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GENDER BASED DIFFERENCES OF BURNOUT AMONG CLINICAL AND ACADEMIC PHYSICAL THERAPISTS 临床与学术物理治疗师职业倦怠的性别差异
Pub Date : 2022-06-30 DOI: 10.52567/trj.v6i02.122
Laraib Altaf, Sania Zafar, Shajia Khan, Hadia Nadeem, Nabeela Kanwal, Marrium Batool
Background: Burnout can develop due to various risk factors including socio-economic, conventional and personal, for both men and women. Some studies suggest increased prevalence of burnout in female individuals, which may be due to actual aspects like how the assessment tools are used or the way burnout manifests in both genders, including levels of emotional exhaustion, feelings of decrease in personal effectiveness in the work environment. Objective: To determine the gender based differences of burnout among clinical and academic physical therapist. Methodology: This cross-sectional comparative study was conducted at major various educational institutes, hospitals and private clinical setups of twin cities Rawalpindi and Islamabad from January to June 2021 (6 months) The total sample was n= 324 participants enlisted using non-probability purposive sampling. The adults aged 25-40 years, with at least 1 year of working experience, both male and female were included. The data was collected using Copenhagen Burnout Inventory (CBI) tool. The data analysis was done by SPSS 21 version. Results: The mean age of participant was 29.69±4.34 years. The level of burnout among the physical therapist on the basis of gender (p<0.001) and occupational differences (p=0.001), both showed statistically significant association. Conclusion: Level of burnout in physical therapists was found to be low. Female physical therapists exhibited greater level of burnout as compared to their male counterparts and also academicians tended to have greater burnout as compared to those working in clinical settings Keywords: Academic training, burnout, gender, health care delivery, physical therapist
背景:对男性和女性来说,职业倦怠可能是由各种风险因素造成的,包括社会经济因素、传统因素和个人因素。一些研究表明,女性中职业倦怠的患病率有所上升,这可能是由于一些实际的方面,比如评估工具的使用方式,或者职业倦怠在两性中的表现方式,包括情绪疲惫的程度,在工作环境中个人效率下降的感觉。目的:了解临床和学术物理治疗师职业倦怠的性别差异。方法:本横断面比较研究于2021年1月至6月(6个月)在双子城市拉瓦尔品第和伊斯兰堡的主要各种教育机构、医院和私人临床机构进行,总样本为n= 324名参与者,采用非概率目的抽样。年龄在25-40岁之间,至少有1年工作经验的成年人,男女不限。使用哥本哈根倦怠量表(CBI)工具收集数据。数据分析采用SPSS 21软件。结果:患者平均年龄29.69±4.34岁。物理治疗师职业倦怠水平的性别差异(p<0.001)和职业差异(p=0.001)均有统计学意义。结论:物理治疗师的职业倦怠水平较低。关键词:学术培训,职业倦怠,性别,卫生保健服务,物理治疗师,女性物理治疗师比男性物理治疗师表现出更高的职业倦怠水平
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引用次数: 0
PROFESSIONAL PREFERENCES OF SPEECH PATHOLOGIST FOR THE ASSESSMENT AND MANAGEMENT OF DYSPHAGIA AFTER STROKE 语言病理学家对脑卒中后吞咽困难的评估和处理的专业偏好
Pub Date : 2022-06-30 DOI: 10.52567/trj.v6i02.163
Jannat Haider, Rabia Zubair
Background: Dysphagia is common after stroke, leading to adverse outcome. The clinical decisions are often based on usual practice, however no formal or similar methods exists to determine the efficacy for assessment and treatment of dysphagia after stroke. Objective:To determine professional preferences among SLPs in terms of opted techniques and approaches for the assessment and management of dysphagia in major cities of Pakistan. Methods:Study design was cross sectional survey and data was collected from practicing speech language pathologists of Rawalpindi, Islamabad, Lahore and Karachi from July 2020 till January 2021through online medium on Google forms. The non-probability convenient sampling technique was used for data collection from speech language pathologists. Sample size was n=31 out of which n=20 were females and n=11 were males. Responses of all participants were presented in the form of n(%) through SPSS version 20. Results: There was variation between all the responses of participants from different cities of Pakistan. The Speech and language pathologists (SLPs)had access to instrumental assessment video fluoroscopy n=5 (16.1%), FEES n= 4 (12.9%) and more than one instrumental assessment tools n= 8 (25.7%) but before recommendation of exercise is rarelyn=20 (64.3%) practiced. The two principal outcome measures for direct dysphagia exercises indicated by SLPs were Oral control n=12 (35.2%) and reduced aspiration n=8 (12.9%). To measure direct exercises outcomes SLPs rarely n=25 (80.7%) uses instrumental assessment tools but use rating scales n=29 (93%). SLPs also prefer to see patient for management of dysphagia 1-2 times a day, 1-4 days a week, for 45 minutes. The most frequently preferred direct exercises are lip range movement n=15 (48.4%), lip strength n=16 (51.6%) and effortful swallow n= 16 (51.6%) whereas electrical stimulation method is least practiced n=5 (16.2%). Conclusion: The Speech language pathologists showed variability in preferences for assessments and management practices and format. Keywords:Dysphagia, clinical decision making, speech-language pathology, stroke.
