Abstract: The objective of this study is to explain the importance of use of AFOs and exercise in children with toe walking due to calf muscle tightness, to provide advance rehabilitation techniques that can reduce the effects of progressive contractures, postural deformities and imbalance and to explain the best treatment and guidelines to parents to make the child maximum independent. This is an experimental based study in which participants are randomly selected. Fifty male and female participants (children) of age between 03 yrs –12 yrs are selected who presents with toe walking due to tightness in Achilles tendon. All participants are assessed prior to treatment and then reassessed after three month of therapy. Data was collected through an assessment form. Data was analyzed by the paired T-test statistics .The result shows a significant difference (p=0.00) in the variables of cadence, pain (VAS), ankle dorsiflexion & planter flexion range (p<0.005).The mean result for pre and post cadence is (-5.820), post treatment cadence improved because of achieving improved ankle dorsiflexion range. The study demonstrated that use of AFOS and exercises can achieve good ankle function and range of motion can be improved .The study shows that children with Toe walking due to Achilles tendon tightness can improve their walking pattern and ADLs by the use of AFOS & exercises.

Abstract: The socio-economic status of the family affects the offspring’s participation in physical activities and sports in school or outside the school. The current study aimed to assess the effect of socio-economic status determined by family income, parental education and parental occupation on the sports participations and the perception about participation barriers among sports and non-sports participants in higher education in the UAE. The study demonstrated a higher prevalence of female students among non-participants and a trend of lower participation among students from low income, parents’ education and occupation. The socioeconomic status components showed influences on the students’ perception on barriers of sports participation. Low parents’ education was related to more significant perception of peer pressure barrier among participants. Similarly, low income and parents’ education were related to considering sociocultural barrier as an important barrier among non-participants. Unexpectedly, high income and parents’ education were related consider low priority and lack of interest as significant barriers among participants. The study re-emphasizes the effect of the socioeconomic status on sports participation and the university students’ perception for participation.

Abstract: Pain in the neck can be more than just a hassle. The objectives of this study were to determine and compare the role of Maitland mobilization and stretching exercises along hot pack therapy in both groups. Total 30 subjects were selected and divided into group A & B sample was collected through simple random sampling with chronic cervical pain and fulfilling the inclusion and exclusion criteria. The treatment was gives as: Group A: Maitland mobilization of cervical spine along with hot pack. Group B: Cervical stretching exercises along with hot pack. This study was a comparative experimental study and it used assessment form, consent form, examination couch, Goniometer, Visual Analogue Scale, Neck Disability Index Scale and Hot pack. Patients were evaluated for their pain profile using VAS, their ROM using the Goniometer and neck disability using NDIS. Time Frame for this study and data collection was one year and the source of data was Liaquat National Hospital Physiotherapy Out Patients Department, Karachi, Pakistan. Pre and post treatment parameters were collected on assessment form and later evaluated further on SPSS 21 through independent sample T-test. The results indicated that both techniques produced a hypoalgesic effect as revealed by improved NDIS and decreased VAS. Both the techniques when compared with each other with respect to post treatment NDIS, VAS and ROM, showed significance difference (VAS P= 0.012, NDIS P= 0.042, Cervical Ranges < 0.05).The combination of all findings has supported the use of Maitland technique in chronic cervical pain.

Abstract: The main objective of this study was to know about prevelance of back pain among physicaltherapist and how early they are affected by this problem.They are potentially exposed to back pain due to occupational risks such as poor working postures and frequent manual handling activities, often undertaken in difficult environments and with variable training regarding personal safety.This study was planned to collect data about prevalence and responses to work related back pain reported by physical therapist employed in Karachi – Pakistan. A survey questionnaire was constructed as the data collection method. The questionnaire was distributed among 90 physical therapists randomly selected from Liaquat national hospital, Agha Khan University, Ziauddin hospital and National medical centre. The questions included occupational history of physical therapist and musculoskeletal symptoms, special areas, tasks, job – related risk factors and response to injuries. The possible injuries occurred mostly in lower back. The highest risk factors in causing the injury was transferring the patients and lifting. Other job risk factors were sustained demanding postures, manual therapy techniques, repetitions and excessive work loads. Most injured physical therapist modified their techniques for continueing work by modifying body mechanics, increased use of physio aids, frequent change of work position. Among all physical therapists, 43% physical therapists had complained mild back pain, 41.9% physical therapists had complained moderate back pain and 6.5% physical therapists had complained severe back pain.The lower back was the most frequently affected body part. Onset of symptoms for the majority was within five to ten years of practices.