Background: Patients suffering from Lateral Epicondylitis experience restriction in their daily a... more Background: Patients suffering from Lateral Epicondylitis experience restriction in their daily activities due to the pain and dysfunction. Though the condition does not lead to disability, it limits functionality. The condition can be treated effectively in a primary health care environment. Objective: The objective of the study was to find out the functional outcome of lateral epicondylitis patients after 6 weeks of physiotherapy interventions. Methodology: A quantitative quasi-experimental study design was chosen for this study. A total of 18 participants were selected by hospital based convenient sampling technique and by the inclusion and exclusion criteria. Patients received treatment sessions for 18 sessions within the study period. The assessment was done again on a post-test on the same group using the same scales and the changes between pre and post-test of the same groups were compared. Pain and dysfunction were measured by Numerical Pain Rating Scale (NPRS) and Patient R...
ABSTRACTThis study aims to investigate coping strategies used by Bangladeshi citizens during the ... more ABSTRACTThis study aims to investigate coping strategies used by Bangladeshi citizens during the COVID-19 pandemic.DesignProspective, cross-sectional survey of adults (N=2001) living in Bangladesh.MethodsParticipants were interviewed for socio-demographic data and completed the Bengali translated Brief-COPE Inventory. Statistical data analysis was conducted using SPSS (Version 20).ResultsParticipants (N=2001), aged 18 to 86 years, were recruited from eight administrative divisions within Bangladesh (mean age 31.85±14.2 years). Male to female participant ratio was 53.4% (n=1074) to 46.6% (n=927). Higher scores were reported for approach coping styles (29.83±8.9), with lower scores reported for avoidant coping styles (20.83 ± 6.05). Humor coping scores were reported at 2.68±1.3 and religion coping scores at 5.64±1.8. Both men and women showed similar coping styles. Multivariate analysis found a significant relationship between male gender and both humor and avoidant coping (p <.01)...
Background: A Delphi-Based Consensus Statement: Recommendation for Physiotherapy Management and R... more Background: A Delphi-Based Consensus Statement: Recommendation for Physiotherapy Management and Rehabilitation of people living with Long COVID in Bangladesh Background: Covid-19 is a new and deadly virus with global consequences with special vulnerabilities in Bangladesh. The World Health Organization confirmed 22,451,122,614 cases and 4,627,540 deaths, worldwide (13th September 2021). In the United Kingdom, 1.5% of the estimated population of 970,000, suffers from Long COVID. Physiotherapy plays a vital role both in decreasing the number of deaths during the acute stage and improving function for patients across the spectrum of severity in the acute, sub-acute, and long-term context. <br><br>Objectives: This Delphi-Based Consensus, provides recommendations for physiotherapy management and rehabilitation of people living with Long COVID. It includes recommendations for physiotherapy management for acute and subacute respiratory complications, a specific prescriptive exercise guideline for fatigue and musculoskeletal dysfunction and for improving psychological outcomes through combination of both counseling and rehabilitation. <br><br>Methods: A team of 8 national and 6 international experts working in different disciplines were provided with studies on physiotherapy interventions in Long COVID-19 and were asked to provide treatment opinions based on the current literature for musculoskeletal, neurorehabilitation, respiratory, cardiac and psychological health domains. Statements were ranked and presented with individual opinions measured on a 10-point Likert Scale. The mean scores for each intervention were calculated and a manuscript with recommended physiotherapy interventions was prepared based on currently available evidence as presented and agreed upon by expert consensus. <br><br>Findings: Experts recommended the following interventions based on mean agreement scores: diaphragmatic breathing (Mean = 7.5), thoracic expansion (with shoulder elevation) (Mean =8.5) and expiratory muscle training (Mean=6.3) for respiratory rehabilitation. Mild to moderate graded exercise (Mean= 7.7) was suggested for recovery from fatigue and McKenzie directional preference exercises for low back pain (Mean= 8.6), neck pain (Mean =7.9) and knee pain (Mean =8.3). Additionally, communicative and educative strategies were recommended for the rehabilitation of COVID-19. <br><br>Conclusion: This consensus is structured according to the expert opinions of medical and rehabilitation professionals and based on current literature to recommend a series of rehabilitation interventions for physiotherapy professionals to manage Long COVID cases.<br><br>Funding: This research has not been funded by any other external organization nor received any grants from commercial or not-for-profit organizations.<br><br>Declaration of Interests: None declared.<br><br>Ethics Approval Statement: Ethical permission was obtained from the Centre for the Rehabilitation of the Paralysed (CRP) ethics committee. The reference number CRP-R&E-0401-337.<br><br>Trial Registration: Trial registration from the WHO Clinical trial registry platform, the reference number CTRI/2020/10/028179.
ObjectiveThe objective of this study was to identify the prevalence of ‘Long COVID’ symptoms (LCS... more ObjectiveThe objective of this study was to identify the prevalence of ‘Long COVID’ symptoms (LCS) in a large cohort of survivors and identify any potential associated risk factors.DesignA prospective survey was undertaken of an inception cohort of confirmed COVID-19 survivors (Aged 18 to 87 years).Participants and Setting14392 participants were recruited from 24 testing facilities across Bangladesh between June, and November 2020. All participants had a previously confirmed positive COVID-19 diagnosis, and reported persistent symptoms and difficulties in performing daily activities.Main Outcome MeasuresParticipants who consented, were contacted by face-to-face interview, and were interviewed regarding LCS, and restriction of activities of daily living using Post COVID-19 functional scale. Cardio-respiratory parameters were also measured.ResultsAmong 2198 participants, the prevalence of LCS at 12 weeks was 16.1%. Overall, eight LCS were identified and in descending order of prominen...
