Background: Tension neck syndrome (TNS) is a prevalent condition worldwide. Soft tissue mobilization and strengthening exercises are used in physiotherapeutic rehabilitation of the musculoskeletal disorders. Objective: To compare the effects of strengthening exercises with and without soft tissue mobilization (STM) for pain and disability reduction in females with TNS. Methods: A single-blinded, parallel-group randomized controlled trial was conducted at the National Institute of Rehabilitation Medicine, Pakistan, from April to July 2016. A total of n=30 females, aged 30-70 years, were recruited through non-probability convenient sampling technique and randomly allocated to the experimental and control group. The experimental group received STM and neck isometric strengthening exercises, whereas the control group received neck isometric strengthening exercises only. The Numeric Pain Rating Scale (NPRS) was used to assess the pain intensity, while Neck Disability Index (NDI) was used for the neck-related disability. The data was collected at the baseline, after the 4th session and after the 8th session. The repeated measure analysis of variance (RM ANOVA) was used to analyse within the group changes, while the independent t-test was used to analyse the differences between the groups. The data was analysed by using SPSS version 21.Results: The mean age of the study participants was 47.9 ± 8.95 years. Within groups’ changes showed that pain intensity, individual items of NDI and its total score showed significant improvement in both the groups from the baseline to the 8th session (p £ 0.05). After the 8th session, the experimental group showed more significant reduction (p £ 0.05) in pain intensity and neck disability as compared to the control group. Conclusions: Soft tissue mobilization when combined with neck isometric strengthening exercises was more effective than exercises alone for reducing the pain intensity and disability in females with tension neck syndrome. Keywords: Management, neck pain, physical therapy, soft tissue mobilization, strength training
{"title":"COMPARE THE EFFECTS OF STRENGTHENING EXERCISES WITH AND WITHOUT SOFT TISSUE MOBILIZATION FOR THE MANAGEMENT OF TENSION NECK SYNDROME IN FEMALES: A RANDOMIZED CONTROLLED TRIAL","authors":"Javairia Javaid, Wardah Hussain Malick","doi":"10.52567/trj.v6i03.135","DOIUrl":"https://doi.org/10.52567/trj.v6i03.135","url":null,"abstract":"Background: Tension neck syndrome (TNS) is a prevalent condition worldwide. Soft tissue mobilization and strengthening exercises are used in physiotherapeutic rehabilitation of the musculoskeletal disorders. Objective: To compare the effects of strengthening exercises with and without soft tissue mobilization (STM) for pain and disability reduction in females with TNS. Methods: A single-blinded, parallel-group randomized controlled trial was conducted at the National Institute of Rehabilitation Medicine, Pakistan, from April to July 2016. A total of n=30 females, aged 30-70 years, were recruited through non-probability convenient sampling technique and randomly allocated to the experimental and control group. The experimental group received STM and neck isometric strengthening exercises, whereas the control group received neck isometric strengthening exercises only. The Numeric Pain Rating Scale (NPRS) was used to assess the pain intensity, while Neck Disability Index (NDI) was used for the neck-related disability. The data was collected at the baseline, after the 4th session and after the 8th session. The repeated measure analysis of variance (RM ANOVA) was used to analyse within the group changes, while the independent t-test was used to analyse the differences between the groups. The data was analysed by using SPSS version 21.Results: The mean age of the study participants was 47.9 ± 8.95 years. Within groups’ changes showed that pain intensity, individual items of NDI and its total score showed significant improvement in both the groups from the baseline to the 8th session (p £ 0.05). After the 8th session, the experimental group showed more significant reduction (p £ 0.05) in pain intensity and neck disability as compared to the control group. Conclusions: Soft tissue mobilization when combined with neck isometric strengthening exercises was more effective than exercises alone for reducing the pain intensity and disability in females with tension neck syndrome. Keywords: Management, neck pain, physical therapy, soft tissue mobilization, strength training","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"274 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75117214","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: There has been an increase in childhood and adolescent obesity worldwide, which affects the girls resulting low self-esteem and depression and diminishes health- related quality of life. The overweight and obese teenage girls are more likely to have gynaecologic and obstetric complications during adolescence and later in life. Objective: To determine gynaecological and psychosocial risk factors associated with obesity in adolescent girls. Methods: A cross sectional study conducted at schools and colleges of Islamabad and Rawalpindi with a sample size of n=99. The participants were divided into two groups of which n=25 were obese adolescents (cases) and n=74 were non-obese adolescents (controls). The Data collection was done based on self-structured questionnaire from adolescent females aged 10 to 19 years in cases with BMI >27.5kg/m2 in controls 18.5 to 23kg/m2. The study duration