Background:Shoulder dysfunction is very common after mastectomy,and there is also less follow-up for physiotherapy services among patients with mastectomy.Objective:A study was conducted to determine the role of nurse...Background:Shoulder dysfunction is very common after mastectomy,and there is also less follow-up for physiotherapy services among patients with mastectomy.Objective:A study was conducted to determine the role of nurse-assisted home-based range of motion(ROM)exercises in patients with shoulder dysfunction after mastectomy.Methods:A pre-and post-interventional study design was used to collect data from 30 post-mastectomy patients.The subjects were selected on a voluntary basis.Informed consent was obtained from post-mastectomy patients who were discharged from different oncology hospitals in Pakistan prior to their inclusion in this study.After obtaining a baseline measurement,the patients were supervised with nurse-assisted ROM exercises at home.The nurse-assisted home-based ROM exercise program was designed for such patients,and the patients were followed-up for up to 1 month.The total duration of the study was 1 year from August 2015 to August 2016.Post-intervention measurement was performed at the patients’home.The difference in terms of pain reduction and ROM improvement at the shoulder joint was recorded using goniometric measurements and the 100 mm visual analogue scale(VAS).Results:The mean age of the 30 subjects was 39.83±5.89.The mean ROM of shoulder flexion before the exercise program was 106.03°,which improved to 133.93°after 1 month of the exercise program.The mean ROM of shoulder abduction before treatment was 94.83°,which improved to 127.13°after 1 month of supervised exercise program.The mean ROM of shoulder rotation before the exercise program was 127.53°,which improved to 152.03°after 1 month of the exercise program.Conclusion:The nurse-assisted home-based shoulder ROM exercise program is effective in terms of improving the range of motion and reducing pain at the shoulder joint in post-mastectomy patients.展开更多
The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis.Study was conducted in population of Sargodha who is seekin...The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis.Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers.The study design was randomized,controlled,and multicenter.Around 75 patients were selected by inclusion and exclusion criteria,and were divided into three groups by lottery method of randomization.Group 1 obtained Kaltenborn method of treatment,Group 2 obtained muscle energy technique,and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises.Duration of study was 6 months,and the interventions were performed for two weeks,with a total of 10 sessions.A baseline measurement was taken on shoulder pain and disability index(SPADI).A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis.The pre-intervention measurements on SPADI were 61.11±8.79,60.91±9.90,and 61.18±9.00 in control,Kaltenborn,and METs groups,respectively.The post intervention measurements were 49.33±9.95,39.09±9.45,and 27.69±11.97 in control,Kaltenborn,and METs groups,respectively.This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups.METs is superior to Kaltenborn in pain and disability management when compared to each other.展开更多
Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement ...Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome.Objective:To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis.Methodology:In this study,patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria.Subjects were managed with kinesio taping.Pre-and post-evaluation of the patients was done using Numerical Pain Rating Scale(NPRS)and Disability of Arm Shoulder&Hand Questionnaire(DASH)score and the data gathered was entered and analyzed using SPSS version 23.Results:Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant(P<0.05).Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant(P<0.05).Conclusion:Kinesio taping is an effective Program in management of supraspinatus tendinitis.展开更多
文摘Background:Shoulder dysfunction is very common after mastectomy,and there is also less follow-up for physiotherapy services among patients with mastectomy.Objective:A study was conducted to determine the role of nurse-assisted home-based range of motion(ROM)exercises in patients with shoulder dysfunction after mastectomy.Methods:A pre-and post-interventional study design was used to collect data from 30 post-mastectomy patients.The subjects were selected on a voluntary basis.Informed consent was obtained from post-mastectomy patients who were discharged from different oncology hospitals in Pakistan prior to their inclusion in this study.After obtaining a baseline measurement,the patients were supervised with nurse-assisted ROM exercises at home.The nurse-assisted home-based ROM exercise program was designed for such patients,and the patients were followed-up for up to 1 month.The total duration of the study was 1 year from August 2015 to August 2016.Post-intervention measurement was performed at the patients’home.The difference in terms of pain reduction and ROM improvement at the shoulder joint was recorded using goniometric measurements and the 100 mm visual analogue scale(VAS).Results:The mean age of the 30 subjects was 39.83±5.89.The mean ROM of shoulder flexion before the exercise program was 106.03°,which improved to 133.93°after 1 month of the exercise program.The mean ROM of shoulder abduction before treatment was 94.83°,which improved to 127.13°after 1 month of supervised exercise program.The mean ROM of shoulder rotation before the exercise program was 127.53°,which improved to 152.03°after 1 month of the exercise program.Conclusion:The nurse-assisted home-based shoulder ROM exercise program is effective in terms of improving the range of motion and reducing pain at the shoulder joint in post-mastectomy patients.
文摘The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis.Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers.The study design was randomized,controlled,and multicenter.Around 75 patients were selected by inclusion and exclusion criteria,and were divided into three groups by lottery method of randomization.Group 1 obtained Kaltenborn method of treatment,Group 2 obtained muscle energy technique,and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises.Duration of study was 6 months,and the interventions were performed for two weeks,with a total of 10 sessions.A baseline measurement was taken on shoulder pain and disability index(SPADI).A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis.The pre-intervention measurements on SPADI were 61.11±8.79,60.91±9.90,and 61.18±9.00 in control,Kaltenborn,and METs groups,respectively.The post intervention measurements were 49.33±9.95,39.09±9.45,and 27.69±11.97 in control,Kaltenborn,and METs groups,respectively.This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups.METs is superior to Kaltenborn in pain and disability management when compared to each other.
文摘Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome.Objective:To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis.Methodology:In this study,patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria.Subjects were managed with kinesio taping.Pre-and post-evaluation of the patients was done using Numerical Pain Rating Scale(NPRS)and Disability of Arm Shoulder&Hand Questionnaire(DASH)score and the data gathered was entered and analyzed using SPSS version 23.Results:Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant(P<0.05).Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant(P<0.05).Conclusion:Kinesio taping is an effective Program in management of supraspinatus tendinitis.
