farjad afzal | University of Sargodha (original) (raw)
Papers by farjad afzal
Journal of clinical and nursing research, Sep 29, 2022
The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization tec... more The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis. Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers. The study design was randomized, controlled, and multicenter. Around 75 patients were selected by inclusion and exclusion criteria, and were divided into three groups by lottery method of randomization. Group 1 obtained Kaltenborn method of treatment, Group 2 obtained muscle energy technique, and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises. Duration of study was 6 months, and the interventions were performed for two weeks, with a total of 10 sessions. A baseline measurement was taken on shoulder pain and disability index (SPADI). A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis. The pre-intervention measurements on SPADI were 61.11±8.79, 60.91±9.90, and 61.18±9.00 in control, Kaltenborn, and METs groups, respectively. The post intervention measurements were 49.33±9.95, 39.09±9.45, and 27.69±11.97 in control, Kaltenborn, and METs groups, respectively. This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups. METs is superior to Kaltenborn in pain and disability management when compared to each other.
Annals of King Edward Medical University
Background: Adhesive capsulitis is a common disabling and painful condition that causes limitatio... more Background: Adhesive capsulitis is a common disabling and painful condition that causes limitation of both passive and active ranges of shoulder joint. Division of frozen shoulder can be into primary and secondary categories. Different techniques have been devised in physiotherapy to regain limited range of motion in adhesive capsulitis. Objectives: To compare the effects of anterior and posterior grade III Kaltenborn glides on glenohumeral joint for improving external rotation and functional ability in patients with adhesive capsulitis. Material and methods: This randomized controlled trial was conducted in University of Health Sciences, Lahore and 40 patients were recruited from Mayo Hospital, Lahore from 08-10-2019 to 10-02-2020 and divided randomly into two groups. Group A was given anterior glide and Group B was given posterior glide. Treatment was given for 4 weeks, 3 sessions in each week. Outcomes were measured in terms of external rotation and functional status of shoulder ...
Rawal Medical Journal, 2021
Journal of Experimental Stroke & Translational Medicine, 2021
Stroke is a neurological insufficiency which causes major motor deficits particularly in lower li... more Stroke is a neurological insufficiency which causes major motor deficits particularly in lower limbs. Task oriented walking intervention is a novel approach used for stroke rehabilitation. The purpose of this research study was to compare the effects of the task oriented walking interventions with the conservative rehabilitation for improvement of balance in the chronic stroke patients. The study was a randomized control trial, conducted in hospital settings. 48 patients with predefined inclusion and Exclusion criteria were selected. Subjects were randomly allocated into 2 groups. After obtaining consent, data was collected via self-structured questionnaire, 06 minutes-walk test, Timed "Up and Go" test, and Berg Balance Scale. Group one received Task-Oriented Walking Intervention interventions and conventional treatment while control group received conventional interventions only. Data was analyzed by SPSS version 24. The results showed that, there were 54% males and 46% females. After 6 weeks of intervention experimental group receiving task oriented training along with conventional interventions showed significant improvement in balance with P-value <0.005 for all the three scales TUG, BBS and 6MWT as compared to the control group receiving only conventional interventions. Our respective study concluded that patients who were receiving task oriented walking interventions had considerable improvement in balance.
Rawal Medical Journal, 2021
Pakistan Journal of Medical and Health Sciences, 2021
Health is a state of complete physical, mental and social well-being and not merely the absence o... more Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Objectives: To find the prevalence of work related musculoskeletal problems among the physical therapist. Study Design: Associational, correlational, causal-comparative. Methodology: The Physical therapists from clinical setups (private and public) in Lahore, Pakistan, were enrolled taking a sample size of 131. The sample size calculated was by keeping margin of error equal to 13% and level of significance equal to 5%. Statistical analysis: Data was analyzed by SPSS software, version 25 as qualitative variables were expressed as frequencies and percentages. Results: There was a significant relation of physical problems related to work of physical therapist as per daily routine of repetitive movements while giving a treatment to the patient. Conclusion: We concluded that experts of the field either switch to the academic side or more preventive nature of job to man...
