理学療法と理学リハビリテーションのジャーナル

Objective: To assess the frequency of carpal tunnel syndrome among dentists and investigate their perceived self-management strategies

Methods: In this cross-sectional study, the diagnosis of Carpal Tunnel Syndrome (CTS) was determined based on the symptoms reported by the participants, categorized as asymptomatic, mild, moderate, and severe using a clinical diagnosis questionnaire. Data was collected from 120 dentists working in private and government institutes in Lahore, utilizing a convenient sampling technique. The participants completed the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) and a structured questionnaire for perceived self-management strategies. The collected data were then entered and analyzed using SPSS version 22.0.

Results: The frequency of Carpal Tunnel Syndrome (CTS) among the dentists was as follows: 22.5% asymptomatic, 64.2% mild symptoms, 10.8% moderate symptoms, and 2.5% severe symptoms of CTS. Among perceived self-management strategies, pain management techniques were prevalent, with 35.0% utilizing hot or cold packs and medications. Ergonomic modifications were employed by 23.3%, while exercise-based strategies were practiced by 15.0% of dentists

Conclusion: This study reported a notable prevalence of carpal tunnel syndrome among dentists functioning within governmental and private medical facilities in Lahore. The study demonstrated that dentists employ a range of self-management strategies for carpal tunnel syndrome, including pain management techniques, wrist splints, ergonomic modifications, and exercise-based interventions.

Spinal Cord Injury (SCI) often leads to significant impairments in lower limb function, limiting mobility and independence in affected individuals. Hydrotherapy, a therapeutic approach utilizing water-based exercises, has emerged as a promising intervention for enhancing lower limb function in SCI patients. This article reviews the current literature on the use of hydrotherapy in the context of SCI rehabilitation, focusing on its impact on lower limb functionality. The abstract summarizes key findings from studies evaluating the effects of hydrotherapy on muscle strength, joint mobility, spasticity, and overall gait performance in individuals with spinal cord injuries. By exploring the physiological and biomechanical mechanisms underlying hydrotherapy's benefits, this review highlights the potential of water-based exercises to provide a supportive and low-impact environment for promoting neurorehabilitation and functional recovery in the lower limbs of SCI patients. As researchers continue to elucidate the optimal protocols and strategies for incorporating hydrotherapy into SCI rehabilitation programs, this approach holds promise in empowering individuals with SCI to regain and enhance their lower limb function, ultimately improving their quality of life and autonomy.

Neuropathic pain associated with sciatica poses a complex challenge for pain management strategies. This article explores the concept of tailoring neuropathic pain relief by selecting appropriate needling approaches for the management of sciatica. Sciatica, characterized by radiating pain along the sciatic nerve, often results from nerve compression or inflammation. The intricate mechanisms underlying neuropathic pain necessitate targeted interventions that can modulate neural pathways and provide effective relief. Various needling techniques, including acupuncture, dry needling, and percutaneous nerve stimulation, have shown promise in addressing neuropathic pain. This article reviews the underlying neuropathic pain mechanisms of sciatica and examines how needling interventions can be strategically chosen to address nerve compression, inflammation, and altered pain processing. By understanding the interplay between neuropathic pain mechanisms and needling techniques, clinicians can tailor their approaches to offer personalized and efficient pain relief for individuals suffering from sciatica. On-going research in this field holds the potential to enhance the efficacy of needling interventions and redefine the landscape of neuropathic pain management for sciatica.

This study investigates the impact of an eight-month exercise program on bone health in young women with opioid dependency. Opioid dependency among young adults is a growing public health concern, with implications for overall well-being, including skeletal health. The aim of this research was to assess whether a structured exercise intervention could improve bone health parameters in this specific population. A cohort of young women aged 18 to 30 with opioid dependency was enrolled in an eight-month exercise program. The intervention included a combination of weight-bearing and resistance exercises, tailored to the participants' physical abilities and medical considerations. Baseline and post-intervention assessments were conducted to evaluate changes in Bone Mineral Density (BMD), bone turnover markers, and physical fitness parameters. The results of this study demonstrate promising outcomes. Participants who engaged in the exercise program showed significant improvements in BMD at various skeletal sites, as well as favorable changes in bone turnover markers, indicative of enhanced bone remodelling. Physical fitness parameters, such as muscle strength and balance, also exhibited positive improvements post-intervention.

This study aims to compare the trajectories of functional recovery in individuals following hip fracture. Hip fractures can significantly impact an individual's functional independence and quality of life. Understanding the factors that influence functional recovery is crucial for optimizing rehabilitation strategies and enhancing patient outcomes. In this observational analysis, data from a diverse cohort of hip fracture patients were analyzed over a specified period to assess the differences in regaining functional abilities. The study examined various variables such as age, prefracture functional status, comorbidities, surgical interventions, and postoperative rehabilitation approaches. By analyzing these factors in relation to the recovery process, insights were gained into the relative effectiveness of different treatment pathways. The findings contribute to the existing body of knowledge on hip fracture management, offering healthcare professionals a better understanding of how to tailor interventions to individual patient profiles. Ultimately, the study provides valuable information for improving the overall functional outcomes and quality of life for individuals recovering from hip fracture.

Background: Accurate evaluation of inadequacy of physical activity for hypertensive patients is important to determine patients’ health outcomes and intervention measures. Information about physical inactivity among patients with hypertension in Ethiopia is not well known. Therefore; this study was aimed to assess the inadequacy of physical activity and its associated factors among hypertensive patients.

Methods: An institution based cross-sectional study was conducted from March 11 to June 12, 2021 among 423 selected adult hypertensive patients attending at the university of Gondar comprehensive specialized hospital. Face to face interview was conducted using a structured questionnaire by trained data collectors. Participants were selected through a systematic random sampling technique. Physical activity was assessed by Global Physical Activity Questionnaire (GPAQ). Data were analyzed by using SPSS version-20 statistical software. Both bivariable and multivariable logistic regression analysis was computed and in the multivariable logistic regression analysis model Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and p-value less than 0.05 were used to identify the associated factors with physical activities.

Results: Our study showed that 80.9% (95% CI; 76.8-84.5) had adequate physical activity, being old age (AOR: 10.289, 95% CI (3.208-33.006), low or poor self-efficacy (AOR: 10.339, 95% CI (4.894-21.838), poor self-rated health (AOR: 5.905, 95% CI (1.725-20.128), and lack of adequate facilities (AOR: 4.074, 95% CI (1.719-9.658) were significantly associated with inadequate physical activity.

Conclusion: Our study found that majority of the hypertensive patients had adequate physical activity. Being old age, poor self-efficacy, lack of adequate facilities, and poor self-rated health were associated factors for inadequate physical activity.