Bechelor of Science in Physiotherapy

Determinants of depression and anxiety with knee Pain and activity limitations in knee osteoarthritis patients

Sat, 16 Aug 2025 00:00:00 GMT

Determinants of depression and anxiety with knee Pain and activity limitations in knee osteoarthritis patients Ammara, Umme Background: Knee osteoarthritis (KOA) is a common degenerative joint disease causing pain, stiffness, and functional limitations, which often co-occur with psychological distress such as depression and anxiety. Objectives: This study aimed to explore the relationships between pain intensity, psychological factors, and activity limitations in KOA patients. at the Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. Methodology: A cross-sectional study was conducted with 102 KOA patients aged 40–75 years at the Centre for the Rehabilitation of the Paralysed (CRP), Dhaka. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS) in various positions (sitting, standing, walking, stair climbing). Depression and anxiety were measured by the PHQ-9 and GAD-7 scales, respectively. Functional limitations were evaluated using the WOMAC index. Data were analyzed using chi-square tests to examine associations. Results: Mild depression and anxiety were prevalent (74.5% and 52%, respectively). Moderate to severe pain, particularly during stair climbing (92.2%) and walking (68.6%) among most of them. Depression was significantly associated with pain during sitting (p < 0.001) and standing (p = 0.025), while anxiety correlated with pain during standing only (p = 0.012). Both depression (p < 0.001) and anxiety (p < 0.001) were linked to greater KOA severity as measured by WOMAC scores. Sociodemographic factors showed limited association with depression, but age (p = 0.019), occupation (p = 0.029), and comorbidities (p < 0.001) were related to anxiety. Dominant limb involvement was associated with higher general pain intensity (p = 0.045). Discussion: These findings demonstrate that knee osteoarthritis patients experience high pain during weight-bearing activities, with depression and anxiety significantly linked to pain and disease severity. Psychological distress and dominant limb involvement influence symptoms, underscoring the need for integrated mental and physical care. Key words: Knee osteoarthritis, Pain intensity, Depression, Anxiety, Activity limitations, Functional impairments. This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Effectiveness of mobilization with movement for the treatment of shoulder pain and limitation of shoulder movement

Sat, 16 Aug 2025 00:00:00 GMT

Effectiveness of mobilization with movement for the treatment of shoulder pain and limitation of shoulder movement Nip, Tamanna Akter Background: Shoulder pain and movement restrictions are common musculoskeletal complaints that significantly affect daily activities. Mobilization with Movement (MWM), a manual therapy technique developed by Brian Mulligan, has been widely used for shoulder conditions. Studies suggest that mobilization with movement can enhance range of motion (ROM), reduce pain, and improve functional outcomes. However, the effectiveness of mobilization with movement compared to other physiotherapy interventions remains debated. This study aims to assess the impact of MWMonpain reduction, ROM improvement, and functional recovery in individuals with shoulder disorders. Aim: This study aims to evaluate the effectiveness of MWM in reducing shoulder pain and improving mobility in individuals with movement restrictions. It investigates the effects of mobilization with movement on pain levels, ROM,and functional ability. Additionally, the study compares MWM to conventional rehabilitation techniques to determine its relative benefits in shoulder pain management. Methodology: The study was a single group pre test post test design that measured pre-test and post-test results. 26 patients were allocated based on inclusion criteria. The participants received six sessions of treatment. Numeric Pain Rating Scale, Goniometer, Oxford Grading scale were used to measure the pain and range of joint. Results: : The pre and post test results of 26 participants were measured using paired t test. The test reveals that the shoulder pain intensity and range of movement statistically improved ( p< 0.05) after receiving the intervention. But muscle power of oxford grading did not show any difference in before and after comparison. Discussion: MWM appears to be a beneficial treatment for shoulder pain and movement restrictions, offering improvements functional ability. Its effectiveness may be attributed to enhanced joint biomechanics and neuromuscular control. Although current evidence supports MWM, variations in study methodologies and small sample sizes highlight the need for further research. Future studies should focus on long-term effects and standardized protocols to establish MWM as a primary intervention in physiotherapy. Keywords: Mobilization, Movement, Shoulder, Pain, Range of motion, Disability. Word count: 10576 This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Association of lower limb somatosensory impairments with walking, balance and falls in chronic stroke survivors: A cross-sectional study

