Masters of Science in Physiotherapy

Related Factors for the Development of Secondary Complications of Long-Term Lower Limb Prosthesis Users

2025-04-30T09:14:33Z

Related Factors for the Development of Secondary Complications of Long-Term Lower Limb Prosthesis Users Jahan, Nusrat Background: Prosthesis patients individuals who utilize artificial devices to replaces missing body parts face a unique set of challenges and opportunities. This study explores the multifaceted experiences of these patients encompassing secondary complications developed after using prostheses. Aim: To find out the factors related to developing the secondary complications of lower limb prosthesis users. Methodology: A cross-sectional study aims to assess 70 participants in Prosthetics and Orthotics Department at the Centre for the Rehabilitation of the Paralysed (CRP). The study encompassed aged between 18-80 years who have been using lower limb prostheses. Result: Among the 70 participants, the minimum age was 18 and the maximum was 75 years and their mean age was 47.7 ± 17.2 years. The lower limb prosthesis users of the respondents developed secondary complications like a blister, skin irritation, erythema, changes the stump volume, knee pain, and hip pain which was associated with ill socket fitting (P<0.049); gait pattern abnormality due to assistive devices dependency (P<0.044), knee or osteoarthritic complications who’s were obese participants (P< 0.020). Conclusion: Managing secondary complications in prosthesis users requires an MDT approach involving medical professionals, physiotherapists, prosthetists, and mental health experts. Emphasizing more preventive care, proper prosthetic fitting, regular follow-up, and addressing both physical and psychological needs can enhance overall well-being. Keywords: Secondary complications, Lower limb prosthesis, amputation. This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Knowledge, attitude and practice towards physical activity in preventing low back pain among patients attending musculoskeletal department at CRP

2025-04-22T05:23:55Z

Knowledge, attitude and practice towards physical activity in preventing low back pain among patients attending musculoskeletal department at CRP Rana, Shohag Background: Low back pain (LBP) is a prevalent musculoskeletal disorder that significantly impacts quality of life and healthcare costs. Despite its high prevalence, there is a gap in understanding patients' knowledge, attitude, and practice (KAP) towards physical activity in preventing and managing LBP. This study aims to assess these factors among patients attending the Musculoskeletal Department at the Centre for the Rehabilitation of the Paralysed (CRP) in Savar, Bangladesh. Methods: The study employed a cross-sectional design, utilizing a self-structured questionnaire to gather data from 192 patients with LBP attending the Musculoskeletal Department at CRP. The questionnaire assessed socio-demographic information, knowledge, attitude, and practice towards physical activity in preventing LBP. Data collection occurred between December 2023 and April 2024. The inclusion criteria included patients aged 18 years or older, diagnosed with LBP, and able to provide informed consent. Patients with recent surgeries or medically unstable conditions were excluded. Ethical considerations were strictly followed, with all participants providing informed consent. Results: The results indicated varying levels of knowledge, attitude, and practice towards physical activity in preventing LBP. The study found significant associations between sociodemographic factors and health behaviors, with education and gender notably influencing knowledge, attitudes, and practices related to physical activity. Although most participants had a positive attitude towards physical activity, gaps were identified in knowledge and inconsistent practices, particularly in engaging in regular exercises to prevent LBP. The data also suggested a need for targeted educational programs to improve understanding and adherence physical activity practice. Conclusion: The study underscores the importance of education and awareness in promoting physical activity as a preventive measure against LBP. Healthcare providers at CRP and similar institutions should focus on addressing identified knowledge gaps and encouraging consistent exercise practices among patients with LBP. Future research should explore more comprehensive strategies to foster long-term adherence to physical activity recommendations and reduce the incidence of LBP. Keywords: Low back pain, Physical activity, Knowledge, Attitude, Practice, Musculoskeletal Department, Prevention, Exercise, CRP, Bangladesh. This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Effectiveness of Strengthening Exercise for Patients with Chronic Low Back Pain: A Randomized Controlled Trial

