Objective: To determine the effectiveness of routine physical therapy with and without Instrument Assisted soft Tissue Mobilization on pain intensity, range of motion in patients with neck pain due to upper crossed syndrome. Methods: It was Randomized clinical trial. The data was collected from Physiotherapy Clinics, The Agile Institute of rehabilitation Sciences (AIRS) and National Orthopedic Hospital Bahawalpur. The study was completed from 28 August 2019 to29 February 2020 after the approval .60 patients of upper crossed syndrome diagnosed patients complaining neck pain with forwarded head posture in age range of 18-40 years were included based on following Inclusion and exclusion criteria. The subjects were divided into two equal groups of 30 each using non-probability purposive sampling technique. Outcome tool used were Inclinometer to assess range of motion and Pain by Numeric pain Rating Scale. The Data was analysed by using SPSS version 22. Criteria of significance i.e. p-value<0.05 was taken as significant at 95% Confidence Interval. Results: Pain rating at base line in experimental compared to routine physical therapy show significant improvement as P value was 0.01.The results of Neck Flexion P=0.03, Neck Right Bending P=.00, Neck Left Bending P=0.00. The results for Neck extension 0.25 show that both techniques were equally effective. Conclusion: The study concluded that addition that Instrument soft tissue mobilization with combination of stretching exercise is more effective in management of symptoms of upper crossed syndrome. Clinical Trial Number: [IRCT20190912044754N1] Keywords: IASTM, Neck Pain, Upper Crossed Syndrome, Neck Range of Motion Continuous...

For non-lethal professional traumas, the most prevailing injuries were nonfatal and ailment every year. However, for the fitness care and community based job occupation, half of the total absence because of ailment is reported at jobor due to job. Objective: To determine the Prevalence of Musculoskeletal Disorder of Upper Limb in Gardeners of PHA. Methodology: An observational study conducted Dash and VAS questionnaire used for the study. Data collected from gardeners of PHA. Participants participated voluntarily by completing a questionnaire with excellent reliability. The questionnaire contained many items to evaluate problems in shoulder, elbow and hand. The duration of the study were 4 months after approval of synopsis. A sample technique was convenient sample technique result analyzedwith SPSS version 21.Results: 185 participants are selected for study. Data collected from PHA gardeners.50 (23.9%)reported with severe difficulty that was highest frequency reported for severe difficulty while doing garden work in gardeners. Moderate difficulty reported with high frequency in gardeners while carrying heavy objects. Workactivities reported like hammering with high frequency of inability to perform this activity due to disability.it is also reported that gardeners are very limited in work .high frequency reported in severity of symptoms in shoulder,arm and hands in gardeners Conclusions: This study indicates gardeners are direct sufferers of musculoskeletal disorders with pain symptoms in shoulder, arm and hands.VAS scale measures showing upper limb disorderssymptoms are producing limitations in daily work.

No abstract

BackgroundJumper’s knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy.MethodsThis parallel group, single-blinded randomized controlled trial was carried out involving 94 athletes with clinically diagnosed jumper’s knee, divided into an intervention group (USG-DN + CPT, n = 47) and a control group (CPT, n = 47). Participants received a 4-week programme; the intervention group received ultrasound guided patellar tendon dry needling (DN) in conjunction with CPT. The control group received only CPT. The visual analog scale (VAS), Victorian institute of sports assessment-Patellar tendinopathy (VISA-P) questionnaire, Lysholm scale, Knee injury and osteoarthritis outcome score (KOOS) and ultrasonographic features of patellar tendinopathy were evaluated at baseline,1 week, 2 weeks, and 4 weeks. The data were analyzed through SPSS-26.ResultsThe study found statistically significant differences (P &lt; 0.05) regarding VAS, Lysholm, VISA-P, and KOOS scales at baseline, 1st, 2nd, and 4th week post-intervention. Within-group differences also showed statistically significant results after the intervention. There were significant results observed in ultrasonographic outcomes between both groups at 1 month post-intervention (all P &lt; 0.05).ConclusionThe results of the current study suggest, ultrasound guided DN of patellar tendon in combination with CPT reduced pain, improved function, and showed a tendency to decrease tendon thickness in patients with patellar tendinopathy.Clinical Trial Registration Number(IRCT20210409050913N1). Dated: 17.04.2021. https://www.irct.ir/user/trial/55607/view.

ABSTRACT… Objectives: Muscles and skeleton work together if any human being wants to roam around. If muscles and joint move to their full range then a free and purposeful action is achieved and goal is met for which movement was performed. If movement abnormality is seen then its underlying cause can be tight muscle especially the hamstring in the lower extremity. Tight hamstring is quite common in normal individuals. This tightness is not desirable and needs to be treated particularly when somebody needs to perform full range of motion without any difficulty. There are numerous choices to achieve this purpose. Different researchers use different choices according to their own thinking. The main theme underlying this research is to find out evidence based treatment option to treat the tight hamstring group. Study Design: randomized controlled trial. Place and Duration: different football clubs of Lahore from March 2015 to June 2015. Methodology: For this research two groups of football players were utilized. One group was selected for post isometric relaxation technique alone while other group received a combination therapy containing post isometric relaxation and cross frictional massage. Result: the p-value for the group 1 was 0.51 while for group 2 was 0.000. Conclusion: After conducting this research a conclusion was drawn that a combination of post isometric relaxation and cross frictional massage showed better results in releasing the tightness of hamstring than alone therapy. So a combination therapy comprising post isometric relaxation and cross frictional massage was a better choice to treat tight hamstring. Key words:Post Isomteric Relaxation, Straight Leg Raise, SLR, Cross Frictional Massage. Article Citation: Islam F, Arshad K, Arif MA, Bashir MS. Post isometric hamstring stretching; Efficacy of post isometric hamstring stretching with and without cross frictional massage football players.