THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://thetherapist.com.pk/index.php/tt <p><strong>Title of Journal: </strong><strong>THE THERAPIST (ISSN Online: 2790-7414, Print: 2790-7406)</strong></p> <p><strong>Frequency: Quaterly (w.e.f 1<sup>st</sup> Jan, 2023)</strong></p> <p><strong>Affiliated with:</strong> Lahore Medical Research Center</p> <p><strong>Website:</strong> (<a href="http://www.lmrc.com.pk">www.lmrc.com.pk</a>)</p> <p><strong>Published By:</strong> CrossLinks International Publishers (CLIP), Lahore, Pakistan</p> <p><strong>Website:</strong> (<a href="http://www.clip.com.pk">www.clip.com.pk</a>)</p> <p><strong>Address:</strong> 590-Karim Block, Allama Iqbal Town, Lahore, Pakistan</p> <p>‘The Therapist’, abbreviated as ‘TT’ is an official journal of ‘Lahore Medical Research Center’ (LMRC), LLP. We are pleased to announce the launch of this journal of physical therapy and rehabilitation sciences as well as other therapies are also included within the scope such as stem cell therapy, speech therapy, psychotherapy, cognitive-behavioral therapy, radiotherapy, dialectial behavior therapy, Eye movement desensitization and reprocessing therapy, Mentalization-based therapy, animal-assisted therapy, emotion focused therapy, family therapy, group therapy, mind-fulness-based therapy, virtual therapy, exposure therapy, interpersonal therapy, diet <br />therapy, virtual therapy, hydrotherapy, heat therapy are among the few. <br />Mission of this journal is to publish the studies in the above areas and relevant disciplines. These researches will be of great significance and may contribute to the awareness and understanding of the impact of different therapies <br />on human health improvement. To our knowledge this is the first journal with this unique scope. Studies related to these topic are most welcome from national and international authors. It will help all of us to work as global team to do something for the betterment of ailing humanity and share ideas for this noble cause .</p> <p><span style="text-decoration: underline;"><strong>Accreditation:</strong></span></p> <p><strong>Approved by Higher Education Commission of Pakistan for the year 2023-24</strong></p> <p><span style="text-decoration: underline;"><strong>Fee &amp; Subscription Charges</strong></span></p> <p>Article Processing Fee: <strong>NONE</strong></p> <p>Article Publication Fee (National) Rs 20000 / Article</p> <p>Article Publication Fee (International ) 200 USD / Article</p> <p>Printed Version (Selected Articles on Authors Request): Rs 2500/per copy</p> <p><span style="text-decoration: underline;"><strong>Annual Subscription for Printed Versions</strong></span></p> <p>For Institutes: Rs 20,000/ Annually</p> <p>Single Copy (Selected Articles): Rs 2500/-</p> <p><span style="text-decoration: underline;"><strong>Waiver Policy</strong></span></p> <p>If an author has no funds to pay such charges, he may request for full or partial waiver of publication fees. The decision may however vary from case to case.</p> <p>We do not want charges to prevent the publication of worthy material.</p> <p><strong><u>Submissions</u></strong></p> <p>Submission are welcome and may be submitted here <a href="mailto:editor@thetherapist.com.pk">editor@thetherapist.com.pk</a></p> en-US <p>This is an open-access journal and all the published articles / items are distributed under the terms of the <a href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments <a href="mailto:editor@thetherapist.com.pk">editor@thetherapist.com.pk</a></p> editor@thetherapist.com.pk (Riffat Mehboob) oric@lmrc.com.pk (Khurram Mehboob) Sun, 31 Mar 2024 20:12:12 +0000 OJS 3.3.0.7 http://blogs.law.harvard.edu/tech/rss 60 Physical Therapy Strategies for Osteogenesis Imperfecta https://thetherapist.com.pk/index.php/tt/article/view/196 <p><span class="TextRun SCXW216628151 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="none"><span class="NormalTextRun SCXW216628151 BCX0">Osteogenesis Imperfecta (OI) is known to affect about 1/15,000–20,000 individuals in the world [1]. OI is rare congenital disorder characterised by bone fragility. Mutation in collagen related genes results in deficiency of collagen, which forms the bone matrix. This can result in fractures, deformities of the spine, and effects on other organs. A child's </span><span class="NormalTextRun SCXW216628151 BCX0">perception</span><span class="NormalTextRun SCXW216628151 BCX0"> of pain can be influenced by a variety of circumstances, including repetitive fractures, bone deformities, muscle atrophy, mobility issues, and</span><span class="NormalTextRun SCXW216628151 BCX0"> psychological concerns. Based on clinical characteristics and the course of the disease, OI subtypes are categorised; types I, II, III, and IV. OI Type I is considered the mildest form of the condition, with normal growth patterns and a low incidence of fractures during the perinatal period. Type II OI is more severe and causes death during the prenatal period. In contrast, OI Type III is a more serious presentation of the disorder. People with type III OI have significant bone </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">deformities, and</span><span class="NormalTextRun SCXW216628151 BCX0"> have fractu</span><span class="NormalTextRun SCXW216628151 BCX0">res often even after birth. The most clinically heterogeneous type of OI is Type IV, with members displaying mild to severe symptoms. OI is diagnosed by using ultrasonography, radiography, bone densitometry, and serum </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">electrolytes(</span><span class="NormalTextRun SCXW216628151 BCX0">calcium and phosphorous). Bone and skin biopsy also helps in diagnosis by studying collagen tissue. Individual differences in treatment response and outcome are due to genetic complexity in each kind of OI. Medicinal treatment(bisphosphonates) is the most common approach used to m</span><span class="NormalTextRun SCXW216628151 BCX0">anage </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">pain</span><span class="NormalTextRun SCXW216628151 BCX0"> but these treatments' primary drawbacks include their comparatively low efficacy, their lack of benefits, the emergence of treatment resistance in certain individuals, or their cytotoxic adverse effects. The </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">multidisciplinary&nbsp; approach</span><span class="NormalTextRun SCXW216628151 BCX0"> to manage OI involves occupational therapy, physical therapy, orthotics and by other health care professionals including orthopaedic surgeon, dieticians, </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">and&nbsp; speech</span><span class="NormalTextRun SCXW216628151 BCX0"> therapists. Ongoing studies have </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">provide</span><span class="NormalTextRun SCXW216628151 BCX0"> new avenues for the management of OI, including medical, r</span><span class="NormalTextRun SCXW216628151 BCX0">ehabilitation, and surgical treatments. Physical therapy </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW216628151 BCX0">maximise</span><span class="NormalTextRun