Muhammad Manan Haider Khan

Shifa Tameer-e-Millat University

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Aadil Omer

Riphah International University

Saima Waqar

International Islamic University, Islamabad

Anam Aftab

GIFT University

Waqar Ahmed Awan

Riphah International University

Raheela Kanwal Sheikh

University of Ha'il

Rabia Mushtaq

University of Karachi

Ramsha Haroon

Shifa Tameer-e-Millat University

Hafiz Muhammad Abu Bakar Rashid

Omar Althomli

University of Ha'il

Raheela Kanwal

University of Ha'il

Cooperative Institutions

Riphah International University

Shifa Tameer-e-Millat University

Isra University

Quaid-i-Azam University

International Islamic University, Islamabad

University of Lahore

University of Ha'il

University of Sargodha

Pakistan Institute of Medical Sciences

Rawalpindi Medical University

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IMPACT OF DEATH ANXIETY ON RESILIENCE AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE: ROLE OF SOCIAL SUPPORT AS MODERATOR

The Rehabilitation Journal (2022)

Saima Waqar Mariyam Ikram Rabia Mushtaq Muhammad Manan Haider Khan

Background: There are so many cases report with death anxiety in Chronic Kidney Disease (CKD). Death anxiety leads toward various types of psychopathologies as well as numerous disorders. Excessive death anxiety also affects the resilience level of CKD patients. Objective: to find out the impact of death anxiety on resilience among patients with CKD moderating role of social support. Methodology: This study design was Correlational. The sample consists of n=150 patients with CKD. Data was collected from different hospitals of Multan, Bahawalpur, and Lodhran. The CKD patients with age range from 15 to 25 years diagnosed with stage 3-5 of chronic kidney diseases on hemodialysis/peritoneal dialysis and kidney transplantation were included in the study. The Death Anxiety scale-Urdu Child and Youth Resilience Measure- Urdu and Multidimensional Scale of Perceived Social Support Version-12 was used for data collection. Results: The correlation analysis among study variables shows that death anxiety has significant negative correlation (p<0.01) with resilience (r=-0.55). The overall model explained the 44% of variance with F=57.08(2,147), p<0.001 for resilience, whereas in step 2, social support was found significant predictor (R2=41, B=0.39, β=0.64, p<0.01) of resilience and moderator between death anxiety and resilience. From step 3, death anxiety was similarly established significant negative predictor (R2=47, B=-0.24, β=-0.33, p<0.01) of resilience. Additionally, in step 4, the interaction of death anxiety and social support was found significant for resilience (R2= 49, B=-0.01, β=-0.56, p<0.01. Conclusion: there is a negative relationship between death anxiety and resilience. Social support significantly moderates the relationship between death anxiety and resilience. Keywords: Chronic kidney disease, death anxiety, resilience, social support.

Death anxiety

Moderation

10.52567/trj.v6i04.196

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Association of history of concussion with vestibular impairment and cognitive function in sports athletes

The Rehabilitation Journal (2024)

Maheen Gul Muhammad Tariq Hafiz Muhammad Abu Bakar Rashid Muhammad Manan Haider Khan Nadia Ishtiaq

Background: Tear production increases ocular surface health and improves visual clarity. Which facilitates the physical activity comfortably. Different dosages of glucose intake had a significantly varying impact on tear production in euglycemic, initially decreasing followed by an increase. Objective: to compare the effect of 0.5% and 1% glucose intake on tear production in euglycemic. Methodology: A quasi-experimental study was conducted with n=200 participants at Irfan Eye Care Hospital Peshawar, from September 2022 to May 2023. The participants were euglycemic without any ocular and systemic pathology and determined its effect on tear production. The participants were divided into two groups equally for 0.5% and 1% glucose intake. Tear production was measured at baseline, after 60 minutes, 90 minutes, 120 minutes, and 150 minutes with the Schirmer test. Results: There was a significant reduction of tear production from baseline to 120 minutes (p<0.05) than rise in both groups. While when compared, no significant (p≥0.05) difference at each assessment level. Conclusion: there was similar effect of 0.5% and 1% glucose concentration intake on tear production Keywords: fasting blood sugar; glucose; hyperglycaemia; tear production; dry eye disease

