Pub Date : 2023-09-30DOI: 10.52567/trehabj.v7i03.29
Asad Ullah, Zahid Mehmood, Zubair Ahmad, Rabia Kanwal, Mehboob Ali, Syeda Khadija Kazmi, Abdul Wahab, Anam Aftab
Background: Forward head posture is associated with the upper trapezius myofascial trigger points and cause pain, restricted range of motion, and referred pain in the arm. The positional release technique is likely to focus on evaluating the efficacy of this manual therapy approach. Objective: To determine the effects of positional release technique for myofascial trigger points of the upper trapezius with forward head posture Method: A randomized control trial study was conducted in the Physiotherapy Department of THQ Hospital Wazirabad, Pakistan, from February 2021 to June 2021 with a sample size of n=32 male participants. Participants were recruited with pain intensity of at least 3 points on the Visual Analogue Scale at baseline, at least one active TrP in the upper trapezius that was diagnosed using the method described by Travel and Simon, and computer users who spend at least 6 hours per day in a sitting posture and are between the ages of 18 and 45. All subjects were randomly and equally allocated into the Positional Release Therapy (PRT) group and a conventional Physical Therapy group. A total 12 treatment sessions were given with 3 days a week for consecutive 4 weeks. The data was collected at the baseline and after the 12th session. The outcome measures for trigger point sensitivity were pain pressure threshold (PPT), visual analogue scale (VAS), active contra lateral flexion (ACLF), cranio-vertebral angle (CVA), and neck disability index (NDI). Data analysis was done through SPSS version-27. Results: The mean age of 34.3±6.57 years. The positional release therapy post-intervention results showed more significant improvement (p≤0.05) in all outcomes PPT, VAS, ACLF, CVA, and NDI between the groups with large effect size. Conclusion: Positional release therapy (PRT) is superior to conventional therapy in decreasing pain intensity and threshold with disability in patients of upper trapezius trigger points Keywords: cranio-vertebral angle; forward head posture; neck disability index; pain pressure threshold; positional release therapy; trigger points; upper trapezius; visual analogue scale.
{"title":"Effects of positional release technique on myofascial trigger points of the upper trapezius in computer users having forward head posture","authors":"Asad Ullah, Zahid Mehmood, Zubair Ahmad, Rabia Kanwal, Mehboob Ali, Syeda Khadija Kazmi, Abdul Wahab, Anam Aftab","doi":"10.52567/trehabj.v7i03.29","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.29","url":null,"abstract":"Background: Forward head posture is associated with the upper trapezius myofascial trigger points and cause pain, restricted range of motion, and referred pain in the arm. The positional release technique is likely to focus on evaluating the efficacy of this manual therapy approach. Objective: To determine the effects of positional release technique for myofascial trigger points of the upper trapezius with forward head posture Method: A randomized control trial study was conducted in the Physiotherapy Department of THQ Hospital Wazirabad, Pakistan, from February 2021 to June 2021 with a sample size of n=32 male participants. Participants were recruited with pain intensity of at least 3 points on the Visual Analogue Scale at baseline, at least one active TrP in the upper trapezius that was diagnosed using the method described by Travel and Simon, and computer users who spend at least 6 hours per day in a sitting posture and are between the ages of 18 and 45. All subjects were randomly and equally allocated into the Positional Release Therapy (PRT) group and a conventional Physical Therapy group. A total 12 treatment sessions were given with 3 days a week for consecutive 4 weeks. The data was collected at the baseline and after the 12th session. The outcome measures for trigger point sensitivity were pain pressure threshold (PPT), visual analogue scale (VAS), active contra lateral flexion (ACLF), cranio-vertebral angle (CVA), and neck disability index (NDI). Data analysis was done through SPSS version-27. Results: The mean age of 34.3±6.57 years. The positional release therapy post-intervention results showed more significant improvement (p≤0.05) in all outcomes PPT, VAS, ACLF, CVA, and NDI between the groups with large effect size. Conclusion: Positional release therapy (PRT) is superior to conventional therapy in decreasing pain intensity and threshold with disability in patients of upper trapezius trigger points Keywords: cranio-vertebral angle; forward head posture; neck disability index; pain pressure threshold; positional release therapy; trigger points; upper trapezius; visual analogue scale.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041148","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.24
Nimra Ilyas Bhutta, Kinza Haneef, Seerat Rasheed, Sana Bashir, Saleh Shah
Background: compromised hamstring flexibility is a risk factor to sports-related injuries, as muscular tightness is believed to reduce athletic performance. Different muscle energy techniques and friction massage are commonly practiced by manual therapists to improve hamstring flexibility. Objectives: To compare the effectiveness of muscle energy technique and friction massage in hamstring tightness among young athletes in Pakistan Methodology: A randomized controlled trial was conducted at Helping Hand Institute of Rehabilitation Sciences (HHIRS), Mansehra, and Neurological Orthopaedic and Sports Injury Services Mansehra (NOSIS). A total of n=60 young athletes between 18-25 years with hamstring tightness and limited straight leg raise range of motion (<110⁰) were included in the study. The non-probability purposive sampling was used for data collection then the participants were randomly divided into Group A (n=20) received Post facilitation stretch (PFS), group B (n=20) received post-isometric relaxation (PIR), and Group C (n=20) which received deep friction massage through electronic massager. The athletic performance of the participants