was 6 months from (October- 2020 to March- 2021). Study was conducted in various school and colleges of Islamabad and Rawalpindi. To determine the association odds ratio (OR) was calculated. Results: The mean age of the cases was 16.2±2.10 years and 14.78±1.82 years for controls. The BMI of cases was 29.38±1.97 kg/m2 and a control was 18.06±2.88 kg/m2. In gynaecological risk factors cases are more at risk to have excessive acne/pimple on face (Odds ratio: 3.484, p= 0.008), more likely to experience amenorrhea (OR: 4.504, p= 0.007) and more likely to have excessive facial/abdominal hair growth (OR: 3.600, p=0.014). For psychosocial risk factors the cases presented with a greater need/referral of a psychological evaluation (OR: 4.063, p=0.008) and feel social limitation or emotional disturbance (OR: 2.561, p=0.044). Conclusion: It was concluded that certain gynaecological and psychosocial determinants could be influenced by adolescent obesity leading to many complications and negative consequences on present and future health outcomes. Key words: adolescents, females, gynaecologic, obesity, overweight, quality of life
{"title":"GYNECOLOGICAL AND PSYCHOSOCIAL RISK FACTORS ASSOCIATED WITH OBESITY IN ADOLESCENT GIRLS","authors":"Ammara Rauf, Huma Riaz, Hadia Nadeem","doi":"10.52567/trj.v6i03.129","DOIUrl":"https://doi.org/10.52567/trj.v6i03.129","url":null,"abstract":"Background: There has been an increase in childhood and adolescent obesity worldwide, which affects the girls resulting low self-esteem and depression and diminishes health- related quality of life. The overweight and obese teenage girls are more likely to have gynaecologic and obstetric complications during adolescence and later in life. Objective: To determine gynaecological and psychosocial risk factors associated with obesity in adolescent girls. Methods: A cross sectional study conducted at schools and colleges of Islamabad and Rawalpindi with a sample size of n=99. The participants were divided into two groups of which n=25 were obese adolescents (cases) and n=74 were non-obese adolescents (controls). The Data collection was done based on self-structured questionnaire from adolescent females aged 10 to 19 years in cases with BMI >27.5kg/m2 in controls 18.5 to 23kg/m2. The study duration was 6 months from (October- 2020 to March- 2021). Study was conducted in various school and colleges of Islamabad and Rawalpindi. To determine the association odds ratio (OR) was calculated. Results: The mean age of the cases was 16.2±2.10 years and 14.78±1.82 years for controls. The BMI of cases was 29.38±1.97 kg/m2 and a control was 18.06±2.88 kg/m2. In gynaecological risk factors cases are more at risk to have excessive acne/pimple on face (Odds ratio: 3.484, p= 0.008), more likely to experience amenorrhea (OR: 4.504, p= 0.007) and more likely to have excessive facial/abdominal hair growth (OR: 3.600, p=0.014). For psychosocial risk factors the cases presented with a greater need/referral of a psychological evaluation (OR: 4.063, p=0.008) and feel social limitation or emotional disturbance (OR: 2.561, p=0.044). Conclusion: It was concluded that certain gynaecological and psychosocial determinants could be influenced by adolescent obesity leading to many complications and negative consequences on present and future health outcomes. Key words: adolescents, females, gynaecologic, obesity, overweight, quality of life","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89828380","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}
Muniba Shamshad, R. Kanwal, R. Butt, Hafiz Muhammad Faizan Haider
Background: Low back pain may lead cause disability in the patients. There are several physical therapy protocols used to manage the low back pain including McKenzie exercises. The Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOVA) is novel techniques could help to reduce the pain and disability related to lower back problems. Objective: to determine the effects and compare the McKenzie extension exercise and ELDOA stretch in non-specific low back pain patients. Methodology: A randomized clinical trial was conducted at Railway General Hospital, Rawalpindi and Irada Rehabilitation Center, Buchal Kalan from October 2021 - December 2021. The female participants with the age range of 40-69 years and had chronic non-specific low back pain for more than 3 months were included in the study. The participants were randomly divided into group A which received McKenzie extension exercises while group B received ELDOA stretch. The patient’s outcome measures were assessed through Numeric Pain Rating Scale (NPRS), inclinometer for, flexi curve ruler for lordships angle, and Oswestry Disability Index (ODI) for disability. MANCOVA test was used for controlling the covariates at baseline. Friedman with post hoc Wilcoxon test (non-parametric-within group analysis) for ODI variables RMANOVA was applied to observe pairwise changes with-in the groups for ODI total score, lordosis angle at baseline, and end of second, and fourth week of the treatment. NPRS and range of motion (extension, flexion) at pre and post treatment session. Results: The mean age of study participant was 44.29±3.08. Within group analysis showed that significant improvement (p<0.05) was observed in both groups regarding ODI total score, NPRS, Lordosis angle and range of motion (flexion, extension) from baseline to the end of 4th week and at each level of assessment. The group A (McKenzie extension exercises) was a significantly improved on the combined dependent variables as compared to group B (ELDOA stretch) after controlling for baseline values of BMI, NPRS, lordosis angle and ROMs, F (7, 34) = 55.12, p<0.001, Wilks' Λ=0.018, ηp2=0.49.Conclusion: McKenzie extension exercise showed better result in improving pain, range of motion, angle of lordosis and disability than ELDOA technique. Keywords: disability, low back pain, physical therapy, stretching exercises. ROM