Journal of Pharmaceutical Research International
Objective: This study investigated the causes and risk factors of coccydynia among postpartum wom... more Objective: This study investigated the causes and risk factors of coccydynia among postpartum women in Maula Bakhsh DHQ Sargodha. The main focus of the study was to identify what are the basic causes and risk factors of coccydynia. Methods: This was an observational cross-sectional study on 90 postpartum women from Maula Bakhsh DHQ Sargodha. Self-developed questionnaire was filled for data collection. Results: Highest percentages of coccydynia was found among age 30 and 35 i.e. 12.2%. Our study showed that out of the total population 68.9% women experienced coccydynia with C sections. 73.3% experienced coccydynia with increasing number of pregnancies (more than one pregnancy. 90% women experiencing pain preferred to sit on soft surface. Conclusion: This study concluded that multiple factors led to the development of coccydynia in postpartum women including number of C sections and increasing number of pregnancies.
Bio-Byword Scientific Publishing, Pty. Ltd., Nov 30, 2021
Journal of University Medical & Dental College, 2017
ABSTRACT: After discovery of antibiotic in 1928, there are 100 of compounds, but after 1987 no ne... more ABSTRACT: After discovery of antibiotic in 1928, there are 100 of compounds, but after 1987 no new class had been discovered. Infectious diseases are third leading cause of deaths in US and second leading cause in whole world. Obstruction in the discovery of new drugs is multifactorial; one factor is that bringing new drug into market requires 800 million US dollars and 10 years, pharmaceuticals companies have to bear a large cost on research and adverse effects. Another factor that was identified is that current focus is on drugs that are used for chronic diseases. Drugs for chronic diseases are used for longer periods of time as compare to antibiotics that are used for five to fourteen days. Health professionals, community, patients, researchers, media, industry and government should come forward to remove all possible barriers in the discovery of new drugs.
A 08 years old child; know case of autism with hyperactive sub with impairments in behavioral, so... more A 08 years old child; know case of autism with hyperactive sub with impairments in behavioral, social and motor function was selected for therapy i n universal exercise unit along with social skills training, attending skills training, self help skills training and adaptive sports activities. Pediatric evaluation of disability inventory (PEDI) was used to measure sensory functions, motor function and social function and then compared the pre-treatment and post-treatment measurements. Pre-treatment self care, mobility and social function score were 49, 40 and 45 and post treatment score were 58, 50, and 57 respectively on pediatric evaluation disability inventory scale. Result of this study showed that universal exercise combine with social skills training, attending skills training, self help skills training and adaptive sports activities can change the motor function, self help function and social function of a child with autism.
Objective: To measure outcomes of Universal exercise unit in combination of other therapies on tr... more Objective: To measure outcomes of Universal exercise unit in combination of other therapies on trunk control of cerebral palsy. Material and Methods: A sample of 25 children were selected and a baseline measurement (pre-intervention) was taken by using trunk impairment (TIS) scale three to ten days before the interventions. Interventions were carried out 5 days in a week for one hour daily. A post-intervention measurement was taken after the 06 months.
The Journal of Neurobehavioral Sciences, 2017
Beyin felci hareket ve duruş problem olmak birlikte olgunlaşmamış beyindeki lezyondan dolayı oluş... more Beyin felci hareket ve duruş problem olmak birlikte olgunlaşmamış beyindeki lezyondan dolayı oluşur. Normal beynin alt merkezlerde normal etkileri vardır ve hareket ve duruşta normal gelişim gösterir. Üst motor nöron lezyonlu hastalarda ki motor fonksiyonun iyileşmesinde Bobath, Brunnstorm, Rood ve PNF (Propriyoseptif Nöromüsküler Fasilitasyon) gibi farklı duyusal motor yaklaşımlar vardır. Bu tedavilerin zemini nörogelişimsel teori, refleks teorisi, hiyerarşik teori ve sistem yaklaşımı gibi farklı teorilerle açıklanabilir. Normal hareketlerin tekrarını sağlamak, faaliyetleri kontrol etmek için beynin yeni alanlarını oluşturur. Refleks aktivitesinin entegrasyonu, beyin felci geçiren çocukların rehabilitasyonu ve fiziksel gelişiminin önemli bir parçası olmalıdır.
