Ayma Hashmi, Asna Waseem, F. Jabeen, Sana Manzoor, A. Batool, Fasiha Kamal
Background: The occurrence of shoulder pain among competitive swimmers is bizarre, but no strategy exists to diminish shoulder injuries in swimmers. Objective: To assess the disability associated with shoulder pain across the lifespan of competitive swimmers. Methods: A cross-sectional study including 58 swimmers who were selected based on inclusion criteria for this study from different swimming centers in Lahore, Pakistan. The questionnaire consisted of a total of 28 questions, 24 questions on Penn shoulder score and 4 questions on disability of arm, shoulder and hand questionnaire score and a diagnostic side bridge test was assessed 2 times by each participant to check endurance. Manual muscle testing was performed bilaterally on the serratus anterior, middle trapezius and lower trapezius muscles. Means and standard deviations were calculated for quantitative variables while frequency and percentages were used for qualitative variables. Chi-square was estimated to find the association between disability and shoulder pain. Results: There were 21 (36.2%) males and 37 (63.2%) females participated in the study. This showed that hand dominance affects the ability of competitive swimmers. For the side bridge average time, left and right hand, the p-value was <0.001 which was statistically significant. Conclusion: This study concludes that disabilities are associated with shoulder pain across the lifespan of competitive swimmers. Pain and discomfort in the shoulder is the main risk factor among competitive swimmers that can ultimately lead to the disability of the extremity. As only a few participants were fully satisfied with the current level of their shoulder functioning.
{"title":"Disability Associated with Shoulder Pain during Life Span of Competitive Swimmers; A Cross-sectional study","authors":"Ayma Hashmi, Asna Waseem, F. Jabeen, Sana Manzoor, A. Batool, Fasiha Kamal","doi":"10.55735/hjprs.v2i2.74","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.74","url":null,"abstract":"Background: The occurrence of shoulder pain among competitive swimmers is bizarre, but no strategy exists to diminish shoulder injuries in swimmers. Objective: To assess the disability associated with shoulder pain across the lifespan of competitive swimmers. Methods: A cross-sectional study including 58 swimmers who were selected based on inclusion criteria for this study from different swimming centers in Lahore, Pakistan. The questionnaire consisted of a total of 28 questions, 24 questions on Penn shoulder score and 4 questions on disability of arm, shoulder and hand questionnaire score and a diagnostic side bridge test was assessed 2 times by each participant to check endurance. Manual muscle testing was performed bilaterally on the serratus anterior, middle trapezius and lower trapezius muscles. Means and standard deviations were calculated for quantitative variables while frequency and percentages were used for qualitative variables. Chi-square was estimated to find the association between disability and shoulder pain. Results: There were 21 (36.2%) males and 37 (63.2%) females participated in the study. This showed that hand dominance affects the ability of competitive swimmers. For the side bridge average time, left and right hand, the p-value was <0.001 which was statistically significant. Conclusion: This study concludes that disabilities are associated with shoulder pain across the lifespan of competitive swimmers. Pain and discomfort in the shoulder is the main risk factor among competitive swimmers that can ultimately lead to the disability of the extremity. As only a few participants were fully satisfied with the current level of their shoulder functioning.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134119544","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: Hemiplegic cerebral palsy children can attend schools regularly, but due to impairment of upper limb function, participation is restricted in leisure and educational tasks and it affects their social and functional activities. Constraint-induced movement therapy is specifically used for the upper extremity and can enhance cerebral palsy children’s hand function. Objective: To evaluate the effectiveness of expanded constraint-induced movement therapy on hand function in children with cerebral palsy. Methods: A single-blinded randomized controlled trial was conducted at the department of Physical Therapy, Children’s Hospital, Lahore, Pakistan from December 2021 to April 2022 using non-probability convenient sampling. Children with hemiplegic cerebral palsy aged between 5 and 12 years were randomly allocated into two groups (22 patients per group), the experimental group treated with expanded constraint-induced movement therapy and routine physical therapy and the conventional group treated with routine physical therapy only. The pediatric motor activity log scale and Wolf motor function test were the outcome measuring scales. The trial was approved by the ethical committee of the hospital and registered prospectively in the clinical trial registry of the US (ClinicalTrials.gov trial ID 57520). Results: As compared to the conventional group, the score of the pediatric motor activity log scale improved significantly (p-value ≤0.001) in the experimental group. Participants showed significant differences for both domains of the wolf motor function test in the experimental group as compared to other groups and they showed significant improvement in hand function (p≤0.001) within the groups. Conclusion: Expanded constraint-induced movement therapy along with routine physical therapy is found to be more effective in improving the function of the pelagic hand in children with hemiplegic cerebral palsy.
