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Kabir MF, Yin KN, Jeffree MS, Ahmedy FB, Zainudin MF, Htwe O, Jahan S, Hossain MZ, Hossain KMA, Hossain T, Jahid IK, Chakrovorty SK. Clinical presentation of post-COVID pain and its impact on quality of life in long COVID patients: a cross-sectional household survey of SARS-CoV-2 cases in Bangladesh. BMC Infect Dis 2024; 24:375. [PMID: 38575878 PMCID: PMC10993502 DOI: 10.1186/s12879-024-09267-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 03/27/2024] [Indexed: 04/06/2024] Open
Abstract
BACKGROUND Pain is one of the prevalent Long COVID Symptoms (LCS). Pain interferes with the quality of life (QoL) and induces disease burden. PURPOSE The study aimed to elicit the clinical presentation of pain and determine the relationships between QoL and pain in LCS. METHODS This household cross-sectional study of 12,925 SARS-CoV-2 cases between July and December 2021 was carried out in eight administrative divisions of Bangladesh. Stratified random sampling from the cases retrieved from the Ministry of Health was employed. Symptom screening was performed through COVID-19 Yorkshire Rehabilitation Scale, and long COVID was diagnosed according to World Health Organization (WHO) criteria. The analyses were conducted using IBM SPSS (Version 20.00). RESULTS The prevalence of pain in long COVID was between 01 and 3.1% in the studied population. The study also found five categories of pain symptoms as LCS in Bangladesh: muscle pain 3.1% (95% CI; 2.4-3.8), chest pain 2.4% (95% CI; 1.8-3.1), joint pain 2.8% (95% CI; 2.2-2.3), headache 3.1% (95% CI; 2.4-3.8), and abdominal pain 0.3% (95% CI; 0.01-0.5). People with LCS as pain, multiple LCS, and longer duration of LCS had significantly lower quality of life across all domains of the WHOQOL-BREF (P < 0.001) compared to asymptomatic cases. CONCLUSION Three out of ten people with long COVID experience painful symptoms, which can significantly reduce their quality of life. Comprehensive rehabilitation can improve the symptoms and reduce the burden of the disease.
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Affiliation(s)
- Md Feroz Kabir
- Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Khin Nyein Yin
- Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia.
| | - Mohammad Saffree Jeffree
- Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
| | - Fatimah Binti Ahmedy
- Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
| | | | - Ohnmar Htwe
- Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Sharmila Jahan
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Md Zahid Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Tofajjal Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Iqbal Kabir Jahid
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Sonjit Kumar Chakrovorty
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
- Dhaka College of Physiotherapy, under the Faculty of Medicine, University of Dhaka, Dhaka, Bangladesh
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Sharmin F, Hossain KMA, Kabir F, Hossain MZ, Jahan S, Rahman E, Islam MA. Efficacy of neck muscle activation versus strengthening for adults with chronic cervical radiculopathy: a study protocol for a randomised clinical trial. BMJ Open Sport Exerc Med 2024; 10:e001819. [PMID: 38362563 PMCID: PMC10868178 DOI: 10.1136/bmjsem-2023-001819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2024] [Indexed: 02/17/2024] Open
Abstract
Introduction Chronic cervical radiculopathy is a common condition characterised by neck and arm pain, numbness and weakness. Both neck muscle activation and strengthening exercises are widely recognised treatments for cervical radiculopathy, but there is a research gap on the efficacy of neck muscle activation versus strengthening. This protocol will determine the efficacy of neck muscle activation alongside conventional care versus strengthening exercise and conventional care for cervical radiculopathy. Methods and analysis We planned a 5-week parallel, two-arm randomised clinical trial on 80 participants with chronic cervical radiculopathy (lasting over 3 months) between July and December 2023. Participants will be recruited from Dhaka's Agrani Specialised Physiotherapy Centre in Bangladesh and randomly assigned to two groups in a 1:1 ratio. Both groups will receive 14 sessions, each lasting 30-45 min. Post-treatment evaluations will be employed on Brief Pain Inventory (BPI), range of motion, craniovertebral angle (CVA), strength, endurance and Neck Disability Index (NDI) after 5 weeks and follow-up after 12 weeks of post-test analysis. Primary outcomes (strength, endurance and CVA) will be measured using a handheld dynamometer, digital inclinometer and goniometer. Secondary outcomes (pain, range of motion and disability) will be assessed through the BPI scale, digital inclinometer and NDI. Ethics and dissemination The Institute of Physiotherapy Rehabilitation and Research of Bangladesh Physiotherapy Association has approved the study. All participants will provide informed consent, and data will be anonymised and accessible only to authorised personnel. The study's findings will be disseminated in peer-reviewed journals and conferences. Clinical trial registry India CTRI/2023/09/057587 (13/09/2023).
