Background: Adhesive capsulitis is a painful condition comprises of reduced glenohumeral joint movement and the scapular neuromuscular facilitation techniques is considered effective, non-invasive approach for treating this condition. Objective: To compare the effects of neuromuscular facilitation techniques on clinical outcomes in patients with adhesive capsulitis. Methods: This trial was registered in ClinicaTrials.gov (ref: NCT05151783) and approval was taken (IRB No. 818-II). This single-blinded randomized controlled trial was conducted on patients (n=96) having adhesive capsulitis in six months. Non-probability purposive sampling technique was used for randomization via sealed envelope method. Conventional group received routine physiotherapy including ultrasound, hot packs, shoulder range of motion, stretching exercises, and joint mobilization five times per week for four weeks with 40 minutes’ duration of each session. Glenohumeral joint distraction, caudal, dorsal, and ventral glides were given at a rate of 2-3/second oscillations for 1-2 minutes to patients. Visual analogue scale, functional activity was calculated at baseline, 2nd and 4th week. The descriptive statistics (continuous variables) values for each variable in form of means and standard deviations were calculated and their p-values were also calculated using an independent sample t-test. For the qualitative data (categorical variables), frequency and percentage were estimated. Frequencies and percentages of different variables like gender had also been calculated. Repeated measure analysis of variance (ANOVA) was calculated to calculate within-group differences in the mean of each variable between the assessment points. Results: Test of within subject effects showed significant difference for all variables at follow-up and difference between groups also showed significant difference at different follow-ups (p-value≤0.001). Both groups showed statistically significant results (p≤0.001), but scores were higher in experimental group. Conclusion: Scapular proprioceptive neuromuscular facilitation technique along with routine physical therapy are more effective as compared to routine physical therapy alone in patients with adhesive capsulitis.
{"title":"Effects of Scapular Proprioceptive Neuromuscular Facilitation Techniques in Addition to Routine Physical Therapy on Clinical Outcomes in Patients with Adhesive Capsulitis: A Randomized Controlled Trial","authors":"M. S. Butt, Fahad Tanveer","doi":"10.55735/thjprs.v2i1.51","DOIUrl":"https://doi.org/10.55735/thjprs.v2i1.51","url":null,"abstract":"Background: Adhesive capsulitis is a painful condition comprises of reduced glenohumeral joint movement and the scapular neuromuscular facilitation techniques is considered effective, non-invasive approach for treating this condition. Objective: To compare the effects of neuromuscular facilitation techniques on clinical outcomes in patients with adhesive capsulitis. Methods: This trial was registered in ClinicaTrials.gov (ref: NCT05151783) and approval was taken (IRB No. 818-II). This single-blinded randomized controlled trial was conducted on patients (n=96) having adhesive capsulitis in six months. Non-probability purposive sampling technique was used for randomization via sealed envelope method. Conventional group received routine physiotherapy including ultrasound, hot packs, shoulder range of motion, stretching exercises, and joint mobilization five times per week for four weeks with 40 minutes’ duration of each session. Glenohumeral joint distraction, caudal, dorsal, and ventral glides were given at a rate of 2-3/second oscillations for 1-2 minutes to patients. Visual analogue scale, functional activity was calculated at baseline, 2nd and 4th week. The descriptive statistics (continuous variables) values for each variable in form of means and standard deviations were calculated and their p-values were also calculated using an independent sample t-test. For the qualitative data (categorical variables), frequency and percentage were estimated. Frequencies and percentages of different variables like gender had also been calculated. Repeated measure analysis of variance (ANOVA) was calculated to calculate within-group differences in the mean of each variable between the assessment points. Results: Test of within subject effects showed significant difference for all variables at follow-up and difference between groups also showed significant difference at different follow-ups (p-value≤0.001). Both groups showed statistically significant results (p≤0.001), but scores were higher in experimental group. Conclusion: Scapular proprioceptive neuromuscular facilitation technique along with routine physical therapy are more effective as compared to routine physical therapy alone in patients with adhesive capsulitis.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"65 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":"129019675","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: Children with spastic cerebral palsy often show difficulty to maintain posture and function, therefore displaying the weak sitting postural balance such as the flexed trunk. Objective: The study was designed to determine the effectiveness in terms of alignment and function with neuromuscular electric stimulation, Kinesio tape above the trunk muscles in combination with conventional physiotherapy for improving sitting balance in young children with spastic diplegic cerebral palsy that has presented with weak trunk control. Methods: In this randomized trial children aged between 5 to 12 years were involved in this study. Group A received electric stimulation and conventional physical therapy while group B received Kinesio tape, electric stimulation and conventional physiotherapy for 12 weeks, 3 alternate days per week. Data were collected at baseline, 5th and 10th week after the last session of the week. Sitting balance is evaluated by the seated postural control measurement score. Results: Significant differences were observed in both groups in the total score of seated postural control measurement alignment section (p<0.015) and functional section (p<0.01) after the 10th week; the change in group B was higher as compared to other group. There is no significant difference were seen in pre-treatment and after the 5th week in alignment and functional section in comparison of technique. Conclusion: With the help of neuromuscular electric stimulation, and Kinesio tape in combination with conventional physiotherapy enhance the sitting balance, in terms of alignment and function in children with spastic cerebral palsy.
