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Study aim:
To develop a treatment protocol for frozen shoulder by comparing effectiveness of hydraulic distention along with shoulder mobilization and conventional physiotherapy.
Design:
Randomized controlled clinical trial
Settings and conduct:
Thq hospital wazirabad , patient and investigators are not blinded to type of treatment
Participants/Inclusion and exclusion criteria:
Inclusion criteria include middle aged frozen shoulder patients with symptoms lasting more than 3 months. No abnormal finding on radiograph. Confirm diagnosis of adhesive capsulitis .
Exclusive criteria include patient having co morbidity except DM . Fibromyalgia, rotator cuff disease, major shoulder surgery and pregnancy
Intervention groups:
Hydraulic distention along with shoulder mobilization techniques
Main outcome variables:
Shoulder pain and disability scores determined through SPADI
Study aim:
To study the effects of oculogyration with neck proprioceptive neuromuscular facilitation patterns on trunk stabilization and standing balance in subacute stroke patients.
Design:
Randomized Clinical Trial, Single Blind
Settings and conduct:
Allied Hospital Faisalabad, Aziz Fatima Hospital Faisalabad and District Head Quarter (DHQ) Hospital Faisalabad.
Participants/Inclusion and exclusion criteria:
Inclusion criteria includes patients with first stroke attack, patients with subacute stroke, Post stroke duration three to six months, Age between 40-65 years, Both male and female, patients with unilateral hemiplegia, patients without any visual disorder, Patients without any hearing disorder, patients with greater than fair strength of extensor and flexors muscles of neck, patients with greater than 3 points on functional ambulation classification, Patients with more than twenty-four points on mini mental state examination.
Exclusion criteria includes patients with cognitive impairment, patients with half blindness and hemineglect, patients with Oculomotor nerve defect, Patients with any neurological degenerative disease and patient with any musculoskeletal impairment which affect standing balance.
Intervention groups:
Group A will recieve oculogyration (eye movement exercises) with neck proprioceptive neuromuscular facilitation patterns.
Group B will recieve oculogyration (eye movement exercises).
Main outcome variables:
Trunk Stabilization
Standing Balance
Objective of the study: to evaluate the safety and effectiveness of 2mg dinoprostone vaginal gel when used in real life for the induction of labor in pregnant women.Inclusion Criteria: All pregnant women age above 18 years; scheduled for induction of labor with 2mg dinoprostone vaginal gel; bishop less then or equal to 4. Exclusion criteria: Bishop greater then 4. Study population: pregnant women. Sample size: 45 subjects. Intervation: Dinoprostone 2mg vaginal gel. Main outcomes measures: bishop score & mode of delivery were recorded to evaluate the treatment success. Secondary outcomes includes maternal, fetal and neonatal adverse events.
Univeristy Peshawar Pakistan
Participants/Inclusion and exclusion criteria:
This study will include patients (...)Pakistan and had an easy access to the aforementioned clinic or the i-fitness gym of Iqra National University, Peshawar Pakistan will be included.
Patients who had participated in any other clinical study
Study aim:
To investigate the effects of virtual rehabilitation on upper extremity motor learning in patients with hemiplegic cerebral palsy
Design:
A single blinded randomized controlled trial and Purposive sampling
technique is used. The sample size was twenty five enrolled between May 2022 to July 2022
Settings and conduct:
Patients were taken from Allied hospital Faisalabad and Madina teaching hospital Faisalabad. Group A patients received regular physiotherapy and virtual rehabilitation while Group B patients received physiotherapy sessions. Only the researcher knew which group received regular therapy and other received virtual therapy
Participants/Inclusion and exclusion criteria:
• Patients between 5 to 10 years old
• Diagnosed as hemiplegic cerebral palsy
Both genders will include
• Patients with visual impairments and auditory problem
• Patients with severe spasticity (Modified Ashworth spasticity score of 4) were excluded from the study
• patients with Psychological illness
• patients Suffered from uncontrolled seizures
Intervention groups:
Patients in the intervention group will be given through regular physiotherapy as well as virtual rehabilitation. The UE VR training sessions will be 2 times each week for 8 weeks (2 months). For training, non-Immersion Microsoft Xbox Kinect will be used. In Intervention sessions each child will participate in a total of 16 sessions of 40 min each.
In control group patients will underwent routine physiotherapy program. The protocol includes passive stretching and strengthening exercises. Each exercise will takes place for 20 minutes 10 repetitions, twice a week, for 8 weeks.
Main outcome variables:
To improve the motor functions of upper extremity
To improve range of motion to increase muscle strength and decrease limited activity
To improve reaching ability and grasping function
Study aim:
To compare the efficacy of transamic acid mesotherapy versus Hydroquinone, flucinolone acetonide and tretinoin
Design:
Clinical trial which is parallel group, double blind, randomized, phase 3 trial.
Settings and conduct:
Dermatology department PNS Shifa hospital Karachi
Participants/Inclusion and exclusion criteria:
Inclusion criteria Males and females 18-55 years with facial melasma
Exclusion criteria Bleeding disorder, pregnant and lactating mothers
Intervention groups:
Intervention group 1
Intradermal injection of Transamic acid into melasma areas at 2 weeks interval for 3 months.
