M. Bilal, Saira Jahan, M. Zakria, Iqbal Ali Shah, Iqbal Tariq, Sumaiyah Obaid
Background: Open heart surgery is the major surgical procedure that is the most frequently conducted in general hospitals. Kinesiophobia and functional capacity are greatly compromised after open heart surgery. Cardiac rehabilitation helps in secondary prevention and minimizes different risk factors of cardiovascular disease. Objective: To determine the effect of a cardiac rehabilitation program on kinesiophobia and functional capacity after open heart surgery. Methodology: A quasi-experimental study was conducted at Rehman medical institute, Peshawar. The sample size was calculated as 45 by using G power, both male and female patients of aged 50 to 70 years who underwent open heart surgery were selected through a nonprobability purposive sampling technique from July 2021 to February 2022. Patients having any neurodegenerative disease, disorder of stance and gait, or drug intoxication were excluded. Pre and post-assessment after a week after was done using scale Tampa scale of kinesiophobia-11 for kinesiophobia and 6 minutes walk test for functional capacity. Phase 1 cardiac rehabilitation program was used as an intervention after open heart surgery. Paired t-test was applied to determine the mean difference in a group pre and post-interventional. SPSS version 23 was used to analyze the data. Results: The Mean age of the patients was 59.71±5.01 years. The results showed a significant improvement in kinesiophobia (28.96±4.67 versus 21.76±3.51, p<0.001) and functional capacity on 6 MWT (227.11±74.40 versus 326.02±80.05, p<0.001) after cardiac rehabilitation program was observed in study participants enrolled. Conclusion: The study concluded that cardiac rehabilitation programs have a significant effect on kinesiophobia and functional capacity after open heart surgery. Keywords: cardiac rehabilitation, functional capacity, kinesiophobia, open heart surgery.
背景:心脏直视手术是综合医院最常见的主要外科手术。心内直视手术后，运动恐惧症和功能能力严重受损。心脏康复有助于二级预防，并尽量减少心血管疾病的不同危险因素。目的:探讨心脏康复方案对心脏直视手术后运动恐惧症和功能能力的影响。方法:在白沙瓦的Rehman医学研究所进行了一项准实验研究。本组样本量采用G次幂计算为45例，采用非概率目的抽样方法，选取2021年7月至2022年2月期间行心脏直视手术的50 ~ 70岁男性和女性患者。排除有任何神经退行性疾病、站立步态障碍或药物中毒的患者。1周后采用坦帕运动恐惧症量表-11进行运动恐惧症前、后评估和6分钟步行能力测试。一期心脏康复计划作为心脏直视手术后的干预措施。采用配对t检验确定干预前后组间的平均差异。采用SPSS version 23对数据进行分析。结果:患者平均年龄59.71±5.01岁。结果显示，参加研究的参与者在心脏康复计划后，运动恐惧症(28.96±4.67比21.76±3.51,p<0.001)和6 MWT功能容量(227.11±74.40比326.02±80.05,p<0.001)显著改善。结论:心脏康复计划对心脏直视手术后的运动恐惧症和功能能力有显著影响。关键词:心脏康复，功能能力，运动恐惧症，心内直视手术。
{"title":"Effect of cardiac rehabilitation program on kinesiophobia and functional capacity in open heart surgery","authors":"M. Bilal, Saira Jahan, M. Zakria, Iqbal Ali Shah, Iqbal Tariq, Sumaiyah Obaid","doi":"10.52567/trj.v7i02.222","DOIUrl":"https://doi.org/10.52567/trj.v7i02.222","url":null,"abstract":"Background: Open heart surgery is the major surgical procedure that is the most frequently conducted in general hospitals. Kinesiophobia and functional capacity are greatly compromised after open heart surgery. Cardiac rehabilitation helps in secondary prevention and minimizes different risk factors of cardiovascular disease. Objective: To determine the effect of a cardiac rehabilitation program on kinesiophobia and functional capacity after open heart surgery. Methodology: A quasi-experimental study was conducted at Rehman medical institute, Peshawar. The sample size was calculated as 45 by using G power, both male and female patients of aged 50 to 70 years who underwent open heart surgery were selected through a nonprobability purposive sampling technique from July 2021 to February 2022. Patients having any neurodegenerative disease, disorder of stance and gait, or drug intoxication were excluded. Pre and post-assessment after a week after was done using scale Tampa scale of kinesiophobia-11 for kinesiophobia and 6 minutes walk test for functional capacity. Phase 1 cardiac rehabilitation program was used as an intervention after open heart surgery. Paired t-test was applied to determine the mean difference in a group pre and post-interventional. SPSS version 23 was used to analyze the data. Results: The Mean age of the patients was 59.71±5.01 years. The results showed a significant improvement in kinesiophobia (28.96±4.67 versus 21.76±3.51, p<0.001) and functional capacity on 6 MWT (227.11±74.40 versus 326.02±80.05, p<0.001) after cardiac rehabilitation program was observed in study participants enrolled. Conclusion: The study concluded that cardiac rehabilitation programs have a significant effect on kinesiophobia and functional capacity after open heart surgery. Keywords: cardiac rehabilitation, functional capacity, kinesiophobia, open heart surgery.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90209579","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}
Rabia Afzal, Rida Hassan, Sidra Zaib, Mehwish Abid, Humaira Ambreen, Muhammad Umer Iqbal, S. Hussain, M. Kiyani
