Background: Lateral epicondylitis (LE) is a very common condition musculoskeletal in nature affecting the elbow, causing significant pain, disability and loss of grip strength. The conservative management program for lateral epicondylitis includes rest, cryotherapy, and ultrasound, stretching and strengthening exercises. The Oculus Quest is a virtual reality headset. The oculus adventure game ‘Hand Physics Lab' encourages you to try virtual reality in a new way by providing you complete control over your hands and fingers. VR is a developing technology that can be a valuable supplement to conventional therapeutic modalities. Methods: In this study, a total of 60 patients with lateral epicondylitis will be included and divided into two groups of 30 participants each of age group 25-45 years. Group A will undergo conservative management of lateral epicondylitis and Group B will undergo oculus therapy by a hand tracking game ‘Hand Physics Lab’ along with the conservative management. Visual analog scale, Range Of Motion, PRTEE scale are used as outcome measures before and after the treatment and results will be analyzed. Discussion: In this study the effect of oculus guided therapy with conventional Physiotherapy over conventional physiotherapy will be investigated in improving functional level and reducing pain in patients with LE. Individuals in mechanical professions or recreational activities with repetitive stress and intensive usage of forearm muscles are more likely to develop lateral epicondylitis. Physical therapy is now widely accepted as a standard treatment option for persistent lateral epicondylitis. Furthermore, this study can be useful in applying recent advancement in virtual reality for the betterment of health. This study can provide virtual reality in tennis elbow patients for improved motion control, improved quality of life and more patient entertainment to encourage motor learning.

Stroke is among the world's leading causes of death, disability and functional inability for adults. The incidence of stroke currently exceeds that of Western developed nations in India. Increased understanding of the risk factors for stroke is hoped to lessen the future prevalence. Recurrence rates of stroke are high. The incidence and ability of individuals to recover varies widely. Stroke affects health by affecting the functioning system resulting in disabilities, physical problems, and a lower quality of life. Physiotherapy is instrumental to restore lost sensations and motor skills and to deal with patient's emotional needs. This case report describes a case of A 66 year old male retired PWD worker, who was referred to physiotherapy with complaints of weakness in left upper and lower extremities and inability to perform movements of left side. He had a sudden loss of power in the left side one day prior and was diagnosed with stroke along straightening of the dorso-lumbar spine and disc bulges at C2-C6, L4-S1 levels on X-ray and MRI scan. Physiotherapy rehabilitation was started with bed mobility and transfer activities with further progress to sitting and standing activity. As the transfers improved, we progressed to balance training, lower limb strengthening, and gait training in which task specific training was focused. Later, we concluded that balance and locomotor training has a great impact on functional recovery post-stroke.