Abstract Background: Rheumatoid arthritis is a chronic disease affecting the immune system and it particularly targets synovial joints, bringing about inflammation and causing functional limitations. Objective: To explore the evidence showing the influence of early menopause in women with rheumatoid arthritis. Methods: In this systematic review, all the literature from 2010 to 2019 was searched with specific keywords “menopause, premature menopause, early menopause, rheumatoid arthritis, rheumatic diseases” with the use of Boolean operators. Databases that were thoroughly searched included Google Scholar, PubMed and HEC digital library. After careful screening, 10 studies that met the inclusion criteria were included in the review. The quality of these articles was assessed using the AXIS tool for that cross-sectional studies. Results: These studies indicated that post-menopausal women are at higher risk of developing rheumatoid arthritis and they are more likely to have early or premature menopause (in ≤45 years). At baseline, the post-menopausal women had high health assessment questionnaire scores than pre-menopausal women. Conclusion: This review states that menopausal women are highly at risk of developing rheumatoid arthritis, especially those experiencing this at an early age and this condition can also worsen arthritic symptoms. Hormonal changes may influence pathways that are distinct from those leading to severe and progressive rheumatoid arthritis. *Corresponding author: Zehra Kazmi, University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan; Email: zaza.kazmi110@gmail.com Citation: Kazmi Z. 2021. The influence of early menopause in women with rheumatoid arthritis; a systematic review. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):27-37.
摘要背景:类风湿关节炎是一种影响免疫系统的慢性疾病，尤其以滑膜关节为靶点，可引起炎症和功能限制。目的:探讨早期绝经对类风湿关节炎患者的影响。方法:采用布尔运算符，以“绝经、早绝经、早绝经、类风湿关节炎、风湿性疾病”为关键词检索2010 - 2019年的所有文献。彻底搜索的数据库包括Google Scholar、PubMed和HEC数字图书馆。经过仔细筛选，符合纳入标准的10项研究被纳入本综述。这些文章的质量使用横断面研究的AXIS工具进行评估。结果:这些研究表明，绝经后的妇女患类风湿关节炎的风险更高，她们更有可能提前或过早绝经(≤45年)。在基线时，绝经后妇女的健康评估问卷得分高于绝经前妇女。结论:这篇综述指出，绝经期妇女患类风湿关节炎的风险很高，尤其是那些在早期经历过类风湿关节炎的妇女，这种情况也会加重关节炎症状。激素变化可能影响不同于导致严重和进行性类风湿性关节炎的途径。*通讯作者:Zehra Kazmi，拉合尔大学物理治疗研究所，巴基斯坦拉合尔;电子邮件:zaza.kazmi110@gmail.com引文:Kazmi Z. 2021。早期绝经对类风湿关节炎患者的影响系统回顾。物理治疗与康复科学杂志，1(1):27-37。
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Abstract Background: The role of physiotherapy in obstetrics and gynecology that includes gestation period, childbirth, and antenatal and postnatal care is important. It is essential to create awareness about physiotherapy in hospital setups among gynecologists to provide better health care services to females. Objective: To assess awareness among gynecologists regarding the role of physical therapy in post-partum females. Methods: A cross-sectional study was conducted six months after the approval of the synopsis from September 2020 to January 2021. Data were collected from 75 gynecologists of Lahore and Sahiwal using non-probability convenient sampling. A self-administered questionnaire was used to take data from gynecologists after taking written consent from the participants. Using SPSS version 21, descriptive statistics like frequency and percentage were calculated for categorical variables. For quantitative data, means and standard deviations were estimated. Results: It was shown that postpartum physical therapy services were known to 57(76%) of gynecologists. Among them, 11(14.7%) gynecologists do refer patients, 14(18.7%) do not refer at all, 28(37.3%) refer when required, and 22(29.3%) refer clients very rarely to the physiotherapy department. Conclusion: It was concluded that the majority of the gynecologists were aware of postpartum physical therapy for women. But there is a lack of referral systems in our settings because they do not have any proper gynecological physiotherapy settings affiliated with them. Only a few gynecologists refer patients for Physiotherapy services. *Corresponding Author: Ghania Nazar, University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan, Email: ghanianazar555@gmail.com Citation: Ghania Nazar. 2021. Awareness about the role of physical therapy in post-partum females among gynecologists. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):21-26.