Association (psychology)

10.52567/trehabj.v8i03.77

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Effects of moderate physical activity on diabetic adhesive capsulitis: a randomized clinical trial

PeerJ (2024)

Raheela Kanwal Sheikh Amna Toseef Aadil Omer Anam Aftab Muhammad Manan Haider Khan

Moderate physical activity (MPA) has proven advantages for glycemic control, cardiovascular health, and functional independence. However, physical activity is not part of routine conventional physical therapy (CPT) in managing diabetic adhesive capsulitis patients.

Capsulitis

10.7717/peerj.18030

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Comparison of instrument-assisted soft tissue mobilization and proprioceptive neuromuscular stretching on hamstring flexibility in patients with knee osteoarthritis

PeerJ (2023)

Narmeen Anjum Raheela Kanwal Sheikh Aadil Omer Kinza Anwar Muhammad Manan Haider Khan

The association between hamstring tightness and knee osteoarthritis (KOA) is significant because tight hamstrings can put more strain on the knee joint, reduce its range of motion, and cause compensatory movements that worsen the KOA.To compare the effects of instrument-assisted soft tissue mobilization (IASTM) and proprioceptive neuromuscular (PNF) on hamstring flexibility in patients with KOA.Data for the randomized controlled trial (NCT05110326) was collected from n = 60 participants randomly divided into group A received IASTM and group B received PNF stretching. In group A, the therapist made 30 strokes gentle strokes with the tool from the origin to the insertion while holding the plane at a 45-degree angle over the treatment area. In group B, PNF stretching was done with three repetitions and 10 seconds rest between each, after isometric contraction of the hamstring muscle using approximately 50% of their maximum strength, holding it for 8 seconds, and then releasing it. A 30-minute session was given to each patient three times per week and was given for 6 weeks. Outcome measures were the visual analog scale (VAS) for pain intensity, the active knee extension test (AKET) for hamstring flexibility, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) for the health status of KOA patients.The study found a significant interaction (p < 0.001) between interventions and time across several measurements. After 6 weeks, both interventions resulted in significant improvements (p < 0.001) across all dependent variables, with group A (IASTM) showing more significant improvement in hamstring flexibility, pain reduction, and health status (p < 0.001) compared to group B (PNF).Both the IASTM technique and PNF stretching resulted in increased hamstring flexibility, decreased pain, and enhanced general health. The IASTM technique, however, showed potential benefits over PNF stretching in terms of flexibility, pain relief, and public health enhancement. Physical therapists and manual therapists may prioritize the usage of the IASTM technique for patients who want to make significant changes in these areas.

Proprioception

WOMAC

Static stretching

10.7717/peerj.16506

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Psychological distress, burnout, sense of coherence and social support among caregivers of cerebral palsy children

The Rehabilitation Journal (2024)

Saima Waqar Rabia Mushtaq Muhammad Manan Haider Khan

Background: Cerebral Palsy (CP) children need long-life support from caregivers. which affects their mental health affected badly. Objective: to assess the relationship between psychological distress, burnout, sense of coherence, and social support among caregivers of cerebral palsy children. Methodology: A cross-sectional study was conducted on n=100 caregivers of CP in the National Institute of Rehabilitation Medicine (NIRM) from June to December 20222. The data was collected through a purposive sampling technique from the caregivers of the CP children in the outpatient and inpatient departments of NIRM. Urdu-translated versions of the Depression, Anxiety & Stress Scale (DASS), Parental Burnout Assessment (PBA), Multidimensional Perceived Social Support, and Orientation of Life Scale (sense of coherence) were administered to collect the data. Results: The higher parental burnout was strongly correlated with higher overall psychological distress(r=0.64), and moderate negative correlation (r=-0.45) with perceived social support. A higher intercorrelation of depression, anxiety, and stress (r=0.77 to 0.93) was observed. there were also strong negative correlations of sense of coherence across depression r=-0.62, anxiety (r=-0.55), and stress (r=-0.51). the MPSS had a moderate negative correlation (r=-0.41) with distress. The MSPSS also showed a Moderate positive correlation (r=0.57) with a sense of coherence. Conclusion: It was concluded that caregivers of Cerebral palsy children are psychologically distressed and having burnout that effect their mental health. An increasing sense of coherence and social support can support their mental health. Keywords: Cerebral palsy, caregiver, depression, burnout, social support, sense of coherence

