Myofascial Pain Syndrome (MPS) is a regional musculoskeletal pain disorder which is caused by the formation of myofascial trigger points. Myofascial trigger point pain is typical and frequently so debilitating that it is vital to receive quick and efficient treatment. This pain is commonly seen in people that are in their teenage or in adults effecting both men and women. Many interventions have been used to treat this condition by physiotherapists and respective health care providers such as trigger point release, massage therapies, acupuncture techniques, and other heat and cold therapies, among others. Objective: This study compares the efficiency of myofascial release techniques along with isometrics exercises and isolated myofascial release for the upper trapezius muscles' myofascial trigger points. Methods: It was a Randomized clinical trial carried out in the city of Faisalabad. Two groups of the patients were made and randomly assigned by lottery method. Both the groups received myofascial release techniques baseline treatment. Group A received the isometrics with myofascial release technique and group B received the isolated myofascial release technique. The Trapezius muscle's trigger points were assessed using Simon's trigger point criteria. Outcome measures were VAS and Neck pain assessment form. Results: Upon completion of the trial, NDI and VAS scores were assessed prior to and after the treatment; before treatment group A of NDI demonstrated average score of 10.7333 and group B showed 14.5333, while after treatment the score was transformed to group A; 3.4000 and group B; 4.8667. For VAS, group A and B before treatment scored 5.7333 and 5.8667, respectively, whereas, after treatment they scored 2.4667 and 2.5333, respectively. Conclusion: MFR along with isometrics was slightly more effective as compared to isolated MFR in pain alleviation and improvements of ROM but statistically both of interventions given were effective.
Musculoskeletal discomfort has been reported among the non-occupational car drivers covering low to high mileage to reach their jobs or other destinations. Domestic driving, driving to reach the job, social driving, and driving for leisure activities is also found to cause discomfort among people. This can affect their daily life activities and socioeconomic status. Objective: The purpose for which this study was conducted was to find out the musculoskeletal problems that could possibly arise among the common population of car drivers and among them the problem with highest ratio, due to various contributing risk factors. Methods: A cross-sectional study was carried out in city Faisalabad among non-occupational drivers in which 192 drivers including both males and females were enrolled with age limit from 18 to 60 years. Nordic musculoskeletal questionnaire was used to evaluate the pain in various areas of body in non-occupational drivers. Results: The results showed that the highest affected area was backache. There was 41% small back pain in last twelve months and 38% in last seven days among non-occupational car drivers. Conclusion: Low back pain was highest to be discovered in the time period of last 12 months and also in the last week as compared to other areas of body.
Stress urinary incontinence (SUI) is the spontaneous urine loss upon any effort or physical activity, or coughing or sneezing. Objectives: This study aimed to investigate the effects of Kegel exercises and stabilization exercises on urinary incontinence along with the improvement in the strength of pelvic floor. Methods: This was a quasi-experimental study in which purposive sampling was done from postpartum females from Physiotherapy OPDs of Government hospitals of Faisalabad after meeting inclusion exclusion criteria. Thirty females with urinary incontinence were assigned into two groups: Group A and Group B. Group A received Kegel exercises for 4 weeks and group B received stabilization exercises for 4 weeks. Data was analyzed by SPSS version 16. Paired T test was used for inter-group analysis and independent T test was used for intra-group analysis. Results: The study concluded that the incidence of stress urinary incontinence increases with age as 36.7% participants of the study were from 51-60 years of age group. This study also proved that both kegel exercise and stabilization exercise were beneficial in treating stress urinary incontinence and showed significant difference with a p value of 0.012. Conclusions: It showed that stabilization exercises are a better approach in treating stress urinary incontinence by showing greater mean value of 2.533 ± 1.187. In the end, kegel exercises are primary treatment of stress urinary incontinence but when doing them alone, they showed lesser improvement with a mean value of 1.533 ± 0.833.
A rapid increase in the population of older adults has been seen in recent years. With an increasing population of older adults, their health care facilities must be monitored to meet the demand. But unfortunately, poor quality and lack of health care services are increasing the burden of non-communicable diseases. These disorders are directly or indirectly related to lifestyle and quality of life in the geriatric population. Other problems that elder people face in Pakistan include economic problems, financial issues, lack of health insurance, and low pensions, among others. All of these complications along with lack of health services contribute to poor quality of life in older adults. Objective: The main purpose of our study was to determine if mild to moderate physical activity has any effect on different variables of Health-Related Quality of Life (HRQL). Methods: It was a cross-sectional study carried out in the city of Faisalabad among older adults aged above 60 years. 173 older adults, including 119 males and 54 females, participated in the study. Short Form-36 questionnaire was used to collect the data. Results: The results showed that older adults that participated in 15-25 min of physical activity daily, enjoyed a better quality of life as compared to ones that do not exercise. Conclusion: Older adults who participated in 15-25 min of daily physical activity had suffered less pain and sickness as compared to physically inactive older adults. Therefore, including over a moderate-intensity exercise in the daily lifestyle of an older adult can improve many aspects of HRQL.
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