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Background: Osteoarthritis (OA) of the knee is a major public health issue. It is important to have a clear understanding about the relationship between clinical features (Pain, functional impairment) and radiographic findings to select appropriate treatment option. Objectives: To investigate the relationship between pain, loss of physical function, and radiographic findings in OA of the knee joint. Materials and Methods: A cross sectional study on 90 patients aged 40 years and above with OA of the knee joint selected randomly. Severity of the knee pain and functional impairment were measured using the Bangla version of WOMAC (Western Ontario and McMaster Universities Osteoarthritis index). Radiograph of the knee joint were assessed with the Kellgren- Lawrence grading scale. Results: The mean of the age, BMI (body mass index) and duration of pain was respectively 54.2 (± 9.5) years, 26.0 (± 3.4) kg/m2 and 3.6 (± 2.8) years. Male female ratio was 1:1.6. 55% of the patients had the Visual Analogue Scale (VAS) score of 1-3. The Pain and physical function were associated with OA of the knee where the mean physical function score was 45.1 ± 4.2 in patients who had pain score of >10. However pain and physical function was not associated with the radiographic findings of the OA of the knee. Conclusion: The treatment planning for the OA of the knee should be based on clinical presentation rather than radiographic findings. KYAMC Journal Vol. 10, No.-4, January 2020, Page 173-178

Results: A total of 58 Patients of acute LBP were included in this study. The mean age of the patients was 38.5 ± 9.01 years. Main causes of pain were muscle strain (39.65%), nonspecific LBP (22.41%), prolapsed lumber intervertebral disc (17.24%), lumbar spondylosis (13.79%) and sciatica (6.91%). After treatment the result was compared and student's 't' test was done to see the level of significance. Method was found significant after treatment (p<0.05). Twenty four (80%) patients were improved in group A and 18 (64.28%) patients in group B. Patient compliances of group A were better than that in group B. Conclusion: Effect of TENS on patients with acute low back pain is beneficial.

Background: Teamwork is one of the most fundamental factors in rehabilitation medicine. Although isolated physicians and therapists are working with rehabilitation services in Bangladesh, there is limited data for understanding the effects of a team effort. Objective: To evaluate the effect of rehabilitation team meeting on the patients’ disability in the Department of Physical Medicine and Rehabilitation (PMR) in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Methods: This was a randomized controlled trial conducted in the Department of Physical Medicine and Rehabilitation (PMR) in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from September 2018 to October 2019. Two hundred and thirty nine patients attending the PMR department for comprehensive management of disability (such as disability in mobility, speech, self-care, sphincter control etc.) were purposively selected for the study. Patients were randomly allocated by lottery in two groupsgroup A (received Rehabilitation Team Meeting service) and group B (received conventional Rehabilitation treatment). The meeting comprised physiotherapist, occupational therapist, rehabilitation nurse, speech and language therapists, social worker, nutritionist, psychologists under the team leader guidance by physiatrist. Respondents of both groups were assessed to see the effects of treatment at 6th weeks, 12th weeks and 24th weeks. Among 239 patients, 77 patients in group A and 71 patients in group B had completed 24th week follow up. Outcomes were measured by FIM (Functional independence Measure) scores. Results: The mean age of the patients in group A and B were 42.2 (±17.5) years and 45.7 (±14.6) years respectively. In both groups, majority of the patents were male and came from urban areas. Main cause of disability was stroke while others had traumatic brain injury, spinal cord injury, spinal cord compression, rheumatoid disease and others. At baseline and after 6th week of treatment, there were no significant statistical differences between the two groups (p>0.05) regarding FIM scores. In 12th week, FIM significantly increased in group A (p=0.009) compared to group B which persisted till 24th week (p<0.001). Conclusion: Rehabilitation team meeting significantly reduce disability of the patient. It needs to work continuously to build up the rehabilitation team to improve physical rehabilitation in Bangladesh to ensure total care of the disabled. Bangladesh Med Res Counc Bull 2020; 46(3): 228-232