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Affiliation(s)
- Farzana Sharmin
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Feroz Kabir
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Zahid Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Sharmila Jahan
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Ehsanur Rahman
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Aminul Islam
- Department of Petroleum and Mining Engineering, Jashore University of Science and Technology, Jashore, Bangladesh
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Jahan S, Islam R, Rahman T, Kabir MF, Islam MW, Hossain K, Hossain KMA, Hossain MZ, Rahman E, Chakrovorty SK, Sarker AH, Moula G, Antara A, Afridi S. The assessment of musculoskeletal disorders, quality of life, and comorbidities in older people in Bangladesh. Front Public Health 2023; 11:1269444. [PMID: 38222087 PMCID: PMC10786204 DOI: 10.3389/fpubh.2023.1269444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 11/07/2023] [Indexed: 01/16/2024] Open
Abstract
Musculoskeletal disorders are debilitating conditions that significantly impact the state of health, especially in older people. The study, which employed a cross-sectional design and practical sampling, included 206 participants among them 124 (62.2%) were men and 82 (39.8%) were women, from all over Bangladesh with musculoskeletal issues of varying severity and impact. The mean age of the participants was 64.9 (SD 4.3). The study was carried out between January and June of 2022. The majority of participants experienced musculoskeletal pain. Back pain was the most commonly complained of symptom among the participants (74.9%). It was also common to have limited mobility as a result of arthritic change, which eventually affected daily activities like taking care of oneself. To improve the health of the older adult population, more studies must be conducted to identify the many factors that contribute to musculoskeletal issues. The development of effective prevention and rehabilitation programs must then be based on this knowledge.
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Affiliation(s)
- Sharmila Jahan
- Institute of Social Welfare and Research, University of Dhaka, Dhaka, Bangladesh
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Rabiul Islam
- Institute of Social Welfare and Research, University of Dhaka, Dhaka, Bangladesh
| | - Tania Rahman
- Institute of Social Welfare and Research, University of Dhaka, Dhaka, Bangladesh
| | - Md. Feroz Kabir
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Md. Waliul Islam
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh
| | - Kabir Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - K. M. Amran Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Md. Zahid Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Ehsanur Rahman
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Sonjit Kumar Chakrovorty
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
- Department of Physiotherapy, Dhaka College of Physiotherapy, Dhaka, Bangladesh
| | | | - Golam Moula
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh
| | - Atqiya Antara
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh
| | - Shahid Afridi
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh
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Akter R, Urme NA, Hossain KMA, Hossain T, Ahammad S, Yeasmin MH, Hossain MZ, Parvin R, Hossain MS, Zahid MA. Protocol for a randomized clinical trial comparing the efficacy of Structured Diet (SD) and Regular Therapy (RT) for adolescents with malnutrition having Autism Spectrum Disorder (ASD). PLoS One 2023; 18:e0292326. [PMID: 38019825 PMCID: PMC10686458 DOI: 10.1371/journal.pone.0292326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 09/05/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND Autism spectrum disorders (ASD) have a lifelong impact on behavior, communication, cognitive function, education, physical functioning, and personal, or social life. Separate studies suggest, Therapeutic and dietary interventions are effective to some extent in managing these issues. No study integrated the nutrition and therapeutic approaches and examined the outcome on disease severity, overall health, and behavioral status in ASD. The proposed study is designed to evaluate the combined effect of regular therapy (RT) and structured diet (SD) compared to the usual diet (UD) for Adolescents with ASD. METHODS The proposed study will be a randomized clinical trial (RCT) with the assessor, therapist, and participants blinded to group allocation. Seventy ASD children with malnutrition will be enrolled in two different facilities of the Centre for the Rehabilitation of the Paralysed (CRP) between January 2023 and June 2023. Participants will be enrolled through a hospital-based randomization process from a population-based screening dataset, and with a concealed group allocation to either RT+ SD or RT+ UD group with a 1:1 ratio. The outcome measures are the Childhood Autism Rating Scale as per DSM-5 to determine the severity of ASD, Mid-upper arm circumference (MUAC), and BMI for nutritional status, and Gilliam Autism Rating Scale (GARS-2) to assess the behavioral status. Post-test will be performed after 12 weeks of intervention, and Follow-up will be taken after 6 months of post-test. PERSPECTIVES The result of the study will contribute to the provision of a comprehensive approach to malnourished Adolescents with ASD, and manage the issues related to the severity of ASD, stereotypical behavior, and anticipated health hazards. CLINICAL TRIAL IDENTIFIER CTRI/2022/11/047653.
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Affiliation(s)
- Ruksana Akter
- Department of Nutrition & Food Technology, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Nadia Afrin Urme
- Department of Physiotherapy, Bangladesh Health Professions Institute, Savar, Bangladesh
| | - K. M. Amran Hossain
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Tofajjal Hossain
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Shameem Ahammad
- Department of Occupational Therapy, Mymensingh College of Physiotherapy and Health Sciences, Mymensingh, Bangladesh
| | - Mst. Hosneara Yeasmin
- Department of Speech and Language Therapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh
| | - Md. Zahid Hossain
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Rashida Parvin
- Department of Nutrition & Food Technology, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Md. Sohrab Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute, Savar, Bangladesh
| | - Md. Ashrafuzzaman Zahid
- Department of Nutrition & Food Technology, Jashore University of Science & Technology, Jashore, Bangladesh
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Kabir MF, Yin KN, Jeffree MS, Ahmedy FB, Jahan S, Islam MW, Jahid IK, Sivan M, Chakrovorty SK, Hossain KMA. Profile of long COVID symptoms needing rehabilitation: a cross-sectional household survey of 12,925 SARS-CoV-2 cases between July and December 2021 in Bangladesh. Arch Public Health 2023; 81:132. [PMID: 37461092 PMCID: PMC10351147 DOI: 10.1186/s13690-023-01140-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 06/22/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND AND AIMS It is important to determine the profile of long COVID (LC) symptoms within the scope of rehabilitation in Bangladesh. This study's objective was to estimate the newly experienced long COVID symptoms needing rehabilitation by determining the prevalence and spectrum of impairments due to LC in Bangladesh. METHODS A Cross-sectional household survey of 12,925 COVID-19 patients confirmed by RT-PCR from 24 testing facilities in Bangladesh. LC was diagnosed according to WHO working group definition. COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) was used to determine the symptom responses, symptom severity, new long COVID symptoms, and scope of rehabilitation. RESULTS The population proportion of LC symptoms requiring rehabilitation interventions are 0.22 [95% CI, 0.20-0.24] in Bangladeshi people diagnosed with SARS-CoV-2. Among them, 0.08 [95% CI, 0.07-0.09] had mild, 0.07 [95% CI, 0.06-0.09] had moderate, and 0.05 [95% CI, 0.04-0.06] had severe long COVID symptoms (LCS). There was a significant positive correlation between LCS and functional disabilities (r = 0.889, p < 0.001), while a negative correlation was observed between the severity of symptoms and overall health (r=-0.658, p < 0.001). In comparison to the pre-COVID status, 17 new LCS were observed and the increase in the scope of rehabilitation intervention among LCS ranged between 0.01 [95% CI, 0.001-0.01] and 0.21 [95% CI, 0.19-0.22]. In Bangladesh, 59% (n = 334) of the LC cases are out of reach for any rehabilitation interventions. CONCLUSION Nearly one-fourth of Bangladeshi Post-COVID-19 have long COVID (LC). Seventeen symptoms (LCS) were observed and more than half of the populations having long COVID are out of reach of any rehabilitation facilities.
