study was carried out at the Children's hospital, The Institute of Child Health Centre and Rising Sun Institute DHA Lahore, Department of Developmental Pediatrics, Lahore. Purposive sampling was used to collect data through three months’ period. It was a cross-sectional study including 32 children with autism spectrum disorder between the age of 3 and 15 years. The repetitive behavior scale was developed to identify different forms of repetitive. The data was analyzed using SPSS version 20 and data was analyzed using descriptive statistics and were presented in the form of tables. Results: Six forms of repetitive behaviors including stereotyped, self-injurious, compulsive, ritualistic, sameness and restricted behaviors and were evaluated in 32 children. Restricted behavior was most commonly present in a severe form in 17 (15.1%) children followed by sameness behavior in 15 (46.9%) children, and stereotyped behavior in 12 (37.5%) children, while compulsive behavior and ritualistic behavior were less commonly seen in 8 (25%) and 7 (21.9%) children, respectively and self-injurious behavior was seen rarely in only 3 (9.4%) children. Conclusion: Repetitive behaviors were seen in all children with autism spectrum disorder however the most prevalent forms are restricted, sameness and stereotyped behaviors. Early detection of behavioral abnormalities can aid in the early detection and treatment of autism spectrum disorder.
背景:自闭症谱系障碍是一种发生在儿童中的神经发育障碍。自闭症谱系中的每个孩子都有不同的行为。目的:探讨自闭症谱系障碍患者不同类型的重复行为。方法:本研究在拉合尔儿童医院、拉合尔儿童保健中心研究所、拉合尔发展儿科旭日研究所进行。采用目的性抽样的方法,通过三个月的时间收集数据。这是一项横断面研究包括32名患有自闭症谱系障碍的儿童年龄在3到15岁之间。重复行为量表是用来识别不同形式的重复行为。数据分析采用SPSS version 20,数据分析采用描述性统计,并以表格形式呈现。结果:对32例儿童进行了刻板、自残、强迫、仪式性、千篇一律、限制性等6种重复性行为的评价。限制性行为在17例(15.1%)儿童中以严重形式出现最为常见,其次是同一性行为15例(46.9%),模式化行为12例(37.5%),强迫行为和仪式化行为分别在8例(25%)和7例(21.9%)儿童中较少见,自残行为仅在3例(9.4%)儿童中少见。结论:所有自闭症谱系障碍患儿均存在重复性行为,但最常见的是限制性行为、千篇一律行为和模式化行为。早期发现行为异常有助于早期发现和治疗自闭症谱系障碍。
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引用次数: 0
Comparison of Thrust Manipulation versus Non-Thrust Mobilization on Functional Deficit in Athletes with Chronic Ankle Sprain; A Randomized Clinical Trial 慢性踝关节扭伤运动员功能障碍的推力操纵与非推力动员的比较一项随机临床试验
Pub Date : 2022-11-30 DOI: 10.55735/hjprs.v2i3.91
Sohaib Tahir, K. Ahmed, Sumaira Parveen, Sadia Khalid, H. Javed, A. Sadiq
Background: Chronic ankle sprain is a widespread musculoskeletal injury affecting functional performance with long-term health cost effects on the quality of an athlete’s life. Manual therapy techniques performed on the ankle joint are an effective intervention that should be part of a complete treatment plan for athletes with an ankle sprain. Objective: To compare the effects of thrust manipulation with non-thrust mobilization on pain in chronic ankle sprain among athletes. Methods: It was a randomized controlled trial conducted at Pakistan Sports Board and Model Town Football Club, Lahore. A purposive sampling technique was used to collect the data as per the inclusion criteria of the participants aged between 16 to 40 years’ males. Participants were randomized into two groups; Group A received the thrust manipulation group and group B of non-thrust mobilization was given to the rear foot. Each group was given a baseline exercise protocol. The patient completed the foot & ankle ability measure scale being used as the primary outcome measure and 15 points of the Global Rating of Change scale. Using SPSS version 24, baseline characteristics were presented as mean and standard deviation. Between-group comparison using independent samples t-test was done, with a p-value≤0.05 consideredsignificant. Results: The results regarding sociodemographic patients’ characteristics showed that the mean and standard deviation for age and body mass index were found to be 22.50±2.00 and 22.65±1.14 in the thrust manipulation group while 23.37±2.66 and 23.03±1.97 in the non-thrust mobilization group respectively with the statistical difference of p>0.005. The results regarding between-group comparison using an independent sample t-test showed a significant difference at the post-interventional level for both scales in favor of thrust manipulation (p<0.001). Conclusion: This study found that both muscle thrust manipulation and non-thrust mobilization were effective, but the method of thrust manipulation was clinically and statistically more effective in improving functional capacity in athletes with chronic ankle sprain.