背景:吞咽困难是卒中后常见的,可导致不良后果。临床决策通常基于通常的实践,然而没有正式的或类似的方法来确定卒中后吞咽困难的评估和治疗效果。目的:了解巴基斯坦主要城市的吞咽困难评估和管理的技术和方法,以确定slp的专业偏好。方法:采用横断面调查的研究设计,通过谷歌表格的在线媒体收集2020年7月至2021年1月期间拉瓦尔品第、伊斯兰堡、拉合尔和卡拉奇的执业语音语言病理学家的数据。采用非概率方便抽样技术对语音语言病理学家进行数据采集。样本量为n=31,其中女性20人,男性11人。所有参与者的回答通过SPSS version 20以n(%)的形式表示。结果:来自巴基斯坦不同城市的参与者的所有回答都存在差异。语音和语言病理学家(slp)使用仪器评估视频透视检查n=5(16.1%),费用n= 4(12.9%)和超过一种仪器评估工具n= 8(25.7%),但在建议锻炼之前很少有20(64.3%)进行练习。slp指示的直接吞咽困难运动的两个主要结局指标是口服控制n=12(35.2%)和减少误吸n=8(12.9%)。为了测量直接锻炼结果,slp很少(n=25)(80.7%)使用工具性评估工具,而是使用评分量表(n=29)(93%)。slp也倾向于每天1-2次,每周1-4天,每次45分钟,治疗吞咽困难。最常用的直接练习是唇范围运动n=15(48.4%)、唇力量n=16(51.6%)和用力吞咽n=16(51.6%),而电刺激法的使用次数最少(n=5)(16.2%)。结论:语音语言病理学家在评估和管理实践和格式方面表现出不同的偏好。关键词:吞咽困难,临床决策,言语病理,脑卒中。
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引用次数: 0
A Lesson / An Eye Opener 一堂课/大开眼界
Pub Date : 2022-03-31 DOI: 10.52567/trj.v6i01.149
N. Sultan, Kiran Khushnood, W. Awan
The pandemic of Coronavirus disease 2019 (COVID-19) has led to serious implications throughout the globe ranging from finance, education, social support to health. There is hardly any aspect left untouched by this fatality. It has also opened our eyes about unequal and unjust distribution of resources among the world where the deprived have seen the worse scenarios. The developed nations tried to cope this situation with their assets while the rest have either suffered or have emerged even stronger. The major burden was definitely on the health services delivery and provision, where the scares means from equipment to space and man power have all played their role. The pandemic has opened the eyes of health policy makers and service providers who were living in deception and have never been ready for certain contagion. We have come to know that the medical services are never enough to deal with similar situation. COVID-19 has taught us the skill of how to be prepared and fight in a worse situation but unfortunately, we have learned this after losing many precious lives. The changes in healthcare practices have also been modified. The infection control (IC) system which should have been a focus prior became a highlight after pandemic. The IC practices in hospitals (public and private sector) were not sufficient and adherence to them wasn’t observed either. Even the majority of services providers and heath care professionals weren’t aware of use of personal protective equipment (PPE); their use and sequences of donning and doffing, except for those working in intensive care units and isolation areas. Thanks to COVID-19 who taught us to be familiar with these things whether their use is un-common. COVID-19 has also been a guide for people in rehabilitation who are prime part of recovery from all illnesses including this pandemic. COVID-19 was found to be a cause of multiple complications i.e. pulmonary, cardiac, neurological, musculoskeletal, psychological and social. Attention was also diverted to recovery in all the mentioned aspects which led to provision and improvements in tertiary care setups with focus on rehabilitation as a mode of full recovery. The stakeholders have started to be more focused on improving the mental and physical aspects of disease along with the physiological. The rehabilitation and physical therapy services have not been spared from the pandemic. Where the physical therapy professionals were not ready and well trained to deal with contagious diseases and safety measures it put us in a bigger challenge. Many clinics and hospitals had scares availability of personnel protective equipment (PPE) which also lead to seriousness of situation. As for provision of physical therapy care direct contact with patients cannot be limited, and lack of knowledge on unavailability of PPE could put therapist’s or the patient’s life in danger. Covid-19 opened the eyes and importance of teaching safety measures and donning and doffing of PPEs
2019年冠状病毒病(COVID-19)大流行在全球范围内造成了严重影响,从金融、教育、社会支持到卫生。几乎没有一个方面不受这种宿命的影响。它还使我们看到了世界上资源分配的不平等和不公正,被剥夺者看到了更糟糕的情况。发达国家试图用自己的资产来应对这种情况,而其他国家要么遭受损失,要么变得更加强大。主要的负担无疑是保健服务的提供和提供,在这方面,从设备到空间和人力的各种手段都发挥了作用。这场大流行打开了卫生政策制定者和服务提供者的眼界,他们一直生活在欺骗中,从未为某种传染病做好准备。我们已经认识到,医疗服务永远不足以处理类似的情况。COVID-19教会了我们如何在更糟糕的情况下做好准备和战斗的技能,但不幸的是,我们在失去许多宝贵生命后才学会了这一点。医疗保健实践方面的变化也得到了修改。传染病控制系统是疫情前应重点关注的问题,疫情发生后却成为重点。医院(公立和私营部门)的IC做法不够充分,也没有观察到遵守这些做法。即使是大多数服务提供者和卫生保健专业人员也不知道个人防护装备的使用;除在重症监护病房和隔离区工作的人员外,其使用和穿脱顺序。感谢COVID-19教会我们熟悉这些东西,不管它们的使用是否不常见。COVID-19也成为康复者的指南,他们是包括本次大流行在内的所有疾病康复的主要部分。COVID-19被发现是肺部、心脏、神经、肌肉骨骼、心理和社会等多种并发症的原因。还将注意力转移到上述所有方面的康复,从而提供和改进三级保健设置,重点是将康复作为一种完全康复的模式。利益相关者已经开始更加关注改善疾病的心理和身体方面以及生理方面。康复和物理治疗服务也未能幸免。物理治疗专业人员没有做好准备,也没有受过良好的训练来处理传染病和安全措施,这给我们带来了更大的挑战。许多诊所和医院缺乏人员防护装备,这也导致了情况的严重性。在提供物理治疗护理方面,不能限制与患者的直接接触,缺乏对缺乏个人防护装备的了解可能会使治疗师或患者的生命处于危险之中。新冠肺炎疫情让人们大开眼界,并让人们了解到安全措施的重要性,以及按适当顺序穿脱ppe的重要性。虽然组织良好的医院也按照全球标准规程开展工作,但在处理这些问题时遇到的困难最少。物理治疗师接受过处理这种紧急情况和危急情况的培训,但没有接触到像这样的流行病和紧急情况,因此在实践中抑制了这种反射。治疗师学会了用最佳的预防措施来管理病人,以确保护理质量不受影响。为了解决这一问题,人们还开发和实践了几种远程康复模型。1,2因此,我们将以COVID-19为眼界,并被教导要公平分配全球资源,并为发达国家和不发达国家之间的灾难做好准备。有效利用服务,了解紧急情况和安全的医疗保健做法,可以使我们免受COVID-19等不可预测的灾难。
