Masters of Science in Physiotherapyhttp://hdl.handle.net/123456789/52024-03-28T08:28:41Z2024-03-28T08:28:41ZThe effectiveness of segmental stabilization exercise with conventional therapy and only conventional therapy for chronic low back pain patients.Akter, Minarahttp://hdl.handle.net/123456789/10272024-02-13T05:23:43Z2018-05-15T00:00:00ZThe effectiveness of segmental stabilization exercise with conventional therapy and only conventional therapy for chronic low back pain patients.
Akter, Minara
Background: Pain and disability persisting for more than 3 months called chronic low
back pain (CLBP), and it’s a major health problem with enormous economic and
social costs. Generally, incidents of back pain most commonly occur in between ages
25 and 50 years and chronic low back pain over 70%-80% of adult population, the
maximum prevalence being around the age of 55-65 years, with a 5-10% incidence at
adult age. Objectives: To identify whether segmental stabilization exercise with
conventional therapy program or only conventional therapy program is more effective
for the treatment of chronic low back pain patients. Methodology: It was Randomized
control Trail (RCT). 30 patients with chronic low back pain were randomly assigned
into two groups from outdoor musculo-skeletal unit, CRP. Among them 15 patients
were assigned into experimental group received segmental stabilization exercises with
conventional therapy and another 15 into control group received only conventional
therapy. Total treatment sessions were twelve comprising of 3 sessions per week for 4
weeks. Double blinding procedure was used during data collection. Outcome
measurement tools: Dallas Pain Quessnaire with Visual analogue Scale was used to
measure pain, manual muscle testing to measure muscle strength and ODI to measure
low back disability. Analysis of data: Between group analysis of muscle strength and
back disability was calculated by Mann – Whitney U test and Pain (continuous data)
by unpaired t test. Within group analysis of muscle strength and back disability was
calculated by Wilcoxon test and pain (continuous data) by paired t test and test was
done using SPSS version 16. Results: The main findings of this study is in case of
pain intensity in different functional position in experimental group all variables come
highly significant but in control group all the variables come significant except hurt
when walking, and change work place come non-significant. So, we concluded that
segmental stabilization exercise with conventional therapy is effective reducing pain
in different functional position. In case of muscle strength within group comparison of
flexor and extensor muscle strength come significant improvement in both
experimental and control group but in experimental group come highly significant
changes. In between group experimental and control mean difference is same that
means in case of between group null hypotheses is accepted. In case of ODI
quessnaire both experimental and control group come significant improvement but in
experimental group come highly significant. The result of the study find out that
segmental stabilization exercise with conventional therapy is more effective than only
conventional therapy and the duration was total 4 weeks 12 sessions for chronic low
back pain. Conclusion: This research showed that segmental stabilization exercises
combined with conventional therapy was more effective than only conventional
therapy for patients with chronic low back pain.
Key words: Chronic low back pain,Segmental stabilization exercise and Conventional
therapy.
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2018-05-15T00:00:00ZEffectiveness of pelvic floor muscle training on quality of life of women with urinary incontinence: A randomized clinical trialAkter, Parvinhttp://hdl.handle.net/123456789/8462023-11-27T05:47:06Z2021-01-15T00:00:00ZEffectiveness of pelvic floor muscle training on quality of life of women with urinary incontinence: A randomized clinical trial
Akter, Parvin
Background: Urinary incontinence (UI) is an important public health & social
problem predominantly in women. According to the International Incontinence
Society (ICS), UI is defined as an involuntary loss of urine which affects in all ages
especially in fifth decade of life. Objective: The aim of this study was to investigate
the effectiveness of pelvic floor muscle training on quality of life (QOL) of women
with Urinary Incontinence (UI). Methods: Prospective clinical trial with 41 women
(21 in experimental group and 21 in the control group) with a diagnosis of UI
confirmed by urinary distress inventory (UDI). Women with neuromuscular diseases,
using hormone replacement therapy, and with history of prolapse were not included.
The exercise protocol for the PFMT group consisted of slow contractions (according
to muscle power or strength) followed by rapid contractions (participants’ endurance
capacity) followed by PFM contraction with coughing, sneezing for 4 weeks, 2 times
per week and supervised abdominal strengthening exercise. Control group received
only supervised abdominal strengthening exercise. We evaluated the impact of
supervised PFMT on QOL using the King’s Health Questionnaire (KHQ), 24hours
voiding diary for the measurement of incontinence episodes during the initial
evaluation and after 8 sessions of treatment. Data were analyzed by parametric test of
Independent t test and paired t test. Results: There was a significant decrease in the
mean scores of the domains assessed by the KHQ regarding the perception of health,
impact of the incontinence, limitations of daily activities, physical limitations, social
limitations, personal relationships, emotions, sleep/disposition, and measures of
severity. Also decrease the episodes of daily incontinence after treatment than initial
score of experimental group than control group. After the independent ‘t’ test in
v
between group analysis is significantly higher for supervised PFMT group (p˂ 0.05).
