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DesignProspective, cross-sectional study.ObjectivesTo determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.SettingCentre for the Rehabilitation of the Paralysed (CRP), Bangladesh.MethodsSpinal Cord Independence Measure (SCIM) and Community Integration Questionnaire (CIQ) were used to analyse the relationship between the functional outcome and home and social integration at the end of rehabilitation. Descriptive and inferential statistics were performed to analyse the data.ResultsA total of two hundred participants (181 men and 19 women) were recruited for the study. Among the participants, 92.5% of them reported a history of trauma or accident, including road traffic accidents, falls and other injuries. Approximately 60% of participants presented with paraplegia and 62.5% of participants were categorized on the ASIA Impairment Scale (AIS) as Grade A, complete spinal cord injury. Participants with paraplegia and participants with a Grade B, incomplete injury, on the AIS were functionally more independent (p = 0.011)) compared with participants with tetraplegia and other AIS grades. Participants with paraplegia reported having a more active lifestyle (p = 0.040) in their home and social activities compared to those with tetraplegia. There was no significant association found between functional independence at pre-discharged and community integration one-month post-discharge of the people with SCI.ConclusionA month after discharge, there is no statistically significant relationship between community reintegration and functional independence. A measure of functional independence may not be a suitable indicator of community integration. It is proposed that to monitor a person's community integration the CIQ could be used with a measure of quality of life as this would indicate a person's contentment with their level of community integration.

Introduction Total hip arthroplasty (THA) is the most common, successful modern surgical intervention in orthopedic practice. Physiotherapy interventions are a major part of patient rehabilitation following THA. This study aimed to evaluate the effectiveness of physiotherapy interventions for improving functional outcomes following THA. Methods This narrative review was conducted on electronic platforms and databases, including PubMed, PEDro, CINAHL, and EMBASE, using a combination of search terms related to “physical therapy”, “physiotherapy”, “physical exercise”, “physiotherapy intervention”, “hip arthroplasty”, “total hip arthroplasty”, and “hip joint replacement”. Inclusion criteria included randomized controlled trials or clinical trials published in English from 2014 to 2021. Where THA was recognized as the primary concern, and physiotherapy management was one of the treatment options. Results The initial search of the databases revealed a total of 77 studies. Of those studies, 19 were selected as potentially meeting the inclusion criteria. Eventually, 10 studies were analyzed for the narrative review’s final conclusions. The evaluations supported the hypothesis that physiotherapy interventions have favorable outcomes for patients with THA. Conclusions After reviewing, it has been revealed that physiotherapy can improve physical function, balance, range of motion, muscle strength, and gait pattern following THA.

Abstract Background Osteoarthritis (OA) has become a serious public health exposure because it leads to chronic pain and minimizes physical function and quality of life (QOL). This review aimed to find out the effectiveness of closed kinetic chain exercise (CKCE) on pain, range of motion (ROM), physical function, and QOL in subjects with knee OA. Methods The design of this study was a narrative review. A computerized electronic search was performed using PEDro, PubMed, CINAHL, and EMBASE Register of controlled trials with keywords including osteoarthritis, knee OA, closed chain exercise, closed kinetic chain exercise, functional exercise, physiotherapy exercise, and therapeutic intervention. The inclusion criteria consisted of studies that were randomized controlled trials, published in English from 2016 to 2023. Here, allotted osteoarthritis was the primary concern, and we identified closed kinetic chain exercise as one of the treatment options. Results The initial search of the database revealed a total of 91 studies. Of those studies, 11 were selected as potentially meeting the inclusion criteria. Ultimately, six studies were retained for the final review. The evaluations suggested that CKCE has better impacts on pain, capacity, and ROM in knee OA. After reviewing, it has been revealed that at least an 8-week program with 3 sessions per week in 30 min longer might have greater effects on the CKCE program. Conclusion The results of this narrative review have shown that CKCEs are efficient for relieving pain, promoting function, increasing knee ROM, and enhancing QOL in subjects with knee OA.