As with aging, the prevalence of knee arthroplasty surgery has also increased. Similarly with age obesity has also increasing in parallel way. Many studies have been speculating that abductor muscle strength has more effect on the outcome of patients with knee arthroplasty when included in physiotherapy intervention, but no studies demonstrated the influence of BMI (body mass index) on the outcome comparing with and out abductor muscle strengthening in physiotherapy intervention. The aim of this study isto investigate the effect of BMI on the physiotherapy interventions with and without hip abductor muscle strengthening. This randomised pilot trial was carried out at Vagdevi College of physiotherapy, Warangal. The study participants are classified for elective TKR (total knee replacement) were randomised to normal weight group and obese group. Further both groups are subdivided into standard physiotherapy group and abductor strengthening plus standard physiotherapy group. All the group subjects underwent FIM (functional independent measure)score, abductorstrengthening and six minute walk test at various intervals and followed for six months. All the groups showed improvements in functional outcome irrespective of BMI indicating BMI has minimal effect on the functional outcomes following TKR. The study concludes that hip abductor groups had greater effect on knee function than the standard conventional standard physiotherapy protocol irrespective of BMIeffect.

The objective of this study was to evaluate if a single session of actual or placebo cupping and instrument-assisted soft tissue mobilization (IASTM) therapy in patients with Nonspecific low back pain would be enough to temporarily reduce pain intensity and functional disability. The outcome measures were Numerical pain rating scale and Oswestry Disability Index questionnaire. This is an experimental clinical trial; after examination Evaluation (EV), patients were submitted to real or placebo cupping IASTM therapy (15 minutes, bilaterally at the Lower back Pain and were revaluated immediately after the session (EV1) and after one week (EV2). The patients showed a significant improvement in all pain severity in the numerical pain rating scale (p < 0.05) and a decrease in disability in Oswestry Disability Index questionnaire (p < 0.001). No significant changes are present found in any outcome of the placebo cupping and IASTM therapy group. Thus, the IASTM and cupping therapy is effective in reducing low back pain and decreasing disability after one single session.

Stroke survivors are often deconditioned and prone to a sedentary lifestyle, which limits everyday activities. In discharge patients’ home-rehabilitation is crucial for reaching full functional abilities, and its cost-effective services can also alleviate anxiety among patients and caregivers. Therefore, self-report scale (SRS) is designed to assess the activity participation to prescribed home-based exercise regime among Stroke Survivors. After satisfying the inclusion criteria and informed consent, a total of 30 patients who are going to discharge from the hospital were randomly divided into Group A (control) and Group B (experimental). Group A (n=15) receives explicit verbal instruction and demonstration of the prescribed home exercises, while group B receives an exercise brochure containing descriptions and pictorial illustrations of the above exercises. Both groups were asked to fill a self-report scale under the direct supervision of the caregiver. The baseline demographic characteristics passed the normality test (W). The mean of the patient self-report scale of Group A is 188.75±21.89, and that of Group B is 222±24.73 with a "t" value (-2.07) and p-value 0.046, the test is significant at p<0.05. The participation rate of Group B (78.93%) indicates a significant increase in activity participation as compared to Group A. It is concluded from the above study that self-report scale (SRS) assesses the participation levels to the prescribed home-based exercise regime among stroke survivors. Keywords: Stroke survivors, home-based exercises, self-report scale, activity participation.

Musculoskeletal headaches are a common complaint with impaired postures. About 15% to 20% of chronic and recurrent headaches are diagnosed as cervicogenic headaches and are related to musculoskeletal impairments (4). Often associated with tension in posterior cervical muscles and pain at the attachment of the cervical extensors, at the cervico-thoracic junction, and/or radiating across the top, side, or back of the scalp