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Affiliation(s)
- Md Feroz Kabir
- Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, 88400, Malaysia
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Khin Nyein Yin
- Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, 88400, Malaysia.
| | - Mohammad Saffree Jeffree
- Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, 88400, Malaysia
| | - Fatimah Binti Ahmedy
- Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, 88400, Malaysia
| | - Sharmila Jahan
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Md Waliul Islam
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
| | - Iqbal Kabir Jahid
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Manoj Sivan
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - Sonjit Kumar Chakrovorty
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
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Akter S, Hossain MS, Hossain KMA, Uddin Z, Hossain MA, Alom F, Kabir MF, Walton LM, Raigangar V. Comparison of Structural Diagnosis and Management (SDM) approach and MyoFascial Release (MFR) for improving plantar heel pain, ankle range of motion and disability: A randomized clinical trial. J Man Manip Ther 2023:1-10. [PMID: 37222021 DOI: 10.1080/10669817.2023.2214020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
[Purpose] The purpose of this study was to compare the effectiveness of the Structural Diagnosis and Management (SDM) approach with Myofascial Release (MFR) in improving plantar heel pain, ankle range of motion, and disability. [Subjects] Sixty-four subjects, aged 30-60 years, with a diagnosis of plantar heel pain, plantar fasciitis, or calcaneal spur by a physician according to ICD-10, were equally allocated to the MFR (n = 32) and SDM (n = 32) groups by hospital randomization and concealed allocation. [Methods] In this assessor-blinded randomized clinical trial, the control group performed MFR to the plantar surface of the foot, triceps surae, and deep posterior compartment calf muscles, while the experimental group performed a multimodal approach utilizing the SDM concept for 12 sessions over 4 weeks. Both groups also received strengthening exercises, ice compression, and ultrasound therapy. Pain, activity limitations and disability were assessed as primary outcomes using the Foot Function Index (FFI) and Range of motion (ROM) assessment of the ankle dorsiflexors and plantar flexors using a universal goniometer. Secondary outcomes were measured using the Foot Ankle Disability Index (FADI) and a 10-point manual muscle testing process for the ankle dorsiflexors and plantar flexors. [Results] Both MFR and SDM groups exhibited significant improvements from baseline in all outcome variables, including pain, activity level, disability, range of motion, and function after the 12-week intervention period (p < .05). The SDM group showed more improvements than MFR for FFI pain (p < .01), FFI activity (p < .01), FFI (p < .01) and FADI (p = <.01). [Conclusion] Both MFR and SDM approaches are effective in reducing pain, improving function, ankle range of motion, and reducing disability in plantar heel pain, however, the SDM approach may be a preferred treatment option.