{"title":"EFFECTS OF ELDOA TECHNIQUE VERSUS MCKENZIE EXTENSION EXERCISES ON NON-SPECIFIC LOW BACK PAIN PATIENTS.: A RANDOMIZED CLINICAL TRIAL","authors":"Muniba Shamshad, R. Kanwal, R. Butt, Hafiz Muhammad Faizan Haider","doi":"10.52567/trj.v6i03.190","DOIUrl":"https://doi.org/10.52567/trj.v6i03.190","url":null,"abstract":"Background: Low back pain may lead cause disability in the patients. There are several physical therapy protocols used to manage the low back pain including McKenzie exercises. The Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOVA) is novel techniques could help to reduce the pain and disability related to lower back problems. Objective: to determine the effects and compare the McKenzie extension exercise and ELDOA stretch in non-specific low back pain patients. Methodology: A randomized clinical trial was conducted at Railway General Hospital, Rawalpindi and Irada Rehabilitation Center, Buchal Kalan from October 2021 - December 2021. The female participants with the age range of 40-69 years and had chronic non-specific low back pain for more than 3 months were included in the study. The participants were randomly divided into group A which received McKenzie extension exercises while group B received ELDOA stretch. The patient’s outcome measures were assessed through Numeric Pain Rating Scale (NPRS), inclinometer for, flexi curve ruler for lordships angle, and Oswestry Disability Index (ODI) for disability. MANCOVA test was used for controlling the covariates at baseline. Friedman with post hoc Wilcoxon test (non-parametric-within group analysis) for ODI variables RMANOVA was applied to observe pairwise changes with-in the groups for ODI total score, lordosis angle at baseline, and end of second, and fourth week of the treatment. NPRS and range of motion (extension, flexion) at pre and post treatment session. Results: The mean age of study participant was 44.29±3.08. Within group analysis showed that significant improvement (p<0.05) was observed in both groups regarding ODI total score, NPRS, Lordosis angle and range of motion (flexion, extension) from baseline to the end of 4th week and at each level of assessment. The group A (McKenzie extension exercises) was a significantly improved on the combined dependent variables as compared to group B (ELDOA stretch) after controlling for baseline values of BMI, NPRS, lordosis angle and ROMs, F (7, 34) = 55.12, p<0.001, Wilks' Λ=0.018, ηp2=0.49.Conclusion: McKenzie extension exercise showed better result in improving pain, range of motion, angle of lordosis and disability than ELDOA technique. Keywords: disability, low back pain, physical therapy, stretching exercises. ROM","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83889473","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}
Anam Aftab, Sarah Kafeel, Sonia Munir, Habiba Aslam, R. Butt, S. Kaukab
Background: Loss of balance and Activity of daily living commonly compromised in stroke patients. Conventional physical therapy CPT) showed promising result in the rehabilitation of stroke, but these effects are very slow. Virtual reality (VR) technology is an adjunctive therapy that could be applied in neurorehabilitation in conjunction with conventional physical therapy. Objective: The aim of the study was to determine the effectiveness of virtual reality and conventional physical therapy (CPT) for stroke management in improving activities of daily living and balance. Methodology: A total of n=30 participants with sub-acute ischemic stroke, aged between 45-65 years, were divided into group A and group B. The group A received virtual reality training (VRT) with conventional physical therapy (CPT) for stroke management, while Group B received conventional physical therapy (CPT). The activities of daily living (ADLs) were assessed through Barthel index and balance was assessed through Balance Berg Scale (BBS). The data was collected at baseline, 2nd week, 4th week and after 6th week of intervention. The mixed ANOVA and One way MANCOVA was applied to see the interaction and main effects. The data was analyzed using SPSS 21. Results: The mean age of study participants of Group A was 51.533±4.82 years and Group B was 52.53±5.01 years. There is significant interaction effect between interventions and level of assessment in Balance score {F=11.705(1.683, 47.134), p<.001, ηp2=.295} as well as activity of daily living {F=4.782(2.209, 61.841), p=.010, ηp2=.146} after 6 week intervention. Conclusion: Both groups were effective in improving ADLs and balance but VR was more effective as compared to traditional balance exercises. Keywords: activities of daily living, acute stroke, balance, physical therapy, virtual reality