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引用次数: 0
FREQUENCY OF THORACOLUMBAR JUNCTION DYSFUNCTION AMONG EQUESTRIAN POLO ATHLETES 马球运动员胸腰节功能障碍的发生频率
Pub Date : 2021-12-30 DOI: 10.52567/trj.v5i02.58
Mahina Aleem, M. Afzal, Hafiz Muhammad Faizan Haider, L. Khan
Background: Low back pain among equestrian sports is because of the significant connection between thoracolumbar junction dysfunction (TLJD) and its commencement in equestrian sports; appearing as low back ache spreading out to the adjoining sites and structures. Objective: To determine the frequency of Thoracolumbar Junction Dysfunction (TLJD) among Equestrian Polo Athletes Methods: A descriptive cross-sectional study with a sample size of n=108 was conducted at different polo clubs of Lahore and Islamabad Pakistan for the duration of 6 months from July 2020 to December 2020. Participants were selected via non-probability convenient sampling technique. Male athletes between 18 to 50 years of age, non-competitive with mechanical low back pain were included in the study. Athletes who fulfill the inclusion criteria were assessed using Robert Maigne’s Gold standard examination protocol. SPSS version 21 was used for data entrance and Descriptive analysis was done to present the results of study. Results: The mean age of the subjects was 36.86±6.65 years, duration in sports was 13.58±4.81 in years and frequency of participation in sports was 3.648±0.75 days per week. Total n=108 athletes were examined for TLJD, 66.7% (n=72) were found to be positive with the thoracolumbar junction dysfunction. Conclusion: Thoracolumbar Junction Dysfunction among Equestrian Polo Athletes was an immensely prevailing condition Keywords: Athletes, athletic injuries, dysfunction, overuse injuries.
背景:马术运动中的腰痛是由于胸腰节功能障碍(TLJD)与其在马术运动中的开始有明显的联系;表现为腰痛蔓延到邻近部位和建筑物。目的:确定马球运动员胸腰段连接处功能障碍(TLJD)的频率方法:从2020年7月至2020年12月,在巴基斯坦拉合尔和伊斯兰堡的不同马球俱乐部进行了为期6个月的描述性横断面研究,样本量n=108。通过非概率方便抽样技术选择参与者。年龄在18至50岁之间的男性运动员,非竞争性机械性腰痛被纳入研究。符合入选标准的运动员使用Robert Maigne的金标准检查方案进行评估。使用SPSS 21版本进行数据输入,并对研究结果进行描述性分析。结果:受试者平均年龄36.86±6.65岁,运动时间13.58±4.81年,运动频次3.648±0.75天/周。总共108名运动员接受了TLJD检查,其中66.7% (n=72)呈阳性,并伴有胸腰椎连接处功能障碍。结论:马球运动员胸腰节功能障碍是一种非常普遍的疾病;关键词:运动员;运动损伤;功能障碍;
{"title":"FREQUENCY OF THORACOLUMBAR JUNCTION DYSFUNCTION AMONG EQUESTRIAN POLO ATHLETES","authors":"Mahina Aleem, M. Afzal, Hafiz Muhammad Faizan Haider, L. Khan","doi":"10.52567/trj.v5i02.58","DOIUrl":"https://doi.org/10.52567/trj.v5i02.58","url":null,"abstract":"Background: Low back pain among equestrian sports is because of the significant connection between thoracolumbar junction dysfunction (TLJD) and its commencement in equestrian sports; appearing as low back ache spreading out to the adjoining sites and structures. Objective: To determine the frequency of Thoracolumbar Junction Dysfunction (TLJD) among Equestrian Polo Athletes Methods: A descriptive cross-sectional study with a sample size of n=108 was conducted at different polo clubs of Lahore and Islamabad Pakistan for the duration of 6 months from July 2020 to December 2020. Participants were selected via non-probability convenient sampling technique. Male athletes between 18 to 50 years of age, non-competitive with mechanical low back pain were included in the study. Athletes who fulfill the inclusion criteria were assessed using Robert Maigne’s Gold standard examination protocol. SPSS version 21 was used for data entrance and Descriptive analysis was done to present the results of study. Results: The mean age of the subjects was 36.86±6.65 years, duration in sports was 13.58±4.81 in years and frequency of participation in sports was 3.648±0.75 days per week. Total n=108 athletes were examined for TLJD, 66.7% (n=72) were found to be positive with the thoracolumbar junction dysfunction. Conclusion: Thoracolumbar Junction Dysfunction among Equestrian Polo Athletes was an immensely prevailing condition Keywords: Athletes, athletic injuries, dysfunction, overuse injuries.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80034700","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}
引用次数: 0
INSPIRATORY MUSCLES TRAINING: AN EFFECTIVE WAY TO IMPROVE POST-OPERATIVE OUTCOMES AFTER CORONARY ARTERY BYPASS GRAFTING 吸气肌训练:改善冠状动脉搭桥术术后疗效的有效方法