But in within group analysis by paired sample ‘t’ statistic both group showed
significant improvement on QOL in KHQ domain accept one. So, supervised pelvic
floor muscle training along with supervised abdominal strengthening exercise
statistically significant to decreases daily incontinence episodes and improve quality
of life of women with UI. Conclusion: PFM training resulted in significant
improvement in reduction of involuntary urinary leakage. Therefore improve the
quality of life of women with UI and also their family members.
Trial Registration: CTRI/2020/07/026729 [Registered on: 22/07/2020] - Trial
Registered Retrospectively
Key words: Pelvic Floor Muscle Training (PFMT), Quality of life (QOL), King’s
Health Questionnaire (KHQ), Urinary Incontinence (UI)
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2021-01-15T00:00:00ZEFFECTIVENESS OF MULTIMODAL EXERCISE IN CHRONIC LOW BACK PAIN AMONG SPINAL CORD INJURT PATIENTSHossain, Saddamhttp://hdl.handle.net/123456789/8452022-10-15T04:08:14Z2022-05-19T00:00:00ZEFFECTIVENESS OF MULTIMODAL EXERCISE IN CHRONIC LOW BACK PAIN AMONG SPINAL CORD INJURT PATIENTS
Hossain, Saddam
Background: Low back pain (LBP) and spinal cord injury (SCI) severely limit daily
personal and occupational activities. Only 37% of people with SCI find gainful
employment after their injury, and the physical demands of some jobs are a significant
barrier to their return to work. Sixty percent of survey respondents with SCI said their
limited physical capacity prevented them from returning to work, particularly to the
same types of jobs they had before the injury. Traffic accidents, gunshot wounds,
knife wounds, falls, and sports injuries are the most common causes of SCI around the
world. Objective: The main objective of the study is to investigate or discover the
effectiveness of multimodal exercise in chronic low back pain patients.
Methodology: A single group pre-test & post-test quasi experimental design was
used to conduct this study. Total 13 samples were selected conveniently from
outpatient treatment service of Spinal cord injury Unit, Physiotherapy Department,
Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka. Structured
questionnaire was used to assess the socio-demographic and other information of the
participants. Total treatment sessions were 4 sessions per week for total 8 weeks.
Outcome measurement tools: Oxford muscle grade was used to measure the muscle
strength of key muscles of lower extremities, 10 meter walk test and 6 minutes’ walk
test to measure mobility level and functional ambulatory category to basic ambulatory
functions. Analysis of data: Inferential statistics such as Wilcoxon signed rank test
was done using SPSS version 25. Result: It was found that muscle strength of the
major key muscle had improved significantly (p<0.05) except left ankle planter
flexors (p>0.05). As for mobility level and ambulatory function has also significantly
improve (p<0.05) after applying multimodal exercise for chronic low back pain.
Conclusion: In practice, creating a multimodal training program using simple
exercises and low-cost exercise equipment is straightforward. Multimodal exercise
promotes a sense of enjoyment, saves time, and allows patients to push themselves
individually. Furthermore, patients appreciate it since it promotes camaraderie and
experience sharing.
Keywords: Multimodal exercise, Chronic low back pain, Spinal Cord Injury.
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2022-05-19T00:00:00ZScope of Rehabilitation for Patients attended for Neuro-Muscular Rehabilitation with Long COVID Symptoms in Bangladesh.Islam, Waliulhttp://hdl.handle.net/123456789/8432022-10-15T03:53:49Z2022-05-19T00:00:00ZScope of Rehabilitation for Patients attended for Neuro-Muscular Rehabilitation with Long COVID Symptoms in Bangladesh.
Islam, Waliul
Background: There is still a scarcity of evidence about the clinical severity of
symptoms and functional disability in post coronavirus disease 2019 (COVID)
Syndrome (PCS).
Aim: To assess the scope for rehabilitation of the parson with long-covid symptoms by
using Yorkshire Rehabilitation scale.
Methodology: A cross-sectional study. A stratified sample of 452 participant were
selected from divisional centers of Centre for the Rehabilitation of the Paralised.
Result: Among 452 participants, the prevalence of post-covid symptoms of fatigue,
breathlessness, and pain was, respectively, 34.3%, 12.2%, and 20%. The correlation
between symptom severity, functional disability, and overall health was explored. The
mean age was 37.95 years, with 148 (32.7%) females. Symptoms and functional
difficulties increased substantially when compared to before infection. Three distinct
severity phenotypes of mild (n = 90), moderate (n = 186), and severe (n = 94) were
identified. Symptom scores were strongly positively correlated with functional
difficulty scores (0.889, p <0.001) and negatively correlated with overall health (-0.658,
p <0.001).
Conclusion: Severity phenotypes can help stratify patients for targeted interventions
and rehabilitation care planning.
Keywords: C19‐YRS, Long COVID, Phenotypes, Post‐COVID‐19 condition, SARS
CoV‐2.
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2022-05-19T00:00:00Z