Pub Date : 2021-02-01DOI: 10.15621/IJPHY/2021/V8I1/903
Riza Azeri, Duygu Koyuncu Irmak, Eda Sun, E. Karaoz
{"title":"Safety and Efficacy of The Stem Cell Transplantation in Friedreich’s Ataxia: A Report of Three Cases","authors":"Riza Azeri, Duygu Koyuncu Irmak, Eda Sun, E. Karaoz","doi":"10.15621/IJPHY/2021/V8I1/903","DOIUrl":"https://doi.org/10.15621/IJPHY/2021/V8I1/903","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"13 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85876466","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}
Pub Date : 2021-02-01DOI: 10.15621/IJPHY/2021/V8I1/904
Obalolu Jones Onigbinde
{"title":"The Prevalence of No-Shows and Cancellations Rate in Outpatient Physical Therapy Practice and Its Relationship to Age and Gender","authors":"Obalolu Jones Onigbinde","doi":"10.15621/IJPHY/2021/V8I1/904","DOIUrl":"https://doi.org/10.15621/IJPHY/2021/V8I1/904","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"241 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75772960","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}
Pub Date : 2021-02-01DOI: 10.15621/IJPHY/2021/V8I1/899
Martin G. Rosario, Aleena Jose, Lara Davis, F. Bayron
{"title":"Physical Activity Preserve an Adequate Balance Profile in Active Hispanic-Latino Older Adults Participating in a Community Center","authors":"Martin G. Rosario, Aleena Jose, Lara Davis, F. Bayron","doi":"10.15621/IJPHY/2021/V8I1/899","DOIUrl":"https://doi.org/10.15621/IJPHY/2021/V8I1/899","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"69 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84279962","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}
Pub Date : 2021-01-01DOI: 10.15621/ijphy/2021/v8i2/993
A. Al-Shenqiti
Background: There is a scarcity of understanding about the region-specific trends and relations of amputation-related parameters for Saudi Arabia. Objective: The primary objective of this study was to study the epidemiology of a cross-section of the Saudi Arabian population that has undergone upper or lower limb amputation due to trauma in terms of epidemiological parameters (age, gender, and side of amputation) in the past ten years. Methods: Medical records of five tertiary care hospitals of Saudi Arabia were retrieved to collect data. Results: Data of 245 amputees was analyzed (age: 28.04 ± 23.31 years), out of which 71.42% were male (male: female = 5: 2). The frequency of amputations in five tertiary care hospitals in Saudi Arabia was inversely related to the amputees' age group. No significant relationship of gender was found with the level of amputation. However, a significant relationship was found between annual distribution and level of amputation (p = 0.036). Conclusion: Year of amputation had a significant relationship with the level of amputation. Further studies can categorize these amputations according to trauma type to further explore the relationship between demographic parameters and amputation level.