{"title":"VIRTUAL REALITY VERSUS TRADITIONAL STROKE MANAGEMENT IN IMPROVING ACTIVITY OF DAILY LIVING BALANCE: A RANDOMIZED CONTROL TRIAL","authors":"Anam Aftab, Sarah Kafeel, Sonia Munir, Habiba Aslam, R. Butt, S. Kaukab","doi":"10.52567/trj.v6i03.188","DOIUrl":"https://doi.org/10.52567/trj.v6i03.188","url":null,"abstract":"Background: Loss of balance and Activity of daily living commonly compromised in stroke patients. Conventional physical therapy CPT) showed promising result in the rehabilitation of stroke, but these effects are very slow. Virtual reality (VR) technology is an adjunctive therapy that could be applied in neurorehabilitation in conjunction with conventional physical therapy. Objective: The aim of the study was to determine the effectiveness of virtual reality and conventional physical therapy (CPT) for stroke management in improving activities of daily living and balance. Methodology: A total of n=30 participants with sub-acute ischemic stroke, aged between 45-65 years, were divided into group A and group B. The group A received virtual reality training (VRT) with conventional physical therapy (CPT) for stroke management, while Group B received conventional physical therapy (CPT). The activities of daily living (ADLs) were assessed through Barthel index and balance was assessed through Balance Berg Scale (BBS). The data was collected at baseline, 2nd week, 4th week and after 6th week of intervention. The mixed ANOVA and One way MANCOVA was applied to see the interaction and main effects. The data was analyzed using SPSS 21. Results: The mean age of study participants of Group A was 51.533±4.82 years and Group B was 52.53±5.01 years. There is significant interaction effect between interventions and level of assessment in Balance score {F=11.705(1.683, 47.134), p<.001, ηp2=.295} as well as activity of daily living {F=4.782(2.209, 61.841), p=.010, ηp2=.146} after 6 week intervention. Conclusion: Both groups were effective in improving ADLs and balance but VR was more effective as compared to traditional balance exercises. Keywords: activities of daily living, acute stroke, balance, physical therapy, virtual reality","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90708764","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}
Headache(TTH). The headache is associated with vestibular impairment (VI) and neck pain, but this association has not been studied in elder population. Objective: To determine the association of common types of headaches with vestibular impairment and neck pain in elderly. Methods: A cross sectional study was conducted from February 2021 to June 2021 at District Headquarters Hospital Narowal using a non-probability convenience sampling technique on n=140 participants. The inclusion criteria include age above 50 years, able to ambulate independently, complaint history of common type of headache. Headache was assessed clinically based on diagnostic criteria. The head impulse test was used to assess the vestibular function. The neck pain presence was asked through close ended question with binary response. The chi-square (x2) test used for association between the variables. Results: The mean age of the participants was 58.17 ± 7.14 years. The tension type headache was seen in n=76 (54.2%), migraine in n=33 (23.5%) and cervicogenic headache in n=31 (22.1%) patients. Vertigo was seen in n=52 (37%) patients and neck pain in n=82 (58%) patients. A significant association of vestibular impairment with migraine (Chi square value= 7.79, p=0.02) and cervicogenic headache (Chi square value= 6.12, p=0.04). While no significant association with tension type headache (Chi square value= 0.97, p=0.04). All type of headache were significantly associated (p<0.05) with neck pain. Conclusion: The vestibular impairment and neck pain are associated with all type of headache, except tension type headache where vestibular impairments are not associated. There was an association between types of headaches and neck pain. Keywords: Cervicogenic headache, Migraine, Neck pain, Tension type headache, Vestibular impairment (VI).
{"title":"ASSOCIATION OF COMMON TYPES OF HEADACHES WITH VESTIBULAR IMPAIRMENT AND NECK PAIN IN ELDERLY","authors":"Samia Khaliq, A. Malik, Saira Jahan, Mahnoor Zia","doi":"10.52567/trj.v6i03.144","DOIUrl":"https://doi.org/10.52567/trj.v6i03.144","url":null,"abstract":"Headache(TTH). The headache is associated with vestibular impairment (VI) and neck pain, but this association has not been studied in elder population. Objective: To determine the association of common types of headaches with vestibular impairment and neck pain in elderly. Methods: A cross sectional study was conducted from February 2021 to June 2021 at District Headquarters Hospital Narowal using a non-probability convenience sampling technique on n=140 participants. The inclusion criteria include age above 50 years, able to ambulate independently, complaint history of common type of headache. Headache was assessed clinically based on diagnostic criteria. The head impulse test was used to assess the vestibular function. The neck pain presence was asked through close ended question with binary response. The chi-square (x2) test used for association between the variables. Results: The mean age of the participants was 58.17 ± 7.14 years. The tension type headache was seen in n=76 (54.2%), migraine in n=33 (23.5%) and cervicogenic headache in n=31 (22.1%) patients. Vertigo was seen in n=52 (37%) patients and neck pain in n=82 (58%) patients. A significant association of vestibular impairment with migraine (Chi square value= 7.79, p=0.02) and cervicogenic headache (Chi square value= 6.12, p=0.04). While no significant association with tension type headache (Chi square value= 0.97, p=0.04). All type of headache were significantly associated (p<0.05) with neck pain. Conclusion: The vestibular impairment and neck pain are associated with all type of headache, except tension type headache where vestibular impairments are not associated. There was an association between types of headaches and neck pain. Keywords: