Spinal Manipulation on Segmental Instability, Pain Sensitivity and Health- related Quality of Life in Chronic Non-specific Low Back Pain | Chapter 04 | Current Trends in Medicine and Medical Research Vol. 5

Purpose: Chronic non-specific low back pain (cNSLBP) is quite common as seen every day in clinics. Therefore, we assessed the effectiveness of spinal manipulation (High-Velocity Low-Amplitude Thrust) on segmental instability, pain sensitivity and quality of life among patients with chronic non-specific low back pain.

Subjects and Methods: This study is a randomized clinical trial with 100 patients aged between 18 and 60 years suffering from non-specific low back pain for at least 3 months of duration. 50 subjects were randomly assigned to group a received spinal manipulation and 50 subjects to group B received core stability exercises. After 15 days, scores were measured for segmental instability (centre of foot pressure) by win track platform, pain sensitivity (pain pressure threshold) by digital algometer and health-related quality of life by EuroQol questionnaire.

Results: After treatment, spinal manipulation and core stability exercises had improved segmental instability, increased pressure threshold and enhanced health-related quality of life. However, significantly better improvement noticed in segmental instability, pressure pain threshold, and quality of life by spinal manipulation compared to core stability exercises.

Conclusion: The present study indicates that spinal manipulation is more effective than core stability exercises in chronic non-specific low back pain.

Author(s) Details

Dr. Jasobanta Sethi [MPT, PhD, FIAP]
Amity Institute of Physiotherapy, Amity University, UP, Noida, India.

Dr. Kanchan Kumar Sarker [MPT]
Department of Physiotherapy, Lovely Professional University, Punjab, India.

Umasankar Mohanty
Manual Therapy Foundation of India, Mangalore, Karnataka, India.

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Prevalence of Irritable Bowel Syndrome and Its Imprint on the Quality of Life of Undergraduate Students at a Malaysian Medical University | Chapter 02 | Current Trends in Medicine and Medical Research Vol. 5

Background: Albeit not life threatening, symptoms of irritable bowel syndrome (IBS) interfere with routine activities and compromise the quality of life (QOL). With the exception of one survey on the prevalence of IBS among students in Malaysia a decade back, there are no other reports. QOL in IBS is yet to be investigated in this region.

Objective: To determine the prevalence of IBS and its impact on QOL among students at a Malaysian medical university.

Methodology: A cross-sectional, questionnaire based, self- reported study was conducted among 1104 students. The IBS-QOL questionnaire based on Rome III criteria, and a demographic questionnaire were used.

Results: The overall prevalence of IBS was found to be 45.3%, with a female preponderance of 49.8%. It was also found to be predominant among Chinese 55% and physiotherapy students 61.7%. IBS Mixed type (IBS-M) was found to be common among all students (78.6%). The mean score for QOL for all IBS symptom positive students was 74.2±22.3. 

Conclusion: The overall prevalence of IBS has escalated, particularly in Chinese, females and physiotherapy students with IBS-M type being the commonest.  Chinese, IBS-D type and those with low-grade symptom severity enjoy a better QOL than others. Considering the imprint left by IBS on the QOL, educational institutions have to introduce curriculum reforms and encourage physical activity among students.

Author(s) Details

Dr. Chitra Govindaraja
Faculty of Medicine, MAHSA University, Malaysia.

Annamalai Chandramouli
Faculty of Medicine, Universiti Teknologi MARA, Malaysia.

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Exercises versus Yoga: Impact on Quality of Life amongst HIV Positive Individuals | Chapter 10 | New Insights into Disease and Pathogen Research Vol. 3

Background: Although the antiretroviral therapy reduces the mortality rates, HIV positive individuals struggle with many complicated health problems compromising their quality of life. This improved life expectancy comes at the cost of various psychological difficulties hampering the quality of life immensely. Research has established the beneficial effects of exercise and yoga on the physical and psychological health across diverse populations. This study was, therefore, conducted to assess their effects on HIV positive individuals in an attempt to improve their quality of life.

Methodology: 60 HIV patients were divided into 3 groups randomly; Group 1 (only medical treatment), Group 2 (medical treatment and aerobic training) and Group 3 (medical treatment and yoga training) each undergoing an intervention for 6 weeks after an informed consent and institutional ethical approval. Outcome measures – BMI, Six-minute walk test, Hamilton Anxiety scale, and SF-36 were used. The data was recorded and analyzed for statistical significance with ANOVA.

Results: After 6 weeks of treatment, Group 2 and 3 showed significant improvements in the physical functioning (p value 0.02) and mental health scores of SF 36 (p value < 0.01). There was significant reduction in anxiety (p value 0.04) and bodily pain (p value < 0.01) in both groups.

Conclusion: Aerobic training showed superior developments in the improvement of physical and psychological health status, well-being and quality of life. These should be used as an adjunct to medical line of treatment. HIV positive individuals should be encouraged to perform aerobic exercises regularly. Group therapy is an amended way to provide social support and tackle stigma enhancing their quality of life and empowering these individuals.

Author(s) Details

Mrs. C. V. Verma
Department of Physiotherapy, TNMC and BYL Nair Municipal Hospital, Bombay Central, Mumbai, India.

A. Kamble
Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

Mrs. Vijaya Krishnan
MGM College of Physiotherapy, Kamothe, Navi Mumbai, India.

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Quality of Life of Palestine Children Exposed to Wars in Gaza | Chapter 02 | Current Trends in Disease and Health Vol. 2

Aim: This study aimed to investigate the impact of trauma due to wars on quality of life of Palestine children living in Gaza with special reference to 2009 war.

It is analytic study; the study sample consisted of 195 children and adolescents who were selected purposely from three areas in the Gaza Strip. Those children exposed to variety of traumatic events besides losing their homes during ground incursion of the border and shelling and bombardment of the area. They were 101 boys (51.8%) and 94 girls (48.2%). The age ranged from 7 to 18 years with mean age of 12.84 (SD = 2.9). Children were assessed by socio-demographic questionnaire, Gaza Traumatic Events Checklist, and Health Related Quality of Life.

Results: The highest frequencies of reported traumatic events by Palestinians children were 97.9% hear shelling of the area by artillery, 93.3% hear the sonic sounds of the jetfighters, 90.8% watched mutilated bodies in TV, and 85.6% were forced to move from home to a safer place during the war. The study showed that mean total quality of life was 62.80, physical functioning was 69.87,   emotional functioning was 51.96, mean of social functioning was 77.62, and school functioning mean was 47.53. Total traumatic events reported by children were negatively strongly correlated with total Health Related Quality of Lief (HRQoL), physical, emotional, and social functioning. However, traumatic experiences by children were not correlated with school function.

Conclusion: In summary, this study not only supports the findings of the body of research as it relates to traumatic experiences in children and adolescents and impact of their health quality of life, but also has important implications for establishing and implementation of different psychosocial intervention programs for the school-aged population in Gaza Strip. There are need to be considered in the planning of educational and mental health support services by different governmental United Nations organizations, and non-governmental organization in Gaza. Also, successful treatment of the mental health symptoms associated with traumatic events first requires an acknowledgment of the trauma and then a process which allows for comprehensive assessment and accurate diagnosis. 

Author(s) Details

Prof. Abdelaziz Mousa Thabet
Department of Child and Adolescent Psychiatry, Al-Quds University, School of Public Health, Child Institute, P.O.Box 5314, Gaza, Palestine.

Sanaa S. Thabet
Child and Family Training and Counseling Center-NGO, Palestine.

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