Journal of Pharmaceutical Research International, 2021
Objective: The objective of study was to determine the effects of spider cage therapy in combinat... more Objective: The objective of study was to determine the effects of spider cage therapy in combination with conventional speech therapy on speech and language function in children with cerebral palsy of age between 05 And 15 Years. Materials and Methods: A total of 20 children from a special institute with cerebral palsy who were provided with spider cage therapy in combination with conventional speech therapy were evaluated from January 2017 to June 2017. Effect of spider cage therapy in combination with conventional speech therapy was determined by applying dysarthric profile revised before and after the treatment. Results: Baseline score on dysarthric profile was 34.76±2.67 and post intervention score was 69.93±8.14. Result indicated that out of 20 children with cerebral palsy, there was a statistically significant difference in total score. Conclusion: The findings suggested that the Mean score of spider cage therapy in combination with conventional speech therapy post treatment i...
Objective: To determine the effectiveness of Ischemic Compression and Passive Stretching for the ... more Objective: To determine the effectiveness of Ischemic Compression and Passive Stretching for the treatment of Myofascial trigger point in the Upper Trapezius muscle. Methods: Fifty four female jail survivors were recruited for the study. Subjects were healthy individuals, diagnosed with active Myofascial trigger point in the upper trapezius muscle following palpation criteria given by Travell & Simons. Subjects were randomly placed into two groups: Group 1, which received Ischemic compression treatment for Myofascial trigger point; Group 2 received Passive Stretching for Myofascial trigger point. The data was recorded at baseline data, and after one week of intervention. Outcome measures were active range of motion of cervical (measured with Goniometer), pain (measured with Visual analogue scale) and ADLs limitation (measured by using Neck Disability index). Results: There were 27 patients in Group 1 and 27 patients Group 2. Base line VAS score of group 1 was 7.56 while group 2 was...
Journal of Pharmaceutical Research International, 2021
Objective: The objective of study was to find the effectiveness of muscle energy techniques (METs... more Objective: The objective of study was to find the effectiveness of muscle energy techniques (METs) in patients with adhesive capsulitis. Methodology: Study was conducted in population of Sargodha seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers. Study was randomized, controlled and multicenter. 50 patients were selected by inclusion and exclusion criteria and were divided into two groups by lottery method of randomization. Group I obtained muscle energy technique. Group II was controlled that obtained conventional treatment in the form of heat and range of motion exercises. Duration of study was 06 month. Interventions were carried out for two weeks (total 10 sessions). A baseline measurement was taken on shoulder pain and disability index (SPADI). A post intervention measurement was taken on same outcome measurements tools and was compared by independent t test. Results: The pre intervention measurements on Shoulder Pai...
Journal of Pharmaceutical Research International, 2021
Objective: The objective of the study was to determine the prevalence of dysphagia in children wi... more Objective: The objective of the study was to determine the prevalence of dysphagia in children with cerebral palsy. Materials and Methods: A sample of 105 children with cerebral palsy age between four and sixteen years, were selected from cerebral palsy centers in Lahore. Out of these children almost all were with spastic cerebral palsy. Data was collected by using a questionnaire filled by the caregivers of children with cerebral palsy. This questionnaire constitutes questions regarding swallowing difficulty of CP child and their eating & feeding patterns to determine the prevalence of dysphagia. Results: Result indicated that out of 105 children’s caregiver with cerebral palsy 36(34.3%) responded affirmatively that their children have swallowing difficulty and 69(65.7%) responded negatively that their children have no swallowing difficulty. Conclusion: The findings suggested that prevalence of dysphagia in children with cerebral palsy is 34.3% in Lahore city.
Pakistan Armed Forces Medical Journal, 2017
Study was conducted on 18 years old male patient with head and brain injury and post craniotomy b... more Study was conducted on 18 years old male patient with head and brain injury and post craniotomy blindness. After receiving the initial intensive care unit (ICU) services and interventions, patient was discharged from the hospital and presented to outdoor physical therapy clinic. Intervention was proprioceptive training by using gym ball and approximation techniques on joints combined with strengthening exercises with manual resistance. Interventions were carried out in 05 days in a week and continued for 03 months. Patient was assessed and scored on disability rating score (DRS) and functional independent measure (FIM) before starting interventions and re-assessed after 03 month on same scales. Pre intervention DRS score was 20 and post intervention score was 05. Pre intervention FIM score was 21 and post intervention score was 96. Proprioceptive training (by using gym ball and approximation techniques on joints combine with strengthening exercises with manual resistance) can improv...