Cervicogenic headache, Migraine, Neck pain, Tension type headache, Vestibular impairment (VI).","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87309903","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 Nordic Hamstring muscle training is effective for eccentric strengthening of the hamstring in a sports population. Due to its high volume, its compliance is low and researchers are working to find out its lowest effective dose. Objectives: To determine the effects of dose-response of Nordic hamstring exercise on hamstring muscle performance. Methods: A randomized controlled trial was conducted from August to November 2020 and comprised of athletes of both genders who were randomized into high (3 times/week, 4 weeks) and low volume (1 time/week, 4weeks) Nordic hamstring exercise groups. The Outcome measures were taken using the single leg hamstring bridge test for hamstring strength, 30-m speed test, agility T-test, anthropometric measurement at 5cm, 10cm, 15cm above the patella. The assessments were taken at baseline, 2nd and 4th weeks. The data were analysed using SPSS 23. Results: There were 30(88.2%) males and 4(11.8%) females with a mean age of 23.41±3.67years and a mean BMI of 18.6±3.16. A significant difference (p<0.001) was observed between both groups for all outcome variables post-exercise protocol at 2nd and 4th week. Conclusion: The Nordic hamstring exercise was effective in improving hamstring muscle performance. The higher dose of Nordic Hamstring Exercise was more effective than the lower dose in improvement in muscle size, strength, speed and agility of the participants after 4 weeks of training. Keywords: Agility, athletes, hamstring injuries, muscle strength, nordic hamstring exercises, speed
{"title":"EFFECTS OF DOSE-RESPONSE OF NORDIC HAMSTRING EXERCISE ON MUSCLE PERFORMANCE IN ATHLETES, A RANDOMIZED CONTROLLED TRIAL","authors":"Saeed Ullah, A. Razzaq, Huma Riaz, Suman Sheraz","doi":"10.52567/trj.v6i03.162","DOIUrl":"https://doi.org/10.52567/trj.v6i03.162","url":null,"abstract":"Background: The Nordic Hamstring muscle training is effective for eccentric strengthening of the hamstring in a sports population. Due to its high volume, its compliance is low and researchers are working to find out its lowest effective dose. Objectives: To determine the effects of dose-response of Nordic hamstring exercise on hamstring muscle performance. Methods: A randomized controlled trial was conducted from August to November 2020 and comprised of athletes of both genders who were randomized into high (3 times/week, 4 weeks) and low volume (1 time/week, 4weeks) Nordic hamstring exercise groups. The Outcome measures were taken using the single leg hamstring bridge test for hamstring strength, 30-m speed test, agility T-test, anthropometric measurement at 5cm, 10cm, 15cm above the patella. The assessments were taken at baseline, 2nd and 4th weeks. The data were analysed using SPSS 23. Results: There were 30(88.2%) males and 4(11.8%) females with a mean age of 23.41±3.67years and a mean BMI of 18.6±3.16. A significant difference (p<0.001) was observed between both groups for all outcome variables post-exercise protocol at 2nd and 4th week. Conclusion: The Nordic hamstring exercise was effective in improving hamstring muscle performance. The higher dose of Nordic Hamstring Exercise was more effective than the lower dose in improvement in muscle size, strength, speed and agility of the participants after 4 weeks of training. Keywords: Agility, athletes, hamstring injuries, muscle strength, nordic hamstring exercises, speed","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88345148","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: Benign Paroxysmal Positional Vertigo (BPPV) is a condition related to vestibular system accompanied by dizziness, tinnitus and balance problems leading to increased fall risk and potential disability. Various treatment options are available including pharmacotherapy and vestibular rehabilitation with varied results. Objective: To compare the efficacy of Modified Epley and Semont’s manoeuvre with and without Beta-histine for BPPV. Methodology: A single blinded Randomized control trail, registered at clinicaltrial.gov under clinical trial registry NCT05309538, was conducted on n=90 patient having Benign Paroxysmal Positional Vertigo; at the Neurocouncil Hospital & the physiotherapy clinic. from June 2021- August 2021. The participants between 18 to 60 years with positive modified Dix Hil pike test were included in the study. The n=90 participants were equally divided via lottery method into Group A and B, Both group received mEpley’s and Semont’s Manoeuvres, Group B additionally received beta-histine. The dizziness handicapped inventory and EQ-5D-5L questionnaire were used for dizziness and quality of life respectively. The data were collected at the baseline and at the end of 4th week. The data was analyzed with SPSS version 21. Results: The wilcoxon rank test showed that there was significant improvement (p<0.001) in dizziness handicapped inventory, all domains and the total score of EQ-5D quality of life questionnaire. While comparing both groups no significant (p≥0.05) additional effects of Betahistine with modified Epley’s and Semont’s manoeuvres on dizziness handicapped inventory and quality of life. Conclusion: The study concluded that the Betahistine has no additional effects in the management dizziness of BPPV Keywords: Disability, psychological Adjustment, Stress BPPV, Modified Epley’s manoeuvre, Semont’s manoeuvre, vertigo, dizziness, quality of life.