was assessed using the YMCA sit and reach test (S&RT) for flexibility, agility run test (ART) for agility, vertical jump test (VJT) for explosive power, and 100-meter run test (RT) for speed and explosive power at baseline, 10th day, and 20th day of the intervention. Results: The participants had a mean age of 21.55±2.05 years. The result showed that participants who received PFS showed significant (p<0.05) results as compared to PIR and FM after the 10th day, regarding VJT (p=0.006), ART (p=0.015), S&RT (p<0.001) and 100m RT (p<0.001). After the 20th day, PFA showed better results than PIR and FM after the 10th day. The participant who received FM showed less improvement than the remaining two groups but statistically significant p<0.05. Conclusion Muscle energy techniques, particularly PFS and PIR, proved effective in enhancing athletic performance parameters, including vertical jump, agility, and flexibility, among young athletes with hamstring tightness. These findings support their use in sports rehabilitation and injury prevention. Keywords: friction massage; hamstring tightness; manual mobilization technique; muscle energy technique; soft tissue mobilization post isometric relaxation; post facilitation stretch. Clinical Trail Number: NCT03680300
{"title":"Effectiveness of muscle energy techniques and friction massage in hamstring tightness amongst young athletes of Pakistan","authors":"Nimra Ilyas Bhutta, Kinza Haneef, Seerat Rasheed, Sana Bashir, Saleh Shah","doi":"10.52567/trehabj.v7i03.24","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.24","url":null,"abstract":"Background: compromised hamstring flexibility is a risk factor to sports-related injuries, as muscular tightness is believed to reduce athletic performance. Different muscle energy techniques and friction massage are commonly practiced by manual therapists to improve hamstring flexibility. Objectives: To compare the effectiveness of muscle energy technique and friction massage in hamstring tightness among young athletes in Pakistan Methodology: A randomized controlled trial was conducted at Helping Hand Institute of Rehabilitation Sciences (HHIRS), Mansehra, and Neurological Orthopaedic and Sports Injury Services Mansehra (NOSIS). A total of n=60 young athletes between 18-25 years with hamstring tightness and limited straight leg raise range of motion (<110⁰) were included in the study. The non-probability purposive sampling was used for data collection then the participants were randomly divided into Group A (n=20) received Post facilitation stretch (PFS), group B (n=20) received post-isometric relaxation (PIR), and Group C (n=20) which received deep friction massage through electronic massager. The athletic performance of the participants was assessed using the YMCA sit and reach test (S&RT) for flexibility, agility run test (ART) for agility, vertical jump test (VJT) for explosive power, and 100-meter run test (RT) for speed and explosive power at baseline, 10th day, and 20th day of the intervention. Results: The participants had a mean age of 21.55±2.05 years. The result showed that participants who received PFS showed significant (p<0.05) results as compared to PIR and FM after the 10th day, regarding VJT (p=0.006), ART (p=0.015), S&RT (p<0.001) and 100m RT (p<0.001). After the 20th day, PFA showed better results than PIR and FM after the 10th day. The participant who received FM showed less improvement than the remaining two groups but statistically significant p<0.05. Conclusion Muscle energy techniques, particularly PFS and PIR, proved effective in enhancing athletic performance parameters, including vertical jump, agility, and flexibility, among young athletes with hamstring tightness. These findings support their use in sports rehabilitation and injury prevention. Keywords: friction massage; hamstring tightness; manual mobilization technique; muscle energy technique; soft tissue mobilization post isometric relaxation; post facilitation stretch. Clinical Trail Number: NCT03680300","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136248343","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.10
Saleh Shah
Owing to the expeditious advancement of research and technology, the Physical therapy and rehabilitation sciences have made a remarkable pace in recent years. This blooming enhancement has metamorphosed pelvic floor dysfunction treatment and has a great impression on the medical and allied health sciences field. In this article, technological advancements in pelvic floor muscles are explored. It also overviews Pakistan- specific challenges and considerations[1]. Intending to help and manage patients with pelvic floor dysfunction, biofeedback training uses sensors to put forward real-time feedback on pelvic floor muscle activity. It has illustrated Potential enhancement in pelvic floor muscle functioning and curtailing symptoms of pelvic floor muscle dysfunction[2]. The pelvic floor muscles are stimulated using low-intensity electrical currents, resulting in solid muscle contraction, and strengthening. It is promising in improving pelvic floor muscle dysfunction and urine incontinence[3]. Behavioral therapy aims to modify the routines and behavior open to pelvic floor dysfunction. It necessitates lifestyle modifications, bladder retraining, and pelvic floor muscle exercises. It has victoriously improved pelvic floor muscle weakness and urinary incontinence as well[4]. Manual treatment methods that include physical manipulation of the pelvic floor muscles and associated tissues include trigger point release and myofascial release. These methods reduce muscular stress, enhance blood flow, and increase muscle function[5]. While developed nations have successfully incorporated modern technology into rehabilitation practices, the Pakistani context presents unique insights and challenges. The lack of updated curriculum, limited training opportunities, and budgetary constraints hinder the adoption of the latest technological advancements in pelvic floor rehabilitation in Pakistan. To overcome these hurdles, the following steps are recommended; Curriculum Update: Rehabilitation