{"title":"Effects of Expanded Constraint-Induced Movement Therapy on Hand Function in Children with Cerebral Palsy: A Randomized Controlled Trial","authors":"Wajeeha Bakhat, Umair Ahmed, Momna Asghar, Kamran Hanif, Saima Bibi, Shiza Ghani","doi":"10.55735/hjprs.v2i2.73","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.73","url":null,"abstract":"Background: Hemiplegic cerebral palsy children can attend schools regularly, but due to impairment of upper limb function, participation is restricted in leisure and educational tasks and it affects their social and functional activities. Constraint-induced movement therapy is specifically used for the upper extremity and can enhance cerebral palsy children’s hand function. Objective: To evaluate the effectiveness of expanded constraint-induced movement therapy on hand function in children with cerebral palsy. Methods: A single-blinded randomized controlled trial was conducted at the department of Physical Therapy, Children’s Hospital, Lahore, Pakistan from December 2021 to April 2022 using non-probability convenient sampling. Children with hemiplegic cerebral palsy aged between 5 and 12 years were randomly allocated into two groups (22 patients per group), the experimental group treated with expanded constraint-induced movement therapy and routine physical therapy and the conventional group treated with routine physical therapy only. The pediatric motor activity log scale and Wolf motor function test were the outcome measuring scales. The trial was approved by the ethical committee of the hospital and registered prospectively in the clinical trial registry of the US (ClinicalTrials.gov trial ID 57520). Results: As compared to the conventional group, the score of the pediatric motor activity log scale improved significantly (p-value ≤0.001) in the experimental group. Participants showed significant differences for both domains of the wolf motor function test in the experimental group as compared to other groups and they showed significant improvement in hand function (p≤0.001) within the groups. Conclusion: Expanded constraint-induced movement therapy along with routine physical therapy is found to be more effective in improving the function of the pelagic hand in children with hemiplegic cerebral palsy.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123550362","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: Computer operators are more to develop pain in the cervical region. With a wide range of possible risk factors, that vary from person to person, this area requires continuous investigation. So that workplace can be modified to promote work safety. Objective: To estimate the association of different risk factors of neck pain among display screen equipment users in office settings. Methods: Using display screen equipment self-assessment questionnaire and musculoskeletal discomfort form, the data was gathered from offices in different cities of Pakistan. Office workers under 60 years who used a display screen for more than an hour each day were eligible to participate in the study. While those having any history of spinal deformities, cervical surgery, trauma or malignancy was excluded. For statistical computation and analysis, the data from 122 participants were recorded in SPSS version 21. The prevalence of neck pain and frequency distribution of variables were computed. The chi-square test was used to determine the correlation between the variables, and the p-value less than or equal to 0.05 were considered significant. Results: Neck pain was seen in 41.8% out of the 122 study participants. It was observed to affect the daily activities of 29.4% of the population, while 62.7% had experienced discomfort in the previous week. Neck pain was found to be substantially correlated with work fulfillment, stress and male gender. While among ergonomic factors it was linked to breaks from work, the height of the screen used, and computer hardware adjustability. Conclusion: Many office workers using display screen equipment report cervical pain. It is associated with both workplace and individual-level factors and such problems can be avoided by enhancing workplace ergonomics.
