Objective: to determine the effects of physical activity on quality of life among female undergraduate students. Material & Methods: A randomized clinical trial was conducted on n=52 female students, after taking approval from higher authorities of the Bilquis Postgraduate College for Women PAF Nur Khan Base Rawalpindi, The inactive female students >1monthbetween 18-25 years were included in the study. The participants were randomly divided into three groups, such as Light Physical Activity (LPA), Moderate Physical Activity (MPA) and Vigorous Physical activity (VPA) group. The short form (SF-36) was used to observe Quality of Life (QOL), among participant at baseline and after six weeks of intervention. The One Way ANOVA with Tukey HSD post hoc was applied on mean differences for comparison. The clinical significance eta squared (η2) was used. Results: The result showed that Role limitation (mental) was significantly improved in vigorous activity group than the light (MD=21.20, d=0.85, 95% CI=0.97 to 43.37) and moderate (MD=23.94, d=0.96 95% CI=4.05 to 43.83) activity group. While social function showed significant improvement in moderate activity group as compared to light (MD=15.30, d=1.01, 95% CI=3.83 to 26.76) activity and vigorous (MD=9.60, d=0.63, 95% CI=1.68 to 20.88) activity group. The pain also showed significant improvement in moderate activity as compared to light (MD=20.32, d=1.09, 95% CI=5.48 to 35.16) and vigorous (MD=21.97, d=1.18, 95% CI=9.67 to 34.26) activity group. Conclusion: PA significantly improved QOL of female undergraduate students. It was also found that VPA improves role limitation (emotional) while MPA improves social function and body pain.
{"title":"EFFECTS OF PHYSICAL ACTIVITY ON QUALITY OF LIFE AMONG FEMALE UNDERGRADUATE STUDENTS","authors":"Hamsa Ashraf, Nabeela Kanwal","doi":"10.52567/TRJ.V5I01.56","DOIUrl":"https://doi.org/10.52567/TRJ.V5I01.56","url":null,"abstract":"Objective: to determine the effects of physical activity on quality of life among female undergraduate students. Material & Methods: A randomized clinical trial was conducted on n=52 female students, after taking approval from higher authorities of the Bilquis Postgraduate College for Women PAF Nur Khan Base Rawalpindi, The inactive female students >1monthbetween 18-25 years were included in the study. The participants were randomly divided into three groups, such as Light Physical Activity (LPA), Moderate Physical Activity (MPA) and Vigorous Physical activity (VPA) group. The short form (SF-36) was used to observe Quality of Life (QOL), among participant at baseline and after six weeks of intervention. The One Way ANOVA with Tukey HSD post hoc was applied on mean differences for comparison. The clinical significance eta squared (η2) was used. Results: The result showed that Role limitation (mental) was significantly improved in vigorous activity group than the light (MD=21.20, d=0.85, 95% CI=0.97 to 43.37) and moderate (MD=23.94, d=0.96 95% CI=4.05 to 43.83) activity group. While social function showed significant improvement in moderate activity group as compared to light (MD=15.30, d=1.01, 95% CI=3.83 to 26.76) activity and vigorous (MD=9.60, d=0.63, 95% CI=1.68 to 20.88) activity group. The pain also showed significant improvement in moderate activity as compared to light (MD=20.32, d=1.09, 95% CI=5.48 to 35.16) and vigorous (MD=21.97, d=1.18, 95% CI=9.67 to 34.26) activity group. Conclusion: PA significantly improved QOL of female undergraduate students. It was also found that VPA improves role limitation (emotional) while MPA improves social function and body pain.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83882232","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}
Globally, new trends of practices are incorporating in health care sector, academics as well as in our daily lives to cope with the current population need. It is much needed to develop and implement new sophisticated practice models in rehabilitation to treat the different clinical conditions. Diabetes mellitus is one among the top 10 causes of death, with significant increase of 80% since year 20001. As estimated by International Diabetes Federation worldwide, 425 million people are suffering with diabetes mellitus.2 Diabetic neuropathy is one of highly prevalent condition which substantially affects patients by increasing frequency of falls, neuropathic pain and low quality of life (QOL).Diabetic patients suffer with following complaints i.e. Foot ulcers that develops due to peripheral vascular ischemia and poor pressure distribution on plantar surface of foot which increases the risk of fall due to loss of balance and disturbance in gait patterns.3 Total 20% of foot ulcers need an amputation wherein patients further suffer with secondary complications which in turn builds massive economic burden on health care system.4 The rehabilitation combined with diet and medications has proven as an effective method to treat diabetes and its neuropathy symptoms. Supervised conventional center based physical activity training programs are generally in practice to treat this metabolic condition. Though clinical effectiveness of these programs is established on clinical outcomes, with reduction in mortality rate, despite all the benefits of rehabilitation programs, very low patient attendance is observed in hospital based supervised rehabilitation programs. The regularity in exercise along with dietary intervention and fixed medication monitoring is the key component to manage diabetes. But high drop-out levels negatively affects the proven effectiveness of rehabilitation. There are different aspects for this low level of participation i.e. lack of time, approachability of a program, home bound work or obligations and psychological