Background: Excess weight puts a strain on every part of your body. Foot problems in obese adults are most important. The position and function of the foot and ankle affect the stresses transmitted to the knee. Purpose: To measure and to find correlation between leg-heel alignment, tibial torsion and Q angle in normal, overweight and obese individuals. Materials and Methods: 60 normal, overweight and obese subjects were include with mean age 30.6±5.98, 30.9±5.98 and 29.6±4.87 respectively, with each group 20 subjects. Normal subjects with BMI prime between 0.74 to 1.0 were group A, overweight subjects with BMI prime 1.0 to 1.2 were group B and obese subjects with BMI >1.2 were group C. Of each subject leg-heel alignment, tibial torsion and Q angle will be measured using measuring tape, plumb line and goniometer and correlation is studied. Results: Q angle, tibial torsion and leg-heel alignment were statistically analysed amongst normal, overweight and obese using ANOVA and comparison between 2 groups with ANCOVA. Mean Q angle, tibial torsion and leg heel alignment in normal right leg were 17.

OBJECTIVES: The aim is to compare the immediate effect of thoracic spine distraction thrust and upper thoracic crossed hand manipulation on pain, range of motion, and disability in individuals with mechanical neck pain. METHODS: A randomized clinical trial was conducted on 40 individuals of mean age 27.35 ± 6.78 with mechanical neck pain. Individuals were allocated to one of the two groups. Group A (n = 20) received thoracic spine distraction thrust and Group B (n = 20) received upper thoracic crossed hand manipulation. Both the groups were also given Transcutaneous Electrical Nerve Stimulation (TENS), hot moist pack, stretching, and exercises. The outcome measures used were the Numerical pain Rating (NPR) scale, cervical ranges, and Northwick Park Neck Pain Questionnaire (NPQ). The outcome measures were assessed pre- and post-intervention. RESULTS: The data were statistically analyzed using an independent t-test for comparing the two groups and dependent t-test for comparison of pre and post of each group. Pre- and post-mean difference values in Group A were 2.00 ± 0.86 and 11.13 ± 5.39, for NPR scores and NPQ scores. Whereas, in Group B, pre- and post-mean difference values were 2.00 ± 0.73 and 10.54 ± 10.05 for NPR scores and NPQ scores. In Group A and Group B, there was improvement seen in cervical ranges. The comparison within groups showed a statistically significant difference (P < 0.05) in all the outcome measures in both Groups. There was no significant difference seen when between-group comparisons were done in all outcome measures. CONCLUSION: Thoracic spine distraction thrust and upper thoracic crossed hand manipulation, both were seen to be effective in pain, ranges, and disability.