THE THERAPIST (Journal of Therapies & Rehabilitation Sciences)

Evaluation of Patients Satisfaction Level and Quality of Life (QOL) Receiving Physical Therapy Care for Musculoskeletal Disorders in Public and Private Hospitals

Sat, 30 Sep 2023 00:00:00 +0000

Patients’ satisfaction is the experience of an attitude and effective response that is related to beliefs that the physiotherapy service provided to patient must have adequate component and dimension. Objective: To measure the satisfaction level and quality of life of patients in both public and private hospitals of Faisalabad. Methods: It was a comparative cross-sectional study with sample size of 278. A simple random sampling technique was used to collect data from patients receiving physical therapy care in both the public and private sectors. The outcome measures of the study were the multidimensional "Queen Mary's Satisfaction Survey" and the "SF-36 Questionnaire" to check level of satisfaction and overall QOL. The collected data were then analyzed by SPSS version-22. Results: About 6.5% patients from government and 35% from private hospitals were highly satisfied from the physiotherapy services.46% patients from government and 64% from private reported to have an excellent quality of life. Independent t-test revealed that p value was less than 0.05 for both satisfaction level and quality of life in patients receiving physiotherapy from private and government sectors of Faisalabad. Conclusions: A significant difference was found between quality of life and satisfaction level of patients receiving physiotherapy from private and government hospitals of Faisalabad. Patients of private hospital reported higher level of satisfaction and QOL as compared to the government hospitals.

Analyzing the Key Predictors of Implant Cut Out in DHS-Treated Intertrochanteric Fractures: A Comprehensive Investigation

Sat, 30 Sep 2023 00:00:00 +0000

Intertrochanteric fractures are osteoporotic fractures in nature that mainly affect elderly people and lead to disability annually. This creates a burden on the healthcare system and results in significant resource usage, attention to medical needs, and rehabilitative care. Objective: To identify and analyze the key factors associated with intertrochanteric fractures. Methods: A cross-sectional study was conducted at Khawaja Muhammad Safdar Medical College (KMSMC) in Sialkot, Pakistan. This observational study enrolled 137 patients, with 63 males (46%) and 74 females (54%). Results: The average age of the selected group was 64.55±14.26 years. It was highlighted that most of the fractures (52%) were on the right side, this features a potential asymmetry in fracture development. Secondly, falls were recognized as the prime reason for intertrochanteric fractures, as it accounts for 65% of the cases. As per fracture classification taken into account, stable fractures (64%) were the most common type noticed. Furthermore, a large part of patients (76%) encountered a positive outcome in terms of union, mentioning a successful healing of the fractures. Besides, a notable percentage (52%) of the cases exhibit good reduction, demonstrating functional alignment of fractured bone segments in the course of the treatment procedure. Conclusions: The present study deduced that a remarkable number of fractures were observed on the right side, specifying a possible imbalance in fracture occurrence. Furthermore, falls were regarded as the primary cause of intertrochanteric fractures. Majority were stable in nature with positive union outcomes and showed a good reduction.

Immediate Effect of Ischemic Compression Therapy to Release Suboccipital Trigger Points in Tension-Type Headache among Adult Population of GCUF

Sat, 30 Sep 2023 00:00:00 +0000

Tension-type headache is a nervous illness and characterized by pain, causes stretch on both sides and stiffness which feels like a band or pressure leads to disruption in daily activities. Objective: To see the immediate effects of ischemic compression therapy to release sub-occipital trigger points in tension type headache. Methods: It was a quasi-experimental study. Study population was students and faculty members of GC University, Faisalabad from age between 25 to 35 years. Sample size of the study was 35. A convenient sampling technique was used to select individuals according to the defined inclusion criteria. Trigger points were evaluated by palpating the occipital region. Data collection tools including visual analogue scale (VAS) and HIT-6 was used to measure intensity of pain and tension-type headache. SPSS version 25.0 was used to analyze the data. Results: Post-treatment values of VAS showed the reduction in pain intensity (mean=0.57) as compared to the pre-intervention values (mean = 5.03). A notable reduction in HIT-6 impact from (mean = 65.13) to (mean = 40.40) was observed. Paired sample t-test showed a p-value below 0.05 for both VAS and HIT-6, highlighting the positive effects of ischemic compression therapy to release sub-occipital trigger points in tension type headache. Conclusions: There was a notable reduction of pain intensity immediately after the treatment session. Ischemic compression therapy was significantly effective to release sub-occipital trigger points in patients with tension type headache.

