Background: Neck pain is very common in general population. The onset of pain may be sudden or insidious, recurrent or persistent in nature. The prevalence of neck pain in Pakistan is not known. The neck pain that persists for more than 3 months is called chronic neck pain. There are different physiotherapy techniques to manage nonspecific neck pain including Mulligan mobilization and muscle energy technique. Objective: to compare the efficacy of muscle energy technique with Mulligan mobilization in patients having non-specific neck pain. Methodology: This quasi-experimental study was conducted at Mayo hospital physiotherapy department, Lahore. The study duration was six months from March 2017 to September 2017. Sample size calculated was 56 by using g power software. Random sampling technique was used. Subjects were divided into two groups. In the group 1 patients; muscle energy technique was used and in group 2; Mulligan mobilization as natural apophyseal glides (NAGs) and sustained natural apophyseal glides (SNAGs) were used. The pain intensity, functional status of neck and cervical range of motion (ROM) were measured before and after treatment session by using visual analogue (VAS), neck disability index (NDI) and goniometer. Independent t-test was applied for between group analysis. Results: The mean age of participants is 36.89±9.28. The mean improvement in pain intensity was 3.61 for the Muscle energy technique group and for Mulligan group it was 4.86 after three weeks’ treatment. The functional status score according to neck disability index (NDI) pre-treatment mean for the group 1 was 12.04±4.69 and Continuous....
Purpose:To increase understanding about the damaging effects of light rays on eyesight. To investigate frequency of people affected from light rays electronic devices. Study design: Cross sectional study. Place and Duration of Study: Riphah International University Lahore and duration of study was six months from June 2020 to December 2020. Materials & Methods: A six months cross sectional study with convenient sampling method was conducted at Riphah international university Lahore from June 2020 to December 2020. The age of the individuals was between 18 years-25 years. Individuals who fulfill the inclusion criteria were chosen from University. A proforma was filled regarding detailed history of use of electronic devices other visual problems associated with it. Results: In present study 200 students were participated who has been using electronic devices. In this 100 students were male and 100 were females. 60% were emmetropic, 27.5% were myopic, 5.5% were hyperopia and 7.0% were astigmatic. 40% individuals were using smartphones from 11 years-13 years, 20.5% using from 8 years-11 years and 25% using from 4 years-7 years. The purpose of using these electronic devices in 96 individuals was using smartphone only for social networking. Most of them (130) participants were using smartphone and laptops. Usage of these electronic devices for more than 4 hours-6 hours was observed in 60 members. Among these individuals most of them were using these electronic devices by lying on the bed and some were also using in cervical flexion position. Conclusion:The over all research identified the smartphone/any electronic devices used so longer had bad effect on vision most particularly myopia occurred. This research suggests that constant and extreme utilization of smartphone and other electronic devices should be avoided.
Objectives: To determine the effectiveness of neuromuscular physical Therapy as compared to strength training following anterior cruciate ligament reconstruction in terms of pain, function, quality of life, strength and power of participants. Methods: A randomized clinical trial was conducted at Kanaan Physiotherapy & Spine Clinic, Lahore, Pakistan from July 2020 to December 2020. Seventy-six patients were selected by non-probability convenience sampling technique and randomly divided into either neuromuscular training or strength training group. Sample included 20-40 years aged adults with unilateral anterior cruciate ligament injury who had undergone surgical reconstruction of ACL two months ago using hamstring graft. Patients were assessed using the Cincinnati Knee Score for function, Numeric Pain Rating Scale (NPRS) for pain, SF-36 for quality of life, and Single Leg Hop, Triple Hop, Crossover Hop and 6-meter Hop test for power and strength. Data was analyzed using SPSS Version-21. A t-test was used to assess difference between groups. P<0.05 was considered significant. Results: Results revealed that neuromuscular training is statistically significant in reducing pain (p<0.001) and improving function (p<0.001), power & strength (p<0.001) and quality of life (p=0.001). Conclusion: Study concludes that compared to strength training, neuromuscular training was significantly more effective in reducing pain; improving function, quality of life, strength and power. doi: https://doi.org/10.12669/pjms.38.8.5730 How to cite this:Khalid K, Anwar N, Saqulain G, Afzal MF. Neuromuscular Training following Anterior Cruciate Ligament reconstruction – Pain, Function, Strength, Power & Quality of Life Perspective: A Randomized Control Trial. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.5730 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: To see the effectiveness of kinesiological tape in myofascial pain syndrome of gastrocnemius muscle for the early recovery after injury and thus increase functional outcome. Study Design: Quasi-experimental study. Place and Duration of Study: National cricket academy Lahore and Sports and Spine Professional’s Clinic, Defense Phase-IV Lahore Pakistan, from Aug 2017 to Oct 2017. Methodology: Consecutive sampling technique was used to enrol the patients of myofascial pain syndrome based on the predefined inclusion and exclusion criteria. Patients were selected and the kinesiological tape was applied thrice a week for two consecutive weeks. the patient was then re-evaluated after every two days of previous kinesiological tape application in terms of the visual Analogue Scale. Results: It was observed that kinesiological tape had a significant effect on pain reduction of the myofascial pain syndrome of the gastrocnemius muscle (p<0.001). There was a significant reduction of pain level after application of Kinesio tape till 4th application with pre-treatment means 6.70 ± 1.45 that was reduced to 2.98 ± 2.24 in post-treatment (p<0.05). In addition, there was no significant reduction of pain between the 5th and 6th application with mean for the 6th session as 2.96 ± 2.27 (p>0.05). Conclusion: The Kinesiological tape has a significant effect on pain reduction of gastrocnemius muscle suffering from myofascial pain syndrome. The application of kinesiological tape has maximum effect up to its 4th application. After 5th session of taping, the effect was almost constant. Keywords: , , , .
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