{"title":"Effects of Neuromuscular Electrical Stimulation with and without Kinesio Taping Application on Sitting Balance Among Children with Cerebral Palsy","authors":"Jawad Tahir, Sarfraz Ahmad, A. Rana","doi":"10.55735/thjprs.v1i2.17","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.17","url":null,"abstract":"Background: Children with spastic cerebral palsy often show difficulty to maintain posture and function, therefore displaying the weak sitting postural balance such as the flexed trunk. Objective: The study was designed to determine the effectiveness in terms of alignment and function with neuromuscular electric stimulation, Kinesio tape above the trunk muscles in combination with conventional physiotherapy for improving sitting balance in young children with spastic diplegic cerebral palsy that has presented with weak trunk control. Methods: In this randomized trial children aged between 5 to 12 years were involved in this study. Group A received electric stimulation and conventional physical therapy while group B received Kinesio tape, electric stimulation and conventional physiotherapy for 12 weeks, 3 alternate days per week. Data were collected at baseline, 5th and 10th week after the last session of the week. Sitting balance is evaluated by the seated postural control measurement score. Results: Significant differences were observed in both groups in the total score of seated postural control measurement alignment section (p<0.015) and functional section (p<0.01) after the 10th week; the change in group B was higher as compared to other group. There is no significant difference were seen in pre-treatment and after the 5th week in alignment and functional section in comparison of technique. Conclusion: With the help of neuromuscular electric stimulation, and Kinesio tape in combination with conventional physiotherapy enhance the sitting balance, in terms of alignment and function in children with spastic cerebral palsy.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117051413","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}
Abstract Background: Carpal tunnel syndrome occurs when median nerve is entrapped or compressed causing paresthesia and sometimes pain in patients’ hands, this can result in functional impairments and disability. Objective: To evaluate the level of functional impairment using symptom severity and functional status scales in participants with this syndrome. Methods: An observational study was conducted on 150 patients with carpal tunnel syndrome by using non-probability purposive sampling and collecting data from various private and government hospitals of Lahore in six months from October 2020 to March 2020. The level of functional impairments was evaluated by using functional status and symptom severity scale. Results: Findings showed that 62% were females and 38% were males. According to Boston carpal tunnel questionnaire score most of the patients had moderate symptoms (39.3%) with the mean of 2.97 and mild functional limitations (42%) with the mean of 2.34. Conclusion: It was concluded that mild and moderate mean values were found by using functional status and symptoms severity scale respectively. There is existence of correlation between symptom and functional severity scales among patients with this syndrome. *Corresponding author: Ramsha Zafar, Sharif Trust Hospital, Lahore, Pakistan; Email: ranahamzanadeem127@gmail.com Citation: Zafar R. 2021. Level of functional impairment in patients with carpal tunnel syndrome using functional status and symptom severity scales. The healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):58-62.
背景:腕管综合征发生于正中神经被夹住或压迫，导致患者感觉异常，有时手部疼痛，这可导致功能障碍和残疾。目的:用症状严重程度和功能状态量表评估该综合征参与者的功能损害水平。方法:于2020年10月至2020年3月6个月内，采用非概率目的抽样方法，收集拉合尔多家私立和公立医院的资料，对150例腕管综合征患者进行观察性研究。采用功能状态量表和症状严重程度量表评估功能损害程度。结果:女性占62%，男性占38%。根据波士顿腕管问卷评分，大多数患者表现为中度症状(39.3%)，平均2.97分;轻度功能受限(42%)，平均2.34分。结论:用功能状态量表和症状严重程度量表分别得出轻度和中度的平均值。该综合征患者的症状与功能严重程度量表之间存在相关性。*通讯作者:Ramsha Zafar，巴基斯坦拉合尔谢里夫信托医院;电子邮件:ranahamzanadeem127@gmail.com引用本文:Zafar R. 2021。用功能状态和症状严重程度量表评价腕管综合征患者的功能损害水平。理疗与康复杂志，1(2):58-62。
{"title":"Level of Functional Impairment using Symptom Severity and Functional Status Scales in Patients with Carpal Tunnel Syndrome","authors":"R. Zafar","doi":"10.55735/thjprs.v1i2.26","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.26","url":null,"abstract":"Abstract \u0000 \u0000Background: Carpal tunnel syndrome occurs when median nerve is entrapped or compressed causing paresthesia and sometimes pain in patients’ hands, this can result in functional impairments and disability. Objective: To evaluate the level of functional impairment using symptom severity and functional status scales in participants with this syndrome. Methods: An observational study was conducted on 150 patients with carpal tunnel syndrome by using non-probability purposive sampling and collecting data from various private and government hospitals of Lahore in six months from October 2020 to March 2020. The level of functional impairments was evaluated by using functional status and symptom severity scale. Results: Findings showed that 62% were females and 38% were males. According to Boston carpal tunnel questionnaire score most of the patients had moderate symptoms (39.3%) with the mean of 2.97 and mild functional limitations (42%) with the mean of 2.34. Conclusion: It was concluded that mild and moderate mean values were found by using functional status and symptoms severity scale respectively. There is existence of correlation between symptom and functional severity scales among patients with this syndrome. \u0000*Corresponding author: Ramsha Zafar, Sharif Trust Hospital, Lahore, Pakistan; Email: ranahamzanadeem127@gmail.com \u0000Citation: Zafar R. 2021. Level of functional impairment in patients with carpal tunnel syndrome using functional status and symptom severity scales. The healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):58-62.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130537788","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}
