Hafiz Sheraz Arshad - Academia.edu (original) (raw)

Papers by Hafiz Sheraz Arshad

Research paper thumbnail of Frequency of musculoskeletal disorders among prisoners of Lahore, Pakistan

Rawal Medical Journal, 2020

Objective: To determine the frequencies of musculoskeletal disorders among male and female prison... more Objective: To determine the frequencies of musculoskeletal disorders among male and female prisoners of Central Jail, Lahore. Methodology: This descriptive cross sectional study included male and female prisoners of central jail, Lahore. Convenient sampling was used. Data were collected through Nordic musculoskeletal questionnaire. Results: Out of 294 subjects, 57% were male and 43% females. The musculoskeletal disorders are very common; disorders of knee were 60%, being the highest affected body part. Low back pain was 2nd most common disorders (51%) followed by ankle and foot (35%). Conclusion: Musculoskeletal disorders were highly prevalent among prisoners of Lahore. Both male and females are commonly affected. Lower limb was more affected than upper limb. The most commonly affected areas are knees, low back ankle and foot.

Research paper thumbnail of Prevalence of postpartum depression in an urban setting

Biomedical Research-tokyo, 2015

Women undergo various physical and mental changes during their postpartum period and are in a vul... more Women undergo various physical and mental changes during their postpartum period and are in a vulnerable state of mind. Some women may not cope with these situations as better than others and consequently they undergo a depressive state known as postpartum depression. It is a debilitating disorder and should be screened at an early stage to avoid long term adverse effects. The objectives of this study were to quantify the prevalence of postpartum depression in an urban setting where literacy rate is higher and medical facilities are readily available. This observational cross sectional study was performed in National Hospital, Lahore and Fatima Memorial Hospital, Lahore and was accumulated at RCRS Lahore. Study was accomplished in 4 months after the ratification of synopsis. Non-probability, purposive sampling was used. Sample size was calculated to be of 88 women. Self-administered questionnaire consisting of validated 10 items, Edinburgh postnatal depression scale (EPDS) [1] was e...

Research paper thumbnail of Effect of Depression on Stroke Specific Quality of Life: ASurvey in Urban Settings of Lahore City

Electronic Journal of Biology, 2017

Background: Stroke has significant effect on physical and mental functioning of the patients. The... more Background: Stroke has significant effect on physical and mental functioning of the patients. The impact on functionality and activities of daily living can further have profound effect on post stroke depression and quality of life of the patients. Objective of this study was to determine the effect of depression on stroke specific quality of life. Method and findings: A sample of 195 post stroke patients was selected using convenient sampling. Male or female Post stroke patients, Age 30 to 55 years, 1 to 6 months after their first stroke and with a level of disability of 2 to 4 on Modified Rankin Scale (MRS) were included in the study. Diagnostic and statistical manual of mental disorders-IV (DSM IV) criterion for the diagnosis of depression was used in the form of questionnaire to determine the frequency of depression among stroke patients. The quality of life of both depressed and non-depressed stroke patients was assessed using Stroke Specific Quality of life Scale. Most of the ...

Research paper thumbnail of Factors of Overweight and Obesity Related to Eating Habits and Physical Activity in Students of Azra Naheed Medical College

The prevalence of obesity and overweight is rising to alarming levels in developed and developing... more The prevalence of obesity and overweight is rising to alarming levels in developed and developing countries including Pakistan. The objective of study was to determine the factors responsible for overweight and obesity in students of Azra Naheed Medical College. This case control study comprised 150 overweight/obese participants (BMI >25) and 150 Normal participants (BMI 18.5-25). Odds ratio was calculated to estimate the relative risk and to control the confounding variable; logistic regression was used. The findings of this study indicate that the use of carbonated drinks, lack of moderate and aggressive physical activity and watching TV could be the factors that increase the probability of being over-weight/obese

Research paper thumbnail of Risk factors of non-structural scoliosis in adults with low back pain

Rawal Medical Journal, 2019

Objective: To identify the risk factors of non-structural scoliosis in adults with low back pain.... more Objective: To identify the risk factors of non-structural scoliosis in adults with low back pain. Methodology: This case control study was conducted using Convenient sampling technic. The data were collected from Mayo hospital, General Hospital and Pakistan society of Rehabilitation of Disabled. Subjects with non-structural scoliosis with back pain having 19 to 30 years of age were enrolled in case group. In Control Group, subjects with low back pain but without scoliosis and ages between 19 to 30 years of age were included. Sample size was 160, with 80 participants in each group. Scoliometer was used to measure the trunk asymmetry . Visual analogue scale was used to assess pain. The data were analyzed by using SPSS version 21. Results: There were 37 cases and 41 controls participants in middle class, and 43 cases and 39 controls in lower class. The p value of socioeconomic status was 0.527. The p value for height and pain shows no significant association. We have observed there was...