{"title":"Traumatic Upper and Lower Limb Amputations of Saudi Arabian Locals: A Ten-year Epidemiological Overview","authors":"A. Al-Shenqiti","doi":"10.15621/ijphy/2021/v8i2/993","DOIUrl":"https://doi.org/10.15621/ijphy/2021/v8i2/993","url":null,"abstract":"Background: There is a scarcity of understanding about the region-specific trends and relations of amputation-related parameters for Saudi Arabia. Objective: The primary objective of this study was to study the epidemiology of a cross-section of the Saudi Arabian population that has undergone upper or lower limb amputation due to trauma in terms of epidemiological parameters (age, gender, and side of amputation) in the past ten years. Methods: Medical records of five tertiary care hospitals of Saudi Arabia were retrieved to collect data. Results: Data of 245 amputees was analyzed (age: 28.04 ± 23.31 years), out of which 71.42% were male (male: female = 5: 2). The frequency of amputations in five tertiary care hospitals in Saudi Arabia was inversely related to the amputees' age group. No significant relationship of gender was found with the level of amputation. However, a significant relationship was found between annual distribution and level of amputation (p = 0.036). Conclusion: Year of amputation had a significant relationship with the level of amputation. Further studies can categorize these amputations according to trauma type to further explore the relationship between demographic parameters and amputation level.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"79 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83785451","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/836
J. Theis, Hsi-Yu Ku
Background: Patients often enquire when they can start driving following total knee arthroplasty (TKA) surgery. Brake response time is an essential factor when resuming driving, and this has been extensively reported, but no data is available on when the patient can get safely in and out of a car based on the restricted knee flexion. Methods: We investigated the degree of difficulty and required knee flexion (RKF) to get into different car types, comprised of Sedans and Sports Utility Vehicles (SUV), using 11 volunteers with healthy knees. We used an electronic goniometer to record knee flexion required to get into the driver's seat, and participants were asked about their perceived difficulty getting into the car using a Visual Analog Scale (VAS) score (1 no difficulty to 10 impossible). We then restricted the knee flexion to 90, 60 and 30 degrees (using braces) to mimic knee stiffness following TKR surgery. Results: We observed that the mean range of knee flexion to get into a car comfortably was 101.8 degrees on the left and 110.6 degrees on the right. Restricting knee flexion to 60 and 30 degrees increased the leading leg entry time and led to abnormal body movements more so with SUV's compared to Sedans. This was confirmed by higher VAS scores for SUV's (p<0.005). Conclusion: Following a left TKA, patients should be allowed to resume driving a Sedan or SUV if they achieve 90 degrees of knee flexion whereas following a right TKA a knee flexion of 60 degrees is required for a Sedan and 90 degrees for an SUV.
{"title":"HOW EASY IS IT GETTING INTO A CAR FOLLOWING TOTAL KNEE ARTHROPLASTY?","authors":"J. Theis, Hsi-Yu Ku","doi":"10.15621/IJPHY/2020/V7I6/836","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/836","url":null,"abstract":"Background: Patients often enquire when they can start driving following total knee arthroplasty (TKA) surgery. Brake response time is an essential factor when resuming driving, and this has been extensively reported, but no data is available on when the patient can get safely in and out of a car based on the restricted knee flexion. Methods: We investigated the degree of difficulty and required knee flexion (RKF) to get into different car types, comprised of Sedans and Sports Utility Vehicles (SUV), using 11 volunteers with healthy knees. We used an electronic goniometer to record knee flexion required to get into the driver's seat, and participants were asked about their perceived difficulty getting into the car using a Visual Analog Scale (VAS) score (1 no difficulty to 10 impossible). We then restricted the knee flexion to 90, 60 and 30 degrees (using braces) to mimic knee stiffness following TKR surgery. Results: We observed that the mean range of knee flexion to get into a car comfortably was 101.8 degrees on the left and 110.6 degrees on the right. Restricting knee flexion to 60 and 30 degrees increased the leading leg entry time and led to abnormal body movements more so with SUV's compared to Sedans. This was confirmed by higher VAS scores for SUV's (p<0.005). Conclusion: Following a left TKA, patients should be allowed to resume driving a Sedan or SUV if they achieve 90 degrees of knee flexion whereas following a right TKA a knee flexion of 60 degrees is required for a Sedan and 90 degrees for an SUV.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"37 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74029719","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/834
F. Khan, M. F. Chevidikunnan, Lama Shawli, M. Noohu
Upper limb dysfunction is a significant cause of disability after stroke. Previous studies have shown that the application of low frequency focused ultrasound as a brain stimulation technique modulates the function of the primary somatosensory motor cortex by enhancing sensory discriminative tasks, and application on the primary motor cortex provided cortical excitability. Ultrasound has only recently emerged as a non-invasive human neuromodulation technique for its distinct advantages over other electrotherapeutic techniques such as providing superior specificity and penetrability, eventually enhancing cortical plasticity stroke-affected hemisphere to provide post-stroke regains in upper limb functions.