Abstract Background: Low back pain is a common musculoskeletal condition characterized by axial or parasagittal pain in the lower lumbar region that can occur during pregnancy. Objective: The objective of the study was to assess the risk factors related to low backache among women during pregnancy. Methods: This cross-sectional study included 148 pregnant women. A questionnaire used to gather demographic information, patients’ characteristics, standard of living and incidence was designed for the study. Visual analogue scale was used to measure the severity of pain while the Roland Morris disability questionnaire was used to determine the effects of low back pain on activities of daily life in pregnant women. Results: Low back pain in previous pregnancies has a strong association with the onset of low back pain (p=0.001). Women who experienced backache during menstruation was least expected to have low back pain. (p<0.001). Women who were younger at age were more prone to have low backache (p=0.001). According to the Roland-Morris disability questionnaire 60% of pregnant women with LBP experienced mild disability, 30% of pregnant women with low back pain experienced moderate disability and only 10% of them experienced severe disability. Conclusion: Factors that have great impact on occurrence of backache during pregnancy are lack of physical activity, back pain during menstruation, younger age, and occurrence of low back pain in previous pregnancies. Most women with low back pain experienced mild to moderate disability during pregnancy. *Corresponding Author: Farwa Amjad, University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan; Email: 70101376@student.uol.edu.pk Citation: Amjad F. 2021. Risk factors associated with low back pain among pregnant women in Pakistan. The healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):49-57.
背景:腰痛是一种常见的肌肉骨骼疾病，其特征是妊娠期间下腰椎区域的轴状或副矢状疼痛。目的:本研究的目的是评估怀孕期间妇女腰痛的相关危险因素。方法:对148名孕妇进行横断面研究。本研究设计了一份调查问卷，用于收集人口统计信息、患者特征、生活水平和发病率。采用视觉模拟量表测量疼痛的严重程度，采用Roland Morris残疾问卷调查腰痛对孕妇日常生活活动的影响。结果:以前怀孕的腰痛与腰痛的发病有很强的相关性(p=0.001)。在月经期间背痛的女性最不可能有腰痛。(p < 0.001)。年龄较小的女性更容易出现腰痛(p=0.001)。Roland-Morris残疾问卷显示，60%的腰痛孕妇有轻度残疾，30%的腰痛孕妇有中度残疾，只有10%的腰痛孕妇有重度残疾。结论:对孕期腰痛发生影响较大的因素是缺乏体育锻炼、经期腰痛、年龄偏小、既往妊娠曾发生过腰痛。大多数腰痛的妇女在怀孕期间都有轻度到中度的残疾。*通讯作者:Farwa Amjad，拉合尔大学物理治疗研究所，巴基斯坦拉合尔;Email: 70101376@student.uol.edu.pk引文:Amjad F. 2021。巴基斯坦孕妇腰痛的相关危险因素理疗与康复杂志，1(2):49-57。
{"title":"Risk Factors Associated with Low Back Pain among Pregnant Women in Pakistan","authors":"Farwa Amjad, Mubeen Awais","doi":"10.55735/thjprs.v1i2.25","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.25","url":null,"abstract":"Abstract \u0000 \u0000Background: Low back pain is a common musculoskeletal condition characterized by axial or parasagittal pain in the lower lumbar region that can occur during pregnancy. Objective: The objective of the study was to assess the risk factors related to low backache among women during pregnancy. Methods: This cross-sectional study included 148 pregnant women. A questionnaire used to gather demographic information, patients’ characteristics, standard of living and incidence was designed for the study. Visual analogue scale was used to measure the severity of pain while the Roland Morris disability questionnaire was used to determine the effects of low back pain on activities of daily life in pregnant women. Results: Low back pain in previous pregnancies has a strong association with the onset of low back pain (p=0.001). Women who experienced backache during menstruation was least expected to have low back pain. (p<0.001). Women who were younger at age were more prone to have low backache (p=0.001). According to the Roland-Morris disability questionnaire 60% of pregnant women with LBP experienced mild disability, 30% of pregnant women with low back pain experienced moderate disability and only 10% of them experienced severe disability. Conclusion: Factors that have great impact on occurrence of backache during pregnancy are lack of physical activity, back pain during menstruation, younger age, and occurrence of low back pain in previous pregnancies. Most women with low back pain experienced mild to moderate disability during pregnancy. \u0000*Corresponding Author: Farwa Amjad, University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan; Email: 70101376@student.uol.edu.pk \u0000Citation: Amjad F. 2021. Risk factors associated with low back pain among pregnant women in Pakistan. The healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):49-57.