Intervention group 2
Treatment with topical Hydroquinone, flucinolone acetonide and tretinoin cream for 12 weeks.
Main outcome variables:
The degree of melasma treatment
Study aim:
To compare the effects of stretching and PNF Hold Relax technique for shoulder mobility in post mastectomy patients
Design:
Randomized clinical trial
Settings and conduct:
Government and Private hospitals of Faisalabad
Participants/Inclusion and exclusion criteria:
Inclusion criteria
1. Age 30-60y
2. Females
3. Post mastectomy patients
Exclusion criteria
1. Males
2. Females with chronic illness and traumas
Intervention groups:
Group A will receive stretching
Group B will receive hold relax technique
Main outcome variables:
Shoulder disability
Study aim:
Comparing the effects of two techniques on Patellofemoral pain syndrome
Design:
Randomization, Parallel, single blind, randomised clinical trial
Settings and conduct:
Allied hospital, Faisal Hospital, Mujahid Hospital
Participants/Inclusion and exclusion criteria:
inclusion(age 25 to 45) exclusion (knee bursitis)
Intervention groups:
Two interventional groups are made named as group A which is Mulligan Mobilization with movement and Group B which is Compression Pain release phenomenon
Main outcome variables:
knee pain, Range of motion, functional limitations
Study aim:
To compare the effects of Maitland and Mulligan mobilization for post-surgical mobility complications of distal radius fracture and change the quality of life of participants after the treatment andreduce pain and increase functional mobility
Design:
A single blinded randomized controlled trial having lottery method and simple convenient sampling
Settings and conduct:
Patients were taken from Madinah Teaching Hospital (MTH) Faisalabad, District Headquarter Hospital (DHQ) Faisalabad and Allied Hospital Faisalabad. Group A patients received Maitland mobilization technique and Group B patients received Mulligan (MWM) technique while moist heat was given to both of the groups as a baseline treatment.
Participants/Inclusion and exclusion criteria:
Subjects having distal radius fracture and who are gone through the process of open reduction and internal fixation. Moreover, participants whose cast has been removed after two months following the surgery of distal radius fracture. Participants having functional limitation and pain and with an average of about 30 to 60 years are included in the study.
Exclusion criteria includes:• Osteopinea, Malunion of the fracture, Pre- existing inflammatory condition of the joints, Prolong steroid usage, Bony block, Hypermobility, Joint effusion, Haemarthrosis, Sudeck’s dystrophy, Complex regional pain syndrome, Infection, Impaired sensation or circulation, Fracture site other than distal radius
Intervention groups:
Group A (Maitland mobilization group)=Hot pack 15 minutes (baseline treatment) Maitland grade 1 and 2 (first two weeks) Grade 3 and 4 (next two weeks)
Group B (Mulligan mobilization group)=Hot pack 15 minutes (baseline treatment) Mulligan mobilization (medial, lateral , anterior and posterior directions) (four weeks)
Main outcome variables:
Pain, range of motion and functional limitation of wrist
Study aim:
The aim of the study is to compare the effects of theraband and plyomteric training on balance and motor performance in footballers
Design:
Two parallel groups, Randomized Clinical Trial of 40 participants followed for 6 weeks
Settings and conduct:
Data will collect from Pakistan Sports Board and
Study aim:
To compare Muscle Energy Technique and Fascial Distortion Model in patients with
shoulder joint limited mobility.
Design:
Pragmatic, Parallel group, Double blind, Randomized controlled trial (RCT),
Settings and conduct:
Saba Physical Therapy, Rehabilitation and sports injury clinic Lahore.
Participants and outcome assessor will be blinded by the researcher.
Participants/Inclusion and exclusion criteria:
INCLUSION CRITERIA
Pain and functional limitations of shoulder joint in 20-60 years old
patients.
Limited mobility/Hypo mobility of shoulder joint in Flexion, extension,
abduction, Horizontal adduction, external and internal rotation.
Unremarkable medical history and no clinical or radiological findings that
could explain the decrease in shoulder motion
Willing to involve in study
EXCLUSION CRITERIA
Upper or lower motor neuron disease
Any pathological and traumatic conditions, Fractures and Dislocation
Already received few sessions of Manual Therapy treatment
Taking corticosteroids, analgesic or anti-inflammatory drugs.
Intervention groups:
Group A:
Subjects in Group A will received METs (Post isometric relaxation) towards the limited ROM of arm, find the first resistive barrier hold the position and apply the technique and find new barrier. Repeat this for 6-10 times and give three treatment sessions per week for two weeks.
Group B:
Subjects of group B will receive the techniques of Fascial distortion model according
to the body language of the patient(Trigger bands, Continuum Distortion, cylinder Distortion,13
Herniated Trigger Point, Folding Distortions and Tectonic Fixation) in comfortable position
for patient. Give three treatment sessions per week for two weeks.
Main outcome variables:
Range of Motion, Pain, Function
Department, Northwest General Hospital & Research Center Peshawar, Pakistan and Rehman Medical Institute Peshawar, Pakistan.