Research paper thumbnail of Comparison of Mulligan Mobilization with Movement and End-Range Mobilization Following Maitland Techniques in Patients with Frozen Shoulder in Improving Range of Motion

this Quasi experimental study was aimed to compare the outcomes of end range joint mobilizations ... more this Quasi experimental study was aimed to compare the outcomes of end range joint mobilizations (ER M) following Maitland technique with mobilization with movement (MWM) for treating frozen shoulder to increase range of motion and to find the most effective management technique for treating other patients with frozen shoulder patients. 100 patients were taken in which comparison of two interventions on a single condition i.e. frozen shoulder, was done, over the period of two months for improving ROM. Paired Sample t-test performed. All the subjects was interviewed and evaluated for inclusion and they signed the consent form then they was asked to pick up a card for entitlement randomly in each of two groups i.e. either group A or B and was included in the study. The results showed strong statistical significant correlation between range of movement in shoulder extension before and after two months of treatment. In both experimental groups, shoulder flexion and abduction range of mo...

Research paper thumbnail of Awareness of Obstetricians and Gynecologist Regarding Role of Physical Therapy in Managing Obstetric and Gynecological Patients in Private and Government Hospital

Objective: To determine and compare awareness of obstetricians and gynecologists regarding the ro... more Objective: To determine and compare awareness of obstetricians and gynecologists regarding the role of physical therapy in managing gynecological and obstetric patients in private and government hospitals.Design: It was a comparative cross-sectional study conducted in private and government hospitals of Lahore from October 2016 to March 2017Methodology: The study participants were obstetricians and gynecologists working in private and government hospitals of Lahore. One thirty-eight participants, including 71 consultants, 67 senior registrars participated in the study. 69 participants were from private hospitals while remaining 69 were from government hospitals. Data was collected using a pre-tested 28-items self-administrated questionnaire which was taken from previous research work.Results: The mean score for physical therapy awareness among gynecologist and obstetricians was 29.64±3.622 in private and 30.36±3.171 in government hospitals. P-value (>0.05) shows that there was no...

Research paper thumbnail of Self-Medication Phenomenon; A Population Based Study from Lahore

JPMA. The Journal of the Pakistan Medical Association, 2019

OBJECTIVE To study the reasons of self-medication in rural and urban population.. METHODS The cro... more OBJECTIVE To study the reasons of self-medication in rural and urban population.. METHODS The cross-sectional descriptive study was conducted in Lahore, Pakistan, from March to August 2017, and comprised inhabitants of rural and urban areas of the city regardless of gender and aged 18-50 years. The subjects were enrolled using non probability convenience sampling technique. Data was collected using a semi-structured questionnaire, which was validated through content validity index. Data was analysed using SPSS 21. RESULTS Of the 786 participants, 551(70%) were from the urban areas and 235(30%) were from the rural areas. The mean age of the sample was 30.54±8.50. Overall, 746(95%) were taking medicines without a prescription. Among them, 528(96%) were urban and 218(93%) were rural inhabitants (p<0.07). Besides, 352(47.2%) were males and 394(52.8%) were females (p>0.05). The most frequent reason cited for self-medication was quick relief by 478(64.1%) subjects. CONCLUSIONS Self-...

Research paper thumbnail of Quality of life in Elderly Population with grade 1 knee osteoarthritis

Background: Knee osteoarthritis is continuously a degeneration process of the bone and its upper ... more Background: Knee osteoarthritis is continuously a degeneration process of the bone and its upper cartilage that gradually deteriorate the joint and its surrounding structures. Increase in pain and decrease in the functional activities often experienced by the patients that leads to the marked decrease in the quality of life of the individual. Objective of Study: To assess the quality of life of the elderly population with grade 1 knee osteoarthritis. Methodology: It was a cross sectional descriptive and analytical study, which was conducted in the Niazi Hospital Lahore.384 patients were taken through sequential non-probability sampling after meeting inclusion criteria. Data was entered in terms of rand sf 36. data analysis was done by using spss version 20. Results: BMI was majorly in between 35 to 40 showed mostly patients were overweight and among them females were more dominant. Pain in the knees while walking was experienced by 64% of the respondents and 94% of the participants ...

Research paper thumbnail of Frequency of Pain Catastrophizing and Kinesiophobia Among Post Cesarean Females with Low Back and Pelvic Pain

Objective: The objective of the study is to determine the frequency of pain catastrophizing and k... more Objective: The objective of the study is to determine the frequency of pain catastrophizing and kinesiophobia and the possible relation between these variables in post-caesarean females with low back and pelvic pain in Lahore, PakistanDesign: This descriptive cross-sectional study was conducted within six months duration from March 2017 to August 2017 in Lahore.Methodology: Convenient sampling technique was used and a sample of 138 post cesarean females with low back and pelvic pain was collected from four different hospitals of Lahore. Post-cesarean primary & secondary parous females, aged between 20 to 40 years, with a complaint of non-specific low back and pelvic pain within six months after delivery were included in the study. Pain catastrophizing scale and Tampa scale of kinesiophobia were used to determine pain Catastrophizing behavior and kinesiophobia. Results: Out of 138 participants, 46% participants had kinesiophobia, and 37% showed pain catastrophizing. The study demonst...

