https://www.medsciencegroup.us/journals/journal-of-novel-physiotherapy-and-physical-rehabilitation A Peertechz Open Access Journal en-us 19 Dec, 2025 https://www.medsciencegroup.us/articles/JNPPR-12-210.php Maximising locomotor independence following stroke remains a central goal of neurorehabilitation. Traditional manual techniques, while foundational, are insufficient to fully restore locomotion independence. This paper offers an interpretation of published evidence regarding post-stroke rehabilitation and advocates for a construct of hypothesis-driven approach combined with clinical observation that integrates readily accessible, technology-based precision training designed primarily to target the paretic lower extremity. It emphasises using technologies capable of both assessment and collection of objective performance data over time, advocates for individualised intervention derived from each patient’s baseline locomotion measurements and stresses the need for a quantitative, outcome-driven training program aimed at recovering less dependent locomotion ability. The paper proposes a practical definition and description of independent and dependent locomotion and explores common barriers to recovering independence in locomotion post-stroke. It presents the rationale and mechanisms that govern the selection of therapeutic technologies, including functional electrical stimulation (FES), treadmills, and motorised plinth/tables that hypothetically support recovery of locomotion. The proposed novel composition of precision locomotion training and the added value of incorporating effective and efficient hybrid technologies are highlighted as critical to the recovery of locomotion ability in post-stroke rehabilitation. 19 Dec, 2025 https://www.medsciencegroup.us/articles/JNPPR-12-210.php Background: Avascular necrosis (AVN) of the femoral head is a progressive condition that often leads to severe functional limitation and necessitates Total Hip Arthroplasty (THA). While surgical techniques continue to advance in bilateral involvement of young patients, postoperative physiotherapy remains the cornerstone of optimal functional recovery. This case report evaluates the effectiveness of an intensive, structured four-week physiotherapy program following bilateral uncemented THA in a young adult with advanced bilateral AVN. Case presentation: A 31-year-old male chef with a 14-year history of bilateral hip pain underwent bilateral uncemented THA via a bikini incision. Postoperative physiotherapy commenced on day 7 and continued for four weeks, focusing on progressive mobility training, strengthening, gait retraining, balance restoration, and functional task practice. Baseline assessments revealed antalgic gait, limited range of motion, tenderness, and reduced Harris Hip Score (HHS = 37). Results: The patient demonstrated significant clinical and functional improvements over four weeks. Clinically important differences were seen in - Pain decreased from 7/10 to 4/10, and hip range of motion (ROM) increased appreciably across all planes. Muscle strength, balance, and gait mechanics improved substantially, reflected by a rise in the Harris Hip Score from 37 to 77. The patient achieved near-independent ambulation and improved performance of activities of daily living. Conclusion: Early, structured physiotherapy significantly accelerates recovery after uncemented THA, improving mobility, pain, gait, and functional independence. Continued rehabilitation is recommended to achieve full functional recovery. 07 Oct, 2025 https://www.medsciencegroup.us/articles/JNPPR-12-208.php Background: Knee and hip osteoarthritis are among the most common degenerative joint diseases and are associated with significant limitations in quality of life. Mechanical joint distraction is considered a promising approach to pain relief and joint function improvement. The aim of this retrospective observational study, designed as a pilot study to serve as a starting point for subsequent controlled studies, was to evaluate the effectiveness of a non-invasive home therapy device for joint distraction (JD device) in patients with knee or hip osteoarthritis. Methods: 39 users of the JD device (average age: 62.7 years) took part in an anonymous online survey. Pain levels before and after use were recorded using a numerical rating scale (NRS), along with subjective perceptions of effectiveness and information on duration of use. In addition, user-related experience data was collected using closed questions and evaluated as percentage distributions. The Wilcoxon test, effect size calculation, and Spearman correlation were used for statistical analysis. Results: The average pain intensity (total knee and hip osteoarthritis) decreased significantly from 6.82 to 3.28 (p < .001, r = 0.75), which corresponds to an average pain reduction of 3.54 points through the use of the JD device. 71.8% of participants achieved a pain reduction of at least 30%. A positive correlation between duration of use and pain improvement was demonstrated (ρ = 0.53; p = .003). 81.3% of respondents used the JD device daily at home. 82% reported that therapy with the JD device had reduced their symptoms. With regard to surgical procedures, 47.8% of those who had already been recommended artificial joint replacement stated that they were able to avoid or postpone it by using the device. For another 43.5%, this was still unclear at the time of the survey. 8.7% were unable to avoid surgery despite using the device. In addition, 92.3% of participants would recommend the JD device they used to others. Conclusion: The results of this pilot study suggest that regular self-administered home therapy with a non-invasive JD device may be an effective option for pain relief in knee and hip osteoarthritis, potentially delaying or avoiding upcoming surgery. A planned clinical RCT study will verify this statement in the future. 01 Oct, 2025 https://www.medsciencegroup.us/articles/JNPPR-12-207.php Background: Cervical-originated arm pain (COAP) occurs when a cervical nerve root is affected, causing pain and muscle weakness that can lead to disability. The PNF technique concentrates on activating both the agonist and antagonist muscle groups to enhance neuromuscular control and improve functional movement patterns. The current study aimed to determine the effectiveness of PNF for cervical-originated arm pain. Method: 10 patients with COAP received treatment using PNF and conventional physiotherapy for 2 weeks (6 sessions per week). Pre- and post-test data were collected for arm pain using the NPRS 101, neck pain and disability using the NPAD, and upper extremity disability using the Quick DASH Questionnaire, and were analysed. Results: Results showed statistically significant improvement (p&lt;0.05) in all outcomes. Conclusions: This study concluded that the use of PNF to treat COAP is effective in clinical practice. 01 Nov, 2024 https://www.medsciencegroup.us/articles/JNPPR-11-206.php Background: Classifying tools used for the pediatric population can expedite the creation of preventive, diagnostic, and therapeutic strategies, helping to identify factors influencing this group and enhancing their development. Objectives: This study aims to present the assessment batteries used in the pediatric population together so that assessors and practitioners can easily examine the batteries and decide which test battery to use. Method: Seventy questionnaire scales used in pediatric rehabilitation were compiled from the electronic database. Results: There are many batteries used in the pediatric population. Categorizing these batteries provides significant advantages and convenience for readers. Conclusion: In pediatric rehabilitation, various assessment batteries are used to assess the abilities and development of children, and these tools vary according to age groups. Different tools have been determined in areas such as motor, sensory, neuromuscular, cognitive, and family assessments, and each significantly impacts children’s development. By defining reliable assessment methods for each area, it is aimed to develop early intervention and appropriate treatment strategies. 25 Oct, 2024 https://www.medsciencegroup.us/articles/JNPPR-11-205.php The components of telemedicine are either electronic, mechanical or a combination of both. These have to be manufactured taking into consideration their specific requirements and the functions which they have to perform. The telemedicine system offers improved disease management and enhanced quality of care. The system should be kept debugged and virus-free. The patient’s logbook is used to register details about the patient. These details include the test results, treatments being currently undertaken, and exercises. It would also contain a record of the treatment method carried out previously and the corresponding results. This information will then facilitate the patient to mark his progress and the caregiver to suggest better medication. Ultimately, timely & effective communication within the period is achievable. 