背景:计算机操作人员多发生颈椎疼痛。由于可能存在的风险因素范围广泛，且因人而异，因此需要对这一领域进行持续调查。这样就可以对工作场所进行改造，促进工作安全。目的:评估办公场所屏幕设备使用者颈部疼痛的不同危险因素的相关性。方法:采用屏幕设备自评问卷和肌肉骨骼不适调查表，对巴基斯坦不同城市的办公场所进行数据采集。60岁以下每天使用屏幕超过一小时的办公室职员有资格参加这项研究。而那些有脊柱畸形、颈椎手术、创伤或恶性肿瘤病史的人则被排除在外。为了进行统计计算和分析，122名参与者的数据在SPSS version 21中记录。计算颈部疼痛的患病率和变量的频率分布。采用卡方检验确定变量之间的相关性，p值小于等于0.05为显著性。结果:122名研究参与者中有41.8%出现颈部疼痛。据观察，29.4%的人的日常活动受到影响，而62.7%的人在前一周经历过不适。研究发现，颈部疼痛与工作成就感、压力和男性性别密切相关。而在人体工程学因素中，它与工作休息、使用屏幕的高度和计算机硬件的可调节性有关。结论:许多使用显示屏幕设备的办公室工作人员报告颈椎疼痛。它与工作场所和个人层面的因素有关，可以通过加强工作场所的人体工程学来避免这些问题。
{"title":"Factors Leading to Cervical Pain among Display Screen Equipment Operators; An Observational Study","authors":"Yumna Fida","doi":"10.55735/hjprs.v2i2.77","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.77","url":null,"abstract":"Background: Computer operators are more to develop pain in the cervical region. With a wide range of possible risk factors, that vary from person to person, this area requires continuous investigation. So that workplace can be modified to promote work safety. Objective: To estimate the association of different risk factors of neck pain among display screen equipment users in office settings. Methods: Using display screen equipment self-assessment questionnaire and musculoskeletal discomfort form, the data was gathered from offices in different cities of Pakistan. Office workers under 60 years who used a display screen for more than an hour each day were eligible to participate in the study. While those having any history of spinal deformities, cervical surgery, trauma or malignancy was excluded. For statistical computation and analysis, the data from 122 participants were recorded in SPSS version 21. The prevalence of neck pain and frequency distribution of variables were computed. The chi-square test was used to determine the correlation between the variables, and the p-value less than or equal to 0.05 were considered significant. Results: Neck pain was seen in 41.8% out of the 122 study participants. It was observed to affect the daily activities of 29.4% of the population, while 62.7% had experienced discomfort in the previous week. Neck pain was found to be substantially correlated with work fulfillment, stress and male gender. While among ergonomic factors it was linked to breaks from work, the height of the screen used, and computer hardware adjustability. Conclusion: Many office workers using display screen equipment report cervical pain. It is associated with both workplace and individual-level factors and such problems can be avoided by enhancing workplace ergonomics.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127685742","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}
N. John, M. Abid, Farooq Islam, A. Raza, Gulraiz Inderyas, Faiza Asghar
Background: Hormonal changes during menopause affect the vestibular system by interfering with homeostasis and by disrupting the enzyme cycles and neurotransmitter function. It has been observed that females have a higher risk of falling and this may increase after menopause. Balance in women is significantly affected by menopause. Objective: To find the prevalence of vestibular dysfunction in menopausal females and to find the risk factors associated with vestibular dysfunction. Methods: The analytical cross-sectional study was conducted from May to October 2021, the data was collected from 385 women in district Jhelum who had menopause after the age of 45 years. Non-probability convenient sampling was used to collect data. The Berg balance scale, activity-specific balance confidence scale, and a self-made questionnaire for risk factors were used in the study. Results: According to the activity-specific balance confidence scale, 24.4% of the population had high, 60.5% moderate, and 15.1% low physical functioning. A score of less than 67% indicated that 48.1% of patients had a risk for falls in the future. Berg balance scale showed that 6.8% of patients had a high, 22.9% medium, and 60.4% low risk of falling, a score less than 45 demonstrated that 55.8% had a higher fall risk. Diabetes, hypertension, heart disease, and smoking were all statistically significant risk factors for falls (p≤0.001). Conclusion: The current study concludes that there is a significant risk of developing vestibular dysfunction, with an increased risk of falls after menopause in females. Hearing loss is the most common risk factor while obesity also has a great impact on the vestibular system. But there is an increased chance of falls in participants with stroke and hypertension.
{"title":"Prevalence and Associated Risk Factors of Vestibular Dysfunction in Females with Menopause","authors":"N. John, M. Abid, Farooq Islam, A. Raza, Gulraiz Inderyas, Faiza Asghar","doi":"10.55735/hjprs.v2i2.60","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.60","url":null,"abstract":"Background: Hormonal changes during menopause affect the vestibular system by interfering with homeostasis and by disrupting the enzyme cycles and neurotransmitter function. It has been observed that females have a higher risk of falling and this may increase after menopause. Balance in women is significantly affected by menopause. Objective: To find the prevalence of vestibular dysfunction in menopausal females and to find the risk factors associated with vestibular dysfunction. Methods: The analytical cross-sectional study was conducted from May to October 2021, the data was collected from 385 women in district Jhelum who had menopause after the age of 45 years. Non-probability convenient sampling was used to collect data. The Berg balance scale, activity-specific balance confidence scale, and a self-made questionnaire for risk factors were used in the study. Results: According to the activity-specific balance confidence scale, 24.4% of the population had high, 60.5% moderate, and 15.1% low physical functioning. A score of less than 67% indicated that 48.1% of patients had a risk for falls in the future. Berg balance scale showed that 6.8% of patients had a high, 22.9% medium, and 60.4% low risk of falling, a score less than 45 demonstrated that 55.8% had a higher fall risk. Diabetes, hypertension, heart disease, and smoking were all statistically significant risk factors for falls (p≤0.001). Conclusion: The current study concludes that there is a significant risk of developing vestibular dysfunction, with an increased risk of falls after menopause in females. Hearing loss is the most common risk factor while obesity also has a great impact on the vestibular system. But there is an increased chance of falls in participants with stroke and hypertension. ","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133191357","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}
