Sargodha

Researchers are evaluating the combined effects of rhythmic breathing exercises and balance training on balance, trunk control, and postural control in patients who have experienced a sub-acute stroke. The study aims to determine whether adding rhythmic breathing exercises to balance training and conventional physical therapy leads to different outcomes compared to balance training and physical therapy alone. This is a single-blinded randomized controlled trial involving patients aged 45 to 65 years. Participants will be randomly assigned to one of two groups. The experimental group will perform rhythmic breathing exercises alongside balance training and conventional physical therapy, while the control group will receive only balance training and physical therapy. Both groups will exercise for 60 minutes, three days a week, over eight consecutive weeks. Rhythmic breathing involves specific breathing patterns performed in a supine position, and balance training includes various stepping and walking exercises. Conventional physical therapy includes warm-up, trunk control, strengthening, stretching, postural control, gait training, cool down, and education. Participants will be assessed at the start and after eight weeks using the Berg Balance Scale, Trunk Impairment Scale, and Postural Assessment Scale for Stroke to measure balance, trunk control, and postural control. Data will be analyzed to compare the effects between groups. The study involves regular exercise sessions and evaluations to monitor progress and safety over the eight-week intervention period.

This research aims to compare two physical therapy methods, Hypopressive Exercises and the Paula Method, to improve urinary incontinence severity, pelvic floor muscle strength, and quality of life in postpartum women aged 25 to 40 who have had vaginal deliveries and experience stress urinary incontinence. The study will focus on multiparous women who are at least six weeks postpartum. Women with primary pregnancy, cesarean delivery, urge or mixed urinary incontinence, and certain medical conditions are excluded to ensure a specific participant group. Participants will be randomly assigned to one of two groups Group A will receive Hypopressive exercises, and Group B will follow the Paula exercise protocol. Both groups will also perform standardized Kegel exercises for pelvic floor muscle activation and strengthening as a baseline treatment. Treatments will be delivered in two sessions per week over an 8-week period at a clinical setting. During the study, researchers will assess urinary incontinence severity using the International Consultation on Incontinence Questionnaire, pelvic floor muscle strength with the Modified Oxford Scale, and quality of life through the Incontinence Impact Questionnaire. Data will be collected at baseline and after 8 weeks of treatment. Statistical analysis will be performed to compare the effectiveness of the two interventions in improving symptoms and quality of life for postpartum women.

This research aims to evaluate the effectiveness of a palliative care training program among senior nursing students and its impact on experiential learning. It compares a new 5-step pedagogical method to the traditional 2-step conventional teaching approach, addressing the need for improved palliative care education in Pakistan. The study focuses on enhancing knowledge, skills, and self-efficacy in palliative care, which are often underrepresented in conventional nursing education. Two groups of senior nursing students will receive different training methods. Group A participates in a 2-step conventional method involving weekly lectures for 10 weeks followed by supervised skill sessions for 6 weeks. Group B undergoes a comprehensive 5-step pedagogy including lectures, watching a 30-minute video, practicing skills with low-fidelity simulators under supervision, performing clinical rotations, and engaging in self-directed learning with additional weekly skill sessions. Participants will be assessed before and after the interventions through questionnaires measuring knowledge, self-efficacy, and competency in palliative care at 6 weeks and again 3 months later. The study includes close supervision during practice, correction of errors, and clinical performance evaluation. This randomized controlled trial aims to contribute evidence on effective teaching strategies to improve palliative care education in resource-limited settings, with total participation spanning the intervention and follow-up periods.

Researchers are investigating the effects of two exercise programs on postpartum females aged 25 to 35 with sacroiliac joint dysfunction. This randomized controlled trial compares core stability exercises alone to core stability combined with pelvic clock exercises. The study aims to measure their impact on pain, disability, and quality of life using standardized tools such as the Numeric Pain Rating Scale, Oswestry Disability Index, and WHOQOL-BREF. Participants will be randomly assigned to one of two groups. The experimental group will perform modified core stability and pelvic clock exercises designed for postpartum safety, while the control group will perform only core stability exercises. Both treatments last for eight weeks with sessions three times per week. Core stability exercises involve two sets of ten repetitions each session, while pelvic clock exercises are performed in a hook-lying position for two to three minutes per session. Participants will attend exercise sessions lasting about one hour each over the eight-week period. Pain intensity, disability, and quality of life will be assessed at the end of the treatment. Data collected will be analyzed to compare outcomes between groups. The total study duration is approximately ten months following approval, with recruitment and treatment taking place at selected hospitals.

Researchers are evaluating the effects of two different exercise programs on balance, walking ability, and risk of falling in patients with diabetic peripheral neuropathy DPN. DPN is a common complication of diabetes that affects nerves, causing sensory loss, muscle weakness, and difficulties with movement and coordination. This study aims to compare plantar intrinsic muscle exercises and three-dimensional ankle foot exercises to see how each impacts these issues. Participants will be randomly assigned to one of two groups. Group A will perform plantar intrinsic foot exercises targeting small stabilizing muscles in the foot, while Group B will do three-dimensional ankle foot exercises focusing on joint mobility and lower limb strength. Both exercise programs include warm-up, conventional therapy, and cool-down, and are done for 40 minutes, three times a week, over eight weeks. During the study, participants will be assessed at the start and after eight weeks using tools like the Michigan Neuropathy Screening Instrument and the Tinetti Performance Oriented Mobility Assessment to evaluate neuropathy symptoms, balance, gait, and fall risk. Data will be analyzed to understand the comparative effects of these exercise interventions on improving mobility and safety in daily life for people with DPN.