Physiotherapy and Occupational Therapy Journal

Objective: To compare the effectiveness of modified constraint induced movement therapy versus mirror therapy along with conventional therapy on hand rehabilitation in patients with acute and sub-acute stroke. Methodology Design: Comparative study Setting: OPD and IPD of SMIH Patel Nagar, Dehradun (UK). Participants: 30 acute and sub-acute stroke patients were included in this study and randomly divided into 2 groups 15 in each i.e. mCIMT along with conventional therapy(group A) and MT along with conventional therapy(group B). Intervention: 30 subjects who were diagnosed with stroke onset <6 week were selected according to the inclusion criteria. Hand function and functional ability was evaluated with the help of w/h FMUE and ARAT scores. The subjects perform exercises in each group along with conventional therapy for 45 minutes 6 days per week for a consecutive 4 weeks. Along with daily therapy session constraining of less affected upper extremity with a mitt was done in group A patients. The post intervention data was compared with pre intervention data and improvement in the hand function was measured. Outcome Measures: w/h Fugl-Meyer Upper Extremity Scale (sub scale B & C of FMUE) Action Research Arm Test (ARAT). Result: Data was analyzed by using paired t- test. Pre and post score were taken via w/h FMUE and ARAT. P value <0.05. Conclusion: Modified constraint induced movement therapy and Mirror therapy along with conventional therapy both showed improvement in hand functions on acute and sub-acute stroke patient. But Modified constraint induced movement therapy along with conventional therapy showed more improvement in reaching forward, grasping, manipulating objects and also improves other fine motor functions of the hand after 4 weeks of therapy.

Background: Trapezitis is defined as the ‘inflammation of trapezius muscle’. The upper trapezius muscle designed as postural muscle and its highly susceptible to overuse. people who use their arms for extended periods of time that requires holding their arms out in front, like operating mobile, computer, bike riding, car driving or an assembly line worker will recognize a burning pain between the shoulder blades. Myofascial release which eliminates the fascia's excessive pressure on the pain sensitive structure and restores proper alignment. Hence this technique is proposed to act as a catalyst in cupping therapy (CT) a traditional chinese medicine therapy, has used for >2000 years and uses a negative pressure mechanism. the resolution of trapezius spasm. Aim: The aim of study is to compare the effectiveness of cupping therapy vs. myofascial release technique in trapezitis caused by digitalization. Method: Total 30 patients were included in the study by simple random sampling method. Subjects were divided into two groups with 15 patients in each group. Group A was receive UST with myofascial release technique, Group B was receive UST with cupping therapy. The patient was assessed pre and post intervention through visual analog scale (VAS), neck disability index (NDI), and cervical range of motion (CROM). Result: Data was analyzed by using paired t- test. Pre and post score were taken via VAS, NDI, CROM. P value <0.05. Conclusion: The study concluded that both the groups has shown significant improvement in reduction of pain and improve functional limitation and range of motion. However MFR with UST has shown a better improvement than cupping therapy with UST when the subjects in both the groups are compared.

Knee pain is a descriptive time period carried out to sufferers with affected or non- affected q-attitude. The ache of knee is maximum common in anterior thing. One most crucial concept in knee pain is the quadriceps angle i.e Q-perspective. In wellknown, a better Q- perspective will increase the lateral pull of the quadriceps femoris muscle at the patella and potentiates patellofemoral disorders. that is undertaken to assess the connection among the knee ache and Q-attitude. Specifically, Q angle can also increase with immoderate anterior pelvic tilt(converting the orientation of the acetabulum and internally rotating the femur), femoral anteversion and knee valgus(displacing the patella medially relative to the anterior superior iliac spine and tibial tuberosity), and external tibial rotation(displacing the tibial tuberosity laterally. The quadriceps perspective(Q attitude), shaped between the quadriceps muscular tissues and the patella tendon, is considered clinically as a very crucial parameter which shows the biomechanical effect of the quadriceps muscle on the knee, and it is also seemed a essential factor for the right posture and movement of the knee patella. the potential observe of 60 college going students documented that Q-perspective is growth inside the case of knee ache, in which rating of knee ache on the VAS is in addition boom. A big Q-perspective shows the severity of knee pain. Q-perspective being the most vital danger component for knee harm and for more time misplaced from damage. due to knee ache if there's substantial change in Q- angle, it may have an effect on the biomechanics of knee and neighbor joints as nicely. present examine show this reality with the help of relationship between VAS & Q-angle.

Nine subjects out of 10 were selected for study based on inclusion and exclusion criteria. The subjects were explained about the purpose of the study and the informed consent was taken from the subjects and also from the attendees. Baseline values of these subjects were assessed with berg balance scale and falls efficacy scale. The subjects received strengthening exercises, balanceexercises for a period of 6 months for duration of 5days/week, 60 minutes each session. Outcome data Assessments were performed bythe berg balance scale and fall efficacy scale were negatively correlated before and after treatment but the strength of negative correlation after treatment was weak. The post–test values of all the subjects of berg balance scale and falls efficacy scale shows greater improvement with p value <0.0001 considered extremely significant.Within group analysis revealed that there is a significant improvement in balance (p value<0.0001) and reduction of fear of fall (p value < 0.0001) in subjects with Parkinson’s disease after balance training. The correlation between the scores of Berg balance scale and fall efficacy scale are strongly negative (-0.921) before treatment and after treatment also there is a negative correlation (-0.699) but it is weak statistically.