背景:良性阵发性位置性眩晕(BPPV)是一种与前庭系统相关的疾病，伴有头晕、耳鸣和平衡问题，导致跌倒风险增加和潜在的残疾。不同的治疗选择包括药物治疗和前庭康复，结果不同。目的:比较改良Epley和Semont手法加与不加组蛋白治疗BPPV的疗效。方法:对90例良性阵发性位置性眩晕患者进行单盲随机对照试验，在clinicaltrial.gov注册，临床试验注册号为NCT05309538;在神经理事会医院和理疗诊所从2021年6月到2021年8月。研究对象为18 ~ 60岁的Dix hill - pike试验阳性受试者。n=90名参与者通过摇号法平均分为A组和B组，两组均给予mEpley 's和Semont 's机动，B组在此基础上给予β -组蛋白。眩晕障碍量表和EQ-5D-5L问卷分别用于头晕和生活质量。在基线和第4周结束时收集数据。数据采用SPSS version 21进行分析。结果:经wilcoxon秩检验，眩晕障碍量表、各领域及EQ-5D生活质量问卷总分均有显著改善(p<0.001)。两组比较，倍他司汀联合改良Epley 's和Semont 's手法对眩晕障碍量表和生活质量的额外影响无统计学意义(p≥0.05)。结论:本研究认为倍他司汀对BPPV患者治疗头晕无额外作用。关键词:残疾，心理调节，应激性BPPV，改良Epley手法，Semont手法，眩晕，头晕，生活质量。
{"title":"EFFECT OF MODIFIED EPLEY’S & SEMONT’S MANEUVERS WITH OR WITHOUT BETA-HISTINE ON BENIGN PAROXYSMAL POSITIONAL VERTIGO: A RANDOMIZED CONTROL TRAIL","authors":"Muhammad Salman, M. Umar, M. Badshah, Aamer Naeem","doi":"10.52567/trj.v6i02.124","DOIUrl":"https://doi.org/10.52567/trj.v6i02.124","url":null,"abstract":"Background: Benign Paroxysmal Positional Vertigo (BPPV) is a condition related to vestibular system accompanied by dizziness, tinnitus and balance problems leading to increased fall risk and potential disability. Various treatment options are available including pharmacotherapy and vestibular rehabilitation with varied results. Objective: To compare the efficacy of Modified Epley and Semont’s manoeuvre with and without Beta-histine for BPPV. Methodology: A single blinded Randomized control trail, registered at clinicaltrial.gov under clinical trial registry NCT05309538, was conducted on n=90 patient having Benign Paroxysmal Positional Vertigo; at the Neurocouncil Hospital & the physiotherapy clinic. from June 2021- August 2021. The participants between 18 to 60 years with positive modified Dix Hil pike test were included in the study. The n=90 participants were equally divided via lottery method into Group A and B, Both group received mEpley’s and Semont’s Manoeuvres, Group B additionally received beta-histine. The dizziness handicapped inventory and EQ-5D-5L questionnaire were used for dizziness and quality of life respectively. The data were collected at the baseline and at the end of 4th week. The data was analyzed with SPSS version 21. Results: The wilcoxon rank test showed that there was significant improvement (p<0.001) in dizziness handicapped inventory, all domains and the total score of EQ-5D quality of life questionnaire. While comparing both groups no significant (p≥0.05) additional effects of Betahistine with modified Epley’s and Semont’s manoeuvres on dizziness handicapped inventory and quality of life. Conclusion: The study concluded that the Betahistine has no additional effects in the management dizziness of BPPV Keywords: Disability, psychological Adjustment, Stress BPPV, Modified Epley’s manoeuvre, Semont’s manoeuvre, vertigo, dizziness, quality of life.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"161 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75089051","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}
R. Riaz, O. W. Althomali, Bushra Sultana, I. Amjad, Sammar Abbas, N. Khan
Background: Osteoarthritis (OA) is a persistent joint disorder, which normally affects the weight bearing joints especially knee joint. Lateral wedge insole is one such approach suggested by professionals to manage the knee osteoarthritis. Objective: To determine the effectiveness of lateral wedge insoles on knee osteoarthritis outcomes in Pakistani population Design: A single-blinded, pretest-posttest comparison. Setting: District Headquarter (DHQ) Hospital, Bahawalnagar and National Institute of Rehabilitation Medicine (NIRM), for a time period of one month. Population: Patients with the age criteria of 40-70 years, and who had knee OA were included in the study. Methods: Participants were randomly divided in two groups; lateral wedge insoles (LWI) group (n=20), and conventional physical therapy (CPT) group (n=20). Pain, stiffness, activities of daily living, sports and recreational activities, and quality of life was assessed on Urdu version of Knee Injury and Osteoarthritis Outcome Score scale (KOOS) on every week till 4th week of intervention. Mixed ANOVA was used for interaction effect of between-subject factor (group) and within-subject factor (time) with-in group analysis and one way ANOVA for between group comparisons with their effect size (ɳp2). Results: Significant improvement with large effect size was observed in Symptoms and stiffness (p<0.001, ɳp2=.329} , pain (p<0.001, ɳp2=.559), functional activities (p<0.001, ɳp2=.394), recreational activities (p<0.001, ɳp2=.369) and quality of life (p<0.001, ɳp2=.280). The CPT group showed more significant improvement (p<0.001) in all domains of KOOS as compared to LWI group. Conclusion: Lateral wedge insoles (LWI) and conventional physical therapy (CPT) both have positive impact on knee osteoarthritis outcomes. But conventional physical therapy was more effective in improving functional independence. Clinical rehabilitation impact: This study provides the evidence on the use of LWI and CPT as alternative strategies to improving Knee OA outcome measures. Keywords: Knee osteoarthritis, functional independence, geriatric population, musculoskeletal physiotherapy, orthotics, quality of life, rehabilitation.
