Syed Amir Gilani

Green International University

Objective: This study aimed to investigate the added effect of jaw clenching on the efficacy of lumbar stabilization exercises to manage chronic non-specific low back pain. Methods: This randomized controlled trial was conducted at the Sindh Institute of Physical Medicine and Rehabilitation (SIPM&R) Karachi from April 2021 to April 2023. Eighty pat...

Background Doppler ultrasonography is typically used to diagnose as a non-invasive imaging technique for the evaluation of varicocele. The Valsalva maneuver and standing position cause reflux of blood through incompetent venous valves, aiding in identifying the varicocele. Varicocele also compromises blood return and leads to an increase in intrate...

Objective: During pregnancy, sonographic measurements of subcutaneous adipose tissue may be a reliable diagnostic predictor of gestational diabetes mellitus (GDM) and fetal metabolism. A sonographic view of the fetal abdominal circumference can be used to measure the fetal anterior abdominal wall thickness (AAWT), which is straightforward and si...

Objective: To assess the correlation between fetal umbilical artery (UA) and middle cerebral artery (MCA) Doppler indices in a cohort of preeclamptic and normotensive pregnancies. Materials and Methods: This cross-sectional analytical study recruited 70 pregnant women (28–40 weeks of gestation) using a non-probability convenient technique. The st...

Background: Translation and validation of important scales in other languages reduce bias in reporting the functional status of the patient. Objective: To translate the Back Pain Functional Scale into Urdu (BPFSu), adapt it for use in other cultures, and evaluate its psychometric properties. Method: According to Beaton guidelines, translation...

Perceptions of Nursing students about learning environment

Objective:To determine the association between pain and level of disability in participants with degenerative supraspinatus tendinopathy.Study Design:Cross-sectional studyPlace and Duration of Study:Outpatient Departments of Jinnah Hospital and Lahore General Hospital, Lahore Pakitan,from Jun 2019 to Feb 2020.Methodology:A total of 168 diagnosed pa...

Background: Infertility remains a great social, economic and social problem since long. The specialist and experts of every field contribute their part to either reduce its unfavorable outcomes or cure it. In such situation the experts of ultrasound also put forward their services to find solution for this great problem. With the advent of ultrasou...

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Background: The Dynamic Gait Index (DGI) is a useful tool that has been evaluated for its reliability in patients with vestibular disorders, elderly people and, in chronic stroke population. Present study was aimed to evaluate the intrarater and interrater reliability of the DGI to measure dynamic balance and gait performance in stroke patients wi...

Jumper’s knee is highly prevalent condition in athletes. Very limited evidence is available on clinical effects of tendon dry needling. Therefore, the objective of this study is to compare the effects of ultrasound-guided dry needling (UG-DN) combined with conventional physical therapy and conventional physical therapy alone in patients with jumper...

Background: Upper cross syndrome is a relatively prevalent musculoskeletal disorder among the general population due to increased usage of smart gadgets and poor postural habits. Objective: To determine the immediate and prolonged effect of breathing exercise on pain, functional disability, and quality of life parameters in the population with the...

Introduction Plantar fasciitis (PF) is a common foot problem caused by repetitive microtrauma or excessive overload of fascia. Instrument-assisted soft tissue mobilization (IASTM), stretching, and strengthening exercises are more helpful to reduce the pressure of fascia and improve functional activities of the patients. The objective of the study w...

Ultrasound is a commonly used diagnostic tool in the evaluation of female infertility. It can be used to visualize the ovaries, uterus, and fallopian tubes, and can help to identify structural abnormalities or other issues that may be contributing to infertility. It's important to note that ultrasound is not always able to identify the specific cau...

Objective: To explore the potential of ultrasound imaging to anticipate and monitor future symptoms of patellar or Achilles' tendinopathy. Methods: The systematic review comprised prospective studies that used ultrasound imaging of Achilles' OR patellar tendons in asymptomatic patients at baseline and measurements of pain and/or function at foll...

Objective: To determine awareness and perception of Pakistani population about COVID-19, and to explore the association between the two. Method: The cross-sectional study was carried out among the general population regarding COVID-19, in the 1st week of February, 2020. A 15-item survey instrument was adopted from literature and developed according...

A good psychological health is the base of wellness. Various factors have been identified that can predispose the medical students, nurses, physicians, radiographers, and other health care professionals to depression and anxiety. Objectives: To assess the frequency of anxiety and depression in Medical Imaging Technologists working in public hospita...

Background: In the context of fertility, Doppler sonog-raphy is used to evaluate the blood flow to the uterus and ovaries. The blood flow to these organs plays a crucial role in the process of ovulation, fertilization, and implantation of the fertilized egg. Changes in the Doppler sonographic indices of the uterine and ovar-ian arteries can provide...