A lot of innovations have been done in neurological sciences, but still we need to work in the fi... more A lot of innovations have been done in neurological sciences, but still we need to work in the field of neurological science. Many conditions in neurological field still have not confirmatory treatment. After spinal cord injury patients became crippled for life. A compete transaction of spinal cord injury is difficult to treat. Similarly the muscular dystrophy and hereditary sensory motor neuropathy had no cure. In cerebral palsy there is lesion in immature brain that lead to activity limitation and disability. These conditions had no specific treatments and cure but we can manage these conditions to enhance the activity of daily life and increase functioning in these patients. In neuro behavior sciences a number of conditions required attention of researcher. Autism spectrum disorder is a group of neurodevelopmental disorders characterized by social (social skills and socialization), communicational (speech and language) and behavioral (repetitive and stereotype) limitations. Impairments in sensory modulation and sensory processing are one of key features in children with autism spectrum and classify into hyperactivity, hypoactivity and attention seeking. Sensory integration therapy have been used to manage these problem in which all the senses are integrated to produce best, optimum and coordinated response. Vestibule system, touch, vision, auditory and proprioception are integrated in this approach. In pediatric neurology, still we are facing a lot of challenges. Erb's palsy in pediatric neurology is very interested topic among the clinicians. Shoulder external rotation has prime importance in fulfilling a lot of activities of daily life. So restoring external rotation should be a focused goal in patients with Erb's palsy. Physical therapy treatments have satisfactory effects in improving the impairments and disabilities in patient with erb's palsy however restoring external rotation is a difficult task for therapist and patient as it showed limited improvement on modified mallet scale, active movement scale and scapular elevation. Still there are no focused physiotherapy techniques that only focused the external rotation in patient with erb's palsy however some surgical procedure are available to restore external rotation but their efficacy and cost is always questionable. When treating patients with erb's palsy, therapists should always pay special attention in restoring the external rotation in erb's palsy. Neurological injuries are always time consuming and challenging not only for patients but also for health professionals, as recovery to neurological tissue follow the unique pattern of recovery that depends upon the severity of neurological tissues. Erb's palsy is a lower motor injury to lower trunk of brachial plexus. A limited data is available on difficulty and challenges that therapist and patient have to face during rehabilitation of erb's palsy. In developmental neurology, neonatal reflexes play important role in development of tone and posture and posture are basic for the development of skills. In cerebral palsy a number of neonatal reflexes persist and hinder the learning of skills in these children.
Objective: To find the impact of pregnancy related low back pain on activity of daily life. Metho... more Objective: To find the impact of pregnancy related low back pain on activity of daily life. Methodology: This survey collected data of 200 patients visiting antenatal clinics/hospitals from four city of Punjab during a six months period. Inclusion criteria were the women with third trimester and visiting to antenatal clinic or hospitals. Exclusion criteria were women of 1st and 2nd trimester, and women with previous history of surgery and trauma. Data were collected with modified Ostwestry Disability Index by direct interview. Results: Out of 200 women, 156 were with low back pain. Forty (25.6%) females showed minimal disability, 44.9 %(70) females showed moderate disability, 26.3% (41) females showed severe disability, four (2.6%) were crippled and One (0.6%) was bedridden. Out of 200 females, 83.3% had pain in lumbosacral area, 15.4% in sacroiliac area and 1.3% in upper back. 5.7% could not sleep, 5.1% could not lift, 3.8% could not travel, 1.3% had no social life, 0.6% could not ...
Knee osteoarthritis is a common disabling condition that affects a larger number of populations a... more Knee osteoarthritis is a common disabling condition that affects a larger number of populations aged above 40 years and this habitually required knee arthroplasty to reinstate leg function, to improve the pain as well as to improve stability. The main objective of this study was to determine the health-related quality of lifestyle before and after total knee arthroplasty. This study was a cross-sectional observational study conducted at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Horizon Hospital and Mayo Hospital, Lahore-Pakistan. In this study, 100 subjects were selected who were scheduled for Total Knee Replacement (TKR) due to advanced stages of knee osteoarthritis. Informed consent was taken from all selected patients. Selected subjects meeting inclusion and exclusion criteria were enrolled for this study. Subjects with any red flag signs or systemic illness were excluded. A baseline measurement was taken by using visual-analog scale (VAS) for pain, the Short For...