背景:骨关节炎(OA)是一种持续性关节疾病，通常影响负重关节，尤其是膝关节。侧楔鞋垫是专业人士建议的一种治疗膝关节骨关节炎的方法。目的:确定侧向楔形鞋垫对巴基斯坦人群膝关节骨关节炎预后的有效性。设计:单盲、前测后测比较。地点:巴哈瓦尔纳格尔区总部医院和国家康复医学研究所，为期一个月。人群:年龄标准在40-70岁之间且患有膝关节OA的患者被纳入研究。方法:受试者随机分为两组;侧楔鞋垫组(LWI) 20例，常规物理治疗组(CPT) 20例。每周用乌尔都语版膝关节损伤与骨关节炎结局评分量表(oos)评估疼痛、僵硬、日常生活活动、运动娱乐活动和生活质量，直至干预第4周。组内因素(组)与组间因素(时间)的交互效应采用混合方差分析(Mixed ANOVA)，组间比较采用单因素方差分析(one - way ANOVA)。结果:症状和僵硬度均有显著改善，且效应量大(p<0.001, p = p2)。329}，疼痛(p<0.001, p2=.559)，功能活动(p<0.001, p2=.394)，娱乐活动(p<0.001, p2=.369)和生活质量(p<0.001, p2=.280)。与LWI组相比，CPT组在kos各领域的改善更为显著(p<0.001)。结论:外侧楔形鞋垫(LWI)和常规物理治疗(CPT)对膝关节骨性关节炎的预后均有积极影响。但常规物理治疗在改善功能独立性方面更有效。临床康复影响:本研究为使用LWI和CPT作为改善膝关节OA预后指标的替代策略提供了证据。关键词:膝关节骨关节炎，功能独立，老年人群，肌肉骨骼物理治疗，矫形器，生活质量，康复。
{"title":"EFFECTIVENESS OF LATERAL WEDGE INSOLE ON KNEE OSTEOARTHRITIS OUTCOMES IN PAKISTANI POPULATION","authors":"R. Riaz, O. W. Althomali, Bushra Sultana, I. Amjad, Sammar Abbas, N. Khan","doi":"10.52567/trj.v6i02.174","DOIUrl":"https://doi.org/10.52567/trj.v6i02.174","url":null,"abstract":"Background: Osteoarthritis (OA) is a persistent joint disorder, which normally affects the weight bearing joints especially knee joint. Lateral wedge insole is one such approach suggested by professionals to manage the knee osteoarthritis. Objective: To determine the effectiveness of lateral wedge insoles on knee osteoarthritis outcomes in Pakistani population Design: A single-blinded, pretest-posttest comparison. Setting: District Headquarter (DHQ) Hospital, Bahawalnagar and National Institute of Rehabilitation Medicine (NIRM), for a time period of one month. Population: Patients with the age criteria of 40-70 years, and who had knee OA were included in the study. Methods: Participants were randomly divided in two groups; lateral wedge insoles (LWI) group (n=20), and conventional physical therapy (CPT) group (n=20). Pain, stiffness, activities of daily living, sports and recreational activities, and quality of life was assessed on Urdu version of Knee Injury and Osteoarthritis Outcome Score scale (KOOS) on every week till 4th week of intervention. Mixed ANOVA was used for interaction effect of between-subject factor (group) and within-subject factor (time) with-in group analysis and one way ANOVA for between group comparisons with their effect size (ɳp2). Results: Significant improvement with large effect size was observed in Symptoms and stiffness (p<0.001, ɳp2=.329} , pain (p<0.001, ɳp2=.559), functional activities (p<0.001, ɳp2=.394), recreational activities (p<0.001, ɳp2=.369) and quality of life (p<0.001, ɳp2=.280). The CPT group showed more significant improvement (p<0.001) in all domains of KOOS as compared to LWI group. Conclusion: Lateral wedge insoles (LWI) and conventional physical therapy (CPT) both have positive impact on knee osteoarthritis outcomes. But conventional physical therapy was more effective in improving functional independence. Clinical rehabilitation impact: This study provides the evidence on the use of LWI and CPT as alternative strategies to improving Knee OA outcome measures. Keywords: Knee osteoarthritis, functional independence, geriatric population, musculoskeletal physiotherapy, orthotics, quality of life, rehabilitation.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85617551","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: Successful athletes are motivated for future-oriented for more achievements. Apprehensive athletes are not as successful as highly motivated athletes. The sport participation is influenced by many factors those contribute in success of athletes. Objective: To explore the motivational factors for sports participation among Pakistani athletes. Methodology: The cross-sectional survey was conducted on both male and female athletes (n=400) between the age of 14 to 40 years, played at the national and international levels at least from one year. The study was conducted at the Pakistan sports board (PSB) from July-December 2018. The non-probability convenience sampling was used in this study. The sports participation scale-6 was used to explore the motivational factors. The data was presented as n(%). Results: the mean age of the participants were 24±5.45 years The results showed that the mean scores of six categories of Sports Motivational Scale (SMS) was 134.69±13.431, which showed that majority of athletes were highly motivated. The result of the study also showed that all subdomain of sports motivation scale positively correlated to total score (p<0.001), while a motivation was negatively associated r=-0.701, p<0.001) with total score of sports motivation scale. Although most of the athletes were normal in term of depression, anxiety, and stress. But depression is negatively correlated (r=-0.09, p=0.04) with sports motivation. Conclusion: This study concluded that most athletes are motivated because hard training improves their performance and other motivational factors are also associated like pleasure, internal satisfaction, and excitement. The least motivational factor was achieving social or material benefits of being an athlete. Keywords: Athlete, motivation, participation, stress.