Pub Date : 2021-12-30 DOI: 10.52567/trj.v5i02.115
Malik Muhammad Ali Awan, Kiran Khushnood, N. Sultan
Cardiovascular diseases (CVD) are the leading cause of death worldwide. It is a multifactorial disease and has many risk factors including hypertension, diabetes mellitus, physical inactivity and smoking. Coronary artery disease (CAD) is one of the consequences of CVD.1 If we talk about CAD, it is a really common heart disease in our country, also known as ischemic heart disease and develops when coronary arteries or its sub-branches which are the blood supply of the heart become narrowed or blocked due to accumulation of plaque leading to an impaired supply of oxygen rich blood to the heart and thus cause retrosternal chest pain typically known as angina that is accompanied by dyspnea.2 Coronary artery bypass grafting (CABG) is generally the ideal treatment option for the individuals suffering from CAD. In this procedure, an auto-graft of vessel is taken and the commonly used vessels are left internal thoracic artery and great saphenous vein. The graft is sutured in such a way that the blocked coronary artery is bypassed and the blood supply to the heart is restored.3 Although medical sciences have advanced a lot, yet the prevalence of post-operative complications, specifically the respiratory ones pose an immediate threat to the survival and are the aiding factors to mortality and morbidity.4 Physical therapy after any surgery plays a pivotal role in improving the post-operative outcomes and helps the patient fight the effects of surgery. It makes a patient return to his or her normal life and helps in the early discharge of patients from hospitals thus preventing the chances of hospital acquired infections and reducing the financial load on masses.5 Respiratory rehabilitation, which is the specialty of physical therapy, have tremendous positive effects on the pulmonary compliance and function by preventing the post-operative pulmonary atelectasis.6 Moving further towards the components of respiratory rehabilitation, a group of breathing maneuvers conjointly known as inspiratory muscles training (IMT), if applied pre-operatively to the patients who are scheduled to undergo the coronary artery by-pass grafting displayed healthy post-operative outcomes.7 To conclude, it is the dire need of today to raise awareness among the health care professionals especially cardiologists and cardio-thoracic surgeons; and the general public regarding the pre-operative respiratory physical therapy for the patients planned to go through CABG. So, in the light of supported evidence, it is proved that respiratory physical therapy, particularly pre-operative IMT has positive outcomes in post-operative state. Moreover, the authors would also like to shed light on the facts about the healthcare policies and physical therapy services in Pakistan. Contrary to public sector hospitals, the rehabilitation departments in private sector hospitals are properly managed, substantially equipped and well established, leading to enhanced quality of physical therapy practices that
心血管疾病(CVD)是世界范围内死亡的主要原因。它是一种多因素疾病,有许多危险因素,包括高血压、糖尿病、缺乏运动和吸烟。冠状动脉疾病(CAD)是一种CVD.1如果我们讨论CAD的后果,这是一个很常见的心脏病在我们国家,也称为缺血性心脏病和发展当冠状动脉或其下属支行的心脏的血液供应成为缩小或阻塞由于斑块堆积导致的富氧的血液供应到心脏受损,从而引起胸骨后的胸部疼痛通常被称为伴随着dyspnea.2心绞痛冠状动脉旁路移植术(CABG)通常是冠心病患者的理想治疗选择。在这个过程中,采用自体血管移植,常用的血管是左胸内动脉和大隐静脉。移植血管被缝合后,阻塞的冠状动脉被绕过,心脏的血液供应得以恢复虽然医学已经取得了很大的进步,但术后并发症,特别是呼吸系统并发症的普遍存在,对患者的生存构成了直接的威胁,是导致死亡率和发病率的辅助因素任何手术后的物理治疗在改善术后结果和帮助患者对抗手术的影响方面都起着关键作用。它使病人恢复正常生活,帮助病人早日出院,从而防止医院获得性感染的机会,减轻群众的经济负担呼吸康复作为物理治疗的特色,通过预防术后肺不张,对肺顺应性和肺功能有巨大的积极作用进一步探讨呼吸康复的组成部分,一组被称为吸气肌训练(IMT)的呼吸动作,如果在术前应用于计划接受冠状动脉旁路移植术的患者,则显示出健康的术后结果总之,今天迫切需要提高卫生保健专业人员特别是心脏病专家和心胸外科医生的认识;以及公众对CABG患者术前呼吸物理治疗的看法。因此,根据有支持的证据,证明呼吸物理治疗,特别是术前IMT在术后状态下具有积极的效果。此外,作者还想阐明巴基斯坦医疗保健政策和物理治疗服务的事实。与公立医院不同,私营医院的康复科管理得当,设备齐全,设施完善,从而提高了物理治疗的质量,从而改善了患者的预后。我国卫生部门还应强调公立医院在后勤方面作出必要安排,配备足够的设备,并雇用在心肺物理治疗领域具有资格和专长的物理治疗师。
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引用次数: 0
WOMEN’S HEALTH ISSUES: THE CONTINUING APPEAL FOR WOMEN HEALTH PHYSICAL THERAPY PRACTICE IN PAKISTAN 妇女健康问题:继续呼吁在巴基斯坦开展妇女健康物理治疗实践
Pub Date : 2021-12-30 DOI: 10.52567/trj.v5i02.120
Sidra Qureshi, Furqan Ahmed Siddiqi, Waqar Ahmed Awan
