Introduction: Carpal tunnel syndrome (CTS) was effectively treated by lots of conservative management that includes splints, exercise, different types of heat modality like ultrasonic therapy (UST), etc. This is our humble attempt to explore and find out electrophysiological improvement pattern after treatment with UST in CTS. This analytical study was conducted at
Many people develop functional limitation due to pain of osteoarthritis (OA) of the knee. Different physiotherapeutic modalities are commonly used to give treatment for patients with OA knee. This study aims to examine the efficacy of therapeutic ultrasound (UST) vs interferential therapy (IFT) to reduce pain and to improve functional ability in OA knee. Thirty subjects with a mean age of 62.55 ± 6.25 years having clinical diagnosis of OA of knee were randomly allocated to two study groups, namely groups I and II, each of 15 patients. Group I received UST and therapeutic exercise and group II received IFT and same therapeutic exercise designed for OA knee, conducted five times a week for 2 weeks. The outcome of this intervention was measured in terms of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, pain relief in terms of visual analog scale (VAS), and active range of motion (ROM). It was concluded that IFT could be the better choice of modality than UST in the management of OA of knee. Clinical significance: This study helped us to formulate a better therapeutic approach of OA of knee.
The benign joint hypermobility syndrome (BJHS) was first addressed by Kirk as a distinct pathology in 1967, as the presence of rheumatic symptoms with generalised joint laxity in the absence of any demonstrable systemic rheumatic disease. In this prospective, longitudinal, analytical study, we tried to find out the response of rehabilitation therapy in patients presenting with locomotor symptoms of BJHS and selected 61 patients randomly. The rehabilitation protocol followed: Explanation and reassurance, teaching of joint protection techniques and work modification, isometric muscle strengthening exercise (both extensor and flexor muscles), endurance exercise. Clinically most of the patients showed significant overall response quantitatively, in all the parameters. It can be concluded that the rehabilitation protocol prescribed here is very much suitable both quantitatively and qualitatively for the patients of BJHS.
In the management of benign joint hypermobility syndrome (BJHS), there is no clear-cut idea regarding the types of exercises which will be appropriate to incorporate in the management protocol of this unique condition. According to some the extensor muscles group should be strengthened and some other opined to strengthen both the extensor and flexor groups of muscles. We presume that strengthening of both the extensor and flexor will be more beneficial because it will provide balance between two opposing groups of muscle and hence, give more stability to the joint and the isometric strengthening exercise would be the exercise of choice. In our study for therapeutic exercise, the 61 patients were grouped into two randomly. Group I (30 patients) were instructed to perform only isometric strengthening exercise for only extensor group of muscles. Group II (31 patients) were advised to do isometric strengthening exercise for both the extensors and flexors group of muscles. After 6 weeks of therapy we found group II is showing a superior result.
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