Background: Frozen shoulder is the most common self limiting disability which affects about 2-5% of the population with the females being more prone. It’s having three phases and the treatment depends upon the phases. The best treatment choice should be started from the conservative treatment then proceed to invasive. Frozen shoulder case is clinically diagnosed and requires minimal investigations as there is complete restriction in the passive and active range of motion.
Objective: The objective of this case study was to provide the relief to the patient in terms of pain as well increase the range of motion which helps in enhancing the functional activities. This case study evaluates the effect of combined treatment methods used in the physiotherapy.
Case Description: A 48 year female visited OPd with the complaints of pain and restricted active and passive range of motion in the left shoulder. The shoulder disability index of the patient was approximately 90% and the severity of the pain in the shoulder as well as the surrounding structures of shoulder was about 9 out of 10 on the NPRS. She was provided with the treatment after the proper assessment with combination of exercise, electrotherapy, manual therapy and rehabilitative exercises. The treatment was continued for 4 weeks and after that post assessment was done and there was change in the parameters which was taken initially.
Outcome measures: the outcome measures or the assessment tools used for this study was Numerical pain rating scale for the pain, goniometer to assess the range of motion, Manual muscle testing to check strength of shoulder muscles and the shoulder pain disability index for both pain as well disability.
Result: the study findings shows drastic changes in the parameters taken in the beginning of the study. There was reduction in the pain and increase in all the range of motion which was restricted. Shoulder disability index also shows improvement.
Conclusion: This study concluded that the physiotherapy treated provided beneficial effect to the frozen shoulder cases. This study adds to the evidence about the physiotherapy rehabilitation progressive effects.
Introduction: Patello-femoral Pain Syndrome (PFPS) is a common musculoskeletal disorder characterised by anterior knee pain, particularly during activities like climbing stairs and squatting and long running. Despite its prevalence, effective rehabilitation strategies for PFPS remain a topic of research. Aim: To assess the significance of a novel backward drill exercise protocol in reducing pain and improving strength among PFPS patients. Materials and Methods: A randomised controlled trial will be conducted with 40 PFPS patients aged 18-30 years. Participants will be randomly assigned to either the backward drill exercise group or a control group (receive standard physiotherapy treatment protocol). Both groups will undergo a 6-week interventional program.Pain levels will be assessed by using the Visual Analog Scale (VAS), and muscle strength will be measured using a dynamometer, EMG study will be done for Vastus Medialis Obliquus muscle to check its activation before and after the intervention. Discussion: This study will test whether backward drill exercise protocol is a significant intervention for PFPS patients to effectively reduce pain, enhancing quadriceps strength and activation of the Vastus medialis obliquus muscle. Implementing this exercise protocol in the rehabilitation of PFPS patients may offer a promising alternative to standard physiotherapy approaches, potentially improving patient outcomes and quality of life.
Professional Dancers are contemplated as athletes as it is involving repetitive and rhythmic movement. These strenuous activities are the negative stressors and reason for overuse injuries leading to discomfort and pain. This pain and discomfort results in some major issues in the future and it can affect their professional performance or career. This study aimed to exploring the prevalence, common region involved and relation of course of pain in different regions of the body in dancers. A total of 110 dancers, both male and female, participated in this cross-sectional study using the Nordic MSD questionnaire tool. The mean and standard deviation for age (years), height (cm), weight (kg), BMI (kg/cm²), experience (years), and weekly practice hours were calculated as follows: for women, 21.87±4.47, 165.57±9.89, 60.98±17.85, 22.20±5.93, 8.05±5.47, and 8.98±6.93, and for men, 21.83±6.59, 173.73±7.34, 70.41±11.43, 23.23±3.24, 7.84±5.55, and 9.36±6.95. The result findings revealed, 30.8% participants had pain in the low back region that in last 7 days, followed by shoulder 27.3% and ankle 25.5%. In last 12 months 51% participants reported pain, discomfort and numbness in the lower back region followed by ankle/ foot and knee (31%). In response towards the restriction in the ADL, lower back pain cases (30%) were highest followed by knee (23.6%). The results also revealed that neck pain is strongly and positively associated with upper back pain(r=.601) and moderately related to shoulder pain (r=.467). The study concludes that the lower back region is more prevalent area for pain following the ankle and knee among dancers.