barriers etc. Therefore, new practice models are essential to improve the rate of participation on regular basis in these exercise program.5 Computer based technological incorporation in the field of health is evolving dramatically as a promising tool in improving quality of life cost effectively. It can also help us to achieve WHO goal “to improve access to health care services and professionals”. Tele-rehabilitation may prove effective as part of the rehabilitation program, especially for diabetic patients who fail to participate in conventional rehabilitation center-based programs due to domestic issues. The factors associated with suboptimal participation in rehabilitation at home are less prevalent. In tele-rehabilitation, patients are not bound to visit rehabilitation center or hospital; hence they have the freedom to perform exercise at home. But the limitations in utilization of this approach are: patient assessment and
{"title":"CENTER BASED VERSES TELE-REHABILITATION FOR DIABETES MELLITUS","authors":"Sairah Waqar","doi":"10.52567/trj.v5i01.54","DOIUrl":"https://doi.org/10.52567/trj.v5i01.54","url":null,"abstract":"Globally, new trends of practices are incorporating in health care sector, academics as well as in our daily lives to cope with the current population need. It is much needed to develop and implement new sophisticated practice models in rehabilitation to treat the different clinical conditions. Diabetes mellitus is one among the top 10 causes of death, with significant increase of 80% since year 20001. As estimated by International Diabetes Federation worldwide, 425 million people are suffering with diabetes mellitus.2 Diabetic neuropathy is one of highly prevalent condition which substantially affects patients by increasing frequency of falls, neuropathic pain and low quality of life (QOL).Diabetic patients suffer with following complaints i.e. Foot ulcers that develops due to peripheral vascular ischemia and poor pressure distribution on plantar surface of foot which increases the risk of fall due to loss of balance and disturbance in gait patterns.3 Total 20% of foot ulcers need an amputation wherein patients further suffer with secondary complications which in turn builds massive economic burden on health care system.4 The rehabilitation combined with diet and medications has proven as an effective method to treat diabetes and its neuropathy symptoms. Supervised conventional center based physical activity training programs are generally in practice to treat this metabolic condition. Though clinical effectiveness of these programs is established on clinical outcomes, with reduction in mortality rate, despite all the benefits of rehabilitation programs, very low patient attendance is observed in hospital based supervised rehabilitation programs. The regularity in exercise along with dietary intervention and fixed medication monitoring is the key component to manage diabetes. But high drop-out levels negatively affects the proven effectiveness of rehabilitation. There are different aspects for this low level of participation i.e. lack of time, approachability of a program, home bound work or obligations and psychological barriers etc. Therefore, new practice models are essential to improve the rate of participation on regular basis in these exercise program.5 Computer based technological incorporation in the field of health is evolving dramatically as a promising tool in improving quality of life cost effectively. It can also help us to achieve WHO goal “to improve access to health care services and professionals”. Tele-rehabilitation may prove effective as part of the rehabilitation program, especially for diabetic patients who fail to participate in conventional rehabilitation center-based programs due to domestic issues. The factors associated with suboptimal participation in rehabilitation at home are less prevalent. In tele-rehabilitation, patients are not bound to visit rehabilitation center or hospital; hence they have the freedom to perform exercise at home. But the limitations in utilization of this approach are: patient assessment and ","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80919116","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}
Faiqa Izhar, Gynaecology Clinic. I Nousheen Nazir, Islamabad, Qudsia Naqvi, Anam Aftab
Objective: to determine the effectiveness of stability ball exercises and ergonomics training to reduce pregnancy related low back pain. Methodology: A pretest-posttest, randomized clinical trial was conducted at Dr. Nousheen Nazir, gynaecology clinic in I-10/4 Islamabad, for a time period of 1 year. The participants with age criteria of 18-35 years and pregnant females up to 32 weeks were included in the study. Low back pain was assessed through Oswestry Disability Index (ODI). The level of significance was set at 95% CI (p≤0.05).Results: The mean age of the study participants was 26.48±4.54 years. Ergonomic training (ET) showed significant improvement in overall low back disability {X2(2) =24.58, W=0.53, p<0.001} but no significant improvement (p>0.05) observed from 0 to 2nd week and from 2nd to 4th week, large significant improvement was observed (p=0.005, r=0.59). Stability ball exercise showed large significant improvement {X2(2) =36.86, W=0.84, p<0.001} from 0 to 2nd week (p=0.000, r=0.84) and from 2nd to 4th week (p=0.000, r=0.77). There was moderate significant difference in overall ODI score between SBE and ET group after 2nd {19(9.5) vs 24(13), p=0.012, r=-0.37) and 4th week {9(10) vs 18(10), p=0.002, r=0.472}. Conclusion: Both protocols such as ergonomics training and balancing ball exercises were effective for pregnancy related low back pain. But stability ball exercises were more effective in reducing the disability.