Objective: To determine the sonographic relation between adnexal masses and endometrial thickness in infertile females with hormonal imbalances. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Radiology, Gilani Ultrasound Center, Jamiat Hospital & Green Town Clinic, Lahore Pakistan, from Mar 2019 to Jan...

Background: The Action Research Arm Test (ARAT) can provide subjective results due to the difficulty assessing abnormal patterns in stroke patients. Objective: To determine the intra-rater reliability and validity of the Action Reach Arm Test (ARAT) in patients recovering from stroke. Study Design: An intra-rater and inter-rater reliability study....

Objective: The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, cervical range of motion, and disability. Methods: It was a randomized clinical trial; data was collected from Mayo Hospital, Lahore. Eighty-eight patients fulfilling the sample selection criteria...

Background: Jumper’s knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy. Methods: This parallel group, single-blinded randomized controlled trial was carried...

Background: Benign prostatic hyperplasia is a common urological disease affecting older men worldwide, but comprehensive data about the global, regional, and national burden of benign prostatic hyperplasia and its trends over time are scarce. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we estimated global...

Background: Health-care needs change throughout the life course. It is thus crucial to assess whether health systems provide access to quality health care for all ages. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019), we measured the Healthcare Access and Quality (HAQ) Index overall and for select age gr...

Purpose: Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number of population. Previously many studies are conducted to design suitable protocol for management of this disorder, but they lack in quality. The purpose of this study was to compare the effects of neural mobilization and cervical isometrics on health-re...

Background More than 3 billion people do not have access to clean energy and primarily use solid fuels to cook. Use of solid fuels generates household air pollution, which was associated with more than 2 million deaths in 2019. Although local patterns in cooking vary systematically, subnational trends in use of solid fuels have yet to be comprehens...

Introduction This reliability study was designed to assess intra-rater and inter-rater reliability of musculoskeletal ultrasound as a diagnostic modality to measure calcific deposits in subjects with rotator cuff tendinopathy. Methods Overall, 15 participants (10 males, 5 females) with calcified shoulder, aged 32–55 years, were examined in the sam...

Background: Impaired vision is one of the commonest and most disabling consequence following stroke. Among all visual impairments, eye movement disorders are found in 70% of stroke patients which include nystagmus, strabismus, gaze palsies, disconjugate eye movements and cranial nerve palsies. They have a wide ranging impact on balance and activit...

Background: Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods:...

Methodology: We enrolled 30 patients (14 males and 16 females) with chronic neck pain and respiratory dysfunction fulfilling inclusion criteria. Two trials of CAROM measurement for flexion, extension, left and right lateral flexion and left and right rotation were performed, with a gap of one week to measure test retest reliability of CROM device....

Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10-24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and...

Objective: To evaluate the reliability of ultrasound for the detection of rheumatoid arthritis (RA). Study Design: Systematic Review. Setting: The University of Lahore. Period: 2001 to 2021. Material & Methods: A systematic exploration of the literature was achieved by collecting articles related to our topic. Articles reporting the reliability res...

Background: End stage chronic liver disease results in the growth of fibrous tissue, the disruption of hepatic architecture, and the formation of nodules, which interfere with liver function and contribute to portal hypertension. Esophageal varices might arise when blood flow through liver is impeded, most typically by scar tissue in the liver caus...

Background The upper limb functional index is broadly used outcome measure for musculoskeletal disorders of the upper limb. The main objective of the study was to translate and validate the upper limb functional index (ULFI) outcome measure in the Urdu language. Methods Upper limb functional index was translated into Urdu language using Beaton et...

Preocclusive stenosis of the common carotid artery is a rare and potentially life-threatening entity, and the early recognition of associated internal and external carotid artery patency is important for the management plan. The patient in this case report was sent for a thyroid ultrasound for complaints of neck pain, voice change, and dysphagia, a...

Objective: To assess the effect of conjugate reinforcement of leg movements in infants with Spina Bifida. Study Design: Cross-sectional study Place and Duration of Study: University Teaching Hospital, University of Lahore from May 2019-Dec 2019. Material and Methods: The voluntary leg movements of 10 infants with Spina Bifida were videotaped in...

Summary Background Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods Using the Global Burden of Disease, Injuries,...

Objective: To compare the sonographic findings of atherosclerotic changes in carotid arteries of diabetic and non-diabetic individuals. Material & Methods: A cross-sectional study of 62 diabetic and non-diabetic individuals was conducted from 11 November 2021 to 20 March 2022 at the Radiology Department of District Head Quarter Hospital, Faisalabad...