Research paper thumbnail of Chronic tension-type headache as a risk factor of myofascial trigger points in upper trapezius muscle fibers in neck pain patients

Background: Chronic tension type headache (CTTH) is one of the very common neurological condition... more Background: Chronic tension type headache (CTTH) is one of the very common neurological conditions which have striking impact on daily functional activities. In tension type headaches the myofascial TrP's are frequently examined .It is observed that myofascial pain syndrome is frequent determinant of chronic nonspecific neck pain. OBJECTIVE: To determine tension type headache as a risk factor of myofascial trigger points in upper trapezius muscle fibers in neck pain patients. MATERIAL AND METHODS: It was a case control study. The study was conducted from January 2016 to July 2016 and data was collected from four hospitals of Lahore..Convenient sampling technique was used. Sample size of 130 patients was taken which were equally divided into case and control group. An international headache criterion was used for diagnosis of tension headache and Travell & Simon criterion was used for diagnosis of trigger points. RESULTS: Total 130 subjects were recruited in the study. 65 (50%) w...

Research paper thumbnail of Kyphotic posture in laptop and desktop users among employees of private Universities in Lahore

Objective: The objective of study was to find the association of kyphotic posture with type of co... more Objective: The objective of study was to find the association of kyphotic posture with type of computer used (laptop/desktop) among employees of private Universities in Lahore Pakistan.Methodology: An analytical associational study was conducted. Convenient sampling technique was used to select the 195 subjects. Self-made questionnaire was used to collect the demographic details. The Occiput wall distance test was applied to find the presence and measure the severity of kyphosis. Chi-square test was applied to analyze the association between computers usage (laptop & desktop) and gender, age, number of hours and severity of kyphotic posture in categorical and continuous variables, respectively.Results: Results showed presence of kyphotic posture in 186 (95.38%) respondents and absent in just 9 (4.62%) respondents. Total number of desktop users were 80,in which 5% were normal, 33.75% had mild kyphosis, 48.75% had moderate kyphosis and 12.5% had severe kyphotic posture and in case of ...

Research paper thumbnail of A Study of Physical Therapists’ Perceptions about Limitations in Development of Physical Therapy Profession in Pakistan

Purpose of the study was to find out Physical Therapists' perceptions about limitations in de... more Purpose of the study was to find out Physical Therapists' perceptions about limitations in development of physical therapy profession in Pakistan. Methods: A cross sectional survey was conducted and three hundred Physical Therapists from all over Pakistan were invited to participate to a questionnaire comprising of thirteen closed ended questions. A purposive sampling technique was used. Out of three hundred physical therapists only 116 responded back.with number reaching to 72 (62%), self-practicing therapists were found to be 24 (21%) and only 20 (17%) Physical Therapists were from Government Sector. Further it was extracted from collected data that out of 116 only 14 (12%) Physical Therapists were found engaged in Academics while rests of 102 (88%) Respondent Physical Therapists were doing clinical practice. Conclusion: It has been originated thatlack of awareness of scope of physical therapy practice, lack of \job structure, lack of physical therapy council, clientage depend...

Research paper thumbnail of Parents satisfaction with physical therapy treatment for diplegic cerebral palsy children

Objective: To determine and compare the level of satisfaction of parents about physical therapy t... more Objective: To determine and compare the level of satisfaction of parents about physical therapy treatment in parents having children with diplegic cerebral palsy seen at government and private hospitals. Methodology: This comparative cross-sectional study was conducted from February 2016 to July 2016. Data were collected from the parents of diplegic cerebral palsy patients from the outpatient’s departments of private and government hospitals of Lahore. A non-probability consecutive sampling technique was used and sample size of 200 was calculated. Parent’s satisfaction was evaluated by Physiotherapy Patient satisfaction survey. Independent sample t-test was used to compare the level of satisfaction between two groups. Results: The level of satisfaction of parent’s was higher in private hospitals as compared to government settings. Conclusion: Parents of children with cerebral palsy in private hospitals were more satisfied with physical therapy treatment as compare to parents in gove...

Research paper thumbnail of Effects of Different Stretching Times on Range of Motion in Patients with Hamstring Tightness: A Randomised Control Trial

Annals of King Edward Medical University

Hamstring tightness is commonest cause of altered biomechanics of ankle, knee, hip and spine. Lon... more Hamstring tightness is commonest cause of altered biomechanics of ankle, knee, hip and spine. Long persistent tightness results in pain, decreased range of motion and others pathologies in knee joint. Stretching techniques are used to treat muscle tightness. In clinical settings, different stretch holding timesare used to treat hamstring tightness. The purpose of the study was to determine effects of different static stretch holding-times on hamstring muscles flexibility and their impacts on improving range of motion (ROM) of knee extension in adults. This experimental work was conducted on students of University of Lahorefrom December 2013 to March 2014. The study comprised of 60 subjects with asymptomatic tightness of hamstrings muscles and subjects were aged between 18-26 years (irrespective of their gender). Range of motion at knee joint was measured by universal goniometer before the commencement of stretching technique. Static stretching was applied to group A, B and C with 30...

