Objective: To find the frequency of plantar fasciitis among females teachers in Sialkot and to explore the relationship of heel pain due to plantar fasciitis with age, body mass index (BMI), type of shoes wearing and standing hours.Methodology: This cross-sectional study was the project of Sialkot College of physiotherapy (SCPT). It was conducted in February to March 2018 after taking ethical approval from institutional review board of SCPT (IRB-SCPT DPT-115-2018). Sample size was 150 subjects. Female teachers of age ranged 25-60years ,who fulfill inclusion criteria were enrolled by convenience sampling technique from the Sialkot based colleges. Data was collected by administering Plantar Fasciitis Pain/Disability Scale (PFPS) questionnaire among the female teachers. Data was analyzed by SPSS22.Results: This study was comprised of 150 participants with mean age30.69±5.44years. Mean of height, weight and BMI were 1.63± 0.34, 60.17±11.71, 23.68±4.39 respectively. Mean±SD of visual analogue scale (VAS) and total PFPS scores were 5.78±2.461 and 36.5±13.5 respectively. Of total population 46.3% of subjects have plantar fasciitis. Middle sole of foot was the most affected area by plantar fasciitis (PF), followed by ball of foot, heel and toe with subsequent values52(34.7%),43(28.7%),37(24.7%) and 18(12%) respectively The significant difference in mean VAS score for pain intensity was found among the subjects with and without PF (p value 0.000*). Plantar fasciitis was frequently found in subjects with higher age group than younger ones (p value 0.000*). Current results showed that 31% of total subjects with PF were used to wear flat shoes, whereas only 16 percent wear heel shoes and 23% were using both type of shoes (heel& flat). However this association was not found to be significant on regression analysis. Current results of regression analysis also did not find any significant impact of BMI (p value 0.50) and standing hours (p value 0.804) and types of shoes (p value 0.620) on the development of plantar fasciitis. Plantar fasciitis was positively associated with age (p value 0.002). Conclusion: Plantar fasciitis is found among teachers, commonly affecting middle sole area of the foot. PF is positively associated with age; however standing hours and BMI was not associated with it.

Introduction. This study has been designed to find out the effectiveness of neurodynamic exercises in patients with diabetes mellitus having peripheral neuropathy in upper limb. Methods. This was a case series. Total 40 patients were selected in this study who had diabetes mellitus type II with peripheral neuropathy pain. Consecutive sampling technique was used. Standard Neurodynamic sliders' techniques were applied for Radial, Ulnar and Median nerves in appropriate position by qualified physical therapist for 10 sec with 2 sec rest and 10 repetitions. TENS (80 Hz and 150µ sec) was applied for 20 minutes. Neuropathic pain questionnaire DN 4 was used to collect the data. Pretest and posttest value were calculated using this questionnaire. Paired sample T test was used to compare the pretest and posttest values. Results. There were 31 females and 8 males with peripheral neuropathy in this study. The mean age of the patients was 51.22 ± 6.712 years. The mean value of total pretest was 6.42 ± 1.152 and the mean of total posttest value was 3.68 ± 1.095. Conclusion. Neurodynamic exercises were effective in managing diabetic peripheral neuropathy pain. Neurodynamics techniques for Peripheral Nerve can reduce the diabetes associated peripheral neuropathy symptoms in upper limb.

Corrective surgical procedures especially on the limbs take much time to finish and need intense vigilance. During these surgeries tourniquet application is common to prevent excessive blood loss and to perform the procedure in a bloodless field. However, tourniquets have been known to cause some complications due to nerve compression needing immediate attention. We present a case of tourniquet palsy in upper limb with involvement of radial, ulnar and median nerve. The patient received physiotherapy treatment which lead towards his speedy recovery and prevented him from disabilities. Key words: Tourniquet palsy; Nerve injury; Physiotherapy; Neurodynamics Citation: Perveen W, Amin I, Hashmi R, Anwar S, Ali MA. Tourniquet palsy in upper limb; a case report. Anaesth. pain intensive care 2021;25(4):535–538. DOI: 10.35975/apic.v25i4.1585 Received: March 4, 2021, Reviewed: March 2, 2021, Accepted: June 23, 2021

Aim: To find the benefits of the multidisciplinary team approach for the rehabilitation of patients with stroke. Methodology: This cohort case series was conducted at physiotherapy department, Syed Medical Complex Sialkot in 2017-18 after ethical approval. Open epi calculator was used for sample size estimation and found 70 patients. Non-probability, consecutive sampling technique was used to enroll the patients after screening for eligibility criteria and taking their consent. FIMFAM scale was used to measure the outcomes at 1st visit, after 4 weeks, and on follow up. Results: Mean ± standard deviation of the age of participants was 62.57±8.02 years. Out of them, 74.28% (52) had left sided while 25.71% (18) had right sided stroke. Mean of total FIMFAM score at 1st visit, after 4 weeks, and on follow up was 42.50±20.58, 77.70±25.56 and 126.83±21.30 respectively (P=0.000). Mean difference of 1st visit and after 4 weeks was 35.20 (p value=0.000), Mean difference after 4 weeks and follow up was 49.13 (p value=0.000). Conclusion: We concluded that multidisciplinary team approach in patients with stroke can produce significant improvement in their functional outcomes, therefore can limit the risk of death and delayed recovery. Keywords: Multidisciplinary Team Approach, Stroke, Rehabilitation and FIMFAM Scale.