degree programs should revise their curricula to align with global advancements in technology. The inclusion of courses focusing on pelvic floor rehabilitation and modern technological interventions would better equip future professionals. Continuous Professional Development: Continuous professional development programs should be designed to upskill already graduated professionals in the field of pelvic floor rehabilitation technology. These programs will ensure that healthcare practitioners stay updated with the latest innovations and can effectively incorporate them into their practice. Increased Budget Allocation: Allocating a higher budget to the rehabilitation sector, specifically for technological advancements, is crucial. Adequate financial resources would enable the acquisition of state-of-the-art equipment, infrastructure development, and research initiatives, thereby facilitating the integration of technological innovations in pelvic floor rehabilitation. Finally, technol
{"title":"Empowering pelvic floor rehabilitation: Unveiling technological innovations in the pelvic floor muscle chair; insights and hurdles in the pakistani context","authors":"Saleh Shah","doi":"10.52567/trehabj.v7i03.10","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.10","url":null,"abstract":"Owing to the expeditious advancement of research and technology, the Physical therapy and rehabilitation sciences have made a remarkable pace in recent years. This blooming enhancement has metamorphosed pelvic floor dysfunction treatment and has a great impression on the medical and allied health sciences field. In this article, technological advancements in pelvic floor muscles are explored. It also overviews Pakistan- specific challenges and considerations[1]. Intending to help and manage patients with pelvic floor dysfunction, biofeedback training uses sensors to put forward real-time feedback on pelvic floor muscle activity. It has illustrated Potential enhancement in pelvic floor muscle functioning and curtailing symptoms of pelvic floor muscle dysfunction[2]. The pelvic floor muscles are stimulated using low-intensity electrical currents, resulting in solid muscle contraction, and strengthening. It is promising in improving pelvic floor muscle dysfunction and urine incontinence[3]. Behavioral therapy aims to modify the routines and behavior open to pelvic floor dysfunction. It necessitates lifestyle modifications, bladder retraining, and pelvic floor muscle exercises. It has victoriously improved pelvic floor muscle weakness and urinary incontinence as well[4]. Manual treatment methods that include physical manipulation of the pelvic floor muscles and associated tissues include trigger point release and myofascial release. These methods reduce muscular stress, enhance blood flow, and increase muscle function[5]. While developed nations have successfully incorporated modern technology into rehabilitation practices, the Pakistani context presents unique insights and challenges. The lack of updated curriculum, limited training opportunities, and budgetary constraints hinder the adoption of the latest technological advancements in pelvic floor rehabilitation in Pakistan. To overcome these hurdles, the following steps are recommended; Curriculum Update: Rehabilitation degree programs should revise their curricula to align with global advancements in technology. The inclusion of courses focusing on pelvic floor rehabilitation and modern technological interventions would better equip future professionals. Continuous Professional Development: Continuous professional development programs should be designed to upskill already graduated professionals in the field of pelvic floor rehabilitation technology. These programs will ensure that healthcare practitioners stay updated with the latest innovations and can effectively incorporate them into their practice. Increased Budget Allocation: Allocating a higher budget to the rehabilitation sector, specifically for technological advancements, is crucial. Adequate financial resources would enable the acquisition of state-of-the-art equipment, infrastructure development, and research initiatives, thereby facilitating the integration of technological innovations in pelvic floor rehabilitation. Finally, technol","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041142","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: Balance and functional mobility is greatly affected in stroke patients. Balance training integrated with sensory input is more beneficial for improving balance and mobility in stroke patients. Objective: To determine the effects of task-oriented balance training with and without sensory integration on balance, postural stability, and mobility in post-stroke patients. Methods: A randomized control trial was conducted at RHS Rehabilitation Centre, Islamabad. A total of n=60 post-stroke patients were included in the study through a non-probability purposive sampling technique. Male and female stroke patients above 40 years of age, having the ability to maintain a standing position without aid for at least 5 minutes, and patients on Grades II, III, IV on the Functional Mobility Scale were included in this study. They were randomly allocated into Group A (n=30) and Group B (n=30). Both groups received Task oriented balance training while group B was treated with additional sensory integration. The Berg Balance Scale, Dynamic Gait Index, Activities Specific Balance Confidence Scale, and Balance Error Scoring system were used for balance assessment. The assessment was done at baseline and after 6th week. Results: The mean age of the participants was 54.47 years. After 6 weeks of intervention, a significant difference was found in group A as compared to group B for Dynamic mobility measured by Dynamic gait index with p-value (p=0.06) and for balance measured by BBS with p-value (p=0.05). Conclusion: The task-oriented balance training with sensory integration is effective in improving dynamic balance and mobility in stroke patients. Keywords: balance training; Sensory Integration; stroke rehabilitation; task-oriented balance exercises.
