RESUMEN
Background: Lumbar Spondylitis (LS) is a common term that denotes degenerative changes that develop in trauma-center patients, specific age groups, and head injury patients. A study done on Indian population reported 60% to 90% of radiological changes of L4 at L5-S1 levels in asymptomatic individuals. These degenerative changes in the lumbar spine may remain asymptomatic or can present as pure axial lumbar pain, lumbar radiculopathy, lumbar myelopathy, or lumbar myeloradiculopathy. So, the aim of the study was to check the effectiveness of hip flexor muscle strengthening, femoral nerve muscle stretching with facet joint mobilization for lumbar spondylitis. Materials and methods: 60 patients were included in the study which was divided into two groups; Group A and Group B, 30 patients in each group. Subjects were randomly selected and assigned to each group. Pre-test measurements of the patient were done with the help of two measures - RolandMorris Low Back Pain and Disability Questionnaire for disability and Visual Analog Scale (VAS). Goniometer was used for range motion of lumbar spine movements done in each group. The Subjects in Group-A were given hip flexor muscles strengthening with femoral nerve stretching for lumbar region for 45 minutes for 4 days in a week for four weeks where the subject were sitting. The Subjects in Group-B were given femoral nerve stretching with facet joint mobilization for 45 minutes for 4 days in a week for four weeks where the subjects were in supine and prone position and remain Sreenivasu Kotagiri, Neeti Mathur, Ashwin Kumar. Comparative Efficacy of Hip Flexor Muscle Strengthening with Femoral Nerve Stretching and Facet Joint Mobilization for Lumbar Spondylitis. IAIM, 2019; 6(9): 49-57. Page 50 relaxed with the feet uncrossed. Result analysis was done by Wilcoxon Sum Rank Test (Mann Whitney U Test). Results: On comparing Group A and Group B for post-treatment VAS score and RMQ score, results showed a significant difference (p=0.001) in improvement in terms of VAS and RMQ. The overall study proved that hip flexor muscle strengthening, femoral nerve stretching with facet joint mobilization for lumbar spondylitis in improving Pain and decreasing the disability level in lumbar radiculopathy and reduce tightness subjects. Conclusion: The analysis obtained indicated that Group B (femoral nerve stretching with facet joint mobilization) showed more significant improvement when compared to Group A ( hip flexor muscles strengthening with femoral nerve stretching).
RESUMEN
Background: Low back pain (LBP) is the fifth most common reason for physician visits, which affects nearly 60-80% of people throughout their lifetime. The lifetime prevalence of low back pain is reported to be as high as 84%. The most common type of low back pain is Mechanical low back pain. There are various risk factors for mechanical low back pain which are usually classified into physical, physiological and psychological factors. Heavy manual work and lifting weights constitute the physical work factors. Twisting, sitting for long hours, driving and whole body vibrations are also few physical causes. Low physical fitness and trunk muscle weakness are the physiological factors. The essential factors, which should always been taken into consideration in case of pain, are the psychosocial issues such as social influence, monotonous work, low job satisfaction, stress, anxiety, fear and depression. If left untreated or delay in the treatment may lead to degenerative changes. So, the aim of the study was to check the effectiveness of Lumbar Stabilization exercises with laser therapy In Patients with mechanical low back pain. Materials and methods: 60 patients were included in the study which was divided into two groups; Group A and Group B, 30 patients in each group. Subjects were randomly selected and assigned to each group. Pre-test measurements of the patient were done with the help of two measures - RolandMorris Low Back Pain and Disability Questionnaire for disability and Goniometer was used for range motion of lumbar spine movements for each group. The Subjects in Group-A were given Laser Sreenivasu Kotagiri, Neeti Mathur, Ashwin Kumar, Anup Kumar Song. Effectiveness of lumbar stabilization exercises with laser therapy in patients with mechanical low back pain. IAIM, 2019; 6(9): 117-126. Page 118 therapy for 10 minutes along with Kinesiotaping. The Subjects in Group-B were given Lumbar Stabilization exercises with laser therapy. Result analysis was done by Results: On comparing Group A and Group B for post-treatment RMQ score, results showed a significant difference (p=0.001). The overall study proved that Lumbar stabilization exercises along with laser therapy were more significant for Mechanical low back pain in improving Pain and decreasing the disability level. Conclusion: The analysis obtained indicated that Group B (Lumbar stabilization exercises along with laser therapy) showed more significant improvement when compared to Group A (Laser therapy along with Kinesiotaping).