Journal of clinical and nursing research, Sep 29, 2022
The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization tec... more The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis. Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers. The study design was randomized, controlled, and multicenter. Around 75 patients were selected by inclusion and exclusion criteria, and were divided into three groups by lottery method of randomization. Group 1 obtained Kaltenborn method of treatment, Group 2 obtained muscle energy technique, and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises. Duration of study was 6 months, and the interventions were performed for two weeks, with a total of 10 sessions. A baseline measurement was taken on shoulder pain and disability index (SPADI). A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis. The pre-intervention measurements on SPADI were 61.11±8.79, 60.91±9.90, and 61.18±9.00 in control, Kaltenborn, and METs groups, respectively. The post intervention measurements were 49.33±9.95, 39.09±9.45, and 27.69±11.97 in control, Kaltenborn, and METs groups, respectively. This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups. METs is superior to Kaltenborn in pain and disability management when compared to each other.
Annals of King Edward Medical University
Background: Adhesive capsulitis is a common disabling and painful condition that causes limitatio... more Background: Adhesive capsulitis is a common disabling and painful condition that causes limitation of both passive and active ranges of shoulder joint. Division of frozen shoulder can be into primary and secondary categories. Different techniques have been devised in physiotherapy to regain limited range of motion in adhesive capsulitis. Objectives: To compare the effects of anterior and posterior grade III Kaltenborn glides on glenohumeral joint for improving external rotation and functional ability in patients with adhesive capsulitis. Material and methods: This randomized controlled trial was conducted in University of Health Sciences, Lahore and 40 patients were recruited from Mayo Hospital, Lahore from 08-10-2019 to 10-02-2020 and divided randomly into two groups. Group A was given anterior glide and Group B was given posterior glide. Treatment was given for 4 weeks, 3 sessions in each week. Outcomes were measured in terms of external rotation and functional status of shoulder ...
Rawal Medical Journal, 2021
Journal of Experimental Stroke & Translational Medicine, 2021
Stroke is a neurological insufficiency which causes major motor deficits particularly in lower li... more Stroke is a neurological insufficiency which causes major motor deficits particularly in lower limbs. Task oriented walking intervention is a novel approach used for stroke rehabilitation. The purpose of this research study was to compare the effects of the task oriented walking interventions with the conservative rehabilitation for improvement of balance in the chronic stroke patients. The study was a randomized control trial, conducted in hospital settings. 48 patients with predefined inclusion and Exclusion criteria were selected. Subjects were randomly allocated into 2 groups. After obtaining consent, data was collected via self-structured questionnaire, 06 minutes-walk test, Timed "Up and Go" test, and Berg Balance Scale. Group one received Task-Oriented Walking Intervention interventions and conventional treatment while control group received conventional interventions only. Data was analyzed by SPSS version 24. The results showed that, there were 54% males and 46% females. After 6 weeks of intervention experimental group receiving task oriented training along with conventional interventions showed significant improvement in balance with P-value <0.005 for all the three scales TUG, BBS and 6MWT as compared to the control group receiving only conventional interventions. Our respective study concluded that patients who were receiving task oriented walking interventions had considerable improvement in balance.
Rawal Medical Journal, 2021
Pakistan Journal of Medical and Health Sciences, 2021
Health is a state of complete physical, mental and social well-being and not merely the absence o... more Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Objectives: To find the prevalence of work related musculoskeletal problems among the physical therapist. Study Design: Associational, correlational, causal-comparative. Methodology: The Physical therapists from clinical setups (private and public) in Lahore, Pakistan, were enrolled taking a sample size of 131. The sample size calculated was by keeping margin of error equal to 13% and level of significance equal to 5%. Statistical analysis: Data was analyzed by SPSS software, version 25 as qualitative variables were expressed as frequencies and percentages. Results: There was a significant relation of physical problems related to work of physical therapist as per daily routine of repetitive movements while giving a treatment to the patient. Conclusion: We concluded that experts of the field either switch to the academic side or more preventive nature of job to man...
Journal of Pharmaceutical Research International
Objective: This study investigated the causes and risk factors of coccydynia among postpartum wom... more Objective: This study investigated the causes and risk factors of coccydynia among postpartum women in Maula Bakhsh DHQ Sargodha. The main focus of the study was to identify what are the basic causes and risk factors of coccydynia. Methods: This was an observational cross-sectional study on 90 postpartum women from Maula Bakhsh DHQ Sargodha. Self-developed questionnaire was filled for data collection. Results: Highest percentages of coccydynia was found among age 30 and 35 i.e. 12.2%. Our study showed that out of the total population 68.9% women experienced coccydynia with C sections. 73.3% experienced coccydynia with increasing number of pregnancies (more than one pregnancy. 90% women experiencing pain preferred to sit on soft surface. Conclusion: This study concluded that multiple factors led to the development of coccydynia in postpartum women including number of C sections and increasing number of pregnancies.
