Himalayan Journal of Health Sciences (HJHS)
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Recent Advances in Physiotherapy Intervention on Patellofemoral Pain Syndrome - A Systemic Review
No full textBackground: Patellofemoral Pain Syndrome (PFPS) is a prevalent knee condition characterized by anterior or retro patellar pain, often triggered by activities like climbing stairs, squatting, or prolonged sitting. It arises from multifactorial causes, including malalignment, muscular imbalances, and biomechanical abnormalities. Recent physiotherapy advancements aim to enhance pain management, muscle function, and knee stability, emphasizing patient-centered approaches.
Methodology: Eligible studies included randomized controlled trials (RCTs), cohort studies, and case series focusing on patients with PFPS. Data extraction encompassed patient demographics, intervention protocols, and outcome measures, including the Visual Analog Scale (VAS) and Anterior Knee Pain Scale (AKPS).
Results: The review synthesized findings from 10 RCTs with 1,472 participants. Neuromuscular training, kinesiology taping, high-intensity laser therapy, and patient education were identified as effective short-term interventions. Combined therapies demonstrated superior outcomes in pain reduction, functional improvement, and muscle strength compared to isolated approaches. However, variations in follow-up durations and small sample sizes limited insights into long-term efficacy.
Conclusion: This review highlights the need for a multifaceted, individualized treatment approach for PFPS. Neuromuscular stimulation, targeted exercise, and patient education emerged as effective strategies for pain management and functional recovery. Future research should focus on long-term outcomes and the integration of patient-specific biomechanics into treatment protocols
Systematic Review on Treatment of Knee Osteoarthritis
No full textBackground: Knee osteoarthritis (KOA) is a common degenerative joint disease affecting millions of individuals worldwide, leading to pain, functional impairment, and decreased quality of life. The management of KOA is multifaceted, involving pharmacological treatments, non-pharmacological interventions, and surgical options. Given the chronic nature of the condition, the development of effective, evidence-based treatment strategies is critical. This systematic review aims to evaluate the efficacy of current treatments for knee osteoarthritis.
Methods: Inclusion criteria encompassed randomized controlled trials, cohort studies, and systematic reviews that investigated the effectiveness of various treatment modalities for knee osteoarthritis. Treatment categories included pharmacological therapies, physical therapy, intra-articular injections, and surgical interventions.
Results: The review identified 10 relevant studies evaluating a wide range of treatments for KOA. Pharmacological treatments, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics, were found to provide short-term pain relief, but long-term use is associated with side effects. Non-pharmacological interventions, including physical therapy, weight management, and education programs, showed significant improvements in pain and function. Intra-articular injections, such as hyaluronic acid and corticosteroids, provided moderate symptomatic relief, though their effects were temporary. Surgical options, such as total knee arthroplasty (TKA), were effective for advanced cases, providing long-term relief and functional improvement.
Conclusion: A multimodal approach combining pharmacological and non-pharmacological treatments is recommended for managing knee osteoarthritis. While surgery remains the option for end-stage disease, early intervention with physical therapy and weight management can significantly improve outcomes. Further research is needed to optimize personalized treatment plans and explore novel therapeutic agents
Risk factors involved in the development of Rheumatoid Arthritis
Get PDFRheumatoid arthritis (RA) is a chronic inflammation condition that affects over 17.6 million people. It primarily attacks joints making them stiff, swollen, painful and tender. This condition is usually linked to morbidity and mortality, and hence, knowing its risk factors is quite crucial. These are, but not limited to, diet, smoking, airborne, genetics, periodontitis, being a female, microbiota, and non-communicable diseases that respond to socioeconomic status. The inherent implication of how these factors synergize in enhancing the RA likelihood should not henceforth be overlooked while developing preventive strategies. Thus, this review serves to shed light on the correlation between these predisposing factors and the joint effect on development of this condition
Supportive Community of Elementary School Children’s for Sports and Physical Activity
Get PDFThe adults can supportive community and physical challenge by providing fun physical challenges that are appropriate for children's abilities, by giving children choices over how they move and play, and by providing opportunities for children to practice self-regulation through physical games an education that is organized with the aim of facilitating the growth and development of children as a whole that emphasizes the development of all aspects of the child's personality. Involve your child in physical activities around the home such as gardening, washing the car or house cleaning. Walk is the short distances instead of taking the car. Encourage and support walking and cycling to school. Take your child for regular walks around the neighborhood. Every child has a number of potentials, whether physical, biological, cognitive, or emotionally social (Desmita, 2009). Early childhood education should provide various activities that can develop various aspects of development including cognitive, language, social, and emotional aspects for development and socialization in children become a very important part in shaping behavior in children. One form of game that can be used to improve the social and emotional skill of early childhood is the traditional game. Students Behaviors that represent children's emotional growth and their ability to successfully navigate their world through interactions with adults and parents since these skills are develop together, this area of development is referred to as social-emotional development. We analyze the mechanics in these games and compare these mechanics against existing videogames to show what makes traditional games unique. Our student’s analysis has helped us to interpret the playability issues that we can observed in our exploratory studies, and informed the design of a new videogame that rural children found to be more intuitive and engaging
A Study of Recent advance Treatments/Physiotherapy interventions on Non-specific Neck Pain: A Systematic Review
No full textBackground: Non-specific neck pain (NS-NP) is a common reason for adults to consult health care providers. Therefore, one should always seek the most effective intervention(s) within the wide spectrum of treatments available. Equally important is to optimize evidence-based treatment decisions.