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Affiliation(s)
- Sapia Akter
- Department of Musculoskeletal Medicine, Institute of Advanced Mechanical Correction Therapy, Dhaka, Bangladesh
| | - Mohammad Shahadat Hossain
- Department of Musculoskeletal Medicine, Institute of Advanced Mechanical Correction Therapy, Dhaka, Bangladesh
| | - K M Amran Hossain
- Department of Musculoskeletal Medicine, Institute of Advanced Mechanical Correction Therapy, Dhaka, Bangladesh
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Zakir Uddin
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | | | - Foisal Alom
- National Institute of Traumatology & Orthopedic Rehabilitation-NITOR, Dhaka, Bangladesh
| | - Md Feroz Kabir
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Lori Maria Walton
- Department of Physical Therapy, Panuska College of Professional Studies, University of Scranton, Scranton, PA, USA
| | - Veena Raigangar
- Department of Physiotherapy, School of Sport and Health Sciences, University of Brighton, Brighton, UK
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Hossain MS, Akter S, Siddique MAE, Siddique MKB, Reza GM, Alom FMM, Ali M, Noman MOR, Rahman MM, Islam MS, Hossain KMA. Multidisciplinary Conservative Treatment Outcomes of in-Patient Physiotherapy Set-Up Among Patients with Lumbar Disc Herniation in Dhaka City, Bangladesh: A Retrospective, Cross-Sectional Study. J Multidiscip Healthc 2023; 16:587-601. [PMID: 36883166 PMCID: PMC9985877 DOI: 10.2147/jmdh.s400021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 01/26/2023] [Indexed: 03/06/2023] Open
Abstract
Background The study aimed to determine the outcome of Multidisciplinary physiotherapist-led conservative treatment of lumbar disc herniation at an in-patient set-up of a specialized spine center in Dhaka, Bangladesh. Methods This was a retrospective cross-sectional study of 228 cases completing treatment and follow-up sessions. The outcome was evaluated as pain at rest and five different functional positions, neurological recovery, and Magnetic resonance imaging (MRI) changes during discharge and follow-up. Results 80.3% had a complete recovery with a typical motor and sensory status, no limitations in straight leg raise (SLR), no cauda equina symptom (CES), and no or <3 pain during more than 30 minutes of daily living activities. Statistically significant changes were noted at all outcome measures at the follow-up (day 90), compared to baseline (day 1) P<0.01. In the posthoc tests, pain, SLR, and CES had the most significant improvement at discharge (day 12) compared to the baseline (P < 0.01) and at follow-up compared to discharge (P < 0.01). No major adverse events noted. Conclusion Physiotherapist-led in-patient treatment results in significant resting and functional pain outcomes in 12 days. Also, the improvements in neurological recovery and normalizing disc position are statistically significant in 90 days.
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Affiliation(s)
| | - Sapia Akter
- Bangladesh Institute of Manual Therapy & Research, Dhaka, Bangladesh
| | | | - Md Kaoser Bin Siddique
- Department of Research, Planning & Development, Grand Health Sector, TMSS, Bogura, Bangladesh
| | - G M Reza
- Bangladesh Institute of Manual Therapy & Research, Dhaka, Bangladesh
| | - Foisal Mohammad Mosiul Alom
- Department of Physiotherapy, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
| | - Mohammad Ali
- Department of Physiotherapy and Rehabilitation, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh
| | | | - M Mazibar Rahman
- Department of Statistics, Jahangirnagar University, Dhaka, Bangladesh
| | - Md Shofiqul Islam
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology (JUST), Jashore, Bangladesh
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Hossain MA, Hossain KMA, Sakel M, Kabir MF, Saunders K, Faruqui R, Hossain MS, Uddin Z, Kader M, Walton LM, Haque MO, Shafin R, Chakrovorty SK, Jahid IK. Knowledge, Attitudes, Behavioural Practises, and Psychological Impact Relating to COVID-19 Among People Living With Spinal Cord Injury During In-Patient Rehabilitation in Bangladesh. Front Neurol 2022; 12:739354. [PMID: 35197912 PMCID: PMC8860171 DOI: 10.3389/fneur.2021.739354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 12/21/2021] [Indexed: 11/26/2022] Open
Abstract
Aim The aim of this research is to focus on gaining an insight into the knowledge, attitudes, behavioural practises (KAP), and psychological impact relating to COVID-19 among the people living with spinal cord injury receiving in-patient rehabilitation. Methods A prospective, cross-sectional survey of people with SCI (N = 207), who were in active in-patient rehabilitation from two tertiary SCI Rehabilitation Centres in Bangladesh. Data were collected via face-to-face interviews, after voluntary consent, using a pretested, language validated questionnaire on Knowledge, Attitude and Behavioural practises (KAP) and the Depression, Anxiety, Stress Scale (DASS-21). Ethical approval and trial registration were obtained prospectively. Results A total of 207 people with SCI responded, among which 87% were men and 13% were women, with a mean age of 34.18 ± 12.9 years. Within the sample group, people living with tetraplegia comprised 33.8%, and people