Pakistan Journal of Rehabilitation最新文献

{"title":"A CROSS-SECTIONAL SURVEY ON KNOWLEDGE, ATTITUDE AND PRACTICE IN PARENTS WITH DOWN SYNDROME CHILDREN","authors":"Hira Masood, Fathima Zeenath Nasurdeen, ANAVARATHAN Vallipuram","doi":"10.36283/pjr.zu.11.1/005","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/005","url":null,"abstract":"BACKGROUND AND AIMS\u0000\u0000Parents with Down syndrome children may be unfamiliar with coping strategies because of limited knowledge, negative attitude and inappropriate practice. To the best of author’s knowledge, no study has been conducted in Pakistan till date to explore the issue.\u0000\u0000METHODOLOGY\u0000\u0000A cross-sectional survey was conducted among parents of children with Down syndrome, enrolled in the study via convenience sampling technique. Data was collected on self-administered questionnaire based on parental knowledge, attitude and practice on Down syndrome distributed via email or WhatsApp group.\u0000\u0000RESULTS\u0000\u0000A total number of 24 parents with Down syndrome included in this study involving majority of mothers (52.2%) showed that (79.2%) parents understand that Down syndrome is a genetic disorder, (91.7%) agreed that children are born through it. Moreover, (83.3%) think that the syndrome can be detected during pregnancy through prenatal tests whereas (100%) showed that physiotherapy, occupational and speech therapy plays a pivotal role in the management of disorder. Besides, (83.3%) parents have recommended the special health services. Therefore, (87.5%) parents will prefer to seek the genetic counselling when planning for next child.\u0000\u0000CONCLUSION\u0000\u0000It was concluded that majority of parents have demonstrated the sound knowledge, positive attitude and proactive practice among parents with Down syndrome children. Thus, multicenter large scale studies should be conducted to investigate the factors associated to parent-child relationship and promote education for better health outcomes.\u0000\u0000KEYWORDS\u0000\u0000Down syndrome, disability, intellectual, ADLs, Knowledge, Management.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114423735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AWARENESS OF GYNECOLOGICAL REHABILITATION IN PREGNANCY, A SURVEY AMONG PREGNANT PATIENTS IN GYNAE OPD DOW UNIVERSITY HOSPITAL, KARACHI","authors":"Tooba Hassan, Fouzia Arif, S. Khalid, M. Faisal","doi":"10.36283/pjr.zu.11.1/012","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/012","url":null,"abstract":"BACKGROUND\u0000\u0000Pregnancy is the ideal time for positive lifestyle modifications, including consuming more healthy diet and increasing physical activity. Importance of exercise is supported by the increasing evidence for individual health but unfortunately women are not much aware about the benefits and importance of exercises.\u0000\u0000OBJECTIVE\u0000\u0000To evaluate how much the pregnant patients coming in gynecological OPD of DOW college clinic, Karachi know about gynecological rehabilitation in their pregnancy period. Moreover, the study will analyze the knowledge level of patients regarding rehab importance during pregnancy.\u0000\u0000METHODS AND MATERIALS\u0000\u0000A cross-sectional study design will be conducted to carry out the study. 158 participants were selected through convenient sampling technique from DOW university hospital, Karachi and the data will be collected by a self-structured questionnaire.\u0000\u0000DATA ANALYSIS\u0000\u0000SPSS version 22 will be used for the purpose of statistical analysis. Mean and standard deviation were calculated for all quantitative variables like age. Frequency and percentages were calculated for categorical variables like residence, educational status.\u0000\u0000RESULTS\u0000\u0000On the basis of gravida, patients of primi-gravida were 38(24.1%) and para-gravida 120(75.9%). 63.3% patients were unaware about physiotherapy services during pregnancy, 90.5% of patients didn’t know about kegal exercises, 56.3% of patients were unaware that weak pelvic floor muscles (PFMs) can cause urinary incontinence.\u0000\u0000CONCLUSION\u0000\u0000A majority of pregnant patients were participated and demonstrated in inadequate knowledge about gynecological rehabilitation in pregnancy. However, the patients who had awareness of gynecological rehabilitation were in minority. Information about the exercises during pregnancy considerably influences the approach towards exercises in pregnancy.\u0000\u0000KEYWORDS\u0000\u0000Gynecological Rehabilitation; Pregnancy; Exercises; Pelvic floor; Urinary Incontinence; Primi – Gravida; Pregnancy Rehabilitation","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131828044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 AND PHYSICAL THERAPY EDUCATION IN PAKISTAN: TRANSITION FROM TRADITIONAL TO DIGITAL EDUCATION.","authors":"M. Babur, M. Azim","doi":"10.36283/pjr.zu.11.1/001","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/001","url":null,"abstract":"At the end of the year 2019, a pandemic of COVID 19 unexpectedly emerged in the Wuhan city of China, rapidly spreading across the country and eventually the globe. To mitigate the effect of viral spread resulting in a high transmission rate and increase the load on the healthcare sector governments were forced to impose lockdowns to flatten the curve of COVID 