Damar Wala North

Stroke is a leading cause of disability, often resulting in difficulties with walking and balance that reduce quality of life. This research investigates the additional effects of combining functional muscle training with turning-based specific training on turning ability, balance, and quality of life in patients who have experienced a subacute or chronic stroke. The study is designed as a randomized controlled trial to provide new treatment protocols targeting turning during gait rehabilitation. Participants are divided into two groups one receiving both functional muscle training and turning-based specific training, and the other receiving only turning-based specific training. The functional muscle training focuses on strengthening lower body muscles such as hip abductors, adductors, flexors, extensors, plantarflexors, dorsiflexors, and rotators using exercises with progressive resistance bands over six weeks. Turning-based training progresses through various exercises involving 90-degree turns, figure-of-eight walking, step across body, braiding, and obstacle avoidance. Participants will be assessed at the start and after six weeks of intervention using tests for turning performance like the Standing Turn Test and Figure of 8 Test, as well as balance measures including the Berg Balance Scale, Timed Up and Go Test, and Modified 4 Square Step Test. The study aims to evaluate improvements in turning, balance, and quality of life, with data analyzed using recognized statistical software. This involvement offers participants structured rehabilitation aiming to address turning difficulties after stroke and reduce fall risk.

This research aims to evaluate how combining Mulligan mobilization with core strengthening exercises affects postpartum females experiencing sacroiliac joint dysfunction SIJD. SIJD is common after childbirth due to hormonal and biomechanical changes that cause pelvic instability and pain. The study explores whether adding Mulligan mobilization, a manual therapy to correct joint alignment and movement, to core strengthening can better reduce pain and improve joint function and quality of life compared to core exercises alone. Participants will receive one of two interventions the experimental group will undergo Mulligan Mobilization with Movement MWM alongside core strengthening exercises, while the control group will perform core strengthening exercises alone. Mulligan MWM involves therapist-applied glides to the sacroiliac joint combined with specific movements to restore joint mechanics. Core exercises focus on strengthening muscles supporting pelvic stability, progressing over four weeks from gentle activation to functional movements. Treatments include techniques such as SIJ belt-assisted mobilization, pelvic floor engagement, and exercises like bridges, planks, and squats. During the study, women will be assessed at the start and after four weeks for pain intensity, sacroiliac joint disability, and lumbar range of motion. Researchers will monitor progress through physical tests and questionnaires to evaluate pain relief, joint function, and mobility improvements. The study will involve postpartum females aged 20 to 40 years, with participation lasting at least four weeks, and aims to support safe recovery and daily function restoration through targeted therapy.

This research aims to evaluate the additional effects of the Niel-Asher technique combined with sleeper stretch and conventional physical therapy on reducing pain, improving shoulder ranges of motion, and enhancing functional ability in patients with Adhesive Capsulitis, also known as frozen shoulder. Adhesive capsulitis is a painful condition marked by stiffness and reduced movement in the shoulder joint, often caused by fibrosis and contracture of the joint capsule. It is more common in females aged 40 to 60 and leads to significant limitations in shoulder rotation and other movements. The study compares two treatment approaches one group receives the Niel-Asher technique along with sleeper stretch and conventional therapy, while the other group receives only sleeper stretch and conventional therapy. The Niel-Asher technique involves deep stroking massage and compression of trigger points on major shoulder muscles, applied three times a week for four weeks. Sleeper stretch is applied passively by the investigator to improve shoulder flexibility, also three times a week. Conventional therapy includes joint glides, active and assisted range of motion exercises, isometric exercises, Codmans and pulley exercises, and ischemic pressure to release trigger points. Participants will be involved in treatment sessions over four weeks, with assessments at the end of this period. Researchers will measure pain levels using the Visual Analogue Scale VAS, shoulder function and disability with the Shoulder Pain and Disability Index SPADI, and shoulder range of motion using a goniometer. These measures will help evaluate how the treatments affect pain, movement, and daily function. The trial is randomized and single-blinded, with follow-up planned to monitor progress and treatment effects up to four weeks.

