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Background: Lumbar radicular pain is one of the leading causes of musculoskeletal disability. Variety of conventional treatment options are available. Aim: To find the effectiveness of sciatic nerve mobilization on disability and range of straight leg raise in patients with lumbar radicular pain. Study Design: Randomized control trail. Methodology: In this single blinded randomized control trial eighty patients were randomly divided in two groups. The experimental group received sciatic nerve mobilization along with routine physical therapy treatment whereas control group only received routine treatment in form of moist hot pack and back exercises. Outcomes were pain, disability and straight leg raise range measured through numeric pain rating scale, Modified Oswestry disability index MODI and inclinometer. The outcomes were assessed at baseline and at 4th and at 6th weeks of the treatment. Data was analyzed by SPSS software, version 20 as qualitative variables were expressed as mean ± SD. Paired sample t-test was applied. Results: Between groups analysis showed a significant difference in mean in both groups. Within group analysis was done using paired sample t test showed significant improvement (p <0.05) occurred in all variables in terms of pain, disability and straight leg raise range but sciatic nerve group had better improvement in terms of pain and disability as compared to conventional group. Conclusion: We concluded that sciatic nerve mobilization was an effective treatment for pain and disability in patients with lumbar radicular pain. Keywords: Lumbar Radicular Pain, Lumbar Radiculopathy, Sciatic Nerve Mobilization and Sciatic Nerve Neurodynamics.

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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.

Aim: To estimate the effectiveness of lower limb exercise regime in subjects with knee osteoarthritis in terms of Kinesiophobia. Methodology: This was a case series, conducted in the Physiotherapy Department Health Centre University of the Punjab Lahore after ethical approval from June 2018 to February 2019 on 44 patients with knee Osteoarthritis. Non-probability purposive sampling technique was used to enroll the participants according to predefined inclusion and exclusion criteria. Lower limb exercise regime was applied for eight weeks, thrice a week. TAMPA scale for Kinesiophobia (TSK), KOOS and 6 min walk test (6MWT) were used to measure the outcomes. Paired sample T test was applied to find the difference before and after LLEP. Statistical significance was set at P= 0.05 Results: Mean age of the participants was 52±6.54 years ranging from 41-65 years. The mean difference in pre and post treatment KOOS Score was 15.13±12.38 (P=.000), 14.34±7.97 (P=.000) for TAMPA Score and 196.00±94.01 (P=.000) for 6 Mint walk distance. Conclusion: Lower limb exercise program is found effective in the management of knee osteoarthritis. Subjects undergoing in 8 weeks lower limb exercise program showed improvement in KOOS Score, reduction in TAMPA Score, and improvement in 6 mint walk distance. Keywords: Knee Osteoarthritis, Kinesiophobia, TAMPA, knee osteoarthritis outcome score (KOOS), Lower limb exercise regime,