SCXW216628151 BCX0"> mobility and independence while lowering the risk of fracture and bone loss. The physiotherapists play a crucial role by providing counselling to the parents of OI infants based on disease severity and help the children with OI reach adult independence and </span><span class="NormalTextRun SCXW216628151 BCX0">maintain</span> <span class="NormalTextRun SCXW216628151 BCX0">optimal</span><span class="NormalTextRun SCXW216628151 BCX0"> musculoskeletal health. Parents are </span><span class="NormalTextRun SCXW216628151 BCX0">advised to handle</span><span class="NormalTextRun SCXW216628151 BCX0"> and position the baby safely, with the </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW216628151 BCX0">ultimate goal</span><span class="NormalTextRun SCXW216628151 BCX0"> of enabling the child to gain mobility on their own, whether that</span><span class="NormalTextRun SCXW216628151 BCX0"> means utilising a wheelchair in the future or walking aids. Observational studies have shown evidence that supervised exercise regimes can enhance physical </span><span class="NormalTextRun SCXW216628151 BCX0">capacity</span><span class="NormalTextRun SCXW216628151 BCX0"> and muscle strength.&nbsp;</span></span><span class="EOP SCXW216628151 BCX0" data-ccp-props="{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> Ghulam Saqulain Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/196 Sun, 31 Mar 2024 00:00:00 +0000 Determining the Frequency of Non-Obstructive Coronary Artery Disease in Elective Angiography Cases https://thetherapist.com.pk/index.php/tt/article/view/202 <p><span data-contrast="auto">Cardiovascular disease particularly ischemic heart disease has emerged as a leading cause of death. Atherosclerosis in epicardium results in CAD without the restriction of coronary circulation but the other processes that may disrupt the myocardial supply and demand in patients exhibiting angina symptoms or indications may be suspected of having non-obstructive CAD. </span><strong><span data-contrast="auto">Objective:</span></strong><span data-contrast="auto"> To find out the prevalence of non-obstructive CAD in patients enrolled for elective angiography. </span><strong><span data-contrast="auto">Methods:</span></strong><span data-contrast="auto"> A cross-sectional descriptive analysis was done in the Cardiology department in King Edward Medical University and Mayo Hospital, Lahore. The duration of study was for six months from 01-08-2022 to 01-02-2023. After approval from hospital ethical committee, 150 patients were enrolled in the study with informed written consent. Demographics including Name, age, BMI, confounding factors like (diabetes, hypertension, smoking and family history) and address were noted. All selected patients underwent coronary angiography via right femoral artery approach by a consultant cardiologist. Non-obstructive coronary artery disease was assessed as per operational definition. All the information was noted on pre-designed proforma (attached). </span><strong><span data-contrast="auto">Results:</span></strong><span data-contrast="auto"> A total of 150 patients were selected for the study. It showed that out of 150 patients, 2.7% (n=4) fall in age group of 18-40 years and 97.3 % (n=146) were in age group of 41-60 years, average age was 51.94±5.26 years and the BMI was 27.96±6.44 kg/m</span><span data-contrast="auto">2</span><span data-contrast="auto">. There were 62.7 % (n=94) male and 37.3 % (n=56) females. Frequency of diabetes mellitus was 34.7 % (n=52), hypertension was 24.7 % (n=37), smokers 16.7 % (n=25), family history was 12.7 % (n=19) and frequency of non-obstructive CAD was 27.3 % (n=41). </span><strong><span data-contrast="auto">Conclusions:</span></strong><span data-contrast="auto"> It is to be concluded that a considerable percentage of patients enrolled for elective coronary angiography had non-obstructive CAD.</span><span data-ccp-props="{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> <p><span data-ccp-props="{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Hafiz Muhammad Rashid Javaid, Ayesha Tariq, Muhammad Arslan Aslam, Tanvir Ahmed Bhatti, Waseem Ahmed, Asma Sharif Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/202 Sun, 31 Mar 2024 00:00:00 +0000 Comparing the Effectiveness of Specific Lumbar Mobilization and Core Stability Exercises in Mechanical Low Back Pain in Decreasing Pain and Disability: A Randomized Control Trial https://thetherapist.com.pk/index.php/tt/article/view/191 <p><span data-contrast="none">Low back pain (LBP) is a global neuro - muscular problem developing significant disability of thoracic, lumbar or sacroiliac joint at any age. </span><strong><span data-contrast="none">Objective:</span></strong><span data-contrast="none"> To analysis comparative effectiveness of specific lumbar mobilizations and core stability exercises in mechanical low back pain in reducing pain, ROM and disability. </span><strong><span data-contrast="none">Methods: </span></strong><span data-contrast="none">A patient blinded </span><span data-contrast="none">randomized trial was executed in the department of Physical therapy of Mayo Hospital, Lahore including 45 LBP patients randomly distributed into three groups. Each group received Conventional physical therapy in which Group A was control group, Group B received specific lumbar mobilizations while Group C received core stability exercises. NPRS, RMDQ and MODI were used for assessing pain and disability. SPSS version 24.0 was used for analyzing within and between group analysis through Paired T-test and Independent T- test with p-value &lt;0.05. </span><strong><span data-contrast="none">Results: </span></strong><span data-contrast="none">The results showed </span><span data-contrast="none">conventional therapy, specific lumbar mobilization and core stability exercises are effective in improving pain, ROM and functional status. However; Core stability exercises was more effective with p-values for NPRS (p=0.049), MODI (p=0.038), RMDQ (p=0.003) and for Ranges (R-side flexion; 0.008, L-side flexion; 0.033, R-side rotation; 0.00, L-side rotation; 0.00) as compared to lumbar mobilization. Additionally; there was no substantial difference was found between three groups for flexion and extension. </span><strong><span data-contrast="none">Conclusions:</span></strong><span data-contrast="none"> Core stability exercises are statistically and clinically more effective than conventional therapy and specific lumbar mobilizations in improving ROM, decreasing pain and functional status. </span><span data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> <p><span data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Rehana Hayat, Sumbal Salik, Shaista Rani, Amna Zia, Nauman Jamal, Laila Niaz Khan, Amna Khalid Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/191 Sun, 31 Mar 2024 00:00:00 +0000 Awareness About Glaucoma and Associated Factors Among Glaucoma Patients Visiting Munawar Memorial Hospital Chakwal https://thetherapist.com.pk/index.php/tt/article/view/185 <p><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Glaucoma is a significant public health problem worldwide blindness after cataract is attributed to this ophthalmic disease. The resultant blindness is mostly irreversible. Its earlier detection is imperative to prevent blindness.