Background: The recent covid-19 pandemic has also displayed a worldwide increase in online education as a method of learning, at an exponential rate. In the wake of the COVID-19 pandemic, the education program of physical therapy abruptly moved from on-campus to remote online medium. Objective: to find out the satisfaction level of the faculty of Doctor of Physical Therapy (DPT) in twin cities of Pakistan. Methodology: A cross-sectional survey was conducted on faculty members of various universities having the Doctor of Physical Therapy program students in Islamabad and Rawalpindi, Pakistan. A total of n=120 participants between 24 to 60 years were recruited through a nonprobability purposive sampling technique. The research team used the Online Faculty Satisfaction Survey (OFSS) which has a total of 34 questions and was designed to quantify and authenticate the satisfaction of faculty regarding the students, teaching mode as well as the institutions. Questionnaires were distributed through emails and other social media applications i.e. Facebook and WhatsApp. Results: The mean age of participants was 29.4± 6.5 years with 63.3 % females & 36.7% males. The Satisfaction levels were different among the participants. A total of n=66(55%) of participants were less satisfied with the online method of teaching whereas n=42 (35%) shows a higher level of satisfaction. The remaining 10% showed various responses regarding satisfaction level i.e. average n=4 (3.3%), moderately satisfied n=4 (3.3%), neutral n=2 (1.7%), satisfied n=2 (1.7%). Conclusion: This study concluded that the faculty of Doctor of Physical Therapy (DPT) was less satisfied with online teaching methods due to the lack of face-to-face interaction and practical components of studies. Keywords: COVID-19; education; faculty satisfaction; pandemic; university teacher.
{"title":"Assessment of satisfaction level among university teachers of Doctor of physical therapy program on online teaching during COVID-19 pandemic: A cross-sectional survey","authors":"Rabia Afzal, Rida Hassan, Sidra Zaib, Mehwish Abid, Humaira Ambreen, Muhammad Umer Iqbal, S. Hussain, M. Kiyani","doi":"10.52567/trj.v7i02.204","DOIUrl":"https://doi.org/10.52567/trj.v7i02.204","url":null,"abstract":"Background: The recent covid-19 pandemic has also displayed a worldwide increase in online education as a method of learning, at an exponential rate. In the wake of the COVID-19 pandemic, the education program of physical therapy abruptly moved from on-campus to remote online medium. Objective: to find out the satisfaction level of the faculty of Doctor of Physical Therapy (DPT) in twin cities of Pakistan. Methodology: A cross-sectional survey was conducted on faculty members of various universities having the Doctor of Physical Therapy program students in Islamabad and Rawalpindi, Pakistan. A total of n=120 participants between 24 to 60 years were recruited through a nonprobability purposive sampling technique. The research team used the Online Faculty Satisfaction Survey (OFSS) which has a total of 34 questions and was designed to quantify and authenticate the satisfaction of faculty regarding the students, teaching mode as well as the institutions. Questionnaires were distributed through emails and other social media applications i.e. Facebook and WhatsApp. Results: The mean age of participants was 29.4± 6.5 years with 63.3 % females & 36.7% males. The Satisfaction levels were different among the participants. A total of n=66(55%) of participants were less satisfied with the online method of teaching whereas n=42 (35%) shows a higher level of satisfaction. The remaining 10% showed various responses regarding satisfaction level i.e. average n=4 (3.3%), moderately satisfied n=4 (3.3%), neutral n=2 (1.7%), satisfied n=2 (1.7%). Conclusion: This study concluded that the faculty of Doctor of Physical Therapy (DPT) was less satisfied with online teaching methods due to the lack of face-to-face interaction and practical components of studies. Keywords: COVID-19; education; faculty satisfaction; pandemic; university teacher.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"10 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82829903","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 expressive language difficulties may find it difficult to communicate effectively. To encourage the development of prelinguistic skills and improve overall language development, early intervention is essential. Objective: To determine the effectiveness of group therapy as compared to individual therapy in the acquisition of pre-linguistic skills in children with expressive language disorders. Methods: A experimental study was conducted at special education centers of Rawalpindi & Islamabad, from August 2015 to January 2016. A total of n=17 children with expressive language disorders of either gender with ages between 4-7 years were recruited through a nonprobability convenient sampling technique, with Group A (Individual Therapy) including n=7 kids and Group B (Group therapy) n=10 kids. The outcome measures were Eye contact, attention span, turn-taking, and imitation skills, noted before therapy and after completing 20 sessions post-therapy (after 7 weeks). Statistical analysis was done using SPSS 20. An Independent t-test was utilized to see any difference between groups. Results: The study included 10(58.82%) males and 7(41.18%) females with most 9(52.94%) being 6 to 7 years of age. Post therapy results revealed significantly better results for group therapy versus individual therapy (11.0±1.24 vs 8.28±1.11) for eye-contact (p=0.000); (11.0±0.94 vs 7.8±1.34) attention span (p=0.000); (11.4±0.69 vs 8.0±0.81) turn taking (p=0.000); and (10.6±1.34 vs 8.4±0.97) for imitation skills (p=002). Conclusion: The study concludes that group therapy is significantly more effective than individual therapy for improving pre-linguistic skills including eye contact, attention span, turn-taking, and imitation skills in 4 to 7 years old kids with expressive language disorders. Keywords: Language, Expressive language disorder, Pre-linguistic skills, Group therapy, Individual therapy