{"title":"TRANSCRANIAL LOW FREQUENCY FOCUSED ULTRASOUND (TLFFU) FOR UPPER LIMB REHABILITATION ON PATIENTS WITH STROKE","authors":"F. Khan, M. F. Chevidikunnan, Lama Shawli, M. Noohu","doi":"10.15621/IJPHY/2020/V7I6/834","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/834","url":null,"abstract":"Upper limb dysfunction is a significant cause of disability after stroke. Previous studies have shown that the application of low frequency focused ultrasound as a brain stimulation technique modulates the function of the primary somatosensory motor cortex by enhancing sensory discriminative tasks, and application on the primary motor cortex provided cortical excitability. Ultrasound has only recently emerged as a non-invasive human neuromodulation technique for its distinct advantages over other electrotherapeutic techniques such as providing superior specificity and penetrability, eventually enhancing cortical plasticity stroke-affected hemisphere to provide post-stroke regains in upper limb functions.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"5 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73667617","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/838
Fahad Alanazi, H. Amer
Background: Fear-Avoidance Beliefs Questionnaire (FABQ), Quebec Back Pain Disability Scale (QDS), and RolandMorris Disability Questionnaire (RMDQ) is widely used in patients with low back pain (LBP) to assess the level of disability. Nonetheless, there are limited data about the responsiveness properties of the Arabic versions of these scales. This study was conducted to assess the responsiveness of the Arabic versions of the FABQ, QDS, and RMDQ compared to that of the Visual Analog Scale (VAS). Methods: A sample of 68 patients with LBP completed FABQ, QDS, RMDQ, and VAS at baseline and after 14 days. Responsiveness was evaluated by calculating the standard error of measurement (SEM), the minimal detectable difference at 95% confidence level (MDD95%), standardized response mean (SRM), Cohen’s effect size (ES), Guyatt’s responsiveness index (GRI), area under the curve (AUC), and minimal clinically significant difference (MCID). Results: The SEM, MDD95%, SRM, ES, GRI, AUC, and MCID for FABQ, QDS, RMDQ, and VAS were 2.54, 2.83, 0.77, and 0.82; 7.05, 7.85, 2.14, and 2.28; 0.67, 0.96, 0.74, and 1.04; 0.39, 0.39, 0.36, and 0.79; 0.76, 1.34, 1.26, and 1.66; 0.49, 0.63, 0.57, and 0.70; and 3.5, 4.5, 2.5, and 1.5; respectively. Conclusion: Although the responsiveness of the Arabic versions of FABQ, QDS, and RMDQ was below the recommended standards and less than the responsiveness calculated for the VAS, it was comparable with previously published versions in other languages. Additional studies are necessary to examine the three scales' responsiveness with a more extended follow-up period.