{"title":"EFFECTIVENESS OF STABILITY BALL EXERCISES AND ERGONOMICS TRAINING IN PREGNANCY RELATED LOW BACK PAIN","authors":"Faiqa Izhar, Gynaecology Clinic. I Nousheen Nazir, Islamabad, Qudsia Naqvi, Anam Aftab","doi":"10.52567/TRJ.V4I02.3","DOIUrl":"https://doi.org/10.52567/TRJ.V4I02.3","url":null,"abstract":"Objective: to determine the effectiveness of stability ball exercises and ergonomics training to reduce pregnancy related low back pain. Methodology: A pretest-posttest, randomized clinical trial was conducted at Dr. Nousheen Nazir, gynaecology clinic in I-10/4 Islamabad, for a time period of 1 year. The participants with age criteria of 18-35 years and pregnant females up to 32 weeks were included in the study. Low back pain was assessed through Oswestry Disability Index (ODI). The level of significance was set at 95% CI (p≤0.05).Results: The mean age of the study participants was 26.48±4.54 years. Ergonomic training (ET) showed significant improvement in overall low back disability {X2(2) =24.58, W=0.53, p<0.001} but no significant improvement (p>0.05) observed from 0 to 2nd week and from 2nd to 4th week, large significant improvement was observed (p=0.005, r=0.59). Stability ball exercise showed large significant improvement {X2(2) =36.86, W=0.84, p<0.001} from 0 to 2nd week (p=0.000, r=0.84) and from 2nd to 4th week (p=0.000, r=0.77). There was moderate significant difference in overall ODI score between SBE and ET group after 2nd {19(9.5) vs 24(13), p=0.012, r=-0.37) and 4th week {9(10) vs 18(10), p=0.002, r=0.472}. Conclusion: Both protocols such as ergonomics training and balancing ball exercises were effective for pregnancy related low back pain. But stability ball exercises were more effective in reducing the disability.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75594048","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}
Pakistan Pakistan, S. Hussein, M. Haseeb, Ausaf Chaudhary, M. Ashraf
Objective: to evaluate the relationship between dietary fats and physical fitness in young athlete of Pakistan. Methodology: An correlational study conducted in Pakistan Sports Board (PSB) in 2018, after the approval of Director Admin of Pakistan Sports Board (PSB), a total sample size of n=130 elite athletes (both male and females) were recruited from the camp for National games held in PSB through convenience sampling technique. The data was collected about the age, gender, BMI and physical fitness. Physical fitness was measured through following tests; back ward throw with 3kg medicine ball, 30 meter Speed Test, Single-leg hope three step test, Agility T test and 800 meter Endurance test. The pre camp dietary fat intake was calculated through online software Self Nutrition Data by entering the meal recipe and Nutrition Facts label was generated according to the nutrition labelling standard maintained by the FDA. The results were presented in terms of n (%), mean±SD and to determine association Pearson product-moment correlation coefficient was used. Results: The mean age of participants was 23.63±5.30 years. The results showed positive correlation of agility T test (sec) with saturated fat (r=0.180, p=0.040), mono unsaturated fat (r=0.199, p=0.023), poly unsaturated fat (r=0.187, p=0.033), Omega 3 fatty acids (r=0.187, p=0.033) and total fat intake(r=0.202, p=0.021). The 800 M endurance test was positively correlated with polyunsaturated fat (r=0.187, p=0.033), omega 6 fatty acids (r=0.182, p=0.038) and total fat intake (r=0.181, p=0.039). While leg strength test was found to be negatively correlated with monounsaturated fats (r=-0.174, p=0.048) and polyunsaturated (r=-0.175, p=0.047). Conclusion: Nutrition rich in dietary fats results in decreases performance and ability of athletes involved in agility and endurance training, while for those involved in strength training dietary fats may enhance their performance
{"title":"RELATIONSHIP BETWEEN DIETARY FAT AND PHYSICAL FITNESS AMONG ATHLETES","authors":"Pakistan Pakistan, S. Hussein, M. Haseeb, Ausaf Chaudhary, M. Ashraf","doi":"10.52567/TRJ.V4I02.5","DOIUrl":"https://doi.org/10.52567/TRJ.V4I02.5","url":null,"abstract":"Objective: to evaluate the relationship between dietary fats and physical fitness in young athlete of Pakistan. Methodology: An correlational study conducted in Pakistan Sports Board (PSB) in 2018, after the approval of Director Admin of Pakistan Sports Board (PSB), a total sample size of n=130 elite athletes (both male and females) were recruited from the camp for National games held in PSB through convenience sampling technique. The data was collected about the age, gender, BMI and physical fitness. Physical fitness was measured through following tests; back ward throw with 3kg medicine ball, 30 meter Speed Test, Single-leg hope three step test, Agility T test and 800 meter Endurance test. The pre camp dietary fat intake was calculated through online software Self Nutrition Data by entering the meal recipe and Nutrition Facts label was generated according to the nutrition labelling standard maintained by the FDA. The results were presented in terms of n (%), mean±SD and to determine association Pearson product-moment correlation coefficient was used. Results: The mean age of participants was 23.63±5.30 years. The results showed positive correlation of agility T test (sec) with saturated fat (r=0.180, p=0.040), mono unsaturated fat (r=0.199, p=0.023), poly unsaturated fat (r=0.187, p=0.033), Omega 3 fatty acids (r=0.187, p=0.033) and total fat intake(r=0.202, p=0.021). The 800 M endurance test was positively correlated with polyunsaturated fat (r=0.187, p=0.033), omega 6 fatty acids (r=0.182, p=0.038) and total fat intake (r=0.181, p=0.039). While leg strength test was found to be negatively correlated with monounsaturated fats (r=-0.174, p=0.048) and polyunsaturated (r=-0.175, p=0.047). Conclusion: Nutrition rich in dietary fats results in decreases performance and ability of athletes involved in agility and endurance training, while for those involved in strength training dietary fats may enhance their performance","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"308 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79914979","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}
