RESUMO
To evaluate the effectiveness of Manual Therapy in comparison to Electrophysical agents in Knee Osteoarthritis
Total 50 patients with knee osteoarthritis were recruited from OPD of orthopedics civil hospital and Institute Of Physical Medicine and Rehabilitation, Dow University of Health Sciences Karachi. All those patients who fulfilled inclusion criteria were selected on voluntary basis. Selected patients were equally divided and randomly assigned into two groups with age and gender matching. The Manual therapy group received program of Maitland joint mobilization whereas Electrophysical Agent group received a program of TENS and cold pack
Both group received a program of exercise therapy as well. Patients received 3 treatment sessions per week for 4 successive weeks. Clinical assessment was performed using WOMAC index at baseline and on 12th treatment session. Both study groups showed clinically and statistically considerable improvements in WOMAC index. However, Related 2 sample t-test showed better clinical results in Manual Therapy group [p = 0.000] than Electrophysical Agents group [p = 0.008]
The mean improvement in total WOMAC index was relatively higher in Manual Therapy group [22.36 +/- 13.91] than Electrophysical Agent group [9.72 +/- 6.10]
This study concluded that manual therapy is clinically more effective in decreasing pain, stiffness and improving physical function in knee osteoarthritis
RESUMO
To evaluate the effectiveness of Cognitive Behavioural Therapy [CBT] along with General exercises and General exercises alone in chronic low back pain. Total 54 patients with chronic low back pain who fulfilled inclusion criteria were recruited from Physiotherapy, Department of Alain Poly Clinic Karachi and Institute of Physical Medicine and Rehabilitation Dow University of Health Sciences Karachi
Selected patients were equally divided and randomly assigned into two groups with simple randomisation method
The Cognitive Behavioural Therapy [CBT] and General exercises group received Operant model of CBT and General Exercises whereas General exercises group received General exercises only. Both groups received a home exercise program as well
Patients in both groups received 3 treatment sessions per week for 12 consecutive weeks. Clinical assessment was performed using Visual Analogue Scale [VAS] and Ronald Morris Disability Questionnaire at baseline and after 12 weeks. Both study groups showed statistically significant improvements in both outcomes measures p =0.000
However, mean improvements in post intervention VAS score and Ronald Morris score was better in CBT and exercises group as compared to General exercise group. In conclusion, both interventions are effective in treating chronic low back pain however; CBT and General exercises are clinically more effective than General exercises alone