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Article: Neurorehabilitation in time of COVID 19: A perspective from Pakistan.

Babur, Muhammad Naveed / Azim, Muhammad Ehab

JPMA. The Journal of the Pakistan Medical Association

2023 Volume 72, Issue 12, Page(s) 2509–2511

Abstract: A global public health emergency, the coronovirus disease-2019 pandemic has impacted every way of life, including neuro-rehabilitation, worldwide. Issues related to increased service demand in primary care, exhausted or insufficient healthcare facilities ...

Abstract	A global public health emergency, the coronovirus disease-2019 pandemic has impacted every way of life, including neuro-rehabilitation, worldwide. Issues related to increased service demand in primary care, exhausted or insufficient healthcare facilities were significantly high in low and middle-income countries, like Pakistan, with already a struggling health infrastructure. This required major change in health service delivery and impacted rehabilitation care of vulnerable patients with neurological conditions and impairments. For the current review, relevant key words and their combinations were used for literature search, including 'COVID 19', 'SARS-CoV-2', 'Corona Virus', 'rehabilitation', 'physical rehabilitation', 'pandemic', 'NCOC', 'lockdown', 'health services', 'physical therapy', 'disability', 'access', 'tele-rehabilitation', 'research', 'human resource', 'healthcare', etc. The platforms searched were Google search, Google Scholar and PubMed. The idea was to highlight how the pandemic impacted neuro-rehabilitation care in countries like Pakistan throughout the pandemic duration and during the lockdowns.
MeSH term(s)	Humans ; COVID-19 ; Pakistan ; Communicable Disease Control ; SARS-CoV-2 ; Neurological Rehabilitation
Language	English
Publishing date	2023-05-25
Publishing country	Pakistan
Document type	Review ; Journal Article
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
DOI	10.47391/JPMA.6225
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Article: Effects of high-intensity multi-modal exercise training (HIT-MMEX) on bone mineral density and muscle performance in postmenopausal women. A Pilot randomized controlled trial.

Riaz, Huma / Babur, Muhammad Naveed / Farooq, Ahsen

JPMA. The Journal of the Pakistan Medical Association

2023 Volume 72, Issue 10, Page(s) 1904–1908

Abstract: Objectives: To determine the effects of high-intensity multimodal exercise training on bone mineral density and muscle performance in postmenopausal women.: Methods: The two-armed, parallel, pilot randomised controlled trial was conducted from ... ...

Abstract	Objectives: To determine the effects of high-intensity multimodal exercise training on bone mineral density and muscle performance in postmenopausal women. Methods: The two-armed, parallel, pilot randomised controlled trial was conducted from November 2020 to July 2021 at Riphah Rehabilitation Centre, Rawalpindi, Pakistan, and comprised women aged 45-70 having been in the post-menopause phase for at least 3 years, with body mass index <30, community ambulant and willing to have exercise therapy. The subjects were randomised into two equal groups. The experimental group A received supervised high-intensity resistance, weight-bearing, balance and mobility training twice weekly for 8 months. The control group B received low-to-moderate intensity exercises. Femoral neck and lumbar spine bone mineral density (g/cm2) were taken through a dual-energy X-ray absorptiometry scan. Muscle performance was measured using 1 repetition maximum for leg and trunk extensors, and 30 sec sit to stand test. Data was analysed using SPSS 21. Results: Of the 101 women screened, 28(27.7%) were enrolled; 14(50%) in group A having mean age 53.36±6.28 years, and 14(50%) in group B having mean age 51.71±4.82 years (p>0.05). Group A showed significantly more improvement than group B both with respect to lumbar spine bone mineral density and muscle performance (p<0.05). Conclusions: Supervised high-intensity multimodal exercise training protocol had a positive effect on lumbar spine bone mineral density and muscle performance in postmenopausal women. Clinical trial number: NCT04653350, Link https://clinicaltrials.gov/ct2/show/NCT04653350.
MeSH term(s)	Female ; Humans ; Middle Aged ; Bone Density/physiology ; Postmenopause ; Osteoporosis, Postmenopausal/prevention & control ; Pilot Projects ; Exercise ; Muscles
Language	English
Publishing date	2023-01-20
Publishing country	Pakistan
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
DOI	10.47391/JPMA.5394
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Article: Response on Huma Riaz, et al. (J Pak Med Assoc. 72: 1904-1908, 2022) Effects of high-intensity multi-modal exercise training (HIT-MMEX) on bone mineral density and muscle performance in postmenopausal women. A Pilot randomized controlled trial.