Ali Sikandar Bhutto, S. Karim, M. Akram, Hania Farheen, S. Shah, Zona Mehreen
Objective: to determine the effectiveness of Kegel exercises in elderly male and female patients with stress urinary incontinence. Methodology: A quasi experimental study was conducted at In Department of urology of Shaheed Mohtarma Benazir Bhutto medical university, Chandka medical college Larkana Sindh from January 2017 to June 2019. The non-probability convenient sampling technique was used for sample selection. The n=43 patient with the age above 55 years was included in the study. Patient with neurological, cognitive and male with prostate problem were excluded from the study. Both male and female were received intervention of Kegel exercise (KE) for three months and 3-4 time/day. The urinary distress inventory (UDI) and Incontinence impact questionnaire was used for urinary distress and quality of life. The data was obtained at baseline, at 6th week and after 12th week. The mean±SD, n(%), Mean difference (MD), p-value (p<0.05) and effect size (Cohen’s d & partial eta square was use to describe the data. For within group analysis Repeated Measure ANOVA was used and for between the groups analysis independent t-test was used. SPSS ver 21 was used for data analysis. Results: The mean age of the study participants was 64.97±9.36 year. Within group analysis showed large significant improvement in both, males and females (p<0.05). However, between group differences showed significant improvement with larger effect size in males as compared to females (p<0.05). Conclusion: Kegel exercises are effective therapy for urinary incontinence in both genders. But Kegel exercises are more effective in males for urinary incontinence in improving urinary distress and quality of life. Keywords: Geriatric population, Kegel exercises, Urinary incontinence
目的:探讨凯格尔运动对老年男女压力性尿失禁的治疗效果。方法:于2017年1月至2019年6月在信德省拉卡纳市昌德卡医学院沙希德·莫赫塔玛·贝娜齐尔·布托医科大学泌尿科进行准实验研究。采用非概率方便抽样技术进行样本选择。n=43例年龄在55岁以上的患者纳入研究。排除有神经、认知和男性前列腺问题的患者。男女均接受凯格尔运动(Kegel exercise, KE)干预，为期3个月，3-4次/天。采用尿窘迫量表(UDI)和尿失禁影响问卷调查尿窘迫和生活质量。在基线、第6周和第12周后获得数据。采用均数±SD、n(%)、均数差(MD)、p值(p<0.05)和效应大小(Cohen’SD &偏方差)来描述数据。组内分析采用重复测量方差分析，组间分析采用独立t检验。采用SPSS ver 21进行数据分析。结果:研究参与者的平均年龄为64.97±9.36岁。组内分析显示，男性和女性均有显著改善(p<0.05)。但组间差异有显著性改善，且男性效应量大于女性(p<0.05)。结论:凯格尔运动是治疗男女尿失禁的有效方法。但凯格尔运动对男性尿失禁更有效，可以改善尿痛和生活质量。关键词:老年人群;凯格尔运动;尿失禁
{"title":"EFFECTIVENESS OF KEGEL’S EXERCISES IN ELDERLY MALE AND FEMALE WITH URINARY INCONTINENCE","authors":"Ali Sikandar Bhutto, S. Karim, M. Akram, Hania Farheen, S. Shah, Zona Mehreen","doi":"10.52567/TRJ.V4I02.49","DOIUrl":"https://doi.org/10.52567/TRJ.V4I02.49","url":null,"abstract":"Objective: to determine the effectiveness of Kegel exercises in elderly male and female patients with stress urinary incontinence. Methodology: A quasi experimental study was conducted at In Department of urology of Shaheed Mohtarma Benazir Bhutto medical university, Chandka medical college Larkana Sindh from January 2017 to June 2019. The non-probability convenient sampling technique was used for sample selection. The n=43 patient with the age above 55 years was included in the study. Patient with neurological, cognitive and male with prostate problem were excluded from the study. Both male and female were received intervention of Kegel exercise (KE) for three months and 3-4 time/day. The urinary distress inventory (UDI) and Incontinence impact questionnaire was used for urinary distress and quality of life. The data was obtained at baseline, at 6th week and after 12th week. The mean±SD, n(%), Mean difference (MD), p-value (p<0.05) and effect size (Cohen’s d & partial eta square was use to describe the data. For within group analysis Repeated Measure ANOVA was used and for between the groups analysis independent t-test was used. SPSS ver 21 was used for data analysis. Results: The mean age of the study participants was 64.97±9.36 year. Within group analysis showed large significant improvement in both, males and females (p<0.05). However, between group differences showed significant improvement with larger effect size in males as compared to females (p<0.05). Conclusion: Kegel exercises are effective therapy for urinary incontinence in both genders. But Kegel exercises are more effective in males for urinary incontinence in improving urinary distress and quality of life. Keywords: Geriatric population, Kegel exercises, Urinary incontinence","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81209300","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: The objective of the study was to explore the levels of mobility and its association with quality of life in lower limb amputees. Methodology: A cross-sectional correlational study was conducted at Chal foundation, Fauji Foundation Hospital and PIPOS on the sample of 230 patients for time duration of six months from January–July 2019. The lower limb amputees aged between 18-57 years, and using prosthesis from more than four months were included in the study. The level of mobility was measured through Self-reporting Prosthetic Limb User Survey of Mobility (SF-PLUS-M) questionnaire, while Prosthetic Evaluation Questionnaire (PEQ) was used to determine the Quality of Life (QOL) among prosthesis users. This data was analyzed by SPSS version 21. Results: The mean age of study participants was 43±14.89 years. The mean PLUS-M score was 39.48±14.33. The results showed a positive significant association between level of mobility and quality of life in lower limb amputees (p<0.001). Conclusion: The study concluded that in Pakistan lower limb amputees has high level of mobility that contributes in improved quality of life.