2025-04-22T05:02:45Z

Effectiveness of Strengthening Exercise for Patients with Chronic Low Back Pain: A Randomized Controlled Trial Hassan, Raisul Background: chronic discomfort in the lower part of the vertebral column that persistently persists for at least 12 weeks. Different factors are thought to be involved; they include muscle strain, ligament sprain, degenerative disc disease or spinal stenosis. Poor postures, obesity, and lack of exercise are some culprits for such pains. The management methodologies often encompass a range of therapeutic approaches which consist of physiotherapy, pain management techniques as well as surgical intervention in case the symptoms are too severe. Objectives: The general goal here is to evaluate whether strengthening exercises can help manage chronic low back pain (CLBP) using a randomized controlled trial (RCT); Materials & Methods: Randomization resulted in a total sample size of forty participants suffering from CLBP who were incorporated into two groups. There were twenty patients each in the Control group who were offered routine physiotherapy while in the Experimental group, there was additional inclusion of strengthening exercises with conventional therapy to evaluate the effectiveness of the exercise program. Exercise intervention effectiveness is assessed using the Visual Analog Scale (VAS), Ronald Morris Questionnaire (RMQ) & SF-12: Short Form-12 Health Survey; Results: As part of the study, conventional physiotherapy intervention was done where an experimental group had additional strengthening exercises. The Visual Analog Scale (VAS) score obtained after eight sessions showed significant improvements in both groups for various pain parameters including standing, usual activities and sports. Postintervention mean baseline VAS scores reduced significantly indicating that the treatment approach used in this case was effective. Withal, Roland-Morris Disability Questionnaire (RMQ) scores markedly diminished during eight sessions of usual physical therapy both among control as well as experiment groups, which confirmed a positive effect on disability alleviation caused by pain. Conclusion: In conclusion, the findings of this study imply that both conventional and experimental physiotherapy with muscle-strengthening exercises are effective ways of reducing pain and improving functional outcomes for individuals who have chronic low back pain. Keywords: Effectiveness, Specific Strengthening Exercise, CLBP This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh

Effectiveness of Myofascial Release versus Physio Gun Release of Quadriceps muscle and Iliotibial Band on Pain and Range of Motion in Patients with Knee Osteoarthritis

2025-03-16T05:32:48Z

Effectiveness of Myofascial Release versus Physio Gun Release of Quadriceps muscle and Iliotibial Band on Pain and Range of Motion in Patients with Knee Osteoarthritis Rahman, Atikur Background: Osteoarthritis (OA) is the most common type of chronic, progressive, degenerative, joint disorder causes pain and disability and it have greatest consequence on weight-bearing joints especially knee joint due to more mobility and less stability. There are number of treatment option for knee OA includes conservative and operative. Physiotherapy is one of the important conservative treatments for knee OA. Myofascial release and physio gun release may a treatment choice for treatment of knee OA. Objective: To identify the efficacy of Myofascial Release and Physio gun release of quadriceps muscle and iliotibial band in knee osteoarthritis. Methods: This study was single blinded Randomize Clinical Trial (RCT). The study was carried out in outpatient musculoskeletal unit. Thirty participants were randomly assigned into two groups. Structured questionnaire were used for data collection. NPRS, WOMAC and goniometer were used for outcome measurement. SPSS version 22 and Microsoft Word with Excel 2016 were used for inferential statistics, including the Independent T test, Mann-Whitney U test and chisquare test. Results: After treatment, both the groups showed significant improvement (p<0.05) but physio gun release groups shows more improvement in reducing pain, improving ROM and reducing disability. Conclusion: The result of present study shown that, in patients with knee osteoarthritis, myofascial release along with usual physical therapy has been effective in reducing pain, ROM and function. Moreover, physio gun release along with usual physical therapy enhances the effectiveness of physiotherapy and helps to decrease pain, increase flexibility and ROM and disability. Key Words: Knee Osteoarthritis, Physio gun release, Myofascial release, Usual care This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.