Sat, 16 Aug 2025 00:00:00 GMT

Association of lower limb somatosensory impairments with walking, balance and falls in chronic stroke survivors: A cross-sectional study Sayema, Shanjida Hossain Background: Stroke is a major cause of disability worldwide, affecting physical, emotional and social aspects of life. Lower limb somatosensory impairments are common among chronic stroke survivors and are often linked to difficulties in walking, maintaining balance and preventing falls. Despite their clinical importance, sensory deficits remain under-addressed in stroke rehabilitation. Understanding the relationship between these sensory deficits and functional outcomes is essential for planning effective rehabilitation strategies. Objectives: To examine the association of lower limb somatosensory impairments with walking speed, balance and fall concern in individuals with chronic stroke. Methodology: A cross-sectional study was conducted among 123 chronic stroke survivors at the Centre for the Rehabilitation of the Paralyzed (CRP), Savar. Participants were divided into two groups based on presence or absence of somatosensory impairments. Among them 27 patients had sensory impairment with motor dysfunction. Participants were assessed using the Erasmus MC-modified Nottingham Sensory Assessment (EmNSA), 10-Meter Walk Test (10MWT), Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). Statistical tests included, independent t-test, Mann–Whitney U test and Spearman’s correlation. Results: Somatosensory impairments were found in 22% of participants, predominantly in the toes and foot. Those with sensory impairments had significantly slower walking speed, poorer balance and higher fall concern (p < 0.05) than participants without sensory impairments and a significant positive correlation was found between light touch impairment and balance (r = 0.452, p = 0.018). Discussion: The study highlights that lower limb somatosensory deficits, particularly in light touch, are associated with impaired functional performance in walking, balance and increased fear of falling. These findings suggest a need for integrating sensory assessments and sensory-specific rehabilitation strategies in stroke care. Future rehabilitation programs should focus on sensory retraining alongside motor recovery to reduce fall risk and improve mobility in stroke survivors. Key words: Chronic stroke, Somatosensory impairment, Walking speed, Balance, Fall, EmNSA This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Effectiveness of Self-Intervened Physical and Behavioral Problem Solving Activities During the Leisure Period Along with Conventional Group Therapy for the Patients with Spinal Cord Injury Attended at the Centre for the Rehabilitation of the Paralysed (CRP): A Quasi-Experimental Study

Sat, 16 Aug 2025 00:00:00 GMT

Effectiveness of Self-Intervened Physical and Behavioral Problem Solving Activities During the Leisure Period Along with Conventional Group Therapy for the Patients with Spinal Cord Injury Attended at the Centre for the Rehabilitation of the Paralysed (CRP): A Quasi-Experimental Study Zibran, Sayeed Hossain Purpose: This study aimed to investigate the effectiveness of integrating leisure-time self-directed physical and behavior-modifying activities with conventional group therapy in improving health, functional fitness, and social cognition among adults with spinal cord injury (SCI). Objectives: The study sought to assess changes in health (both physical and mental health) status, social cognition, and exercise self-efficacy before and after the intervention, as well as to evaluate participants’ adherence and engagement in self-managed rehabilitation. Methodology: A single-group quasi-experimental pre post design was employed, involving 36 participants aged 18–65 years with traumatic or non-traumatic SCI, selected from the SCI Unit at the Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka. Participants underwent a four-week intervention comprising conventional group physiotherapy and self-managed activities guided by the SCI GET FIT Toolkit. Data were collected using standardized tools: PHQ-2 (health), SCI GET FIT Toolkit (functional fitness), PSSQ-20 (social cognition), and Exercise Self-Efficacy-10. Results: Post-intervention, depressive symptoms decreased, with PHQ-2 scores of 0 (no symptoms) rising from 6.7% to 16.7%. High exercise self efficacy scores increased from 3.3% to 43.3%, while low-confidence scores dropped to 0%. “Thinking” and “Feeling” social cognition styles improved significantly (p < 0.01), indicating gains in logical and emotional reasoning. Toolkit quiz accuracy averaged 64%, and 73% of participants maintained ≥ 4 exercise sessions per week. Conclusion: The combined approach of self-directed physical and behavioral interventions with structured group therapy demonstrates significant positive impacts on health, functional outcomes, and social cognition in adults with SCI. This patient-centered, flexible rehabilitation model holds promise for wider implementation in community settings where access to conventional therapy may be limited. Keywords: Spinal cord injury, leisure-time activity, self-management, behavior change, group therapy, physical rehabilitation, social cognition, exercise self-efficacy, quasi-experimental stud This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.