摘要背景:物理治疗在妇产科包括妊娠期、分娩、产前和产后护理中的作用是重要的。必须提高医院妇科医生对物理治疗的认识，以便为女性提供更好的保健服务。目的:了解妇科医生对女性产后物理治疗作用的认识。方法:在大纲批准后6个月(2020年9月至2021年1月)进行横断面研究。采用非概率方便抽样法对拉合尔和萨希瓦尔的75名妇科医生进行数据采集。在获得参与者的书面同意后，使用一份自我管理的问卷从妇科医生那里获取数据。使用SPSS version 21对分类变量进行频率、百分比等描述性统计。对于定量数据，估计均值和标准差。结果:有57名(76%)妇科医生了解产后物理治疗服务。其中，11名(14.7%)妇科医生会转介患者，14名(18.7%)完全不转介患者，28名(37.3%)会按要求转介患者，22名(29.3%)很少转介患者到物理治疗科。结论:绝大多数妇科医生对女性产后物理治疗有所了解。但是在我们的环境中缺乏转诊系统，因为他们没有任何适当的妇科物理治疗机构。只有少数妇科医生会推荐病人进行物理治疗。*通讯作者:Ghania Nazar，巴基斯坦拉合尔大学物理治疗研究所，Email: ghanianazar555@gmail.com引文来源:Ghania Nazar. 2021。妇科医生对产后女性物理治疗作用的认识。物理治疗与康复科学杂志，1(1):21-26。
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Rashid Hafeez Nasir, Rabia Tabassum, Sahreen Anwar, M. Chaudary, Tahreem Mukhtar, W. Parveen
Abstract Background: Patients with lower backache commonly complain of hamstrings tightness which is responsible for altering biomechanics of the lower limb and spine. Reduced muscular flexibility affects the functional capacity of an individual and also damages the musculoskeletal system as a result of overuse. Objective: The objective is to compare the effects of static stretching versus stretching with traction on hamstrings flexibility in patients with backache. Methods: A single-blinded, controlled trial was conducted on 44 subjects who presented with primary complaints of back pain, hamstrings tightness and pain/tenderness in the back of the thigh. Group A was treated with static stretching and Group B with stretching with traction (Mulligan). Straight leg raise, 90-90 test, and visual analogue scale were used to calculate the scores in the two groups. An independent t-test was calculated to measure the difference between the treatment outcomes of the two groups while paired sample t-test was used to measure the differences within the groups. Results: Both groups showed significant results with both tests and pain scores. When both the groups were compared, stretching with traction showed a significant difference from static stretching in relieving hamstrings tightness in patients with backache. Conclusion: Stretching of hamstrings with traction is found to be a significant treatment option as compared to static stretching as the participants showed a significant difference in outcome measures in relieving hamstrings tightness in patients having backache. *Corresponding Author: Sahreen Anwar, Independent Medical College, Faisalabad, Pakistan; Email: sahreenanwar@yahoo.com Citation: Nasir R.H., R. Tabassum, S. Anwar, M. Chaudhary, T. Mukhtar, W. Parveen. 2021. Comparative effects of static stretching versus stretching with traction on hamstrings flexibility in patients with backache; a randomized controlled trial. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):2-8.