目的:本研究的目的是探讨下肢截肢者的活动水平及其与生活质量的关系。方法:采用横断面相关性研究方法，于2019年1 - 7月在Chal基金会、Fauji基金会医院和PIPOS对230例患者进行研究，时间为6个月。年龄在18-57岁之间的下肢截肢者和使用假肢超过4个月的人被纳入研究。采用自报告义肢使用者活动能力调查问卷(SF-PLUS-M)测量义肢使用者的活动能力水平，采用义肢评价问卷(PEQ)测定义肢使用者的生活质量。本数据采用SPSS version 21进行分析。结果:研究对象平均年龄为43±14.89岁。平均PLUS-M评分为39.48±14.33。结果显示，下肢截肢者的活动水平与生活质量之间存在显著正相关(p<0.001)。结论:该研究得出结论，在巴基斯坦，下肢截肢者具有高水平的活动能力，有助于改善生活质量。
{"title":"LEVEL OF MOBILITY AND ITS ASSOCIATION WITH QUALITY OF LIFE IN LOWER LIMB AMPUTEES","authors":"Amenah Mughal, Ausaf Chaudhary","doi":"10.52567/TRJ.V4I02.1","DOIUrl":"https://doi.org/10.52567/TRJ.V4I02.1","url":null,"abstract":"Objectives: The objective of the study was to explore the levels of mobility and its association with quality of life in lower limb amputees. Methodology: A cross-sectional correlational study was conducted at Chal foundation, Fauji Foundation Hospital and PIPOS on the sample of 230 patients for time duration of six months from January–July 2019. The lower limb amputees aged between 18-57 years, and using prosthesis from more than four months were included in the study. The level of mobility was measured through Self-reporting Prosthetic Limb User Survey of Mobility (SF-PLUS-M) questionnaire, while Prosthetic Evaluation Questionnaire (PEQ) was used to determine the Quality of Life (QOL) among prosthesis users. This data was analyzed by SPSS version 21. Results: The mean age of study participants was 43±14.89 years. The mean PLUS-M score was 39.48±14.33. The results showed a positive significant association between level of mobility and quality of life in lower limb amputees (p<0.001). Conclusion: The study concluded that in Pakistan lower limb amputees has high level of mobility that contributes in improved quality of life.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73017847","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}
It has been a few decades since neurological rehabilitation is recognized as a formal technique for therapeutic treatment of stroke patients or individuals suffering disabilities following spinal cord injuries. Despite the nervous system having a plasticity mechanism that facilitates spontaneous recovery to some extent, it is essential for most patients to receive specialized treatment protocol, to restore their motor function, including physical therapy and occupational therapy. More recently, experts of neurological rehabilitation have inculcated specialized therapies making use of computer and electronic devices to positively influence cortical excitability of damaged parts of cerebral hemispheres in order to improve neuroplasticity.1 The advancements aim to take advantage of the functionally preserved neuromuscular structures in compensating for the functions of the damaged areas as well as restoring function of the affected brain tissue; something for which the use of technology was not seen being implemented around two decades back.1, 2 While traditional approach to neuro-rehabilitation would focus on preventing worsening of a functional limitation through exercises such as passive range of motion and stretching,2 a better understanding of neuroplasticity has swung the rehabilitation pendulum in favor of use of several electrotherapeutic devices including transcranial magnetic stimulation modality, robot for limb training, robotic lower extremity orthoses and brain-computer interfaces which offer benefits for patients with neuronal injury.1 Non-invasive brain stimulation facilitates perceptual learning as well motor and cognitive performance in case of brain lesions.2 In order to ensure adherence to various therapies in the process of rehabilitation, interactive treatment strategies are being developed. These include the application of virtual and augmented reality systems which not only motivate the patient but make the repetitive exercise interesting in a controlled environment.3, 4 This approach has challenged the traditional paradigm by the use of biosensors as biofeedback tools to enlighten the patients about internal activities by them visualizing their muscle activity eventually helping them control their bodies better by knowing which muscles to contract to produce the correct movement.5 A proven successful mode of rehabilitation includes virtual reality (VR) technology, which is practical to use at homes, however, requires professional input when it comes to software development and application. Along with ensuring safety and effectiveness, new strategies are being developed which would allow clinicians who do not hold programming expertise to create game-based VR tasks and make further advancements in the field of neurological rehabilitation.6 Amongst the many causes of disability including trauma and musculoskeletal degenerative changes, nervous system disorders are most prevalent resulting in physical, cognitive, linguistic and