Background: Stroke is a leading cause of disability. It is difficult to devise an optimal rehabilitation plan once stroke survivors are back home. Conventional rehabilitative therapies are extensively used in patients with stroke to recover motor functioning and disability, but these are arduous and expensive. Virtual reality (VR) video games inspi...

Introduction: Low-level laser is a pain-free and non-invasive treatment modality. It is used in many acute and chronic painful conditions. This study aimed to determine the correlation between pain intensity, functional disability, and range of motion using low-level laser therapy (LLLT) in patients with discogenic lumbar radiculopathy. Methods: Th...

Background: Laser is a pain-free and non-invasive treatment modality. It is used in many acute and chronic painful conditions. In recent times, the use of low intensity laser for physical therapy has been shown to significantly reduce pain with a variety of causes. Objectives: To determine the correlation among pain intensity, functional disabili...

Background Shoulder impingement syndrome is the painful entrapment of the soft tissues between the acromion and the humeral head. The severity of shoulder impingement could be graded according to the limitation of shoulder joint moment. The reliability of sonographic findings in the grading of shoulder impingement severity grading is required to be...

Background: Shoulder impingement syndrome is one of the main causes of shoulder disability of working‑class individuals. Currently, dynamic sonography of the shoulder is the modality of choice for the evaluation of shoulder impingement syndrome. The ratio of subacromial contents (SAC) and subacromial space (SAS) in neutral arm position could be use...

Objectives: To determine the inter-rater and intra-rater reliability of the hand-held dynamometer in measuring isometric gluteus medius muscle strength in asymptomatic healthy population. Methods: It was a cross sectional study conducted at the department of physiotherapy, Sindh Institute of Physical Medicine and Rehabilitation from March 2021 t...

Introduction The process of learning begins in childhood and accurate vision can greatly affects a child's learning capacity. It is documented that visual impairment in children can have a significant impact on their performance at school as well as their social interaction and development. Objective This research aimed to study the impact of refr...

Background: Pulmonary physicians often face the dilemma of treating slow resolution pneumonia in-spite of using empirical antibiotics. Slow resolution pneumonia can be due to resistant strains, unusual and highly virulent organisms, inadequate antibiotic therapy, impaired host defenses, and co-morbidities. Objective: This study was conducted to ide...

Background and aims Although Rand Short Form 36-item (SF-36) questionnaire is a frequently used tool for evaluating patient's quality of life in both clinical and research settings, but its translation into Urdu language and its psychometric properties has still not been tested before, in accordance to the pre-established guidelines. This study aim...

Background Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder, impairing balance and motor function. Virtual reality (VR) and motor imagery (MI) are emerging techniques for rehabilitating people with PD. VR and MI combination have not been studied in PD patients. This study was conducted to investigate the combined eff...

The frequency of caesarean sections has been gradually increasing in the past several decades. The usage of transperineal ultrasound (TPU) has been increasing. Many studies have demonstrated that TPU can provide valuable information for the clinician. Objective: To assess the role of transperineal ultrasound in fetal head engagement as indication o...

Hepatitis C virus (HCV) is a leading cause of liver disease in the world. Ultrasound is considered to be the first choice to diagnose hepatomegaly and caudate lobe enlargement in HCV patients by measuring the liver and Caudate lobe size Objective: To assess the sonographic correlation of caudate lobe size with liver size among hepatitis C virus pat...

Novel Corona virus-2019 (SARS-CoV-2) has been spreading in continents around the globe and effective treatment has yet not been developed against this novel infection. The victims of COVID-19 tend to develop abnormal neuroimaging features on brain-CT and MRI Imaging. Objective: To assess the incidences of abnormal neuroimaging features in the suffe...

Aim: To assess the main radiological feature of chest radiography for diagnosis and evaluation of COVID-19 patients. Methodology: A literature search was performed with the use of search engines. The following search engines provided us articles for this systematic review from until 27 February 2021: PubMed, NCBI, Medline, Medscape, and Google Scho...

Background: People with chronic neck pain show decreased endurance and strength of cervical muscles with compromised respiratory function. There is little evidence that improvement in breathing function of people with neck pain can help in enhancing cervical muscle strength and pulmonary function. The objective of this our clinical trial was to exa...

Congenital muscular torticollis is a problem that arises at birth or immediately after birth in which the sternocleidomastoid muscle is shortened on the afflicted side, leading to an ipsilateral rotated of the head and a contralateral rotated of the face and jaw. To determine the effectiveness of physical therapy treatment in infants treated for co...