12 Apr, 2024 https://www.medsciencegroup.us/articles/JNPPR-11-204.php In response to information that more older Americans are dying from accidental falls, UMass Dartmouth researchers have addressed the problem by employing Flocked Impact Energy Absorbing (FEAM) materials to design special Wrap-Around Padded Headband (WAPH) garment structures. Such headband structures are intended for use by geriatric patients who might be vulnerable to falling. Overall, head-worn WAPHs should serve as head protection therefore mitigating any serious head injury that may occur during any such falling mishaps. The designed geriatric headbands feature a customizable, one-size-fits-all, linearly stretchable, wearer-comfortable design. Additionally, the particular wrap-around feature provides an overlap in headband over-wrap length such that some parts of the head perimeter (forehead or back-head) zone have a double thickness of the FEAM impact force material protection. Impact Force Absorbing (IFA) measurements carried out on FEAM employing headband material show that the IFA properties of the designed headband are superior in impact absorbing properties compared to non-IFA material containing stretchable fabric. As a means of determining how the designed WAPHs will absorb sweat, water immersion studies were carried out on some representative headband materials. The designed headbands should also be able to manage body heat. Self-wearing-trials of some WAPH prototypes demonstrated that they are very wearer comfortable. However, more experimental studies must be carried out to optimize the IFA properties of the FEAM element used in fabricating these WAPH garments. 18 Jan, 2024 https://www.medsciencegroup.us/articles/JNPPR-11-203.php Background: Non-specific chronic low back pain is defined as a complex disorder involving structural, biomechanical, cognitive, psychological, social, and lifestyle factors. This randomized clinical trial study compared the effects of 8-week Virtual Reality Training (VRT) and pain neuroscience plus motor control training (PNE/MCT) on pain, disability, health, and quality of life of women with non-specific chronic back pain. Methodology: This research is a single-center parallel RCT. Thirty-six participants participated in this study. They were divided into two groups: VRT (G1) and PNE/MCT (G2), both with 18 women. The training was performed for eight weeks for 45 minutes – 60 minutes. The VRT was applied by Oculus Quest 2. Visual Analogue Scale (VAS), disability (Oswestry Disability Index), general health (GHQ-28), and quality of life (QOL- WHO) were assessed before and after eight training weeks using a within-between group analysis (ANOVA 2×2). Results: Before training, no difference was observed between the groups (p > 0.05). After the intervention, both groups improved VAS, disability, GHQ, and QOL (all p &lt; 0.001). In the comparison between the groups, the G1 had a better performance according to the p-value and effect size in anxiety (p = 0.001, ES= 0.71), depression symptoms (p = 0.03, ES: 0.25), physical health (p = 0.03, ES: -0.24), mental health (p = 0.001, ES: 0.66), and total QOL (p = 0.048, ES: 0.21) than G2. Conclusion: Despite the effectiveness of both interventions, VRT improved the general health and quality of life in women with NSCLBP more than PNE/MCT. 05 Dec, 2023 https://www.medsciencegroup.us/articles/JNPPR-10-202.php This study, using bibliometric methods, examines exercise training for Heart Failure (HF) patients with cognitive impairment, discussing the current state and trends. 2,077 articles and reviews from the Web of Science Core Collection were analyzed, revealing the United States and Duke University Research Institute as major contributors. “Circulation” and “American Journal of Cardiology” were the selected and most-cited journals. Kitzman DW emerged as the most productive author. VOSviewer and Microsoft Excel 2019 were employed for comprehensive analysis, categorizing keywords into heart failure, cardiovascular disease, mortality, and exercise clusters. The findings provide valuable insights into the landscape and evolving dynamics of exercise training in the context of HF and cognitive impairment. 29 Aug, 2023 https://www.medsciencegroup.us/articles/JNPPR-10-201.php Introduction: We observe, in the aging process, important functional changes in our organism that can be influenced by the environment in which we are inserted. Objective: To comparatively evaluate the respiratory muscle strength of elderly people in rural and urban areas. Methodology: This is a cross-sectional and analytical research, whose data were analyzed quantitatively, which was carried out with elderly people living in the urban area, registered at the Social Assistance Reference Center (CRAS), and in the rural area, at the Urban Social Center (CSU) in Sousa city, in Paraíba state. The sample was random and for convenience. An anthropometric and respiratory muscle strength assessment was carried out. Individuals aged 60 years or older, of both sexes, who had good mental conditions to answer the questions and could walk were included, and those who had cognitive deficits, visual, cardiac, respiratory, neurological problems, and neoplasms were excluded. Results: 84 elderly people participated in the research, of both sexes, divided into two groups: urban area (n = 43) and rural area (n = 41). With regard to respiratory muscle strength, when comparing the maximal Inspiratory Pressure (IPmax) with the maximal expiratory pressure (PEmax) of the elderly in relation to the place of residence, there were no statistically significant results in the evaluated variables (p > 0.05). Conclusion: There was no statistically significant difference in the respiratory muscle strength of the elderly evaluated at the expense of the habitat. 14 Jun, 2023 https://www.medsciencegroup.us/articles/JNPPR-10-200.php This paper focuses on the structural properties and interface behavior of TX-5, TX-114, and TX-100 molecules at the air/water interface. The results of the density profile show that the polar O atoms of the three TX molecules are basically located on the water surface, and the whole TX molecule is almost parallel to the water surface. The results of the order parameters show that the order parameters of the three TX molecules on the interface are similar and relatively ordered. The TX-100 molecule has the largest gauche defect value. The hydration number of TX molecules at the interface was similar to that of TX molecules in micelles, and the hydration number of PEO chains showed obvious zigzag changes. The research of this paper provides a reference for the further development of TX series micellar and surfactant molecules in the field of pharmaceutical and daily use. 03 Mar, 2023 https://www.medsciencegroup.us/articles/JNPPR-10-199.php Background: Return to sport after Anterior Cruciate Ligament (ACL) reconstruction remains a difficult decision-making process that is not structured on shared and homogeneous assessments. This greatly elevates the risk factors for second injuries. Objective: Highlight football-specific gestural, pathological, technical-tactical patterns that contribute to new ACL injuries (ipsilateral graft rupture or contralateral rupture of the native ACL). Material and method: For the purpose of this literature review, peer-reviewed and nonpeer-reviewed indexed journals were consulted from 1979 to the present. Studies were identified by searching them on PubMed/MEDLINE databases. The following search terms were used: “second ACL injury,” “cutting maneuver and ACL”, “sidestep cutting technique and ACL” “Valgus knee in sport” “change of direction and ACL injury” “pressing soccer” tackle in soccer”. The literature search was directed, also, to the Gray Literature. Result: An immediate pressing or re-aggression on the adversary, tackle, or cutting maneuver is clinically read as moments of risk factors, injury, or re-injury, for both the ball bearer and the defender. We found how a good deal of literature emphasizes how side-to-side gestural asymmetries, during technical and tactical movements, present during return to sport can elevate risk factors for second ACL injuries. During ball recovery, 4 main game situations have been found to elevate the risk factors of knee capsular ligament injuries: (1) during tactical moments of collective pressing or individual pressure; (2) in the postural rebalancing phase after moments of instability following the kicking of the ball; (3) dysfunctional moments from gestural instability, in landing, after a header in single-pedal support; (4) during a tackle by direct contact or indirect contact on the joint. Conclusion: Residual pathological movement’s side-to-side asymmetries and postural-dysfunctional pictures related to specific gestures after ACL reconstructive surgery are predictive factors of second ipsilateral ACL injury or injury to the contralateral limb. Given, however, the subjective interpretation of movement quality assessments, their relative reliability and validity in the diagnostic and therapeutic use of complex sports gestures, pressing, and cutting maneuvers, during the process of return to sport should be analyzed together and clinical assessments to identify other and consistent predictors of second ACL injuries. 