12 research outputs found
Challenges & barriers for neuro rehabilitation In developing countries
No full textPeople with disabilities especially neurological disabilities have many unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor health. There are not sufficient epidemiological studies from Pakistan which assess barriers to neurorehabilitation and ways to counter it
Pragmatic posterior capsular stretch and its effects on shoulder joint range of motion
No full textObjective To evaluate the immediate effects of pragmatic posterior capsular stretch (PPCS) on shoulder joint range of motion (ROM).Method A quasi-experimental design was used to recruit healthy subjects of age 21.43 (±1.960) years, height 165.8 (±2.1069) cm and weight 63.90 (±13.187) kg. Inclusion criteria were grade 1 and grade 2 of the shoulder mobility test of functional movement screening. Preintervention and postintervention measurement of flexion, abduction, internal rotation (IR), external rotation (ER), reaching up behind the back (RUBTB) and reaching down behind the neck (RDBTN) were compared. A therapist-administered PPCS was the only intervention applied.Results Paired t-test statistics showed improvement (mean°±SD) in shoulder flexion (13.5°±8.11), abduction (11°±8.35), IR (8.5°±10.27), ER (7.83°±7.15), RUBTB (17.34°±13.81) inches and RDBTN (2.93±1.52) inches. The changes in these ROM and functional movements were statistically significant (p<0.05).Conclusion PPCS can effectively improve the functional movement of RUBTB and shoulder ROM in healthy subjects. It is recommended for the trials on prevention and rehabilitation of shoulder pathologies.Trial registration number NCT04242888
Hearing impairment and its impact on children and parents in Pakistan
No full textBackground: Hearing impairment and its consequences in children are often worsened by late identification in Pakistan. Deep-rooted cultural beliefs make some parents reluctant to seek clinical treatment, making adaptable solutions that traverse levels of socio-ecological model necessary. Aims: To determine the impact of hearing impairment on children’s participation in social activities, and the financial burden on their parents. Methods: This cross-sectional study included 377 parents of children with hearing impairment. The sample was recruited from special education schools and hospitals in Islamabad and Lahore, Pakistan, from November 2015 to April 2016. A 15- item structured questionnaire was used for data collection. SPSS version 21 was used for statistical analysis. Results: Among children with hearing impairment, 47.5% faced moderate challenges in joining social activities, and 26.0% faced severe challenges. There was a significant positive correlation between the severity of hearing impairment, the person who suspected hearing impairment, age of detection of hearing impairment, and time of referral. Children with hearing impairment caused moderate financial strain on 39.0% of parents and mild strain on 26.8%.Conclusion: Hearing impairment can significantly impact children’s participation in social activities and cause financial burdens on their parents.333
Attitude and perception of physical therapists towards multidisciplinary team aproach in stroke rehabilitation
No full textStroke is a long term disability in developing countries which is considered as major economic burden on part of Health care system. In developing countries multidisciplinary team approach for stroke rehabilitation is emerging in tertiary care hospitals and has considerably increased the chance of early independence, fast recovery and maximum outcome in daily activities of life. Objective: Objective of the study was to evaluate the attitude and perception of physical therapists towards multidisciplinary team approach working in stroke rehabilitation
Comparison of Pilates exercises versus muscle energy technique with Kinesio taping in non-specific low back pain: a randomized controlled trial
No full textOBJECTIVE: To compare the effects of Pilates exercise versus muscle energy technique (MET) along with Kinesio Taping (KT) in non-specific low back pain (LBP).
METHODS: This randomized controlled clinical trial was conducted from March 22 to September 14, 2022, at Chaudhry Muhammad Akram Research and Teaching Hospital, Johar Medicare Complex in Johar Town, Lahore, and Mayo Hospital and Jinnah Hospital in Lahore, Pakistan. Study involved 42 non-specific LBP patients randomly assigned to group A (MET with KT) and group B (Pilates exercise with KT) over eight weeks after interventions. Pain, disability index, and range of motion (ROM) were assessed at baseline, 2 weeks, and 8 weeks. Sessions were held twice a week, lasting 30-40 minutes each.