背景:慢性踝关节扭伤是一种广泛的肌肉骨骼损伤,影响功能表现,并对运动员的生活质量产生长期的健康成本影响。在踝关节上进行的手工治疗技术是一种有效的干预措施,应该是踝关节扭伤运动员完整治疗计划的一部分。目的:比较推力手法与非推力手法对运动员慢性踝关节扭伤疼痛的影响。方法:在巴基斯坦体育委员会和拉合尔模范镇足球俱乐部进行随机对照试验。采用有目的抽样的方法,按照入选标准对16 ~ 40岁的男性进行数据收集。参与者被随机分为两组;A组采用推力手法组,B组采用后足无推力活动组。每组都有一个基线运动方案。患者完成作为主要结果测量的足踝能力测量量表和全球变化评分量表的15分。使用SPSS version 24,基线特征以均值和标准差表示。组间比较采用独立样本t检验,p值≤0.05为显著性。结果:患者社会人口学特征分析结果显示,推动组年龄和体质指数均值为22.50±2.00,标准差为22.65±1.14,非推动组年龄和体质指数均值为23.37±2.66,标准差为23.03±1.97,差异有统计学意义p>0.005。使用独立样本t检验的组间比较结果显示,在介入后水平上,两种量表都有显著差异,有利于推力操作(p<0.001)。结论:本研究发现肌肉推力操作和非推力动员均有效,但在临床上和统计学上,推力操作方法在改善慢性踝关节扭伤运动员的功能能力方面更为有效。
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引用次数: 0
Effects of Low-Impact Strengthening Exercises on Limb Pain and Strength in Diabetic Patients with End-Stage Renal Disease 低强度强化运动对糖尿病终末期肾病患者肢体疼痛和力量的影响
Pub Date : 2022-10-31 DOI: 10.55735/hjprs.v2i2.83
K. Asif, W. Khan, Hafiza Mubashra Zahid, Mehwish Tariq, M. Mehmood, Ume-Habiba
Background: Diabetic nephropathy becomes a disease with a high mortality rate in this modern era of technology. Dialysis in diabetic patients affects kidney functioning is the most common treatment for end-stage renal failure but had different musculoskeletal complications due to bone mineral metabolisms like muscular cramping, atrophy and muscular weakness, restless leg syndrome and limb pain that lowers the quality of life and physical function. Objective: To evaluate the effects of low-impact strengthening exercises on limb pain, strength, glycemic control, hypertension and quality of life of patients with end-stage renal disease. Methods: The randomized controlled study was designed to check the effectiveness of low-impact strengthening exercises on patients involved in the treatment and control group. Using non-probability purposive sampling, data was collected from different hospitals in Faisalabad by providing treatment for six consecutive weeks. Outcomes of measures were pain, strength, glucose level, blood pressure and quality of life which were estimated through the numeric pain rating scale, manual muscle testing, glucometer, sphygmomanometer and kidney disease quality of life questionnaire respectively. Results: Low-impact strengthening exercises in the treatment group showed improvement in muscle strength, blood pressure, glycemic level, pain and quality of life in diabetic patients with end-stage renal disease as compared to the control group. Mean values showed that there was a statistically significant difference in different variables between both groups. Conclusion: It was concluded that there is a statistically significant difference between both groups in the improvement of limb pain and limb muscle strength by low-impact strengthening exercises. These exercises have positive effects on diabetic patients with end-stage renal disease in the treatment group as compared to the control group.
背景:糖尿病肾病在现代科技时代成为一种高死亡率的疾病。糖尿病患者的透析影响肾功能是终末期肾衰竭最常见的治疗方法,但由于骨矿物质代谢,如肌肉痉挛、萎缩和肌肉无力、不宁腿综合征和肢体疼痛,会降低生活质量和身体功能,因此会产生不同的肌肉骨骼并发症。目的:探讨低强度强化运动对终末期肾病患者肢体疼痛、力量、血糖控制、高血压及生活质量的影响。方法:采用随机对照研究,对治疗组和对照组患者进行低冲击强化训练的效果进行检验。采用非概率有目的抽样,通过提供连续六周的治疗,从费萨拉巴德的不同医院收集数据。测量结果为疼痛、力量、血糖水平、血压和生活质量,分别通过数值疼痛评定量表、手工肌肉测试、血糖仪、血压计和肾脏疾病生活质量问卷进行评估。结果:与对照组相比,治疗组低强度强化运动改善了糖尿病终末期肾病患者的肌肉力量、血压、血糖水平、疼痛和生活质量。平均值显示两组间各变量差异有统计学意义。结论:两组通过低冲击强化训练对肢体疼痛和肢体肌肉力量的改善有统计学意义。与对照组相比,这些运动对治疗组合并终末期肾病的糖尿病患者有积极的影响。
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引用次数: 0
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The Healer Journal of Physiotherapy and Rehabilitation Sciences
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