{"title":"Effects of task-oriented balance training with sensory integration in post stroke patients","authors":"Sohail Iqbal, Aruba Saeed, Sannia Batool, Saira Waqqar, Hafsa Gull Khattak, Hira Jabeen","doi":"10.52567/trehabj.v7i03.12","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.12","url":null,"abstract":"Background: Balance and functional mobility is greatly affected in stroke patients. Balance training integrated with sensory input is more beneficial for improving balance and mobility in stroke patients. Objective: To determine the effects of task-oriented balance training with and without sensory integration on balance, postural stability, and mobility in post-stroke patients. Methods: A randomized control trial was conducted at RHS Rehabilitation Centre, Islamabad. A total of n=60 post-stroke patients were included in the study through a non-probability purposive sampling technique. Male and female stroke patients above 40 years of age, having the ability to maintain a standing position without aid for at least 5 minutes, and patients on Grades II, III, IV on the Functional Mobility Scale were included in this study. They were randomly allocated into Group A (n=30) and Group B (n=30). Both groups received Task oriented balance training while group B was treated with additional sensory integration. The Berg Balance Scale, Dynamic Gait Index, Activities Specific Balance Confidence Scale, and Balance Error Scoring system were used for balance assessment. The assessment was done at baseline and after 6th week. Results: The mean age of the participants was 54.47 years. After 6 weeks of intervention, a significant difference was found in group A as compared to group B for Dynamic mobility measured by Dynamic gait index with p-value (p=0.06) and for balance measured by BBS with p-value (p=0.05). Conclusion: The task-oriented balance training with sensory integration is effective in improving dynamic balance and mobility in stroke patients. Keywords: balance training; Sensory Integration; stroke rehabilitation; task-oriented balance exercises.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041146","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.11
Shomaila Hassan Khan, Misbah Bin Ilyas, Jawad Ali, Zahid Mehmood, Raheela Kanwal, Arooba Sajjad, Kiran Khushnood
Background: Non-athletes have varying fitness levels, muscle characteristics, and training backgrounds, which can affect how different types of stretching exercises impact their physical performance. Objective: to compare the acute effects of static and dynamic stretching on physical performance of non-athletes. A single-blinded, cross-over, randomized clinical trial was conducted at Iqra National University, Peshawar for a period of 6 months. A total of n=54 male participants were randomly allocated into group A and B. Group A performed the static stretching while group B performed dynamic stretching. The physical performance measure was endurance, agility, strength, flexibility, and balance respectively. Result: The result of two-way RMANOVA showed that both stretches had significant interaction effects between interventions and all performance measures (p<0.001) except for balance (p=0.23). The main effect showed that static stretching significantly reduced agility and balance (p<0.05), while dynamic balance improved all measures significantly (p<0.05). When comparing the mean differences of all variables, dynamic stretches showed significant improvement (p<0.05) in all variables as compared to static stretching. Conclusion: Dynamic stretch has a significant contribution to improving all physical performance measures among non-athletes if incorporated before the activity. While static stretching negatively affects the agility and balance among this population. (NCT05053490) Keywords: agility; balance; dynamic stretching; endurance; flexibility; non-athletes; physical performance; static stretching.