Women’s health in its widest definition includes study of whole body particularly examining biological characteristics unique to women, with a focus on reproductive organs, body structure, hormones, childhood development and genetics.1 In 2017, maternal mortality ratio was determined to be 211 deaths per 100,000 live birth globally and in Pakistan, the ratio was 186 deaths per 100,000 live births in 2021.2,3 Besides obstetrical health issues, Pakistani female are also facing gynecological maladies on a large scale as compared to other countries such as grade I and II pelvic organ prolapse that is likely to be managed through pelvic physical therapy as per National Institute for Health and Care Excellence (NICE) guidelines.4 Regrettably, the burden of disease is increased manifolds due to unavailability of expert women’s health physical therapist.5 Like many countries, Pakistan is signatory to several international commitments till now to empower the women. To overcome the lacking, women’s health issues should be fostered by a woman’s health physical therapist. A women health physical therapist evaluates, treats, and educates a woman throughout the stages of life starting form active child-bearing years, pregnancy, postpartum, perimenopause and post menopause.6 The area of practice has now spread to encompass all health concerns of a woman namely infertility, osteoporosis, fibromyalgia, rehabilitation following gynecological surgery, breast cancer rehabilitation, incontinence, dyspareunia, vulvodynia, pregnancy related musculoskeletal pain, lymphedema, wellness and exercise. A woman throughout the life span whether a childbearing woman, a menopausal and a young athlete or an elderly woman can obtain benefit from women’s health physical therapy (WHPT). The American College of Obstetricians and Gynecologists (ACOG) claims that conjoint care provided by physician and physical therapist can enormously improve treatment prognosis.7 An optimal quality of life for a woman can be ensured through clinical evaluation and assessment to plan physical therapy interventions incorporated with various modalities that are cautiously prescribed according to an individual’s scenario.8 It is about time to emphasize WHPT practice throughout the country. There is a prolonged schedule to fulfil all fundamental components of women’s health issues which demands the joint collaboration of health-care providers, governments, policy makers, and the overall population. This article shout-out to novice physical therapy professionals to get themselves enrolled in WHPT specialty degree for the betterment of women. It is the need of hour to incorporate the services of qualified and expert WHPT professional in large tertiary care hospitals whether public or private, so that the premium quality of medical services pertaining to women health is available to the masses of all walks of life.
妇女健康最广泛的定义包括对全身的研究,特别是检查妇女特有的生物学特征,重点是生殖器官、身体结构、激素、儿童发育和遗传学2017年,全球孕产妇死亡率确定为每10万活产211例死亡,而在巴基斯坦,这一比例在2021年为每10万活产186例死亡。3除了产科健康问题,与其他国家相比,巴基斯坦女性还面临着大规模的妇科疾病,如I级和II级盆腔器官脱垂,根据国家健康和护理卓越研究所(NICE)的指导方针,这种疾病可能通过盆腔物理治疗来治疗令人遗憾的是,由于缺乏专业的妇女健康物理治疗师,疾病负担大大增加像许多国家一样,巴基斯坦签署了几项国际承诺,以赋予妇女权力。为了克服这种不足,妇女的健康问题应该由妇女健康理疗师来解决。妇女健康理疗师评估、治疗和教育妇女从生育、怀孕、产后、围绝经期和绝经后的整个生命阶段实践领域现已扩展到包括妇女的所有健康问题,即不孕症、骨质疏松症、纤维肌痛、妇科手术后康复、乳腺癌康复、失禁、性交困难、外阴痛、与妊娠有关的肌肉骨骼疼痛、淋巴水肿、健康和运动。妇女在整个生命周期中,无论是育龄妇女、更年期妇女、年轻运动员还是老年妇女,都可以从妇女健康物理治疗(WHPT)中受益。美国妇产科医师学会(ACOG)声称,内科医生和物理治疗师的联合护理可以极大地改善治疗预后通过临床评估和评估来计划物理治疗干预措施,并根据个人情况谨慎地规定各种方式,可以确保女性的最佳生活质量现在是在全国范围内强调WHPT实践的时候了。实现妇女健康问题的所有基本组成部分的时间表很长,这需要保健提供者、政府、决策者和全体人民的共同合作。这篇文章向新手理疗专业人士大声疾呼,让他们自己注册WHPT专业学位,以改善女性。将合格和专业的妇女保健专业人员的服务纳入大型三级保健医院,无论是公立还是私立,都需要一段时间,以便向各行各业的群众提供与妇女保健有关的优质医疗服务。
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引用次数: 0
EFFECTS OF FRAGILITY FRACTURE INTEGRATED REHABILITATION MANAGEMENT HIP FRACTURE IN PAKISTANI OLDER ADULTS 脆性骨折综合康复管理对巴基斯坦老年人髋部骨折的影响
Pub Date : 2021-07-22 DOI: 10.52567/trj.v5i01.55
Anam Aftab, Shaista Habibullah, Nimra Ilyas Bhutta
Objective: to evaluate the effectiveness of fragility Fracture Integrated Rehabilitation Management (FIRM) on older adults of Pakistan after hip fracture surgery. Methodology: A one-group pretest–posttest designwas conducted at the National Institute of Rehabilitation Medicine (NIRM), Islamabad from March 2020 to May 2021.. A n=11 participants with age above 55 years, both male and female, with confirming diagnosed cases of hip fracture were included. Every participats receveied 10 sesssions of Fragility Fracture integrated Rehabilitation Management (FIRM) program in two weeks. Data was collected at baseline at 2nd day and after 10th session on 15th day, through the KOVAL scale to assess the walking ability, the Functional Ambulatory Category (FAC) to assess the level of independence, the modified Barthel index (MBI) for activities of daily living (ADLs), and quality of life (QoL) was assessed by EQ-5D. Data were analyzed by using SPSS Version 21. Result: the mean age 76.45±9.32, of which n=6 (54.6%) were males and n=5(45.4%) were females. after 10th sessions the QoL on EQ-5D, ambulation on FAC and KOVAL scale and the ADL on MBI were significantly improved (p<0.05) with large effect size, except for the anxiety domain of EQ5D and subdomains of MBI; Personal hygiene, feeding, Bowel control, bladder control, Wheelchair, and Chair & bed transfer showed no significant change (p>0.05). Conclusion: FIRM care is found to be effective in improving the walking ability, functional status, ADLs and quality of life in geraiatric population following a hip fracture surgery