Results: Based on various articles, systemic reviews, comparative studies, and randomized control tests:Muscle Energy Techniques (MET) combined with Interferential Current Therapy (ICT) effectively reduces pain and muscle tenderness in chronic non-specific neck pain (NSNP), particularly in upper trapezius myofascial trigger points (MTrPs). This dual-action approach improves muscle function and addresses pain and inflammation, making it superior to MET alone or other treatments like manual therapy or Shortwave Diathermy.
Conclusion: The study concluded with reference to existing studies.Muscle Energy Techniques (MET) combined with Interferential Current Therapy (ICT) is one of the most effective and recent treatments for chronic non-specific neck pain (NSNP), particularly in addressing upper trapezius myofascial trigger points (MTrPs). This approach combines MET's ability to improve muscle function with ICT's effectiveness in reducing pain and inflammation, offering a comprehensive therapeutic solution. Its dual-action mechanism targets both the mechanical and neurological aspects of NSNP, making it a superior choice compared to MET alone or other modalities like manual therapy or Shortwave Diathermy
Physiological Importance of Asthi and Peshi Sharira: An Ayurveda and Modern Perspective
Get PDFAsthi and Peshi are terms from Ayurveda; they refer to different aspects of the human body. They refer to the skeletal system or the bone structure of body, bones are considered as Dhatus that make up the human body. Asthi Sharira is responsible for providing support and protection to the body. Peshi Sharira refers to the muscular system of body encompasses various types of muscles including skeletal muscles, smooth muscles and cardiac muscles, etc. These systems are responsible for the movement inside the body. Both Asthi Sharira and Peshi Sharira are essential components of body to provide support, holding capacity, basic skeleton frame, movement and rigidity to physical structure. This article narrates physiological importance of Asthi and Peshi Sharir
Ayurveda Concepts of Sadvritta & Achara Rasayana, their Role in Diseases Control
Get PDFAyurveda advises different approaches to live a healthy and long life. Ayurveda encompasses ways to prevent and treat disorders associated with lifestyle, in this connection Ayurveda advocated some dietary and daily routines for physical and mental well being. Dincharya, Ritucharya, Aachar Rasayan and Sadvritta, etc. are some approaches suggested by ancient philosopher for maintaining good health. Amongst these approaches Aachar Rasayan and Sadvritta includes moral conducts and behavior conducts to be followed for acquiring physical and mental well being. The concept of Achara Rasayana is related with Mana, Dhi and Dhriti thus play important role to maintaining a healthy socio-physiological wellbeing. As per Ayurveda the concepts of Sadvritt and Aachar rasayan has great impacts on the happiness and positive health of human being. This article explains Ayurveda concepts of Sadvritta & Achara Rasayana, and their role in diseases management
Clinical Significance of Vamana and Virechana Karma in Kapha & Pitta Vyadhi: A Review
Get PDFThe most crucial aspect of Ayurveda treatments is Panchakarma that works to prevent and treat diseases. It also promotes and preserves general health, considered as worthful therapy due to its adequacy. This therapy involves five procedures which utilizes for various purposes. Virechana and Vamana Karma are important therapies of Panchakarma amongst the five therapeutic measures. These therapies mainly employed for the management of diseases of Kapha and Pitta vitiation. The drugs used for Virechana and Vamana Karma offers Tikshna, Sukshma and Ushna properties thus pacifies morbid Pitta, Kapha, and Vata doshas, also facilitate removal of toxins from the body. These two therapies utilize for managing many diseases under the heading of Shodhana Chikitsa. Present article reviewed the role of Virechana and Vamana Karma in Kapha and Pitta Vyadhi respectively
Ayurveda Approaches of Shalya Tantra W.S.R. to the Therapeutic Importance of Pradhan Karma
Get PDFThe Ayurveda philosopher Sushruta; divided surgical actions into three main sections: pre-operative, operative, and post-operative procedures. Pre-operative technique (Purva Karma) involves the necessary preparations before surgical intervention. The main operative method means Pradhan Karma encompasses primary surgical procedure, while the post-operative technique described as Pashchat karma which outlines the measures to be taken after the operation until the patient received complete relief from the ailments. In every surgery, these three aspects (Purva Karma, Pradhan Karma and Pashchat karma) are of utmost importance. Each of these steps plays a vital role in the success of the surgery and significantly influences the patient's disease prognosis. Pradhan Karma is primary surgical procedure which involves surgical approaches like Chedhana, Bhedhana, Lehana, Eshana, Aaharana, Vedhana, Visravana and Seevana. Present article summarizes Ayurveda approaches of Shalya Tantra W.S.R. to the therapeutic importance of Pradhan Karma
Ayurveda Descriptions of Rasashstra w.s.r. to Rasakalpas: Pottali Kalpana
Get PDFThe Indian medical system is a treasure trove of extraordinary and unusual pharmaceutical dosage forms. Ayurvedic herbo-mineral drugs contain many qualities which gives unique therapeutic profile. These drugs provide potent effects even at low dosage. Pottali kalpana is one of such; profoundly powerful and useful herbo-mineral formulation. Its fundamental elements, is the combination of mercury and sulfur, which is treated with various plant materials which eventually given small particles of drugs molecule to acquire effective pharmacological response in quick period of time. Similarly Rasa Kalpas are the names given to all medicines made from Parad and Gandhak. These formulations increase the efficacy and pharmacokinetic profile of medicine. This brief review describes the history, preparation and application of the Rasa Kalpas; Pottali kalpana