Objective: To determine the association of sleep wake pattern with cognitive performance and academic achievement in young adults. Methods: It was a cross sectional study conducted in March 2019 after approval from the Institutional... more
Objective: To determine the association of sleep wake pattern with cognitive performance and academic achievement in young adults. Methods: It was a cross sectional study conducted in March 2019 after approval from the Institutional Review Board & Ethics Committee of the study setting on February 28, 2019. Total sample of the study was 189 calculated by using Rao software. Inclusion criteria was healthy young adults of age 18 to 24 years from Doctor of Physical Therapy department of Shifa Tameer-e-Millat University, Dar-ul-Shifa campus, Islamabad. Exclusion criteria included all those students who were married, diagnosed psychological disorder and were taking any sedatives. Data was collected through three questionnaires named Pittsburgh Sleep Quality Index (PSQI), Morningness-Eveningness Questionnaire (MEQ) and Montreal Cognitive Assessment (MOCA) in addition to inquiry regarding GPA of latest exam. Results: A total sample was 236 students with a mean age of 20.94±1.58 years with range 18-24 years. The sample comprised of males n=24 (10.2%) and females n=212(89.8%). Mean GPA was 3.10±0.53. MOCA showed that 70(29.66%) students had mild cognitive impairment, 166(70.34%) were students with normal cognition. The results obtained by applying independent T-test showed a significant difference of cognition between high and low achievers (P value: 0.029<0.05. Students who scored high were definite morning types. Conclusion: There is a significant association between cognitive performance and academic achievement with high achievers being definite morning types. Keywords: Cognition, Sleep, Academic success, Young adult.
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Background: The stress urinary incontinence was the reason the affected women experienced anxiety and depression. the more severe the symptoms of stress urinary incontinence were, the more negative impact to aspects of quality of life was... more
Background: The stress urinary incontinence was the reason the affected women experienced anxiety and depression. the more severe the symptoms of stress urinary incontinence were, the more negative impact to aspects of quality of life was seen. Objective: To determine the effects of Kegel exercises on distress symptom and quality of life in elderly Pakistani female patients with stress urinary incontinence. Methodology: A single-blinded, randomized control trial was conducted on n=50 female patients having stress urinary incontinence at department of physiotherapy, Haleema Siraj Hospital Rawalpindi from January 2021 to June 2022. The participants with the age above 55 years were recruited through non-probability convenient sampling technique and divided into experimental and control group; n=25 participants in each group. The experimental group received Kegel exercise as an intervention for three months and 3-4 time/day. While control groups didn’t received any intervention but continue the regular medicines. Both groups was evaluated pre and post interventionally (after 3-months) by using urinary distress inventory (UDI) for distress symptoms and incontinence impact questionnaire (IIQ) for quality of life. SPSS version 21 was used for data analysis. Independent t-test was used for between group comparisons of mean differences. Results: The mean age of the study participants was 65.00±8.90 years. Between group analysis, showed that symptom distress {MD=16.21, 95%CI (3.10 to 14.55) on urinary distress inventory (short Form), and life quality {MD=8.83, 95%CI (3.10 to 14.55) on incontinence impact questionnaire significantly greater in experimental group as compared to the control group. Conclusion: Kegel exercises significantly improved distress symptoms and quality of life in females with stress incontinence. Keywords: Elderly, incontinence, Kegel exercises, stress incontinence.
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Objectives: This study was done to find out the impact of a pre-operative physical therapy plan with inspiratory muscle training on functional capacity, kinesiophobia, and post-operative intensive care unit (ICU) stay in subjects with... more
Objectives: This study was done to find out the impact of a pre-operative physical therapy plan with inspiratory muscle training on functional capacity, kinesiophobia, and post-operative intensive care unit (ICU) stay in subjects with coronary artery disease (CAD) candidates for coronary artery bypass grafting (CABG). Methods: Fifty subjects who fulfilled the inclusion criteria were recruited and randomly distributed into the intervention and control group by concealed envelop method. Participants in the experimental group were provided with inspiratory muscle training (IMT) with breathing exercises and chest clearance techniques, while the control group received breathing exercises and chest clearance techniques. Both groups received three treatment sessions before their scheduled surgery. The assessment was done at three-time intervals: At baseline, after three sessions, and after surgery. The outcome measures were oxygen saturation, heart rate, respiratory rate, Borg scale of per...