Research paper thumbnail of Neck, Shoulder, and Back Pain with Carrying Heavy Back Packs among the Spirit School Children in Lahore

International Journal of Science and Research (IJSR)

School children experience neck, shoulder and back pain due to carrying heavy bags. Heavy back pa... more School children experience neck, shoulder and back pain due to carrying heavy bags. Heavy back packs negatively affect spine as well as cause other musculoskeletal symptoms. Objective: The aim of this study was to determine the frequency of neck, shoulder and back pain in spirit school children carrying heavy back packs. Method: This cross sectional survey was conducted among 135 students of private school in Pakistan, Lahore in 2016. Modified Nordic musculoskeletal questionnaire (Extended version) was used, asking about neck, shoulder and back pain and its details. Weights of the children were measured. Weights of bags were measured and its percentage with respect to body weight was also calculated. Results: Results showed that most prevalent musculoskeletal symptom was shoulder pain (44.4%) followed by neck (29.6%), low back (23%) and upper back (3%). Conclusion: Weight of school bags was strongly related to neck, shoulder and back pain in school children. Students who used double straps and carrying bags on both shoulder showed less symptoms.

Research paper thumbnail of Risk Factors of Hamstring Strain in Football Players

International Journal of Science and Research (IJSR)

The objective of this study was to determine the risk factors for hamstring strain in football pl... more The objective of this study was to determine the risk factors for hamstring strain in football players. A observational study was conducted among football players of different clubs of Lahore Convenient sampling technique was used. A questionnaire was distributed among 138 players to collect the data. The mean age of hamstring injury that is calculated in this study is 24.62±3.477SD. The other risk factor are insufficient cool down. 75(54.3%) out 138 did not perform cool down after the match. 107(77.5%) were did not stretch after the match. 89(64.5%) players out of 138 were found with the complaint of fatigue. 52(37.7%) Respondents had experienced hamstring injury second time. 38(27.5%) Respondents had experienced hamstring injury third time. The frequency of football players who were defender was 79(52.2%). The frequency of football players who were striker was 51(37.0%). 90(65.2%) out of 138 players of were found with history of hamstring injury. 24(17.4%) out of 138 players of football were found with history of back injury. 79(57.2) out of 138 players were found with history of knee injury. 68(49.3%) out of 138 players were found with a history of groin injury. This study was undertaken to address, the information on risk factors for hamstring strain. Overall, the study identified a number of potential causal relations between baseline factors and hamstring injury. In particular, age, cool down, stretching after match, complaints of fatigue, playing position and previous history of back, hamstring, knee and groin injury were significant risk factors for hamstring strain.

Research paper thumbnail of Frequency of Computer Vision Syndrome & Ergonomic Practices among Computer Engineering Students

International Journal of Science and Research (IJSR)

The aim of this study was to assess the frequency of CVS & related ergonomic practices among comp... more The aim of this study was to assess the frequency of CVS & related ergonomic practices among computer engineering students. A cross sectional study was conducted among computer engineering students of Superior University. A self-administrated questionnaire to assess computer vision syndrome and UC computer checklist was used. Simple randomized technique was used. A Sample of 170 computer engineering students was taken from a population of 1250 students of computer engineering department. All collected data were entered in computer program SPSS version 20 and analyzed through this software. For categorical variable frequency and percentage were used and for discrete variables mean and standard deviation were used. The frequency of CVS was found to be 72.4% (123/170). Average duration of computer use was 2-5 hours by most of the students (n=109, 64.1%). About 45.9% (78/170) students were using computers more than 50 hours a week. (70.0%) students reported forward leaning posture to clearly see characters on the screen situation. Regarding the back posture out of 170only 28 (16.5%) students were employing Good Posture. This study concludes that computer vision syndrome is a highly frequent condition among computer engineering students. The results of selfreported ergonomic analysis of computer use revealed that majority of the students were not practicing the correct ergonomic principles.

Research paper thumbnail of Level of Stress and Caregiver Burden among Caregivers of Cerebral Palsy Children in Lahore City

International Journal of Science and Research (IJSR)

The objective of this study was to assess the level of stress and caregiver burden among caregive... more The objective of this study was to assess the level of stress and caregiver burden among caregivers of Cerebral palsy children in Lahore city. This was an observational cross sectional study, conducted at physical therapy OPD ofChildren's Hospital Lahore and Fatima Memorial Hospital Lahore. Study was completed within 3 months after the approval from ethical review committee. Data was collected from caregivers of 196 cerebral palsy children. Self-administered questionnaires based on scales named as caregiver burden inventory and caregiver stress self-assessment were used to find out the level of stress and caregiver burden. The majority of cerebral palsy children were females (52.55%). Total mean score for care-giver stress self-assessment scale was 37.04 (SD =6.26). And the total mean score for care-giver burden inventory was 47.84 (SD =12.08). The response on individual items that was rated highest on caregiver stress self-assessment scale was "Afraid of what future hold for loved one" 2.71 (SD=.978). The response on individual item that was rated highest on sub scale (time dependency) of care-giver burden inventory was "He/she needs my help to perform many daily tasks" 2.82 (SD=.872). The caregivers of cerebral palsy children experienced moderate level of stress owing to the care-giving process. Most of caregivers were not satisfied with their emotional health, social relationships, physical health, their child's development and dependency of their child.