背景:有表达性语言障碍的儿童可能很难进行有效的沟通。为了鼓励前语言技能的发展和提高整体语言发展，早期干预是必不可少的。目的:比较小组治疗与个体治疗在表达性语言障碍儿童语言前技能习得中的效果。方法:在拉瓦尔品第市特殊教育中心进行实验研究;伊斯兰堡，2015年8月至2016年1月。采用非概率方便抽样的方法，共招募了n=17名年龄在4-7岁的表达性语言障碍儿童，其中A组(个别治疗)n=7名，B组(团体治疗)n=10名。结果测量是治疗前和治疗后(7周后)完成20个疗程后记录的目光接触、注意力持续时间、轮流和模仿技能。采用SPSS 20进行统计分析。使用独立t检验来查看组间的差异。结果:男性10例(58.82%)，女性7例(41.18%)，其中6 ~ 7岁患者最多9例(52.94%)。治疗后结果显示，团体治疗的眼神接触效果明显优于个体治疗(11.0±1.24 vs 8.28±1.11)(p=0.000);(11.0±0.94 vs 7.8±1.34)注意广度(p=0.000);(11.4±0.69 vs 8.0±0.81)，p=0.000;模仿技能(10.6±1.34 vs 8.4±0.97)差异有统计学意义(p=002)。结论:在提高4 ~ 7岁表达性语言障碍儿童的眼神交流、注意力持续时间、轮流、模仿等语言前技能方面，团体治疗明显优于个体治疗。关键词:语言，表达性语言障碍，前语言技能，团体治疗，个体治疗
{"title":"Effectiveness of group therapy versus individual therapy in acquisition of pre-linguistic skills in children with expressive language disorders","authors":"Ruqaiya Faiz Akbar, Humaira Shamim Kiyani, Ghulam Saqulain","doi":"10.52567/trj.v7i02.233","DOIUrl":"https://doi.org/10.52567/trj.v7i02.233","url":null,"abstract":"Background: Children with expressive language difficulties may find it difficult to communicate effectively. To encourage the development of prelinguistic skills and improve overall language development, early intervention is essential. Objective: To determine the effectiveness of group therapy as compared to individual therapy in the acquisition of pre-linguistic skills in children with expressive language disorders. Methods: A experimental study was conducted at special education centers of Rawalpindi & Islamabad, from August 2015 to January 2016. A total of n=17 children with expressive language disorders of either gender with ages between 4-7 years were recruited through a nonprobability convenient sampling technique, with Group A (Individual Therapy) including n=7 kids and Group B (Group therapy) n=10 kids. The outcome measures were Eye contact, attention span, turn-taking, and imitation skills, noted before therapy and after completing 20 sessions post-therapy (after 7 weeks). Statistical analysis was done using SPSS 20. An Independent t-test was utilized to see any difference between groups. Results: The study included 10(58.82%) males and 7(41.18%) females with most 9(52.94%) being 6 to 7 years of age. Post therapy results revealed significantly better results for group therapy versus individual therapy (11.0±1.24 vs 8.28±1.11) for eye-contact (p=0.000); (11.0±0.94 vs 7.8±1.34) attention span (p=0.000); (11.4±0.69 vs 8.0±0.81) turn taking (p=0.000); and (10.6±1.34 vs 8.4±0.97) for imitation skills (p=002). Conclusion: The study concludes that group therapy is significantly more effective than individual therapy for improving pre-linguistic skills including eye contact, attention span, turn-taking, and imitation skills in 4 to 7 years old kids with expressive language disorders. Keywords: Language, Expressive language disorder, Pre-linguistic skills, Group therapy, Individual therapy","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368540","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: Even though there are extensive, studies carried out to assess the caregiver burden among caregivers of Cerebral Palsy children through different scales. Caregiver Difficulties scale (CDS) is designed for the specific population of CP’s Caregivers. So this scale is translated in Urdu to use on the parents of CP children in Pakistan. Objective: To translate, adapt and validate the Caregiver Difficulties Scale into Urdu. Method: There Descriptive Study was conducted on n=40 caregivers of Cerebral Palsy children. Males & Females (Specifically fathers & mothers) age ranged 30 to 60 from Rehabilitation Institute took part in the study. Caregiver difficulties scale (CDS) was used along with a demographic Performa for data collection. Results: The caregiver difficulties scale is a reliable measure to assess the caregiver burden among caregivers of CP Children (Cronbach α=0.91). The significant correlation value ranges from r=0.88 (Urdu to Urdu) to r=0.83 (English to English) which shows that Urdu version has conceptual equivalence and cross-language validity. Conclusion: The translation and adaptation of the Caregiver Difficulties Scale (CDS) in Urdu is reliable and valid for the assessment of caregiver giver difficulties in caregivers of cerebral palsy children Keywords: cerebral palsy; caregivers; care giver burden
{"title":"Translation, adaptation, and validation of caregiver difficulties scale in Urdu","authors":"Saima Waqar, Rabia Mushtaq","doi":"10.52567/trj.v7i02.243","DOIUrl":"https://doi.org/10.52567/trj.v7i02.243","url":null,"abstract":"Background: Even though there are extensive, studies carried out to assess the caregiver burden among caregivers of Cerebral Palsy children through different scales. Caregiver Difficulties scale (CDS) is designed for the specific population of CP’s Caregivers. So this scale is translated in Urdu to use on the parents of CP children in Pakistan. Objective: To translate, adapt and validate the Caregiver Difficulties Scale into Urdu. Method: There Descriptive Study was conducted on n=40 caregivers of Cerebral Palsy children. Males & Females (Specifically fathers & mothers) age ranged 30 to 60 from Rehabilitation Institute took part in the study. Caregiver difficulties scale (CDS) was used along with a demographic Performa for data collection. Results: The caregiver difficulties scale is a reliable measure to assess the caregiver burden among caregivers of CP Children (Cronbach α=0.91). The significant correlation value ranges from r=0.88 (Urdu to Urdu) to r=0.83 (English to English) which shows that Urdu version has conceptual equivalence and cross-language validity. Conclusion: The translation and adaptation of the Caregiver Difficulties Scale (CDS) in Urdu is reliable and valid for the assessment of caregiver giver difficulties in caregivers of cerebral palsy children Keywords: cerebral palsy; caregivers; care giver burden","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368549","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}
