Prevalence and patient characterization of Work Related Musculoskeletal Disorders in patients visiting the physical therapy department in Karachi, Pakistan

Work Related Musculoskeletal Disorders (WRMSD) are the sort of disorders which involves soft tissues. The involvement of soft tissues can be due to the over use, restlessness and improper use. The main target of WRMSD are working indicuduals.it may cause muscle strain, ligament strain, tendon strain, tendinitis and bursitis. The cross section survey was conducted and data was collected from July to October 2018 from Jinnah Post graduate medical Centre Karachi, Pakistan. A self-constructed proforma was used among the 194 patients who meet the inclusion and exclusion criteria and Spss version 23 was used. The majority (n=98, 50.5%) were belongs to age group of 21 to 35 and were (n=102, 52.6%) were male. In marital status majority (n=128, 66%) were married. In involvement of part majority (n=56, 28.9%) were suffering from lower back problem. After checking the type of injury (n=56, 49.5%) were suffering from muscular strain. In the context of onset of injury majority (n=82, 42.3%) were experienced their problem suddenly. The study finalized that WRMSD is most common in working individuals especially in older and females. The WRMDS puts heavy burden on the society, annually. As the participants who belongs to low socio economic status are more vulnerable for WRMDS.

Prevalence of Upper Cross Syndrome among Students of University of Balochistan, Quetta Pakistan

Objective: To assess the prevalence of upper crossed syndrome among students of Doctor of Physical Therapy (DPT) and Bachelors of Eastern Medicine and Surgery (BEMS) at university of Balochistan Quetta, Pakistan. Background: Upper cross syndrome is characterized as a pattern of tightness or over facilitation of chronically contracted and shortened muscles on one side and weakness or inhibition of chronically lengthened muscles on other side due to the muscle imbalance leading to postural abnormalities including, forward head posture, shoulder protraction, winging of scapula. These changes, in turn, lead to overstress of the cervical cranio-cervical junction, cervical and thoracic spine and shoulders, which can cause neck and/or jaw pain, headaches, and shoulder problems. The purpose of this study was to figure out the number of students of DPT and BEMS suffering from upper crossed syndrome at university of Balochistan Quetta, Pakistan. Methodology: A descriptive cross-sectional study was conducted. A self-constructed questionnaire having two parts, the first part comprised of demographics data while second part comprised of 18 questions and consent form was filled by 340 students both males and females from DPT and BEMS department. The Data was analyzed by Statistical Package for Social Sciences (SPSS) version 16. Results: The study participants had a mean age of ±21.85, most of them were, from 22-25 years n=182 (53.5%) age group, males n=178 (52.4%) and from 3rd semester n=107 (31.5%). The prevalence of upper cross syndrome in the current study was 45.0%. Conclusion: The study concludes that upper cross syndrome has high prevalence in the students of DPT and BEMS in faculty of pharmacy and health sciences, at university of Balochistan Quetta, Pakistan.

In Vivo Human Gastrocnemius Architecture With Changing Joint Angle at Rest and During Graded Isometric Contraction of Normal and Weak Muscle

Architectural properties of the triceps surae muscles complex were determined In Vivo for thirty subjects. These subjects were assigned to two groups. The first group of subjects consisted of 8 healthy men and the second group of subjects was composed of 22 patients with motor disorders. The ankle was positioned at -15 ° (dorsiflexion), and 0 ° (neutral anatomical position), and 15 °, and 30 ° (plantarflexion), with the knee set at 120 °and with an angle in the ankle joint of 90 °. At each position, longitudinal ultrasonic images of the Medial (MG) and Lateral (LG) Gastrocnemius and Soleus (SOL) muscles were obtained while the subject was relaxed (passive) and performed 50 % maximal voluntary isometric plantar flexion (active), from which fascicle Lengths (L) and angles (Θ) with respect to the aponeuroses were determined. From the ultrasonic image, it was observed that and Θ changed during an isometric contraction of the triceps surae muscle. Changes in L and were expressed as a function of relative torque. The Θ change was not identical for the three muscles. The fascicle Θ of MG demonstrated the greatest variation in three muscles. The effects of activation and relaxation positions were significant in all three muscles. The differences in MG fascicle Θ because of changes in ankle positions were significant among control and patients both in the passive and active conditions. Fascicle Θ of LG and SOL not differed among control and patient in the relaxation condition but not in the activation condition. For LG, and SOL ol fascicle Θ were changes were larger in control with the patients. The mean values fascicle Θ of MG, LG, and SOL an isometric contraction (50 % MVC) in the control groups increased by 60 %, 41 %, and 41 %, respectively; in the patient groups were a smaller increase, by 28 %, 26 %, and 36 %, respectively. Different lengths and angles of fascicles, and their changes bу contraction by patients and normal subjects, might bе related to differences in force-producing capabilities of the muscles and elastic characteristics of tendons and aponeuroses.