Nazish Saher, M. Imran, Khaie-un-Nisa Dhamani, Sadia Farhan, Farhana Ahmed, A. Shabbir
Background: In intensive care units, the frequency with which nurses interact with patients who are afflicted with diseases that pose a threat to their lives, the work environment in which nurses are employed is among the most stressful of all professional settings. It is a known truth that nurses may be subjected to a range of pressures at work, some of which may be related to the admittance of patients or the obligations of the organization. The consequences of occupational stress on nurses are a global problem that has greater importance in practice than they do in any one geographic area. Objective: To investigate the frequency of factors that contribute to the high levels of work-related stress experienced by critical care nurses working in tertiary care hospitals. Methods: This cross-sectional study recruited 139 nurses providing critical care at tertiary care hospitals using a random sample method. Participants were registered nurses who worked in the nursing profession for at least three months and were certified by the Pakistan Nursing Council. A questionnaire that the participants answered on their own time was used to collect the data for this study. The information was interpreted with the use of descriptive statistics, and the results were presented with the assistance of tables, charts, and percentages. Results: It was demonstrated that just 2.9% of participants reported severe level of stress, even though the majority of participants (55.4%) reported experiencing moderate level of stress while 41.7% of nurses reported mild stress. The eight determinants of stress experienced by intensive care unit nurses are calculated and workload-related stress was found to be the most frequent source of stress affecting 50.4% of nurses. Conclusion: It is concluded that all nurses who worked in vital areas experienced some amount of stress, majority of them deal with moderate level of work-related stress.
{"title":"Stress among Critical Care Nurses: A Cross-sectional Study","authors":"Nazish Saher, M. Imran, Khaie-un-Nisa Dhamani, Sadia Farhan, Farhana Ahmed, A. Shabbir","doi":"10.55735/hjprs.v2i2.79","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.79","url":null,"abstract":"Background: In intensive care units, the frequency with which nurses interact with patients who are afflicted with diseases that pose a threat to their lives, the work environment in which nurses are employed is among the most stressful of all professional settings. It is a known truth that nurses may be subjected to a range of pressures at work, some of which may be related to the admittance of patients or the obligations of the organization. The consequences of occupational stress on nurses are a global problem that has greater importance in practice than they do in any one geographic area. Objective: To investigate the frequency of factors that contribute to the high levels of work-related stress experienced by critical care nurses working in tertiary care hospitals. Methods: This cross-sectional study recruited 139 nurses providing critical care at tertiary care hospitals using a random sample method. Participants were registered nurses who worked in the nursing profession for at least three months and were certified by the Pakistan Nursing Council. A questionnaire that the participants answered on their own time was used to collect the data for this study. The information was interpreted with the use of descriptive statistics, and the results were presented with the assistance of tables, charts, and percentages. Results: It was demonstrated that just 2.9% of participants reported severe level of stress, even though the majority of participants (55.4%) reported experiencing moderate level of stress while 41.7% of nurses reported mild stress. The eight determinants of stress experienced by intensive care unit nurses are calculated and workload-related stress was found to be the most frequent source of stress affecting 50.4% of nurses. Conclusion: It is concluded that all nurses who worked in vital areas experienced some amount of stress, majority of them deal with moderate level of work-related stress.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122453246","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}
Javeria Malik, Umar Farooq, Muhammad Tahir, Asma Ayyaz, Ferheen Saleem, Abdul Rehman khalid Makki
Background: There are many challenges that people face in their lives. Recently, the whole world was affecting because of a unique virus known as COVID-19 or coronavirus. Objective: To determine the impact of attending online classes on mental health among university students during the COVID-19 pandemic in Lahore. Methods: This cross-sectional study was conducted on 215 undergraduate students who were locked down in their homes during the COVID-19 pandemic and took online classes using the depression, anxiety, stress scale and online learning scale through convenient sampling. The demographics were reduced to numbers, percentages, and frequencies for analysis. The frequency and percentage of occurrence were selected as the presentation formats for qualitative variables. Cross-tabulation was used to see whether online learning was related to depression, anxiety, or stress levels. Results: Among 215 Undergraduate students, 53 (24.7%) were males and 162 (75.3%) were females. While 15 (7.0%) presented with symptoms, the level of depression was moderate among 65 (30.2%), severe 69 (32.1%) and extremely severe 81 (37.7%). Level of anxiety was moderate among 23 (10.7%), severe at 32 (14.9%) and extremely severe at 160 (74.4%) while the level of stress was normal 15 (7.0%), mild at 25 (11.6%), moderate 59(27.4%), severe 71 (33.0%) and extremely severe 45 (20.9%). There was a significant association between online classes and mental health including depression, anxiety and stress as the p-value was 0.029, 0.045 and 0.043 respectively. Conclusion: The level of depression, anxiety and stress was high among undergraduate university students during the COVID-19 pandemic. There was a significant impact of online classes on mental health symptoms including the level of depression, anxiety, and stress. Students taking online classes suffer from poor mental health.