M. Rao, Syed Shakil Rehman, Danish Hassan, Mehwish Ikram
Background: People who engage in unusually intense or prolonged physical activity frequently experience delayed onset muscle soreness (DOMS). DOMS may be treated using percussion massage therapy, which employs a portable tool to administer quick, repeated strikes to the muscle tissue. While there hasn't been much research done on the effects of Theragun specifically. Objective: to determine the effects of percussive massage treatment with theragun on pain and muscle length on post-exercise delayed onset muscle soreness of calf muscles in the healthy population. Methodology: This randomized control trial (NCT05026944) was conducted at Kasrat Health and Fitness Club, Lahore, Pakistan. The study was approved by the research ethical committee of Riphah International University Islamabad (REC/RCR &AHS/21/0410) A total of n=24, healthy females, age ranging from 20-30 years with post-exercise DOMS of calf muscles were included. All the study participants were randomly divided into group A received Percussive Massage Treatment with Theragun in addition to stretching exercises, while group B only received stretching exercises. The outcome variables were pain on NPRS and short-form McGill pain (SF-McGill) and calf muscle length with Goniometer, measured on the baseline, after 24 hours, after 48 hours and after 72 hours. Results: The mean age was 25.8±3.00 years, and BMI was 24.7±4.72 kg/m2 respectively. Both groups showed significant improvement (p<0.05) from the baseline to the end of treatment at each level of assessment. The group comparison showed that both the groups are not significantly different (p≥0.05) in all variables except left calf muscle length, which showed significant improvement (p<0.05) in group A, at the end of treatment, as compared to group B. Conclusion: It was concluded that individuals with post-exercise DOMS treated with theragun percussive massage increased the calf muscle length, however, no significant difference was seen in pain when compared with the static stretching group. Keywords: muscle flexibility; muscle soreness; percussion therapy; stretching exercises.
{"title":"Effects of percussive massage treatment with theragun on pain and muscle length on post exercise delayed onset muscle soreness of calf muscles in healthy population","authors":"M. Rao, Syed Shakil Rehman, Danish Hassan, Mehwish Ikram","doi":"10.52567/trj.v7i02.213","DOIUrl":"https://doi.org/10.52567/trj.v7i02.213","url":null,"abstract":"Background: People who engage in unusually intense or prolonged physical activity frequently experience delayed onset muscle soreness (DOMS). DOMS may be treated using percussion massage therapy, which employs a portable tool to administer quick, repeated strikes to the muscle tissue. While there hasn't been much research done on the effects of Theragun specifically. Objective: to determine the effects of percussive massage treatment with theragun on pain and muscle length on post-exercise delayed onset muscle soreness of calf muscles in the healthy population. Methodology: This randomized control trial (NCT05026944) was conducted at Kasrat Health and Fitness Club, Lahore, Pakistan. The study was approved by the research ethical committee of Riphah International University Islamabad (REC/RCR &AHS/21/0410) A total of n=24, healthy females, age ranging from 20-30 years with post-exercise DOMS of calf muscles were included. All the study participants were randomly divided into group A received Percussive Massage Treatment with Theragun in addition to stretching exercises, while group B only received stretching exercises. The outcome variables were pain on NPRS and short-form McGill pain (SF-McGill) and calf muscle length with Goniometer, measured on the baseline, after 24 hours, after 48 hours and after 72 hours. Results: The mean age was 25.8±3.00 years, and BMI was 24.7±4.72 kg/m2 respectively. Both groups showed significant improvement (p<0.05) from the baseline to the end of treatment at each level of assessment. The group comparison showed that both the groups are not significantly different (p≥0.05) in all variables except left calf muscle length, which showed significant improvement (p<0.05) in group A, at the end of treatment, as compared to group B. Conclusion: It was concluded that individuals with post-exercise DOMS treated with theragun percussive massage increased the calf muscle length, however, no significant difference was seen in pain when compared with the static stretching group. Keywords: muscle flexibility; muscle soreness; percussion therapy; stretching exercises.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83946717","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}
Afshan Ahmad, Zainab Hassan, Bisma Ahmad, K. Tariq, S. Saeed