RESULTS: Among 42 participants, 14 (33.3%) were male, and 28 (66.7%) were female, aged 18-40 years. Group B showed greater pain reduction than Group A (p<0.05). In Group A, lumbar extension (p=0.10), lumbar rotation (0.18), right side flexion (0.02), and left side flexion (0.16) did not significantly improve. However, Group B demonstrated improvements in flexion (0.04), extension (0.00), rotation (0.06), right side flexion (0.04), and left side flexion (0.08). The pain and disability improvement between groups exhibited a significant difference (p<0.05). ROM improvement also differed between groups (p<0.05), with Group B showing dominant improvement.
CONCLUSION: Pilates exercise, combined with Kinesio Taping, demonstrated superior reduction in pain and improved range of motion compared to muscle energy technique with Kinesio Taping in non-specific low back pain
Impact of guillain barre syndrome on psychosocial functionings of patients in islamabad
No full textGuillainBarre Syndrome (GBS) is a rare autoimmune disease of unknown causes that affects peripheral nervous system. Objectives: To review the impacts of the GuillainBarre Syndrome on the psychosocial functioning of the patients and to assess the relationship between GuillainBarre Syndrome and the psychosocial functioning Methodology: Comparative cross sectional survey was conducted on 100 participants (50 GBS patients from Shifa International Hospitals and 50 normal participants from Islamabad in 6 months time from February to July 2013. Data collected through Structured Questionnaire in hospital settings for GBS patients and normal persons from Islamabad through Psychosocial functioning scale and social functioning scale and analyzedby using SPSS version 17
Effectiveness of stretching of the flexor retinaculum with ultrasonic therapy in the management of carpal tunnel syndrome
No full textAims & Objective: The objective of study was to compare the effectiveness of manual stretching of the flexor retinaculum with or without ultrasonic therapy. Methods: The study was started by selecting the 50 patients from the out patients department of Al-nafees Hospital AlipurFarash and National institute of Rehabilitation Medicine Islamabad with history of carpal tunnel syndrome. The 25 patients in experimental group were treated with manual stretching of flexor retinaculum and ultrasound and 25 patients of control group were treated with manual stretching of flexor retinaculum. Every session was started by assessment of improvement of the symptoms in each patient. Data was collected through Numeric pain rating scale, point Paresthesia assessment scale and muscle strength by hydraulic hand dynamometer. Independent sample t-test was used to analyze the data with p ≤ 0.05. Results: The mean age of subjects was 1.78±0.64 and 41 subjects have CTS of Right hand remaining 9 subjects were left handed. After the completion of the treatment program it was observe that there was no difference in the effectiveness of manual Stretching of flexor retinaculum with ultra sound therapy and manual stretching of flexor retinaculum alone. The NPRS, paresthesia and muscle stretch showed p≥0.05 between experimental and control groups. Conclusion: This study proved that manual stretching of the flexor retinaculum along with ultra sonic therapy have same affects as manual stretching of the flexor retinaculum alone
The Role of Speech-language Pathologists in the Hospitals of Pakistan
No full textObjectives: This study aimed to assess the knowledge and perception of the role of speech therapists by other medical professionals in public hospitals.
Methods: This cross-sectional study recruited 200 healthcare professionals with >1year of job experience at the workplace of both genders and any age. Besides, the study subjects were selected using a non-probability convenience sampling approach. The study sample was recruited from 25 District and Tehsil Headquarter Hospitals from April 1, 2019, to September 30, 2019. A basic demographic datasheet and the Knowledge, Attitude, and Practices (KAP) survey were used for data collection. Statistical analysis was performed in SPSS.
