Journal Riphah College of Rehabilitation Sciences
https://journals.riphah.edu.pk/index.php/jrcrs
<p><strong>Issues</strong> : 2 Per year <strong><br />Print-ISSN:</strong> 2226-9215 <br /><strong>Electronic-ISSN: </strong>2410-888X <br /><strong>Chief Editor: </strong>Prof. Dr Asghar Khan <br /><strong>Editor: </strong>Prof. Dr Arshad Nawaz Malik <br /><strong>Managing Editor: </strong>Dr Iqbal Tariq<strong> <br /></strong><strong>Journal Website:</strong> <a href="http://jrcrs.riphah.edu.pk/">http://Jrcrs.riphah.edu.pk</a><br /><strong>Affiliation University website:</strong> <a href="https://www.riphah.edu.pk/">https://www.riphah.edu.pk/</a></p> <header class="kt-page-header"></header> <div class="col-md-12"><strong><strong>Subject Area: </strong></strong>Research related to all fields of Rehabilitation Sciences, including physical therapy, speech and language pathology, pain management, orthotics and prosthetics, sports physical therapy and other related areas of Allied Health Sciences.</div>en-US[email protected] (Editor JRCRS)[email protected] (Faizan Masood)Sun, 31 Dec 2023 00:00:00 +0000OJS 3.2.1.4http://blogs.law.harvard.edu/tech/rss60The Shifting Landscape of Physical Therapy: Embracing Condition-Focused Expertise
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1944
Arshad Nawaz Malik
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1944Mon, 01 Jan 2024 00:00:00 +0000Translation, cultural adaptation and validation of Copenhagen neck functional disability scale in Urdu language
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1255
<p><strong>Background:</strong> Literature reveals high prevalence of neck disability in Pakistani population, and limited translated tools are available in Urdu language. Therefore, due to unavailability of screening tools in national language of Pakistan people usually remain unaware regarding the significance of early screening regarding any disease.</p> <p><strong>Objective:</strong> To Translate and validate the Copenhagen neck functional disability scale in Urdu language.</p> <p><strong>Methodology:</strong> This cross sectional study was conducted at Physical Therapy Department of Haider Hospital in Multan. A total of 75 participants aged between 18 to 40 years of both gender with nonspecific neck pain for minimum 12 weeks were included. Initially, two independent professionals made two forward translation into Urdu language. Then, these translations were synthesized into single translation. The synthesized translated version was translated backward into English language. The expert reviewed the synthesized translated version and backward translated version and approved the translated final synthesized version. The psychometric properties test included internal consistency validity (Cronbach’s alpha), test-retest reliability (ICC 2, 1), and concurrent validity (correlation with Numeric pain rating scale and Neck disability index).</p> <p><strong>Results:</strong> The mean The Cronbach’s alpha for Copenhagen neck functional disability scale Urdu version (CNFDS-U) was 0.76 showing good internal consistency. The test-retest reliability determined with intraclass correlation coefficient ICC (2, 1) was 0.84 (95% CI; 0.74 to 0.90, P< 0.001). Test-retest mean scores correlation was r = 0.86 (P < 0.001). The Pearson’s correlation coefficient between CNFDS-U and NDI was r = 0.65 (P<0.001). The Pearson’s correlation coefficient between CNFDS-U and NPRS was r = 0.60 (P<0.001).</p> <p><strong>Conclusion</strong>: The Urdu translated version of Copenhagen neck functional disability scale showed high internal consistency, excellent test-retest reliability, and good concurrent validity.</p>Tehmina Nazir, Ashfaq Ahmad, Arooj Fatima, Asadullah, Syed Amir Gillani
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1255Mon, 01 Jan 2024 00:00:00 +0000Effects of iliopsoas and piriformis muscle stretching along with Maitland's mobilizations in postpartum Coccydynia; A randomized control clinical trial
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1397
<p><strong>Background:</strong> Childbirth is a well-known cause of Postpartum Coccydynia associated with pain and tenderness at the tip of the tailbone between buttocks and is a renowned source of maternal morbidity if left untreated.</p> <p><strong>Objective:</strong> To explore effect of piriformis and iliopsoas muscle stretching along with mobilization of sacro-iliac joint and coccyx in patients suffering from postpartum Coccydynia.