</span> </span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Objective: </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">To </span><span class="NormalTextRun SCXW268406747 BCX0">ascertain</span><span class="NormalTextRun SCXW268406747 BCX0"> the awareness about glaucoma and associated factors among glaucoma patients in association with family history. </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Methods: </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">A cross-sectional descriptive hospital base study was done among 21 glaucoma patients at Munawar Memorial Hospital Chakwal from October – December 2021. The patients were enrolled through consecutive sampling</span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">. </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">D</span><span class="NormalTextRun SCXW268406747 BCX0">ata w</span><span class="NormalTextRun SCXW268406747 BCX0">ere</span><span class="NormalTextRun SCXW268406747 BCX0"> gathered from the patients through self-structured questionnaire </span><span class="NormalTextRun SCXW268406747 BCX0">pertaining to</span><span class="NormalTextRun SCXW268406747 BCX0"> demographics, family history, association of glaucoma with blindness, reversibility of resultant blindness, treatment in addition to prevention and cure of blindness. Data w</span><span class="NormalTextRun SCXW268406747 BCX0">ere</span><span class="NormalTextRun SCXW268406747 BCX0"> analysed by SPSS version 25.0</span><span class="NormalTextRun SCXW268406747 BCX0">. Apart from descriptive statistics, Fisher’s exact test was also applied to measure the association of family history of glaucoma with other factors. </span><span class="NormalTextRun SCXW268406747 BCX0">p</span><span class="NormalTextRun SCXW268406747 BCX0">&lt;0.05 was taken as significant. </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Results: </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Of the 21glaucoma patients, most (63%) were males and 11 patients had positive family history. Overall, 25% patients knew about the disease. </span><span class="NormalTextRun SCXW268406747 BCX0">Mean age of the respondents was 50.52 ±</span> <span class="NormalTextRun SCXW268406747 BCX0">22.5 years. Almost 72.2% of the patients with positive family history were aware about the prevention of blindness resulting from glaucoma (</span><span class="NormalTextRun SCXW268406747 BCX0">p</span><span class="NormalTextRun SCXW268406747 BCX0">&lt;0.05). on the other hand, 81.8% of the patients with negative family knew about cure. 81.8% of the patients knew the purpose of treatment (</span><span class="NormalTextRun SCXW268406747 BCX0">p</span><span class="NormalTextRun SCXW268406747 BCX0">&lt;0.05). </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Conclusion</span><span class="NormalTextRun SCXW268406747 BCX0">s</span><span class="NormalTextRun SCXW268406747 BCX0">: </span></span><span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">There was scarcity of knowledge about glaucoma among patients.</span></span> <span class="TextRun SCXW268406747 BCX0" lang="EN-GB" xml:lang="EN-GB" data-contrast="auto"><span class="NormalTextRun SCXW268406747 BCX0">Despite the positive family history, knowledge of glaucoma patients about their disease was deficient.</span></span><span class="EOP SCXW268406747 BCX0" data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Hamza Aziz, Rizwana Shahid, Iqra Khalil, Sajjad Haider Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/185 Sun, 31 Mar 2024 00:00:00 +0000 Attributes of Menstruation among Young Physical Therapy Female Students of Karachi https://thetherapist.com.pk/index.php/tt/article/view/182 <p><span data-contrast="auto">The average age of menarche is between 9 to 14 years of age. Menarche is considered a normal milestone of every female's life. This period is supposed like a special period of every girl's life because in this stage girl is converted to the woman's age. Menarche is the indicator sign of a female that is ready to take part in reproduction activity. </span><strong><span data-contrast="auto">Objective:</span></strong><span data-contrast="auto">To determine the attributes of menstruation among young physical therapy female students of Karachi. </span><strong><span data-contrast="auto">Methods:</span></strong><span data-contrast="auto"> This cross-sectional study was done among 385 young physical therapy female students in Karachi-Pakistan to reveal the age, duration, symptoms, and length of the menstruation cycle. The duration of the study was between June to November 2023. A non-probability purposive sampling technique was used. The validated questionnaire was used from a previous study done in 2016. Data were analyzed through SPSS version 23.0 software. </span><strong><span data-contrast="auto">Results</span></strong><span data-contrast="auto">: A total number of 385 young females was included in this study. The mean age of menarche revealed 187 (48.57%) found between 11 to 13 years. The regularity of menses was found in 299 (77.66%)participants. The average days of menstruation flow were about 6 to 8 days in 218 (56.62%) of research participants. The average length of the menstrual cycle was 21 to 35 days in 221 (57.40%) while the most common symptom found in research participants was lower abdominal pain in 187 (48.57%). </span><strong><span data-contrast="auto">Conclusions:</span></strong><span data-contrast="auto">There were significant differences between the characteristics of every young female related to the pattern, duration, age, regularity, and cycle length of the menstrual cycle.</span><span data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> <p><span data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Shafaq Afreen Hasnain, Shaista Hayat, Muhammad Rehan Muddasir, Kashmala Zia, Obaida Aarzoo, Tayyaba Syed, Ayesha Aftab, Syeda Rida Baqir Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/182 Sun, 31 Mar 2024 00:00:00 +0000 Assessment of Fall Risk and its Association with Frailty among Elderly https://thetherapist.com.pk/index.php/tt/article/view/186 <p><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Falls are a major public health concern about 10% of falls result in serious injuries like traumatic brain injury. Falls </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">can cause </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">poor quality</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> of life </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">and financial costs for both individuals and society. Early detection of who are at </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">high risk</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> of fallin</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">g makes it easier to provide rehabilitation therapy in the