RESUMEN
Background: Frozen shoulder is defined as an idiopathic condition of the shoulder characterized by the spontaneous onset of pain in the shoulder with restriction of movement in every direction. Prevalence of frozen shoulder was found to be 3.06% in a regional community based study. Frozen shoulder is a discrete clinical diagnosis for painful restriction of shoulder motion that results from capsular fibrosis. It is usually present in age group between 40-60 years. Muscle Energy (MET) technique is very much beneficial in this condition. Muscle energy techniques are class of soft tissue osteopathic manipulation consisting of isometric contraction design to improve musculoskeletal function and reduce pain. MET combined along with scapular Mobilization gives much better effect. So, the aim of the study is to check the effectiveness of muscle energy technique and mobilization to improve shoulder range of motion frozen shoulder. Materials and methods: 60 patients were included in the study which was divided into two groups; Group A and Group B, 30 patients in each group. Subjects were randomly selected and assigned to each group. Pre-test measurements of the patient were done with the help of two measures VAS, Shoulder pain and disability index (SPADI) and Goniometer was used for assessing range motion of shoulder movements for each group. The Subjects in Group-A were given muscle energy technique. The Subjects in Group-B were given maitland technique. Then the Result analysis was done. Sreenivasu Kotagiri, Neeti Mathur, Vadana, Gayathri Balakavi, Anup Kumar Songa. The Effectiveness of Muscle Energy Technique and Mobilization to Improve the Shoulder Range of Motion in Frozen Shoulder. IAIM, 2019; 6(10): 64-73. Page 65 Results: On comparing Group A and Group B for post-treatment VAS and SPADI score, results showed a significant difference (p=0.001). The overall study proved that MET is beneficial in improving Pain and decreasing the disability level. Conclusion: The analysis obtained indicated that Group A (Muscle energy Technique) showed more significant improvement when compared to Group B (Mobilization).
RESUMEN
Background: Knee osteoarthritis is the occurrence of osteoarthritis (OA) in the knee joint. Osteoarthritis involves the degradation of joints, including articular cartilage and subchondral bone. Osteoarthritis is the most common disease of joints adults suffer from worldwide. The most common procedures done for the treatment of osteoarthritis of knee is a surgical procedure called Total knee arthroplasty (TKA) or total knee replacement (TKR) which is mostly done in advance cases. It is usually starts from age group of 40 and slowly progresses. The most common age group in which its seen is between 50-60 years. They slowly start losing balance after the TKR. Balance is an important aspect of mobility and physical function. Patients with severe OA who are awaiting total hip arthroplasty (THA) or total knee arthroplasty (TKA) are reported to have a higher incidence of falls compared to the general population. Balance Training Exercises with Conventional Therapy gives much better effect. So, the aim of the study is to check the effectiveness of balance training to improve function in patients in post-operative phase following total knee arthroplasty. Materials and methods: 60 patients were included in the study which was divided into two groups; Group A and Group B, 30 patients in each group. Subjects were randomly selected and assigned to each group. Pre-test measurements of the patient were done with the help of TUG for each group. The Sreenivasu Kotagiri, Neeti Mathur, Swapna, I Venkateshwarlu, Anup Kumar Songa. Effectiveness of balance training to improve function in patients in post-operative phase following total knee arthroplasty. IAIM, 2019; 6(10): 56-63. Page 57 Subjects in Group-A were given Conventional Therapy. The Subjects in Group-B were given Balance Training Exercises with Conventional Therapy. Then the Result analysis was done. Results: On comparing Group A and Group B for post-treatment TUG score, results showed a significant difference (p=0.001). The overall study proved that Balance Training Exercises with Conventional Therapy is beneficial in improving functional activities and decreasing the disability level. Conclusion: The analysis obtained indicated that Group B (Balance Training Exercises with Conventional Therapy) showed more significant improvement when compared to Group A (Conventional therapy).