28 Dec, 2022 https://www.medsciencegroup.us/articles/JNPPR-9-198.php Pain and nausea are common complaints by patients in acute care settings and these symptoms can prevent participation in their physical or occupational therapy sessions. Because mobilization during acute care hospitalization is important for reducing the length of stay, postoperative complications, risk for deep vein thrombosis, pneumonia, and pressure ulcers, implementing non-pharmacological solutions to engage patients in mobilization is worth investigating. It is hypothesized that the use of inhaled essential oils may improve patients’ perception of pain and their coping with nausea, enabling a patient to have active participation in physical or occupational therapy. This participation can minimize hospitalization-related risks as well as potentially reduce the length of stay in the hospital. This IRB-approved study is an early feasibility, single-site, randomized, placebo-controlled clinical trial utilizing three essential oils: lavender, mandarin, and peppermint. These oils are administered via an inhalation patch affixed to the chest region of the subject’s gown. Perceived pain or nausea levels are assessed before and after the use of aromatherapy during which the subject participates in their planned physical or occupational therapy session. While it is too early to determine the effects of aromatherapy, preliminary results suggest the use of lavender oil may have a positive effect on pain. 17 Dec, 2022 https://www.medsciencegroup.us/articles/JNPPR-9-197.php The integration of Virtual Reality (VR) in the rehabilitation process of the upper extremity amputee patient reinforces motor learning, facilitates the incorporation of the prosthesis in the body scheme, and normalizes global gesturing. 10 Jun, 2022 https://www.medsciencegroup.us/articles/JNPPR-9-196.php One of the most prevalent developmental disabilities is Cerebral Palsy (CP). CP is a term for a group of neurological disorders characterized by mobility and posture problems that limit activities and are caused by a static disruption in the growing brain, which is typically accompanied by other impairments and health problems. CP is not a single diseased entity; it comprises problems with body movement, muscle control, muscle coordination, muscle tone, reflex, fine motor abilities, gross motor skills, oral motor functioning, posture, and balance, to name a few. Approach to promoting the functional and psychological independence of the child with a disability, as well as improving the child’s and family’s quality of life. Physiotherapists, who are known as “movement experts,” play an important part. The goal of this review is to clarify current thinking and physiotherapy practice in the treatment and management of children with Cerebral Palsy (CP). 04 Mar, 2022 https://www.medsciencegroup.us/articles/JNPPR-9-195.php Objective: Propose a post-surgical rehabilitation program identifying the steps necessary for a progressive recovery of the joint function in compliance with the surgical needs. Material & method: In the anterior and posterior glenohumeral instability, the presence of bone defects, especially at the glenoid side requires surgery and the use of the bone block, associated with the repair of the soft tissues (capsuloplasty). The arthroscopic technique, compared to open surgery, allows respecting the periarticular anatomical structures, essential for optimal functional recovery. Results: The post-surgical rehabilitation program follows a progressive recovery timing, divided into 3 phases: phase 1 pain control and joint mobility recovery, phase 2 the recovery of strength and specific sport movements and finally phase 3 the return to sports activities. The rehabilitation progress must achieve two objectives: ROM recovery without disturbing the bone graft area, to achieve its integration. Conclusion: the rehabilitation program is ultimately guided by the surgeon considering the strategy adopted in the operating room, the use of the bone-block technique and above all the sealing of the grafts. The physiotherapist following the proposed steps will optimize the final functional result. 07 Jan, 2022 https://www.medsciencegroup.us/articles/JNPPR-9-194.php Objective: Photographic posture analysis is a useful, inexpensive, time-efficient, and non-invasive method to assess posture. The primary purpose of this study was to compare PPA and trunk control between children with Diparetic and Hemiparetic Cerebral Palsy (CP). Methods: Fifty-two children with hemiparetic and diparetic CP whose GMFCS levels I and II were compared with PPA in sitting position and also trunk control was measured with Trunk Control Measurement Scale (TCMS). Results: There was no scientific difference in craniovertebral angle, sagittal head tilt, sagittal shoulder-C7 angle, thoracic kyphosis angle, coronal head tilt, coronal shoulder angle, coronal pelvic angle in PPA and TCMS between groups (p>0.05), however, there was a scientific difference in lumbar lordosis angle in PPA between the groups (p&lt;0.05). Conclusion: Lumbar lordosis is more common in children with hemiparetic CP than diparetic CP. It can be thought that this situation requires children to change their body biomechanics to compensate their affected sides more than the children with diparetic CP. The physicians should take care of the postural alignment of the lumbar and pelvic girdle of hemiparetic CP. We think that muscle strength, muscle shortness, and other lower extremity biomechanics that could increase lordosis should be examined in detail in hemiparetic CP regardless of where the origin of lumbar lordosis (pelvis or lumbar region). 02 Dec, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-193.php Objective: To assess the treatment approach of physiotherapists towards patients with Rheumatoid Arthritis. Material & methods: A cross-sectional study was conducted from June to August 2016 among the 116 selected participants who were working in different physical therapy setups of Karachi Pakistan. A self-constructed questionnaire was used among the participants which consist of demographic Characteristics (age, gender, Qualification, and experience). While the Knowledge and utilization related close-ended questions were the 1. Type of exercise (isometrics and isotonic exercise), utilization of manual techniques (use of Maitland peripheral joint mobilization techniques, Cyrix mobilization techniques, Mulligan mobilization techniques & Manual joint distraction). 2. The use of electrotherapy modalities (use of TENS, Ultrasound, Cryotherapy & Heating) & 3. Treatment preference includes (results of manual therapy, electrotherapy or electrotherapy & manual therapy both in combination). Data were analyzed by using Statistical Package for Social Sciences (SPSS) version 21. Results: The majority of physiotherapists (n=71, 61.2%) belong to the age group of 31 to 45 years, and (n=71, 61.2%) were male. After checking the Qualification the majority (n=65, 56%) were Post-graduate and (n=62, 53.2%) were having 7 to 15 years of experience. Among all (n=94, 81%) of physiotherapists were using an isometric type of exercises in the patients with Rheumatoid arthritis. Most of (n=101, 87%) the Physiotherapist was using peripheral joint distraction in patients with Rheumatoid arthritis. The majority (n=109, 93.9%) of physiotherapists were using manual therapy and electrophysical agents in combination among the patients with Rheumatoid arthritis. Conclusion: The physiotherapists who are working in different setups of Karachi were treating the patients of RA by using different techniques of manual therapy along with the combination of electrophysical agents. In electrophysical agents, they were using the tens and heating combination for pain management. 11 Nov, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-192.php Objective: This study was conducted to find the best treatment in treating the patients of myofascial syndrome for this purpose two treatment options were compared to rule out the best option of treatment in minimizing the pain, enhancing the cervical movement and in determining the pressure pain threshold of MTrp. Material and methodology: It was a comparative study. Total 60 patients were randomly allocated to each group of treatment. We compared two treatments, treatment A of 30 patients was physical therapy and 30 patients of treatment B was diclofenac patch. For seven days, these patches were applied three times per day to the MTrP area of the upper trapezius muscle. The fix’s sufficiency and security boundaries were evaluated before it was used (day 0), three days later (day 3), and six days later (day 6). Chi square test was used for checking association of treatments and different attributes of patients. Results: There is significance association was found between demographic characteristics and treatments groups with p-values less than 0.05. There is significance difference effect between both treatments using VAS pain scale and cervical active Rom and PPT of MTRP using p-value less 0.05. These results shows that physical therapy treatment effects are batter as compare to diclofenac patch. Conclusion: Physical therapy techniques and the diclofenac patch have both been shown to be helpful but significant results are shown by Group A in treating trigger points of upper trapezius by normalizing the pathophysiological reasons of trigger points of this region. Physical therapy techniques are more helpful in reducing pain and in achieving cervical movement. 