Objective: To determine the intra-rater reliability of modified-modified Schober's test for measuring lumbar flexion and extension in patients of lumbar radiculopathy. Methods: The case-control reliability study was conducted at the University of Lahore Teaching Hospital, Lahore, Pakistan, from March to September 2020, and comprised lumbar radic...

Objectives: To measure additional benefits of neuromobilisation along with conventional treatment in improving the functional status in patients having carpal tunnel syndrome. Methods: The prospective, double-blind randomised controlled trial was conducted from August 2018 to June 2019 at the Physiotherapy outdoor clinic of Mayo Hospital, Lahore...

Ovarian biophysical profile refers to assessment of ovaries to produce a successful conception and implantation environment. The ovarian scoring system for reproduction comprises the following parameters, taken in mid-cycle: ovarian volume, follicular size, and ovarian artery Doppler flow Resistive index and pulsatility index. Objective: To determi...

Shoulder impingement is the painful entrapment of the soft tissues in the shoulder outlet. Currently, dynamic sonography of the shoulder is the modality of choice for the evaluation of shoulder impingement syndrome. However, the current sonographic criteria for the evaluation of shoulder impingement is more subjective (operator dependent). And it i...

Background: Accurate diagnosis of uterine pathologies has become a core part when referring patients for hysterectomy. A variety of modalities can be used for the diagnosis of uterine abnormalities. Aims: To evaluate the accuracy of ultrasound in diagnosing various uterine pathologies and to compare histopathological findings with ultrasonographica...

Length of stay in the Intensive care units is special as an outcome. The adverse outcome is defined as the length of stay ≥ 5 days that is 120 hours and the normal length of stay was defined as < 5 days. Standardized guideline developed for nurses practice to reduce the length of stay in cardiac patients durnning the of intra-aortic balloon pump su...

Background Lumbar radiculopathy is an extensively common complaint reported by patients of low back pain (LBP), resulting in several impairments. A comparatively novel technique, non-surgical spinal decompression (NSD), is introduced, which uses a sensitive computerized feedback mechanism and decompresses the spinal nerve roots through segmental di...

Objective: The current trial was designed to evaluate the effects of high-energy shockwave therapy on objective and subjective outcomes among participants with calcified rotator cuff tendinopathy. Methods: This parallel-group, randomized trial consists of 42 patients affected by calcific tendinopathies divided into two groups of 21 participants....

Importance: The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden. Objective: To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic...

Objectives: To determine the inter-rater reliability of pressure biofeedback unit among individuals with and without chronic low back pain. Methods: This cross-sectional survey was conducted from February 2021 to March 2021 at the Physiotherapy Department of the Sindh Institute of Physical Medicine and Rehabilitation. Sixteen subjects which were...

Objective: Comparison of Placental Elasticity and different spectral Doppler indices in normal and intrauterine growth restricted fetuses to establish efficacy of shear wave elastography in early detection of Intrauterine Growth Restricted (IUGR). Design: Cross sectional comparative. 290 pregnant women previously diagnosed by ultrasound as normal a...

Purpose: To determine the effectiveness of low-level laser therapy (LLLT) in patients with discogenic lumbar radiculopathy and correlation among pain intensity, functional disability, and lumbar range of motion (LROM). Study Design/Setting. A double-blind RCT was conducted at physical therapy departments of different hospitals of Islamabad, Pakist...

The purpose of this article is to review the literature and outlining the role of abdominal and chest ultrasonography in the diagnosis and as a predictor of severity of dengue fever. Methods: Standard medical electronic databases were searched and relevant articles were used to present the conclusive outcomes. Results: Eighteen studies on 2601 pati...

The increasing occurrence of maternal hydronephrosis is causing concern across the world. Hydronephrosis during pregnancy is graded by using sonographic techniques. Objective: On ultrasonography, determine the consistency of maternal hydronephrosis during the second and third trimesters of pregnancy. Methods: A descriptive study was done at the Gil...

A 60-year-old man and a 63-year-old woman, diagnosed with Parkinson's disease received virtual reality (VR) and motor imagery (MI) with routine physical therapy (PT) treatment to improve balance, motor function and activities of daily living for a total of 60 minutes each session, three visits per week for 12 weeks and follow-up on week 16. This ca...

The present study evaluated the effectiveness of breathing re-education with routine physical therapy. This mixed method study was conducted at the District Headquarter Hospital Faisalabad, Faisalabad from April 2020 to July 2020. Fourteen participants (6men and 8 women) with chronic neck pain were recruited over a 16-week period and were equally d...