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131004058","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: De Quervain’s tenosynovitis is described as overuse tendon injury and characterized by painful movements of the fibro-osseous sheath of the extensor pollicis brevis and abductor pollicis longus tendons in which pain is aggravated by thumb movements and wrist movements during functional activities. Objective: To evaluate the frequency of de Quervain’s tenosynovitis in carpenters of Lahore. Methods: A survey was consisting of 103 patients conducted and selected by non-probability convenient sampling in six months; duration. Data collection was done by using the standard ‘Patient Rated Wrist/Hand Evaluation’ questionnaire after taking the informed written and verbal consent. The standard Finklestein test helped in diagnosing this condition. The participants who experienced pain at the wrist, over the extensor pollicis brevis and abductor pollicis longus tendons were considered positive for tenosynovitis. Frequency and percentages were calculated for categorical variables. Results: The results showed that the frequency of de Quervain’s tenosynovitis with positive Finklestein’s test was 50.45%, 25.2% for worst ever pain, 26.2% with repetitive wrist movements and 25.2% while doing work job in carpenters of Lahore. The Finklestein’s test was positive in 71 (69%) carpenters and 32 (31%) showed a negative test. The mean pain score for positive Finkelstein’s test was 6.93±20.40 and for negative F test was 5.24±15.91. The difference was statistically significant at p<0.001. Among carpenters, age and work duration were strongly correlated (r=0.807) and there is a moderate correlation between age and the total score (r=0.78). Conclusion: It was concluded that most carpenters have a moderate level of pain during repetitive wrist movements while working. While a majority of the carpenters have positive Finkelstein’s test. Significant results were found showing moderate pain levels with positive tests. A strong correlation was found between age and duration of work. *Corresponding Author: Maira Saadat, Neuron Health Service, UK, Email: saadatmaira7@gmail.com Citation: Saadat M. 2021. Frequency of de Quervain’s tenosynovitis in carpenters of Lahore. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):68-75.
背景:De Quervain 's腱鞘炎被描述为过度使用性肌腱损伤，其特征是拇短伸肌和拇长外展肌腱的纤维骨鞘疼痛运动，其中在功能活动中拇指运动和手腕运动会加重疼痛。目的:了解拉合尔地区木匠的腱鞘炎发病情况。方法:采用非概率方便抽样法对103例患者进行为期6个月的调查;持续时间。在获得知情的书面和口头同意后，使用标准的“患者评定腕/手评估”问卷进行数据收集。标准的芬克尔斯坦测试有助于诊断这种情况。手腕、拇短伸肌和拇长外展肌腱疼痛的参与者被认为是腱鞘炎阳性。对分类变量计算频率和百分比。结果:拉合尔木匠Finklestein试验阳性的de Quervain氏腱子炎发生率为50.45%，最严重疼痛发生率为25.2%，重复性手腕运动发生率为26.2%，上工时发生率为25.2%。71名木匠(69%)的Finklestein氏试验呈阳性，32名木匠(31%)呈阴性。Finkelstein试验阳性组疼痛平均评分为6.93±20.40,F试验阴性组疼痛平均评分为5.24±15.91。差异有统计学意义，p<0.001。木匠年龄与工作时长呈强相关(r=0.807)，年龄与总分呈中等相关(r=0.78)。结论:结论是，大多数木匠在工作时重复性的手腕运动有中等程度的疼痛。而大多数木匠的芬克尔斯坦氏试验呈阳性。显著的结果是，测试呈阳性，疼痛程度适中。年龄和工作时间之间有很强的相关性。*通讯作者:Maira Saadat, Neuron Health Service, UK, Email: saadatmaira7@gmail.com引文:Saadat M. 2021。拉合尔地区木匠腱鞘炎的发病情况。物理治疗与康复科学杂志，1(2):68-75。
{"title":"Frequency of De Quervain’s Tenosynovitis in Carpenters of Lahore","authors":"Maira Saadat","doi":"10.55735/thjprs.v1i2.39","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.39","url":null,"abstract":" \u0000Background: De Quervain’s tenosynovitis is described as overuse tendon injury and characterized by painful movements of the fibro-osseous sheath of the extensor pollicis brevis and abductor pollicis longus tendons in which pain is aggravated by thumb movements and wrist movements during functional activities. Objective: To evaluate the frequency of de Quervain’s tenosynovitis in carpenters of Lahore. Methods: A survey was consisting of 103 patients conducted and selected by non-probability convenient sampling in six months; duration. Data collection was done by using the standard ‘Patient Rated Wrist/Hand Evaluation’ questionnaire after taking the informed written and verbal consent. The standard Finklestein test helped in diagnosing this condition. The participants who experienced pain at the wrist, over the extensor pollicis brevis and abductor pollicis longus tendons were considered positive for tenosynovitis. Frequency and percentages were calculated for categorical variables. Results: The results showed that the frequency of de Quervain’s tenosynovitis with positive Finklestein’s test was 50.45%, 25.2% for worst ever pain, 26.2% with repetitive wrist movements and 25.2% while doing work job in carpenters of Lahore. The Finklestein’s test was positive in 71 (69%) carpenters and 32 (31%) showed a negative test. The mean pain score for positive Finkelstein’s test was 6.93±20.40 and for negative F test was 5.24±15.91. The difference was statistically significant at p<0.001. Among carpenters, age and work duration were strongly correlated (r=0.807) and there is a moderate correlation between age and the total score (r=0.78). Conclusion: It was concluded that most carpenters have a moderate level of pain during repetitive wrist movements while working. While a majority of the carpenters have positive Finkelstein’s test. Significant results were found showing moderate pain levels with positive tests. A strong correlation was found between age and duration of work. \u0000*Corresponding Author: Maira Saadat, Neuron Health Service, UK, Email: saadatmaira7@gmail.com \u0000Citation: Saadat M. 2021. Frequency of de Quervain’s tenosynovitis in carpenters of Lahore. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):68-75.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131518720","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}