01 Oct, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-191.php Background: Cardiovascular Disease (CVD) remains the leading cause of death in the US. Although Physical Activity (PA) has been inversely associated with the risk of CVD, few studies have examined whether sedentary behaviors modify such association. Our goal was to examine associations of leisure time PA with risk of CVD and mortality and the role of sedentary behavior as potential effect modifier among US veterans. Methods: We analyzed self-reported data on leisure time PA, television watching, and time spent on the computer among 438,364 participants of the Veterans Affairs Million Veteran Program from 2011 to 2018. We calculated metabolic equivalent of task-hours per week (MET-h/week) for each person and used electronic health record data to ascertain CVD. Results: Mean age was 64.6 ± 12.6 years and 92% were men. During a mean follow up of 3.3 years, we observed 22,942 new cases of CVD and 48,325 deaths. There was an inverse relation of leisure time PA with CVD and total mortality [HR: 0.96 (0.95-0.97) and 0.91 (0.90-0.92) per 2 MET-h/week increment for CVD and total mortality, respectively]. The associations of PA with both incident CVD and mortality were stronger in participants who spent more time watching television or on computer (all p values for interaction < 0>0.05). Conclusions: Leisure time PA is inversely associated with risk of CVD and mortality among US veterans and such relations were stronger in participants who spent more time watching television or on computer. 07 Aug, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-190.php Objective: To evaluate the level of Anxiety among the Patients of Knee Osteoarthritis. Methodology: A cross sectional survey was conducted in different hospitals of Sindh and Balochistan province, Pakistan from June to October 2020. A self-fabricated questionnaire was used in in already diagnosed 292 patients of Knee Osteoarthritis (KOA) which consist of the demographic and disease related questions. The statistical package for social sciences (SPSS) version 23 was used to interpret the data. Result: The majority (n=160, 54.8%) were male and (n=234, 80.1%) having age between 61 to 63 years. Mostly (n=115, 39.4%) were found graduate in educational status and (n=25, 73.6%) were the permanent resident of urban area. After checking the level of anxiety we found that majority (n=118, 40.4%) were mild anxious due to disease (KOA). Conclusion: The study finalized that the patients who are suffering from Knee Osteoarthritis (KOA) were found mild anxious because the KOA patient faces the somewhat disability in later stages which puts a socioeconomic burden on patients life that leads to anxiety and depression. 07 Aug, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-189.php The hip joint is one of the most surgically exposed joints in the body [1]. The posterior approach is known to have a slightly higher risk of dislocations [2], whilst the anterior [3] and lateral approaches [4] allow for preservation of the posterior soft tissue envelope. I had developed a modification of the Posterior Approach at a time when the regular Posterior Approach was plagued with the problem of dislocation. Hence this modification was devised after cadaveric tests confirming superiority by increasing its stability and thus prevent dislocation of the Hip joint. This is a posterior trochanter spliting approach to the Hip Joint by maintaining all the advantages of the Posterior Approach with excellent visualization of the Hip Joint. This was then used in patients with a fracture neck femur for insertion of an endoprosthesis. 30 Jul, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-188.php Objective: To assess the prevalence of pain among the undergraduate physical therapy students of university of Balochistan, Quetta. Material & method: A cross sectional study was carried out among the 158 participants who were enrolled in department of Physical Therapy, University of Balochistan, Quetta. The participants were requested to answer the self-developed questionnaire consists of different questions (demographics & onset of pain). The collected data was analyzed by using statistical package of social sciences (Spss) version 21. Results: The Majority (n=101, 63.9%) of the participants were from the age group of 18 to 22 years and (n=91, 57.6%) were female. Whereas in marital status mostly (n=147, 93%) of the participants were un-married. Majority (n=49, 31%) of the participants were the enrolled in the 1st professional year. After checking their working status (n=144, 91.1%) were not doing any job, whereas (n=131, 82.9%) of the participants were not taking any medicines for the management of neck pain. In the onset of pain (n=109, 68.9%) of the participants reported the occasional onset of pain followed by the (n=21, 13.3%) frequent pain. Conclusion: The study concludes that the prevalence of neck pain among the undergraduate physical therapy students of university of Balochistan was high and measured about 69%. 10 May, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-187.php Objective: Assessment of the effectiveness of proprioceptive and isometric exercises in patients of knee osteoarthritis (OA). Methods: The experimental study was conducted among the 40 patients who had confirmed diagnosis of knee OA. The 40 patients were randomized into separate two groups A & B. The group A received proprioceptive exercise, whereas group B were given the isometric exercises. The data was collected before and after the treatment by using the visual analogue scale for assessing the pain intensity, whereas the analogue goniometer was used for assessing the range of motion of knee joint. After collection, the data was analyzed by using statistical packages for social sciences (Spss) version 22. Results: Patients of group A were heaving the mean age of (45.24 ± 11.52) and the patients of group B were having the mean age of (50.25 ± 12.12). Among the patients of group A, after the treatment the Knee range of motion was (113, ± 7.042), whereas among the patients of group B that was (107, ± 6.601). During the check of Vas scale, group A patients reported (4.01, ± 1.197) and group B reported (3.69, ± 1.054). Proprioceptive and isomeric exercises were statistically significant (p&lt;0.05) to flexion range of motion and pain intensity, separately. Discussion: In current study the both exercises (proprioceptive & isometric were significant in the management of Knee OA patients. Furthermore the proprioceptive exercises were found significant in enhancing the range of motion of knee joint), while the isometrics gave good results in pain management. 10 Apr, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-186.php During 2020, all countries of the world imposed curfews due to the outbreak of the COVID-19 virus. However, it was observed in many countries that the curfew system is ineffective for many reasons such as instability in applying the system because there are distortions in it, randomness in making decisions related to curfews and ineffectiveness in preventing people from gathering to stop the spread of the virus. The aim of this study is to suggest a new curfew system that is more effective than the ones used in many countries now. The expected results through using this system is assisting the governments of the countries in controlling the movement of individuals, on other hand it ensures that they obtain their basic needs and the stability of commercial activities in the market. 08 Mar, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-185.php Background: To assess the awareness of Covid-19 among the Physiotherapists of Sindh, Pakistan, in order to check the level of knowledge present regarding the pandemics among the working physiotherapist of Pakistan. Material & Methods: A cross sectional study was carried out in different hospitals of Sindh, Pakistan from June to July 2020. A self-constructed questionnaire by Pursuing the clinical and community administration of COVID-19 given by the National Health Commission of the People’s Republic of China was used among the 343 Physiotherapists and SPSS version 23 was used to analyze the data. Results: The majority (n=207, 60.3%) were male, having age between 33 and above years (n=227, 66.2%) and (n=304, 88.6%) were married. In educational status (n=230, 67.1%) were postgraduate and (n=304, 88.6%) belongs to urban area. During the assessment of awareness towards COVID-19 results showed that majority (n=321, 93.6%) were aware of COVID-19. Conclusion: This Study concluded that the physiotherapists who are working in different hospitals of Sindh, Pakistan are well aware of COVID-19.The awareness can be due to their self-interest in infection preventive measure and quality of education being provided by their respective institutions. 