{"title":"Static versus dynamic stretching; short term effects on physical performance in non-athletes- a randomized clinical trial","authors":"Shomaila Hassan Khan, Misbah Bin Ilyas, Jawad Ali, Zahid Mehmood, Raheela Kanwal, Arooba Sajjad, Kiran Khushnood","doi":"10.52567/trehabj.v7i03.11","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.11","url":null,"abstract":"Background: Non-athletes have varying fitness levels, muscle characteristics, and training backgrounds, which can affect how different types of stretching exercises impact their physical performance. Objective: to compare the acute effects of static and dynamic stretching on physical performance of non-athletes. A single-blinded, cross-over, randomized clinical trial was conducted at Iqra National University, Peshawar for a period of 6 months. A total of n=54 male participants were randomly allocated into group A and B. Group A performed the static stretching while group B performed dynamic stretching. The physical performance measure was endurance, agility, strength, flexibility, and balance respectively. Result: The result of two-way RMANOVA showed that both stretches had significant interaction effects between interventions and all performance measures (p<0.001) except for balance (p=0.23). The main effect showed that static stretching significantly reduced agility and balance (p<0.05), while dynamic balance improved all measures significantly (p<0.05). When comparing the mean differences of all variables, dynamic stretches showed significant improvement (p<0.05) in all variables as compared to static stretching. Conclusion: Dynamic stretch has a significant contribution to improving all physical performance measures among non-athletes if incorporated before the activity. While static stretching negatively affects the agility and balance among this population. (NCT05053490) Keywords: agility; balance; dynamic stretching; endurance; flexibility; non-athletes; physical performance; static stretching.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041155","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.7
Sana Subhan, Syed Imran Ahmad, Muhammad Hammad Ali Mithani, Aftab Ahmed Mirza Baig, Muhammad Kashif, Muhammad Arif Siddiqui
Background: Overactive bladder (OAB) is characterized by urinary urgency, frequency, and nocturia, often accompanied by urinary incontinence. OAB significantly impacts the quality of life of affected individuals. Transcutaneous Tibial Nerve Stimulation (TTNS) is a non-invasive treatment option used to manage overactive bladder (OAB) symptoms. Objective: to determine the effects of Transcutaneous Tibial Nerve Stimulation on overactive bladder symptoms in adults. Methods: A randomized controlled trial was held at the Sindh Institute of Physical Medicine and Rehabilitation with a non-probability purposive sampling technique. After screening for inclusion criteria 60 patients were randomly allocated into two Group A received Transcutaneous tibial nerve stimulation (TTNS) combined with traditional physiotherapy, while Group B just received traditional physiotherapy. Both interventions were given for six weeks. The overactive Bladder Symptom Score was used as an outcome measure tool. Results: Group A improved in all OAB parameters, including daytime frequency (p=0.008), nocturia (p=0.006), urinary urgency (p=0.002), and urge urinary incontinence (p=0.008) with a significant improvement p<0.05. All OABSS parameters in group B also showed a considerable improvement (p<0.05), except for urge urinary incontinence (p=0.08). Conclusion: the daytime frequency, nocturia, and urgency parameters of the overactive bladder symptoms score significantly decreased in both the TTNS+PFM group and the Traditional physiotherapy group. However, urge urinary incontinence showed significant improvement only in the TTNS+PFM group.
{"title":"Effects of transcutaneous tibial nerve stimulation for overactive bladder symptoms in adults: A randomized controlled trial","authors":"Sana Subhan, Syed Imran Ahmad, Muhammad Hammad Ali Mithani, Aftab Ahmed Mirza Baig, Muhammad Kashif, Muhammad Arif Siddiqui","doi":"10.52567/trehabj.v7i03.7","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.7","url":null,"abstract":"Background: Overactive bladder (OAB) is characterized by urinary urgency, frequency, and nocturia, often accompanied by urinary incontinence. OAB significantly impacts the quality of life of affected individuals. Transcutaneous Tibial Nerve Stimulation (TTNS) is a non-invasive treatment option used to manage overactive bladder (OAB) symptoms. Objective: to determine the effects of Transcutaneous Tibial Nerve Stimulation on overactive bladder symptoms in adults. Methods: A randomized controlled trial was held at the Sindh Institute of Physical Medicine and Rehabilitation with a non-probability purposive sampling technique. After screening for inclusion criteria 60 patients were randomly allocated into two Group A received Transcutaneous tibial nerve stimulation (TTNS) combined with traditional physiotherapy, while Group B just received traditional physiotherapy. Both interventions were given for six weeks. The overactive Bladder Symptom Score was used as an outcome measure tool. Results: Group A improved in all OAB parameters, including daytime frequency (p=0.008), nocturia (p=0.006), urinary urgency (p=0.002), and urge urinary incontinence (p=0.008) with a significant improvement p<0.05. All OABSS parameters in group B also showed a considerable improvement (p<0.05), except for urge urinary incontinence (p=0.08). Conclusion: the daytime frequency, nocturia, and urgency parameters of the overactive bladder symptoms score significantly decreased in both the TTNS+PFM group and the Traditional physiotherapy group. However, urge urinary incontinence showed significant improvement only in the TTNS+PFM group.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135040983","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.30