Purpose: To measure the intra-rater and inter-rater reliability of active lumbar extension and flexion movements using dual inclinometer with two different landmarking techniques. Method: The reliability study was conducted at the Physical Therapy Department of the University Teaching Hospital, The University of Lahore, Pakistan, in January 2020,...

Introduction: Heart failure is one of the most common cardiovascular diseases which decrease the quality of life. Most of the factors influencing the quality of life can be modified with educational interventions. Therefore, this study examined the impact of educational program on quality of life of congestive heart failure patients. Aims: The aim...

Objectives: To compare the effects of Virtual Reality exercises and routine physical therapy on pain and functional disability in patients with chronic low-back pain. Methods: The single-blind randomised controlled trial was conducted from April to October 2020 at the Physiotherapy Department of the Government Services Hospital, Lahore, Pakistan...

Objective: To determine the prevalence of Restless Leg Syndrome (RLS) and its impact on quality of life of medical students. Methodology: This cross-sectional study included 142 medical students of University of Lahore with 19-29 years of age. We used convenient sampling method and standardized Questionnaire of Restless Leg Syndrome. Data were anal...

Background Low Intensity Pulsed Ultrasound (LIPUS) is beneficial in accelerating fracture recovery, enhancing their capacity to execute tasks of daily life and, as a result, their autonomy. Objective To compare the outcomes of routine physical therapy and routine physical therapy along with LIPUS in patients with early-stage lumbar spondylolysis....

Background: The ultrasound examination of uterine anomalies has become an important aspect of the infertility evaluation. For the diagnosis of uterine anomalies, a range of methods might be used. The reader will learn about the arcuate uterus, septate uterus, bicornuate uterus, didelphic uterus, uterus duplex, and unicornuate uterus through these c...

Background: Given the projected trends in population ageing and population growth, the number of people with dementia is expected to increase. In addition, strong evidence has emerged supporting the importance of potentially modifiable risk factors for dementia. Characterising the distribution and magnitude of anticipated growth is crucial for publ...

Objective: To compare the efficiency of contrast enhanced CT-SCAN and Gallium 68-DOTA PET CT for the detection of neuroendocrine lesions. Study Design: Cross Sectional and Analytical study. Setting: INMOL (Institute of Nuclear Medicine and Oncology Lahore). Period: February 2020 to December 2020. Material & Methods: Total of 70 patients between 18-...

To compare the effect of different concentrations of jamun and amla on blood Glycemic Index of diabetes mellitus. Methodology:A total25 male Wister rats aged 10-12 weeks, weight above 150g were selected for the 2 months study. Male rats were purchased from IMBB research laboratory, The University of Lahore (UOL). During the efficacy study, streptoz...

Aim: To explore and analyse contextual challenges in nursing that have affected nurses' perceptions and role performance. Background: Health system hierarchy and patient/family-centred care has led to a high demand for skilled nurses. However, patriarchal organizations create challenges for nursing clinicians in Pakistan and elsewhere. Methods:...

Objective: To translate and validate the Urdu version of stroke impact scale-16 for Pakistani society. Method: The prospective cohort study was conducted from February 2018 to February 2020 after approval from the ethics review board of The University of Lahore, Lahore, Pakistan, and copmprised patients with mild to moderate strokewho were recruit...

Objective: To explore the current scientific evidence on the effects of task-oriented rehabilitation programme of upper extremity post-stroke. Methods: The systematic review comprised studies from 2012 to August 2020 which were both Hand-searched and explored on Cochrane, PubMed, PEDro and MEDLINE databases with authentic search techniques using...

Objective: To determine the effectiveness of digital health technologies in the management of chronic pain. Methods: The systematic review comprised search for randomised controlled trials and controlled clinical trials involving patients with chronic pain published between 2010 and 2020. The search was conducted on PubMed, Google Scholar, MEDLI...

Background Sanguinarine–a benzophenanthridine alkaloid extracted from Sanguinaria canadensis has been found to show inhibitory role on proapoptotic and growth inhibitory activities in various tumor cells of experimental subjects. Objective This review highlights and summarizes the effects of sanguinarine against cancers alongside the possible mech...

Background: Most common cancer in women that is 32 % of all newly diagnosed cancers is breast cancer. Breast cancer develops when cells of your breast multiply and divide uncontrollably, resulting in a lump of tissue known as a tumor. Screening type of mammography has played a key role in reducing breast cancer mortality. Aim: To evaluate role of t...

Diabetic and hypertensive patients are at increased risk of vascular complications. Carotid Doppler ultrasonography serves as a non-invasive gold standard technique/tool to access and monitor carotids hemodynamics and morphology. There is a need to predict difference in carotid artery hemodynamics among hypertensive and diabetic patients.Aim: Aim o...