Research paper thumbnail of Frequency of musculoskeletal disorders among prisoners of Lahore, Pakistan

Rawal Medical Journal, 2020

Objective: To determine the frequencies of musculoskeletal disorders among male and female prison... more Objective: To determine the frequencies of musculoskeletal disorders among male and female prisoners of Central Jail, Lahore. Methodology: This descriptive cross sectional study included male and female prisoners of central jail, Lahore. Convenient sampling was used. Data were collected through Nordic musculoskeletal questionnaire. Results: Out of 294 subjects, 57% were male and 43% females. The musculoskeletal disorders are very common; disorders of knee were 60%, being the highest affected body part. Low back pain was 2nd most common disorders (51%) followed by ankle and foot (35%). Conclusion: Musculoskeletal disorders were highly prevalent among prisoners of Lahore. Both male and females are commonly affected. Lower limb was more affected than upper limb. The most commonly affected areas are knees, low back ankle and foot.

Research paper thumbnail of Prevalence of postpartum depression in an urban setting

Biomedical Research-tokyo, 2015

Women undergo various physical and mental changes during their postpartum period and are in a vul... more Women undergo various physical and mental changes during their postpartum period and are in a vulnerable state of mind. Some women may not cope with these situations as better than others and consequently they undergo a depressive state known as postpartum depression. It is a debilitating disorder and should be screened at an early stage to avoid long term adverse effects. The objectives of this study were to quantify the prevalence of postpartum depression in an urban setting where literacy rate is higher and medical facilities are readily available. This observational cross sectional study was performed in National Hospital, Lahore and Fatima Memorial Hospital, Lahore and was accumulated at RCRS Lahore. Study was accomplished in 4 months after the ratification of synopsis. Non-probability, purposive sampling was used. Sample size was calculated to be of 88 women. Self-administered questionnaire consisting of validated 10 items, Edinburgh postnatal depression scale (EPDS) [1] was e...

Research paper thumbnail of Effect of Depression on Stroke Specific Quality of Life: ASurvey in Urban Settings of Lahore City

Electronic Journal of Biology, 2017

Background: Stroke has significant effect on physical and mental functioning of the patients. The... more Background: Stroke has significant effect on physical and mental functioning of the patients. The impact on functionality and activities of daily living can further have profound effect on post stroke depression and quality of life of the patients. Objective of this study was to determine the effect of depression on stroke specific quality of life. Method and findings: A sample of 195 post stroke patients was selected using convenient sampling. Male or female Post stroke patients, Age 30 to 55 years, 1 to 6 months after their first stroke and with a level of disability of 2 to 4 on Modified Rankin Scale (MRS) were included in the study. Diagnostic and statistical manual of mental disorders-IV (DSM IV) criterion for the diagnosis of depression was used in the form of questionnaire to determine the frequency of depression among stroke patients. The quality of life of both depressed and non-depressed stroke patients was assessed using Stroke Specific Quality of life Scale. Most of the ...

Research paper thumbnail of Factors of Overweight and Obesity Related to Eating Habits and Physical Activity in Students of Azra Naheed Medical College

The prevalence of obesity and overweight is rising to alarming levels in developed and developing... more The prevalence of obesity and overweight is rising to alarming levels in developed and developing countries including Pakistan. The objective of study was to determine the factors responsible for overweight and obesity in students of Azra Naheed Medical College. This case control study comprised 150 overweight/obese participants (BMI >25) and 150 Normal participants (BMI 18.5-25). Odds ratio was calculated to estimate the relative risk and to control the confounding variable; logistic regression was used. The findings of this study indicate that the use of carbonated drinks, lack of moderate and aggressive physical activity and watching TV could be the factors that increase the probability of being over-weight/obese

Research paper thumbnail of Risk factors of non-structural scoliosis in adults with low back pain

Rawal Medical Journal, 2019

Objective: To identify the risk factors of non-structural scoliosis in adults with low back pain.... more Objective: To identify the risk factors of non-structural scoliosis in adults with low back pain. Methodology: This case control study was conducted using Convenient sampling technic. The data were collected from Mayo hospital, General Hospital and Pakistan society of Rehabilitation of Disabled. Subjects with non-structural scoliosis with back pain having 19 to 30 years of age were enrolled in case group. In Control Group, subjects with low back pain but without scoliosis and ages between 19 to 30 years of age were included. Sample size was 160, with 80 participants in each group. Scoliometer was used to measure the trunk asymmetry . Visual analogue scale was used to assess pain. The data were analyzed by using SPSS version 21. Results: There were 37 cases and 41 controls participants in middle class, and 43 cases and 39 controls in lower class. The p value of socioeconomic status was 0.527. The p value for height and pain shows no significant association. We have observed there was...