{"title":"MOTIVATIONAL FACTORS ASSOCIATED WITH SPORTS PARTICIPATION AMONG ATHLETES","authors":"Anum Aftab, N. Rafique, Sadia Basharat, Bushra Sultana, Farwa Abid, Anum Rafique","doi":"10.52567/trj.v6i02.61","DOIUrl":"https://doi.org/10.52567/trj.v6i02.61","url":null,"abstract":"Background: Successful athletes are motivated for future-oriented for more achievements. Apprehensive athletes are not as successful as highly motivated athletes. The sport participation is influenced by many factors those contribute in success of athletes. Objective: To explore the motivational factors for sports participation among Pakistani athletes. Methodology: The cross-sectional survey was conducted on both male and female athletes (n=400) between the age of 14 to 40 years, played at the national and international levels at least from one year. The study was conducted at the Pakistan sports board (PSB) from July-December 2018. The non-probability convenience sampling was used in this study. The sports participation scale-6 was used to explore the motivational factors. The data was presented as n(%). Results: the mean age of the participants were 24±5.45 years The results showed that the mean scores of six categories of Sports Motivational Scale (SMS) was 134.69±13.431, which showed that majority of athletes were highly motivated. The result of the study also showed that all subdomain of sports motivation scale positively correlated to total score (p<0.001), while a motivation was negatively associated r=-0.701, p<0.001) with total score of sports motivation scale. Although most of the athletes were normal in term of depression, anxiety, and stress. But depression is negatively correlated (r=-0.09, p=0.04) with sports motivation. Conclusion: This study concluded that most athletes are motivated because hard training improves their performance and other motivational factors are also associated like pleasure, internal satisfaction, and excitement. The least motivational factor was achieving social or material benefits of being an athlete. Keywords: Athlete, motivation, participation, stress.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85657213","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}
Raheela Kousar, M. Sanaullah, Mehwish Ikram, Asma Aleem, A. Memon, Syed Shakil Rehman
Background: Achilles tendinopathy is highly prevalent and caused by intrinsic or extrinsic factors. The multiple minor traumas can lead to achilles tendinopathy. Physical therapy treatment includes soft tissue mobilization and exercises. Objective: To compare ultrasound and transverse friction massage in chronic Achilles tendinopathy. Methodology: The study was a randomized control trial from 1st March 2019 to 15th August 2019. The non-probability convenient sampling technique was used to include n=76 patients having pain and activity limitation of Achilles tendon and randomly allocated into groups A and B by lottery method. The outcome measuring tools were numeric pain rating scale (NPRS) for pain, the Victorian Institute of Sports Assessment- Achilles questionnaire (VISA-A) for severity and goniometry for ROM. The Group A was treated with transverse friction massage and the group B was treated with ultrasound therapy. Both groups also performed eccentric exercises. The assessment was done at the baseline on the 1st session, at end of the 9th and 18th session. The data was analysed by SPSS 23 using independent t-test and repeated measures ANOVA. Results: The results of RM-ANOVA with pairwise comparison showed that both groups improve significantly (p<0.05) throughout the treatment duration with large effect size for all variables. While comparing the groups with independent t-test, TFM group showed more improvement in all variables as compared to UST group (p<0.05) after 3rd week as well as after 6th week of intervention. Conclusion: The Transverse friction massage (TFM) was more effective than ultrasound therapy (UST) when combined with eccentric exercises in improving pain severity of tendinopathy and ROM of ankle. Keywords: Achilles tendon, eccentric exercises, pain stretching, myofascial release, ultrasonic therapy, tendinopathy.
{"title":"EFFECTS OF ULTRASOUND THERAPY VERSUS TRANSVERSE FRICTION MASSAGE ALONG WITH ECCENTRIC EXERCISE PROGRAM ON CHRONIC ACHILLES TENDINOPATHY","authors":"Raheela Kousar, M. Sanaullah, Mehwish Ikram, Asma Aleem, A. Memon, Syed Shakil Rehman","doi":"10.52567/trj.v6i02.110","DOIUrl":"https://doi.org/10.52567/trj.v6i02.110","url":null,"abstract":"Background: Achilles tendinopathy is highly prevalent and caused by intrinsic or extrinsic factors. The multiple minor traumas can lead to achilles tendinopathy. Physical therapy treatment includes soft tissue mobilization and exercises. Objective: To compare ultrasound and transverse friction massage in chronic Achilles tendinopathy. Methodology: The study was a randomized control trial from 1st March 2019 to 15th August 2019. The non-probability convenient sampling technique was used to include n=76 patients having pain and activity limitation of Achilles tendon and randomly allocated into groups A and B by lottery method. The outcome measuring tools were numeric pain rating scale (NPRS) for pain, the Victorian Institute of Sports Assessment- Achilles questionnaire (VISA-A) for severity and goniometry for ROM. The Group A was treated with transverse friction massage and the group B was treated with ultrasound therapy. Both groups also performed eccentric exercises. The assessment was done at the baseline on the 1st session, at end of the 9th and 18th session. The data was analysed by SPSS 23 using independent t-test and repeated measures ANOVA. Results: The results of RM-ANOVA with pairwise comparison showed that both groups improve significantly (p<0.05) throughout the treatment duration with large effect size for all variables. While comparing the groups with independent t-test, TFM group showed more improvement in all variables as compared to UST group (p<0.05) after 3rd week as well as after 6th week of intervention. Conclusion: The Transverse friction massage (TFM) was more effective than ultrasound therapy (UST) when combined with eccentric exercises in improving pain severity of tendinopathy and ROM of ankle. Keywords: Achilles tendon, eccentric exercises, pain stretching, myofascial release, ultrasonic therapy, tendinopathy.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85855128","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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