Background: Physical therapy is a rehabilitation based treatment method which nonsurgically treats patient pains and help them accomplish their needs and goals. Patient satisfaction is assessed to evaluate the treatment standards and depends on multiple factors. Objective: To determine the levels of satisfaction in patients visiting physiotherapy OPD of Public Hospitals in Lahore. Methodology: This was a cross-sectional study including 405 patients of age 18-55 years from Public Hospitals in Lahore including patients who had been attending more than 5-6 physical therapy sessions from public Hospitals of Lahore. Patients with any cognitive dysfunctions and those who could no comprehend and provide the correct responses were excluded from the study. The outcome measure was Patient satisfaction and was assessed by using the Medrisk Instrument for Patient Satisfaction. Results: Amongst 405 questionnaires that were given out as handouts, 377 fulfilled the criteria and thus were analyzed. Out of 377 patients who consented for the study 248 had low levels, 103 had moderate and only 26 patients had higher levels of satisfaction according to Medrisk Instrument for patient satisfaction. Chi-square test indicated a significance of 0.00 i.e. highly significant. Conclusion: Patients were least satisfied with the quality of care and services provided by the therapist at Public Hospitals in Lahore. Patients who had lower levels indicated lesser time spent with their therapist and lack of enough information from the therapist to be the causative factors for their satisfaction levels.
Background: Stroke is a universal health care disease, the important cause of long time disability in world. Stroke leads to an inactive living, physical restrictions, and not good physical levels, which are related with common post-stroke participation limits. Aerobic capability and walking ability are decreased in old chronic patients of stroke. Aim: To determine the effects of treadmill training and stationary cycling training to improve ambulatory function and cardiovascular fitness in hemiparetic stroke patients Methods: 54 chronic stroke patients were allocated to treadmill training group(n=27) or stationary cycle exercise group (n=27). All participants received conventional physical therapy along with treadmill or stationary cycle training. The 10MWT was conducted to measure gait function and 6 min walk test was used to measure cardiovascular health. Results: The mean of treadmill group for 10 meter walk test is 10.01 + 15.48. The mean of stationary cycle group for 10 meter walk test is 9.80 + 6.77. The mean of treadmill group for 6 min walk test is 22.04+ 17.45. The mean of stationary cycle group for 6 min walk test is 23.20+ 22.92. The p value of 0.000 shows significant difference. This significant difference reflects that both interventions show equal improvement in participants. There is significant difference between pre and post treatment values of both interventions. Both intervention groups displayed significant effect in ambulatory functions and cardiovascular fitness. The results between groups were non significant, it means both interventions showed equal effect but results with in groups were significant. Conclusion: The study showed that treadmill training and stationary cycling training equally enhanced the gait ability and cardiovascular health of chronic stroke patients. Therefore, these exercises could be used to enhance walking and cardiovascular health in management of stroke. Keywords: treadmill training, stationary cycle training, ambulatory function, cardiovascular fitness, stroke
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