</p> <p><strong>Methodology:</strong> In a randomized control clinical trial, fifty-six females with clinically diagnosed postpartum coccydynia were recruited and randomly divided into two groups G1=intervention group (n=28), G2=control group (n=28). All participants have similar characteristics in that they had >2 child deliveries, aged between 25-35 years, with a visual analogue scale ≥ 6 in a sitting position. The experimental group was treated with heat therapy (10 mints), along with piriformis and iliopsoas muscle stretching, Baseline measurements include the Intensity of pain measured by the visual analogue scale, tenderness by algometer, and duration of pain-free sitting. Post-treatment effects were measured after two weeks, and follow-up was carried out every month for three months to check the recurrence or continuous recovery. </p> <p><strong>Results:</strong> The experimental group showed a significant improvement in pain intensity, pain pressure threshold and pain free sitting compared to the control group (p<0.05). Visual analogue scale 6.87±2.07 had improved 3.9±1.37 after treatment compared to the control group 6.87±1.9(pre study) to 6.2±1.8(post study).</p> <p><strong>Conclusion:</strong> Stretching exercise, mobilization, and medicine (NSAIDs) were effective in relieving pain and complete recovery of postpartum Coccydynia. </p>Ayesha Basharat, Muhammad Mustafa Qamar , Sania Naz, Iqra Islam, Shanza Tanveer, Tubaa Saleem, Nyla Basharat
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1397Mon, 01 Jan 2024 00:00:00 +0000Relationship between Lower Cervical and Upper Thoracic Spine in Temporomandibular Disorders
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1555
<p><strong>Background:</strong> Temporomandibular patients frequently feel discomfort in other areas as well. It is believed that temporomandibular dysfunction (TMD) is linked to whole body imbalance including lower cervical and upper thoracic spine.</p> <p><strong>Objective:</strong> To determine the relationship between lower cervical and upper thoracic spine with TMJ disorders.</p> <p><strong>Methodology:</strong> This study was conducted on bilateral temporomandibular disorder patients of Multan. It included both males and females of age group between 20 to 50 years. People with history of trauma and fracture of face, patients with any spine abnormality and systemic disease such as rheumatoid were excluded. Helkimo index, neck disability scale and Oswestry scale was used to assess TMJ, cervical spine and thoracic spine.</p> <p><strong>Results:</strong> In the current study total of 82 participants participated with a mean age of 31.19. In this study, 31(37.8%) males and 51(62.2%) females participated for the study. Result showed that there are 32 (39%) with mild dysfunction, 28 (34.1%) with moderate dysfunction and 22 (26.8%) with severe dysfunction of TMJ. Neck disability scale results showed that around 21 (25.6%) had no disability, 25 (30.5%) had mild disability, 19 (23.2%) had moderate, 16 (19.5%) had severe and only 1 (1.2%) had total disability of neck and Oswestry disability index results showed that the 53 (64.6%) had mild thoracic spine disability, 16 (19.5%) had moderate thoracic spine disability and 13 (15.9%) had severe thoracic spine disability of thoracic spine. Association was found between TMJ dysfunctions with both cervical spine and thoracic spine (P<0.05).</p> <p><strong>Conclusion:</strong> The result of this study concluded that there is an association between TMJ disorder with lower cervical and upper thoracic spine.</p>Mishal Jamal, Tooba Asif, Abdul Qadeer Khan, Umaima Naeem, Laiba Nawaz, Saimoon Rafi
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1555Mon, 01 Jan 2024 00:00:00 +0000Comparing the effects of carpal bone mobilization and tendon gliding in patients with carpal tunnel syndrome
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1561
<p><strong>Background:</strong> Idiopathic carpal tunnel syndrome is a carpal tunnel median nerve neuropathy. CTS is the most typical type of peripheral neuropathy</p> <p><strong>Objective:</strong> To determine the effects of carpal bones mobilization and tendon gliding exercise on patients with Carpal Tunnel Syndrome.</p> <p><strong>Methodology:</strong> This was a quasi-experimental study. Data was collected from Faisal Hospital and Civil Hospital Faisalabad from April 2022 to August 2022. The total sample size was 32 and calculated from the open epi tool. Patients were recruited in this study by considering the inclusion and exclusion criteria. Patients were divided into two groups. The patients in group A were treated by carpal bone mobilization, and those in group B were treated by tendon gliding exercise. Throughout the course of four weeks, the intervention was carried out three times per week. The outcome measure tools of this study were the Numeric Pain Rating Scale and the Boston Carpal Tunnel Questionnaire. The data was analyzed using SPSS version 23.</p> <p><strong>Results:</strong> There was a significant difference in reduction of pain intensity, symptom severity and improvement in functional ability between two groups i.e. Carpal Bone Mobilization and Tendon Gliding at end of four weeks (P<0.002) (P<0.000) (P<0.001). There was more reduction in pain (P<0.002), and symptom severity (P<0.000) and improvement in functional ability (P<0.001) in Tendon Gliding group at end of 4 weeks</p> <p><strong>Conclusion:</strong> Tendon gliding exercises were most effective in reducing pain, range of motion, and neck function as compared to nerve mobilization in patients with carpal tunnel syndrome.</p>Muhammad Sufiyan Minhas, Sana Khan, Mahrukh Majid, Qurat ul Aine, Ramesha Tahir, Komal Tariq