future. </span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Objectives:</span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> To assess functional mobility, fall risk and its association with frailty among elderly</span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">. Method</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">s</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">: </span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">This </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">c</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">ross</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">-</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">sectional study design </span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">comprised</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> 90 male / female elderly patients a</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">ges 65 to 75. Subjects with </span></span><span class="TextRun Highlight SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">limb amputation history, cognitive impairmen</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">t and ICU status were excluded.</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> Data</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> were</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> gathered from DHQ Kasur </span><span class="NormalTextRun SpellingErrorV2Themed SCXW230066672 BCX8" data-ccp-parastyle="heading 1">and</span><span class="NormalTextRun SpellingErrorV2Themed SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Ariz</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> Memorial Hospital. Non-probability convenience sampling was applied. Ethi</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">cal approval was obtained from </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">institute before conducting research study ran July 2022 to December 2022.Evaluation tools included Berg Balance Scale, Elderly Mobility Scale, Functi</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">onal Reach Test, and </span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">FRAIL Scale</span></span><span class="TextRun Highlight SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">.</span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> SPSS version 25</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">.0</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> used to analyze data. Frequencies, percentages, cross tabulations, bar charts, and pie charts were used to display the categorical variables.</span> </span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Result</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">s: </span></span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Frailty and fall risk are significantly correlated, wit</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">h a p-value of less than &lt; 0.001. Mobility and </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Frailty </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">had </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">significant relationship</span> <span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">(</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">p&lt; 0.001</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">). </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">There </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">was </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">significant association between </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Frailty </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">and balance dysfunction with </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">(</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">p&lt;0.001</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">). </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">There </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">was </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">significant association between Frailty and fall risk with </span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">(</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">p&lt;0.001</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">)</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">.</span> </span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Conclusion</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">s</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">:</span> </span><span class="TextRun SCXW230066672 BCX8" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">Result</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1">s</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> suggested</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> that</span><span class="NormalTextRun SCXW230066672 BCX8" data-ccp-parastyle="heading 1"> frail elderly were at higher risk of fall and their functional mobility is more compromised as compared to non-frail.</span></span><span class="EOP SCXW230066672 BCX8" data-ccp-props="{&quot;134233279&quot;:true,&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240,&quot;469777462&quot;:[10620],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}"> </span></p> Adeena Nisar, Maryam Saleem, Muhammad Haris Raza, Hifza Riaz, Fatima Amjad, Anees Arshad, Hafiz Ali Bin Asim, Muhammad Arslan, Amna Khalid Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/186 Sun, 31 Mar 2024 00:00:00 +0000 Vital Signs Monitoring in Outpatients Physical Therapy in Various Cities of Pakistan https://thetherapist.com.pk/index.php/tt/article/view/163 <p><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">Every time a new patient or client visits, their vital signs should be taken, according to the American Physical Therapy Association (APTA). Taking vital indicators such as blood pressure, heart rate, breathing rate, and body temperature is part of a physical therapist's professional decision-making process. </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">Objective: </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">To </span><span class="NormalTextRun SCXW222525097 BCX0">determine</span><span class="NormalTextRun SCXW222525097 BCX0"> the frequency of vital signs </span><span class="NormalTextRun SCXW222525097 BCX0">monitoring</span><span class="NormalTextRun SCXW222525097 BCX0"> in outpatients physical therapy practice. </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">Methods: </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">A descriptive cross-sectional study was conducted in physical therapy departments of different clinical settings. Data were collected through 12 items survey questionnaire from physical therapist, which was then analyzed by SPSS version 2022.The frequency of monitoring of vital signs by physical therapist was measured by using frequency tables. Association was seen with the help of chi-square test. </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">Results:</span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0"> In this survey study, 12 