Awareness and Knowledge of Speech Language Pathologists regarding Pediatric Feeding Disorders

Maryam Ch, Anum Ashraf, Mahnoor Mansoor, Mavra Shaukat — Sat, 30 Sep 2023 00:00:00 +0000

Feeding is like a tremendous process involving multiple systems that are interconnected with each other. The speech pathologist plays an important role in helping the child develop a positive relationship with his or her mouth and food, as well as learning how to eat enjoyably, carefully, and efficiently. Objective: To determine knowledge of Speech Language Pathologists about the Pediatric Feeding Disorders. Methods: It was a cross sectional study. Data were collected from the Speech Language Pathologists through online questionnaire generated through Google forms after taking permission letter from Research and Ethics committee. Non- probability convenience sampling technique was used. Sample was calculated 157 on the basis of total number of BS graduate Speech Language Pathologists by using 95% confidence interval through sample size calculator Rao soft. Data were analyzed in SPSS 21 using descriptive statistics including frequency tables and bar charts. Results: Total 157 responses were received.145 were females and 12 males participated in this study. Out of 157 participants, 60.51% SLPs reported that they do not feel confident on their clinical expertise regarding pediatric feeding disorders and 92.4% SLPs reported that they need more knowledge and training to deal with pediatric feeding disorders. Conclusions: Many Speech Language Pathologists in Pakistan have little knowledge about the management and treatment of PFDs. They do not feel safe to evaluate, assess and intervene with pediatric feeding disorders. Therefore, they feel less confident on their treatment strategies regarding pediatric feeding disorders.

Association of Physical Activity and Obesity in Health Care Professionals of Karachi

Sat, 30 Sep 2023 00:00:00 +0000

Obesity is a major health problem worldwide. The worldwide prevalence rate of obesity is about 13% of adults are obese, and 39% of adults are overweight. Globally, found that 1 out of every 5 children is overweight and faces many complications. Objective: To determine the relation of physical activity and obesity in health care professionals of Karachi. Methods: A cross-sectional survey was done on 543 healthcare professionals of various domains selected from the hospitals of Karachi according to the division of seven districts ( Central, East, Kemari, Orangi, Malir, South, West). The evaluation of the study was done through three weight measurement tools( BMI (body mass index), Waist circumference, waist-hip ratio) and two questionnaires: a self-administered and an international physical activity questionnaire. The data were analyzed by SPSS version 23.0. Results: There were 543 healthcare professionals extracted from seven districts of Karachi, Out of which 310 performed more than 3 hours, 181 performed less than 3 hours per day, and 52 were not sure about their level of moderate activities in daily routine While 146 healthcare professionals performed more than 3 hours per day, 283 performed less than 3 hours per day, and 114 were not sure about their level of vigorous activities in their daily routine. Conclusions: Our study concluded that the frequency of obesity is less in healthcare professionals as compared to the general p

Causes, Precautions and Management of Risk Factors Associated with Sports Injuries