{"title":"TECHNOLOGICAL ADVANCEMENTS IN NEUROREHABILITATION","authors":"Shafaq Altaf","doi":"10.52567/trj.v3i02.14","DOIUrl":"https://doi.org/10.52567/trj.v3i02.14","url":null,"abstract":"It has been a few decades since neurological rehabilitation is recognized as a formal technique for therapeutic treatment of stroke patients or individuals suffering disabilities following spinal cord injuries. Despite the nervous system having a plasticity mechanism that facilitates spontaneous recovery to some extent, it is essential for most patients to receive specialized treatment protocol, to restore their motor function, including physical therapy and occupational therapy. More recently, experts of neurological rehabilitation have inculcated specialized therapies making use of computer and electronic devices to positively influence cortical excitability of damaged parts of cerebral hemispheres in order to improve neuroplasticity.1 The advancements aim to take advantage of the functionally preserved neuromuscular structures in compensating for the functions of the damaged areas as well as restoring function of the affected brain tissue; something for which the use of technology was not seen being implemented around two decades back.1, 2 While traditional approach to neuro-rehabilitation would focus on preventing worsening of a functional limitation through exercises such as passive range of motion and stretching,2 a better understanding of neuroplasticity has swung the rehabilitation pendulum in favor of use of several electrotherapeutic devices including transcranial magnetic stimulation modality, robot for limb training, robotic lower extremity orthoses and brain-computer interfaces which offer benefits for patients with neuronal injury.1 Non-invasive brain stimulation facilitates perceptual learning as well motor and cognitive performance in case of brain lesions.2 In order to ensure adherence to various therapies in the process of rehabilitation, interactive treatment strategies are being developed. These include the application of virtual and augmented reality systems which not only motivate the patient but make the repetitive exercise interesting in a controlled environment.3, 4 This approach has challenged the traditional paradigm by the use of biosensors as biofeedback tools to enlighten the patients about internal activities by them visualizing their muscle activity eventually helping them control their bodies better by knowing which muscles to contract to produce the correct movement.5 A proven successful mode of rehabilitation includes virtual reality (VR) technology, which is practical to use at homes, however, requires professional input when it comes to software development and application. Along with ensuring safety and effectiveness, new strategies are being developed which would allow clinicians who do not hold programming expertise to create game-based VR tasks and make further advancements in the field of neurological rehabilitation.6 Amongst the many causes of disability including trauma and musculoskeletal degenerative changes, nervous system disorders are most prevalent resulting in physical, cognitive, linguistic and ","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78762063","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 and compare the effects of Deep Transverse Friction (DTF) Massage and Mill’s manipulation (Cyriax) with Mobilization with movement (MWM) and Taping (Mulligan) in lateral epicondylitis patients. Material & Methods: A Randomized Control Trial (NCT03848117) was conducted in Physiotherapy Department of DHQ Hospital Bahawalnagar after the approval from the competent authority. Non-probability convenient sampling technique was used to collect sample. The n=30 sample size was randomly allocated in two groups as Group A i.e. the Cyriax group (DTF Massage & Mill’s Manipulation) and Group B i.e. the Mulligan group (Taping & MWM), with 15 participants in each group having sub acute lateral epicondylitis. Data was collected in terms of age, gender, BMI and occupation. Patient related tennis elbow evaluation (PRTEE) questionnaire was used to determine the level of pain, functional disability and hand grip strength. Mann Whitney U statistics test was used for between the group analysis and Friedman with Wilcoxon signed ranks test was used for within the group analysis. The significance level was set at p<0.05. Results: The mean±SD age of subjects in Cyriax group was 33.60±6.864 years and in Mulligan group was 36.93±7.741 years. MWM with taping and Mill’s manipulation with DTF massage both showed significant improvement (p<0.001) in pain, function ability and handgrip strength throughout the treatment duration. When comparing the both group regarding pain, Cyriax approach showed significant improvement after 2nd week while mulligan’s approach showed more improvement than Cyriax approach (p<0.001) in functional ability from 2ndto 3rd week. Hand grip strength in both groups did not show any significant difference (p≥0.05). Conclusion: Mobilization with movement& taping (Mulligan) and mill’s manipulation with DTF massage (Cyriax), both are effective in improving pain, functional ability and handgrip strength in lateral epicondylitis. Cyriax approach is more effective in relieving pain in lateral epicondylitis as compare to Mulligan’s approach. On the other hand, functional ability, more improve with Mulligan’s approach. But both treatments are equally effective in improving hand grip strength in lateral epicondylitis. Keywords: Tennis elbow, mobilization with movement, hand grip strength, patient rated tennis elbow evaluation (PRTEE), Deep Transverse friction massage.