Research paper thumbnail of Comparison of Mulligan Mobilization with Movement and End-Range Mobilization Following Maitland Techniques in Patients with Frozen Shoulder in Improving Range of Motion

this Quasi experimental study was aimed to compare the outcomes of end range joint mobilizations ... more this Quasi experimental study was aimed to compare the outcomes of end range joint mobilizations (ER M) following Maitland technique with mobilization with movement (MWM) for treating frozen shoulder to increase range of motion and to find the most effective management technique for treating other patients with frozen shoulder patients. 100 patients were taken in which comparison of two interventions on a single condition i.e. frozen shoulder, was done, over the period of two months for improving ROM. Paired Sample t-test performed. All the subjects was interviewed and evaluated for inclusion and they signed the consent form then they was asked to pick up a card for entitlement randomly in each of two groups i.e. either group A or B and was included in the study. The results showed strong statistical significant correlation between range of movement in shoulder extension before and after two months of treatment. In both experimental groups, shoulder flexion and abduction range of mo...

Research paper thumbnail of Awareness of Obstetricians and Gynecologist Regarding Role of Physical Therapy in Managing Obstetric and Gynecological Patients in Private and Government Hospital

Objective: To determine and compare awareness of obstetricians and gynecologists regarding the ro... more Objective: To determine and compare awareness of obstetricians and gynecologists regarding the role of physical therapy in managing gynecological and obstetric patients in private and government hospitals.Design: It was a comparative cross-sectional study conducted in private and government hospitals of Lahore from October 2016 to March 2017Methodology: The study participants were obstetricians and gynecologists working in private and government hospitals of Lahore. One thirty-eight participants, including 71 consultants, 67 senior registrars participated in the study. 69 participants were from private hospitals while remaining 69 were from government hospitals. Data was collected using a pre-tested 28-items self-administrated questionnaire which was taken from previous research work.Results: The mean score for physical therapy awareness among gynecologist and obstetricians was 29.64±3.622 in private and 30.36±3.171 in government hospitals. P-value (>0.05) shows that there was no...

Research paper thumbnail of Self-Medication Phenomenon; A Population Based Study from Lahore

JPMA. The Journal of the Pakistan Medical Association, 2019

OBJECTIVE To study the reasons of self-medication in rural and urban population.. METHODS The cro... more OBJECTIVE To study the reasons of self-medication in rural and urban population.. METHODS The cross-sectional descriptive study was conducted in Lahore, Pakistan, from March to August 2017, and comprised inhabitants of rural and urban areas of the city regardless of gender and aged 18-50 years. The subjects were enrolled using non probability convenience sampling technique. Data was collected using a semi-structured questionnaire, which was validated through content validity index. Data was analysed using SPSS 21. RESULTS Of the 786 participants, 551(70%) were from the urban areas and 235(30%) were from the rural areas. The mean age of the sample was 30.54±8.50. Overall, 746(95%) were taking medicines without a prescription. Among them, 528(96%) were urban and 218(93%) were rural inhabitants (p<0.07). Besides, 352(47.2%) were males and 394(52.8%) were females (p>0.05). The most frequent reason cited for self-medication was quick relief by 478(64.1%) subjects. CONCLUSIONS Self-...

Research paper thumbnail of Quality of life in Elderly Population with grade 1 knee osteoarthritis

Background: Knee osteoarthritis is continuously a degeneration process of the bone and its upper ... more Background: Knee osteoarthritis is continuously a degeneration process of the bone and its upper cartilage that gradually deteriorate the joint and its surrounding structures. Increase in pain and decrease in the functional activities often experienced by the patients that leads to the marked decrease in the quality of life of the individual. Objective of Study: To assess the quality of life of the elderly population with grade 1 knee osteoarthritis. Methodology: It was a cross sectional descriptive and analytical study, which was conducted in the Niazi Hospital Lahore.384 patients were taken through sequential non-probability sampling after meeting inclusion criteria. Data was entered in terms of rand sf 36. data analysis was done by using spss version 20. Results: BMI was majorly in between 35 to 40 showed mostly patients were overweight and among them females were more dominant. Pain in the knees while walking was experienced by 64% of the respondents and 94% of the participants ...

Research paper thumbnail of Frequency of Pain Catastrophizing and Kinesiophobia Among Post Cesarean Females with Low Back and Pelvic Pain

Objective: The objective of the study is to determine the frequency of pain catastrophizing and k... more Objective: The objective of the study is to determine the frequency of pain catastrophizing and kinesiophobia and the possible relation between these variables in post-caesarean females with low back and pelvic pain in Lahore, PakistanDesign: This descriptive cross-sectional study was conducted within six months duration from March 2017 to August 2017 in Lahore.Methodology: Convenient sampling technique was used and a sample of 138 post cesarean females with low back and pelvic pain was collected from four different hospitals of Lahore. Post-cesarean primary & secondary parous females, aged between 20 to 40 years, with a complaint of non-specific low back and pelvic pain within six months after delivery were included in the study. Pain catastrophizing scale and Tampa scale of kinesiophobia were used to determine pain Catastrophizing behavior and kinesiophobia. Results: Out of 138 participants, 46% participants had kinesiophobia, and 37% showed pain catastrophizing. The study demonst...