Adhesive capsulitis, also known as frozen shoulder, is a painful condition that limits shoulder movement and causes significant functional difficulties. Traditional treatments focus mainly on the shoulder joint itself, often overlooking the role of nearby areas like the thoracic spine. Recent findings suggest that improving thoracic spine mobility may help shoulder function, but this approach has not been widely tested for adhesive capsulitis. This study aims to assess whether adding thoracic spine mobilization to standard shoulder joint therapy can better relieve pain, improve range of motion, and enhance functional ability. The trial is a randomized controlled study where participants diagnosed with adhesive capsulitis will be assigned to one of two groups. One group will receive both thoracic spine mobilization and glenohumeral joint mobilization, while the other group will receive only glenohumeral joint mobilization. Thoracic spine mobilization involves specific oscillatory movements aimed at improving spinal extension and rotation, while shoulder mobilization includes targeted oscillations to restore joint movement. Treatments will be delivered over a set period, with techniques clearly defined for each group to compare their effects. Participants will be evaluated before and after treatment using the Numeric Pain Rating Scale to measure pain, the Shoulder Pain and Disability Index to assess functional limitations, and a goniometer to record shoulder range of motion. Data will be analyzed to determine if the combined treatment improves outcomes more than shoulder mobilization alone. The study will run for one year and aims to provide evidence supporting more comprehensive rehabilitation strategies for adhesive capsulitis.

Researchers are evaluating the effects of the Bowen technique combined with retro-walking on hamstring flexibility, pain, dynamic mobility, and knee-related disability in patients with knee osteoarthritis. This condition, also known as degenerative joint disease, involves wear and tear of the joint cartilage and surrounding tissues. Knee osteoarthritis mainly affects older and obese individuals, with multiple factors like biomechanical changes and inflammation contributing to its development over 10 to 15 years. The study compares two treatment groups one receiving the Bowen technique with retro-walking, and the other receiving conventional physical therapy. Bowen technique sessions last 15 to 20 minutes, three times a week for four weeks, with retro-walking duration increasing weekly from 5 to 15 minutes on flat surfaces. Conventional therapy includes hot packs and specific exercises performed twice daily over the same period. Participants will be involved for four weeks, during which their pain levels, hamstring flexibility, dynamic mobility, and knee function will be assessed. Measurements include the Visual Analogue Scale for pain, Active Knee Extension Test, Straight Leg Raise, Timed Up and Go test, and the Knee Injury and Osteoarthritis Outcome Score. These evaluations help monitor treatment effects and knee function changes over the study period.

The trial investigates the comparative effects of two physiotherapy approaches, ELDOA and Spinal Mobilization with Limb Movement SMWLM, on individuals aged 30 to 50 years with lumbar radiculopathy. This condition involves nerve pain caused by mild disc herniation affecting the lower back and leg areas. Researchers aim to understand how these two treatments impact pain, disability, and lumbar mobility. Participants are randomly assigned to one of two groups. Group A performs a structured ELDOA program focused on spinal decompression and postural alignment with sessions three times a week for four weeks. Each session includes heat application followed by supervised stretching and strengthening exercises, holding positions for at least one minute. Group B receives SMWLM involving spinal mobilization combined with controlled leg movements, also in three weekly sessions for four weeks, including heat application and repeated mobilization techniques. Throughout the study, participants undergo assessments at baseline, two weeks, and four weeks measuring pain using the Visual Analog Scale, functional disability via the Oswestry Disability Index, and lumbar range of motion with a bubble inclinometer. These evaluations help track changes in symptoms and mobility over the treatment period. The trial is sponsored by Foundation University Islamabad and does not include blinding of participants or researchers.