Riaz, Huma / Babur, Muhammad Naveed / Farooq, Ahsen

JPMA. The Journal of the Pakistan Medical Association

2023 Volume 73, Issue 5, Page(s) 1155

MeSH term(s)	Female ; Humans ; Bone Density/physiology ; Postmenopause ; Pilot Projects ; Exercise ; Muscles
Language	English
Publishing date	2023-05-12
Publishing country	Pakistan
Document type	Randomized Controlled Trial ; Letter ; Comment
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
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Article ; Online: Hearing impairment and its impact on children and parents in Pakistan.

Mumtaz, Nazia / Saqulain, Ghulam / Babur, Muhammad Naveed

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

2023 Volume 29, Issue 1, Page(s) 33–39

Abstract: Background: Hearing impairment and its consequences in children are often worsened by late identification in Pakistan. Deep-rooted cultural beliefs make some parents reluctant to seek clinical treatment, making adaptable solutions that traverse levels ... ...

Abstract	Background: Hearing impairment and its consequences in children are often worsened by late identification in Pakistan. Deep-rooted cultural beliefs make some parents reluctant to seek clinical treatment, making adaptable solutions that traverse levels of socio-ecological model necessary. Aims: To determine the impact of hearing impairment on children's participation in social activities, and the financial burden on their parents. Methods: This cross-sectional study included 377 parents of children with hearing impairment. The sample was recruited from special education schools and hospitals in Islamabad and Lahore, Pakistan, from November 2015 to April 2016. A 15-item structured questionnaire was used for data collection. SPSS version 21 was used for statistical analysis. Results: Among children with hearing impairment, 47.5% faced moderate challenges in joining social activities, and 26.0% faced severe challenges. There was a significant positive correlation between the severity of hearing impairment, the person who suspected hearing impairment, age of detection of hearing impairment, and time of referral. Children with hearing impairment caused moderate financial strain on 39.0% of parents and mild strain on 26.8%. Conclusion: Hearing impairment can significantly impact children's participation in social activities and cause financial burdens on their parents.
MeSH term(s)	Humans ; Child ; Pakistan/epidemiology ; Cross-Sectional Studies ; Parents ; Hearing Loss/epidemiology ; Surveys and Questionnaires
Language	English
Publishing date	2023-01-19
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	1291071-5
ISSN	1687-1634 ; 1020-3397
ISSN (online)	1687-1634
ISSN	1020-3397
DOI	10.26719/emhj.23.012
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Article: Fall risk screening and balance rehabilitation in elderly: a missing healthcare intervention in Pakistani healthcare system.

Azim, Muhammad Ehab / Asghar, Ejaz / Babur, Muhammad Naveed / Rathore, Farooq Azam

JPMA. The Journal of the Pakistan Medical Association

2023 Volume 73, Issue 3, Page(s) 715–717

Abstract: Elderly are one of the fastest-growing population globally and require significant healthcare services due to age-related deterioration in physiological systems. Poor postural control due to aging results in impaired balance leading to increase in ... ...

