ROLE OF KINESIOPHOBIA ON PAIN, DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW

Background and Aim: The majority of people suffered with low back pain (LBP) at least once during their lifetime. As such, LBP is a highly prevalent and costly condition. People respond inappropriately as a result of current or possible risks and establish defensive habits (for example, hyper-vigilance) that aim at avoiding new injuries. A continued reconciling of studies which provide various answers for the same issue will be necessary for treatment decisions. This study is performed to conclude the function of Kinesiophobia and check it on   Pain, Disability and Quality of Life in Patients that are suffering from Chronic Low Back Pain: A Systematic Review. Methodology: A Systematic Review has been conducted. Secondary data collected from Electronic database including PubMed, Medline and Cochrain Library from inception to 2010. Total 554 Article found out of which 10 articles included in the study after excluding the duplicate article, Quality screening through Pedro Scale, and article don’t fulfilling the inclusion criteria of the study. Review completed within 9 months after approval of synopsis. Results: According to this Review total Sample size was 554 with mean Sample size 130±90, mean Age 46±5 years, Mean of Pain Intensity (VAS 0-10) 6.12±1.5, mean Pain Duration 30±14, mean Kinesiophobia Measures (Tampa Scale of Kinesiophobia 0-68) 37±6.5, mean Disability (Oswestry Disability Index 0-100%) 56±27, mean Quality of Life (SF 36 0-100) 39.17±15.197.  Conclusion: TSK scores showed a statistically significant correlation with Pain, Disability, education level, and SF-36 QOL. As the education level decreases, kinesiophobia scores increase and as kinesiophobia scores increase, Level of disability increases and the quality of life decreases. Patients with kinesiophobia presented greater pain intensity, a greater fear of movement and of performing physical activities and it was also associated with worse quality of life.

پاکستان میں اردو زبان کی تدریس کے مسائل و مباحث

Language is a means of communication. Language is the recognition of a nation and the custodian of the culture in a society. Among the various languages of Pakistan, Urdu enjoys a unique status as national language. It is not only a lingua franca but also a means of unifying the whole nation as well. Urdu is taught as a compulsory subject up to higher secondary level. Teaching of Urdu language has been a very chronicle problem since long. A general outcome shows that Urdu is taken for granted as an easier subject, so no extra measures and arrangements are made in its teaching. There was a dire need to review this problem in order to find out the remedial measures. This research is an effort to find a clue for the said purpose. The research study includes both pedagogical and linguistic aspects keeping in view the ground realities. The first chapter deals with a comprehensive introduction and teaching importance of Urdu language whereas the second chapter relates to the pedagogical concepts associated with its teaching. Third chapter deals with the skills covering listening, speaking, reading and writing problems faced by the learners residing in all the areas of this country. Fourth chapter follows the art of written mode, punctuation, annotation and pronunciation problems. Fifth chapter deals with teaching of prose, poetry, grammar and composition. An overall summary and analysis has been given in the last chapter. Besides this, it includes conclusions and recommendations for the improvement of existing situation and further research. I hope this research may prove a useful addition in the realm of teaching Urdu as a language.