Sara Naimat, Shumaila Asad, Shafiq ur Rehman, Sahar Niamat, Ghulam Saqulain, Muhammad Kamran
Background: Spinal injuries are highly prevalent and are a major cause of disability. Studying resilience, perceived social support, and psychological well-being in persons with spinal cord injury is important for better-managing patients with spinal cord injuries. Objectives: To analyze the correlation among resilience, perceived social support, and psychological well-being in persons with spinal cord injury. Methods: This cross-sectional correlational study was conducted at Riphah International University, Lahore Pakistan from September 2019 to February 2020. The study utilized a sample of 100 patients with spinal cord injury using purposive sampling. The sample included paraplegic patients 6 months following SCI, of both genders above 18 years of age who were active wheelchair users. A demographic sheet, scale of psychological well-being, resilience scale, and multi-dimensional scale of perceived social support (MSPSS) were used for data collection. SPSS Version 22 was utilized for data analysis & correlation was analyzed using bivariate statistics with p< 0.05 was considered statistically significant. Results: The study revealed a positive correlation (γ=0.57, p<0.001) between Resilience with Perceived Social Support; Resilience and Psychological well-being (γ=0.55, p<0.001); and Perceived Social Support and Psychological Well-being (γ =0.57, p<0.001). Conclusion: There is a positive relationship between resilience perceived social support and psychological well-being. Keywords: perceived social support; psychological wellbeing; resilience; spinal cord injury
背景:脊髓损伤非常普遍，是致残的主要原因。研究脊髓损伤患者的恢复力、感知社会支持和心理健康状况对于更好地管理脊髓损伤患者具有重要意义。目的:分析脊髓损伤患者恢复力、感知社会支持和心理健康的相关性。方法:本横断面相关性研究于2019年9月至2020年2月在巴基斯坦拉合尔Riphah国际大学进行。本研究采用目的性抽样的方法，选取了100例脊髓损伤患者作为样本。样本包括脊髓损伤后6个月的截瘫患者，年龄在18岁以上的男女都是活跃的轮椅使用者。采用人口统计表、心理健康量表、弹性量表和多维感知社会支持量表(MSPSS)进行数据收集。使用SPSS Version 22进行数据分析;采用p<双变量统计分析相关性;0.05认为有统计学意义。结果:心理弹性与感知社会支持呈正相关(γ=0.57, p<0.001);弹性与心理健康(γ=0.55, p<0.001);感知社会支持和心理健康(γ =0.57, p<0.001)。结论:心理弹性、感知社会支持与心理健康存在正相关关系。关键词:感知社会支持;心理健康;弹性;脊髓损伤
{"title":"Cases of spinal cord injury: correlation among resilience, social support and psychological well-being","authors":"Sara Naimat, Shumaila Asad, Shafiq ur Rehman, Sahar Niamat, Ghulam Saqulain, Muhammad Kamran","doi":"10.52567/trehabj.v7i03.30","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.30","url":null,"abstract":"Background: Spinal injuries are highly prevalent and are a major cause of disability. Studying resilience, perceived social support, and psychological well-being in persons with spinal cord injury is important for better-managing patients with spinal cord injuries. Objectives: To analyze the correlation among resilience, perceived social support, and psychological well-being in persons with spinal cord injury. Methods: This cross-sectional correlational study was conducted at Riphah International University, Lahore Pakistan from September 2019 to February 2020. The study utilized a sample of 100 patients with spinal cord injury using purposive sampling. The sample included paraplegic patients 6 months following SCI, of both genders above 18 years of age who were active wheelchair users. A demographic sheet, scale of psychological well-being, resilience scale, and multi-dimensional scale of perceived social support (MSPSS) were used for data collection. SPSS Version 22 was utilized for data analysis & correlation was analyzed using bivariate statistics with p< 0.05 was considered statistically significant. Results: The study revealed a positive correlation (γ=0.57, p<0.001) between Resilience with Perceived Social Support; Resilience and Psychological well-being (γ=0.55, p<0.001); and Perceived Social Support and Psychological Well-being (γ =0.57, p<0.001). Conclusion: There is a positive relationship between resilience perceived social support and psychological well-being. Keywords: perceived social support; psychological wellbeing; resilience; spinal cord injury","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041147","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 : 2023-09-30DOI: 10.52567/trehabj.v7i03.25
Qurat ul Ain Malik, Mumtaz Chaudhry, Adila Anwar, Samra Ahmed, Mutahir Shah, Saif Ullah
Background: Vision impairment is a public health problem and every patient with visual impairment doesn’t accept low vision aids (LVA’s). Objective: To explore the non-acceptability rate of low vision aids with the reasons for not opting for them. Methods: A cross-sectional study was conducted at the Department of Ophthalmology in the Polyclinic Hospital, Islamabad. A sample of n=100 Patients in the selected age groups 20 to 80 years diagnosed with age-related macular degeneration, retinitis pigmentosa, diabetic retinopathy, high myopia/hypermetropia, optic atrophy/neuropathies, and glaucoma were recruited using non- probability purposive sampling technique. Data was collected using a predefined form to determine the willingness of low-vision patients to adopt LVAs. The non-acceptance rate was calculated as the percentage of participants declining LVA services, assessed through their responses on the form. Results: The mean age of the participants was 43.48±14 with a range from 20 to 80 years. A total of n=100 patients out of which n=58 were males and n=42 were females. Among these n=100 patients, n=91 patients show non-acceptance with a gender distribution of n=53 male and n=38 female patients. The major reason for non- acceptance was unaffordability for LVA among males (n=19) and n=06), followed by usage difficulty, transportation, fear of losing jobs, social stigma, low necessity, and lack of awareness. Conclusion: Non-acceptance of low vision aids among the study population due to unaffordability, compounded by social stigma, financial constraints, and limited awareness, underscores the need to address these barriers for better device utilization and enhanced quality of life for visually impaired individuals. Keywords: blindness; vision aids; visual impairment