{"title":"EFFECTS OF MULLIGAN AND CYRIAX APPROACH IN PATIENTS WITH SUBACUTE LATERAL EPICONDYLITIS","authors":"Sammar Abbas, R. Riaz, A. Khan, A. Javed, S. Raza","doi":"10.52567/trj.v3i02.15","DOIUrl":"https://doi.org/10.52567/trj.v3i02.15","url":null,"abstract":"Objective: To determine and compare the effects of Deep Transverse Friction (DTF) Massage and Mill’s manipulation (Cyriax) with Mobilization with movement (MWM) and Taping (Mulligan) in lateral epicondylitis patients. Material & Methods: A Randomized Control Trial (NCT03848117) was conducted in Physiotherapy Department of DHQ Hospital Bahawalnagar after the approval from the competent authority. Non-probability convenient sampling technique was used to collect sample. The n=30 sample size was randomly allocated in two groups as Group A i.e. the Cyriax group (DTF Massage & Mill’s Manipulation) and Group B i.e. the Mulligan group (Taping & MWM), with 15 participants in each group having sub acute lateral epicondylitis. Data was collected in terms of age, gender, BMI and occupation. Patient related tennis elbow evaluation (PRTEE) questionnaire was used to determine the level of pain, functional disability and hand grip strength. Mann Whitney U statistics test was used for between the group analysis and Friedman with Wilcoxon signed ranks test was used for within the group analysis. The significance level was set at p<0.05. Results: The mean±SD age of subjects in Cyriax group was 33.60±6.864 years and in Mulligan group was 36.93±7.741 years. MWM with taping and Mill’s manipulation with DTF massage both showed significant improvement (p<0.001) in pain, function ability and handgrip strength throughout the treatment duration. When comparing the both group regarding pain, Cyriax approach showed significant improvement after 2nd week while mulligan’s approach showed more improvement than Cyriax approach (p<0.001) in functional ability from 2ndto 3rd week. Hand grip strength in both groups did not show any significant difference (p≥0.05). Conclusion: Mobilization with movement& taping (Mulligan) and mill’s manipulation with DTF massage (Cyriax), both are effective in improving pain, functional ability and handgrip strength in lateral epicondylitis. Cyriax approach is more effective in relieving pain in lateral epicondylitis as compare to Mulligan’s approach. On the other hand, functional ability, more improve with Mulligan’s approach. But both treatments are equally effective in improving hand grip strength in lateral epicondylitis. Keywords: Tennis elbow, mobilization with movement, hand grip strength, patient rated tennis elbow evaluation (PRTEE), Deep Transverse friction massage.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"41 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90022431","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}
Naveed Ashraf, Ismat Ullah, M. Shah, S. Hussain, Unaiza Batool
Objective: to evaluate the effects of plyometric training program on speed and agility of young Pakistani cricketers. Material & Methods: A Randomized Controlled Trail (NCT03830632) was conducted in Fitdiction Gym Islamabad after the approval from the competent authority. Non probability convenient sampling technique was used to collect sample. The n=40 sample size was randomly allocated in two groups the plyometric training group and traditional training group, with 20 participants in each group. The male professional club cricketers with age between 14-24 years old from Islamabad were included after written informed consent. Speed was measured through 30 meter sprint test and T-Test to check the agility of cricketers. Repeated measure ANOVA was used to analyze with-in group changes in both groups and independent t-test was use to compare the effects of both training programs. The significance level was set at p<0.05. Results: The mean age and BMI of cricketers were 18±1.97 years and 33.40±21.23 respectively. While comparing both groups, no significant difference observed throughout training session of agility and speed time (p>0.05). But the mean difference of agility and speed time of both groups was increased throughout training session. Conclusion: The results Indicated that both plyometric and traditional training improved speed and agility in young cricketers at the end of study. While comparing with traditional training, no statistically significance difference found between both groups. But when considering mean difference of time in speed and agility practical significance was observed. Keyword: Plyometrics, agility, speed, physical fitness, cricket.