Results: Out of the total 200 eligible professionals from different departments, the Mean±SD scores of the responses were highest (75.14±24.87) in pediatric medical professionals. Moreover, the lowest scores (46.70±0.01) concerned Intensive Care Unit (ICU) experts; this difference was statistically significant (P<0.001). Similarly, a significantly higher Mean±SD score of 74.05±20.04 was noted for those working day shifts, compared to that of (35.01±8.52) those working in night shifts (P<0.001).
Discussion: The knowledge and perception of different healthcare professionals serving in public hospitals vary regarding the role of SLPs. Such differences concern their profession, with pediatrics presenting the highest level of understanding, followed by general medicine. However, psychiatry and ENT professional provided the least understanding in this area. The professionals working in day shifts suggested better knowledge and perception, compared to night shifts staff
Comparative effectiveness of static stretching and deep kneading massage in the management of plantar fasciitis: a randomized controlled trial
No full textObjective: To compare the efficacy of static stretching and deep kneading massage in patients with plantar fasciitis in enhancing pain relief and functional outcomes.
Methods: This open-label randomized controlled trial was conducted involving 69 patients diagnosed with plantar fasciitis, aged 20–60 years. Participants were randomized into two groups: Control group received conservative treatment with static stretching, and experimental Group received conservative treatment with deep kneading massage. Stretching was administered in 3–5 repetitions of 45 seconds, while massage lasted 5–15 minutes, adjusted for tolerance and severity. Both groups received two sessions per week for two weeks. Outcome measures included the Visual Analog Scale (VAS) for pain and the Foot and Ankle Ability Measure (FAAM). Statistical analysis was performed using SPSS v21.
Results: Both interventions showed significant within-group improvements in pain and functional ability (p = .000). The static stretching group showed a mean VAS reduction of 5.80 (SD = 0.96) and FAAM improvement of 39.00 (SD = 8.88). The deep kneading massage group showed a VAS reduction of 4.91 (SD = 1.05) and FAAM improvement of 36.61 (SD = 6.67). Between-group comparisons indicated that deep kneading massage resulted in greater overall improvements.
Conclusion: Both static stretching and deep kneading massage are effective adjuncts in managing plantar fasciitis, with deep kneading massage showing superior pain relief and functional recovery. Further research with larger, more diverse populations is needed to confirm these findings and optimize treatment strategies
Comparison of spinal stabilization exercise versus Maitland mobilization along with laser therapy in non-specific low back pain
No full textOBJECTIVE: To compare the effects of spinal stabilization exercises versus Maitland mobilization and laser therapy on non-specific low back pain (NSLBP).
METHODS: This randomized controlled trial was conducted at Al-Noor Physio Center, Tayyab Physiotherapy Clinic, and Al-Zahra Medical Complex between June and December 2022. Study included 50 patients aged 18-60 years with NSLBP, selected through a simple random sampling technique. Participants were randomly assigned to Group-A (spinal stabilization and laser therapy) and Group-B (Maitland mobilization and laser therapy). Both groups received interventions three times a week for eight weeks. The primary outcomes—pain, disability, and lumbar range of motion (ROM)—were assessed using pre- and post-intervention tests with appropriate statistical analyses.
RESULTS: Of the 50 participants, 28 (56%) were male and 22 (44%) females, with a mean age of 45.66 ± 8.48 years in Group-A and 44.68 ± 9.42 years in Group-B. Both groups were comparable at baseline in terms of age (p =0.10) and gender (p>0.05). The within-group analysis revealed significant reductions in pain, disability, and ROM in both groups (p <0.05). Group A showed a median pain score of 3.0 (IQR 2.0-3.0) compared to 5.0 (IQR 4.50-6.0) in Group-B, and a median disability score of 7.0 (IQR 7.0-8.0) compared to 14.0 (IQR 12.0-15.0) in Group-B (p <0.05). ROM improvements included lumbar flexion (p=0.02), hyperextension (p = 0.00), and side flexion (p=0.00), with Group-A outperforming Group-B.
CONCLUSION: Spinal stabilization exercises were more effective than Maitland mobilization in reducing pain, improving disability, and enhancing lumbar ROM in patients with NSLBP
