Department of Physiotherapy
http://hdl.handle.net/123456789/3
2024-03-28T08:25:49ZThe effectiveness of segmental stabilization exercise with conventional therapy and only conventional therapy for chronic low back pain patients.
http://hdl.handle.net/123456789/1027
The 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.
2018-05-15T00:00:00Z“Physical disability and functional independence of spinal cord injury patients in the community after completing rehabilitation from Specialized Rehabilitation Centre”
http://hdl.handle.net/123456789/1024
“Physical disability and functional independence of spinal cord injury patients in the community after completing rehabilitation from Specialized Rehabilitation Centre”
Ratri, Tasjide Tayeba
Objective: The study aimed to identify the level of physical disability & functional
independence of spinal cord injury patients after being discharged from specialized
hospitals following complete rehabilitation program.
Methodology: This was a cross-sectional study conducted in Dhaka district, Bangladesh.
A total of 40 participants were conveniently selected from Savar and Shimulia Upazilla.
Among them, 80% (n=32) were male, and 20% (n=08) were female. The participants had
completed their rehabilitation from specialized hospitals. An interviewer-administered
Bengali version of the Spinal Cord Independence Measure scale (SCIM III) and World
Health Organization Disability Assessment Scale (WHODAS 2.0). Statistical analysis was
performed using the Statistical Package for the Social Sciences (SPSS).
Results: The study included participants aged between 20 and 70 years. The most
significant limitation was observed in the 'mobility' domain (mean ± SD: 19.87 ± 2.797)
and respiration and sphincter management (mean ± 26.53 ± 15.275). Between age and
gender and total score of WHODAS and SCIM have good correlation but the correlation
is negative. That means, if age is increase then WHODAS will be decrease whereas both
gender male and female it’s negatively correlated also education and occupation and total
score of WODAS has no significant correlation but SCIM has significant correlation with
education but has no significant correlation with occupation.
Conclusion: This study provides a standardized measure of the impact of spinal cord
injuries on activities of daily living. Among community-dwelling individuals with spinal
cord injuries, the most significant barriers were observed in the domains of mobility and
respiration and sphincter management.
Keywords: Spinal cord injury, physical disability, functional independence, activities of
daily living, quality of life, barriers, participation, community
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.
2023-09-15T00:00:00ZRisk factors of iliac region pain among the patients who had sacroiliac joint problems
http://hdl.handle.net/123456789/1023
Risk factors of iliac region pain among the patients who had sacroiliac joint problems
Akter, Tanzila
Purpose: The purpose of the study was to identify the Risk factors of iliac region pain among the patient who had sacroiliac joint problems.
Objectives: To find out the risk factors associated with development of low back pain or iliac region pain ; to explore the socio-demographic information of the affected group; to determine vulnerable age group of iliac region pain; to assemble the association between iliac region pain and possible exposure (previous back injury, working posture, BMI, Referred pain, Sacroiliac joint problems and disability of life).
Methodology: A hospital based unmatched (1:1) case-control study was carried out to complete the objectives of the study. 25 participants with LBP were identified from musculoskeletal unit of CRP as case and another 25 people were selected as control. The data was collected by using a structural questionnaire by face to face interview. Data were analyzed through SPSS 26 version.
Results: The mean age of 50 participants was 41.86 (±15.87). The mean age for case was 45.20 (±15.54) and control was 37.76 (±15.93). Highest frequency (n=10) of the age range was 31-70 years among the case. A total 36% respondent was male and 64% was female. Among the affected participants 28% were male and 72% were female. 40% cases and 32% control were from rural area. The factors significantly associated with the development of iliac region pain were Referred pain (OR 9.545; 95% CI, 2.265,40.220), previous fracture in SI joint (OR 4.654; 95% CI, 1.22,17.668), BMI (OR 3.017; 95% CI, 0.952,9.560), Improving pain (OR 1.153; 95% CI, 1.017,1.388) and current problem going on( OR 9.457; 95% CI 2.245,38.668).
Conclusion: The result of the study demonstrates that life style factor and other exposure are associated with the occurrence of iliac region pain. It is important to take comprehensive preventive measures to address a range of work and life conditions that can be improved to decrease the incidence of iliac region pain.
Keywords: risk factors, iliac region pain, Sacroiliac joint problems
Abstract
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.
2023-09-15T00:00:00ZMental health status of people with spinal cord injury after the completion of fitness session
http://hdl.handle.net/123456789/1022
Mental health status of people with spinal cord injury after the completion of fitness session
Shuchi, Tanjila Islam
Background: Spinal cord injury is a injury to the spinal cord that can be caused by traumatic or non-traumatic resulting a wide range of impairments, activity limitations and participations restrictions. Objectives: To find out mental health effects of people with spinal cord injury after the completion of fitness sessions. Methodology: The study design was cross-sectional. A total of 50 samples were selected conveniently for this study from the Centre for the rehabilitation of the paralyzed (CRP), Spinal cord injury unit, at Savar. Data was collected by using of structured questionnaire and mental health was assessed by Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder (GAD-7). The study was conducted by using quantitative descriptive analysis through SPSS software 20.0 version. Results: Among the respondents, most of them were male where 60% were married & 40% unmarried. Paraplegic patients were greater than tetraplegic patients, 40% had incomplete-B in American Spinal Injury Association scale. Most of them have mild depression and moderate anxiety level, which indicates their mental health status level. Conclusions: A significant portion of SCI patients were found to be mildly depressed because of including in a fitness sessions. And the level of depression is much less among paraplegic patients. But the level of anxiety is moderate among most of the patients after completing a fitness sessions.
Keywords: Mental health, Spinal cord injury, Fitness session.
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.
2023-09-15T00:00:00Z