Burn injury is an unpredictable incident that may result in long-term disability. Complications after burn injury are most common, for example, contracture, hypertrophic scar, or infection. A descriptive cross-sectional study was conducted at a burn unit in Pakistan, and data were collected by “World Health Organization Disability Assessment Schedule (WHODAS) v 2.0 Self-Administered” from 140 burn victims with at least 6 months old injury. Subjects with at least 10% TBSA of either lower limb were included while patients suffering from any congenital or neurological disease or with amputation were excluded. The analyses were done by statistic version 16. Participant’s mean age was 28.13 years and SD was ±7.87 years. Of the 140 patients, 96 (68.6%) were males and 44 (31.4%) were females. The cause of the burn injury was flame burn [72.9% (102)], chemical burn [5% (7)], scald burn [7.9% (11)], and electrical burn [14.3% (20)]. There were 74(52.9%) victims having burn injury at the right-hand side of the body and 47.1% (66) were with the left-hand side affected; 32.9% (46) were having burn injury at the hip joint, 37.9% (53) with the knee joint, 8.6% (12) ankle joint, and 20.7% (29) are having burn injury at whole limb. The mean disability score calculated by WHODAS v 2.0 self-administered was 13.96 with a SD of ±4.696. Burn injuries to the lower limb have a negative impact on all domains of quality of life of the victims. These individuals should be assessed at various times while developing a comprehensive rehabilitation treatment plan, especially focusing on the issues faced by such individuals to improve their quality of life.

BACKGROUND: Studies have suggested an association between computer work and the development of musculoskeletal disorders. However, studies examining the workplace ergonomics assessment of computer offices are scarce in the Pakistani population. OBJECTIVE: To determine the presence of ergonomic risk factors in the office using the Rapid Assessment Office Strain (ROSA) method for complaints of arm, neck and shoulder (CANS) among office computer workers. METHODS: From January to August 2019, a cross-sectional study was carried out among office workers who worked at least three hours on computers in their daily work. The prevalence of CANS was measured by using the Maastricht Upper Extremity Questionnaire (MUEQ) and work station evaluation was done by using rapid office strain assessment (ROSA). Data were collected from 773 computer workers, of whom 443 (56%) worked in the information technology sector, 215 (28%) in industry and 124 (16%) in universities. SPSS version 20 was used for data entry and analysis. RESULTS: Out of 773 computer workers, 448 (58%) reported musculoskeletal pain and the most prevalent were shoulder pain (327, 42%) and neck pain (270, 35%). The mean scores of ROSA sections A, B, C and D were 4.00±0.82, 2.98±0.72, 3.49±0.67 and 3.61±0.72 respectively. The mean ROSA total score in 773 office computer workers was 4.19±0.78, which indicates a low risk of musculoskeletal complaints. There was significant association was found between ROSA section A and shoulder pain (P = 0.043), ROSA section C with complaints of lower arm (P = 0.013), wrist (P = 0.016), and hand pain (P = 0.005), ROSA section D with lower arm (P = 0.002), wrist (P = 0.004) and hand complaints (P = 0.002). A significant association was found between ROSA total score and complaints of shoulder and hand, with p values of 0.012 and 0.006, respectively. CONCLUSION: CANs are prevalent among computer office workers, and there is a significant relationship between CANS and workstation ergonomics.

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,

Lower back pain is one of the most common problems in adults all over the world, and chances of having back pain increases with the age. Objectives: To determine the effect of tailored motor control rehabilitation versus standard exercise program in chronic nonspecific lower back pain. Study Design: Non randomized clinical study. Methodology: A non randomized clinical study was conducted in six-month during 2018 after ethical approval. 40 patients were enrolled through non-probability purposive sampling technique and allocated into two groups (Group A & B). Informed consent was obtained. Individuals between twenty to forty years with chronic nonspecific low back pain with intensity at least 3 on a 10cm visual analog scale (VAS) were included and individuals with past history of trauma of the spine and hip and with any red flags were excluded. Outcomes were measures by Modified Oswestry Disability Index (MODI) and Visual Analogue Scale (VAS). Statistical analysis: Data was analyzed by SPSS software, version 19 as qualitative variables were expressed as mean ± SD. Independent sample T test was also applied. Results: The mean age Group A was 29.05±8.58 and Group B, was 32.05±6.53 years. The result shows that there was a significant difference in outcomes among tailored motorcontrol rehabilitation (Group A) and standard exercise program (Group B). Conclusion: We concluded that motor control rehabilitation was more effective than standard exercise program in decreasing low back pain and improving quality of life. Key Words: Low Back Pain, Tailored Motor Control Rehabilitation, Standard Exercise Program and Modified Oswastry Disability Index.

Total knee arthroplasty is gaining popularity in individuals with advanced stages of knee osteoarthritis among the affording economic class. The aim of the study was to assess the effects of preoperative rehabilitation in the management of post-operative quadriceps lag. The study design was non-randomised clinical study conducted from January 2017 to March 2017 at Ghurki Trust Teaching Hospital, Lahore, Pakistan. Non probability convenient sampling technique was applied to collect data of 30 patients with TKA. The data was collected by self-designed questionnaire, and goniometric range of knee extension was used as the main outcome. Independent sample t-test was applied to assess the difference between the groups. The mean age of the patients was 64.37±11.66 years. The mean score for Extensor Lag with pre-operative rehabilitation regime was 12.53º±36.57º and without this regime it was 23.20 ±79.18º (p value 0.005 & t-value -3.035). ---Continue