27 Jan, 2021 https://www.medsciencegroup.us/articles/JNPPR-8-184.php Background/objectives: The farming employs about half the world’s entire workforce. In most countries, farming is recognized as one of the most hazardous industries. Farming activities lead to awkward physical postures. These postures are: leaning, kneeling, crawling, bending, twisting to one side and repeated work that can result in physical stress and traumatic injuries. This study aimed to evaluate the ergonomic conditions and musculoskeletal symptoms among farmers in Faisalabad, Pakistan. Methods/statistical analysis: This descriptive study was conducted on 80 farmers from different regions of Faisalabad who were between 25 to 80 years old and harvesting traditionally. Nordic Questionnaire (NMQ) was used for determining prevalence rate of musculoskeletal disorders. Results: The obtained results indicated that the most reported musculoskeletal disorders in farmers are neck, wrist, low back with 75%, 77.5%, 66.25% respectively. We checked prevalence of MDS in different phases of harvesting, in 1st phase low back, neck, wrist with 88.75%, 87.5%, 82.5% respectively have the most musculoskeletal problems in farmers during sedentary picking up with hand. In 2nd phase low back, ankle, knee with 90%, 85%, 73.75% respectively have the most musculoskeletal problems in farmers during standing picking up with sickle. In 3rd phase knee, low back, hip with 93.75%, 90%, 73.75% respectively have the most musculoskeletal problems in farmers during collecting harvests from farm. In 4th phase hip, low back, ankle with 96.62, 92.5%, 77.5% respectively have the most musculoskeletal problems in farmers during packing. Conclusion: Low back pain is the major problem among farmers caused by harvesting harvests from farming, according to the results. Results indicate that harvesting plays a major role in the prevalence of musloskeletal disorders in the various parts of the body of the farmer. In the prevalence of muscloskeletal disorders of farmers, the height and age of farmers have a major role. The research showed that the working conditions of the studies farmers are unsustainable and need to be changed. As most farming practices are historically carried out priority based solution steps to minimize musculoskeletal disorders can be classified as training of ergonomics concepts in farming activities regular inspection and replacement of technical farming methods. 21 Nov, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-183.php Physiotherapists are healthcare professionals having direct contact with patients suffering from chronic disorders including COVID-19 [1]. Physiotherapists are also among the practitioners taking responsibility for the wellbeing of the COVID-19 and other infectious diseases management and outcomes thus sharing handsome amount of workload with healthcare systems [2]. 22 Oct, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-182.php Background: This study aims to compare the effectiveness between aquatic exercise interventions and land-based exercises in the treatment of Chronic Low Back Pain. Methods: Thirty patients were randomly allocated to land exercise (n=15) and aquatherapy group (n=15). Both groups underwent Hot pack, conventional TENS, and continuous ultrasound. A water-based exercise program was conducted in the aquatherapy group for 15 patients in an indoor swimming pool. The land-based exercise program included abdominal and back strengthening exercises. All assessments were done before and after the treatments (4th week). The pain and functional status of patients were evaluated. Results: There were no statistically significant differences in the demographic features between groups. The pre and post-therapy differences between groups showed no significant results between groups in VAS, MODI, TAMPA, and the standardized SF-36 (p>0.05). There was a significant improvement in SF-36 role-emotional score in the land exercises group compared to aquatic exercises (p ≤ 0.05). The pre and post-therapy differences within groups showed a significant decrease in VAS score in aquatic exercises group (p&lt;0.05), a similar observation was noted in the land exercises group too (p&lt;0.05). There was also a significant decrease in ODI, TAMPA, and the physical functioning component of SF-36 in land exercises group. Conclusions: The findings from this study show similar benefit of aquatic exercises and land exercises on pain, disability, health related quality of life and kinesiophobia in chronic low back pain, even land exercises has significant effect in emotional role domain of health-related quality of life. 22 Oct, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-181.php Back pain is the leading cause of disability globally with 818,000 disability-adjusted life 51 years estimated to be lost annually due to work-related Low Back Pain (LBP) [1]. 10 Sep, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-180.php After a trauma, an illness, a disability or an addiction, life becomes an uphill battle in all situations. Whether it is dealing with doctors, drug companies, mental health or rehabilitation professionals, living as an independent, self-sufficient human being is simply no longer possible. There are countless adjustments, accommodations and modifications that must be made, in order to ensure a quality life will be realized. 10 Sep, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-179.php Background: Lower back pain is one of the most widespread health issues today. Water-based exercise is an effective treatment to reduce pain intensity and disability. Objective: To assess the effect of a water exercise program on pain level and functional status in patients suffering from chronic nonspecific low back pain. Methods: One hundred and twenty-four volunteers with chronic nonspecific low back pain, aged 19 to 70, were randomly assigned to either a water exercise group or a land exercise group. Both groups performed exercises that combined local deep muscles transversus abdominis and the multifidus with diaphragm activity, with the integration of movements of routine daily life. Both programs lasted three months, with twice-weekly sessions of 45-minutes each. Results: Significantly better improvement of all pain variables and functional status was found in the water group. The major significant (p&lt;0.001) contribution of the water group was obtained for pain description improvement. A multivariate linear regression model examined the predictors for pain and functional status improvement. Conclusions: The water program has a greater potential than the land program for pain reduction and improving functional status of patients with chronic nonspecific low back pain. 29 Aug, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-178.php Back in 2006, an invited commentary raised the question “are we asking clinically relevant questions”? The commentary referenced an application of electrical stimulation in a clinical trial [1]. This question regarding Neuromuscular Electrical Stimulation (NMES) and Functional Electrical Stimulation (FES) is as relevant in 2020. Based on the premise and presumption that the aim of applying NMES/FES is to enable each patient achieve the most effective and efficient recovery of functional independence, one must wonder if we are asking the most critical, yet clinically relevant questions? This perspective focuses on locomotion and upper extremity function following a Cerebrovascular Accident (CVA) and non-neurological damage to the knee joint. It delineates several questions elaborating on the issue of meaningful outcomes to the patients versus the focus of clinician and researchers on measurable outcomes. It offers pathways that should hopefully lead to considerably more effective and efficient utilization of NMES and FES in rehabilitation medicine. 15 Jul, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-177.php Soccer is one of most popular and practiced sports. Although, we can establish its dynamic character as a determining factor that injuries to occur. Although, the majority of injuries are caused by contacts or impacts, a wide part of then are caused by receptions after jumping and changes of direction own of this sport. Here, we show the importance of a proprioceptive program to avoid injuries in football that shows its practical applicability in daily training. Our approach is based on important scientific research of different collective sports. In addition, we organize the training following the fundamental principles of training. In this sense, specific materials are used (unstable platforms, fitballs, etc.) and exercise with real applicability to the game that will provide the player with optimal a rapid response to a possible injury. Our work attempts to demonstrate that intervention carried out would have a preventive effect on the frequency of football injuries, providing effective responses and improvements in strength, coordination, balance, reaction time to specific sports situations. Lastly, we also want to highlight the importance of the multidisciplinary work of doctors, trainers, physical trainers, adapters and physiotherapist ass an essential factor to minimize the number of injuries. 