Background: Performance is considered to be the completion of a duty, in away the performer from all obligations under the bond. Sport performance is a compound blend of biomechanical purpose, emotive aspects, and drill methods. The KT taping method has been used for a long time for the inhibition and treatment of sports injuries, even for supporting the joint or muscle throughout movement. Cricket is a gentleman’s game. It is an endurance sport with intermitted bursts of speed and power and balance. Purpose: The main goal of this study was to determine efficacy of KT taping on the performance in the normal healthy cricketers. Design: A randomized control trail Methodology: 30 subjects aged between 18-24 years meeting selection criteria and after 2 subjects were dropout, others were assigned randomly into two equal groups. Each group had 14 equal subjects. Kinesio taping was applied on one group and in another group Kinesio taping was not applied to check improvement of functional performance. Outcome Measure: Vertical jump test, Y balance test, Yo-Yo test. Result: The significant result showed in within group comparison but non-significant in between group comparison. Conclusion: The study concluded that application of with Kinesio tape group was better than without Kinesio tape group in improvement of functional performance
Background: Low Back Pain (LBP) with radiation to lower limb is one of the common Conditions seen in the physical therapy clinics. It affects to overall 80% of people in their lifespan, affects their work, daily activity, decrease quality of life.
Case Description: The case of 20 year male was presented with the severe pain in the lumbar region radiating to the right leg. He describes the pain severity at as 10/10 on the NPRS and even complained that the he is unable to walk and needs to take rest in between while covering longer distances.
Outcomes: Pain levels decreased from 10/10 average to 2/10 on Numeric Pain Rating Scale. The patient was able to complete full range of motion of hip, and had strength of the lower extremity 5/5 bilaterally after the treatment.
Conclusion: After using this protocol on patients it was found that it reduces the pain and improves overall activities, ROM, strength and general health of the patient as well as there was marked and visible changes found in the posture of this case.
Background: In developing countries Tuberculosis is one of the main reason for mortality and motility. Tuberculosis is a bacterial disease caused by Mycobacterium tuberculosis. It is highly contagious disease. The prevalence rate of TB was estimated in 2016 as 10.4 million as per the World Health Organization. TB is commonly associated with HIV Patients. TB can affect both the genders but men are more prone as compare to females. The spinal TB is usually diagnosed by clinical features and radiographs, MRI and CT scan. The Management of Spinal TB includes chemotherapy, surgical management and physiotherapy rehabilitation.
Objectives: The objective of this case study was to provide the relief to the patient in terms of pain as well increase the functional independence. This case study evaluates the effect of physiotherapy in the case of low back due to the post symptoms of Potts’s spine.
Case description: A 20 year old male visited the physiotherapy department with the complication of low back pain with the severity of 7 out of 10 on NPRS and disability index of 22%. He presented with the past history of Pott’s spine. The X-ray and MRI findings revealed the post effects of his old condition as there is block vertebra and there is dissolution of the disc at LV3-LV4 with the normal spinal alignment but there is radiating pain in the right leg.
Outcome measures: The outcome measures or the assessment tools used for this study was Numerical pain rating scale for the pain, Manual muscle testing to check strength of muscles and the ODI for LBP.
Result: The study findings shows progressive changes in the parameters taken in the beginning of the study. There was reduction in the pain and decrease in scoring of the low back disability index.
Result: the study findings shows significant changes in the parameters taken in the beginning of the study. There was reduction in the pain and Oswestry back disability index also shows improvement.
Conclusion: This study concluded that the physiotherapy treated provided beneficial effect on pain and improves the disability index as well as improves the functional capabilities of person having low back pain due to post symptoms of pott’s spine. This study is an addition to the evidence about the physiotherapy rehabilitation progressive effects.
Key words: Physiotherapy, Pott’s spine, Pain, Disability.
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