Background: Lumbar radicular pain is one of the leading causes of musculoskeletal disability. Variety of conventional treatment options are available. Aim: To find the effectiveness of sciatic nerve mobilization on disability and range of straight leg raise in patients with lumbar radicular pain. Study Design: Randomized control trail. Methodology: In this single blinded randomized control trial eighty patients were randomly divided in two groups. The experimental group received sciatic nerve mobilization along with routine physical therapy treatment whereas control group only received routine treatment in form of moist hot pack and back exercises. Outcomes were pain, disability and straight leg raise range measured through numeric pain rating scale, Modified Oswestry disability index MODI and inclinometer. The outcomes were assessed at baseline and at 4th and at 6th weeks of the treatment. Data was analyzed by SPSS software, version 20 as qualitative variables were expressed as mean ± SD. Paired sample t-test was applied. Results: Between groups analysis showed a significant difference in mean in both groups. Within group analysis was done using paired sample t test showed significant improvement (p <0.05) occurred in all variables in terms of pain, disability and straight leg raise range but sciatic nerve group had better improvement in terms of pain and disability as compared to conventional group. Conclusion: We concluded that sciatic nerve mobilization was an effective treatment for pain and disability in patients with lumbar radicular pain. Keywords: Lumbar Radicular Pain, Lumbar Radiculopathy, Sciatic Nerve Mobilization and Sciatic Nerve Neurodynamics.
Sleeping is essential for student physical as well as mental health. Sleep disturbance is distressing state that affect quality of work. Objective: To determine the sleep disturbance in DPT students. Methods: This observational study recruited 884 participants out of which 800 filled the questionnaire with mean age 21.54 ±1.76 from different medical universities and medical colleges of Punjab. Non probability convenient sampling technique was used. Both male and female students of all the years of DPT were included. Students with psychiatric illness, chronic medical illness, smoking and taking drugs excluded from the study. The effects of insomnia were checked by Athens Insomnia Scale (AIS) questionnaire. For data analysis SPSS version 26 was used. Results: Mean age of the physical therapy students was 21.54 ±1.76. Out of 800, 61.75% students were insomniac. Most of the students had unsatisfactory sleep quality (55.87%), awakening at the night time (62%), and day time sleepiness (76.25%). Conclusion: According to present study prevalence of sleep disturbance was very high among physical therapy students
The condition known as Bell's palsy results in the weakness of fascial muscles causing it to sag and stiffen on that side. It results from damage to the 7 cranial nerve. objective: To identify the comparative effects between the PNF and neuromuscular re-education. Methods: It was randomized clinical trial with non-probability purposive sampling. Data were collected from Aziz Fatima, DHQ, Allied and MTH hospital of Faisalabad. The study consisted of 30 patients (males and females), 15 participants were randomly divided in each group by lottery method. Group A treated by proprioceptive neuromuscular facilitation with conventional physical therapy that include EMS and home plan exercises. Group B treated by neuromuscular re-education facilitation techniques with conventional physical therapy treatment. Total treatment was of 4 days per week for 4 weeks. Data were analyzed by SPSS version 21.0. Results: The findings indicated that Group A had a considerably greater value on the Facial Disability Index (FDI). Group A differed significantly from Group B in each single element (physical and social functioning), while Group B showed very moderate recovery on FDI. Conclusions: After completing four weeks of treatment, PNF demonstrated considerable reduction in facial dysfunction in conjunction with conventional PT treatment. In the case of facial paralysis, proprioceptive neuromuscular facilitation combined with conventional treatment is more efficient than neuromuscular re-education combined with conventional PT.
Background: The Achilles tendon is the largest & longest tendon in the body. Although Achilles tendinopathy is chiefly a runner’s problem but can affect other populations exposed to a prolonged standing position. Aim: To assess the prevalence of Achilles tendinopathy in nurses due to long standing position and its association with other factors resulting in symptoms. Study design: Cross-sectional study. Methodology: The information was gathered using a standardized VISA-A scale. The study's sample size was 110 subjects. The VISA A questionnaire had eight items for assessing the condition. Over the course of six months, data was collected from female nurses in Lahore. The data from the questionnaire was organized. Data was analyzed by SPSS software, version 19 as qualitative variables were expressed as mean ± SD. Frequencies and percentages were calculated for individual items. Results: In this study, 39(35.5%) nurses have mild pain, 49(44.5%) nurses have moderate pain & 21(19.1%) nurses have severe pain after walking on flat ground for 30 minutes. The Cross tabulation of Visa- A scale showed that there was a weak or frail relationship between Achilles tendinopathy and prolong standing position. Conclusion: We concluded that there is a weak or frail relationship in Achilles tendinopathy in nurses due to prolong standing position. Most of the population falls in between no pain to mild pain. Keywords: Achilles tendinopathy, Nurses, VISA-A questionnaire and Pakistan
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