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1561Mon, 01 Jan 2024 00:00:00 +0000DEVELOPMENT OF THERAPEUTIC EXERCISES MANUAL FOR OROPHARYNGEAL DYSPHAGIA: PHASE I
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1615
<p><strong>Objective:</strong> To reduce and eliminate aspiration and penetration ultimately, it was aimed to develop the indirect therapeutic exercises manual for patients with Oro-pharyngeal Dysphagia.</p> <p><strong>Methodology:</strong> The study based on analytical approach: a method for tool development, was conducted on the sample of five experts and one hundred speech and language pathologists through purposive sampling in clinical setting (from Nov 2021 to Sep 2022). The factors via already existed literature data base; speech BITE; MEDLINE; PakMediNet; PubMed; Web of Science; CINAHL; IndMed and Google Scholar were generated. The factors were divided into two domains/ latent variables (compensatory strategies and rehabilitative techniques) with fourteen items/ observable variables (relevant instructions). These domains and items were further modified into ‘content validity performa. Content validity was assessed through ‘face to face written and verbal reviews’ by panel of five experts on the content validity performa. The refined and simplified factors (domains and fourteen items) were altered into an online survey based on five points Likert scale of preferences. One hundred speech and language pathologists from different regions of the Punjab were approached to participate in an online survey so the correlation between the domains and items can be found out.</p> <p><strong>Results:</strong> Content Validity Index (CVI), Content Validity Ratio (CVR) and kappa statistics were employed to calculate the content validity. The findings suggested that the therapeutic exercises manual met the satisfactory level of content validity (CVI= CVR= kappa= 0.85). To confirm the factor validity via Likert scale, AMOS version 23 was employed, suggesting fit in model (x2 (76) = 80.255, p<.001) and good covariance (p> .04). The internal consistency (Cronbach Alpha) of therapeutic exercises manual was 0.833 and the inter-item correlation coefficient ranged from .082 to .488.</p> <p><strong>Conclusion:</strong> Content validity was found to be high, representing the core theme of the construct. The domains (compensatory strategies and rehabilitative techniques) showed good correlation with each other and their item (instructions). The therapeutic exercises manual may be use-able for the patients to eliminate the aspiration and penetration.</p>Shabina Rana, Nayab Iftikhar
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1615Mon, 01 Jan 2024 00:00:00 +0000Comparative effects of foam roller and cross frictional massage on Iliotibial band syndrome in cyclist
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1618
<p><strong>Background:</strong> lliotibial band syndrome is a friction syndrome, it is a common dysfunction in cyclists and runner. Manual pressure or even spontaneously pressure on iliotibial band can produce pain which may be localized or referred.</p> <p><strong>Objective:</strong> The study’s goal was to compare the effects of foam roller and cross frictional massage in iliotibial band syndrome in cyclists.</p> <p><strong>Methods:</strong> This study design was experimental, the n=14 subjects were selected after meeting the inclusion and exclusion criteria of the study. The participants were divided equally into two groups. It was a single blinded Randomized clinical trial. Foam roller massage was given to group A and cross frictional massage was given to group B. For the 6-week program, outcome measurements were taken at 1st week, 2nd week, 4th week and 6th week. The Numeric pain rating scale, Knee Outcome Survey Sports Activities Scale and Pressure Algometer were used to determine the outcomes.</p> <p><strong>Results:</strong> The samples collected in this study were fourteen in number. Within the age range of 15-40 years, the participants in group A were found to be 23.8± 6.30 and group B were found to be 22.5 ± 5.31 years old. For the comparison of dependent variables non-parametric test mainly unpaired t-test was done and the value of p was seen to be greater than 0.05 in cyclists. So, it is seen that no program is superior to other showing a p-value exceeding 0.05.</p> <p><strong>Conclusion:</strong> It is concluded that both interventions were effective for treatment of iliotibial band syndrome in cyclists in this study; however, no treatment program was statistically superior to other.</p>Mudassar Ilyas , Muzna Munir , Anam Bint Irfan; Nabira Izhar
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1618Mon, 01 Jan 2024 00:00:00 +0000Frequency of shoulder pain in type 2 diabetes mellitus patients