{"title":"RESPONSIVENESS OF ARABIC INSTRUMENTS FOR PAIN AND DISABILITY IN PATIENTS WITH LOW BACK PAIN","authors":"Fahad Alanazi, H. Amer","doi":"10.15621/IJPHY/2020/V7I6/838","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/838","url":null,"abstract":"Background: Fear-Avoidance Beliefs Questionnaire (FABQ), Quebec Back Pain Disability Scale (QDS), and RolandMorris Disability Questionnaire (RMDQ) is widely used in patients with low back pain (LBP) to assess the level of disability. Nonetheless, there are limited data about the responsiveness properties of the Arabic versions of these scales. This study was conducted to assess the responsiveness of the Arabic versions of the FABQ, QDS, and RMDQ compared to that of the Visual Analog Scale (VAS). Methods: A sample of 68 patients with LBP completed FABQ, QDS, RMDQ, and VAS at baseline and after 14 days. Responsiveness was evaluated by calculating the standard error of measurement (SEM), the minimal detectable difference at 95% confidence level (MDD95%), standardized response mean (SRM), Cohen’s effect size (ES), Guyatt’s responsiveness index (GRI), area under the curve (AUC), and minimal clinically significant difference (MCID). Results: The SEM, MDD95%, SRM, ES, GRI, AUC, and MCID for FABQ, QDS, RMDQ, and VAS were 2.54, 2.83, 0.77, and 0.82; 7.05, 7.85, 2.14, and 2.28; 0.67, 0.96, 0.74, and 1.04; 0.39, 0.39, 0.36, and 0.79; 0.76, 1.34, 1.26, and 1.66; 0.49, 0.63, 0.57, and 0.70; and 3.5, 4.5, 2.5, and 1.5; respectively. Conclusion: Although the responsiveness of the Arabic versions of FABQ, QDS, and RMDQ was below the recommended standards and less than the responsiveness calculated for the VAS, it was comparable with previously published versions in other languages. Additional studies are necessary to examine the three scales' responsiveness with a more extended follow-up period.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79220839","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/845
Kathiresan Moorthy, G. Elumalai, S. H. Azmi, F. H. Abadi, Wallapa Choeibuakaew
Background: Physical Balance is vital in netball because it impacts the foot movements, which consider as a fault play in this game. This study aims to evaluate the Balance Training Program's effectiveness on the level of balance and foot movement errors among netball players in Rompin District. Methods: This true Experimental study using the pre-and post-test method was conducted among 42 netball players below 12 years old from two primary schools. Researchers selected 42 players and randomly divided them into two groups, the control group (n = 21) and the treatment group (n = 21). The data collected using a dynamic balance test instrument to assess the level of body balancing. Foot movement fault measured through friendly games. Results: The results showed a significant difference in the balance between the control group and the treatment group after the intervention. The independent t-test analysis showed that the treatment group reached a high balance level and could reduce errors in foot movements (M = 93.29, SP = 4.256). The t value (32.514) = 20, p = .000, p <0.5 compared to the control group. The balance training program has a significant impact on reducing netball players’ foot movement
{"title":"THE EFFECTIVENESS OF BALANCE TRAINING PROGRAM TOWARDS THE FOOT MOVEMENT ERROR AMONG NETBALL PLAYERS","authors":"Kathiresan Moorthy, G. Elumalai, S. H. Azmi, F. H. Abadi, Wallapa Choeibuakaew","doi":"10.15621/IJPHY/2020/V7I6/845","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/845","url":null,"abstract":"Background: Physical Balance is vital in netball because it impacts the foot movements, which consider as a fault play in this game. This study aims to evaluate the Balance Training Program's effectiveness on the level of balance and foot movement errors among netball players in Rompin District. Methods: This true Experimental study using the pre-and post-test method was conducted among 42 netball players below 12 years old from two primary schools. Researchers selected 42 players and randomly divided them into two groups, the control group (n = 21) and the treatment group (n = 21). The data collected using a dynamic balance test instrument to assess the level of body balancing. Foot movement fault measured through friendly games. Results: The results showed a significant difference in the balance between the control group and the treatment group after the intervention. The independent t-test analysis showed that the treatment group reached a high balance level and could reduce errors in foot movements (M = 93.29, SP = 4.256). The t value (32.514) = 20, p = .000, p <0.5 compared to the control group. The balance training program has a significant impact on reducing netball players’ foot movement","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"2 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84872964","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/846
