Background: The median nerve serves a peripheral gateway to the central nervous system. Median nerve stimulation is positively associated with regaining the level of consciousness in patients with traumatic brain injury, but the level of evidence is still a research question. So the purpose of the study is to find out the effectiveness of right median nerve stimulation on the level of consciousness and the relation between them in subjects with traumatic brain injury. Methodology: Twenty subjects with traumatic brain injury of axonal type were selected for study and randomized into two groups. Experimental group received right median nerve stimulation along with medications where as control group received medications only one month, 30minutes a day. Glasgow coma scale is used to assess the changes in conscious levels. Result: The results have revealed that there is a significant improvement noted in experimental group when compared to control group. Comparison of Glasgow coma scale scores between experimental and control groups after one month showed significant difference with a P value of 0.0261. Conclusion: Right median nerve stimulation is strongly associated with improvement of consciousness in patients with traumatic brain injury.

Background and Purpose: Chronic musculoskeletal injuries are more common in cricket players. Acute problems may be due to trauma or injuries during sporting. The musculoskeletal system includes muscles, joints, bones, cartilage, ligaments, fascia, nerves and other associated soft tissues. Whatever the mode of injury, it causes pain, movement restriction, muscle weakness, and ultimately loss of functions. Anthropometric variables of each player in cricket will also influence the occurrence of problems. The current study focused on identifying the most common site involved in musculoskeletal problems and to explore possible variations in anthropometric characteristics. Methodology: This study was conducted in Kuala Lumpur, Malaysia where Asian Cricket Council Premier League 2014 was conducted. Permission to approach the players was taken from the council members and all the players were assured that the information collected from them will be kept confidential and all were explained about the objective study. Modified Nordic musculoskeletal questionnaire was distributed to the players and instructions were given about how to fill the questionnaire. Their anthropometric characteristics, experience and time of training sessions were collected by a blinded assessor. Results: Player's height (p = 0.003), weight (p = 0.050), experience (p = 0.001) and practicing hours per week (0.002) were analyzed. There is a statistically significant difference in these characteristics was observed. Occurrence of acute troubles (within 7 days) of upper back and elbow region were found different in four teams with a P value of 0.007 and 0.022 respectively. Persistence of neck, shoulder and lower back troubles in the last one year has a significant difference between the groups with a P value of 0.014, 0.003 and 0.021 respectively. Conclusion: This study can conclude that the prevalence of musculoskeletal injuries is more in cricket. Especially shoulder, neck, lower limbs and lower back. The incidence of acute problems is more in elbow and upper back regions. This may be acute injuries but not due to chronic over use. The anthropometric variations between groups participated in ACC premier league, Malaysia 2014 was also significantly differing from each other.

Background: The effect of electrical stimulation on motor outcomes around shoulder in acute hemiplegia is elusive. We tested the effect of stimulation of specific muscles around shoulder on motor outcome in shoulder in patient with hemiplegia. Methods: 32 first time hemiplegic patient of stroke origin were randomly allocated to control and experimental group. Experimental group received electrical stimulation apart from exercises given to both the groups for 2 weeks. Deltoid, infraspinatus and upper trapezius were stimulated, along with attempt to contract the muscles. Stroke Rehabilitation Assessment of Movement (STREAM) upper components and manual muscle testing were used for evaluation of outcome. Wilcoxon sign rank test and chi-square tests were used for statistics. Results: Experimental group demonstrated greater recovery compared to control group. In both groups trapezius muscle work showed improvement in large number of patients followed by deltoid. STREAM score changes were seen a more number of patients in experimental group than control group. Conclusion: Electrical stimulation can be considered as an adjunct to exercises around shoulder in early stroke rehabilitation