19. In addition, SOPs including mandatory mask, social distancing, thermal check, and frequent sanitizer use was advocated. Similarly following WHO guidance Pakistan also imposed a lockdown resulting in the closure of educational institutes and offices etc. The conventional lecture-based educational system in crowded lecture halls might have facilitated viral transmission so initially the institutes followed the same trend of closure of institutes stopping all educational activities. This created a huge pause in the educational activities in all fields of health sciences including physical therapy education as well1. Due to the uncertain future direction of education activities, the continuous closure of educational institutes caused unrest not only among students but also in faculties of institutes in Pakistan2. To mitigate these educational crises resulting from pandemic and lockdowns, the institutes entailed a change in the educational system from traditional class lecture-based to an online virtual educational system. Considering the complex nature of Physical therapy education including all aspects of teaching such as theoretical, practical, and research work3; shifting to virtual learning and teaching was a big challenge for the students as well as teachers. A low-middle-income country like Pakistan significantly lacked infrastructure and technical support aspects in universities and households to facilitate a virtual education. Few of these included lack of internet access, inadequate bandwidth, limited IT support facilities in universities, the expertise of faculties related to online portals and lack of students’ responsiveness, etc.1. Furthermore, issues of electricity and power failures resulted in additional difficulties. Moreover, because majority of the population of Pakistan lives in peripheral areas of the country, these problems increased manyfold hindering physical therapy education. The missing component of the need for hands-on practice, one on one supervised interaction between student and patient for effective learning in physical therapy education was another missing factor in online education that required consideration.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126514632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COMPARISON OF MOBILIZATION WITH MOVEMENT AND SOFT TISSUE MOBILIZATION ON PAIN SEVERITY, HAND GRIP STRENGTH AND FUNCTIONAL ACTIVITY IN TENNIS ELBOW PATIENTS","authors":"Sidra Shafique, Hafiza Neelam Muneeb, Naseem Abbas, I. Ghafoor","doi":"10.36283/pjr.zu.11.1/010","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/010","url":null,"abstract":"BACKGROUND AND AIM\u0000\u0000Lateral epicondylitis or tennis elbow is a pain pattern most commonly seen in tennis player due to forceful repetitive movements in a wrong way. So, the Objective was to determine the comparison of mobilization with movement and soft tissue mobilization on pain, grip strength and functional activity in patients with tennis elbow.\u0000\u0000METHODOLOGY\u0000\u0000In this Randomized Controlled Trial, Non probability sampling technique was used. Thirty tennis players having lateral epicondylitis pain were included in the study. Two interventions were used i.e. Mobilization with movement and soft tissue mobilization. Pain, Muscle power and function activity were 3 outcome measure in both groups.\u0000\u0000RESULTS\u0000In both groups the mean age of the participants was 24.30 ± SD 3.01. There was a significant Mean difference in the pain scores for MWM (5.34) and Soft Tissue Mobilization (3.74) after treatment. P value is significant for both group but there was greater difference with group MWM\u0000\u0000 CONCLUSIONS\u0000The present study concluded that Mobilization with movement has greater effect than the Soft Tissue Mobilization in relieving pain and improving Hand grip strength and functional activity in patients with tennis elbow.\u0000\u0000Key words\u0000\u0000Movement, soft tissue, pain, grip, hand strength functional status, tennis elbow","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134030220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTS OF LUMBAR SEGMENTAL MOBILIZATION IN PREPOSITION VERSUS PRONE LYING IN CHRONIC LOW BACK PAIN","authors":"Faria Qasim, S. Rehman, M. Sanaullah","doi":"10.36283/pjr.zu.11.1/008","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/008","url":null,"abstract":"BACKGROUND AND AIM\u0000\u0000low back pain decrease range of motion at lumber region. Manual therapy had significant effect on range of motion. Mobilization is performed in specific position of joint. The aim of this study was to compare lumber segmental mobilizations in prepositions versus prone lying in chronic low backache.\u0000\u0000METHODOLOGY\u0000\u0000A 6 month randomized controlled trial was conducted. We excluded 22 patients because of exclusion (neurological sign, pregnancy, spinal surgery and systemic disease) criteria we conveniently selected a sample of 40 patients between age of 25-45and having low back pain past 6 months and placed into two groups by lottery method. In group A segmental mobilization was done in preposition and in group B segmental mobilization was done in prone lying. The data collection tools were visual analog scale, Pressure Pain Threshold, Oswestry disability index and Goniometer. Data was analyzed by SPSS and statistical test were applied at 95% level of significance determine the effects of both the treatments regimes and compared with each other.