{"title":"Non-acceptance of low vision aids (LVADs) among patients presented to eye OPD in Poly Clinic Hospital Islamabad","authors":"Qurat ul Ain Malik, Mumtaz Chaudhry, Adila Anwar, Samra Ahmed, Mutahir Shah, Saif Ullah","doi":"10.52567/trehabj.v7i03.25","DOIUrl":"https://doi.org/10.52567/trehabj.v7i03.25","url":null,"abstract":"Background: Vision impairment is a public health problem and every patient with visual impairment doesn’t accept low vision aids (LVA’s). Objective: To explore the non-acceptability rate of low vision aids with the reasons for not opting for them. Methods: A cross-sectional study was conducted at the Department of Ophthalmology in the Polyclinic Hospital, Islamabad. A sample of n=100 Patients in the selected age groups 20 to 80 years diagnosed with age-related macular degeneration, retinitis pigmentosa, diabetic retinopathy, high myopia/hypermetropia, optic atrophy/neuropathies, and glaucoma were recruited using non- probability purposive sampling technique. Data was collected using a predefined form to determine the willingness of low-vision patients to adopt LVAs. The non-acceptance rate was calculated as the percentage of participants declining LVA services, assessed through their responses on the form. Results: The mean age of the participants was 43.48±14 with a range from 20 to 80 years. A total of n=100 patients out of which n=58 were males and n=42 were females. Among these n=100 patients, n=91 patients show non-acceptance with a gender distribution of n=53 male and n=38 female patients. The major reason for non- acceptance was unaffordability for LVA among males (n=19) and n=06), followed by usage difficulty, transportation, fear of losing jobs, social stigma, low necessity, and lack of awareness. Conclusion: Non-acceptance of low vision aids among the study population due to unaffordability, compounded by social stigma, financial constraints, and limited awareness, underscores the need to address these barriers for better device utilization and enhanced quality of life for visually impaired individuals. Keywords: blindness; vision aids; visual impairment","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039115","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: The human voice is a prominent feature and the most susceptible to environmental changes, lifestyle, and age. Voice problems tend to be significantly under-reported and consequently less likely to be clinically treated. It is yet to be established if the cause lies in the lack of awareness or the impermanent nature of most voice disorders. Objective: To evaluate the patterns and perceptions about vocal use and misuse among young adults in Pakistan. Method: The study used a cross-sectional survey design. A convenient sampling technique was employed to collect the data from n=242 healthy young adults aged 18-25 years studying in colleges and universities of Rawalpindi and Islamabad. A 32-item survey questionnaire titled “patterns and Perceptions about voice use and Misuse” was employed, with a portion for demographic data and five sections dedicated to general awareness, self-perception about voice, and habits of vocal use and misuse. Results: The results regarding the perception and patterns of vocal use and misuse reflects that 88.3% of the participants agreed that precautionary measure would help them to avoid voice disorder. In contrast, 83.3% of the participants reported screaming and yelling as part of their vocal pattern. Participants showed a strong association with the positive attributes related to their voice such as beautiful as 82.2% of the participants reported their voice as pleasant. Conclusion: The study concluded that the outcome of participants’ perceptions and their patterns of vocal behavior were significantly atypical. Screaming and smoking were the most frequently reported response by adults but on the other hand, they did not seek professional help and did not perceive their voice as unpleasant voice. Keywords: speech therapy; voice disorder; vocal misuse; young adults
{"title":"Pattern and perception about vocal use and misuse among young adult in Pakistan","authors":"Jamshaid Haider Malik, M. Kiyani","doi":"10.52567/trj.v7i02.203","DOIUrl":"https://doi.org/10.52567/trj.v7i02.203","url":null,"abstract":"Background: The human voice is a prominent feature and the most susceptible to environmental changes, lifestyle, and age. Voice problems tend to be significantly under-reported and consequently less likely to be clinically treated. It is yet to be established if the cause lies in the lack of awareness or the impermanent nature of most voice disorders. Objective: To evaluate the patterns and perceptions about vocal use and misuse among young adults in Pakistan. Method: The study used a cross-sectional survey design. A convenient sampling technique was employed to collect the data from n=242 healthy young adults aged 18-25 years studying in colleges and universities of Rawalpindi and Islamabad. A 32-item survey questionnaire titled “patterns and Perceptions about voice use and Misuse” was