Based on the results of this study, progressive gaze stability exercises appear to have value for managing chronic motion sensitivity in healthy young adults. Further research with larger sample size and broader age range is needed to generalize these findings.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A203).

The results suggest that young adults with CMS are over-reliant on visual cues for postural stability, and that visual dependence is not influenced by gender.

BACKGROUND: Worldwide, approximately 350 million people are currently employed in the construction industry. OBJECTIVE: To determine the prevalence, pain characteristics, and associated risk factors for musculoskeletal disorders (MSDs) among construction workers in Pakistan. METHODS: This study was a cross-sectional survey conducted from February to August 2019 among 666 construction workers. The data were collected using a questionnaire consisting of 4 sections: demographic information, a numerical pain intensity rating scale, a Nordic questionnaire to report prevalence, and pain characteristics. SPSS was used for data entry and analysis. RESULTS: The mean age of the construction workers was 34.49 years. Participants who reported pain were 397 out of 666 and 269 were those who reported no pain. The 12-month prevalence of pain among construction workers in more than one body area was 89% (n = 591) and the 7-day prevalence was 52% (n = 343); lower back pain was the most common type of pain with a 12-month prevalence of 27% (n = 180) and a 7-day prevalence of 17% (n = 112). Regarding the characteristics of the pain, 26% (173) of the workers suffered pain occasionally, 27% (180) participants had pain for≤2 hours per day, and 32.9% (219) had dull pain. Moreover, a significant relationship was found (p < 0.05) between MSDs and age, lifestyle, work experience, smoking habits, and absence from work. CONCLUSION: Musculoskeletal pain is highly prevalent, with lower back pain being the most commonly reported type. Absence from work and disability in performing normal daily activities have been reported as consequences of musculoskeletal pain. Moreover, this study underscores the importance of targeted preventive healthcare measures for construction workers.

Background: Stroke is a neurological disorder with a vascular cause, such as cerebral infarction or hemorrhage, and causes dizziness, balance, and gait impairments in patients. Vestibular rehabilitation therapy (VRT) involves a variety of exercises that can improve balance, gait, and gaze stability in stroke patients by affecting the vestibular system and improving dynamic balance. By providing a virtual environment, the use of virtual reality (VR) can aid stroke patients in improving their balance and gait. Objective: This study aimed to evaluate the comparative effects of vestibular rehabilitation with virtual reality on dizziness, balance, and gait in patients with subacute stroke. Methods: The randomized clinical trial involved 34 subacute stroke patients randomly assigned to 2 groups; 1 received VRT and the other VR treatment. To assess mobility and balance, the Time Up and Go test was used, the Dynamic Gait Index was used to assess the gait, and the Dizziness Handicap Inventory was used to determine the level of dizziness symptoms. Each group received 24 sessions of allocated treatment, 3 sessions every week for 8 weeks. Using SPSS 20, both groups pretest and posttest readings were analyzed and compared. Results: Between the VR and VRT groups, balance (P−.01) and gait (P−.01) were significantly improved in the VR group, while dizziness was significantly improved in the VRT group with P < .001. On within-group comparison, both groups showed significant improvements in balance, gait, and dizziness with P < .001. Conclusion: Both vestibular rehabilitation therapy and VR improved dizziness, balance, and gait in subacute stroke patients. However, VR was more effective in improving balance and gait among patients with subacute strokes.

Objective: To compare the effectiveness of subtalar mobilization with movement (Mulligan technique) with conventional physiotherapy treatment for the management of planter fasciitis. Material and Methods: A single blinded randomized trial was conducted at the Prime Care Hospital, Faisalabad, Pakistan from January 2017 to August 2017. Sixty Participants were divided into intervention and control groups through a computerized random numbers. Intervention group was treated with subtalar mobilization with movement (Mulligan technique), and control group was given conventional physiotherapy for three-weeks. SPSS 20 was used for data analysis.   Results: The mean age of the participants in the intervention group was 32.40 ± 8.02 years and the control group 32.59 ± 7.00 years. The mean BMI in intervention and control groups was 25.35 and 25.67, respectively. The result of our study showed that there were significant differences (P-value <0.05) between the VAS values before and after the intervention in the 3rd week between the intervention and the control group. Moreover, the intervention group showed more reduction in disability (p=0.03) compared to the control group.   Conclusion: Our study concluded both methods to demonstrate benefits. However, Subtalar mobilization with movement (Mulligan technique) plus rigid tapping reduced pain and disability more effectively than conventional physiotherapy plus rigid tapping in patients with planter fasciitis. All protocols for this clinical study were registered with WHO recognized Clinical Trial Registry, with the registration number RCT20200221046567N2.  Key Words: Heel pain, plantar fasciitis, physiotherapy, mobilization, mulligan technique, taping.