\u0000\u0000RESULTS\u0000\u0000By comparing both groups the pre visual analog scale mean in group A and group B was7.75±0.72, 8.10±0.64 respectively (p 0.112) and post visual analog scale mean in group A and group B was 3.50±0.52, 4.90±0.72 respectively (p 0.00). The pre pressure pain threshold mean in group A and group B was 4.00±0.92,4.15±0.81 respectively (p0.59) and the post pressure pain threshold mean in group A and group B was 2.20±0.41, 2.75±0.64 respectively (p 0.00). The Pre Oswestry Low Back Pain Disability mean in group A and group B was 39.80±2.63, 39.85±2.21 respectively (p 0.95) and the Post Oswestry Low Back Pain Disability mean in group A and group B was 22.30±1.42, 29.45±1.64 respectively (p 0.00).\u0000\u0000CONCLUSION\u0000\u0000Segmental mobilization in pre-position has significantly better than that of in prone position in improving low backache in terms of pain, disability, pressure threshold and spinal ranges.\u0000\u0000KEY WORDS\u0000\u0000Lumbar Manipulation, back pain, Visual Analog Pain Scale, Range of Motion, Articular, Mechanical Low Back Pain","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"290 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134157740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASSOCIATION OF DEPRESSION IN PATIENTS WITH FIBROMYALGIA SYNDROME","authors":"A. Tahir, A. Fatima, Muhammad Tahir Khan","doi":"10.36283/pjr.zu.11.1/021","DOIUrl":"https://doi.org/10.36283/pjr.zu.11.1/021","url":null,"abstract":"Background and aim\u0000\u0000Fibromyalgia is a complex disorder causing issues in musculoskeletal system, and interlinked with depression. The purpose of this research was to find out the association of depression in patients with diagnosed fibromyalgia in Lahore and Sargodha. To check the areas of body mostly affected with fibromyalgia and to find the depression as the risk factor for fibromyalgia.\u0000\u0000Methodology\u0000\u0000This study was a cross sectional design and sampling technique used were non-probability convenient sampling technique. Data was collected from hospitals of Lahore and Sargodha and sample size of this study were 87 participants. For the collection of data, 2 questionnaires was used for the investigating the symptoms of fibromyalgia. The sample size was calculated using non-probibility convenient sampling technique. Written consent was taken from the hospitals of Lahore.\u0000\u0000Results\u0000\u0000Overall incidence reported in patients of fibromyalgia were 11.5% with mild depression, 19.5% with moderate depression and 69% were the patients with severe depression.\u0000\u0000Conclusion\u0000\u0000The results of this study revealed that depression was the most common cause for developing fibromyalgia syndrome. Musculoskeletal symptoms were more common in males and females. Most common sites of developing tender points were neck, shoulder and upper back.\u0000\u0000Key words\u0000\u0000Fibromyalgia, fatigue syndrome, depression, depressive disorders, chronic pain, patients, bipolar depression.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121912581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A RADICAL GRADIENT FOR RESEARCH AMONG REHABILITATION PROFESSIONALS","authors":"N. Zehra","doi":"10.36283/PJR.ZU.10.2/001","DOIUrl":"https://doi.org/10.36283/PJR.ZU.10.2/001","url":null,"abstract":"Revolution in practice is required among the professionals of rehab members in holistic team while working parallel with each other for inhibition, development, refurbishment and decline of functioning among clients along with effective service delivery system. This describes the focus of rehab professional on the International Classification of Functioning, Disability and Health (ICD) model of disability. \u0000Rehab professionals move from lab to clinical practice and community is actually an interchange of conservative investigation pattern to translational research mode, not just the implementing research outcome but also evolving the guidelines for healthier service model.\u0000 Professional locally has understood the significance of evidence based practiced though the carter to attain translational research is still at T1 and T2 phase which is from bench to bedside. Mostly the research activities involves around the implementation of knowledge in to practice or combination of effective interventions. Among the rehab professionals the pace of evidence based practiced is faster among the physiotherapist whereas the other members of team such as Occupational therapist, speech therapist and psychotherapist are at very initial stage. It could be the curriculum advancement, unavailability of learning resources and lack of professional awareness not only in general population but also among the health care provider.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123130967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"KNOWLEDGE OF PHYSIOTHERAPY STUDENTS ABOUT SUPERVISION SKILLS DURING THE CLINICAL ROTATION OF INTERNSHIP","authors":"Tabish Fahim, Shadab Uddin","doi":"10.36283/PJR.ZU.10.2/007","DOIUrl":"https://doi.org/10.36283/PJR.ZU.10.2/007","url":null,"abstract":"BACKGROUND AND AIM \u0000Clinical rotation is perceived as a burden by students due to number of challenges in experimental environment that impedes their learning in clinical areas. This study aimed to determine the perception of physical therapy students regarding prerequisite for integrating skills and knowledge from the classroom to clinical setting.