Background: The muscles that sustain body posture and the neck posture both have an impact on the cervical muscle, which is also frequently injured. The upper trapezius muscle is most frequently affected by trigger points, which is a common and prevalent condition. Aim: To assess the effectiveness of ELDOA exercises at the cervical spine and treating trigger points in the trapezius and levator scapulae. Methodology: The Ibn-e-Siena Hospital and Research Institute in Multan conducted a quasi-study. The participants were divided into two groups using a coin flip as a sampling method with the study sample size of 26. The Goniometer, Numeric Pain Rating Scale and Neck Disability Index were used to collect data from patients between the ages of 18 and 40. Results: An independent t-test was applied. Mean age ranged from 24.70±5.75 in the experiment group and 25.18±5.61 in the control group. The patients have radiated pain in control group was 3 (30%), trapezius trigger point7(70%) andlevator scapulae 3(30%) while in experimental group, pain radiating 6(60%), trapezius trigger point6(60%) and levator scapulae 4(40%). The post-results data revealed that the p values for the NPRS, Algometry and NDI significant differences were 0.025, 0.025, and 0.00, respectively. Conclusion: The results of the current investigation, the ELDOA approach considerably reduced discomfort, cervical ranges, and neck impairment brought on by trigger points. Keyword: Neck pain, Trigger Point, Skeletal Muscle, Myofascial Pain, Active Soft Tissue Release,

Considering that functional magnetic resonance imaging (fMRI) signals from multiple subjects (MS) can be represented together as a sum of common and a sum of distinct rank-1 matrices, a new MS dictionary learning (DL) algorithm named sparse group (common + distinct) bases (sgBACES) is proposed. Unlike existing MS-DL algorithms that ignore fMRI data's prior information, it is formulated as a penalized plus constrained rank-1 matrix approximation, where l 1 norm-based adaptive sparse penalty, l 0 norm-based dictionary regularization, and lag-1 based autocorrelation maximization have been introduced in the minimization problem. Besides, spatial dependence among voxels has been exploited for fine-tuning the sparsity parameters. To my best knowledge, the sgBACES algorithm is the first to effectively take both temporal and spatial prior information into account for an MS-fMRI-DL framework. It also has the advantage of not requiring a separate sparse coding stage. Studies based on synthetic and experimental fMRI datasets are used to compare the performance of sgBACES with the state-of-the-art algorithms in terms of correlation strength and computation time. It emerged that the proposed sgBACES algorithm enhanced the signal-to-noise ratio (SNR) of the recovered time courses (TCs) and the precision of the recovered spatial maps (SMs). A 9.2% increase in correlation value over the ShSSDL algorithm is observed for motor-task based fMRI data.

Objective: The objective of the study was to determine the effects of vestibular stimulation on balance in quadriplegic cerebral palsy. Methodology: This was quasi experimental study in which total 44 quadriplegic cerebral palsy children were included who have no associated neurogenic conditions which may be aggravated with vestibular stimulation such as epilepsy or other orthopedic or functional complication. The children were assessed by an independent assessor before and after 6 weeks of vestibular stimulation. The assessment was made on gross motor measure and pediatric evaluation disability index. The data was analyzed using SPSS 20.0. Paired sample t test was used for pre-post testing. Results: The descriptive statistics of paired samples regarding Gross Motor Function Measure showed mean and standard deviation to be 49.61±1.75 and 64.54±1.04 before and after treatment, respectively. Paired sample testing for pre-post treatment measurement of mean score of Gross Motor Function Measure (GMFM) showed that mean difference and standard deviation found to be 14.93±1.90 with a significant p value 0.00. The descriptive statistics of paired samples regarding Total PEDI score showed mean and standard deviation to be 42.88±0.86 and 51.47±1.24 before and after treatment, respectively. Paired sample testing for pre-post treatment measurement of mean score of total Pediatric Evaluation Disability Inventory (PEDI) showed that mean difference and standard deviation found to be 8.59±1.48 with a significant p value 0.00. Conclusion: The findings of study concluded that vestibular stimulation has significant effect of vestibular stimulation on balance in quadriplegic cerebral palsy. Moreover, there were seen significant improvement in other domains such as behavior, emotions, psychology and interactive learning approach. Keywords: Cerebral Palsy, Quadriplegia, Child, Vestibular Stimulation

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Background: Prolonged forward neck posture is one of the common sources for neck pain among Dentists. Conventional physical therapy and Bowen technique are effective in treating the postural neck pain. Bowen technique is another form of soft tissue mobilization technique. Aim: To determine the effects of Bowen technique in postural neck pain among dentists. Methodology: A quasi study was conducted at Ibn e Siena Hospital Multan, 04 November 2020 to 03 April 2021. It consisted of 58 participants with postural neck pain, randomly allocated into experimental and control groups. The experimental group received Bowen technique and control group received conventional therapy. Assessments were taken at baseline and post treatment using study tools: Numeric pain rating scale (NPRS), Neck disability index (NDI) and goniometer. Results: The mean age of all the participants in experimental and control groups were 36.86± 8.91, 41.44±8.75 respectively. Pre treatment values of NPRS mean rank for experimental and control groups were 28.64, 30.36 respectively. Post treatment NPRS mean rank for experimental and control groups were 26.02 and 32.98 respectively with non-significant p value. Pre treatment values for NDI mean rank experimental and control groups 29.84 29.16. Post treatment NDI mean rank for experimental and control groups were 28.52 30.48 respectively with non-significant p value. Conclusion: Bowen technique is equally effective as conventional therapy for improving postural neck pain. Keywords: Bowen technique (BT), Conventional therapy (CT), Dentists, Neck Pain, Posture.