Burnout is common exhaustion in students especially among medical students due to their increased study hours, increased demands according to the education sector and less tolerance. Objective: To determine the prevalence and correlation of burnout syndrome and musculoskeletal problems among university students in Lahore. Methods: The analytical cross-sectional study was conducted by including 181 medical students by using, a convenience sampling technique according to the predefined selection criteria. The Copenhagen Burnout Inventory (CBI) and Nordic Questionnaire were used for assessing the outcomes of the patient. The data were analyzed by using SPSS in which frequency, percentage, and Correlation analysis were used to determine the relationship that exists between burnout syndrome and musculoskeletal pain. Results: The study showed that Musculoskeletal pain and burnout syndrome exist a strong correlation among students of universities with a p-value <0.05. Conclusions: The study concluded that burnout syndrome had a statistically significant relationship with students’ study years and musculoskeletal problems that ultimately affect their normal activities of daily life

Over the previous two decades, computer use has increased the occurrence of musculoskeletal problems and other disorders. Frequent computer use is to blame for a slew of MSDs that can cause fatigue, pain, and even impairment. Tendons, ligaments, joints, nerves, blood muscles, and veins are all affected by these conditions. Methods: The study design of this research was cross-sectional. The sample size of 413. The data was gathered from IT Professionals of 4 different software houses of Lahore. Nordic musculoskeletal disorder questionnaire was used. Results: The most affected body regions among were neck (63.9%), lower back (58.6%), and upper back (42.9%). Other affected regions were; Right shoulder (39.2%), Left shoulder (33.7%), both shoulders (31.2%), one or both hips/thighs (26.2%), right wrist/hand (23.2%), one or both knees (22.8%), left wrist/hand (20.8%), one or both ankles/feet (19.4%), right elbow (15.3%), left elbow (12.6%), both wrist/hand (12.3%) and both elbows (8.2%) respectively. Conclusion: It was concluded that there is high prevalence of musculoskeletal disorders seen in the IT Professionals,

High heeled shoes align the foot in planter flexion, modifying the relative orientation of the skeletal structures of ankle, metatarsal, and metatarsophalangeal joints, and alter the insertion angles of the foot and gliding joint muscles, therefore increasing the risk factor for ankle sprain. Objective: Study conducted to determine Risk Factors Causing Ankle Sprain among undergraduate female students. Methods: Cross-Sectional study was conducted among 500 female students (Between ages 18-26 years) at Sargodha Medical College and completed in 06 months (June 2019-December 2019). Non-probability convenient sampling technique was used to collect data and then entered to SPSS-25 for further statistical analysis. Result: Among 500 participants, Age 19.65±1.416 years. Mean height (m) 1.61±0.073, mean weight (kg) 57.37±10.4, Mean BMI was 22.02±3.6. Female experience ankle sprain (54%), not experienced ankle sprain (46%) Significant association found between Ankle Sprain and body mass index (BMI) as the P value was 0.014 which was <0.05. Female wearing high heel have 1.082 times greater chance of developing ankle sprain (OR 1.082). Female wearing high heel for long duration (4-6 hrs.) have 1.271 times greater chance of developing ankle sprain (OR 1.271), female wearing high heel (3-4 inches) have 1.072 times greater chance of developing ankle sprain (OR 1.072), female using Pencil heel have 1.281 times greater chance of developing ankle sprain (OR 1.281). Conclusion: Significant association found between Ankle Sprain and body mass index (BMI). Female wearing, high heel for long duration (4-6 hrs.), high heel (3-4 inches height), using Pencil heel have greater chance of developing ankle sprain.

Background: Low back pain is a common musculoskeletal problem of the modern society as 70-80% people of any age and gender get affected by this in their lifetime which affect their normal activities of daily living. Aim: To compare the efficacy between Mulligan SNAGs and McKenzie exercises in improving pain level, range of motions and functional status in chronic mechanic al low back pain patients. Method: A randomized control trial study was conducted on 45 patients suffering from chronic mechanical low back pain at Physiotherapy Department of Mayo Hospital Lahore from16th December to 21th January 2021.The patients were randomly allocated in three group’s i.e; Conventional and two trial groups by computerized generated list. In Conventional group; 15 patients were treated with conventional therapy. In trial groups; one was treated with Mulligan SNAGs and Conventional therapyand the other trial group were treated with McKenzie exercises and Conventional therapy 3 sessions per week. Pain measured by Numeric Pain Rating Scale (NPRS), Lumbar spine's ranges measured by Goniometer and functional status measured by Oswestry Disability Index (ODI) at the completion of the 4 weeks treatment session. Results: NPRS scoring and Ranges showed significant improvement in all groups but NPRS significantly improved in McKenzie exercises group and significant improvement in ROM showed in Mulligan SNAGs group in all movements but there was no significant difference found between three groups comparison in improving the functional status with p-value =0.243. Practical implication: The study provides the opportunity to the patients to consider physiotherapy as an effective treatment for the mechanical low back pain. It also provides the statistical knowledge about these physiotherapy techniques and their effectiveness in treating the low back pain. Conclusion: Both the Mulligan SNAGs and McKenzie exercises are effective in treatment of Chronic lumbar pain as pain is most reduced through McKenzie exercise (3.33±1.29, p<0.000) while ranges of spine is improved through Mulligan SNAGs mobilization in all directions. Keywords: Chronic Mechanical Low back pain, Mulligan SNAGs mobilization, McKenzie exercises

Background: Burn of shoulder and axillary region are common affecting patient’s range of motion and his/her performance in his daily life. Because post burn if treatment is not given, contracture will ultimately form. Aim: To determine the comparative effectiveness of PNF (hold relax) VS early Dynamic stretching exercises for improving pain, range of motion and functional status in the shoulder joint and quality of functional recovery in burn patients. Methodology: A single blinded Randomized clinical trial was conducted at Mayo Hospital, Burn ward. Total 74 patients (Male and Female) were included in the study on the basis of inclusion and exclusion criteria. Participants were randomly allocated in two groups, 32 in each group by odd even method. Group 1 received PNF (hold-relax) protocol while group 2 received Dynamic stretching protocol, both the groups received the treatment along with conventional therapy on alternate days for 4 weeks. Pre and post treatment assessment VAS, Q-DASH score and ranges of motion were done. Data was analyzed using SPSS 23 version. Paired sample T-test and independent sample T test was used to assess within and between group analysis with having confidence interval CI 95% and p value 0.05. The purpose of paired T-test and independent t-test was to determine the difference within and between the groups in all clinical parameters (Q-DASH score, VAS score and ROM) during both pre and post treatment. Results: According to the findings, VAS, Q-DASH scoring and ranges of affected burn shoulder joint were significantly improved in both groups i.e., treated with PNF and Dynamic stretching protocol. However, on group comparison; statistically significant improvement in VAS, Q-DASH scoring and ranges of shoulder were observed in patients treated with PNF as compared to Dynamic stretching with p-value <0.05. Practical implication: The study provides the opportunity to physiotherapist to get aware of the role of PNF and dynamic stretching in preventing and treating post burn patients. It provides the statistical effectiveness of techniques in increasing the recovery rate of patients by using defined treatment protocol. Conclusion: This study proved that PNF and Early Dynamic Stretching both are effective in improving pain, range of motions and functional status among burn patients. However; PNF (hold relax) was more beneficial for improving functional status and treating pain and range of motion in shoulder joint of burn patients with p-value <0.05. Keywords: Axillary burns, Contractures, Early Dynamic Stretching exercises, Functional recovery, Range of motion(ROM).