ROLE OF EXERCISES AND DIETARY INTAKE AS AN INTERVENTION IN WEIGHT REDUCTION

Background: Obesity is now so common within the world’s population that it is beginning to replace under nutrition and infectious disease as the most significant contributor to ill health. Exercise plays significance role with dietary control in weight reduction. The aim of our study is to find out the efficacy of weight reduction interventions and role of exercise. Methods: The study was conducted on 60 participants, subjects or participants were randomly divided. It is an experimental study which was completed in the duration of about six months. The study was based on two groups that are group A (exercise plus dietary) and group B (only dietary) consisting of sixty participants after filling the consent form. Result: Result shows out of these sixty only fifty eight participants completed the study and were observed for four months. Is has been found comparable weight loss relatively fewer in the dietary group Body weight before (80.1±2.7) after (78.1±2.5)and BMI before (32±2) after (30±2) it shows significant results but less significant than group A body weight which was before(78.6±2.6) after(64.0±2.3) and BMI before (33±1) after (39±1). Therefore the results shows that the group A shows more significant outcomes as compare to the other group included in the study. Conclusion: The results shows that (exercise plus dietary) more significant outcomes as compare to the other group included in the study Keywords: Anne Collins, weight reduction, exercises plus dietary, dietary, BMI and body weight

Comparison of efficacy of Kabat rehabilitation and facial exercises along with nerve stimulation in patients with Bell's palsy

OBJECTIVES: The aim of this study is to compare the role of Kabat rehabilitation and facial exercise techniques with nerve stimulation common in both for Bell's palsy treatment and its effectiveness in improving physical and social function. MATERIALS AND METHODS: A randomized control trial conducted at the Department of Physiotherapy, Mayo Hospital, Lahore. Two equal Groups (A and B) consist of 26 patients each. Patients were employed Kabat rehabilitation technique in GroupA and with facial exercise in Group-B. Patients in both treatment groups were followed until 3 weeks and improvement in Sunnybrook facial grading scale (SFGS) and facial disability index (FDI) scale were recorded at the end of treatment. RESULTS: In this study, 52 patients were enrolled into the study. At the end of 3 weeks, more improvement was seen in SFGS in Group-A (81.58 + 11.321) versus Group-B (63.77 + 21.645). Similarly, the improvement in physical and social function on FDI in Group-A was more than Group-B (>0.05). CONCLUSION: Kabat technique is more effective as compared to facial exercise technique in improving physical and social function

THE PERCEPTION OF PHYSIOTHERAPISTS OF KARACHI IN THEIR ROLE TO REHABILITATE AND MANAGE OBESITY

Background: Physiotherapists as providers of primary health care are well placed in promoting physical activity and lifestyles changes, but the role and practice of physiotherapist towards its promotion among obese individuals has not been fully investigated. The objective of this study is to examine perceptions of Karachi physiotherapists regarding their role in management of obesity, the learning needs for, and hurdles facing by them in the rehabilitation. Methods: It was cross-sectional survey that has been conducted among 100 Physiotherapists from three tertiary care hospitals & universities of Karachi from April to June 2013. There has been used Self-administered questionnaire and sampling was Convenient Purposive sampling in qualitative research. Descriptive statistics were calculated for all variables using the Statistical Package for the Social Sciences (SPSS) version 17. Questionnaire was intended to determine physiotherapist’s perceptions of their role and consisted of questions about respondent’s demographics profile, practice and domains related to management of obesity and associated conditions. Result: In this study 93% of participants agreed that physiotherapists has role in the management of patients with obesity by developing exercise interventions.95% plays role in functional mobility and 94%in cardio respiratory training programme. In this study participants were found less aware about weight loss management. Barrier found in patient treatment is due to lack of patient motivation. Conclusion: This study revealed physiotherapist played important role in patient rehabilitation management with obesity, especially in a area of mobility and exercise prescription for conditions associated with obesity. In future there is need to take into account the different perspectives of physical therapy and with a larger sample size representing all four states of Pakistan

EFFECTIVENESS OF MANUAL TRACTION AND OTHER PHYSIOTHERAPY TREATMENT IN THE MANAGEMENT OF PAINFUL CERVICAL RADICULOPATHY

Background: Cervical radiculopathy, generally entitle as pinching of the nerves which causes severe shooting pain which mostly pass through the shoulder. Along with it causes muscle weakness and numbness into the arm and hand. In majority of the cases, cervical radiculopathy responds well to conservative mode of treatments which incorporate physical therapy with medical management. The aim of this study is to uncover the effective and evidence based conservative treatment of cervical radiculopathy. Method: Randomized controlled trial study conducted from January 2014 to December 2014. Participants were recruited from physiotherapy OPDs of tertiary care hospitals. A total number of, 100 subjects with a ratio of 50 men and 50 women were recruited between the ages of 25 and 55 years with unilateral cervical radiculopathy. Control group received combination of conventional AROM exercises and modalities including TENS and superficial thermotherapy as a treatment while experimental group received manual cervical traction and combination of conventional AROM exercises, modalities including TENS and superficial thermotherapy. For both groups, treatment was designed for two weeks (6 sessions/ week). Improvement in symptoms was assessed by evaluation of both groups on the basis of visual analogue scale (VAS). Results: After 2 weeks of treatment, patients with neck pain showed marked decreased in pain as compared with the control group (P<.001).For pre and post level a paired sample t-test was used and the results with p-value less than 0.05 were considered as significant. Mean difference of 0.94 (VAS) with a significant p-value (P<0.01) was obtained shows the respective improvements in the numeric pain scale scores. Conclusion: Manual cervical traction when used with conventional AROM exercises and modalities were effective methods for decreasing pain in cervical radiculopathy. Recent literature supports such protocols involving multiple interventions. Results of this study also supported the treatment options in cervical radiculopathy in a multimodal approach