Bio-Byword Scientific Publishing, Pty. Ltd., Nov 30, 2021
Journal of University Medical & Dental College, 2017
ABSTRACT: After discovery of antibiotic in 1928, there are 100 of compounds, but after 1987 no ne... more ABSTRACT: After discovery of antibiotic in 1928, there are 100 of compounds, but after 1987 no new class had been discovered. Infectious diseases are third leading cause of deaths in US and second leading cause in whole world. Obstruction in the discovery of new drugs is multifactorial; one factor is that bringing new drug into market requires 800 million US dollars and 10 years, pharmaceuticals companies have to bear a large cost on research and adverse effects. Another factor that was identified is that current focus is on drugs that are used for chronic diseases. Drugs for chronic diseases are used for longer periods of time as compare to antibiotics that are used for five to fourteen days. Health professionals, community, patients, researchers, media, industry and government should come forward to remove all possible barriers in the discovery of new drugs.
A 08 years old child; know case of autism with hyperactive sub with impairments in behavioral, so... more A 08 years old child; know case of autism with hyperactive sub with impairments in behavioral, social and motor function was selected for therapy i n universal exercise unit along with social skills training, attending skills training, self help skills training and adaptive sports activities. Pediatric evaluation of disability inventory (PEDI) was used to measure sensory functions, motor function and social function and then compared the pre-treatment and post-treatment measurements. Pre-treatment self care, mobility and social function score were 49, 40 and 45 and post treatment score were 58, 50, and 57 respectively on pediatric evaluation disability inventory scale. Result of this study showed that universal exercise combine with social skills training, attending skills training, self help skills training and adaptive sports activities can change the motor function, self help function and social function of a child with autism.
Objective: To measure outcomes of Universal exercise unit in combination of other therapies on tr... more Objective: To measure outcomes of Universal exercise unit in combination of other therapies on trunk control of cerebral palsy. Material and Methods: A sample of 25 children were selected and a baseline measurement (pre-intervention) was taken by using trunk impairment (TIS) scale three to ten days before the interventions. Interventions were carried out 5 days in a week for one hour daily. A post-intervention measurement was taken after the 06 months.
The Journal of Neurobehavioral Sciences, 2017
Beyin felci hareket ve duruş problem olmak birlikte olgunlaşmamış beyindeki lezyondan dolayı oluş... more Beyin felci hareket ve duruş problem olmak birlikte olgunlaşmamış beyindeki lezyondan dolayı oluşur. Normal beynin alt merkezlerde normal etkileri vardır ve hareket ve duruşta normal gelişim gösterir. Üst motor nöron lezyonlu hastalarda ki motor fonksiyonun iyileşmesinde Bobath, Brunnstorm, Rood ve PNF (Propriyoseptif Nöromüsküler Fasilitasyon) gibi farklı duyusal motor yaklaşımlar vardır. Bu tedavilerin zemini nörogelişimsel teori, refleks teorisi, hiyerarşik teori ve sistem yaklaşımı gibi farklı teorilerle açıklanabilir. Normal hareketlerin tekrarını sağlamak, faaliyetleri kontrol etmek için beynin yeni alanlarını oluşturur. Refleks aktivitesinin entegrasyonu, beyin felci geçiren çocukların rehabilitasyonu ve fiziksel gelişiminin önemli bir parçası olmalıdır.
Journal of Pharmaceutical Research International, 2021
Objective: The objective of study was to determine the effects of spider cage therapy in combinat... more Objective: The objective of study was to determine the effects of spider cage therapy in combination with conventional speech therapy on speech and language function in children with cerebral palsy of age between 05 And 15 Years. Materials and Methods: A total of 20 children from a special institute with cerebral palsy who were provided with spider cage therapy in combination with conventional speech therapy were evaluated from January 2017 to June 2017. Effect of spider cage therapy in combination with conventional speech therapy was determined by applying dysarthric profile revised before and after the treatment. Results: Baseline score on dysarthric profile was 34.76±2.67 and post intervention score was 69.93±8.14. Result indicated that out of 20 children with cerebral palsy, there was a statistically significant difference in total score. Conclusion: The findings suggested that the Mean score of spider cage therapy in combination with conventional speech therapy post treatment i...