Background: Patients suffering from Lateral Epicondylitis experience restriction in their daily a... more Background: Patients suffering from Lateral Epicondylitis experience restriction in their daily activities due to the pain and dysfunction. Though the condition does not lead to disability, it limits functionality. The condition can be treated effectively in a primary health care environment. Objective: The objective of the study was to find out the functional outcome of lateral epicondylitis patients after 6 weeks of physiotherapy interventions. Methodology: A quantitative quasi-experimental study design was chosen for this study. A total of 18 participants were selected by hospital based convenient sampling technique and by the inclusion and exclusion criteria. Patients received treatment sessions for 18 sessions within the study period. The assessment was done again on a post-test on the same group using the same scales and the changes between pre and post-test of the same groups were compared. Pain and dysfunction were measured by Numerical Pain Rating Scale (NPRS) and Patient R...
ABSTRACTThis study aims to investigate coping strategies used by Bangladeshi citizens during the ... more ABSTRACTThis study aims to investigate coping strategies used by Bangladeshi citizens during the COVID-19 pandemic.DesignProspective, cross-sectional survey of adults (N=2001) living in Bangladesh.MethodsParticipants were interviewed for socio-demographic data and completed the Bengali translated Brief-COPE Inventory. Statistical data analysis was conducted using SPSS (Version 20).ResultsParticipants (N=2001), aged 18 to 86 years, were recruited from eight administrative divisions within Bangladesh (mean age 31.85±14.2 years). Male to female participant ratio was 53.4% (n=1074) to 46.6% (n=927). Higher scores were reported for approach coping styles (29.83±8.9), with lower scores reported for avoidant coping styles (20.83 ± 6.05). Humor coping scores were reported at 2.68±1.3 and religion coping scores at 5.64±1.8. Both men and women showed similar coping styles. Multivariate analysis found a significant relationship between male gender and both humor and avoidant coping (p <.01)...
Background: A Delphi-Based Consensus Statement: Recommendation for Physiotherapy Management and R... more Background: A Delphi-Based Consensus Statement: Recommendation for Physiotherapy Management and Rehabilitation of people living with Long COVID in Bangladesh Background: Covid-19 is a new and deadly virus with global consequences with special vulnerabilities in Bangladesh. The World Health Organization confirmed 22,451,122,614 cases and 4,627,540 deaths, worldwide (13th September 2021). In the United Kingdom, 1.5% of the estimated population of 970,000, suffers from Long COVID. Physiotherapy plays a vital role both in decreasing the number of deaths during the acute stage and improving function for patients across the spectrum of severity in the acute, sub-acute, and long-term context. <br><br>Objectives: This Delphi-Based Consensus, provides recommendations for physiotherapy management and rehabilitation of people living with Long COVID. It includes recommendations for physiotherapy management for acute and subacute respiratory complications, a specific prescriptive exercise guideline for fatigue and musculoskeletal dysfunction and for improving psychological outcomes through combination of both counseling and rehabilitation. <br><br>Methods: A team of 8 national and 6 international experts working in different disciplines were provided with studies on physiotherapy interventions in Long COVID-19 and were asked to provide treatment opinions based on the current literature for musculoskeletal, neurorehabilitation, respiratory, cardiac and psychological health domains. Statements were ranked and presented with individual opinions measured on a 10-point Likert Scale. The mean scores for each intervention were calculated and a manuscript with recommended physiotherapy interventions was prepared based on currently available evidence as presented and agreed upon by expert consensus. <br><br>Findings: Experts recommended the following interventions based on mean agreement scores: diaphragmatic breathing (Mean = 7.5), thoracic expansion (with shoulder elevation) (Mean =8.5) and expiratory muscle training (Mean=6.3) for respiratory rehabilitation. Mild to moderate graded exercise (Mean= 7.7) was suggested for recovery from fatigue and McKenzie directional preference exercises for low back pain (Mean= 8.6), neck pain (Mean =7.9) and knee pain (Mean =8.3). Additionally, communicative and educative strategies were recommended for the rehabilitation of COVID-19. <br><br>Conclusion: This consensus is structured according to the expert opinions of medical and rehabilitation professionals and based on current literature to recommend a series of rehabilitation interventions for physiotherapy professionals to manage Long COVID cases.<br><br>Funding: This research has not been funded by any other external organization nor received any grants from commercial or not-for-profit organizations.<br><br>Declaration of Interests: None declared.<br><br>Ethics Approval Statement: Ethical permission was obtained from the Centre for the Rehabilitation of the Paralysed (CRP) ethics committee. The reference number CRP-R&E-0401-337.<br><br>Trial Registration: Trial registration from the WHO Clinical trial registry platform, the reference number CTRI/2020/10/028179.
ObjectiveThe objective of this study was to identify the prevalence of ‘Long COVID’ symptoms (LCS... more ObjectiveThe objective of this study was to identify the prevalence of ‘Long COVID’ symptoms (LCS) in a large cohort of survivors and identify any potential associated risk factors.DesignA prospective survey was undertaken of an inception cohort of confirmed COVID-19 survivors (Aged 18 to 87 years).Participants and Setting14392 participants were recruited from 24 testing facilities across Bangladesh between June, and November 2020. All participants had a previously confirmed positive COVID-19 diagnosis, and reported persistent symptoms and difficulties in performing daily activities.Main Outcome MeasuresParticipants who consented, were contacted by face-to-face interview, and were interviewed regarding LCS, and restriction of activities of daily living using Post COVID-19 functional scale. Cardio-respiratory parameters were also measured.ResultsAmong 2198 participants, the prevalence of LCS at 12 weeks was 16.1%. Overall, eight LCS were identified and in descending order of prominen...
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Papers by MD SHOHAG RANA