{"title":"Impact of Attending Online Classes on Mental Health Among University Students During COVID-19 Pandemic in Lahore","authors":"Javeria Malik, Umar Farooq, Muhammad Tahir, Asma Ayyaz, Ferheen Saleem, Abdul Rehman khalid Makki","doi":"10.55735/hjprs.v2i2.89","DOIUrl":"https://doi.org/10.55735/hjprs.v2i2.89","url":null,"abstract":"Background: There are many challenges that people face in their lives. Recently, the whole world was affecting because of a unique virus known as COVID-19 or coronavirus. Objective: To determine the impact of attending online classes on mental health among university students during the COVID-19 pandemic in Lahore. Methods: This cross-sectional study was conducted on 215 undergraduate students who were locked down in their homes during the COVID-19 pandemic and took online classes using the depression, anxiety, stress scale and online learning scale through convenient sampling. The demographics were reduced to numbers, percentages, and frequencies for analysis. The frequency and percentage of occurrence were selected as the presentation formats for qualitative variables. Cross-tabulation was used to see whether online learning was related to depression, anxiety, or stress levels. Results: Among 215 Undergraduate students, 53 (24.7%) were males and 162 (75.3%) were females. While 15 (7.0%) presented with symptoms, the level of depression was moderate among 65 (30.2%), severe 69 (32.1%) and extremely severe 81 (37.7%). Level of anxiety was moderate among 23 (10.7%), severe at 32 (14.9%) and extremely severe at 160 (74.4%) while the level of stress was normal 15 (7.0%), mild at 25 (11.6%), moderate 59(27.4%), severe 71 (33.0%) and extremely severe 45 (20.9%). There was a significant association between online classes and mental health including depression, anxiety and stress as the p-value was 0.029, 0.045 and 0.043 respectively. Conclusion: The level of depression, anxiety and stress was high among undergraduate university students during the COVID-19 pandemic. There was a significant impact of online classes on mental health symptoms including the level of depression, anxiety, and stress. Students taking online classes suffer from poor mental health.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"296 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124247232","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 can cause disability in people that leads to increase in mortality rate and also affects the general adult population of the society. After having stroke, 80% of the patients become dependent on others for their daily living activities and need physical therapy to minimize their disability. Objective: To evaluate the role of physical therapy on quality of life and satisfaction level among patients with stroke. Methods: A cross-sectional study was conducted on 126 patients with stroke after receiving physical therapy treatment. Stroke patients with chronic condition (more than 3 months), both gender, aged between 40-60 years were included. Data was collected through modified questionnaire after taking consent from participants in six months. The SF-36 was used to measure quality of life of stroke patients after six weeks. Using SPSS version 25, frequency and percentages were calculated. Results: Patients receiving physical therapy got recovered from stroke, most of their physical and social needs were fulfilled and they were completely satisfied with their treatment. Their cognitive and intellectual skills were also improved and they were able to fulfil their daily life activities with little dependency. Out of 126 participants, 6(4.8%) strongly agreed that they were too tired to perform activities, 21 (16.7%) moderately agreed, 38(30.2%) neither agree nor disagree, 34(27.0%) moderately disagreed while 27(21.4%) strongly disagreed with it. Most of the patients (69.1%) reported that they were very much satisfied and their quality of life got improved with the physical therapy treatment. Conclusion: Rehabilitation through physical therapy treatment has profound effects on patients having stroke, it helps in reducing disability and improving functional activities. Stroke patients reported improved condition, satisfaction level and quality of life after physical therapy treatment. The quality of life of patients gets improved as 56.3% showed mild disability after treatment.