living with paraplegia comprised 66.2%. Overall, 63.8% of the participants were diagnosed with an SCI categorised as ASIA-A. Overall, the “knowledge score” was 8.59 ± 2.3 out of 12, “depression” was 11.18 ± 8, “anxiety” was 7.72 ± 5.1, and “stress” was 9.32 ± 6.7 from a total of 21 scores each category. The strong correlation was between knowledge, DASS scores, and age (p < 0.05). In addition, there was a strong correlation between knowledge, gender (p < 0.05) and education (p < 0.01). Binary logistic regression found a stronger association of knowledge and DASS scores with gender, young age, illiteracy (p < 0.01), and rural residence (p < 0.05). A positive relationship was found between depression and anxiety scores (p < 0.01) and a moderate positive relationship was found between depression and stress scores (p < 0.01). A positive attitude was reported by the majority of participants (p < 0.05). In terms of behavioural practises, participants reported both self and caregiver had followed health advice with regard to consulting health professionals (65.7%), implementing isolation (63.8%), taking droplet precaution care (87.4%), and hygiene care (90.3%). Conclusion Participants in this study reported high levels of knowledge, adoption of positive attitudes, and the practise of positive health advisory behaviours related to COVID-19 prevention procedures. However, high levels of depression, anxiety, and stress were also reported. Overall, women and younger participants were more likely to have high KAP, whereas those living in rural areas and with literacy challenges were less likely to report high knowledge scores.
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Affiliation(s)
- Mohammad Anwar Hossain
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh.,Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh
| | - Mohamed Sakel
- East Kent Hospitals University NHS Foundation Trust, Canterbury, United Kingdom.,Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Md Feroz Kabir
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Karen Saunders
- Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh.,School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, United Kingdom
| | - Rafey Faruqui
- Department of Neuropsychiatry, Kent & Medway NHS Social Care Partnership Trust, Maidstone, United Kingdom.,Centre for Health Services Studies, University of Kent, Canterbury, United Kingdom
| | - Mohammad Sohrab Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh
| | - Zakir Uddin
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | - Manzur Kader
- Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden
| | - Lori Maria Walton
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh.,Department of Physical Therapy, School of Health Sciences, University of Scranton, Scranton, PA, United States
| | - Md Obaidul Haque
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh
| | - Rubayet Shafin
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh
| | - Sonjit Kumar Chakrovorty
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
| | - Iqbal Kabir Jahid
- Department of Microbiology, Jashore University of Science and Technology (JUST), Jashore, Bangladesh
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Hossain KMA, Sakel M, Saunders K, Kabir MF, Hasnat MAK. Rehabilitation of a young girl with acute transverse myelitis and prolonged lower motor neuron features: a longitudinal case report over 12 months. International Journal of Therapy and Rehabilitation 2022. [DOI: 10.12968/ijtr.2020.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background This report describes an effective rehabilitation programme for a 13-year-old girl, diagnosed with acute transverse myelitis, as an example of best clinical practice. Case description Miss A was admitted to the National Institute of Neurosciences and Hospital in Dhaka, where she was diagnosed with acute transverse myelitis, in September 2018. She was discharged and referred for intensive rehabilitation over 3 months as an outpatient at the Centre for the Rehabilitation of the Paralysed in Bangladesh. The therapy team conducted a baseline assessment before starting treatment, which included the following outcome measures: the International Standards for Neurological Classification of Spinal Cord Injury Scale; Spinal Cord Independence Measure; and the Spinal Cord Injury Functional Ambulation Inventory. After 3 months, Miss A was discharged home to continue with a home exercise programme supported by her parents. Outcome measurements were repeated at 3-, 6- and 12-month time points. Results Miss A regained muscle power in her legs and normal sensation in S4/5 dermatomes, in addition to regaining voluntary anal muscle contraction. Her mobility and transfers improved so that she was able to transfer in and out of her wheelchair independently and use two elbow crutches to walk short distances outdoors. Conclusions This report shows that it is possible for a child who had been severely disabled by acute transverse myelitis to make substantial physical improvements up to 12 months after diagnosis when provided with effective rehabilitation. It also identifies that rehabilitation can provide multiple benefits and value for the individual patient, family, community and society.