employed, with a portion for demographic data and five sections dedicated to general awareness, self-perception about voice, and habits of vocal use and misuse. Results: The results regarding the perception and patterns of vocal use and misuse reflects that 88.3% of the participants agreed that precautionary measure would help them to avoid voice disorder. In contrast, 83.3% of the participants reported screaming and yelling as part of their vocal pattern. Participants showed a strong association with the positive attributes related to their voice such as beautiful as 82.2% of the participants reported their voice as pleasant. Conclusion: The study concluded that the outcome of participants’ perceptions and their patterns of vocal behavior were significantly atypical. Screaming and smoking were the most frequently reported response by adults but on the other hand, they did not seek professional help and did not perceive their voice as unpleasant voice. Keywords: speech therapy; voice disorder; vocal misuse; young adults","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80846011","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}
Rutaba Hussain, M. Afzal, Shabab Zahra, Arsalan Hussain, Nayab Iqbal
Background: Cervical proprioception has been a major source of attention among the population of cervical spondylosis as it is associated with neck pain, whereas it can lead to alteration in physiological manifestations which enhance neck pain as a consequence of disturbed proprioception. Objective: To determine the correlation between cervical proprioception with neck length and neck pain in patients with cervical spondylosis. Methodology: It is a cross-sectional correlational study conducted at Innovative Health Concepts (IHC) and Pakistan Society for Rehabilitation for Differently-abled Lahore, in the duration of six months from November 2021 to March 2022. The sample size of n=130 participants was recruited and data was collected through non-probability purposive sampling. Patients diagnosed with cervical spondylosis aged 25 to 50 years with neck pain, decreased neck range of motion, and osteophytes formation were included. Whereas, vestibule basilar artery insufficiency or any systemic illness was excluded. Joint Position Error Test (JPET) for cervical proprioception assessment, Numeric Pain Rating Scale (NPRS) was used for neck pain, and lateral view X-rays were taken for neck length measurement. Data was analyzed using Statistical Package for Social Sciences (IBM-SPSS) version 22. Results: There was no significant association between proprioception except for left rotation (r=0.21, p=0.016) which showed a weak positive correlation. On the other hand, neck pain showed a significant strong positive correlation with flexion (r=0.88, p=0.002), moderate with extension (r=0.39, p=0.004), strong with right rotation (r=0.81, p=0.001) and left rotation (r=0.61,p=0.001) respectively. Conclusion: It was concluded that the population of cervical spondylosis has no correlation between cervical proprioception and cervical length. Whereas, a positive strong correlation was found between cervical proprioception and neck pain. Keywords: Joint position error test, Neck pain, Proprioception.
{"title":"Correlation between cervical proprioception with the neck length and neck pain in patients of cervical spondylosis","authors":"Rutaba Hussain, M. Afzal, Shabab Zahra, Arsalan Hussain, Nayab Iqbal","doi":"10.52567/trj.v7i02.221","DOIUrl":"https://doi.org/10.52567/trj.v7i02.221","url":null,"abstract":"Background: Cervical proprioception has been a major source of attention among the population of cervical spondylosis as it is associated with neck pain, whereas it can lead to alteration in physiological manifestations which enhance neck pain as a consequence of disturbed proprioception. Objective: To determine the correlation between cervical proprioception with neck length and neck pain in patients with cervical spondylosis. Methodology: It is a cross-sectional correlational study conducted at Innovative Health Concepts (IHC) and Pakistan Society for Rehabilitation for Differently-abled Lahore, in the duration of six months from November 2021 to March 2022. The sample size of n=130 participants was recruited and data was collected through non-probability purposive sampling. Patients diagnosed with cervical spondylosis aged 25 to 50 years with neck pain, decreased neck range of motion, and osteophytes formation were included. Whereas, vestibule basilar artery insufficiency or any systemic illness was excluded. Joint Position Error Test (JPET) for cervical proprioception assessment, Numeric Pain Rating Scale (NPRS) was used for neck pain, and lateral view X-rays were taken for neck length measurement. Data was analyzed using Statistical Package for Social Sciences (IBM-SPSS) version 22. Results: There was no significant association between proprioception except for left rotation (r=0.21, p=0.016) which showed a weak positive correlation. On the other hand, neck pain showed a significant strong positive correlation with flexion (r=0.88, p=0.002), moderate with extension (r=0.39, p=0.004), strong with right rotation (r=0.81, p=0.001) and left rotation (r=0.61,p=0.001) respectively. Conclusion: It was concluded that the population of cervical spondylosis has no correlation between cervical proprioception and cervical length. Whereas, a positive strong correlation was found between cervical proprioception and neck pain. Keywords: Joint position error test, Neck pain, Proprioception.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86793618","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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