背景:脑卒中可导致人的残疾，导致死亡率增加，也影响到社会的一般成年人口。中风后，80%的患者在日常生活活动中依赖他人，需要物理治疗以减少残疾。目的:探讨物理治疗对脑卒中患者生活质量及满意度的影响。方法:对126例脑卒中患者进行物理治疗后的横断面研究。慢性卒中患者(超过3个月)，性别不限，年龄在40-60岁之间。在6个月的时间里，在获得参与者的同意后，通过修改问卷的方式收集数据。SF-36用于测量脑卒中患者6周后的生活质量。使用SPSS version 25计算频率和百分比。结果:经物理治疗的脑卒中患者康复，大部分身体和社会需求得到满足，对治疗完全满意。他们的认知和智力技能也得到了提高，他们能够在很少依赖的情况下完成日常生活活动。在126名参与者中，6人(4.8%)非常同意他们太累了，21人(16.7%)一般同意，38人(30.2%)既不同意也不同意，34人(27.0%)一般不同意，27人(21.4%)非常不同意。大多数患者(69.1%)对物理治疗非常满意，生活质量得到改善。结论:通过物理治疗进行康复治疗对脑卒中患者有显著的疗效，有助于减少残疾，改善功能活动。脑卒中患者经物理治疗后病情、满意度及生活质量均有改善。治疗后患者的生活质量得到改善，56.3%的患者出现轻度残疾。
{"title":"Role of Physical Therapy on Quality of Life and Level of Satisfaction among Patients with Stroke","authors":"Iqra Saif","doi":"10.55735/thjprs.v2i1.41","DOIUrl":"https://doi.org/10.55735/thjprs.v2i1.41","url":null,"abstract":"Background: Stroke can cause disability in people that leads to increase in mortality rate and also affects the general adult population of the society. After having stroke, 80% of the patients become dependent on others for their daily living activities and need physical therapy to minimize their disability. Objective: To evaluate the role of physical therapy on quality of life and satisfaction level among patients with stroke. Methods: A cross-sectional study was conducted on 126 patients with stroke after receiving physical therapy treatment. Stroke patients with chronic condition (more than 3 months), both gender, aged between 40-60 years were included. Data was collected through modified questionnaire after taking consent from participants in six months. The SF-36 was used to measure quality of life of stroke patients after six weeks. Using SPSS version 25, frequency and percentages were calculated. Results: Patients receiving physical therapy got recovered from stroke, most of their physical and social needs were fulfilled and they were completely satisfied with their treatment. Their cognitive and intellectual skills were also improved and they were able to fulfil their daily life activities with little dependency. Out of 126 participants, 6(4.8%) strongly agreed that they were too tired to perform activities, 21 (16.7%) moderately agreed, 38(30.2%) neither agree nor disagree, 34(27.0%) moderately disagreed while 27(21.4%) strongly disagreed with it. Most of the patients (69.1%) reported that they were very much satisfied and their quality of life got improved with the physical therapy treatment. Conclusion: Rehabilitation through physical therapy treatment has profound effects on patients having stroke, it helps in reducing disability and improving functional activities. Stroke patients reported improved condition, satisfaction level and quality of life after physical therapy treatment. The quality of life of patients gets improved as 56.3% showed mild disability after treatment.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116257502","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: Physically and physiologically, pregnancy and parturition are the phases of transformation for women. During pregnancy, the rectus abdominis muscles move laterally, and the interrecti distance increases and may remain increased in the immediate post-birth period which can lead to disability. Objective: To investigate various physical and physiological factors that can cause disability attributed to symptoms of increased interrecti distance after childbirth. Methods: This cross-sectional survey was conducted from after approval from the ethical committee. About 239 postpartum females with age ranges of 25 to 35 years having an interrecti distance of at least 2 cm and whose youngest child ages between 1 to 8 years were included. Correlation analysis was applied for different variables using Pearson correlation with a disability as the outcome variable and fear-avoidance beliefs, emotional distress, body mass index, lumbopelvic pain, increased interrecti distance, and physical activity level as predictor variables. Results: Four strong predictors were considered that cause disability in the postpartum females with almost 2 finger-width increased interrecti distance at baseline. All patients reported disability caused by symptoms produced by these strong independent predictors like body mass index, fear-avoidance, depression/anxiety, and lumbopelvic pain. The disability was caused by symptoms of body mass index of 22%, with Tampa scale of kinesiophobia questionnaire fear-avoidance belief cause disability 23.4%, with hospital anxiety and depression score was 10%, and with lumbopelvic pain 16% or mean value of visual analog scale 5.78% and total score of pain disability index was reported 9%. The p-value for correlation of all predictor variables with disability outcome variable shows a significant correlation between them. Conclusion: The intensity of lumbopelvic pain, fear-avoidance attitudes, body mass index, and emotional distress are the primary causes of disability related to symptoms of an increased interrecti distance after childbirth. These four predictor variables show a significant correlation with disability.