Background: The COVID-19 pandemic has had the impact that may contribute to a rise in mental health problems. The novel coronavirus disease (COVID-19) is spreading rapidly, increasing the stress and challenges for healthcare professionals around the world. Objective: To explore the levels of anxiety and perceived stress among students due to the COVID-19 pandemic in Lahore, Pakistan. Methodology: An online cross-sectional survey was conducted in Lahore in the duration of 6 months on n=249 participants sampled through a non-probability convenient sampling technique. Participants with an age group between 15-30 years residing in Lahore were included in the study. The survey was done on all the medical students in this range so it could not affect the generalizability of results. Students with Ongoing physical or previous mental illness were excluded. Perceived Stress Scale (PSS) and generalized anxiety disorder were questionnaires converted into Google Forms and were distributed to students of medical discipline through WhatsApp, Instagram, and Facebook. Results: The mean age of the study participant was 22.0±1.94 years. The mean score of the perceived stress scale (PSS) was found to be 16.90±4.21 which showed that out of n=249 students n= 181(72.69%) reported moderate stress. While n=30(12.04%) students had low stress. While remaining high-stress levels were found among n=38(15.2%) students. The mean score of General Anxiety Disorder was found to be 18.45 ±3.16 which showed that out of 249 students, 35.74% (n= 71) students showed Mild Anxiety Level and 12.05% (n=30) showed Severe Anxiety Level. Conclusion: It was concluded that most of the medical students from Lahore reported stress and anxiety. However, higher stress and anxiety were reported among younger age groups and greater stress was found in females as compared to males. Keywords: anxiety; COVID-19; GAD- 7; mental health; perceived stress
{"title":"Anxiety and perceived stress among students due to covid-19 pandemic in Lahore","authors":"Afshan Ahmad, Zainab Hassan, Bisma Ahmad, K. Tariq, S. Saeed","doi":"10.52567/trj.v7i02.83","DOIUrl":"https://doi.org/10.52567/trj.v7i02.83","url":null,"abstract":"Background: The COVID-19 pandemic has had the impact that may contribute to a rise in mental health problems. The novel coronavirus disease (COVID-19) is spreading rapidly, increasing the stress and challenges for healthcare professionals around the world. Objective: To explore the levels of anxiety and perceived stress among students due to the COVID-19 pandemic in Lahore, Pakistan. Methodology: An online cross-sectional survey was conducted in Lahore in the duration of 6 months on n=249 participants sampled through a non-probability convenient sampling technique. Participants with an age group between 15-30 years residing in Lahore were included in the study. The survey was done on all the medical students in this range so it could not affect the generalizability of results. Students with Ongoing physical or previous mental illness were excluded. Perceived Stress Scale (PSS) and generalized anxiety disorder were questionnaires converted into Google Forms and were distributed to students of medical discipline through WhatsApp, Instagram, and Facebook. Results: The mean age of the study participant was 22.0±1.94 years. The mean score of the perceived stress scale (PSS) was found to be 16.90±4.21 which showed that out of n=249 students n= 181(72.69%) reported moderate stress. While n=30(12.04%) students had low stress. While remaining high-stress levels were found among n=38(15.2%) students. The mean score of General Anxiety Disorder was found to be 18.45 ±3.16 which showed that out of 249 students, 35.74% (n= 71) students showed Mild Anxiety Level and 12.05% (n=30) showed Severe Anxiety Level. Conclusion: It was concluded that most of the medical students from Lahore reported stress and anxiety. However, higher stress and anxiety were reported among younger age groups and greater stress was found in females as compared to males. Keywords: anxiety; COVID-19; GAD- 7; mental health; perceived stress","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77364135","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}
Zahid Mehmood, Zubair Ahmad, Asad Ullah, Anam Aftab, Junaid Akram, Abdul haseeb Bhutta, Abdul Wahab
Background: Understanding students' perception of the educational environment and their cognitive load in this context is crucial for optimizing the effectiveness of e-learning platforms. Objective: To compare educational environment perception and cognitive load in under-graduates Doctor of Physical Therapy (DPT) and post-graduate Master in Science of Physical Therapy (MSPT) students having online learning experiences. Methodology: In this comparative cross-sectional study, data was collected through non-probability convenient sampling from n=274 under-graduates DPT (n=225) and post-graduates MSPT(n=49) students of either gender having one-semester experience of online learning, Dundee Ready Education Environment Measure (DREEM) for measuring educational environmental perception and Rating Scale of Mental Effort (RSME) for measurement of cognitive load. Online self-structured was developed questionnaire and shared through communication media platform and data analysis was made through SPSS version 28. Results: There were n=225 under-graduates (DPT) and n=49 post-graduates (MSPT) students in which, there were n=208 females and n=66 males. The overall DREEM score showed that MSPT students are more significantly positive (p<0.001, Cohen’s d=1.01) than DPT students regarding the perception of the educational environment with a large effect size. While there was no significant difference (p=0.114) between MSP and DPT students regarding cognitive load. Conclusion: Post-graduates (MSPT) students have better educational environmental perception than undergraduate (DPT) students but there was no significant difference in cognitive load in undergraduate (DPT) and post-graduates (MSPT) students. Keywords: cognition; cognitive load; mental effort; e-learning; physiotherapist.