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Affiliation(s)
- K M Amran Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute, Dhaka, Bangladesh
| | - Mohamed Sakel
- East Kent Neuro-Rehabilitation Service, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - Karen Saunders
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
- School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, UK
| | - M Feroz Kabir
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore, Bangladesh
| | - M Abu Khayer Hasnat
- Spinal Cord Injury Unit, Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh
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Hossain MA, Hossain KMA, Saunders K, Uddin Z, Walton LM, Raigangar V, Sakel M, Shafin R, Hossain MS, Kabir MF, Faruqui R, Rana MS, Ahmed MS, Chakrovorty SK, Hossain MA, Jahid IK. Prevalence of Long COVID symptoms in Bangladesh: a prospective Inception Cohort Study of COVID-19 survivors. BMJ Glob Health 2021; 6:bmjgh-2021-006838. [PMID: 34906986 PMCID: PMC8671853 DOI: 10.1136/bmjgh-2021-006838] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/17/2021] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The objective of this study was to identify the prevalence of long COVID symptoms in a large cohort of people living with and affected by long COVID and identify any potential associated risk factors. METHODS A prospective survey was undertaken of an inception cohort of confirmed people living with and affected by long COVID (aged 18-87 years). 14392 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. Participants who consented were contacted by face-to-face interview, and were interviewed regarding long COVID, and restriction of activities of daily living using post COVID-19 functional status scale. Cardiorespiratory parameters measured at rest (heart rate, systolic blood pressure, diastolic blood pressure, oxygen saturation levels, maximal oxygen consumption, inspiratory and expiratory lung volume) were also measured. RESULTS Among 2198 participants, the prevalence of long COVID symptoms at 12 weeks was 16.1%. Overall, eight long COVID symptoms were identified and in descending order of prominence are: fatigue, pain, dyspnoea, cough, anosmia, appetite loss, headache and chest pain. People living with and affected by long COVID experienced between 1 and 8 long COVID symptoms with an overall duration period of 21.8±5.2 weeks. Structural equation modelling predicted the length of long COVID to be related to younger age, female gender, rural residence, prior functional limitation and smoking. CONCLUSION In this cohort, at 31 weeks post diagnosis, the prevalence of long COVID symptoms was 16.1%. The risk factors identified for presence and longer length of long COVID symptoms warrant further research and consideration to support public health initiatives.