07 Jul, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-176.php Purpose: The study aims to evaluate the effectiveness of different surface balance training on dynamic posture control in collegiate female athletes. Methods: The research was experimental in nature. The subjects were selected through purposive sampling. 40 female collegiate students were selected and divided into 2 groups. Group A was given star excursion balance training on stable surface and Group B was given Star Excursion Balance Training on unstable surface. Pre and post protocol assessment was done with the help of YBT on day 1st and end of the 4th week. 20 Jun, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-175.php The human body receives the main energy in the form of ATP (about 50 kg per day), mainly by oxidative phosphorylation in the mitochondria, 19 Jun, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-174.php Space weather and the dynamics of Solar Activity (SA) have a significant impact on biota and society. 06 Jun, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-173.php Being interdependent with the environment must be the goal for the coping strategies that I use. I choose who I want to be and how much I value who I am. My feelings about myself are a combination of my self-concept and my level of self-esteem. My self-concept is defined as, “Who I believe I am” and my self-esteem is rooted in how firm my belief is. 27 May, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-172.php Introduction: Cryofrequency is a non-abrasive and non-invasive aesthetic treatment method aimed at complaints related to localized adiposity and cutaneous flaccidity. The method consists of the generation of radiofrequency waves that in contact with the subcutaneous tissues produce heat. The differential of the cryofrequency is that this method uses a system of superficial cooling, producing a thermal shock by combining deep heat and superficial cold. 27 Apr, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-170.php Rehabilitation is one of the most useful ways of treating patients who have suffered a stroke. Its precocity in the management of patients often allows having a good functional prognosis. In case of a sequela stroke complicated by and significant comorbidities, functional recovery is difficult. Despite this we are surprised to have a convincing result. We report a case of sequelae of a straight stroke complicated by right transtibial amputation in a 57-year-old patient over two years after the accident. The initial assessment found a bedridden patient with significant musculoskeletal impairment. After ten months of follow-up requiring the intervention of a multidisciplinary team, the final assessment revealed a significant functional recovery, despite the persistence of some difficulties limiting the total autonomy of the patient. 25 Apr, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-169.php Introduction: Axillary Web Syndrome (AWS) is well described until 3 months postoperative breast cancer surgery. Methods: We report a case of a 47 years old patient that arrived our rehabilitation service with pain and limited shoulder range of movement in the ipsilateral side of a breast cancer surgery. Results: An Axillary Web Syndrome was diagnosed 83 months after the surgery. Conclusion: It is important to mention that AWS might persist for a long time and also affect patients a long time after the surgery. 23 Apr, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-168.php Objective: The aim of this study was to assess the effectiveness of magnetic-laser therapy in complex treatment of neuropathy after dental implantation Materials and methods: The present study is based on the results of the analysis of clinical, instrumental and radiation studies of 27 patients, with post-traumatic neuropathy inferior alveolar nerve. Diagnosis of damage to the inferior alveolar nerve was based on the clinical manifestations of neuropathy (pain, paresthesia, loss of sensation, etc.). The study of the sensitivity of the skin of the lower lip and chin in the segment of the inferior alveolar nerve dysfunction and in the symmetrical segment performed using sensory tests. 17 Mar, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-167.php When asking someone, whatever their age, what they consider most important to their health, the answer invariably involves their ability to maintain physical independence–basic mobility. The highest level of mobility is unlimited movement in any environment they choose. As mobility is lost, the environments in which independent movement is possible, become restricted. 31 Jan, 2020 https://www.medsciencegroup.us/articles/JNPPR-7-166.php Immobilization and prolonged bed rest is associated with many complications, including delirium, muscle atrophy, decubitus ulcers, atelectasis, and bone demineralization. 01 Oct, 2019 https://www.medsciencegroup.us/articles/JNPPR-6-165.php Background: Sexuals dysfunctions in multiple sclerosis have been widely described. Their prevalence is estimated at 45%-74% in the female population and 61%-91% in the male population. 17 Jul, 2019 https://www.medsciencegroup.us/articles/JNPPR-6-164.php Context: Musculoskeletal disorder are injuries or pain in the human musculoskeletal system including the joints, ligaments, muscles, nerve, tendon and structure that support limbs, neck and back. These conditions generally results in pain and functional impairments. Prevention strategies are needed early in the apprentice training program to reduce the potential disability associated with work-related musculoskeletal symptom disorders. 09 Jul, 2019 https://www.medsciencegroup.us/articles/JNPPR-6-163.php Introduction: Leadership is a key characteristic needed for physical therapists and physical therapist assistants to deliver primary care in the healthcare environment. There is a need for increasing leaders in the physical therapy profession, however, there is no published research to assist with initiating leadership at the student level. 16 May, 2019 https://www.medsciencegroup.us/articles/JNPPR-6-162.php Context: Mobile phones have entered our lives through technological developments, becoming the most commonly used technological device, there advances have had a huge impact on many walks of life. Technology gives human beings good effects such as convenient everyday life. There has been a progressive increase in both the number and proportion of the aged in India over time and as age advances there is decline in motor and cognitive functioning. As the age increases, the reaction time also seems to increase. Older adults can benefit from the use of smartphones in a number of ways. Aims: The aim of this study was to observe the Effect of Smartphone Addiction on Reaction time (RT) in Elderly Population. Setting and design: This was an experimental study. 02 Apr, 2019 https://www.medsciencegroup.us/articles/JNPPR-6-161.php Objective: Spina bifida is one of the first caused of disability with children in USA. This incidence was estimated to 3.5 per 10000 habitants. In France, it was mostly, 0.5 per 1000 habitants. The improvement in neuro surgy and in urology allowed a veritable reduction of mortality with spina bifida. Method: It was a retrospective descriptive and analytic study with children suffering of spina bifida and followed up between january 2013 and december 2015 at the department of Physical Medicine of Casablanca. Results: Twenty six patients were followed up. The average age was 11.9 +/- 5.8 years. These urinary disorders were frequency 100%, urinary incontinence 65.4%, urgency 73.1% and intermittent stream or training 46.2% with significant post void residual 26.9%. In urodynamic studies, bladder sphincter dysynergia was 7.7%, low bladder compliance with 61.5%, phasic or terminal detrusor overactivity 84.6% with 38.5% dangerous. In ultrason, they were 23.1% fight bladder with urinary retrogress and two children had dilatation of upper urinary tract and end stage renal disease, in list for renal transplantation. 28 Nov, 2018 https://www.medsciencegroup.us/articles/JNPPR-5-160.php Background: The increased scientific recognition of Quality of Life (QOL) and adaptive behavior constructs implies changes in practice aligned with the supports person-centred provision. The alignment between these constructs is been recently proven at theoretical level but it still lacks of practical evidences-based. 15 Oct, 2018 https://www.medsciencegroup.us/articles/doi10.17352-2455-5487.000059-jnppr.php Temporomandibular joint dysfunction (TMD) is characterized by the presence of signs and symptoms that lead to functional changes in this joint. Most of the times with a multifactorial etiology, it can be associated to systemic diseases, such as rheumatoid arthritis (RA).  Objectives: to evaluate the prevalence of TMD in a cohort of women with RA, as well as possible links between its presence and disease activity and duration, smoking and frequent consumption of chewing gum, compared with a control group of healthy controls. 