items and 300 respondents were included to find out the frequency of physica</span><span class="NormalTextRun SCXW222525097 BCX0">l therapist who </span><span class="NormalTextRun SCXW222525097 BCX0">monitor</span><span class="NormalTextRun SCXW222525097 BCX0"> vital signs in their daily practice. The results suggested that 56.7% respondents </span><span class="NormalTextRun SCXW222525097 BCX0">monitor</span><span class="NormalTextRun SCXW222525097 BCX0"> vital signs, 27.3% respondents </span><span class="NormalTextRun SCXW222525097 BCX0">monitor</span><span class="NormalTextRun SCXW222525097 BCX0"> vitals only when there is an indicted or diagnosed cardiovascular condition and 16.0% respondent do not </span><span class="NormalTextRun SCXW222525097 BCX0">monitor</span><span class="NormalTextRun SCXW222525097 BCX0"> vital signs. There is a significant relation that vital signs are neglected due to time constraints in daily practice with p-value less than 0.05. </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">Conclusions: </span></span><span class="TextRun SCXW222525097 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW222525097 BCX0">This study </span><span class="NormalTextRun SCXW222525097 BCX0">demonstrated</span><span class="NormalTextRun SCXW222525097 BCX0"> that vital signs are being </span><span class="NormalTextRun SCXW222525097 BCX0">monitored</span><span class="NormalTextRun SCXW222525097 BCX0"> by most of the physical th</span><span class="NormalTextRun SCXW222525097 BCX0">erapist. Further studies need to </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW222525097 BCX0">conducted</span><span class="NormalTextRun SCXW222525097 BCX0"> and better stratify risk factors for different conditions to better </span><span class="NormalTextRun SCXW222525097 BCX0">determine</span><span class="NormalTextRun SCXW222525097 BCX0"> when exercise and activity may be at risk. </span></span><span class="EOP SCXW222525097 BCX0" data-ccp-props="{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Faria Bibi, Maida Khan, Bareera Khalid, Irrij javed Jadoon, Ayesha Javed, Mian Waleed Ahmed, Quratul Ain, Mian Awais Ahmed Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/163 Sun, 31 Mar 2024 00:00:00 +0000 Occupational Risk Factor for Carpel Tunnel Syndrome Related to Computer Usage: A Descriptive Cross-Sectional Study https://thetherapist.com.pk/index.php/tt/article/view/201 <p>Carpal tunnel syndrome (CTS) is triggered by compression of the median nerve as it travels through the wrist's carpal tunnel. CTS is also more likely to occur if you work in certain occupations such as Related with clerical and administrative work on Computer. <strong>Objective:</strong> To identify the frequency and pattern of CTS among clerical and administrative workers using computer. <strong>Methods:</strong> A descriptive cross-sectional study was started from October 2021 to January 2022 between 20-50 years of age at five Private colleges in Lahore city. The participants fulfilling the inclusion criterion were using computer for more than 6 hours a day, having co-operative attitude, weren’t taking any analgesics and had no associated co-morbidities. After informed consent 200 participants were enrolled using convenient sampling method. Sample size was calculated by taking average from previous research publications. A designed questionnaire was given among the participants to obtain information about demographics and Phalen’s test for CTS. Data were entered and analyzed in SPSS version 21.0. <strong>Results:</strong> The Results shows that 5 participants have Positive CTS in 20-30, 10 in 31-40, 14 in 41-50 age group. Positive CTS was considered positive via Phalen’s Test. Males have higher frequency of CTS as 21 Males and 8 Females with Positive Phalen’s test. <strong>Conclusions:</strong> CTS is related with an occupational factor in terms of computer usage. It is common in males because of excess workload and job duties</p> Tallat Anwar Faridi, Neha Justin, Mishal John, Aman Badar, Naveen Faheem Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/201 Sun, 31 Mar 2024 00:00:00 +0000 Comparative Effects of Core Neuromuscular Training versus Conservative Physical Therapy to Reduce Pain and Improve Functional Performance in Patients with Patellofemoral Pain Syndrome https://thetherapist.com.pk/index.php/tt/article/view/190 <p><span class="TextRun SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Running, stair</span><span class="NormalTextRun SCXW210896453 BCX0"> climbing, </span><span class="NormalTextRun SCXW210896453 BCX0">jumping</span><span class="NormalTextRun SCXW210896453 BCX0"> and squatting represent a few of the activities that can cause patellofemoral pain syndrome. Patellofemoral pain syndrome (PFPS) is one of the most typical causes of anterior knee discomfort in teenagers and persons below Sixty.</span></span> <span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Objective:</span></span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0"> To contrast the results of conservative physical treatment plus core neuromuscular training and conservative physical therapy alone</span><span class="NormalTextRun SCXW210896453 BCX0">.</span> </span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Methods: </span></span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">It was a </span><span class="NormalTextRun SCXW210896453 BCX0">quasi-experimental</span><span class="NormalTextRun SCXW210896453 BCX0"> study in which patients suffering from patellofemoral pain syndrome were selected </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW210896453 BCX0">on the basis of</span><span class="NormalTextRun SCXW210896453 BCX0"> convenience sampling from Government hospitals of Faisalabad after meeting the inclusion and exclusion criteria. Twenty patients with patellofemoral pain syndrome were divided into Group A and Group B at random. Participants of Group A performed neuromuscular core training plus conservative physical therapy exercise program for 4 weeks while participants of group B performed conservative physical therapy exercise alone for 4 weeks.</span> <span class="NormalTextRun SCXW210896453 BCX0">Data </span><span class="NormalTextRun SCXW210896453 BCX0">were</span><span class="NormalTextRun SCXW210896453 BCX0"> analyzed by SPSS version 27</span><span class="NormalTextRun SCXW210896453 BCX0">.0</span><span class="NormalTextRun SCXW210896453 BCX0">.