Sacroiliac joint dysfunction SIJD is a common cause of low back pain that can affect mobility, daily activities, and quality of life. It may result from mechanical issues like muscle weakness or instability, or non-mechanical causes such as osteoarthritis, infection, or trauma. This condition is more frequent in females and can lead to altered walking patterns and significant disability. This study aims to compare two muscle relaxation techniques, autogenic inhibition and reciprocal inhibition, alongside conventional therapy to assess their effects on pain, functional disability, and walking parameters in patients with SIJD. Participants will be randomly assigned to one of two groups. Group 1 will receive autogenic inhibition techniques on the iliopsoas, hamstrings, erector spinae, and piriformis muscles combined with core stabilization exercises and conventional therapy. Group 2 will receive reciprocal inhibition techniques targeting the same muscles along with the same core exercises and conventional therapy. Treatments involve 12 sessions over 3 weeks, with 4 sessions per week lasting 25 minutes each, including TENS, hot packs, and specific muscle exercises. During the study, participants will be evaluated before and after the 3-week intervention period. Assessments include measures of pain intensity, functional disability, and detailed gait parameters such as speed, cadence, cycle time, stride length, and step length. The study monitors how these treatments may influence symptoms and walking ability, aiming to improve participants quality of life. The total study duration for each participant is 3 weeks with regular monitoring and therapy sessions.

Cervicogenic headache CGH is a type of headache caused by problems in the upper neck spine, especially the atlanto-occipital and C1-C3 segments. It affects the head or face and often worsens with neck movement, causing pain and limited neck motion. This condition involves disrupted neck muscle control and sensing, and it accounts for about 15-20% of chronic headaches. Researchers are comparing two physical therapy methods designed to improve neck muscle control and sensing in patients with CGH to better manage symptoms like pain and disability. The study compares two treatment groups receiving different exercises alongside conventional physical therapy. One group receives eye-cervical re-education exercises that involve ocular mobility, neck movement, and coordination phases. The other group undergoes pressure biofeedback training targeting deep neck muscles, using a device to monitor and guide muscle activation at various pressure levels. Both groups also receive hot packs, isometric neck exercises, and specific joint mobilization techniques. Treatments are given over multiple sessions, with assessments at the start and after the 10th session. Participants will be involved in physical therapy sessions including hot packs, exercises, and specialized training depending on their group. Researchers will measure neck joint position sense proprioception, pain intensity, neck disability, and range of motion at baseline and after three weeks of treatment. Data collection aims to assess improvements within and between groups to inform better physical therapy practices for CGH. The total study duration includes initial assessment, treatment sessions, and follow-up evaluations.

Researchers are evaluating the effects of two manual therapy techniques, post-isometric relaxation PIR and active isolated stretch AIS, on pain, range of motion, and functional disability in people with piriformis syndrome. This randomized controlled trial will enroll 40 participants aged 20 to 55 years with confirmed piriformis syndrome, aiming to guide clinicians toward the most effective approach for symptom relief and improved mobility. Participants will be randomly divided into two groups Group A will receive post-isometric relaxation therapy, which involves isometric muscle contractions followed by relaxation phases, and Group B will receive active isolated stretching, involving active limb movement with therapist-applied stretches. Both groups will also receive conventional physiotherapy including thermotherapy and electrotherapy. The intervention lasts two weeks with six sessions total, scheduled three times per week. Participants will undergo assessments before treatment and after every second session, measuring pain using the Visual Analog Scale, functional disability via the Oswestry Disability Index, and range of motion with a goniometer. Data will be compared within and between groups to evaluate immediate and short-term effects of each therapy. The study includes baseline and post-intervention evaluations to track changes over the two-week period.

Forward Head Posture FHP is a common postural problem where the head is positioned forward relative to the shoulders. This condition is linked to muscle imbalances, neck pain, limited neck movement, and changes in muscle activity. The study aims to compare two therapy methods, Sub-Occipital Muscle Inhibition SMI and Instrument Assisted Soft Tissue Mobilization IASTM, to see which is more effective in improving posture, reducing pain, and increasing neck mobility in people with FHP. Participants will be randomly assigned to one of two groups. Group A will receive conventional physical therapy including hot pack, stretching, and strengthening exercises combined with SMI. Group B will receive the same physical therapy combined with IASTM. Both groups will undergo 18 treatment sessions over six weeks, with three sessions per week on alternate days. Treatments include hot packs, manual therapy techniques, stretching of tight muscles, and strengthening exercises for weak muscles. During the study, participants will be assessed at the start and after six weeks for pain intensity, neck disability, endurance of deep neck flexors, craniovertebral angle, and cervical range of motion. Researchers will monitor these outcomes to evaluate the effects of the treatments. The total participation time is six weeks, with regular sessions and evaluations to track progress and safety.