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Background:Lumbopelvic pain (LPP) is common during pregnancy associated with postpartum depressive symptoms. These negatively affect maternal health and behavior, such as exercise and physical activity ultimately leads to kinesiophobia.... more
Background:Lumbopelvic pain (LPP) is common during pregnancy associated with postpartum depressive symptoms. These negatively affect maternal health and behavior, such as exercise and physical activity ultimately leads to kinesiophobia. Objective: To determine the association of kinesiophobia with postpartum depression in females with lumbo-pelvic pain. Methods: A cross-sectional study was conducted on 89 postpartum women with lumbo-pelvic pain within six months of delivery in Jinnah Hospital, Lahore. Nonprobability convenience sampling was used to collect the data. Females presenting with lumbo-pelvic pain were selected on the basis of inclusion and exclusion criteria. Lumbo-pelvic pain severity, kinesiophobia and depression were measured by Visual Analogue Scale, Tampa Scale and Zung Self Rating Depression Scale, respectively. Pearson correlation was used to determine the correlation between kinesiophobia and depression. Results: The mean age of participants was 29.14 + 3.28 years...
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Background: The stress urinary incontinence was the reason the affected women experienced anxiety and depression. the more severe the symptoms of stress urinary incontinence were, the more negative impact to aspects of quality of life was... more
Background: The stress urinary incontinence was the reason the affected women experienced anxiety and depression. the more severe the symptoms of stress urinary incontinence were, the more negative impact to aspects of quality of life was seen. Objective: To determine the effects of Kegel exercises on distress symptom and quality of life in elderly Pakistani female patients with stress urinary incontinence. Methodology: A single-blinded, randomized control trial was conducted on n=50 female patients having stress urinary incontinence at department of physiotherapy, Haleema Siraj Hospital Rawalpindi from January 2021 to June 2022. The participants with the age above 55 years were recruited through non-probability convenient sampling technique and divided into experimental and control group; n=25 participants in each group. The experimental group received Kegel exercise as an intervention for three months and 3-4 time/day. While control groups didn’t received any intervention but cont...
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Background: Recent evidence has suggested that mental health and cognitive functions improve as the individual involves himself in routine physical exercise thus enhancing self-motivation and confidence levels. Objective: The objective... more
Background: Recent evidence has suggested that mental health and cognitive functions improve as the individual involves himself in routine physical exercise thus enhancing self-motivation and confidence levels. Objective: The objective of this study was to find out the effect of Wii-Fit Exer-gaming on the confidence levels and quality of life of diabetic patients. Methodology: A randomized controlled trial was conducted on 66 diabetic patients who fulfilled the inclusion criteria of stable vitals, 45 to 70 years of age with no serious systemic illness and diabetic ulcers scoring <40 on berg balance scale. Sealed envelope method was used to randomize the patients into two groups in the physical therapy department of Kulsum International Hospital, Pakistan. Baseline measurements and demographic data were taken including activities-specific balance confidence scale (ABC) and European Quality of Life-5 Dimensions (EQ-5D-5L) respectively. Interventional group (group A) Wii Fit based games for 30 minutes twice a week, whereas control group was provided by balance training exercises twice a week for 8 weeks. The data was analyzed through SPSS version 21. Results: There was a significant improvement in ABC, Euro 5Q 5L components (p≤0.05) except for pain/discomfort (group A, B) and anxiety/depression (group B) (p ≥.05) within the group. The independent sample T test showed a significant improvement in ABC and EURO 5Q-5D-5L (p≤0.05) in the experimental group as compared to control group. Conclusions: All subjects who participated in training with Wii Fit exer-gaming showed statistically significant improvements in balance confidence and quality of life, although clinical presentation has improved in participants of both groups. Keywords: Balance Confidence and Quality of Life, Exer-Gaming.
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Objective: The aim of this study was to compare the effect of dry needling and sustained pressure in the lumbar paraspinal trigger points in terms of pain threshold... more
Objective: The aim of this study was to compare the effect of dry needling and sustained pressure in the lumbar paraspinal trigger points in terms of pain threshold and muscle length. Methodology: 50 patients were randomly allocated in experimental and control group having lumbar paraspinal muscle trigger points. Experimental and control groups received dry needling and sustained pressure along with stretching and strengthening exercises. Patients were assessed at 1st pre and 4th post session using Oswestry disability index, paraspinal muscle length, visual analogue scale and pain pressure threshold using algometer. Results: Pain pressure threshold and visual analogue scale showed significant results whereas Oswestry disability index and paraspinal muscle length showed no significant results (P>0.01). Analysis within the group showed significant difference from pre to post intervention level (P<0.01) in t...
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Objective: To assess the effect of exer-gaming on balance and gait in the elderly. Methods: The randomised controlled trial was conducted at Kulsum International Hospital, Islamabad, Pakistan, from July to October 2018, and comprised... more
Objective: To assess the effect of exer-gaming on balance and gait in the elderly. Methods: The randomised controlled trial was conducted at Kulsum International Hospital, Islamabad, Pakistan, from July to October 2018, and comprised physically independent subjects aged 60 years and above who were randomised into experimental and control groups suing concealed envelope method. The cases received exer-gaming for 30 minutes twice a week for 8 weeks, while the controls received balance training exercises twice a week for 8 weeks. Assessment was done at baseline and after 8 weeks of intervention. Outcome measures were assessed with Berg balance scale and the gait abnormality rating scale modified. Data was analysed using SPSS 21. Results: Of the 90 subjects, there were 45(50%) in each of the two groups. The intervention group had better outcome in terms of gait (p<0.05) except for foot contact and shoulder extension (p>0.05), while the difference related to balance was not signifi...