Children need the supervision of adults and also specialist facilitation, which is entirely different from those of adults. The child-centered health care approaches and their delivery modes are continuously in a changing phase. Health services provided to the children are remodeled according to their present and future needs. Pediatric physiotherapy is one of the developed domains of physiotherapy. Pediatric physiotherapists are specialists who work with individuals from being premature to adolescents, targeting the main goal of optimal physical development. They work with a holistic approach making certain that along with the highlighted health needs, the social, emotional and educational factors are also taken into consideration1. So, overall the role of a pediatric physiotherapist is not only to deliver the intervention but also to work as a consultant, trainer and educationist. Physiotherapy plays a vital role in guiding coordinated movements, posture education, specific therapeutic exercises and cardiorespiratory fitness by involving family and caregivers. Therapists can provide health care services in the hospital setting (out-patient or in-hospital clinics), community settings such as child development centers, in mainstream schools and in special schools. Treatments usually given to children are of a wide range such as motor learning, mobilization, massage, stretching, neurodevelopmental therapy and hydrotherapy.
{"title":"Role of Physiotherapy in Children’s Health","authors":"Dr. Iqra Khan","doi":"10.55735/thjprs.v1i2.13","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.13","url":null,"abstract":"Children need the supervision of adults and also specialist facilitation, which is entirely different from those of adults. The child-centered health care approaches and their delivery modes are continuously in a changing phase. Health services provided to the children are remodeled according to their present and future needs. \u0000Pediatric physiotherapy is one of the developed domains of physiotherapy. Pediatric physiotherapists are specialists who work with individuals from being premature to adolescents, targeting the main goal of optimal physical development. They work with a holistic approach making certain that along with the highlighted health needs, the social, emotional and educational factors are also taken into consideration1. So, overall the role of a pediatric physiotherapist is not only to deliver the intervention but also to work as a consultant, trainer and educationist. \u0000Physiotherapy plays a vital role in guiding coordinated movements, posture education, specific therapeutic exercises and cardiorespiratory fitness by involving family and caregivers. Therapists can provide health care services in the hospital setting (out-patient or in-hospital clinics), community settings such as child development centers, in mainstream schools and in special schools. Treatments usually given to children are of a wide range such as motor learning, mobilization, massage, stretching, neurodevelopmental therapy and hydrotherapy.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116677119","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}
Abstract Background: Studies have showed that pregnant ladies are more vulnerable to COVID-19 as they are more susceptible to respiratory diseases. But little is known about coronavirus disease particularly about its effects on pregnant females and infants, and there is no definitive evidence-based guidance specific to these females regarding the assessment or treatment of this disease. Objective: The objective is to evaluate the effects of COVID-19 on fetal movement, heart beat and stress level in pregnancy and also to calculate the frequency of COVID-19 symptoms. Methods: This observational study was performed at Jinnah Hospital, from 7th October 2020 to 20th February 2021. It involved 61 covid-19 pregnant females selected by using non-probability convenient sampling. All assessments received ethical approval with informed consent taken from all participants and approval obtained from ethical committee of the hospital. Patients were excluded if they have gestational diabetes, hypertension, complicated pregnancy or history of other diseases. A pre-tested structured questionnaire was formulated for the assessment of effects of COVID-19 that contain questions related to acute respiratory syndrome in COV-19 respondents during pregnancy. Results: The mean age of these participants was 29.51± 4.44years and patients suffering COVID-19 frequently from fever (100%), cough 54 (88.4%), 53 (86.9%) shortness of breath, 45(73.8%) sore throat, 33(54.1%) headache, 40 (65.6%) muscle or body aches, 31 (50.8%) runny nose, 31(50.8%) fatigue or excessive sleepiness, 19 (31.1%) diarrhea, nausea or vomiting, 49(80.3%) loss of sense of taste and smell, 24 (39.3%) itchy red eyes. Almost 29 (47.5%) females had undergone caesarean section, 46(75.4%) females’ health care providers cancelled some of their prenatal visits, 9 (14.8%) females’ family members were not permitted to attend delivery or visit after delivery, 17 (27.9) females separated from baby after delivery and 22 (36.1%) changed planning from breastfeed to formula milk. Consequence of stress about birth and new born experience was mild to moderate in COVID-19 affected women (2.77±0.864). Stress about changes in prenatal care was moderate (2.90±0.83). Conclusion: The results show that COVID-19 did not had any effect on fetal movement and heart beat as well, but pregnant women had significant stress about their prenatal care. *Corresponding Author: Kanza Khan. Jinnah Hospital, Lahore, Pakistan, Email; kanza.khan082894@gmail.com Citation: Khan K. 2021. Effects of COVID-19 symptoms on fetal movement and heart beat during pregnancy. The healer journal of physiotherapy and rehabilitation sciences:1(2):63-67 Abstract Background: Studies have showed that pregnant ladies are more vulnerable to COVID-19 as they are more susceptible to respiratory diseases. But little is known about coronavirus disease particularly about its effects on pregnant females and infants, and there is no definitive evidence-based gui