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1619
<p><strong>Background:</strong> Shoulder pain is the most common health related problem. Diabetic patients are also exposed and appeared to have prevalent shoulder pain due to diabetics and physical stress. Many other causes such as trauma, injury, bursitis, tendinitis is included. In this study, we analyzed the frequency of shoulder pain in diabetic patients. </p> <p><strong>Objective:</strong> To find out the frequency of shoulder pain in type 2 diabetes mellitus patients in Multan. </p> <p><strong>Methodology:</strong> It was a cross sectional study. Data was collected from different areas of Multan. The sample size was 120 patients which were selected through convenient sampling. Shoulder Pain and Disability Index (SPADI) was used to find out the frequency. Sample selection was computed through Cochran’s formula. The data was analyzed by SPSS 21.0 Version.</p> <p><strong>Results:</strong> Total sample size was 120 out of which there were 52 participants who had shoulder pain and 68 participants did not report shoulder pain. 57% diabetics with shoulder pain who reported no difficulty during clothing. 32% reported that they had mild level of difficulty during clothing and 11% reported moderate level difficulty during clothing due to shoulder pain However, there were no one who reported severe level of difficulty during clothing due to shoulder pain. 31.67% participants who reported mild level of difficulty during reaching. 10% reported moderate level of difficulty and 2% reported severe level of difficulty during reaching activities whereas 57% reported having no difficulty in reaching. The mean of total SPADI score was 84.92.</p> <p><strong>Conclusion:</strong> The study investigated shoulder pain in Type 2 diabetes patients, assessing external rotation and glycated HbA1c levels. It emphasizes the importance of addressing musculoskeletal issues in diabetes management and promoting better understanding and treatment of shoulder pain in these patients.</p>Sidra Suleman, Haseeb Tariq, Tooba Asif, Abdul Qadeer Khan, Hurriya Sehar, Moin Akhtar, Saimoon Rafi
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1619Mon, 01 Jan 2024 00:00:00 +0000Effects Of Whole Body Vibration On Functional Independence In Older Adults
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1626
<p><strong>Objective:</strong> To determine the effects of whole body vibration along with balance training in older individuals.</p> <p><strong>Methodology:</strong> This randomized control trial was conducted after the approval of Research Ethical Committee of Riphah International University. Total of 112 participants were recruited on the basis of inclusion criteria of both genders with controlled diabetes and hypertension, age ranging from 50 to 70 years, medium fall risk according to Berg balance score of 21-40. Patient with any type of surgical intervention which may hinder assessment or treatment, Individuals were randomly assigned to experimental (n=56) and control groups (n=56) through toss a coin method. Experimental group was given balance and strengthening exercises with whole body vibration whereas, control group received balance and strengthening exercises only. Individuals in both groups were assessed for their balance performance by using Berg Balance Scale, Functional Independence Scale, and Time Up and Go Test. These assessment tools were used before and after the treatment of 4 weeks’ protocol.</p> <p><strong>Results:</strong> Mann-Whitney U test was applied for comparison between control and experimental group. The p-values of Berg balance and functional independent measure were 0.001 and 0.003 respectively with statistically significant improvement whereas time up and go test showed statistically non-significant results with the p value 0.044 (less than 0.05)</p> <p><strong>Conclusion</strong>: This study concluded that Whole body vibrations along with balance training and strength were more effective in improving functional independence when compared to conventional physical therapy exercises training for strength and balance. Clinical Trial Number: NCT04963387</p>Esha Khan, Zoya mehmood, Madeeha shafiq, Marium Khalid, Humail Iqbal, Mir Arif Hussain
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1626Mon, 01 Jan 2024 00:00:00 +0000Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1636