目的:评价脆性骨折综合康复管理(FIRM)对巴基斯坦老年人髋部骨折术后的治疗效果。方法:2020年3月至2021年5月,在伊斯兰堡国家康复医学研究所(NIRM)进行了一组前测后测设计。纳入了11名年龄在55岁以上,确诊髋部骨折的男性和女性。每位参与者在两周内接受了10节脆性骨折综合康复管理(FIRM)课程。在基线第2天和第10次治疗后第15天收集数据,通过KOVAL量表评估行走能力,功能活动分类(FAC)评估独立性水平,改进Barthel指数(MBI)评估日常生活活动(ADLs), EQ-5D评估生活质量(QoL)。数据分析采用SPSS Version 21软件。结果:平均年龄76.45±9.32岁,其中男性6例(54.6%),女性5例(45.4%)。第10次治疗后,EQ-5D生活质量、FAC和KOVAL量表的移动、MBI的ADL均有显著提高(p0.05)。结论:FIRM护理可有效改善老年人群髋部骨折术后的行走能力、功能状态、日常生活质量和生活质量
{"title":"EFFECTS OF FRAGILITY FRACTURE INTEGRATED REHABILITATION MANAGEMENT HIP FRACTURE IN PAKISTANI OLDER ADULTS","authors":"Anam Aftab, Shaista Habibullah, Nimra Ilyas Bhutta","doi":"10.52567/trj.v5i01.55","DOIUrl":"https://doi.org/10.52567/trj.v5i01.55","url":null,"abstract":"Objective: to evaluate the effectiveness of fragility Fracture Integrated Rehabilitation Management (FIRM) on older adults of Pakistan after hip fracture surgery. Methodology: A one-group pretest–posttest designwas conducted at the National Institute of Rehabilitation Medicine (NIRM), Islamabad from March 2020 to May 2021.. A n=11 participants with age above 55 years, both male and female, with confirming diagnosed cases of hip fracture were included. Every participats receveied 10 sesssions of Fragility Fracture integrated Rehabilitation Management (FIRM) program in two weeks. Data was collected at baseline at 2nd day and after 10th session on 15th day, through the KOVAL scale to assess the walking ability, the Functional Ambulatory Category (FAC) to assess the level of independence, the modified Barthel index (MBI) for activities of daily living (ADLs), and quality of life (QoL) was assessed by EQ-5D. Data were analyzed by using SPSS Version 21. Result: the mean age 76.45±9.32, of which n=6 (54.6%) were males and n=5(45.4%) were females. after 10th sessions the QoL on EQ-5D, ambulation on FAC and KOVAL scale and the ADL on MBI were significantly improved (p<0.05) with large effect size, except for the anxiety domain of EQ5D and subdomains of MBI; Personal hygiene, feeding, Bowel control, bladder control, Wheelchair, and Chair & bed transfer showed no significant change (p>0.05). Conclusion: FIRM care is found to be effective in improving the walking ability, functional status, ADLs and quality of life in geraiatric population following a hip fracture surgery","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77809648","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}
引用次数: 1
EFFECTS OF STRETCHING EXERCISES WITH OR WITHOUT BACLOFEN ON SPASTICITY, FLUID INTAKE AND CALORIES INTAKE IN CEREBRAL PALSY CHILDREN 有或没有巴氯芬的伸展运动对脑瘫儿童痉挛、液体摄入和卡路里摄入的影响
Pub Date : 2021-07-22 DOI: 10.52567/TRJ.V5I01.59
M. Ahmad, Aleem Liaqat, Nabeela Kanwal
Objectives: to find out the effectiveness of stretching exercises and baclofen alone and combined in spastic cerebral palsy children on spasticity, fluid and calorie intake. Material & Methods: A single-blinded, randomized control trial was conducted at Allama Iqbal Hospital, and Idrees Teaching Hospital. The participants between 5-15 years, having spasticity score of 2 or more on Modified Ashworth Scale (MAS). The participants were randomly divided into three treatment groups i.e. group A received baclofen, group B received stretching and group C received both baclofen and sustained stretching. Data were collected by Performa / Questionnaire, which calculated basic demographics, BMI, fluid and calorie intake, and Modified Ashworth Scale (MAS). Results: The result showed significant difference (p<0.05) among group with large effect size while comparing mean differences of Fluid intake {F(df)=2,57(988.603), η2 =0.972, p<0.001} and Calories intake {F(df)= 2,57(166.877), η2 =0.854, p<0.001}. While there was no significant difference in mean difference of spasticity {F(df)= 2,57(2.119), p=0.130}. Conclusion: baclofen along with stretching exercises significantly improved fluid, calorie intake and spasticity.