Luna Sequier, Florian Forelli, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, J. Mazeas
{"title":"VARIATION IN GASTROCNEMIUS AND HAMSTRINGS MUSCLE ACTIVITY DURING PEAK KNEE FLEXOR FORCE AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH HAMSTRING GRAFT: A PRELIMINARY CONTROLLED STUDY","authors":"Luna Sequier, Florian Forelli, Maude Traullé, A. Vandebrouck, P. Duffiet, L. Ratte, J. Mazeas","doi":"10.15621/IJPHY/2020/V7I6/846","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/846","url":null,"abstract":"","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"35 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85444453","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}
Pub Date : 2020-12-01DOI: 10.15621/IJPHY/2020/V7I6/837
Varun Kalia, S. Mani
Background: Adhesive Capsulitis (AC) of the shoulder joint is a chronic disabling musculoskeletal condition affecting 2% to 5.3% of the world's general population. It results in pain, restricted ROM, impaired myofascial kinetics due to fibrosis of capsules and ligaments. Myofascial trigger points (MTrPs) that could further restrict shoulder movements by inducing girdle muscle tightness. MTrP dry needling (MDN) intervention and other conservative therapies in subjects with AC of the shoulder would enhance the clinical outcome. However, insufficient evidence available to support the local MDN with paraspinal dry needling (PSDN) for the AC management. The study's objective is to evaluate the efficacy of local MDN with and without PSDN in AC patients. Methods: A total of 210 (98 male, 112 female) clinically diagnosed subjects with AC were recruited from a multi-specialty hospital and then randomly assigned to one of three groups. G1: Local MDN group (n=70) G2: Local MDN with PSDN group (n=70) G3: Conventional physiotherapy group (n=70). The outcome measures included pain intensity (VAS), shoulder ROMs (Goniometer), disability (SPADI), and pressure pain threshold (pressure algometer) were assessed at baseline and 12th day of the intervention. Results: The statistically significant (p < 0.05) improvement in all shoulder ROMs (except lateral rotation), pain intensity, SPADI, and PPT in “G1” and “G2” compared to “G3” but no significant difference in between “G1” and “G2”. Conclusion: Local MDN is an effective treatment technique and conventional physiotherapy intervention, but PSDN does not have an additive effect on outcome measures in AC subjects.
{"title":"DRY NEEDLING WITH AND WITHOUT PARASPINAL NEEDLING IN PATIENTS WITH ADHESIVE CAPSULITIS. A RANDOMIZED CLINICAL TRIAL","authors":"Varun Kalia, S. Mani","doi":"10.15621/IJPHY/2020/V7I6/837","DOIUrl":"https://doi.org/10.15621/IJPHY/2020/V7I6/837","url":null,"abstract":"Background: Adhesive Capsulitis (AC) of the shoulder joint is a chronic disabling musculoskeletal condition affecting 2% to 5.3% of the world's general population. It results in pain, restricted ROM, impaired myofascial kinetics due to fibrosis of capsules and ligaments. Myofascial trigger points (MTrPs) that could further restrict shoulder movements by inducing girdle muscle tightness. MTrP dry needling (MDN) intervention and other conservative therapies in subjects with AC of the shoulder would enhance the clinical outcome. However, insufficient evidence available to support the local MDN with paraspinal dry needling (PSDN) for the AC management. The study's objective is to evaluate the efficacy of local MDN with and without PSDN in AC patients. Methods: A total of 210 (98 male, 112 female) clinically diagnosed subjects with AC were recruited from a multi-specialty hospital and then randomly assigned to one of three groups. G1: Local MDN group (n=70) G2: Local MDN with PSDN group (n=70) G3: Conventional physiotherapy group (n=70). The outcome measures included pain intensity (VAS), shoulder ROMs (Goniometer), disability (SPADI), and pressure pain threshold (pressure algometer) were assessed at baseline and 12th day of the intervention. Results: The statistically significant (p < 0.05) improvement in all shoulder ROMs (except lateral rotation), pain intensity, SPADI, and PPT in “G1” and “G2” compared to “G3” but no significant difference in between “G1” and “G2”. Conclusion: Local MDN is an effective treatment technique and conventional physiotherapy intervention, but PSDN does not have an additive effect on outcome measures in AC subjects.","PeriodicalId":42989,"journal":{"name":"International Journal of Physiotherapy","volume":"20 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78238299","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}