<p><strong>Background:</strong> Amputation is the surgical or traumatic removal of extremity or part of body. Limb amputation is the last option to save the patient’s life by removing the dead or the dying part of the limb with trans-tibial amputation commonly known as below knee amputation.</p> <p><strong>Objectives:</strong> To determine correlation of temporo-spatial and kinemetic trends with stump length in Trans-tibial amputees.</p> <p><strong>Methodology:</strong> This correlational cross-sectional study was conducted in the Gait Lab of PIPOS Peshawar after Approval from the Institutional Research Board, Isra University Islamabad. Study recruited N=180 unilateral, male, K3 and K4 level trans tibial amputees, aged 15-30 years of age using purposive sampling. The data was collected under the “Simi Motion Analysis camera system” to measure the gait parameters related to tempura-spatial variables and kinematics. The stump length and stride length was measured using the measuring tape. Correlations of patients’ stump length with temporo-spatial and kinematics were determined using Pearson’s correlation matrix. P-value of 0.05 was considered significant.</p> <p><strong>Results:</strong> Study sample with mean age of 25.69±4.17 years, revealed that stump length had no significant correlation with stride length (r=0.032, p=0.665), cadence (r-0.079,p=0.29), velocity (r=-0.039, p=0.6), stance phase (r=-0.068, p=0.363), swing phase (r=0.06, p=0.423), hip joint kinematics of amputated side (r=-0.06, p=0.426), knee joint kinematics ie., flexion at terminal stance (r=-0.129, p=0.085), flexion at mid swing (r=0.004, p=0.954) of amputated side , pelvic tilt (r=0.049, p=0.517) and trunk bending both lateral trunk flexion (r=0.041, p=0.588) and forward lean (r=-0.036, p=0.634) at mid stance.</p> <p><strong>Conclusion:</strong> In conclusion, the stump length had no substantial influence on the temporo-spatial and kinematic gait parameters in subjects with Trans tibial amputation</p>Mr. Hassan Saifullah, Dr. Waqar Ahmed Awan, Mr. Mehran Ullah, Mr. Arsalan Rasool, Mr. Muhammad Kamran, Dr. Ghulam Saqulain
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1636Mon, 01 Jan 2024 00:00:00 +0000Attitude of Physical Therapy Students towards People with Disability
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1641
<p><strong>Background:</strong> Attitudes are essential factors inducing interactions between healthcare providers and their patients. In the context of physical therapy, understanding students' attitudes towards individuals with disabilities is of great importance for providing effective and empathetic care. The term disability means person with any physical, sensory, intellectual, hearing and visual dysfunction or impairment that affects social, economic and environmental participation. </p> <p><strong>Objective:</strong> The objective of this study was to find out the attitude of physical therapy students towards disabled people.</p> <p><strong>Methodology:</strong> A cross-sectional survey was conducted to examine the attitudes of 100 physical therapy students towards individuals with disabilities. Participants were selected using a non-probability convenient sampling technique. This approach was chosen for its practicality and accessibility. The survey utilized the "Attitude towards Disabled Person" scale as the primary tool for data collection. Data was collected through the administration of the questionnaire to participants who met the predefined inclusion criteria. These criteria were established to ensure that the sample accurately represented the target population of interest.</p> <p><strong>Results:</strong> Among the 100 participants, a significant 23% expressed strong agreement with the idea that individuals with disabilities are inherently more sensitive, while 58% simply agreed. The results were remarkably in favor about the sensitivity of disabled people. When asked about the social interaction of disabled people, 3% Physical therapists strongly agreed and 12% agreed that these people are sociable. On the other hand 7% strongly disagreed and 34% disagreed that people with disability are not much sociable. The results concluded that 12% strongly disagreed and 31% disagreed to the asked question that the person with disability cannot be discouraged easily. Majority of the participants think that it’s easy to discourage a person with disability. 21% students are strongly agreed and 46% agreed that disabled people should communicate with other people of society. Overall results of this study show that physical therapy students had negative attitude i.e. 72% and average of positive attitude variables is 67%. with Trans tibial amputation</p>Muhammad Jawwad Baig , Erum Tanveer, Urooj Rafi, Rabiya Siddiq
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1641Mon, 01 Jan 2024 00:00:00 +0000Current Practices for the Rehabilitation of Stroke Patients by Physical Therapists in Khyber Pakhtunkhwa
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1659