Participants/Inclusion and exclusion criteria:
Inclusion Criteria:
Age: 20-50 years
infertile women of South Punjab Pakistan and intervention will be applied in hospital named "The Moeen (...) South Punjab Pakistan age range 20 to 40 years will be included in this study. All women must be skilled in reading and writing.
2. Women who are other then South Punjab Pakistan and are above age 40 years
Study aim:
To check the prevalence of Quality of Life (QoL) and Psychological Well-being among all the categories of disabilities and their parents or caregivers.
To evaluate whether the Quality of Life (QoL) and Psychological Well-being of disabled children and their parents or caregivers can be improved through Community Based Rehabilitation (CBR) services.
Design:
Community based, randomised controlled trial of 160 participants, control and experimental.
Settings and conduct:
An experimental design will be used.
Section one will be comprised of demographics;
the second section will contain the screening questionnaires that will be pre-tested among both groups; and in the third level, there will be training and workshops of CBR strategies
This entire process will take approximately three months.
Participants/Inclusion and exclusion criteria:
Disabled children enrolled in special education institutes at mild level with all the categories i.e., physically disabled, hearing impaired, visually impaired, and mentally challenged are included.
All other children with severe disabilities or no disabilities are excluded.
Intervention groups:
1. Defining the Community or Special Institutes
2. Entering into the community
3. Selection of volunteers.
4. Vocational Strategy in CBR.
5. Training resources and content.
6.Training and the use of local resources.
7. Transfer of knowledge and skills within the community.
8. Intervention and Referrals
Main outcome variables:
Quality of Life (QoL) and Psychological Well-being
Study aim:
To evaluate the effectiveness of neck strengthening exercises on pain, Jaw mobility and clicking/popping sound of the disc displacement with reduction of temporomandibular joint in addition to routine physical therapy.
Design:
Randomized controlled Clinical trial. A Superiority clinical trial. The treatments of interest have either superior effects or similar effects to the control group
Settings and conduct:
study setting: University of Lahore Teaching Hospital, University of Lahore.
Study Duration: 9 Months after the approval of synopsis.
Non-probability; Purposive sampling technique.
It is a Single blinded study. The assessor and the data analyzer were blind.
Participants/Inclusion and exclusion criteria:
Inclusion Criteria:
18-50 years
Male & Female
Temporomandibular joint Pain plus disc displacement with reduction.
4. Diagnosed Patients
Exclusion Criteria:
1. Recent tumor, fracture or trauma in recent medical history
2. Any Systemic/Rheumatic disease.
3. Degenerative changes seen
4. Surgical History of cervical spine Or Temporomandibular joint.
Intervention groups:
For Control Group:
Manual Mobilization of Temporomandibular joint
Soft Tissue Release of Masticatory muscles
Therapeutic Exercises of Temporomandibular joint including Protrusion and Lateral shifting will be given for home plan.
For Treatment Group.
All of the above-mentioned treatment protocol with additionally strengthening exercises of deep neck flexors muscles including: Longus Capitus and Longus Colli muscles was given as a home plan thrice a day with 10 repetitions and 10 second hold
Main outcome variables:
Pain intensity, Jaw Mobility, clicking sound
Study aim:
To compare the effect of post isometric relaxation and hold relax agonist contract in improving pain and disability in mechanical neck pain
Design:
Randomized clinical trial on 48 individuals (divided equally in two groups), randomization by lottery method, parallel groups, single-blind.
Settings and conduct:
Ghurki trust and teaching hospital , Zahida welfare hospital . Assessor is blinded.
Participants/Inclusion and exclusion criteria:
Inclusion criteria: male and female; age range 18 to 45; duration of pain for 3 months; neck pain without radiating to arm; patients with mechanical neck pain diagnosed by orthopedist; pain increased by sustain posture; limitation of rotation and side flexion of neck. Exclusion criteria: history of neck surgery; stenosis; scoliosis; nerve involvement; neck pain radiation to arm; malignancy, infection, inflammatory disorder; shoulder pain
Intervention groups:
Group- A (Muscle energy technique + supervised & home exercise program (HEP)
Group B ( Hold relax agonist contract +supervised + home exercise (HEP)
Main outcome variables:
pain and disability
Study aim:
To Compare the effects of Maitland Mobilization with and without Muscle Energy Technique in Sacroiliac Joint Dysfunction
Design:
Randomised Clinical Trial
Settings and conduct:
Aziz Fatima Hospital Faisalabad
Madinah Teaching Hospital Faisalabad
Allied Hospital Faisalabad
Participants/Inclusion and exclusion criteria:
Age 25-45 (Included)
Both Males and Females (Included)
Pain and Tenderness at Sacroiliajoint (Included)
Diagnosed Disc Herniation (Excluded)
Pregnant Females (Excluded)
Radiating Pain below knee (Excluded)
Intervention groups:
Group A (Maitland Mobilization) Group B (Maitland Mobilization +Muscle Energy Technique)
Main outcome variables:
Pain
Disability
Cadence
Walking Speed