30 Jun, 2018 https://www.medsciencegroup.us/articles/JNPPR-5-158.php Background: Running is a widely accessible sport with millions of participants in the UK alone. Whilst running has been recognised to have significant health benefits, it does come with a risk of injury. Running-related injuries (RRIs) are seen more commonly in novice runners compared to athletes. Currently, there is ongoing debate as to what is the major cause of RRIs with some suggesting it is down to the differences in striking pattern. RRIs cause a substantial economic burden. There is no clear guidance as to whether the use of an orthotic truly prevents injury and improves running performance. 15 Jun, 2018 https://www.medsciencegroup.us/articles/JNPPR-5-157.php Background: Patients with shoulder impingement syndrome (SIS) suffer pain and disability and present enormous health and fi nancial challenges to the NHS. There is limited evidence for many of the commonly used physiotherapy treatment interventions. Research suggests deprivation, age, gender and attendance are possible predictors of poor treatment outcome in common MSK conditions. The present author set up and ran a physiotherapy led group based SIS class to improve generic health outcomes and reduce shoulder pain and disability. 18 Jan, 2018 https://www.medsciencegroup.us/articles/JNPPR-5-156.php Objective: To investigate the short and long-term outcomes of a concurrent exercise protocol (CEP) on plasma Brain-derived neurotrophic factor (BDNF) levels and the effect of this intervention in the self-esteem and mental health in people with schizophrenia (SZ). 10 Nov, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-155.php Introduction: The incidence of botulinum toxin type A (BoNT-A) injections related adverse effects (AE) is relatively high in literature. Many of injections are carried out yearly in our Physical and Rehabilitation Medicine (PRM) unit, however only 4 adverse effects have been reported since 2010. 31 Aug, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-154.php Hemiparesis as a result of an ischemic stroke in children and adolescents under 16 years of age is reported in the literature with an incidence of approximately 3-5 and 1,6: 100.000, 23 Aug, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-153.php Background: Several studies provide evidence that Robotic-assisted gait training (RAGT) promotes motor recovery and functional improvement in patients with spinal cord injuries. 17 Aug, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-152.php Background and Purpose: In Parkinson’s disease (PD), some common non-motor symptoms include depression, anxiety, sleep disturbances. Non-motor symptoms affect quality of life. 01 Aug, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-150.php Background: The aim of our study was to investigate the exercise capacity of children with congenitally corrected transposition of the great arteries without signifi cant associated heart defects (l-TGA) in comparison with children with the classical type of TGA (d-TGA) and a healthy control group. 15 Jun, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-149.php Background: Non-surgical spinal decompression is a novel physiotherapy that improves on conventional traction by adding computer technology and it is commonly used along with other physiotherapy modalities. 13 Apr, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-148.php Pharmacology is an integral component in a physical therapist professional education as physical therapists play an important role in improving medication safety by being cognizant of the medications a patient is taking and monitoring for medication effects with an emphasis on physical functioning and determining if medications are adversely affecting physical functioning. 30 Mar, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-147.php Background: Stroke affects 15 million people worldwide every year and leaves two-thirds of survivors with significant mobility deficits including reduced walking speed, increased unevenness of step length and asymmetry. 20 Mar, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-146.php Background: Is a ‘science knows best’ approach the best option for hearing care, or do patients want more control; and if so, how much control do they want? The aim of this study is to assess what the thoughts and opinions of hearing aid users are towards a hearing aid they can programme themselves and investigate what control they require. 14 Mar, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-145.php The aim of this article is to assess the practical clinical value of measures used to examine physiological (cardiorespiratory and neuromuscular) and biomechanical (spatio-temporal and baropodometric) responses to effort in children with cerebral palsy (CP). 14 Mar, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-144.php Background: Urinary incontinence is a common symptom observed in modern times, which may affect 7–37% of women aged 20–39 and 9–39% after the age of 60. Pregnancy and natural delivery are important risk factors increasing the likelihood of incontinence. 06 Feb, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-142.php Background and objectives: Motor-level electrical stimulation (MES) has been shown to improve glucose tolerance and glucose uptake in both animals and humans. 23 Jan, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-141.php Background: Exercise intolerance (EI) is a cardinal feature in subjects with heart failure with preserved ejection fraction (HFpEF). Factors related to EI in such patients are not completely understood. 12 Jan, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-140.php Spatial temporal gait variability has developed into a measure of interest in clinical gait analysis. It is capable of providing unique insight into rhythmic stability of human gait and may be a sensitive biomarker of falls risk. 09 Jan, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-139.php Tumor surgery in the orofacial region frequently requires resection of major parts of the jawbone and the adjacent facial and pharyngeal soft tissue resulting in large-scale hard and soft tissue defects. 07 Jan, 2017 https://www.medsciencegroup.us/articles/JNPPR-4-138.php Background: Regular physical activity increases physical fitness and lowers ventilation during mild and moderate exercise thereby reducing the likelihood of provoking exercise-induced asthma. Regular exercise may also reduce the perception of breathlessness through a number of mechanisms including strengthening respiratory muscles. 23 Dec, 2016 https://www.medsciencegroup.us/articles/JNPPR-3-137.php Introduction: The aim of the presented study was to investigate the effect of an inpatient rehabilitation stay with application of therapeutical nuclear magnetic resonance therapy (NMRT) in 150 patients with painful shoulder diseases in a controlled trial. 23 Dec, 2016 https://www.medsciencegroup.us/articles/JNPPR-3-136.php Improving the quality of life (QOL) of persons with intellectual and developmental disabilities (IDD) is one of the goals of supports providers. This study’s goal is to analyze the contribution of a psychomotor intervention in water on the QOL and aquatic skills of adults with IDD. 08 Dec, 2016 https://www.medsciencegroup.us/articles/JNPPR-3-135.php Introduction: Distal Radius Fracture is one of the most common fractures in forearm. Chronic pain after these fractures could affect as much as 30% of patients. 22 to 39% incidence of Complex Regional pain Syndrome (CRPS) has been reported in patients with distal radius fractures. 29 Nov, 2016 https://www.medsciencegroup.us/articles/JNPPR-3-134.php Background: Hip fracture has a high risk of mortality and puts a large financial burden on the health care system. 07 Nov, 2016 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-3-133.php Study objectives: To evaluate the effectiveness on muscle strength, flexibility, pain and function of a six-week physiotherapy treatment for patients with Patellofemoral Pain Syndrome delivered in a district North-West Wales National Health Service Hospital. 26 Jul, 2016 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-3-132.php Cancer-related fatigue is one of the most common problems experienced by 70% of cancer patients during and after chemotherapy and radiotherapy. 02 Jul, 2016 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-3-131.php Background and objectives: Mechanical perturbations in seated positions caused by driving on irregular terrain destabilize the driver which, combined with the drivers' posture, may cause musculoskeletal disorders. 28 Apr, 2016 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-3-130.php Background and objectives: Maximal strength assessment of knee extensors in older adults using elastic resistance bands have rarely been addressed even though resistance training using elastic bands have shown large effects on muscle strength in this group of people. 08 Feb, 2016 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-3-129.php Objective: To perform a systematic review and meta-analysis on the efficacy of laser therapy (LT) for rotator cuff (RC) tendinopathy in adults. 31 Dec, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-128.php The determination of functional capacity is of fundamental importance in monitoring and defining the prognosis of patients with heart failure (HF) may be the six minute walk test (6MWT) is a possibility. 