<p>Background: Stroke is the second leading cause of death and a major cause of disability worldwide. Physiotherapy, which is an important part of stroke rehabilitation, has been demonstrated to improve patient outcomes but there is no such conclusive evidence that shows any specific rehabilitation protocol being followed.</p> <p>Objective: To find the current practices of physical therapists for the rehabilitation of stroke patients in Khyber Pakhtunkhwa.</p> <p>Methodology: A cross study was conducted between November 2021 to April 2022 in which an online questionnaire was distributed to physiotherapists (n = 120) working in different hospitals of Khyber Pakhtunkhwa. The questionnaire acquired. has been adapted from previously conducted study in United states by P Natarajan et al examining stroke rehabilitation protocols. Statistical Package for the Social Sciences SPSS 22 version was used for the data analysis. Chi-square test was used to find the association of treatment protocols with experience, age, qualification and gender with P - value of 0.05 as reference.</p> <p>Results: The total calculated sample size was 120 but only 98 participants properly filled the questionnaire and were included in the study. The survey participants were asked about the stroke rehabilitation approaches they had used in their job and the treatment method they had learned in school. It was found that Bobath/NDT and PNF techniques were applied by majority of participants 77(78%), while MRP by N=73(74%), Brunnstorm by N= 54(54%) and Constrained Induced Therapy by N= 38%.</p> <p><strong>Conclusion: </strong>Physiotherapists' approaches to treatment in stroke rehabilitation have been seen to differ. Lack of knowledge about the most recent treatment protocols and the lack of agreement on any single treatment method for stroke rehabilitation have been noticed by keeping in view the recent research evidence.</p>Zardad Khan, Shakir Ullah, Mujeeb Ur Rehman, Syed Zain Ul Abidin, Alamzeb, Rizwan Ullah, Shahzeb Khan
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
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https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1659Mon, 01 Jan 2024 00:00:00 +0000Development of therapeutic exercises manual for Oro-Pharyngeal Dysphagia, Phase II: Efficacy of therapeutic exercises manual for Oro-Pharyngeal Dysphagia
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1616
<p><strong>Objective:</strong> To determine the effectiveness of ten therapeutic exercises on the patients of Oro-pharyngeal Dysphagia (OD) clinically diagnosed with one structural disorder (Head and neck cancer; HNC) and two neurological disorders (Traumatic Brain Injury; TBI and Cerebral Vascular Accidents; CVA).</p> <p><strong>Methodology:</strong> The Quasi experimental study (pretest-posttest design) was conducted, gathering a sample of 75 patients with mild to moderate Oro-pharyngeal Dysphagia (OD) severity through purposive sampling technique from Govt. and private hospitals without no age and geneder limits. The patients with neurological diseases, nasogastric (NG) tube and tracheostomy were excluded. Two screening test (a) Glassgow Coma Scale (GCS) and (b) The Repetitive Saliva Swallowing Test (RSST) were used to investigate patient’s consciousness and voluntarily swallow, respectively. To quantify the effectiveness of therapeutic manual, The Eating Assessment Tool (EAT-10) was employed as baseline (pre-test and post-test). Therapeutic protocol was received by the patients twice a week for six weeks in the clinical setting and post test was administered on patients’ follow-ups and some through online calls.</p> <p><strong>Results:</strong> Using SPSS version 26, Shapiro-Wilk test demonstrated normality in the data distribution showing kurtosis (+10, -10) and skewness (+3, -3) values falling within their ranges. Consequently, parametric tests: One-way between-subject ANOVA was employed to compare the statistical significant mean difference between the groups (HNC, TBI, CVA) on EAT-10 score measuring the effect of therapeutic exercises manual for OD. Paired sample t-test was run to investigate the mean difference of EAT-10 scores within subjects before and after the implication of therapeutic exercises manual. One-way between-subject ANOVA identified a significant mean difference of EAT-10 score between three groups F (2, 72) = 17.64, p< .05, with large effect size (η2= .970). Paired sample t-test results indicated a significant mean difference (t= 80.884, df= 74, p< .005, one-tailed) with large effect size (d = .82) within the subjects before and after the intervention.</p> <p><strong>Conclusion:</strong> So, findings addressed a large improvement in Oro-Pharyngeal Dysphagia after the implementation of therapeutic exercises manual.</p>Shabina Rana, Nayab Iftikhar
Copyright (c) 2023 All Articles are made available under a Creative Commons "Attribution-NonCommercial 4.0 International" license. (https://creativecommons.org/licenses/by-nc/4.0/). Copyrights on any open access article published by Journal Riphah college of Rehabilitation Science (JRCRS) are retained by the author(s). Authors retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means; provided the article is correctly cited. JRCRS does not allow commercial use of the articles published. All articles published represent the view of the authors and do not reflect the official policy of JRCRS.
https://creativecommons.org/licenses/by-nc/4.0
https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1616Mon, 01 Jan 2024 00:00:00 +0000