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Affiliation(s)
- Mohammad Anwar Hossain
- Department of Microbiology, Jashore University of Science and Technology, Jashore, Bangladesh.,Department of Physiotherapy, Centre for Rehabilitation of the Paralysed, Dhaka, Bangladesh
| | - K M Amran Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh
| | - Karen Saunders
- School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, UK
| | - Zakir Uddin
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - Lori Maria Walton
- Department of Physical Therapy, School of Health Sciences, University of Scranton, Scranton, Pennsylvania, USA
| | - Veena Raigangar
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE
| | - Mohamed Sakel
- East Kent Neurorehabilation Department, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
| | - Rubayet Shafin
- Department of Physiotherapy, Centre for Rehabilitation of the Paralysed, Dhaka, Bangladesh
| | - Mohammad Sohrab Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh
| | - Md Feroz Kabir
- Department of Physiotherapy & Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Rafey Faruqui
- Department of Neuropsychiatry, Kent and Medway NHS and Social Care Partnership Trust, Maidstone, Kent, UK
| | - Md Shohag Rana
- Department of Physiotherapy, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh
| | - Md Shahoriar Ahmed
- Department of Physiotherapy, Centre for Rehabilitation of the Paralysed, Dhaka, Bangladesh
| | | | - Md Anwar Hossain
- Department of Microbiology, University of Dhaka, Dhaka, Bangladesh.,Vice-Chancellor, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Iqbal Kabir Jahid
- Department of Microbiology, Jashore University of Science and Technology, Jashore, Bangladesh
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Hossain KMA, Walton LM, Arafat SMY, Maybee N, Sarker RH, Ahmed S, Kabir F. Expulsion from the Motherland: Association between Depression & Health-Related Quality of Life for Ethnic Rohingya Living with Refugee Status in Bangladesh. Clin Pract Epidemiol Ment Health 2020; 16:46-52. [PMID: 32508969 PMCID: PMC7254817 DOI: 10.2174/1745017902016010046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 03/08/2020] [Accepted: 03/08/2020] [Indexed: 11/28/2022]
Abstract
Background: The Rohingyas are an ethnic minority group from Myanmar who have experienced severe forms of violence such as murder, rape, humanitarian defilement and forcible expellation from their motherland. Exposure to trauma has a long-lasting impact on psychological well-being and Health-related Quality of Life (HRQoL). Objective: The purpose of this study was to examine the prevalence of depression and association with HRQoL for Rohingya displaced persons. Methodology: This was a prospective, cross-sectional study in two refugee camps in Southern Bangladesh, with a structured and language validated questionnaire. Results: The study indicates the prevalence of depression was 70% (n=150 respondents), with 8.7% reporting “severe depression” in PHQ-9. WHOQOL-BREF scores were inversely associated with symptoms on the depression scale with a strong and significant correlation (r= 0.652; p<0.01) in total and physical health; psychological (r= 0.757, p<0.01), social relationship (r= 0.479, p<0.01), environment (r= 0.443, p<0.01), increasing age (r= 0.272, p<0.01), severity of depression (r= 0.489, p<0.01). Furthermore, there was a statistically significant correlation with overall quality of life with same variables subsequently (r =0.600, 0.309, 0.482, 0.170, 0.103, 0.272, 0.339; p<0.01), also correlation was observed between married individuals and severity of depression in PHQ (r= 0.346), physical state (r= 0.353), psychological state (r= 0.358), and with social relationship (r= 0.435), with statistical significance (p= <0.01).
Conclusion: There are higher incidence rates of moderate to severe depression than the population norms and low health-related quality of life than published population norms for Rohingya displaced persons living in refugee camps. Depression rates were inversely associated with HRQoL for Rohingya displaced persons living in refugee camps. Future research may consider the prevention of related medical issues for long term program implementation.
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Affiliation(s)
- K M Amran Hossain
- Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Savar Union, Bangladesh
| | - Lori M Walton
- Departmnt of Physiotherapy, University of Sharjah, Sharjah, UAE
| | - S M Yasir Arafat
- Department of Psychiatry, Enam Medical College and Hospital, Savar Union, Bangladesh
| | - Nidiorin Maybee
- Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh
| | - Rubel Hossen Sarker
- Department of Rehabilitation, Rohingya Humanitarian Responses, Handicap International (Humanity and Inclusion), Dhaka, Bangladesh
| | - Shahoriar Ahmed
- Department of Physiotherapy, Bangladesh Physiotherapy Association (BPA), Dhaka, Bangladesh
| | - Feroz Kabir
- Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology (JUST), Jeshore, Bangladesh
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