背景:腰痛患者通常主诉腘绳肌紧绷，腘绳肌紧绷会改变下肢和脊柱的生物力学。肌肉柔韧性降低会影响个人的功能，也会因过度使用而损害肌肉骨骼系统。目的:目的是比较静态拉伸与牵引拉伸对腰痛患者腘绳肌柔韧性的影响。方法:对44例以背部疼痛、腘绳肌紧绷和大腿后部疼痛/压痛为主诉的受试者进行单盲对照试验。A组采用静态拉伸，B组采用拉伸加牵引(Mulligan)。采用直腿抬高法、90-90测验法和视觉模拟量表计算两组的得分。采用独立t检验衡量两组治疗结果的差异，采用配对样本t检验衡量组内差异。结果:两组患者的疼痛评分及各项指标均有显著改善。当两组进行比较时，牵引拉伸与静态拉伸在缓解背痛患者腘绳肌紧绷方面有显著差异。结论:与静态拉伸相比，牵引拉伸腘绳肌是一种重要的治疗选择，因为参与者在缓解背痛患者腘绳肌紧绷的结果测量中表现出显着差异。*通讯作者:Sahreen Anwar，巴基斯坦费萨拉巴德独立医学院;引用本文:Nasir r.h.， R. Tabassum, S. Anwar, M. Chaudhary, T. Mukhtar, W. Parveen, 2021。静态拉伸与牵引拉伸对腰痛患者腘绳肌柔韧性的影响一项随机对照试验。物理治疗与康复科学杂志，1(1):2-8。
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Abstract Background: Patellofemoral pain syndrome represented by anterior knee pain is the most common condition experienced by individuals suffering from knee pathology. Pain behind the kneecap or around the kneecap is the main characteristic, can occur due to the stress on joint structures, commonly affecting athletes and females. It mostly occurs during ascending and descending stairs and remains in a sitting position for a prolonged duration. Objective: To determine the effects of McConnell taping on function and dynamic postural control in athletes with patellofemoral pain syndrome. Methods: This quasi-experimental study consisted of 38 participants with ages ranging from 18 to 40 years presenting with anterior knee pain. Data was collected from the Spine Physiotherapy clinic, Sahiwal. About 28 patients were treated with McConnell taping along with conventional physical therapy. Star excursion balance test and lower extremity functional test scale were used to assess functional and dynamic postural control before treatment and after 24 hours of treatment. Results: The outcomes revealed that there was a statistically significant difference within the group. The p-value was found significant (p<0.001) for both variables. Conclusion: This study concluded that McConnell taping was effective for treating patients with patellofemoral pain syndrome for functional and dynamic postural control. *Corresponding Author: Naeem Aslam, King Edward Medical University, Lahore, Pakistan; Email: naeemaslam693@gmail.com Citation: Aslam N., A. Razzaq, S. Iftikhar. 2021. Effects of McConnell taping on function and dynamic postural control in athletes with patellofemoral pain syndrome. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):9-14. Keywords: anterior knee pain; McConnell taping; patellofemoral pain syndrome
摘要背景:髌股疼痛综合征以膝关节前部疼痛为代表，是膝关节病理患者最常见的症状。膝盖骨后或膝盖骨周围的疼痛是主要特征，可由于关节结构的压力而发生，通常影响运动员和女性。它主要发生在上下楼梯时，并且长时间保持坐姿。目的:探讨麦康奈尔贴敷对髌股疼痛综合征运动员运动功能和动态姿势控制的影响。方法:这项准实验研究包括38名年龄在18岁到40岁之间的参与者，他们表现为膝关节前痛。数据收集自脊柱理疗诊所，Sahiwal。约28名患者在常规物理治疗的同时接受了麦康奈尔胶布治疗。采用星偏移平衡测试和下肢功能测试量表评估治疗前和治疗后24小时的功能和动态姿势控制。结果:结果显示，组内差异有统计学意义。两个变量的p值均显著(p<0.001)。结论:本研究表明，McConnell胶布对髌股疼痛综合征患者的功能和动态姿势控制是有效的。*通讯作者:Naeem Aslam，巴基斯坦拉合尔爱德华国王医科大学;引用本文:Aslam N, A. Razzaq, S. Iftikhar. 2021。麦康奈尔贴敷对髌股疼痛综合征运动员功能和动态姿势控制的影响。物理治疗与康复科学杂志，1(1):9-14。关键词:膝关节前侧疼痛;麦康奈尔录制;髌股疼痛综合征
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