{"title":"Educational environment perception and cognitive load among physical therapy students during e-learning","authors":"Zahid Mehmood, Zubair Ahmad, Asad Ullah, Anam Aftab, Junaid Akram, Abdul haseeb Bhutta, Abdul Wahab","doi":"10.52567/trj.v7i02.224","DOIUrl":"https://doi.org/10.52567/trj.v7i02.224","url":null,"abstract":"Background: Understanding students' perception of the educational environment and their cognitive load in this context is crucial for optimizing the effectiveness of e-learning platforms. Objective: To compare educational environment perception and cognitive load in under-graduates Doctor of Physical Therapy (DPT) and post-graduate Master in Science of Physical Therapy (MSPT) students having online learning experiences. Methodology: In this comparative cross-sectional study, data was collected through non-probability convenient sampling from n=274 under-graduates DPT (n=225) and post-graduates MSPT(n=49) students of either gender having one-semester experience of online learning, Dundee Ready Education Environment Measure (DREEM) for measuring educational environmental perception and Rating Scale of Mental Effort (RSME) for measurement of cognitive load. Online self-structured was developed questionnaire and shared through communication media platform and data analysis was made through SPSS version 28. Results: There were n=225 under-graduates (DPT) and n=49 post-graduates (MSPT) students in which, there were n=208 females and n=66 males. The overall DREEM score showed that MSPT students are more significantly positive (p<0.001, Cohen’s d=1.01) than DPT students regarding the perception of the educational environment with a large effect size. While there was no significant difference (p=0.114) between MSP and DPT students regarding cognitive load. Conclusion: Post-graduates (MSPT) students have better educational environmental perception than undergraduate (DPT) students but there was no significant difference in cognitive load in undergraduate (DPT) and post-graduates (MSPT) students. Keywords: cognition; cognitive load; mental effort; e-learning; physiotherapist.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73092254","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}
B. Irshad, R. Pervez, Gul E Nayab, Nusrat Naseem, Muhammad Nasir Khan, Zaish Awan
Background: Parenting stress is an important factor that affects the marital satisfaction of parents of children with Neurodevelopmental disorders. When parents are faced with a challenging situation, such as having a child with a neuro-developmental disability, resilience facilitates a more positive coping style and improves marital satisfaction. Objective: to investigate the relationship between parenting children with neurodevelopment disorders, stress and marital satisfaction among parents while moderating the role of resilience. Methodology: The cross-sectional analytical study was conducted on n=300 parents of children with ADHD, an intellectual disability, and autism. Purposive sampling was employed to get a sample from RHS Rehabilitation Centre Islamabad. The mothers (n=150) and fathers (n=150) were selected with the age range of 25 to 50 years. Parenting stress was measured using the Parental Stress Scale after translating it into Urdu. To determine the Resilience, the Urdu version of the Connor-Davidson Resilience scale was used. Whereas marital satisfaction was determined using an Urdu-translated version of the Dyadic Adjustment Scale. Results: A negative correlation was revealed in the findings between parenting stress and marital satisfaction (p < 0.05). Moderation analysis demonstrated a significant effect of resilience on the relationship between parenting stress and marital satisfaction (R2 = 0.70, B = 0.002, β = -0.71, p < 0.05). Conclusion: In conclusion, it was found that high stress experienced by parents of children with neurodevelopmental disorders has a negative impact on their marital satisfaction. Both their marriage and parental lives were affected equally. For both fathers and mothers, resilience can be a useful tool in resolving marital problems. Keywords: marital satisfaction, neurodevelopmental disorders, parenting stress, resilience
背景:父母压力是影响神经发育障碍患儿父母婚姻满意度的重要因素。当父母面临一个具有挑战性的情况，比如有一个神经发育障碍的孩子时，适应力有助于更积极的应对方式，提高婚姻满意度。目的:探讨父母神经发育障碍、压力与婚姻满意度的关系及心理弹性的调节作用。方法:横断面分析研究对n=300名患有多动症、智力残疾和自闭症儿童的父母进行了研究。采用目的抽样方法，从伊斯兰堡RHS康复中心获得样本。选取母亲(n=150)和父亲(n=150)，年龄在25 ~ 50岁之间。将父母压力量表翻译成乌尔都语后，使用父母压力量表测量父母压力。为了确定弹性，我们使用了乌尔都语版的康纳-戴维森弹性量表。然而，婚姻满意度是用乌尔都语翻译版本的二元调整量表来确定的。结果:父母教养压力与婚姻满意度呈负相关(p < 0.05)。调节分析显示，心理弹性对父母压力与婚姻满意度的关系有显著影响(R2 = 0.70, B = 0.002， β = -0.71, p < 0.05)。结论:综上所述，神经发育障碍儿童父母所经历的高压力对其婚姻满意度有负向影响。他们的婚姻和为人父母的生活都受到了同样的影响。对于父亲和母亲来说，弹性都是解决婚姻问题的有用工具。关键词:婚姻满意度;神经发育障碍;育儿压力
{"title":"Parenting stress and marital satisfaction among parents of children with neurodevelopmental disorders: Moderating role of resilience","authors":"B. Irshad, R. Pervez, Gul E Nayab, Nusrat Naseem, Muhammad Nasir Khan, Zaish Awan","doi":"10.52567/trj.v7i02.201","DOIUrl":"https://doi.org/10.52567/trj.v7i02.201","url":null,"abstract":"Background: Parenting stress is an important factor that affects the marital satisfaction of parents of children with Neurodevelopmental disorders. When parents are faced with a challenging situation, such as having a child with a neuro-developmental disability, resilience facilitates a more positive coping style and improves marital satisfaction. Objective: to investigate the relationship between parenting children with neurodevelopment disorders, stress and marital satisfaction among parents while moderating the role of resilience. Methodology: The cross-sectional analytical study was conducted