Smartphone has become an integral part of our lives, they generally have a small screen because of which it is more likely to induce a slouched posture creating a line of sight mostly below eye level, formulating an improper posture when used for a prolonged period of time, for example, forward head posture (FHP) leading to neck pain. The purpose of the study is to compare the effectiveness of Deep neck flexor strengthening exercises with that of McKenzie neck extension exercises on smartphone users suffering from neck pain. It is a comparative experimental study. This study included (N=40) subjects with neck pain within the age group of 25-45 years. They arerandomly assigned into 2 groups (Group A and B). Group A had 20 (N=20) subjects who are treated with Deep neck flexor strengthening exercises, Group B had 20 (N=20) who are treated with McKenzie neck extension exercises. The subjects were given intervention 5 days a week for 6 weeks. For within-group analysis Paired sample t-test was used and to analyze between-group variables Independent sample t-test was done. Between DNF and McK groups no significant difference was found in NDI(p<1.18 ) and SFMPQ(p <1.17) while all outcome measures showed a significant difference in both DNF and McK groups(p=0.00)within the groups The results indicated that although both the treatment techniques, DNF and McK are effective in alleviating the neck pain in Smartphone users in terms of decreasing pain intensity and increasing functional ability as there was a significant difference within the two groups, but there was no significant difference between the DNF and McK group in decreasing pain intensity, increasing functional ability
Background: Lateral Epicondylitis is the most common lesion of the elbow, affecting the tendinous origin of the wrist extensors. Although conservative treatment of this condition has been the subject of numerous studies, there is no agreement as to the most effective management strategy. Therefore, this study was designed to compare the efficacy of Cyriax physiotherapy Versus Eccentric Strengthening and Stretching exercises in reducing the pain and improving the grip strength and functional status of the affected extremity in chronic lateral epicondylitis.Method: An experimental study design, 60 subjects meeting the inclusion criteria were selected for the study and were randomly assigned into two groups: Group A (N=30) received Cyriax Physiotherapy and Group B(N=30) received Eccentric strengthening and static stretching of Extensor Carpi Radialis Brevis. Low Level Laser Therapy was a common treatment for both the groups. After 4 weeks of treatment, assessment was performed using Visual Analogue Scale (VAS), Hand Held Dynamometer (HHD) and Patient Rated Tennis Elbow Evaluation Questionnaire (PRTEE) at 0 week and at the end of 4 weeks.Results: Data analysis revealed that there is no statistically significant difference between the groups in VAS, HHD and PRTEE scores i.e. average improvement post treatment in both the groups are equal, but within group comparisons showed significant improvements in both the groups. Conclusion: The efficacy of Cyriax Physiotherapy is equal to Eccentric Strengthening and StretchingExercises in chronic lateral epicondylitis.
Osteoarthritis (OA) is an extremely prevalent Rheumatic Musculoskeletal disorder and the prevalence of knee OA in peri-menopausal and post-menopausal women is reported to be high in many parts of India. Though a growing body of evidence suggests the effectiveness of Combined Kinetic Chain Exercises (CCEs) in the management of knee OA but a precise protocol is yet to be established. The study was aimed to evaluate and compare the effectiveness of two different protocols of CCEs versus conventional CCEs in the management of knee osteoarthritis.151 peri-menopausal/ post menopausal women (40-65 years) with knee osteoarthritis were randomly allocated to either group A (Control group: conventional combined kinetic chain exercises), group B (retrowalking and conventional combined kinetic chain exercises) or group C (perturbation training and conventional combined kinetic chain exercises). Intervention was given for 3 days/week for 6 weeks. Outcome measures used were Numeric Pain Rating Scale (NPRS), Timed Up and Go test (TUG) and Lower Extremity Functional Scale (LEFS). SPSS 21.0 version was used for all statistical analysis. Paired t-test was used for within group analysis and unpaired t-test was used for between group comparisons. Level of significance was considered as p<0.05.Statistically significant improvements were seen within all the three groups at the end of 6 weeks of treatment. Subjects in both the experimental groups (group B and group C) exhibited statistically significant improvements than group A (control group) in all outcome measures. Group B showed better improvements in all outcome measures when compared to group C; but the differences were not statistically significant. It can be concluded that Retrowalking combined with conventional CCEs and Perturbation exercises combined with conventional CCEs are equally effective in the treatment of knee OA; but significantly better than conventional CCEs alone.
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