Research paper thumbnail of Chronic tension-type headache as a risk factor of myofascial trigger points in upper trapezius muscle fibers in neck pain patients

Background: Chronic tension type headache (CTTH) is one of the very common neurological condition... more Background: Chronic tension type headache (CTTH) is one of the very common neurological conditions which have striking impact on daily functional activities. In tension type headaches the myofascial TrP's are frequently examined .It is observed that myofascial pain syndrome is frequent determinant of chronic nonspecific neck pain. OBJECTIVE: To determine tension type headache as a risk factor of myofascial trigger points in upper trapezius muscle fibers in neck pain patients. MATERIAL AND METHODS: It was a case control study. The study was conducted from January 2016 to July 2016 and data was collected from four hospitals of Lahore..Convenient sampling technique was used. Sample size of 130 patients was taken which were equally divided into case and control group. An international headache criterion was used for diagnosis of tension headache and Travell & Simon criterion was used for diagnosis of trigger points. RESULTS: Total 130 subjects were recruited in the study. 65 (50%) w...

Research paper thumbnail of Kyphotic posture in laptop and desktop users among employees of private Universities in Lahore

Objective: The objective of study was to find the association of kyphotic posture with type of co... more Objective: The objective of study was to find the association of kyphotic posture with type of computer used (laptop/desktop) among employees of private Universities in Lahore Pakistan.Methodology: An analytical associational study was conducted. Convenient sampling technique was used to select the 195 subjects. Self-made questionnaire was used to collect the demographic details. The Occiput wall distance test was applied to find the presence and measure the severity of kyphosis. Chi-square test was applied to analyze the association between computers usage (laptop & desktop) and gender, age, number of hours and severity of kyphotic posture in categorical and continuous variables, respectively.Results: Results showed presence of kyphotic posture in 186 (95.38%) respondents and absent in just 9 (4.62%) respondents. Total number of desktop users were 80,in which 5% were normal, 33.75% had mild kyphosis, 48.75% had moderate kyphosis and 12.5% had severe kyphotic posture and in case of ...

Research paper thumbnail of A Study of Physical Therapists’ Perceptions about Limitations in Development of Physical Therapy Profession in Pakistan

Purpose of the study was to find out Physical Therapists' perceptions about limitations in de... more Purpose of the study was to find out Physical Therapists' perceptions about limitations in development of physical therapy profession in Pakistan. Methods: A cross sectional survey was conducted and three hundred Physical Therapists from all over Pakistan were invited to participate to a questionnaire comprising of thirteen closed ended questions. A purposive sampling technique was used. Out of three hundred physical therapists only 116 responded back.with number reaching to 72 (62%), self-practicing therapists were found to be 24 (21%) and only 20 (17%) Physical Therapists were from Government Sector. Further it was extracted from collected data that out of 116 only 14 (12%) Physical Therapists were found engaged in Academics while rests of 102 (88%) Respondent Physical Therapists were doing clinical practice. Conclusion: It has been originated thatlack of awareness of scope of physical therapy practice, lack of \job structure, lack of physical therapy council, clientage depend...

Research paper thumbnail of Parents satisfaction with physical therapy treatment for diplegic cerebral palsy children

Objective: To determine and compare the level of satisfaction of parents about physical therapy t... more Objective: To determine and compare the level of satisfaction of parents about physical therapy treatment in parents having children with diplegic cerebral palsy seen at government and private hospitals. Methodology: This comparative cross-sectional study was conducted from February 2016 to July 2016. Data were collected from the parents of diplegic cerebral palsy patients from the outpatient’s departments of private and government hospitals of Lahore. A non-probability consecutive sampling technique was used and sample size of 200 was calculated. Parent’s satisfaction was evaluated by Physiotherapy Patient satisfaction survey. Independent sample t-test was used to compare the level of satisfaction between two groups. Results: The level of satisfaction of parent’s was higher in private hospitals as compared to government settings. Conclusion: Parents of children with cerebral palsy in private hospitals were more satisfied with physical therapy treatment as compare to parents in gove...

Research paper thumbnail of Effects of Different Stretching Times on Range of Motion in Patients with Hamstring Tightness: A Randomised Control Trial

Annals of King Edward Medical University

Hamstring tightness is commonest cause of altered biomechanics of ankle, knee, hip and spine. Lon... more Hamstring tightness is commonest cause of altered biomechanics of ankle, knee, hip and spine. Long persistent tightness results in pain, decreased range of motion and others pathologies in knee joint. Stretching techniques are used to treat muscle tightness. In clinical settings, different stretch holding timesare used to treat hamstring tightness. The purpose of the study was to determine effects of different static stretch holding-times on hamstring muscles flexibility and their impacts on improving range of motion (ROM) of knee extension in adults. This experimental work was conducted on students of University of Lahorefrom December 2013 to March 2014. The study comprised of 60 subjects with asymptomatic tightness of hamstrings muscles and subjects were aged between 18-26 years (irrespective of their gender). Range of motion at knee joint was measured by universal goniometer before the commencement of stretching technique. Static stretching was applied to group A, B and C with 30...