on n=300 parents of children with ADHD, an intellectual disability, and autism. Purposive sampling was employed to get a sample from RHS Rehabilitation Centre Islamabad. The mothers (n=150) and fathers (n=150) were selected with the age range of 25 to 50 years. Parenting stress was measured using the Parental Stress Scale after translating it into Urdu. To determine the Resilience, the Urdu version of the Connor-Davidson Resilience scale was used. Whereas marital satisfaction was determined using an Urdu-translated version of the Dyadic Adjustment Scale. Results: A negative correlation was revealed in the findings between parenting stress and marital satisfaction (p < 0.05). Moderation analysis demonstrated a significant effect of resilience on the relationship between parenting stress and marital satisfaction (R2 = 0.70, B = 0.002, β = -0.71, p < 0.05). Conclusion: In conclusion, it was found that high stress experienced by parents of children with neurodevelopmental disorders has a negative impact on their marital satisfaction. Both their marriage and parental lives were affected equally. For both fathers and mothers, resilience can be a useful tool in resolving marital problems. Keywords: marital satisfaction, neurodevelopmental disorders, parenting stress, resilience","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80069020","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}
Benish Shahzadi, Saeeda Taj, Saba Nawaz, Iqra Hamid, Mir Arif Hussain Talpur, S. Hussain, A. Sajjad, M. Kiyani
Background: Piriformis syndrome (PS) has negative impact on the daily activities of the patients and lead to disability. There is an anatomical association of piriformis muscle with sacroiliac joint (SIJ). So manual therapy including manipulation of SI joint may be the option for relieving the symptoms of PS Objective: To investigate the effectiveness of Sacroiliac joint manipulation in improving pain pressure threshold in patients with chronic piriformis syndrome. Materials and Methods: A randomized clinical trial (NCT04603703) was conducted at Max Rehab and Physical Therapy Centre G8-Markaz, Islamabad, Pakistan. A total of n=30 patients were randomly divided into Experimental group (n=15) and control group (n=15). Both groups received conventional physical therapy including therapeutic ultrasound, moist hot pack, piriformis muscle stretching, myofascial release of paraspinal muscles, gluteal strengthening, sciatic neurodynamics. The experimental group additionally received sacroiliac joint manipulation. The outcome measures were pain, straight leg raise (SLR), pain pressure threshold and piriformis muscle length. The total time frame of the treatment was 3 days per week for 6 weeks and pre and post intervention assessment was done. Result: The mean age of participants was 40.46 ±10.513 years. Pain, SLR, pain pressure threshold and piriformis length was significantly improved (p<0.001) in both the experimental and control group after 6th week intervention. Between group comparison there was no significant difference between the groups after 6-week intervention regarding the pain, SLR and piriformis muscle length, except pain pressure threshold which was significantly improved in experimental group as compared to control group (67.7±18.42 vs 52.51±15.26, p=0.020) . Conclusion: Addition of the sacroiliac joint thrust manipulation technique and conventional physical therapy alone were equally effective in decreasing pain intensity and normalizing length of Piriformis and Straight leg raise. But SIJ manipulation showed promising results on pain pressure threshold. Keywords: Articular, physical therapy modalities, piriformis muscle syndrome, pain threshold, range of motion, sacroiliac joint.
背景:梨状肌综合征(PS)对患者的日常活动产生负面影响并导致残疾。梨状肌与骶髂关节(SIJ)有解剖学上的联系。目的:探讨骶髂关节手法治疗对改善慢性梨状肌综合征患者痛压阈值的疗效。材料和方法:一项随机临床试验(NCT04603703)在巴基斯坦伊斯兰堡Max康复和物理治疗中心G8-Markaz进行。将30例患者随机分为实验组(n=15)和对照组(n=15)。两组均接受常规物理治疗，包括超声治疗、湿热敷、梨状肌拉伸、椎旁肌筋膜松解、臀肌强化、坐骨神经动力学。实验组在对照组基础上加行骶髂关节手法治疗。结果测量疼痛、直腿抬高(SLR)、痛压阈值和梨状肌长度。治疗总时间为每周3天，持续6周，并进行干预前和干预后评估。结果:参与者平均年龄40.46±10.513岁。干预第6周后，实验组和对照组的疼痛、SLR、痛压阈值和梨状肌长度均显著改善(p<0.001)。干预6周后，各组间疼痛、SLR、梨状肌长度均无显著差异，但实验组疼痛压阈值较对照组显著提高(67.7±18.42 vs 52.51±15.26,p=0.020)。结论:骶髂关节加推手法与常规物理治疗在减轻疼痛强度、恢复梨状肌长度和直腿抬高方面效果相同。但SIJ手法对痛压阈值的影响较好。关键词:关节，物理治疗方式，梨状肌综合征，痛阈，活动范围，骶髂关节。
{"title":"Sacroiliac joint manipulation helps to improve pain pressure threshold in chronic piriformis syndrome: a 6-week randomized controlled trial US","authors":"Benish Shahzadi, Saeeda Taj, Saba Nawaz, Iqra Hamid, Mir Arif Hussain Talpur, S. Hussain, A. Sajjad, M. Kiyani","doi":"10.52567/trj.v7i01.202","DOIUrl":"https://doi.org/10.52567/trj.v7i01.202","url":null,"abstract":"Background: Piriformis syndrome (PS) has negative impact on the daily activities of the patients and lead to disability. There is an anatomical association of piriformis muscle with sacroiliac joint (SIJ). So manual therapy including manipulation of SI joint may be the option for relieving the symptoms of PS Objective: To investigate the effectiveness of Sacroiliac joint manipulation in improving pain pressure threshold in patients with chronic piriformis syndrome. Materials and Methods: A randomized clinical trial (NCT04603703) was conducted at Max Rehab and Physical Therapy Centre G8-Markaz, Islamabad, Pakistan. A total of n=30 patients were randomly divided into Experimental group (n=15) and control group (n=15). Both groups received conventional physical therapy including therapeutic ultrasound, moist hot pack, piriformis muscle stretching, myofascial release of paraspinal muscles, gluteal strengthening, sciatic neurodynamics. The experimental group additionally received sacroiliac