ABSTRACT
Background & objectives: Osteoarthritis (OA) is the most common form of arthritis that increases with age affecting the population from the middle age to the elderly. The present study was undertaken to find whether neuromuscular stimulation of vastus medialis oblique (VMO) in combination with Maitland’s mobilization and exercises was more effective as compared to Maitland’s mobilization with exercises alone in patients with knee OA. Methods: Sixty patients with knee OA were purposively selected and randomly distributed to two groups that received an intervention for eight weeks. Group A patients received Maitland’s mobilization in combination with exercises and group B patients received the same intervention as group A in combination with neuromuscular stimulation of VMO muscle. After eight weeks, outcome measures, i.e. Numeric Pain Rating Scale (NPRS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) index, were reassessed. Results: Both groups showed significant (P<0.05) within-group improvement in the knee pain levels and stiffness as reflected by NPRS and WOMAC index. Interpretation & conclusions: Patients of both the groups (A and B) were found to be improving significantly in pain and disability, group A patients receiving Maitland’s mobilization in combination with exercises were found to get more relief in pain and disability.
ABSTRACT
Background: Serious, major meniscal fractures are the most common knee injuries. In the management of meniscal tears, physical therapy has shown positive results, and additional medication is required to reduce the effects of meniscal tears. This study aimed to evaluate the feasibility of the mulligan squeeze procedure in combination with conventional pain relief therapy and to increase the range of movement and functional ability of meniscal tear patients. The study aims at reviving pain, increasing ROM and stability, and improving the quality of their lives. Methods: In this randomized controlled trial, 40 patients were chosen and randomly assigned to two groups, A and B, clinically diagnosed with a meniscal tear. The Numeric Pain Rating Scale (NPRS), the Patient-Specific Functional Scale (PSFS), and knee range of motion were reported to determine the pain level and functional capability of the patients. Results: During the 4th and 6th week, all classes showed a significant gap (P<0.05). At the end of the 6th week, the standard variance and the overall analysis team t-test values were higher than the control group. Conclusion: The two teams showed significant progress for NRPS, ROM, and PSFS, but the experimental group showed more significant improvement in all the parameters.
ABSTRACT
Introduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that predispose individuals toward pathological conditions, such as headache, neck pain, and temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Materials and method: 50 patients were evaluated and included in the study. They were evaluated for pain using Numerical Pain Rating Scale (NPRS) and the forward head posture was assessed by measuring CV angle. The total duration of the study was 6 months. Analysis was done using SPSS Version 20. Results: Spearman’s correlation test was used to find correlation between CV angle and neck pain and the r value was found to be -0.731 with the level of significance 0.01. Conclusion: A moderate to good negative correlation was found between CV angle and neck pain.
ABSTRACT
@#The objectives of this study is to evaluate the suitability of full cup test (FCT), numeric pain rating scale (NPRS), and visual analogue scale (VAS) to assess pain after surgical removal of lower third molar and to identify which of these three pain scales is the easiest to use. A total of 50 patients, age between 18 to 30 years who underwent minor oral surgery for removal of impacted third molar were sampled in Faculty of Dentistry, University of Malaya. The patients were provided with forms containing three pain scales and they were required to mark each pain scales – FCT, NPRS and VAS daily for three consecutive post-operative days. The forms were collected a week later when patients came back for review. The validity between NPRS with VAS, FCT with NPRS and FCT with VAS were tested using Spearman rank correlation coefficient. Results showed that the correlation coefficient values for each pair were very high and significant. The findings when comparing Day 1, Day 2 and Day 3 and the combination for those three days showed no significant differences. No evidences indicated that the findings for Day 1 were more superior in comparison with other days. In conclusion, FCT was as valid as NPRS and VAS. The pain scale which was claimed to be the easiest to use by patients was NPRS, followed by FCT and VAS. However, further studies are needed to investigate the reliability and sensitivity of FCT.