03 Dec, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-127.php Purpose: The purpose of this study was to establish normative values for active lumbar movement in children five, seven, nine, and 11 years of age and to find the confounding factors that affect the lumbar range. 14 Oct, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-126.php Introduction: Patients with severe traumatic brain injury are known to have poor outcomes. The prognosis is even worse if they remain vegetative or minimally conscious for months. The objective of this case report is to highlight the novel use of optokinetic chart stimulation to improve muscle strength and functional mobility in a patient who was in a vegetative state of unconsciousness for months after sustaining a severe traumatic brain injury and C7 spinal fracture. The patient could not open their eyes and breathed through a tracheostomy tube. 05 Oct, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-125.php Background: Stroke remains one of the largest causes of impairment and disability globally. Stroke involves high costs to the health economy. 01 Oct, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-124.php Purpose: To evaluate the effects of short term treatment of Flutter device and Autogenic Drainage (AD) in patients with chronic obstructive pulmonary disease (COPD). 31 Aug, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-123.php Objective: Low back pain (LBP) represents the most prevalent and costly repercussion from musculoskeletal injury in the work place. This review examines the earlier and current research reported on the significance of physical activity on musculoskeletal injuries and LBP, the benefits and limitations of therapeutic exercise, and the potential features of various exercise modalities that may contribute to the secondary and tertiary prevention of low-back pain. 29 Jun, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-122.php Introduction: Core training is often divided into the training approaches core endurance-, core stability- and core strength training. The aim of the study was to compare the association between core strength, core endurance and core stability testing 52 healthy males and females. 06 Apr, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-121.php Introduction: Mechanoreceptor stimulation is theorized to contribute to the therapeutic efficacy of spinal manipulation. Use of mechanically-assisted spinal manipulation (MA-SM) devices is increasing among manual therapy clinicians worldwide. The purpose of this pilot study is to determine the feasibility of recording in vivo muscle spindle responses during a MA-SM in an intervertebral fixated animal model. 19 Mar, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-120.php Background: The purpose of this study was to assess the lesional incidence of a professional basketball team during a complete season, noting the type of injuries that take place and their recuperation times, in parallel with the recovery treatments used. 19 Mar, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-119.php Introduction: Sciatic nerve injury is a well-known complication of intra-muscular gluteal muscle injections. Affected individuals usually present with foot drop and this results in varying degrees of motor disability. There are different sites such as ventrogluteal, dorsogluteal that can be used for gluteal injections. 04 Mar, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-118.php Objectives: To (1) study the relationship between multifidus muscle activation and perception, (2) to explore the correlation between the failure of the multifidus and back pain, when (3) tested with the MAT technique and back pain questionnaire. 21 Feb, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-117.php Your smart phone can do many things. Can it be a doctor, too? Absolutely yes, with BPL Medical Technologies Private Limited introducing BPL LifePhone PlusTM, a revolutionary all-in-one health monitoring device, which can transform your smart phone to your family doctor. 20 Feb, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-116.php Background and objective: Multiple morbiditiesin critical care myopathy tend to lead to poor outcomes. The objective of this case report is to describe the remarkable recovery of a bed bound critical care myopathy patient with lupus, phalangeal amputations and diabetic neuropathy. 10 Jan, 2015 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-2-115.php Background: Duchenne muscular dystrophy (DMD) is characterized by a progressive muscular weakness, with loss of independent ambulation. 12 Dec, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-114.php Objectives: To explore physiotherapy students' experiences of patient-student relationship development, gained through volunteering with the Action after Stroke charity, with reference to usual placement experience, ... 25 Nov, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-113.php Objective: To determine the concurrent validity, specificity and sensitivity of a newly developed tool; New Neglect Test (NNT) with line bisection test (LBT) and semistructured scale for the functional evaluation of hemi-inattention (SSS) in stroke patients, in assessing spatial neglect. 25 Nov, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-112.php Objectives: To explore physiotherapy students' experiences of patient-student relationship development, gained through volunteering with the Action after Stroke charity, with reference to usual placement experience, and to identify any changes in students' thoughts and feelings towards patients, and subsequent effect on relationship development. 27 Oct, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-111.php Introduction: Objective: To assess gender differences in heart rate (HR) and perceptual responses during leg versus arm ergometry among healthy college-aged Saudis. 20 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-110.php Introduction: Although there has been a shift towards competency-based medical education in the past decade, littlel iterature is available about the specific use of competency-based education in physiotherapy education. 19 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-109.php Purpose: To assess if the addiction of progressive muscular relaxation (PMR) to aerobic continuous training (ACT) is more effective than ACT alone in order to improve exercise tolerance of patients with chronic heart failure (CHF). Methods: Thirty CHF patients, age 67±6 years; ejection fraction 34±2. NYHA II-III was enrolled. Fifteen patients were randomized to group 1 and performed PMR and ACT; 15 to group 2 and performed ACT alone. At baseline and after 8 weeks all patients underwent: 6-minute walking test (6 MWT), measurement of blood pressure and heart rate, administration of a quality of life questionnaire (WHOQOL-brief). PMR and ACT were performed 3 times/week. 15 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-108.php The authors present a technique paper on the utilization of both ultrasound and fluoroscopy guidance for injections about the hip joint. 08 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-107.php Background: To evaluate a service reconfiguration of pain rehabilitation programmes for chronic back pain using three programmes of differing intensity and duration and a clinical algorithm. 06 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-106.php Pain is a global phenomenon in which it has been estimated that 20% of adults and 8% of children suffer from at any one time of whom 10% suffer chronic pain [1,2]. 06 Sep, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-105.php Background: High loads on an anterior spinal implant can cause an implant to subside into the vertebral body. 22 Aug, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-104.php Background: Loss of functional ability and motor control following stroke appears to affect women more severely than men in general. However, little attention has been paid specifically to the upper extremity. 17 Jul, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-103.php Talar injuries are infrequently encountered in practice as the majority require a high energy force such as road traffic accident or fall from height and they are often presented as complex injuries. Talar neck fracture accounts for half of these injuries. 07 Jul, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-102.php Purpose: To examine whether a subjective measure of moderate-intensity exercise (12-13 on Borg's ratings of perceived exertion scale; RPE) corresponds to the target heart rate for moderate-intensity exercise (40-59% heart rate reserve; %HRR) and to determine the characteristics of those for whom RPE does not appropriately estimate exercise intensity. 03 Jul, 2014 https://www.medsciencegroup.us/Novel-Physiotherapy-Physical-Rehabilitation/JNPPR-1-101.php Background and objective: Unrecognized BPPV leads to activity limitations. This case report aims to report on use of optokinetic chart stimulation and one off Epley's manouvre to treat unrecognised BPPV in chronic Meniere's disease.