Psychological Distress

10.52567/trehabj.v8i04.67

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Factors Predict the Stroke Specific Quality Of Life In Post Stroke Aphasia Patients in Pakistan

Research Square (Research Square) (2023)

Raheela Kanwal Humaira Shamim Kiyani Anam Aftab Muhammad Manan Haider Khan Aadil Omer

Abstract Background Stroke-specific quality of life (QoL) is an important outcome measure in stroke rehabilitation, reflecting the impact of stroke and its associated impairments on an individual's overall well-being and daily functioning. Understanding the factors that predict stroke specific QoL in post-stroke aphasia patients in Pakistan is crucial for developing targeted interventions and improving the rehabilitation process. Objective to determine the factors predicted the stroke specific quality of life in post stroke aphasia patients in Pakistan. Methodology : This cross-sectional analytical study was conducted in 18 months from June 2021 to December 2022 at RHS Rehabilitation Centre Islamabad Pakistan. A total of n = 134 independent participants with fluent and non-fluent aphasia at least six-month post stroke, and able to follow one step command were included in the study through non-probability convenient sampling technique. The stroke specific quality of life (SS-QoL) scale was used to assess the quality of life in the participants, while the list of predictors was developed from the literature. SPSS version 21 was used for statistical analysis. Result A multiple regression was run to predict the quality of life from marital status, gender, family status, patient's socioeconomic status, types of strokes, types of aphasia, and comorbidities. These variables statistically significantly predicted quality of life {F(13,120) = 10.366, p < 0.001}. All variables cause 47.8% (Adj. R 2 = 0.478) variance in stroke specific quality of life in aphasia patients. Conclusion the male gender, married marital status, middle and upper socioeconomic status, ischemic stroke compared to hemorrhagic stroke, fluent aphasia, and the cardiac disease compared to other comorbidities positively affect the quality of life in post stroke aphasia patients. But age and the family system did not show any impact on the quality of life.

Stroke

Marital status

10.21203/rs.3.rs-3210912/v1

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Effects of moderate physical activity on HB level and psychological well-being in females – A randomized control trial

The Rehabilitation Journal (2023)

R KAUSAR Qurat Ul Ain Saima Waqar Muhammad Manan Haider Khan M.I. Omar

Objective: To determine the effects of moderate physical activity on HB level, and psychological well-being in females. Methodology: A single blinded, randomized control trial was conducted on n=30 participants for a period of 6 months. The participants with the age 18-25 years were recruited through non-probability convenient sampling technique and randomly divided into two groups experimental and control group. The data was collected at the baseline after the six weeks of intervention. The outcome measures were Hb level and psychological wellbeing through perceived stress scale (PSS). Results: The mean age of study participants was 19.59±1.32 years. While mean BMI of the participants was 24.22±3.43 kg/m2. The result showed significant increase in hemoglobin concentrations in experimental group as compared to control group (p<0.001) after 6th week intervention. On the other hand, there were no significant differences between both group (p=0.63) at the end of intervention. Conclusion: Moderate physical activity group suggests that the intervention had a positive impact on this hemoglobin parameter. However, since there were no significant differences in perceived stress levels. Keywords: Key words: hemoglobin; brisk walking; psychological well-being; push-ups; sit ups; stress scale; physical fitness.

Perceived Stress Scale

10.52567/trehabj.v7i04.44

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