Abstract	Elderly are one of the fastest-growing population globally and require significant healthcare services due to age-related deterioration in physiological systems. Poor postural control due to aging results in impaired balance leading to increase in frequency of falls, poor quality of life, and rise in disability and mortality rates. In Pakistan, due to lack of awareness, and resources, fall prevention and screening programmes for the elderly are lacking. Regular fall risk screening utilizing balance assessment tools, integration of fall prevention programmes and balance rehabilitation approach as part of elderly healthcare services can serve as tools to lower the incidence of falls in the elderly population of Pakistan. Moreover, integration of latest technology as part of balance rehabilitation can also be considered. The review aims to highlight appropriate strategies for fall risk screening and balance rehabilitation in an effort to promote an important healthcare intervention for elderly in Pakistan.
MeSH term(s)	Humans ; Aged ; Pakistan ; Quality of Life ; Aging ; Risk Assessment ; Delivery of Health Care ; Accidental Falls/prevention & control ; Postural Balance/physiology
Language	English
Publishing date	2023-03-18
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
DOI	10.47391/JPMA.23-23
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Article ; Online: The Obesity Epidemic: Call for Physical Activity and Exercise.

Khalid, Zara / Babur, Muhammad Naveed / Siddiqi, Furqan Ahmed

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2022 Volume 32, Issue 4, Page(s) 556

Abstract: Null. ...

Abstract	Null.
MeSH term(s)	Exercise ; Humans ; Obesity/epidemiology
Language	English
Publishing date	2022-03-21
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2022.04.556
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Article: Walking related performance fatigability in persons with knee osteoarthritis; an important yet neglected outcome.

Osama, Muhammad / Babur, Muhammad Naveed / Siddiqi, Furqan Ahmed

JPMA. The Journal of the Pakistan Medical Association

2021 Volume 71, Issue 5, Page(s) 1513–1514

MeSH term(s)	Fatigue/etiology ; Humans ; Osteoarthritis, Knee ; Walking
Language	English
Publishing date	2021-06-06
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
DOI	10.47391/JPMA.1166
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Article: The effects of traditional massage on spasticity of children with cerebral palsy: a randomized controlled trial.

Mahmood, Qamar / Habibullah, Shaista / Babur, Muhammad Naveed

JPMA. The Journal of the Pakistan Medical Association

2020 Volume 70, Issue 5, Page(s) 809–814

Abstract: Objective: To examine the effects of traditional massage on spasticity of children with cerebral palsy.: Methods: The randomised control trial was conducted at the National Institute of Rehabilitation Medicine, Islamabad, Pakistan, from September ... ...

Abstract	Objective: To examine the effects of traditional massage on spasticity of children with cerebral palsy. Methods: The randomised control trial was conducted at the National Institute of Rehabilitation Medicine, Islamabad, Pakistan, from September 2016 to August 2018, and comprised children with spastic cerebral palsy aged 2-10 years who were randomly allocated to control and intervention groups. Both the groups received routine physical therapy once daily, five times a week for three months. The intervention group additionally received traditional massage. Spasticity was evaluated using the Modified Ashworth Scale at baseline, and after 6th and 12th weeks of intervention. Data analysed using SPSS 20.. Results: Of the 86 subjects enrolled, 75(87.2%) completed the study; 37(49.3%) in the control group with a mean age of 6.81±2.31 years, and 38(50.6%) in the intervention group with a mean age of 7.05±2.47 years. There were 25(68%) boys among the controls and 22(58%) in the intervention group. There was no statistically significant difference in baseline scores between the groups (p>0.05). At 6th week, reduction in scores was statistically significant in the right upper limb (p<0.05), and in the right lower limb (p<0.05) after the 12th week. Conclusions: Traditional massage was found to have significant effect on the right side compared to the routine physical therapy for reduction of spasticity in children with cerebral palsy.
MeSH term(s)	Cerebral Palsy/physiopathology ; Cerebral Palsy/therapy ; Child ; Disability Evaluation ; Female ; Functional Laterality/physiology ; Humans ; Male ; Massage/methods ; Muscle Spasticity/physiopathology ; Muscle Spasticity/therapy ; Neurologic Examination/methods ; Physical Therapy Modalities ; Treatment Outcome
Language	English
Publishing date	2020-05-12
Publishing country	Pakistan
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	603873-6
ISSN	0030-9982
ISSN	0030-9982
DOI	10.5455/JPMA.24442
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Article: A Hospital based study on sudden sensorineural Hearing Loss: It's audiological characteristics and prevalence.