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Objective: To determine the association of sleep wake pattern with cognitive performance and academic achievement in young adults. Methods: It was a cross sectional study conducted in March 2019 after approval from the Institutional... more
Objective: To determine the association of sleep wake pattern with cognitive performance and academic achievement in young adults. Methods: It was a cross sectional study conducted in March 2019 after approval from the Institutional Review Board & Ethics Committee of the study setting on February 28, 2019. Total sample of the study was 189 calculated by using Rao software. Inclusion criteria was healthy young adults of age 18 to 24 years from Doctor of Physical Therapy department of Shifa Tameer-e-Millat University, Dar-ul-Shifa campus, Islamabad. Exclusion criteria included all those students who were married, diagnosed psychological disorder and were taking any sedatives. Data was collected through three questionnaires named Pittsburgh Sleep Quality Index (PSQI), Morningness-Eveningness Questionnaire (MEQ) and Montreal Cognitive Assessment (MOCA) in addition to inquiry regarding GPA of latest exam. Results: A total sample was 236 students with a mean age of 20.94±1.58 years with r...
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Objective: The purpose of this study was to compare the effects of endurance vs strength training in improving functional status of women with chronic neck pain. Study Design: Experimental, Randomized control study. Place and Duration of... more
Objective: The purpose of this study was to compare the effects of endurance vs strength training in improving functional status of women with chronic neck pain. Study Design: Experimental, Randomized control study. Place and Duration of Study: The study was conducted at Kulsoom International Hospital, Islamabad from February to July 2014. Materials and Methods: Sample of 40 patients with chronic neck pain of age limit 20- 50 years were collected using purposive sampling technique and were randomly divided into two groups i.e. Endurance training and Strength training. Female patients having chronic neck pain (≥ 3 Months) were included in the study. Male patients, any pathology of neck and acute pain were excluded. Standardized treatment protocol including ultrasonic therapy, hot pack, shoulder dynamic exercises and postural education, was implemented to both groups. The improvement was measured by Shoulder Pain & Disability Index and Vernon Neck Disability Index. Data was analyzed o...
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Objective: To determine the effects of Wii Fit exer-gaming on balance confidence, quality of life and fall risk in elderly population Methods: A double blinded randomized control was conducted at Kulsum International Hospital, Islamabad... more
Objective: To determine the effects of Wii Fit exer-gaming on balance confidence, quality of life and fall risk in elderly population Methods: A double blinded randomized control was conducted at Kulsum International Hospital, Islamabad from July 31st to October 30th, 2018. Following screening, 90 subjects fulfilled inclusion criteria and gave consent to be part of trial. Subjects were randomly allocated into experimental and control group by concealed envelope method. After baseline assessment, experimental group received Wii fit gaming while controls received balance training for 30 minutes twice a week for 8 weeks. Activities balance confidence (ABC), Euro 5Q5L, timed up and go (TUG) and Fukuda were used as outcome measures. Data was analysed by SPSS 21. Results: ABC improved in experimental group from 76.47±3.69 to 86.53±3.99, and in control group from 77.51±3.01 to 82.70±2.78 with significance < 0.001. The components of Euro 5Q5L; mobility, self-care, usual activities, pain/...
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ObjectiveTo determine the prevalence of musculoskeletal disorders (MSDs) among farmers and to establish the most common regional MSDs reported.MethodsComprehensive electronic searches of Pubmed, Web of Science, CINAHL, SCOPUS, EMBASE,... more
ObjectiveTo determine the prevalence of musculoskeletal disorders (MSDs) among farmers and to establish the most common regional MSDs reported.MethodsComprehensive electronic searches of Pubmed, Web of Science, CINAHL, SCOPUS, EMBASE, Agris Database, and Cochrane Library were carried out using keywords for MSDs and farmers. Pooled estimates of prevalence with 95% confidence intervals were calculated for overall MSD prevalence and the most common regional MSDs reported.ResultsTwenty‐four studies fulfilled the inclusion criteria and were incorporated into this review. From these studies, life‐time prevalence of any form of MSD among farmers was 90.6% while 1‐year MSD prevalence was 76.9% (95% CI 69.8–82.7). The majority of studies focused on spinal MSDs with low back pain (LBP) the most frequently investigated. Life‐time LBP prevalence was 75% (95% CI 67–81.5) while 1‐year LBP prevalence was 47.8% (95% CI 40.2–55.5). The next most common regional MSDs reported were upper (range 3.6–71...