joint manipulation. The outcome measures were pain, straight leg raise (SLR), pain pressure threshold and piriformis muscle length. The total time frame of the treatment was 3 days per week for 6 weeks and pre and post intervention assessment was done. Result: The mean age of participants was 40.46 ±10.513 years. Pain, SLR, pain pressure threshold and piriformis length was significantly improved (p<0.001) in both the experimental and control group after 6th week intervention. Between group comparison there was no significant difference between the groups after 6-week intervention regarding the pain, SLR and piriformis muscle length, except pain pressure threshold which was significantly improved in experimental group as compared to control group (67.7±18.42 vs 52.51±15.26, p=0.020) . Conclusion: Addition of the sacroiliac joint thrust manipulation technique and conventional physical therapy alone were equally effective in decreasing pain intensity and normalizing length of Piriformis and Straight leg raise. But SIJ manipulation showed promising results on pain pressure threshold. Keywords: Articular, physical therapy modalities, piriformis muscle syndrome, pain threshold, range of motion, sacroiliac joint.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77366347","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}
Ujala Bashir, R. Noor, Halima Shoukat, Muhammad Luqman Ali, Muhamad Taha Javed, Zainab x Hassan
Background: The musculoskeletal issues are now common in excessive use of mobile phone for communication, gamming and socialization on internet. The excessive use of mobile phone may decrease the muscle strength and lead to poor posture ultimately functional impairment related to upper extremity. Objective: to determine correlation among duration of mobile phone usage, neck posture, disabilities and hand grip strength. Methods: A correlational cross sectional study was done at Riphah International University Lahore from March 2020 to February 2021. The target population was male and female young students of 18 to 24 years, used mobile phone more than 6 hours in a day. A total of n=400 subjectsarticipated in the study in which n=235 were females and n=165 were males. The information was gathered using the DASH Questionnaire to identify upper limb problems, the photogrammetry method to determine the cervical angle, and a dynamometer to determine the strength of each hand's grasp. The pearson product-moment correlation coefficient was done by using SPSS version 21. Result: The mean age of the study participant was 20.99±2.34 years. A total of n=165(41.25%) were male and remaining n=235 were female participated in the study. Increase use of mobile had negative significant small correlation with degree of cervical angle (p=0.04), right hand grip strength (p=0.01) and positive significant small correlation with DASH score (0.01). While no significant correlation between daily use of mobile phone and left hand grip strength Conclusion: The study concluded that as the duration of mobile phone usage increased, the forward head posture and disabilities of the upper limb also increased. But the grip strength of right hand decreased as the mobile phone duration is increased. Key words: Correlation, disabilities, female, grip strength, mobile phone, male, posture.
{"title":"Correlation of mobile phone usage on grip strength, disabilities and posture in young adults","authors":"Ujala Bashir, R. Noor, Halima Shoukat, Muhammad Luqman Ali, Muhamad Taha Javed, Zainab x Hassan","doi":"10.52567/trj.v7i01.210","DOIUrl":"https://doi.org/10.52567/trj.v7i01.210","url":null,"abstract":"Background: The musculoskeletal issues are now common in excessive use of mobile phone for communication, gamming and socialization on internet. The excessive use of mobile phone may decrease the muscle strength and lead to poor posture ultimately functional impairment related to upper extremity. Objective: to determine correlation among duration of mobile phone usage, neck posture, disabilities and hand grip strength. Methods: A correlational cross sectional study was done at Riphah International University Lahore from March 2020 to February 2021. The target population was male and female young students of 18 to 24 years, used mobile phone more than 6 hours in a day. A total of n=400 subjectsarticipated in the study in which n=235 were females and n=165 were males. The information was gathered using the DASH Questionnaire to identify upper limb problems, the photogrammetry method to determine the cervical angle, and a dynamometer to determine the strength of each hand's grasp. The pearson product-moment correlation coefficient was done by using SPSS version 21. Result: The mean age of the study participant was 20.99±2.34 years. A total of n=165(41.25%) were male and remaining n=235 were female participated in the study. Increase use of mobile had negative significant small correlation with degree of cervical angle (p=0.04), right hand grip strength (p=0.01) and positive significant small correlation with DASH score (0.01). While no significant correlation between daily use of mobile phone and left hand grip strength Conclusion: The study concluded that as the duration of mobile phone usage increased, the forward head posture and disabilities of the upper limb also increased. But the grip strength of right hand decreased as the mobile phone duration is increased. Key words: Correlation, disabilities, female, grip strength, mobile phone, male, posture.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88624224","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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