EFFECTS OF PHYSICAL THERAPY-BASED MANAGEMENT APPROACHES FOR TENSION TYPE HEADACHE

Background of the Study: Multiple Physical Therapy approaches have recently been developed and reported in the literature for providing better results in the treatment regimens of tension-type headaches. The advancement in the field of Physical therapy towards the treatment approaches of tension-type headaches has become the driving force for writing this article. Methodology: Studies comparing the effects of physical therapy management with conventional treatment approaches are included in the meta-analysis. PRISMA guidelines were used for performing the qualitative analysis and assessment of risk of biases. Results: According to the findings of nine randomized controlled trials, the analysis of the results had revealed that physical therapy intervention demonstrated a significant improvement in reducing headache severity. In a random effect model, the pool effects of physical therapy strategies in terms of Standardized Mean Difference had an impact of 1.41, which according to a Cohen rule of thumb displays a larger effect of physical therapy management in significant decrease in pain intensity among tension-type headache patients Conclusion: The study has concluded that physical therapy-based management strategies as provided in several RCTs analyzed in this review article revealed a pool effect of moderate size in managing the frequency of pain and a larger effect size in managing pain intensity and duration. Further, it was concluded that tension-type headaches can be effectively managed through physical therapy-based approaches.

An investigation into the causes of low elasticity and buoyancy of major taxes in Pakistan: a historical perspectives

As Pakistan has high revenue expenditure gap and one of the lowest taxes to GDP ratio, the government is unable to finance its expenditure and is dependent upon borrowing which resulted in huge debt. This study is focusing on analyzing the structural changes in the economic structure that have weakened the tax structure (both elasticity and Buoyancy) in economic history. Tax elasticity is a measure designed for measuring the response of tax revenues to changes in output after controlling for exogenous shocks including the discretionary changes. Whereas the tax buoyancy measures the response of tax revenues mobilization to growth in national output. A tax is considered to be buoyant if the growth in tax revenues rises more in proportion to the increase in national output. The overview of Pakistan's tax system of over the period till 2004 reflects a very grim picture. The tax elasticity of the total tax revenue had been recorded less than unity, both with respect to the total GDP and the non-agricultural GDP. Moreover, it has also been observed that in the case of buoyancy the coefficients were low, reflecting that the tax changes did not lead to significant revenue changes. Various methodologies had been adopted overtime for estimation of elasticity and buoyancy coefficients. To tackle the issues of a unit root in time series data under consideration, the Autoregressive Distributive Lag Model has been used. The estimates of elasticity and buoyancy obtained for all major taxes in Pakistan has been less than unity depicting that the changes in income have not been reflected in the tax collection