{"title":"Predictors of Disability Attributed to Symptoms of Increased Interrecti Distance in Pregnant and Postpartum Women with Diastasis Rectus Abdominis","authors":"Aqsa Anwar, Faiza Sharif, Z. Saleem","doi":"10.55735/thjprs.v2i1.46","DOIUrl":"https://doi.org/10.55735/thjprs.v2i1.46","url":null,"abstract":"Background: Physically and physiologically, pregnancy and parturition are the phases of transformation for women. During pregnancy, the rectus abdominis muscles move laterally, and the interrecti distance increases and may remain increased in the immediate post-birth period which can lead to disability. Objective: To investigate various physical and physiological factors that can cause disability attributed to symptoms of increased interrecti distance after childbirth. Methods: This cross-sectional survey was conducted from after approval from the ethical committee. About 239 postpartum females with age ranges of 25 to 35 years having an interrecti distance of at least 2 cm and whose youngest child ages between 1 to 8 years were included. Correlation analysis was applied for different variables using Pearson correlation with a disability as the outcome variable and fear-avoidance beliefs, emotional distress, body mass index, lumbopelvic pain, increased interrecti distance, and physical activity level as predictor variables. Results: Four strong predictors were considered that cause disability in the postpartum females with almost 2 finger-width increased interrecti distance at baseline. All patients reported disability caused by symptoms produced by these strong independent predictors like body mass index, fear-avoidance, depression/anxiety, and lumbopelvic pain. The disability was caused by symptoms of body mass index of 22%, with Tampa scale of kinesiophobia questionnaire fear-avoidance belief cause disability 23.4%, with hospital anxiety and depression score was 10%, and with lumbopelvic pain 16% or mean value of visual analog scale 5.78% and total score of pain disability index was reported 9%. The p-value for correlation of all predictor variables with disability outcome variable shows a significant correlation between them. Conclusion: The intensity of lumbopelvic pain, fear-avoidance attitudes, body mass index, and emotional distress are the primary causes of disability related to symptoms of an increased interrecti distance after childbirth. These four predictor variables show a significant correlation with disability.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129118890","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: During the postpartum duration, emotional and psychosocial changes are experienced collectively with physiological transition, a mother can face some problems that might disturb the physical scenario of the mother or infant. This phase is very critical for female health that she experiences many difficulties before and after childbirth. Knee joint laxity enhances during pregnancy, and differences in ligamentous laxity persist in post-partum women. Joint laxity is a renowned risk factor responsible for knee osteoarthritis. Knee pain including patellofemoral disorder is common during pregnancy. Objective: The objective of this survey was to estimate the prevalence of knee pain in postpartum women in Pakistan. Methods: This cross-sectional study approved by the ethical committee comprised 79 participants from different hospitals in Pakistan, after fulfilling the eligibility criteria of knee pain in postpartum women. Each participant after the signing of an informed consent form filled out the compiled self-assessment questionnaire. Pregnant females aged between 25 to 45 years were included in the survey through non-probability convenient sampling. however, those having complications like gestational diabetes, pre-eclampsia, and hypertension were excluded. Data were analyzed by using SPSS version 25. For baseline characteristics, frequency and percentages were calculated. A histogram was plotted for the age variable. Results: The findings showed that 79 postpartum females with a mean age of 27.45±2.36 years. In this study, the prevalence of knee pain in postpartum females was 54.3%. The mean value of the age of patients is given in Figure-I. About 30.4% of the females were overweight and 25.3% of females showed moderate knee joint pain when patients went up or down stairs. Conclusion: Pregnant and postpartum women are more likely to develop knee pain. Knee pain is common in women of childbearing age Based on the findings, the prevalence of knee pain is 54.3% in postpartum women.