结论:新冠肺炎对胎儿运动和心跳没有影响，但孕妇对产前护理有明显的压力。*通讯作者:Kanza Khan。巴基斯坦拉合尔真纳医院，电子邮件;kanza.khan082894@gmail.com来源:Khan K. 2021。COVID-19症状对妊娠期胎儿运动和心跳的影响理疗与康复杂志，1(2):63-67
{"title":"Frequency of COVID-19 Symptoms and their Effects on Fetal Movement, Heart Beat and Stress Level during Pregnancy","authors":"K. Khan","doi":"10.55735/thjprs.v1i2.36","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.36","url":null,"abstract":"Abstract \u0000 \u0000Background: Studies have showed that pregnant ladies are more vulnerable to COVID-19 as they are more susceptible to respiratory diseases. But little is known about coronavirus disease particularly about its effects on pregnant females and infants, and there is no definitive evidence-based guidance specific to these females regarding the assessment or treatment of this disease. Objective: The objective is to evaluate the effects of COVID-19 on fetal movement, heart beat and stress level in pregnancy and also to calculate the frequency of COVID-19 symptoms. Methods: This observational study was performed at Jinnah Hospital, from 7th October 2020 to 20th February 2021. It involved 61 covid-19 pregnant females selected by using non-probability convenient sampling. All assessments received ethical approval with informed consent taken from all participants and approval obtained from ethical committee of the hospital. Patients were excluded if they have gestational diabetes, hypertension, complicated pregnancy or history of other diseases. A pre-tested structured questionnaire was formulated for the assessment of effects of COVID-19 that contain questions related to acute respiratory syndrome in COV-19 respondents during pregnancy. Results: The mean age of these participants was 29.51± 4.44years and patients suffering COVID-19 frequently from fever (100%), cough 54 (88.4%), 53 (86.9%) shortness of breath, 45(73.8%) sore throat, 33(54.1%) headache, 40 (65.6%) muscle or body aches, 31 (50.8%) runny nose, 31(50.8%) fatigue or excessive sleepiness, 19 (31.1%) diarrhea, nausea or vomiting, 49(80.3%) loss of sense of taste and smell, 24 (39.3%) itchy red eyes. Almost 29 (47.5%) females had undergone caesarean section, 46(75.4%) females’ health care providers cancelled some of their prenatal visits, 9 (14.8%) females’ family members were not permitted to attend delivery or visit after delivery, 17 (27.9) females separated from baby after delivery and 22 (36.1%) changed planning from breastfeed to formula milk. Consequence of stress about birth and new born experience was mild to moderate in COVID-19 affected women (2.77±0.864). Stress about changes in prenatal care was moderate (2.90±0.83). Conclusion: The results show that COVID-19 did not had any effect on fetal movement and heart beat as well, but pregnant women had significant stress about their prenatal care. \u0000*Corresponding Author: Kanza Khan. Jinnah Hospital, Lahore, Pakistan, Email; kanza.khan082894@gmail.com \u0000Citation: Khan K. 2021. Effects of COVID-19 symptoms on fetal movement and heart beat during pregnancy. The healer journal of physiotherapy and rehabilitation sciences:1(2):63-67 \u0000Abstract \u0000 \u0000Background: Studies have showed that pregnant ladies are more vulnerable to COVID-19 as they are more susceptible to respiratory diseases. But little is known about coronavirus disease particularly about its effects on pregnant females and infants, and there is no definitive evidence-based gui","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122202278","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}
Extracorporeal Shockwave therapy is a scientifically-based therapeutic modality used for treating variety of musculoskeletal disorders. This medical tool is gradually paving its way among the armamentarium of interventions for musculoskeletal conditions, along with its pros and cons. As mirrored by the valuable evidence from the contemporary studies, pending queries await to be resolved related to the mechanism of action of this treatment, the optimal therapy protocol, frequency of sessions, amount of energy applied. For satisfactory and effective alleviation of symptoms, there is need for such type of differential treatment which may contribute to make patient’s condition better. Shockwave therapy is found to be effective for the treatment of tendinopathies, as it may elicit an anti-inflammatory and analgesic response, thus helps in regenerating tissue. Shockwaves are high-pressure acoustic waves that can minimize the enthesopathic pain and increase functionality of patients. This intervention is used as alternative therapy for calcified and non-calcified rotator cuff tendinopathy, Achilles or patellar tendinopathy thus it reduces the need for surgery. These are considered as common medical conditions and the physical therapy rehabilitation plays a significantly important role to recover these patients. The rehabilitation program of patients having tendinopathy creates an immense challenge for rehabilitation specialists and therapists.