Naz, Erum / Saqulain, Ghulam / Mumtaz, Nazia / Babur, Muhammad Naveed

Pakistan journal of medical sciences

2021 Volume 37, Issue 4, Page(s) 1133–1138

Abstract: Objectives: To analyze the prevalence & characteristics of sudden sensorineural hearing loss.: Methods: This cross sectional study including n=377 cases of sensorineural hearing impairment, using non-probability convenience sampling, who fulfilled ... ...

Abstract	Objectives: To analyze the prevalence & characteristics of sudden sensorineural hearing loss. Methods: This cross sectional study including n=377 cases of sensorineural hearing impairment, using non-probability convenience sampling, who fulfilled the selection criteria was conducted from 1 Results: The prevalence rate of sudden sensorineural hearing loss of 14(3.7%) being significantly more common in males 11(78%) than females 3(22%) (p=0.05) & age group 15-35 years (p=0.001). It is commonly of severe or profound degree with downward sloping audiogram (p<0.05), however it is not associated with vertigo (p=0.32), tinnitus (p=0.08) with no side predilection (p=0.27). Conclusion: We conclude that the prevalence of SSNHL is 3.7% being significantly more prevalent in males and those aged15-25 years. It is mostly characterized by severe to profound degree of hearing loss with downward sloping audiogram with no associated vertigo, tinnitus and side predilection.
Language	English
Publishing date	2021-07-09
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2032827-8
ISSN	1681-715X ; 1682-024X ; 1017-4699
ISSN (online)	1681-715X
ISSN	1682-024X ; 1017-4699
DOI	10.12669/pjms.37.4.3851
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Article: Interprofessioal collaboration among Speech Language Pathologists and Nurses in Acute Care in Pakistan.

Ch, Fariha Ambreen / Babur, Muhammad Naveed / Rashid, Sajid / Liaqat, Maria

Pakistan journal of medical sciences

2021 Volume 37, Issue 2, Page(s) 489–493

Abstract: Objective: To find out inter-professional collaboration among speech-language pathologists and nurses in acute care in Pakistan.: Methods: This was a cross sectional study which was conducted in all government and private hospitals of Islamabad and ... ...

Abstract	Objective: To find out inter-professional collaboration among speech-language pathologists and nurses in acute care in Pakistan. Methods: This was a cross sectional study which was conducted in all government and private hospitals of Islamabad and Rawalpindi having facility of ICUs after taking consent from authorities. The duration of study was six months from October 2018 to February 2019. A total number of 350 participants (200 nurses, 150 speech language pathologists) working in ICU of different private and government hospitals of Pakistan were included in the study. Standardized questionnaire of ": assessment of inter-professioal collaboration scale": (AITCS) was circulated to nurses and speech language pathologists (SLPS) working in ICU with its subscale's partnership, coordination, cooperation and shared decision making on a 5-point likert scale. Data was analyzed using SPSS version 21.Measure of mean was obtained by independent sample t-test. P- Value less than 0.05 was considered as significant. Results: Statistical analysis showed measures of mean differences obtained by t-test revealed significant differences at p<0.001 level between partnership scores of SLPS and nurses. This reveals good partnership between two disciplines. Measures of mean differences obtained by t-test revealed significant differences at p<0.001 level between partnership scores of SLPS and nurses. Both do not value each other in cooperation. Measures of mean differences obtained by t-test showed significant differences at p<0.001 level amongst coordination scores of SLPS and nurses. Both have good coordination. Measures of mean differences obtained by t-test revealed significant differences at p<0.001 level amongst shared decision-making scores of SLPS and nurses. Both are involved in shared decision making. Conclusion: Results show significant difference in partnership, coordination, and shared decision making. There is no significant difference in cooperation.
Language	English
Publishing date	2021-02-19
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2032827-8
ISSN	1681-715X ; 1682-024X ; 1017-4699
ISSN (online)	1681-715X
ISSN	1682-024X ; 1017-4699
DOI	10.12669/pjms.37.2.3545
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