目的:探讨伸展运动和巴氯芬单独及联合应用对痉挛型脑瘫患儿痉挛、液体和热量摄入的影响。材料与方法:在Allama Iqbal医院和Idrees教学医院进行单盲、随机对照试验。参与者年龄在5-15岁之间,在修正阿什沃斯量表(MAS)中痉挛得分在2分或以上。参与者随机分为三个治疗组,即A组接受巴氯芬治疗,B组接受拉伸治疗,C组同时接受巴氯芬和持续拉伸治疗。数据采用问卷调查法(forma / Questionnaire)收集,计算基本人口统计数据、体重指数(BMI)、液体和卡路里摄入量以及修正Ashworth量表(MAS)。结果:大效应量组间液体摄取量(F(df)=2,57(988.603), η2 =0.972, p<0.001)和热量摄取量(F(df)=2,57(166.877), η2 =0.854, p<0.001)的平均差异有统计学意义(p<0.05)。而痉挛的平均差异无统计学意义{F(df)= 2,57(2.119), p=0.130}。结论:巴氯芬配合伸展运动可显著改善液体、热量摄入和痉挛。
{"title":"EFFECTS OF STRETCHING EXERCISES WITH OR WITHOUT BACLOFEN ON SPASTICITY, FLUID INTAKE AND CALORIES INTAKE IN CEREBRAL PALSY CHILDREN","authors":"M. Ahmad, Aleem Liaqat, Nabeela Kanwal","doi":"10.52567/TRJ.V5I01.59","DOIUrl":"https://doi.org/10.52567/TRJ.V5I01.59","url":null,"abstract":"Objectives: to find out the effectiveness of stretching exercises and baclofen alone and combined in spastic cerebral palsy children on spasticity, fluid and calorie intake. Material & Methods: A single-blinded, randomized control trial was conducted at Allama Iqbal Hospital, and Idrees Teaching Hospital. The participants between 5-15 years, having spasticity score of 2 or more on Modified Ashworth Scale (MAS). The participants were randomly divided into three treatment groups i.e. group A received baclofen, group B received stretching and group C received both baclofen and sustained stretching. Data were collected by Performa / Questionnaire, which calculated basic demographics, BMI, fluid and calorie intake, and Modified Ashworth Scale (MAS). Results: The result showed significant difference (p<0.05) among group with large effect size while comparing mean differences of Fluid intake {F(df)=2,57(988.603), η2 =0.972, p<0.001} and Calories intake {F(df)= 2,57(166.877), η2 =0.854, p<0.001}. While there was no significant difference in mean difference of spasticity {F(df)= 2,57(2.119), p=0.130}. Conclusion: baclofen along with stretching exercises significantly improved fluid, calorie intake and spasticity.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73512868","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}
引用次数: 1
EFFECTS OF PILATE TRAINING ON PHYSICAL PERFORMANCE OF CRICKETERS 普拉提训练对板球运动员体能表现的影响
Pub Date : 2021-06-30 DOI: 10.52567/trj.v5i01.57
Ramsha Sohail, La Fitness Reseau, Armaghan Khalid, Zainab Qadri, Madiha Shah, R. Butt
Objective: to determine the effectiveness of Pilate training on physical performance of cricket players. Methodology: A two-arm, single-centered, randomized control trial was conducted at LFR I8Active Gym I8, Islamabad for time duration of six months from June 2020 to March 2021. The active male cricketers aged between 19-30, who had practiced for at least 2 years and had normal BMI (ranging in between 18.5 to 24.9) were included in the study. The n=20 participants fulfilled the inclusion criteria and recruited through non-probability convenient sampling technique and divided in two groups. The experimental group received Pilate training (PT) with conventional training (CT) exercise plan. However, control group received only CT exercise plan. The 30 feet agility shuttle run test, core strength test, endurance test, underarm throw accuracy test, throw-length test and ground fielding test was performed before and after the intervention. The MANCOVA was applied to see the differences in group while controlling the confounding variables. The level of significance was set at 95% CI (p≤0.05). Results: The mean age of study participants was 23.95±2.7 years, while average BMI was 22.4± 3.79. After running MANCOVA test on combine dependent variables, while controlling BMI and pretest score, statistically significant difference {F (6, 12) = 12.95, p<0.001, ηp2= .866} between groups was observed. All variables except endurance fitness (p=0.217), showed significant improvement in cricketer receiving combined conventional training and Pilates training (p<0.05). Conclusion: It was concluded that Pilates with conventional training significantly improved physical performance of cricketers.