Objective: To determine the effectiveness of Ischemic Compression and Passive Stretching for the ... more Objective: To determine the effectiveness of Ischemic Compression and Passive Stretching for the treatment of Myofascial trigger point in the Upper Trapezius muscle. Methods: Fifty four female jail survivors were recruited for the study. Subjects were healthy individuals, diagnosed with active Myofascial trigger point in the upper trapezius muscle following palpation criteria given by Travell & Simons. Subjects were randomly placed into two groups: Group 1, which received Ischemic compression treatment for Myofascial trigger point; Group 2 received Passive Stretching for Myofascial trigger point. The data was recorded at baseline data, and after one week of intervention. Outcome measures were active range of motion of cervical (measured with Goniometer), pain (measured with Visual analogue scale) and ADLs limitation (measured by using Neck Disability index). Results: There were 27 patients in Group 1 and 27 patients Group 2. Base line VAS score of group 1 was 7.56 while group 2 was...
Journal of Pharmaceutical Research International, 2021
Objective: The objective of study was to find the effectiveness of muscle energy techniques (METs... more Objective: The objective of study was to find the effectiveness of muscle energy techniques (METs) in patients with adhesive capsulitis. Methodology: Study was conducted in population of Sargodha seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers. Study was randomized, controlled and multicenter. 50 patients were selected by inclusion and exclusion criteria and were divided into two groups by lottery method of randomization. Group I obtained muscle energy technique. Group II was controlled that obtained conventional treatment in the form of heat and range of motion exercises. Duration of study was 06 month. Interventions were carried out for two weeks (total 10 sessions). A baseline measurement was taken on shoulder pain and disability index (SPADI). A post intervention measurement was taken on same outcome measurements tools and was compared by independent t test. Results: The pre intervention measurements on Shoulder Pai...
Journal of Pharmaceutical Research International, 2021
Objective: The objective of the study was to determine the prevalence of dysphagia in children wi... more Objective: The objective of the study was to determine the prevalence of dysphagia in children with cerebral palsy. Materials and Methods: A sample of 105 children with cerebral palsy age between four and sixteen years, were selected from cerebral palsy centers in Lahore. Out of these children almost all were with spastic cerebral palsy. Data was collected by using a questionnaire filled by the caregivers of children with cerebral palsy. This questionnaire constitutes questions regarding swallowing difficulty of CP child and their eating & feeding patterns to determine the prevalence of dysphagia. Results: Result indicated that out of 105 children’s caregiver with cerebral palsy 36(34.3%) responded affirmatively that their children have swallowing difficulty and 69(65.7%) responded negatively that their children have no swallowing difficulty. Conclusion: The findings suggested that prevalence of dysphagia in children with cerebral palsy is 34.3% in Lahore city.
Pakistan Armed Forces Medical Journal, 2017
Study was conducted on 18 years old male patient with head and brain injury and post craniotomy b... more Study was conducted on 18 years old male patient with head and brain injury and post craniotomy blindness. After receiving the initial intensive care unit (ICU) services and interventions, patient was discharged from the hospital and presented to outdoor physical therapy clinic. Intervention was proprioceptive training by using gym ball and approximation techniques on joints combined with strengthening exercises with manual resistance. Interventions were carried out in 05 days in a week and continued for 03 months. Patient was assessed and scored on disability rating score (DRS) and functional independent measure (FIM) before starting interventions and re-assessed after 03 month on same scales. Pre intervention DRS score was 20 and post intervention score was 05. Pre intervention FIM score was 21 and post intervention score was 96. Proprioceptive training (by using gym ball and approximation techniques on joints combine with strengthening exercises with manual resistance) can improv...