{"title":"Latest Trends in Physical Therapy: Extracorporeal Shockwave Therapy","authors":"D. Fatima","doi":"10.55735/thjprs.v1i2.12","DOIUrl":"https://doi.org/10.55735/thjprs.v1i2.12","url":null,"abstract":"Extracorporeal Shockwave therapy is a scientifically-based therapeutic modality used for treating variety of musculoskeletal disorders. This medical tool is gradually paving its way among the armamentarium of interventions for musculoskeletal conditions, along with its pros and cons. As mirrored by the valuable evidence from the contemporary studies, pending queries await to be resolved related to the mechanism of action of this treatment, the optimal therapy protocol, frequency of sessions, amount of energy applied. For satisfactory and effective alleviation of symptoms, there is need for such type of differential treatment which may contribute to make patient’s condition better. \u0000Shockwave therapy is found to be effective for the treatment of tendinopathies, as it may elicit an anti-inflammatory and analgesic response, thus helps in regenerating tissue. Shockwaves are high-pressure acoustic waves that can minimize the enthesopathic pain and increase functionality of patients. This intervention is used as alternative therapy for calcified and non-calcified rotator cuff tendinopathy, Achilles or patellar tendinopathy thus it reduces the need for surgery. These are considered as common medical conditions and the physical therapy rehabilitation plays a significantly important role to recover these patients. The rehabilitation program of patients having tendinopathy creates an immense challenge for rehabilitation specialists and therapists.","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120952821","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}
In the domain of physical therapy, the prime emphasis of preliminary treatment is the physical and physiological outcome of the disorder and the patient’s interventions. Physical therapy is mainly based on the identification and increasing the movement potential in the domains of promotion, treatment, prevention and rehabilitation. Physical therapy is based on practice in a wide range of inpatients, outpatients, and depends on community-based setups like clinics and centers with palliative care whereby the member of a multidisciplinary team of patient care, conveys the physical and functional extents of patients’ diseases.
{"title":"Evidence-Based Physical Therapy","authors":"A. Fatima","doi":"10.55735/thjprs.v1i1.24","DOIUrl":"https://doi.org/10.55735/thjprs.v1i1.24","url":null,"abstract":"In the domain of physical therapy, the prime emphasis of preliminary treatment is the physical and physiological outcome of the disorder and the patient’s interventions. Physical therapy is mainly based on the identification and increasing the movement potential in the domains of promotion, treatment, prevention and rehabilitation. Physical therapy is based on practice in a wide range of inpatients, outpatients, and depends on community-based setups like clinics and centers with palliative care whereby the member of a multidisciplinary team of patient care, conveys the physical and functional extents of patients’ diseases. ","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126696097","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}
Abstract Background: Injury to the hamstring muscle is a common non-contact injury among athletes. Several modifiable and non-modifiable factors are responsible for hamstring strain injury. Objective: The objective was to determine the modifiable and non-modifiable risk factors for hamstring strain injury in the athletes. Methods: This cross-sectional study consisted of 102 athletes using convenient sampling. Athletes age range between 18 to 25 years playing nationally at a provisional level among different universities of Lahore were included while those having pathological conditions like tendon rupture, chronic tendinopathy, fracture, tumor, and acute injury were excluded from this study. For qualitative data, bar charts and percentages were used. The quantitative data like age, dominant hand, gender and smoking were presented as mean and standard deviation. Results: Findings showed that almost 40.2% of athletes missed their training match out of which 73.5% experienced soreness or stiffness because 87% did not fully cool down after training or match. Almost 45.1% of athletes suffered from hamstring strain injuries and their symptoms aggravated during stretching while 28.4% during jogging, 21.6% during changing direction when running and 28.4% while accelerating. Modifiable risk factors were found as 33.3%, 31.4% and 51% due to reduced muscle strength, flexibility and lower back pain respectively. Conclusion: Inappropriate coaching, advancing age and history of the previous injury are identified as major risk factors causing hamstring strain injuries among athletes of universities. Lack of knowledge of fully warming up the hamstrings before training and cooling down after training may lead the athletes susceptible to strain injuries. Correspondence: Jawad Tahir, Central Park Medical College, Lahore, Pakistan; Email: dr.jd2917@gmail.com Citation: Tahir J. 2021. Risk factors for hamstring muscle strain injury in athletes. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):15-20.