{"title":"EFFECTS OF PLYOMETRIC TRAINING PROGRAM ON SPEED AND AGILITY IN YOUNG CRICKETERS","authors":"Naveed Ashraf, Ismat Ullah, M. Shah, S. Hussain, Unaiza Batool","doi":"10.52567/trj.v3i01.22","DOIUrl":"https://doi.org/10.52567/trj.v3i01.22","url":null,"abstract":"Objective: to evaluate the effects of plyometric training program on speed and agility of young Pakistani cricketers. Material & Methods: A Randomized Controlled Trail (NCT03830632) was conducted in Fitdiction Gym Islamabad after the approval from the competent authority. Non probability convenient sampling technique was used to collect sample. The n=40 sample size was randomly allocated in two groups the plyometric training group and traditional training group, with 20 participants in each group. The male professional club cricketers with age between 14-24 years old from Islamabad were included after written informed consent. Speed was measured through 30 meter sprint test and T-Test to check the agility of cricketers. Repeated measure ANOVA was used to analyze with-in group changes in both groups and independent t-test was use to compare the effects of both training programs. The significance level was set at p<0.05. Results: The mean age and BMI of cricketers were 18±1.97 years and 33.40±21.23 respectively. While comparing both groups, no significant difference observed throughout training session of agility and speed time (p>0.05). But the mean difference of agility and speed time of both groups was increased throughout training session. Conclusion: The results Indicated that both plyometric and traditional training improved speed and agility in young cricketers at the end of study. While comparing with traditional training, no statistically significance difference found between both groups. But when considering mean difference of time in speed and agility practical significance was observed. Keyword: Plyometrics, agility, speed, physical fitness, cricket.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81857179","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: Primary dysmenorrheal (PD) due to its high prevalence is considered health issue since it affects different aspects of life including physical functions and work productivity. Objective: To find association between symptoms of primary dysmenorrheal, physical functions and work productivity. Material & Methods: A cross-sectional survey 99 subjects with primary dysmenorrhea was conducted. Numeric pain rating scale, daily record of severity of problems (DRSP) for overall symptoms of primary dysmenorrhea, short form-36 for physical function and role limitation were used to collect data. Simple linear regression was used to explore the relationship among variables. Results: Mean age and age at menarche were 21.06±2.59 and 13.15±1.03 years respectively. The results showed that pain had significantly negative association with physical function (r=-0.20, p=0.02) but insignificantly associated with role limitation due to physical health(r=0.08, p=0.20). The symptoms of primary dysmenorrhoea on DRSP also showed significant negative association with physical function(r=-0.36, p=0.00), role limitation due to physical health(r=-0.18, p=0.03) and positively associated with productivity or efficiency (r=0.64, p=0.00) on DRSP scale. Physical function was also positively associated with role limitation due to physical health (r=0.42, p=0.00). Conclusion: the study concluded that pain reduces the physical functioning in primary dysmenrhea. The overall symptoms of primary dysmenohea also reduce physical functioning, role limitation due to physical health and work related productivity and efficiency. Keywords: Primary dysmenorrhea, physical function, physical health, DRSP, Numeric pain rating scale.
{"title":"ASSOCIATION BETWEEN SYMPTOMS OF PRIMARY DYSMENORRHEA, PHYSICAL FUNCTIONS AND WORK PRODUCTIVITY","authors":"R. Kanwal, T. Masood, W. Awan","doi":"10.52567/trj.v3i01.23","DOIUrl":"https://doi.org/10.52567/trj.v3i01.23","url":null,"abstract":"Background: Primary dysmenorrheal (PD) due to its high prevalence is considered health issue since it affects different aspects of life including physical functions and work productivity. Objective: To find association between symptoms of primary dysmenorrheal, physical functions and work productivity. Material & Methods: A cross-sectional survey 99 subjects with primary dysmenorrhea was conducted. Numeric pain rating scale, daily record of severity of problems (DRSP) for overall symptoms of primary dysmenorrhea, short form-36 for physical function and role limitation were used to collect data. Simple linear regression was used to explore the relationship among variables. Results: Mean age and age at menarche were 21.06±2.59 and 13.15±1.03 years respectively. The results showed that pain had significantly negative association with physical function (r=-0.20, p=0.02) but insignificantly associated with role limitation due to physical health(r=0.08, p=0.20). The symptoms of primary dysmenorrhoea on DRSP also showed significant negative association with physical function(r=-0.36, p=0.00), role limitation due to physical health(r=-0.18, p=0.03) and positively associated with productivity or efficiency (r=0.64, p=0.00) on DRSP scale. Physical function was also positively associated with role limitation due to physical health (r=0.42, p=0.00). Conclusion: the study concluded that pain reduces the physical functioning in primary dysmenrhea. The overall symptoms of primary dysmenohea also reduce physical functioning, role limitation due to physical health and work related productivity and efficiency. Keywords: Primary dysmenorrhea, physical function, physical health, DRSP, Numeric pain rating scale.","PeriodicalId":90985,"journal":{"name":"The open rehabilitation journal","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75221654","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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