目的:探讨普拉提训练对板球运动员体能表现的影响。方法:一项双臂、单中心、随机对照试验于2020年6月至2021年3月在伊斯兰堡LFR I8Active Gym I8进行,为期6个月。研究对象是年龄在19-30岁之间的现役男性板球运动员,他们至少练习了两年,身体质量指数正常(在18.5到24.9之间)。n=20名符合纳入标准的参与者,采用非概率方便抽样技术招募,分为两组。实验组在常规训练(CT)的基础上进行普拉提训练(PT)。对照组仅给予CT运动计划。干预前后分别进行了30英尺敏捷穿梭跑测试、核心力量测试、耐力测试、臂下投掷精度测试、投掷长度测试和地面防守测试。在控制混杂变量的情况下,应用MANCOVA分析组间差异。显著性水平为95% CI (p≤0.05)。结果:研究对象平均年龄23.95±2.7岁,平均BMI为22.4±3.79。对组合因变量进行MANCOVA检验,在控制BMI和前测评分的情况下,组间差异有统计学意义{F (6,12) = 12.95, p<0.001, ηp2= 0.866}。除耐力体能(p=0.217)外,常规训练与普拉提训练相结合的板球运动员各项指标均有显著提高(p<0.05)。结论:普拉提与常规训练相结合,可以显著提高板球运动员的体能水平。
{"title":"EFFECTS OF PILATE TRAINING ON PHYSICAL PERFORMANCE OF CRICKETERS","authors":"Ramsha Sohail, La Fitness Reseau, Armaghan Khalid, Zainab Qadri, Madiha Shah, R. Butt","doi":"10.52567/trj.v5i01.57","DOIUrl":"https://doi.org/10.52567/trj.v5i01.57","url":null,"abstract":"Objective: to determine the effectiveness of Pilate training on physical performance of cricket players. Methodology: A two-arm, single-centered, randomized control trial was conducted at LFR I8Active Gym I8, Islamabad for time duration of six months from June 2020 to March 2021. The active male cricketers aged between 19-30, who had practiced for at least 2 years and had normal BMI (ranging in between 18.5 to 24.9) were included in the study. The n=20 participants fulfilled the inclusion criteria and recruited through non-probability convenient sampling technique and divided in two groups. The experimental group received Pilate training (PT) with conventional training (CT) exercise plan. However, control group received only CT exercise plan. The 30 feet agility shuttle run test, core strength test, endurance test, underarm throw accuracy test, throw-length test and ground fielding test was performed before and after the intervention. The MANCOVA was applied to see the differences in group while controlling the confounding variables. The level of significance was set at 95% CI (p≤0.05). Results: The mean age of study participants was 23.95±2.7 years, while average BMI was 22.4± 3.79. After running MANCOVA test on combine dependent variables, while controlling BMI and pretest score, statistically significant difference {F (6, 12) = 12.95, p<0.001, ηp2= .866} between groups was observed. All variables except endurance fitness (p=0.217), showed significant improvement in cricketer receiving combined conventional training and Pilates training (p<0.05). Conclusion: It was concluded that Pilates with conventional training significantly improved physical performance of cricketers.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78539241","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}
引用次数: 0
EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN 背阔肌拉伸对慢性腰痛相关功能障碍的影响
Pub Date : 2021-06-30 DOI: 10.52567/trj.v5i01.53
Abdul haseeb Bhutta, Nosis Clinics, Danish Rauf, Nimra Ilyas Bhutta, Wahaj Ali, Kinza Haneef
Objective: To determine effects of latissimus dorsi stretching on functional disability related to chronic low back pain. Methodology: A single group pretest-posttest design trial was conducted in NOSIS clinics Mansehra Pakistan. Patients with the age between 20-60 years had chronic mechanical low back pain lasting for 7-12 weeks were included in the study. A total of n=64 randomly divided into experimental and control group, those received stabilization exercises (SE) plus latissimus dorsi stretching (LDS) and stabilization exercises alone respectively. Oswestry Disability Index (ODI) was used to determine functional disability. The level of significance was set at 95% CI (p≤0.05). Results: A total of n=61 participants participated in the study. The mean age of the study participants was 39.60 ± 10.02 and sitting time was 6.54± 1.23. It was observed that both the experimental group {p<0.001, ɳp2=0.934} and control group {p<0.001, ɳp2=0.875} significantly improved the ODI score with large effect size after 4 weeks of intervention. However, between the comparison showed significant improvement with large effect size in experimental group as compared to control group, after first week (p<0.001), and 2nd week (p<0.001) of intervention. Conclusion: the combination of spinal stabilization exercises and stretching of latissimus dorsi effective in improving functional disability related to chronic low back pain.
目的:探讨背阔肌拉伸对慢性腰痛相关功能障碍的影响。方法:在巴基斯坦Mansehra NOSIS诊所进行单组前测后测设计试验。年龄在20-60岁之间的慢性机械性腰痛患者持续7-12周被纳入研究。将64只大鼠随机分为实验组和对照组,实验组分别进行稳定训练(SE) +背阔肌拉伸(LDS)和单独进行稳定训练。Oswestry残疾指数(ODI)用于判定功能性残疾。显著性水平为95% CI (p≤0.05)。结果:共有n=61名参与者参与了本研究。研究参与者的平均年龄为39.60±10.02岁,久坐时间为6.54±1.23岁。观察发现,实验组{p<0.001, p2=0.934}和对照组{p<0.001, p2=0.875}在干预4周后,ODI评分均有显著提高,且效应量大。但在干预第1周(p<0.001)和第2周(p<0.001)后,实验组与对照组比较均有显著改善,且效应量较大。结论:脊柱稳定训练与背阔肌拉伸相结合可有效改善慢性腰痛相关的功能障碍。
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引用次数: 0
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The open rehabilitation journal
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