{"title":"Prevalence of Knee Pain in Post-Partum Females in Pakistan; A Cross-sectional Survey","authors":"Saher Rasheed, Sana Sameer","doi":"10.55735/thjprs.v2i1.40","DOIUrl":"https://doi.org/10.55735/thjprs.v2i1.40","url":null,"abstract":" \u0000Background: During the postpartum duration, emotional and psychosocial changes are experienced collectively with physiological transition, a mother can face some problems that might disturb the physical scenario of the mother or infant. This phase is very critical for female health that she experiences many difficulties before and after childbirth. Knee joint laxity enhances during pregnancy, and differences in ligamentous laxity persist in post-partum women. Joint laxity is a renowned risk factor responsible for knee osteoarthritis. Knee pain including patellofemoral disorder is common during pregnancy. Objective: The objective of this survey was to estimate the prevalence of knee pain in postpartum women in Pakistan. Methods: This cross-sectional study approved by the ethical committee comprised 79 participants from different hospitals in Pakistan, after fulfilling the eligibility criteria of knee pain in postpartum women. Each participant after the signing of an informed consent form filled out the compiled self-assessment questionnaire. Pregnant females aged between 25 to 45 years were included in the survey through non-probability convenient sampling. however, those having complications like gestational diabetes, pre-eclampsia, and hypertension were excluded. Data were analyzed by using SPSS version 25. For baseline characteristics, frequency and percentages were calculated. A histogram was plotted for the age variable. Results: The findings showed that 79 postpartum females with a mean age of 27.45±2.36 years. In this study, the prevalence of knee pain in postpartum females was 54.3%. The mean value of the age of patients is given in Figure-I. About 30.4% of the females were overweight and 25.3% of females showed moderate knee joint pain when patients went up or down stairs. Conclusion: Pregnant and postpartum women are more likely to develop knee pain. Knee pain is common in women of childbearing age Based on the findings, the prevalence of knee pain is 54.3% in postpartum women.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131212953","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: Physical therapists indicated the use of standardized pain assessment instruments like subjective measures, self-reported scales, behavioral and physiological measures to assess pain in children with neurological impairments. Indicators such as diminished attention, retreat, and changes in sleeping and feeding patterns were also reported along with facial expression, sobbing, and vocalizations. Therapists' perspectives on behavioral pain expressions may be significantly different from the perspectives of the children's parents or caregivers. Objective: To determine the methods of pain assessment and management for children with neurologic impairments used by pediatric physical therapists. Methods: A cross-sectional survey in which the data was collected from different public hospitals in Faisalabad, Pakistan. Convenient sampling was applied to recruit physiotherapists for this study and data was gathered through a structured questionnaire after taking their written informed consent. Results: Frequently used behaviors included facial expression, vocalizations, and irritability. Cues that were rarely used included changes in sleeping, withdrawal, eating behaviors, and decreased attention. Physiotherapists prefer to use pain interventions that were supported by research like praise and distraction as well as distress-producing potentially harmful measures such as reassurance and procedural talk. About 84% percent of the respondents used subjective measures to assess pain, 60% used self-report scales, and 32% used behavioral and physiological measures. The results regarding procedural explanation showed that 41.1% of physiotherapists had very often done procedural explanation and 58.9% had often done it. Conclusion: A well-structured practice pattern of pain assessment and treatment of neurologic deficits was observed among pediatric physical therapists. Praise, distraction, and procedural explanation were often used to ease discomfort and pain while doing physiotherapy treatment sessions. Overt signs such as vocalizations, weeping and facial expressions were used to measure pain more often than subtle markers such as lower attention, disengagement, and disturbed sleep and feeding habits.
{"title":"Pain Assessment and Management of Neurologic Impairments by Pediatric Physical Therapists; A Cross-Sectional Survey","authors":"Duaa Kashif, Durr e Samin Tariq","doi":"10.55735/thjprs.v2i1.49","DOIUrl":"https://doi.org/10.55735/thjprs.v2i1.49","url":null,"abstract":"Background: Physical therapists indicated the use of standardized pain assessment instruments like subjective measures, self-reported scales, behavioral and physiological measures to assess pain in children with neurological impairments. Indicators such as diminished attention, retreat, and changes in sleeping and feeding patterns were also reported along with facial expression, sobbing, and vocalizations. Therapists' perspectives on behavioral pain expressions may be significantly different from the perspectives of the children's parents or caregivers. Objective: To determine the methods of pain assessment and management for children with neurologic impairments used by pediatric physical therapists. Methods: A cross-sectional survey in which the data was collected from different public hospitals in Faisalabad, Pakistan. Convenient sampling was applied to recruit physiotherapists for this study and data was gathered through a structured questionnaire after taking their written informed consent. Results: Frequently used behaviors included facial expression, vocalizations, and irritability. Cues that were rarely used included changes in sleeping, withdrawal, eating behaviors, and decreased attention. Physiotherapists prefer to use pain interventions that were supported by research like praise and distraction as well as distress-producing potentially harmful measures such as reassurance and procedural talk. About 84% percent of the respondents used subjective measures to assess pain, 60% used self-report scales, and 32% used behavioral and physiological measures. The results regarding procedural explanation showed that 41.1% of physiotherapists had very often done procedural explanation and 58.9% had often done it. Conclusion: A well-structured practice pattern of pain assessment and treatment of neurologic deficits was observed among pediatric physical therapists. Praise, distraction, and procedural explanation were often used to ease discomfort and pain while doing physiotherapy treatment sessions. Overt signs such as vocalizations, weeping and facial expressions were used to measure pain more often than subtle markers such as lower attention, disengagement, and disturbed sleep and feeding habits.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133682550","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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