</span> </span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Results: </span></span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Following therapy, the pain level was </span><span class="NormalTextRun SCXW210896453 BCX0">substantially reduced</span><span class="NormalTextRun SCXW210896453 BCX0"> in </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW210896453 BCX0">both of the groups</span><span class="NormalTextRun SCXW210896453 BCX0"> (P &lt; 0.05) with Intervention group showing better results. </span><span class="NormalTextRun SCXW210896453 BCX0">Similarly,</span><span class="NormalTextRun SCXW210896453 BCX0"> there was improvement in scores of Kujala questionnaire in both </span><span class="NormalTextRun SCXW210896453 BCX0">groups after</span><span class="NormalTextRun SCXW210896453 BCX0"> treatment (P&lt; 0.05</span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW210896453 BCX0">)</span><span class="NormalTextRun SCXW210896453 BCX0"> but the results of Intervention group were comparatively better. </span></span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0">Conclusion</span><span class="NormalTextRun SCXW210896453 BCX0">s</span><span class="NormalTextRun SCXW210896453 BCX0">:</span></span><span class="TextRun SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW210896453 BCX0"> There is significant effect of core neuromuscular training plus conservative physical therapy as compared to conservative physical therapy alone.</span></span><span class="TextRun Highlight SCXW210896453 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW210896453 BCX0"> </span></span><span class="EOP SCXW210896453 BCX0" data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Amna Khalid, Nidia Javed, Noor Fatima Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/190 Sun, 31 Mar 2024 00:00:00 +0000 Effectiveness of PNF Pattern in Regular Physical Therapy Sessions on Functional Mobility in Frozen Shoulder https://thetherapist.com.pk/index.php/tt/article/view/197 <p><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">Frozen shoulder, or adhesive capsulitis, is a musculoskeletal condition that presents with symptoms such as discomfort, nocturnal pain, and limited range of motion. Abduction and external rotation are significantly reduced. </span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">Objective:</span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"> <span class="NormalTextRun SCXW172113323 BCX0">To</span><span class="NormalTextRun SCXW172113323 BCX0"> investigate the effectiveness of combining proprioceptive neuromuscular facilitation (PNF) patterns into routine physical therapy sessions for patients with frozen shoulder. </span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">Methods</span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">: </span><span class="NormalTextRun SCXW172113323 BCX0">A</span><span class="NormalTextRun SCXW172113323 BCX0"> six-week quasi-experimental study</span><span class="NormalTextRun SCXW172113323 BCX0"> was conducted</span><span class="NormalTextRun SCXW172113323 BCX0"> on a total of 30 participants, divided into group A (n=15) and group B (n = 15), selected from the outpatient department (OPD). Pain, disability, and range of motion were evaluated as outcome measures. The group A received proprioceptive neuromuscular facilitation (PNF) patterns in addition to their usual physical therapy sessions, and group B only received conventional physical therapy sessions. Disabilities of the Arm, </span><span class="NormalTextRun SCXW172113323 BCX0">Shoulder</span><span class="NormalTextRun SCXW172113323 BCX0"> and Hand (DASH), VAS (Visual Analog Scale) and goniometer </span><span class="NormalTextRun SCXW172113323 BCX0">were used </span><span class="NormalTextRun SCXW172113323 BCX0">to assess pain, </span><span class="NormalTextRun SCXW172113323 BCX0">disability</span><span class="NormalTextRun SCXW172113323 BCX0"> and range of motion (ROM). </span><span class="NormalTextRun SCXW172113323 BCX0">D</span><span class="NormalTextRun SCXW172113323 BCX0">ata </span><span class="NormalTextRun SCXW172113323 BCX0">were analyzed </span><span class="NormalTextRun SCXW172113323 BCX0">using SPSS v</span><span class="NormalTextRun SCXW172113323 BCX0">ersion </span><span class="NormalTextRun SCXW172113323 BCX0">23</span><span class="NormalTextRun SCXW172113323 BCX0">.0</span><span class="NormalTextRun SCXW172113323 BCX0">.</span> </span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">Results</span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">: Both groups showed a significant reduction in DASH and VAS scores and an increase in ROMs, as group A showed a better result in terms of DASH score and abduction range (p&lt;0.05). </span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">Conclusion</span><span class="NormalTextRun SCXW172113323 BCX0">s</span></span><span class="TextRun SCXW172113323 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172113323 BCX0">: Both the experimental and control groups had statistically significant outcomes. The PNF pattern and Codman exercises both have a positive impact on rehabilitation. However, PNF is more advanced because it involves a combination of movements that are also useful in daily activities. Additionally, PNF helps develop memory for correct patterned movements. On the other hand, Codman exercises are only effective for </span><span class="NormalTextRun SCXW172113323 BCX0">retaining</span><span class="NormalTextRun SCXW172113323 BCX0"> and improving shoulder ranges.</span></span><span class="EOP SCXW172113323 BCX0" data-ccp-props="{&quot;134233279&quot;:true,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0}"> </span></p> Sidra Ghias, Subhan ur Rehman Burki, Hina Saeed, Mansoor Ahmed, Muhammad Faisal, Tariq Ahmed Solangi, Hafiz Ali Bin Asim, Sameen Arshad, Jawad Ahmad Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/197 Sun, 31 Mar 2024 00:00:00 +0000 Comparative Effectiveness of Muscle Energy Technique (MET) With or Without Proprioceptive Neuromuscular Facilitation (PNF) Pattern in Lumbosacral Dysfunction https://thetherapist.com.pk/index.php/tt/article/view/198 <p><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">Lumbosacral dysfunction is a condition affecting the lumbar and sacral regions of the spine, causing back pain, limited range of motion, sensory deficits, and motor impairments. It can be caused by degenerative changes, traumatic injuries, congenital anomalies, or abnormal biomechanics. </span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">Objective</span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">: The </span><span class="NormalTextRun SCXW120072068 BCX0">objective</span><span class="NormalTextRun SCXW120072068 BCX0"> of this study was to compare the effects Muscle Energy Technique (MET) alone and with combination of PNF in treating lumbosacral syndrome. </span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">Methods</span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">: The study was a quasi-experimental design over the duration of 8 weeks. Purposive sampling was employed with a sample size of 40 patients, divided equally into Group A (</span><span class="NormalTextRun SCXW120072068 BCX0">N</span><span class="NormalTextRun SCXW120072068 BCX0">=</span> <span class="NormalTextRun SCXW120072068 BCX0">20)</span><span class="NormalTextRun SCXW120072068 BCX0"> who </span><span class="NormalTextRun SCXW120072068 BCX0">received MET combined with PNF and Group B (</span><span class="NormalTextRun SCXW120072068 BCX0">N</span><span class="NormalTextRun SCXW120072068 BCX0">=</span> <span class="NormalTextRun SCXW120072068 BCX0">20) </span><span class="NormalTextRun SCXW120072068 BCX0">that </span><span class="NormalTextRun SCXW120072068 BCX0">only received MET. We used </span><span