Musculoskeletal Pain affects the bones & soft tissue musculatures. It can be acute or chronic. It can be localized or widespread. Lower back pain (LBP) is the most common type of musculoskeletal pain. It is one of the causes of absenteeism of employees from their work and significantly affecting their quality of life (QoL). Security guards usually involves standing for long duration. Therefore LBP is quite common in them. Changes in posture or poor body mechanics may bring about spine related problems, therefore causing other muscles to be misused and become painful. Very few literatures are available worldwide on prevalence of mechanical LBP & its relation to the QoL in standing workers. Therefore, the aim is to find out the correlation of mechanical LBP and QoL in security guards. Cross sectional study design was chosen for the research. From ninety security guards (male & female, aged 30-50 years) were screened on Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Thirty-one security guards were selected after screening, those who met the inclusion criteria (1.5 and above on CMDQ for lower back), informed consent was taken and further assessed on Oswestry LBP Disability Questionnaire (OLBPDQ) and World Health Organization QoL-BREF (WHO-QoL-BREF). In the study, moderately negative correlation was found between the OLBPDQ score & all QoL domains (-0.3, -0.1, -0.5, -0.2), which showed a significant lower QoL domains with severe LBP. Key words: Mechanical Lower back pain, Standing workers, Quality of life.

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Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. it can be congenital or acquired. The unilateral facial paralysis can be suspected when, in absence of front and nasolabial groove motility, there is also asymmetry of the face with buccal deviation when crying. The custom-made Facial splint of low-temperature thermoplastic material can support the weak muscle & prevent the deviation. The infant was referred to Occupational Therapy with facial palsy grade IV. The aim of our study is evaluating the immediate functional outcome, while using the custom-made splint. The patient was assessed twice (i.e. Baseline & after 6 weeks) on Neonatal Behavioral Assessment scale (NBAS), Neonatal Oral Motor Assessment Scale (NOMAS), Nonnutritive sucking scoring system, Preterm Infant Feeding Readiness Assessment Scale & Parent stress scale was used to track the feeding readiness & parental stress respectively during intervention. On NBAS, Level 3 to level 5. On NNSS, infant scored 2 to 6 scoring system on non-nutritive sucking & on NOMAS baby scored from 19 to 22. Her ability to initiate suck was improved considerably. Improvement in scores of Preterm Infant Feeding Readiness Assessment Scale at baseline & after 6 weeks. Infant scored 65 to 57 on Parent Stress Scale. In this study, Family Centered approach & the need-based intervention, a custom-made facial splint of low-temperature thermoplastic material along with face strap effective to facial palsy patient, along with conventional Occupational Therapy intervention.