Journal of Physiotherapy & Physical Rehabilitation

Objective: The aim of this study is to assess the importance of night pain for the effectiveness of therapeutic ultrasound in treating Subacromial Impingement Syndrome (SIS).
Methods: In this double-blind, placebo controlled study, patients with SIS accompanying with night pain were evaluated. The cases were divided as A and B groups randomly. Group A, received standard conservative treatment and additional ultrasound or placebo ultrasound randomly while having night pain. On the other hand, group B, received cold application and same standard conservative treatment. When the night pain subsided, ultrasound or placebo ultrasound was given randomly. The cases were evaluated with visual analogue scale, shoulder disability index and Constant Murley functional assessment scale during follow ups.
Results: In group A, statistically meaningful improvement in resting, movement and night pain, disability and functionality were detected. However there were no statistically important differences between cases receiving ultrasound or placebo ultrasound. There were statistically important improvement in resting and movement pain, disability and fuctionality of group B cases. But with ceasing the cold application and starting either of ultrasound or placebo ultrasound, some increase in night pain was seen. There were no statistically important difference between ultrasound and placebo ultrasound.
Conclusion: Adding ultrasound to the standard conservative treatments in SIS patients with or without night pain makes no additional benefit.

Every profession has to face a lot of challenges to flourish and maintain its dignity. Physiotherapy is one of them that have got strong roots throughout the world but still facing some challenges. Physiotherapy was recognized as a profession first time in a documented form in 1884 when four nurses established the society of trained masseuses in England which recognized later as a charted society of physiotherapy. In USA 30 states have direct access of patients to therapist and 48 still required referral by other health professionals. In Pakistan most of the patients are referred by other medical health professionals. Many doctors, physicians, and surgeons do not make referral at time and many patients that can be best managed by a physiotherapist are managed by doctors, physicians, and surgeons themselves. Autonomy in physical therapy will not reduce the medical dominance, but will benefit to patients and maintain professional dignity.

Background: Soccer is a sport with international reach and presence. Injury rates in this sport are high, and these have a high economic impact on soccer clubs.
Objectives: To report the incidence, type and circumstances of injuries sustained by professional soccer players in Spain across three playing categories: first division, second division, second division B.
Study design: A prospective, descriptive, epidemiological cohort study.
Participants: The inclusion criteria consisted of all male players with an existing contract within the first team. Players with old injuries were not excluded and neither were those who were injured when data collection began. The number of players in the sample included 100 professional soccer players.
Methods: This prospective, observational study examined time-lost injuries occurring during 2016/2017 season among 100 male players from 4 soccer clubs based on a comprehensive data recording form.
Main Outcome Measurements: Date and mechanisms of injury, body area injured, diagnosis, severity, and time-off (days) for each player were collected.
Results: 142 injuries were recorded. The injury incidence rate was 2.58 injuries per 1000 hours exposure. The number of injuries decreased the higher the professional category, thus a statistically significant difference was found with a greater number on injuries in the second division B players (3.03) compared to first division (2.27) and second division (1.92). Direct player-to-player contact was responsible for 66.9% of injuries. The majority (80.98%) of injuries occurred in the lower limb, of which the thigh was the most injured area (40%) followed by the knee (19.13%). Muscle injuries were the most frequent form of injury (52.10%), of which the hamstrings were the most affected muscle.
Conclusion: These findings help identify the most common injury patterns. This data may be used to improve current injury prevention programs.