\u0000METHODOLOGY \u0000A cross sectional study was conducted at students of different colleges of Rehabilitation Sciences on 168 candidate of clinical years. The questionnaire was designed on five domains that included patient contacts, theory v/s practice gap, communication with clinical supervision, transition from pre-clinical to clinical and knowledge and skills. The data was measured on 5 points Likert scale and was statistically analyzed on IBM SPSS version 2.0\u0000RESULTS \u0000Around 45% students indicated that they hesitated in taking guidance or asking question from clinical supervisors however, 76.6% students reported that a structured orientation with the staff and environment should be given to the new assistants for smooth transition from pre-clinical to clinical. Moreover, more than half of the students (58%) reported difficulty in bridging theory and practicing the knowledge. Furthermore 65% students reported hesitency in taking history and performing physical examination \u0000CONCLUSION \u0000Multiple challenges perceived by the students during their clinical rotations that mainly include inadequate clinical supervision, difficulty in transition from preclinical to clinical, lack of knowledge and skills, gap between theory and practice which hindered their learning.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134434765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AN INTEGRATIVE REVIEW ON PATIENT SATISFACTION MEASURING TOOL FOR PHYSIOTHERAPY CARE AMONG CLIENTS IN THE OUT-PATIENT DEPARTMENT","authors":"J. R. Acob","doi":"10.36283/PJR.ZU.10.2/003","DOIUrl":"https://doi.org/10.36283/PJR.ZU.10.2/003","url":null,"abstract":"Background and Aims: Patient satisfaction is acknowledged as the corner stone of quality management and it is the paramount of any quality management program in health care system. This study is aimed to conduct an up-to-date systematic review on different validated tools that provide quantification of patient satisfaction in out-patient physical therapy services.\u0000\u0000Type: Systematic review\u0000\u0000Literature survey: An extensive literature search was performed using 3 electronic database systems (Google scholar, PubMed, and PEDro) for articles published between 2000 and 2020. Boolean operator AND was used in compilation with the exhaustive list of search terminologies. A total of 19 studies that investigated any patient satisfaction tool in outpatient physiotherapy settings were included.\u0000\u0000Methodology: The process of data extraction was performed in accordance with PRISMA guidelines (2009).\u0000\u0000Results: Consensus based standards for the selection of health status measurement instruments (COSMIN) scoring quantified psychometric property of each study as excellent, good, and fair. 8 studies reflected fair scoring of Cronbach alpha, 3 studies showed excellent whereas, 2 appeared to be poor.\u0000\u0000Conclusion: The COSMIN scoring quantified multiple patient satisfaction tools. However, no gold standard was found. Nevertheless, physiotherapists working in out-patient care can increase the efficiency of patient-centered treatment by identifying and maximizing these patient satisfaction tool determinants.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117216779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19: OBESITY RELATED TO PHYSICAL INACTIVITY DUE TO LOCKDOWN SITUATION","authors":"Ume Habiba Fakhruddin","doi":"10.36283/PJR.ZU.10.2/002","DOIUrl":"https://doi.org/10.36283/PJR.ZU.10.2/002","url":null,"abstract":"Due to rapid outburst of COVID-19 pandemic, governments of many countries have underwent drastic changes to fight its spread by measures such as social distancing, and lockdowns. These strategies of government are mainly aiming to reduce outdoor activities and gatherings which in turn has led to detrimental consequences on physical, social and mental health of an individuals. As reduced levels of activity is causing obesity and its linked metabolic diseases including diabetes mellitus, hypertension, cardiovascular diseases, cerebrovascular diseases, sleep apnea, mood and reproductive disorders. Due to confinement of people to their homes in accordance with the SOPs to curb COVID, more and more people are being inactive and moving more towards sedentary lifestyle compared to physically active lifestyle.\u0000Obesity that is atypical fat deposition was found to be more profound during virus epidemic in people with higher BMI1. However, obesity during this lockdown was associated with overeating 43% and more common snacking 52%2 and adverse modifications in physical activities with less time spending in household chores, leisureliness spell, and leisureliness-time walking of modest-vigorous intensity with substantial intensification in screen time and nap time3. Further, this lockdown situation has caused restricted access to gym and fitness centers.","PeriodicalId":191321,"journal":{"name":"Pakistan Journal of Rehabilitation","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124264295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}