EFFECT OF STRAIN COUNTER STRAIN TECHNIQUE AND STRETCHING IN TREATMENT OF PATIENTS WITH UPPER TRAPEZIUS TENDERNESS IN NECK PAIN

Background: Neck pain is a common disorder with a reported six-month prevalence rate of 54%. Strain/counter-strain technique and stretching are passive positional intervention aimed at relieving musculoskeletal pain and related dysfunction. The study aimed to find the effect of strain counter strain technique and to stretch on tenderness over upper trapezium of neck and neck function. Methods: This is an experimental study with comparative pre-post study design. The subjects for the study selected from KPJ University College, Nilai, Malaysia. The study conducted in the Physiotherapy department of the University College. Total 70 with 53 female and 17 male patients were selected for this study as per sample size calculation. Thirty- five (35) samples were allocated to each group. Purposive sampling method adapted to select the samples. The study samples selected based on inclusion and exclusion criteria included exhibits with a tender point over upper trapezius. Dependant ‘t’ test was used to find the outcome of the study. Results: Paired t-test on the visual analogue scale (VAS) and Neck Disability Index (NDI) among stretching group found significant (P< .0001) improvement in the outcome with a mean difference of 3.23 and 12.2 respectively. A paired t-test on VAS and NDI among strain counter strain group found significant (P<.0001) improvement in the outcome with a mean difference of 3.829 and 22.686 respectively. Conclusion: This study concluded that both stretching and strain counter strain technique could reduce pain in the upper trapezius of the neck and improve neck function among the patients

Immediate Provitionalization of Full Arch Implant Placement: A Case Report

ABSTRACT An immediate implant placement and provisionalization approach has been increasingly adopted by clinicians because the technique seems to predictably improve esthetic outcomes. This approach offers the advantages of decreased treatment time and morbidity, while exhibiting success rates similar to those of the traditional approach. In this case report immediate implants were placed with immediate provisionalization

Fracture Body of Implant -Case Report

ABSTRACT This case report describes the management of a loose cement-retained implant supported sectional bridge prothesis where the thread of the abutment screw had fractured away from the body of the screw

Work Place Self-Management by Academic Cum Clinical Physiotherapist – A Case Study

One of the main issues in industrialized nations is work-related musculoskeletal disorders (WMSD), which are linked to demanding and repetitive work environments. Repetitive actions and work without leisure can lead to musculoskeletal problems. To prevent this occurrence, promoting healthy lifestyle self-care management is essential. The main objective of this case study was to assess the risk of work-related musculoskeletal disorders in professional physiotherapist and their workplace self-management. Case Description: a case of a 39-year-old male assistant professor cum clinical practitioner with 12 years of experience in the profession, who engages in using the computer for 6 hours a day for his academic and clinical documentation purposes, was assessed in the workstation. He complains of neck and shoulder pain after engaging in front of the computer for more than one hour, which he manages during the routine practice. He manages his pain by doing simple exercises like chin tuck-in and shoulder bracing by taking a short break every hour while working on a computer. Musculoskeletal-related pain was analyzed using the VAS score (visual analogue scale), and the level of the risks was analyzed using the rapid entire body assessment (REBA) scale. The case study showed that professional physiotherapists have a high risk of MSDs due to their engagement in multiple tasks and less attention to body posture. Regular exercise in the workstation and ergonomic workplace awareness would prevent the occurrence of work-related MSD

Potential COVID -19 Therapeutics in Clinical Trials – A Brief Review

The severe acute respiratory syndrome coronavirus 2 (SARS – CoV2), the causative viral pathogen of the COVID-19 pandemic belongs to the family of Coronaviruses which are positive single stranded RNA viruses. The scientific fraternity has developed and developing various types of vaccines for prevention against COVID-19, such as inactivated virus vaccines, mRNA vaccines, replicating vector protein subunit vaccines, etc., Out of which ten vaccines namely Novovax, Covovax (protein subunit vaccines), Pfizer BNT16b2, Moderna mRNA 1273 (mRNA vaccines), Johnson &amp; Johnson Ad26, Cov2.S, Astrazeneca AZD1222, Covishield (non-replicating viral vector vaccines), Covaxin, Sinopharm BBIBP-CorV, CoronoVac (inactivated vaccines) have been approved for clinical use by WHO. There is an urgent need for SARS-CoV2 specific therapeutics for the treatment of COVID-19 as there is the emergence of various variants such as Alpha, Beta, Gamma, Delta, Omicron, etc. The emergence of variants that possesses immune evading property and spike protein mutation have increased infectivity and more pathogenicity which impelled the need to develop various therapeutics for the treatment of COVID-19. This review compiles the information about potential antiviral candidates in preclinical trials intended for the treatment of COVID-19. The clinical development of such antivirals will be very crucial for the treatment of COVID-19 and also to curb the spread as the present scenario depends on the development of effective prophylactic vaccines