class="NormalTextRun SCXW120072068 BCX0">Oswestry Disability Index </span><span class="NormalTextRun SCXW120072068 BCX0">(ODI), </span><span class="NormalTextRun SCXW120072068 BCX0">Numeric Pain Rate Scale </span><span class="NormalTextRun SCXW120072068 BCX0">(NPRS) and goniometer to assess disability, pain</span><span class="NormalTextRun SCXW120072068 BCX0">, </span><span class="NormalTextRun SCXW120072068 BCX0">and range of motion (ROM). We analyzed the data using </span><span class="NormalTextRun SCXW120072068 BCX0">IBM </span><span class="NormalTextRun SCXW120072068 BCX0">SPSS v</span><span class="NormalTextRun SCXW120072068 BCX0">ersion </span><span class="NormalTextRun SCXW120072068 BCX0">23</span><span class="NormalTextRun SCXW120072068 BCX0">.0</span><span class="NormalTextRun SCXW120072068 BCX0">. </span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">Results</span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">: Outcome measures including pain intensity, functional disability, and range of motion, were assessed at baseline and post-intervention (8 weeks)</span><span class="NormalTextRun SCXW120072068 BCX0">. </span><span class="NormalTextRun SCXW120072068 BCX0">The group A showed significant improvements in all outcome measures compared to the group B at post-intervention assessments (p &lt; 0.05)</span><span class="NormalTextRun SCXW120072068 BCX0">, p</span><span class="NormalTextRun SCXW120072068 BCX0">ain intensity decreased by 60-80%. Functional disability scores were reduced by 60-75% in the group A, while the group B showed only 40% </span><span class="NormalTextRun SCXW120072068 BCX0">significant change</span><span class="NormalTextRun SCXW120072068 BCX0">. Moreover, the group A </span><span class="NormalTextRun SCXW120072068 BCX0">exhibited</span><span class="NormalTextRun SCXW120072068 BCX0"> a substantial increase in lumbosacral range of motion compared to the group B. </span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">Conclusion</span><span class="NormalTextRun SCXW120072068 BCX0">s</span></span><span class="TextRun SCXW120072068 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW120072068 BCX0">: The study reveals that both MET alone and MET combined with PNF effectively improve pain, functional disability, and lumbar range of motion in lumbosacral dysfunction patients.</span></span><span class="EOP SCXW120072068 BCX0" data-ccp-props="{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:0,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:0,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:0,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:0,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:0,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}"> </span></p> Ramiza Khalid, Sobia Hasan, Tehreem Anis, Syeda Waniya Riaz, Ayesha Maroof, Anees Arshad, Tuba Umar, Ali Husnain, Amna Khalid Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/198 Sun, 31 Mar 2024 00:00:00 +0000 Consequences of Stress on the Workability of Physical Therapists https://thetherapist.com.pk/index.php/tt/article/view/199 <p>Assertive stressors are legitimate within all occupations. Elements similar to varying employee slots, underprivileged administration, increasing payables, lack of scheduled employee development, insufficient figures of workers, moreover disputes in the office might be frequent job-related irritants. Work efficiency is based on the equilibrium between job requirements and individual resources.<strong> Objective: </strong>To evaluate the consequences of stress on the ability of physical therapists to work.<strong> Methods: </strong>A cross-sectional study was conducted in which data were collected from 100 Physical therapists by using a non-probability convenient sampling technique from multiple hospitals in Karachi. The duration of the study was 6 months from January 2023 to June 2023. Data were evaluated by two validated questionnaires: The Work Ability Index Questionnaire (WAI) and the Perceived Stress Scale (PSS). Statistical analysis was done through SPSS version 23.0. <strong>Results: </strong>Our study results show there is a weak relationship between stress with the different systems of the body in most of the research participants but it physically affects the performance of work in 27 % of participants with symptoms while 4% were unable to complete their task due to stress. Among the participants, 42% were taking leave due to sickness and work burden.<strong> Conclusions: </strong>There is a significant effect of stress on the workability of a physical therapist.</p> Muhammad Haris, Nazish Saeed Bangash, Shahid Badar, Kisa Fatima Raza, Prem Lata, Syeda Mehreen, Syeda Rida Baqir Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/199 Sun, 31 Mar 2024 00:00:00 +0000 Prevalence of Hamstring Tightness Among Healthcare Workers https://thetherapist.com.pk/index.php/tt/article/view/200 <p><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">Hamstring tightness is the incapability of the muscle to move more than 160 degrees of extension of the knee while 90 degrees is flexion of the hip is called tightness of the hamstring. Mostly seen that the higher ratio of hamstring tightness occurs in </span><span class="NormalTextRun SCXW160968665 BCX0">the </span><span class="NormalTextRun SCXW160968665 BCX0">right lower limb</span><span class="NormalTextRun SCXW160968665 BCX0">. </span></span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">Objective</span><span class="NormalTextRun SCXW160968665 BCX0">:</span> </span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">To </span><span class="NormalTextRun SCXW160968665 BCX0">determine</span><span class="NormalTextRun SCXW160968665 BCX0"> the prevalence of hamstring tightness among healthcare workers.</span> </span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">Method</span><span class="NormalTextRun SCXW160968665 BCX0">s:</span> </span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">It was a cross-sectional study conducted on hamstring tightness among healthcare workers in K</span><span class="NormalTextRun SCXW160968665 BCX0">arachi from July 2023 to Jan</span><span class="NormalTextRun SCXW160968665 BCX0"> 2024. The sample size of the study was 643 healthcare workers. The </span><span class="NormalTextRun SCXW160968665 BCX0">convenient sampling techniques</span> <span class="NormalTextRun SCXW160968665 BCX0">was used. For the evaluation: </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW160968665 BCX0">SLR</span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW160968665 BCX0">(</span><span class="NormalTextRun SCXW160968665 BCX0">Straight leg raise)</span><span class="NormalTextRun SCXW160968665 BCX0"> and </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW160968665 BCX0">AKE</span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW160968665 BCX0">(</span><span class="NormalTextRun SCXW160968665 BCX0">Active knee extension</span><span class="NormalTextRun SCXW160968665 BCX0">)</span><span class="NormalTextRun SCXW160968665 BCX0"> were used. </span><span class="NormalTextRun SCXW160968665 BCX0">The data </span><span