Research paper thumbnail of Neck, Shoulder, and Back Pain with Carrying Heavy Back Packs among the Spirit School Children in Lahore

International Journal of Science and Research (IJSR)

School children experience neck, shoulder and back pain due to carrying heavy bags. Heavy back pa... more School children experience neck, shoulder and back pain due to carrying heavy bags. Heavy back packs negatively affect spine as well as cause other musculoskeletal symptoms. Objective: The aim of this study was to determine the frequency of neck, shoulder and back pain in spirit school children carrying heavy back packs. Method: This cross sectional survey was conducted among 135 students of private school in Pakistan, Lahore in 2016. Modified Nordic musculoskeletal questionnaire (Extended version) was used, asking about neck, shoulder and back pain and its details. Weights of the children were measured. Weights of bags were measured and its percentage with respect to body weight was also calculated. Results: Results showed that most prevalent musculoskeletal symptom was shoulder pain (44.4%) followed by neck (29.6%), low back (23%) and upper back (3%). Conclusion: Weight of school bags was strongly related to neck, shoulder and back pain in school children. Students who used double straps and carrying bags on both shoulder showed less symptoms.

Research paper thumbnail of Risk Factors of Hamstring Strain in Football Players

International Journal of Science and Research (IJSR)

The objective of this study was to determine the risk factors for hamstring strain in football pl... more The objective of this study was to determine the risk factors for hamstring strain in football players. A observational study was conducted among football players of different clubs of Lahore Convenient sampling technique was used. A questionnaire was distributed among 138 players to collect the data. The mean age of hamstring injury that is calculated in this study is 24.62±3.477SD. The other risk factor are insufficient cool down. 75(54.3%) out 138 did not perform cool down after the match. 107(77.5%) were did not stretch after the match. 89(64.5%) players out of 138 were found with the complaint of fatigue. 52(37.7%) Respondents had experienced hamstring injury second time. 38(27.5%) Respondents had experienced hamstring injury third time. The frequency of football players who were defender was 79(52.2%). The frequency of football players who were striker was 51(37.0%). 90(65.2%) out of 138 players of were found with history of hamstring injury. 24(17.4%) out of 138 players of football were found with history of back injury. 79(57.2) out of 138 players were found with history of knee injury. 68(49.3%) out of 138 players were found with a history of groin injury. This study was undertaken to address, the information on risk factors for hamstring strain. Overall, the study identified a number of potential causal relations between baseline factors and hamstring injury. In particular, age, cool down, stretching after match, complaints of fatigue, playing position and previous history of back, hamstring, knee and groin injury were significant risk factors for hamstring strain.

Research paper thumbnail of Frequency of Computer Vision Syndrome & Ergonomic Practices among Computer Engineering Students

International Journal of Science and Research (IJSR)

The aim of this study was to assess the frequency of CVS & related ergonomic practices among comp... more The aim of this study was to assess the frequency of CVS & related ergonomic practices among computer engineering students. A cross sectional study was conducted among computer engineering students of Superior University. A self-administrated questionnaire to assess computer vision syndrome and UC computer checklist was used. Simple randomized technique was used. A Sample of 170 computer engineering students was taken from a population of 1250 students of computer engineering department. All collected data were entered in computer program SPSS version 20 and analyzed through this software. For categorical variable frequency and percentage were used and for discrete variables mean and standard deviation were used. The frequency of CVS was found to be 72.4% (123/170). Average duration of computer use was 2-5 hours by most of the students (n=109, 64.1%). About 45.9% (78/170) students were using computers more than 50 hours a week. (70.0%) students reported forward leaning posture to clearly see characters on the screen situation. Regarding the back posture out of 170only 28 (16.5%) students were employing Good Posture. This study concludes that computer vision syndrome is a highly frequent condition among computer engineering students. The results of selfreported ergonomic analysis of computer use revealed that majority of the students were not practicing the correct ergonomic principles.

Research paper thumbnail of Level of Stress and Caregiver Burden among Caregivers of Cerebral Palsy Children in Lahore City

International Journal of Science and Research (IJSR)

The objective of this study was to assess the level of stress and caregiver burden among caregive... more The objective of this study was to assess the level of stress and caregiver burden among caregivers of Cerebral palsy children in Lahore city. This was an observational cross sectional study, conducted at physical therapy OPD ofChildren's Hospital Lahore and Fatima Memorial Hospital Lahore. Study was completed within 3 months after the approval from ethical review committee. Data was collected from caregivers of 196 cerebral palsy children. Self-administered questionnaires based on scales named as caregiver burden inventory and caregiver stress self-assessment were used to find out the level of stress and caregiver burden. The majority of cerebral palsy children were females (52.55%). Total mean score for care-giver stress self-assessment scale was 37.04 (SD =6.26). And the total mean score for care-giver burden inventory was 47.84 (SD =12.08). The response on individual items that was rated highest on caregiver stress self-assessment scale was "Afraid of what future hold for loved one" 2.71 (SD=.978). The response on individual item that was rated highest on sub scale (time dependency) of care-giver burden inventory was "He/she needs my help to perform many daily tasks" 2.82 (SD=.872). The caregivers of cerebral palsy children experienced moderate level of stress owing to the care-giving process. Most of caregivers were not satisfied with their emotional health, social relationships, physical health, their child's development and dependency of their child.