摘要背景:腘绳肌损伤是运动员中常见的非接触性损伤。一些可改变的和不可改变的因素是造成腿筋拉伤的原因。目的:目的是确定运动员腿筋拉伤的可改变和不可改变的危险因素。方法:采用方便抽样的方法对102名运动员进行横断面研究。年龄在18 - 25岁之间的拉合尔不同大学的全国临时水平的运动员被纳入本研究，而那些有肌腱断裂、慢性肌腱病、骨折、肿瘤和急性损伤等病理条件的运动员被排除在本研究之外。对于定性数据，采用柱状图和百分比。年龄、优势手、性别、吸烟等定量数据以均数和标准差表示。结果:调查结果显示，近40.2%的运动员错过了他们的训练比赛，其中73.5%的运动员经历了酸痛或僵硬，因为87%的运动员在训练或比赛后没有完全冷却下来。45.1%的运动员在拉伸时出现腿筋拉伤，慢跑时28.4%，跑步时21.6%，加速时28.4%。可改变的危险因素分别为33.3%、31.4%和51%，原因是肌肉力量、柔韧性和下背部疼痛降低。结论:教练员训练不当、年龄增大和既往损伤史是导致高校运动员腿筋拉伤的主要危险因素。缺乏对训练前腘绳肌充分热身和训练后腘绳肌冷却的了解可能会导致运动员容易拉伤。通讯:Jawad Tahir，中央公园医学院，拉合尔，巴基斯坦;Email: dr.jd2917@gmail.com引用本文:Tahir J. 2021。运动员腘绳肌拉伤的危险因素。物理治疗与康复科学杂志，1(1):15-20。
{"title":"Risk Factors for Hamstring Muscle Strain Injury in Athletes","authors":"Jawad Tahir","doi":"10.55735/thjprs.v1i1.20","DOIUrl":"https://doi.org/10.55735/thjprs.v1i1.20","url":null,"abstract":"Abstract \u0000 \u0000Background: Injury to the hamstring muscle is a common non-contact injury among athletes. Several modifiable and non-modifiable factors are responsible for hamstring strain injury. Objective: The objective was to determine the modifiable and non-modifiable risk factors for hamstring strain injury in the athletes. Methods: This cross-sectional study consisted of 102 athletes using convenient sampling. Athletes age range between 18 to 25 years playing nationally at a provisional level among different universities of Lahore were included while those having pathological conditions like tendon rupture, chronic tendinopathy, fracture, tumor, and acute injury were excluded from this study. For qualitative data, bar charts and percentages were used. The quantitative data like age, dominant hand, gender and smoking were presented as mean and standard deviation. Results: Findings showed that almost 40.2% of athletes missed their training match out of which 73.5% experienced soreness or stiffness because 87% did not fully cool down after training or match. Almost 45.1% of athletes suffered from hamstring strain injuries and their symptoms aggravated during stretching while 28.4% during jogging, 21.6% during changing direction when running and 28.4% while accelerating. Modifiable risk factors were found as 33.3%, 31.4% and 51% due to reduced muscle strength, flexibility and lower back pain respectively. Conclusion: Inappropriate coaching, advancing age and history of the previous injury are identified as major risk factors causing hamstring strain injuries among athletes of universities. Lack of knowledge of fully warming up the hamstrings before training and cooling down after training may lead the athletes susceptible to strain injuries. \u0000Correspondence: Jawad Tahir, Central Park Medical College, Lahore, Pakistan; Email: dr.jd2917@gmail.com \u0000Citation: Tahir J. 2021. Risk factors for hamstring muscle strain injury in athletes. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):15-20. ","PeriodicalId":351154,"journal":{"name":"The Healer Journal of Physiotherapy and Rehabilitation Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133939422","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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