A lot of innovations have been done in neurological sciences, but still we need to work in the fi... more A lot of innovations have been done in neurological sciences, but still we need to work in the field of neurological science. Many conditions in neurological field still have not confirmatory treatment. After spinal cord injury patients became crippled for life. A compete transaction of spinal cord injury is difficult to treat. Similarly the muscular dystrophy and hereditary sensory motor neuropathy had no cure. In cerebral palsy there is lesion in immature brain that lead to activity limitation and disability. These conditions had no specific treatments and cure but we can manage these conditions to enhance the activity of daily life and increase functioning in these patients. In neuro behavior sciences a number of conditions required attention of researcher. Autism spectrum disorder is a group of neurodevelopmental disorders characterized by social (social skills and socialization), communicational (speech and language) and behavioral (repetitive and stereotype) limitations. Impairments in sensory modulation and sensory processing are one of key features in children with autism spectrum and classify into hyperactivity, hypoactivity and attention seeking. Sensory integration therapy have been used to manage these problem in which all the senses are integrated to produce best, optimum and coordinated response. Vestibule system, touch, vision, auditory and proprioception are integrated in this approach. In pediatric neurology, still we are facing a lot of challenges. Erb's palsy in pediatric neurology is very interested topic among the clinicians. Shoulder external rotation has prime importance in fulfilling a lot of activities of daily life. So restoring external rotation should be a focused goal in patients with Erb's palsy. Physical therapy treatments have satisfactory effects in improving the impairments and disabilities in patient with erb's palsy however restoring external rotation is a difficult task for therapist and patient as it showed limited improvement on modified mallet scale, active movement scale and scapular elevation. Still there are no focused physiotherapy techniques that only focused the external rotation in patient with erb's palsy however some surgical procedure are available to restore external rotation but their efficacy and cost is always questionable. When treating patients with erb's palsy, therapists should always pay special attention in restoring the external rotation in erb's palsy. Neurological injuries are always time consuming and challenging not only for patients but also for health professionals, as recovery to neurological tissue follow the unique pattern of recovery that depends upon the severity of neurological tissues. Erb's palsy is a lower motor injury to lower trunk of brachial plexus. A limited data is available on difficulty and challenges that therapist and patient have to face during rehabilitation of erb's palsy. In developmental neurology, neonatal reflexes play important role in development of tone and posture and posture are basic for the development of skills. In cerebral palsy a number of neonatal reflexes persist and hinder the learning of skills in these children.
Objective: To find the impact of pregnancy related low back pain on activity of daily life. Metho... more Objective: To find the impact of pregnancy related low back pain on activity of daily life. Methodology: This survey collected data of 200 patients visiting antenatal clinics/hospitals from four city of Punjab during a six months period. Inclusion criteria were the women with third trimester and visiting to antenatal clinic or hospitals. Exclusion criteria were women of 1st and 2nd trimester, and women with previous history of surgery and trauma. Data were collected with modified Ostwestry Disability Index by direct interview. Results: Out of 200 women, 156 were with low back pain. Forty (25.6%) females showed minimal disability, 44.9 %(70) females showed moderate disability, 26.3% (41) females showed severe disability, four (2.6%) were crippled and One (0.6%) was bedridden. Out of 200 females, 83.3% had pain in lumbosacral area, 15.4% in sacroiliac area and 1.3% in upper back. 5.7% could not sleep, 5.1% could not lift, 3.8% could not travel, 1.3% had no social life, 0.6% could not ...
Knee osteoarthritis is a common disabling condition that affects a larger number of populations a... more Knee osteoarthritis is a common disabling condition that affects a larger number of populations aged above 40 years and this habitually required knee arthroplasty to reinstate leg function, to improve the pain as well as to improve stability. The main objective of this study was to determine the health-related quality of lifestyle before and after total knee arthroplasty. This study was a cross-sectional observational study conducted at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Horizon Hospital and Mayo Hospital, Lahore-Pakistan. In this study, 100 subjects were selected who were scheduled for Total Knee Replacement (TKR) due to advanced stages of knee osteoarthritis. Informed consent was taken from all selected patients. Selected subjects meeting inclusion and exclusion criteria were enrolled for this study. Subjects with any red flag signs or systemic illness were excluded. A baseline measurement was taken by using visual-analog scale (VAS) for pain, the Short For...
Results: Family Satisfaction Survey shows how satisfied the families are with the service provide... more Results: Family Satisfaction Survey shows how satisfied the families are with the service provided. Based on their self-assessment, or intervention Team members have identified significant improvement in their core competencies after 11 months. The last staff reviews, each Early Intervention Team member showed consistent significant increase in their use of Play strategies during their group sessions Conclusion: All of the above demonstrates the practice shift, from a medical model to a child-focused and family-centered model of care.