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
{"title":"GENDER BASED DIFFERENCES OF BURNOUT AMONG CLINICAL AND ACADEMIC PHYSICAL THERAPISTS","authors":"Laraib Altaf, Sania Zafar, Shajia Khan, Hadia Nadeem, Nabeela Kanwal, Marrium Batool","doi":"10.52567/trj.v6i02.122","DOIUrl":"https://doi.org/10.52567/trj.v6i02.122","url":null,"abstract":"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","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82131153","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: 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。
{"title":"PROFESSIONAL PREFERENCES OF SPEECH PATHOLOGIST FOR THE ASSESSMENT AND MANAGEMENT OF DYSPHAGIA AFTER STROKE","authors":"Jannat Haider, Rabia Zubair","doi":"10.52567/trj.v6i02.163","DOIUrl":"https://doi.org/10.52567/trj.v6i02.163","url":null,"abstract":"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.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74070739","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}
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
{"title":"A Lesson / An Eye Opener","authors":"N. Sultan, Kiran Khushnood, W. Awan","doi":"10.52567/trj.v6i01.149","DOIUrl":"https://doi.org/10.52567/trj.v6i01.149","url":null,"abstract":"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 ","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"671 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74750359","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}
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.
{"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}
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
{"title":"INSPIRATORY MUSCLES TRAINING: AN EFFECTIVE WAY TO IMPROVE POST-OPERATIVE OUTCOMES AFTER CORONARY ARTERY BYPASS GRAFTING","authors":"Malik Muhammad Ali Awan, Kiran Khushnood, N. Sultan","doi":"10.52567/trj.v5i02.115","DOIUrl":"https://doi.org/10.52567/trj.v5i02.115","url":null,"abstract":"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 ","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83041216","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}
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.
{"title":"WOMEN’S HEALTH ISSUES: THE CONTINUING APPEAL FOR WOMEN HEALTH PHYSICAL THERAPY PRACTICE IN PAKISTAN","authors":"Sidra Qureshi, Furqan Ahmed Siddiqi, Waqar Ahmed Awan","doi":"10.52567/trj.v5i02.120","DOIUrl":"https://doi.org/10.52567/trj.v5i02.120","url":null,"abstract":"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.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87473496","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, 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}
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.
{"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}
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.
{"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}
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。
{"title":"EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN","authors":"Abdul haseeb Bhutta, Nosis Clinics, Danish Rauf, Nimra Ilyas Bhutta, Wahaj Ali, Kinza Haneef","doi":"10.52567/trj.v5i01.53","DOIUrl":"https://doi.org/10.52567/trj.v5i01.53","url":null,"abstract":"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.","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":"76943681","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}