Sat, 30 Sep 2023 00:00:00 +0000

Sports injuries are considered a global health problem that needs a special focus on public health to minimize the risk factors of sports injuries [1]. Sports Injuries refer to injuries commonly occurring during sports or exercise, but they are not only confined to sports. It can also appear in our routine life events. Suppose a factory worker can get tennis elbow injuries, and Painter gets shoulder injuries. Likewise, gardeners develop tendinitis even though they may not participate in sports [2]. The common sports injuries are sprains, strains, swollen muscles, shin splints, rotator cuff injuries, knee injuries, fractures, and dislocations. Based on nature, we can divide it into two types, i.e. intrinsic injuries and extrinsic injuries. Intrinsic injuries are those injuries which take place inside the body, while those injuries that take place outside the body are called outside injuries. Sports Injuries can occur in any part of the body, such as bones, joints, muscles, tendons, ligaments and cartilage [3]. Sports injuries may be categorized as chronic or acute sports injuries. Chronic or overuse injuries develop in sports where an athlete needs long-term repetitive motion, like long-distance running, cycling and swimming [4]. Chronic sports injuries include arthritis, tendonitis, tennis elbow, repetitive strain injury (RSI) and runner's knee [5]. Likewise, acute sports injuries consist of those injuries which happen suddenly. Wrist fractures. Ankle sprains. Shoulder dislocations are the best examples of acute sports injuries [5, 6]. In other words, those injuries which take place suddenly and need a short period of recovery are term as acute sports injuries, such as strain, sprain, dislocation and muscle aches etc. Similarly, those injuries that develop gradually and need more time for recovery are called chronic injuries [7]. Poor training, anatomical problems, muscle weakness, tendons, exercising ligaments, and unsafe environments are all causative factors of sports injuries [8]. In association with factors, sports injuries are usually instigated by overuse, direct impact, or the application of force greater than the body part can structurally withstand [9]. The main causes of injuries during sports are; lack of proper training, overtraining, long-term playing the same sports, playing on hard surfaces, and improper shoes and sports kits [2]. As a serious health concern, learning about preventive measures is important for athletes, coaches, and managers [10]. Preventive measures of sports injuries include; physical fitness, awareness about skills and techniques, and warm and cool down [11-13]. Due to injuries, a sportsman completely loses their performance. In addition, as a result of injuries, a sportsman feels soreness, swelling, muscular weakness, fatigue and pain. Along with physical problems, many psychological issues, such as fear, tension, lack of focus, and poor self-confidence, are also linked with sports injuries [14-18]. Different first aid techniques can help manage the severe effects of sports injuries, such as injury prevention, injury identification and treatment, and injury rehabilitation [19, 20]. Likewise, developing a fitness plan comprised of cardiovascular, strength and flexibility exercises, warm-up and cool down, staying hydrated, using proper equipment, etc. also used to manage sports injuries [21, 22]. There are five basic steps for preventing sports injuries among children. These preventive measures include wearing protective gear, i.e. helmets, protective pads, and other gear, warm up and cooling down, knowing the rules of the game, watch out for others and don't play when injured [22].

Advancements in Dermatological Therapies

Bushra Bashir — Sat, 30 Sep 2023 00:00:00 +0000

Dermatology has witnessed remarkable advancements in therapeutic approaches, revolutionizing the field and transforming the landscape of skin health. From innovative treatment modalities to novel drug discoveries, the realm of dermatological therapies has expanded exponentially, offering new hope and improved outcomes for patients. These advancements have not only revolutionized the way we address various skin conditions but have also opened doors to personalized and targeted treatments. Exploring and embracing these advancements is crucial for dermatologists to provide the highest level of care and enhance the quality of life for their patients. The advent of biologics and targeted therapies has been a game-changer in dermatology. Conditions such as psoriasis, atopic dermatitis, and various autoimmune disorders now have targeted treatment options that specifically address the underlying mechanisms of the disease. Biologics, including monoclonal antibodies and immune modulators, have shown exceptional efficacy in managing these conditions, providing long-lasting relief and reducing disease burden for patients. Additionally, advancements in molecular research and genetic profiling have paved the way for personalized medicine in dermatology, allowing for tailored treatment plans based on an individual's unique genetic makeup and characteristics.

Furthermore, technological innovations have brought forth significant advancements in dermatological therapies. Laser and light-based treatments have revolutionized the management of various skin conditions, including acne scars, vascular lesions, and unwanted pigmentation. These non-invasive procedures offer precise targeting and minimal downtime, delivering remarkable results with reduced risks. Moreover, the integration of artificial intelligence and digital health technologies has enhanced diagnostic accuracy and improved treatment outcomes. From teledermatology to image analysis algorithms, these technologies streamline patient care, facilitate remote consultations, and enable efficient data-driven decision-making.

Collaborative efforts between dermatologists and pharmaceutical companies have also led to the development of novel therapeutic agents. New drug discoveries, formulations, and delivery systems have expanded treatment options for conditions such as skin cancer, fungal infections, and chronic inflammatory disorders. Researchers continue to explore innovative pathways, including immunotherapies and microbiome-targeted therapies, opening doors to further advancements in the field. Advancements in dermatological therapies have ushered in a new era of precision and effectiveness in the management of various skin conditions. From targeted biologics to technological innovations, these breakthroughs have transformed the way dermatologists approach patient care. Embracing these advancements and staying abreast of the latest developments is essential for dermatologists to provide the best possible care and improve patient outcomes. As the field continues to evolve, ongoing research, collaboration, and technological integration will shape the future of dermatological therapies, empowering both clinicians and patients in their pursuit of optimal skin health