class="NormalTextRun SCXW160968665 BCX0">were</span><span class="NormalTextRun SCXW160968665 BCX0"> analyzed through the SPSS version 23.0</span><span class="NormalTextRun SCXW160968665 BCX0">. </span></span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">Result</span><span class="NormalTextRun SCXW160968665 BCX0">s:</span> </span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">A total number of 643 healthcare professionals </span><span class="NormalTextRun SCXW160968665 BCX0">of both genders </span><span class="NormalTextRun SCXW160968665 BCX0">were recruited from hospitals in Karachi. </span><span class="NormalTextRun SCXW160968665 BCX0">There were 197 (30.63%) physical therapists who were found to be the tightness of </span><span class="NormalTextRun SCXW160968665 BCX0">the </span><span class="NormalTextRun SCXW160968665 BCX0">hamstring muscle. </span><span class="NormalTextRun SCXW160968665 BCX0">The ranges of body mass index among healthcare workers are higher in the underweight BMI category. </span><span class="NormalTextRun SCXW160968665 BCX0">The severity of h</span><span class="NormalTextRun SCXW160968665 BCX0">amstring muscle </span><span class="NormalTextRun SCXW160968665 BCX0">tightnes</span><span class="NormalTextRun SCXW160968665 BCX0">s in males was </span><span class="NormalTextRun SCXW160968665 BCX0">observed</span><span class="NormalTextRun SCXW160968665 BCX0"> higher between 31 to 45 degrees in the right lower limb as compared to the left. </span><span class="NormalTextRun SCXW160968665 BCX0">The severity of hamstring muscle tightness </span><span class="NormalTextRun SCXW160968665 BCX0">in females was </span><span class="NormalTextRun SCXW160968665 BCX0">observed</span><span class="NormalTextRun SCXW160968665 BCX0"> higher between 31 to 45 degrees in the right lower limb as compared to the left</span><span class="NormalTextRun SCXW160968665 BCX0">.</span> </span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW160968665 BCX0">Conclusion</span><span class="NormalTextRun SCXW160968665 BCX0">s</span><span class="NormalTextRun SCXW160968665 BCX0">:</span></span><span class="TextRun SCXW160968665 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"> <span class="NormalTextRun SCXW160968665 BCX0">The prevalence of hamstring was found in all healthcare workers of </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW160968665 BCX0">research</span><span class="NormalTextRun SCXW160968665 BCX0"> but the highest percentage was found in physical therapists as compared to other professions</span><span class="NormalTextRun SCXW160968665 BCX0">.</span></span><span class="EOP SCXW160968665 BCX0" data-ccp-props="{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:240}"> </span></p> Komal Jamil, Shawn Robinson, Sara Amir Abro, Shaista Hayat, Kashmala Zia, Obaida Arzoo, Fatima Zaidi, Shaheryar Ashraf Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/200 Sun, 31 Mar 2024 00:00:00 +0000 Occurrence of Coccydynia in Healthcare Professionals of Karachi; Pain and Straight Leg Raise Test Perspective https://thetherapist.com.pk/index.php/tt/article/view/204 <p>Coccydynia is a condition in which pain is experienced around the tailbone or coccyx region. The sitting position triggers the pain in the coccyx region especially when while patient comes from sitting to a standing position. The prevalence of coccydynia is unknown in the general population but it is more common in females than males. <strong>Objective: </strong>To determine the occurrence of coccydynia in healthcare professionals of Karachi. <strong>Methods:</strong> A cross-sectional study was conducted among healthcare professionals in Karachi from August 2023 to Feb 2024. The sample size of the study was 543 healthcare professionals. The sampling techniques which was used in this study were convenient. For the collection of data, a self-administered questionnaire was used while for the evaluation of data, two tests Visual Analog Score (VAS) and Straight Leg Raise( SLR) were used. The data were analyzed through the SPSS version 23.0 software in which we calculated the frequencies and percentages. <strong>Result</strong>s: The study was done on 543 healthcare professionals between the ages of 20 to more than 59 years old who were recruited from different hospitals in Karachi. Pain intensity which was evaluated by the visual analog scale observed 223 (41.06 %) of participants found to lie in the moderate pain category while confirmation of coccydynia was done by the application of SLR and was found to be positive in 426 (78.85%) of healthcare professional's. <strong>Conclusions: </strong>The occurrence of coccydynia was found in the majority of the healthcare professionals of Karachi while the complaints of pain were found in the moderate category.</p> Komal Jamil, Syeda Rida Baqir, Maria Lucky, Yumna Ilyas, Obaida Arzoo, Kashmala Zia, Ayesha Aftab Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/204 Sun, 31 Mar 2024 00:00:00 +0000 Assessment of Facial Function in Patients with Facial Palsy Using Patient-Based and Clinician-Based Tools https://thetherapist.com.pk/index.php/tt/article/view/188 <p>Facial palsy is a serious disorder that impairs both function and appearance resulting from facial muscle weakness. It impairs the quality of life of affected patients. There are questionnaires for general health and disease-specific assessments of quality of life accessible. <strong>Objective: </strong>To assess the facial function in patients with facial palsy using patient-based and clinician-based tools. <strong>Methods: </strong>A cross-sectional study was conducted among patient diagnosed with facial palsy. The study sample size 79 of both genders calculated via Epitools software and using convenient sampling technique. A pre-tested structured valid and reliable tool was used for the assessment of disability and facial function via Facial Clinimetric Evaluation used as patient-based tool and House-Brackmann Scoring Scale used as clinical based tool. SPSS version 25.0 was used to analyze data. <strong>Results: </strong>The mean age of the participants was 27.53 years. 59.5% were males whereas, 40.5% were females. So, a higher prevalence of males was seen. 58.2% were recorded at grade IV (moderately severe), 31.6% were at grade III (moderate level) and 10.1% were at grade V (severe) level. There was statistically significant association between House-Brackmann scores and facial clinimetric evaluation scores (p&lt;0.001) that was indicating that there was an association between disability and patient’s perception towards facial palsy. <strong>Conclusions: </strong>Facial Clinimetric Evaluation scale used as patient-based tool provide subjective experience and functional limitation experienced by facial palsy patient while House-Brackmann Scoring Scale used as clinical based tool provides objective evaluation of facial function of facial palsy patient.</p> Ammara Latif, Sameera Mushtaq Copyright (c) 2024 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) https://creativecommons.org/licenses/by/4.0 https://thetherapist.com.pk/index.php/tt/article/view/188 Sun, 31 Mar 2024 00:00:00 +0000