Syed Amir Gilani

Green International University

Objective The aim of this study was to determine if the fetal cerebellum can be used as a predictor of gestational age (GA), in comparison with other biometric parameters, such as fetal head circumference (HC), biparietal diameter (BPD), abdominal circumference (AC), and femur length (FL). Materials and Methods A grayscale sonographic examination...

Background: Pain in the sacroiliac joint is the most prevalent and often overlooked. The sacroiliac joints are thought to be sources of pain in roughly 10% to 25% of patients with chronic lower back pain. Due to the biomechanical nature of the joint, muscle imbalance is the most important cause of sacroiliac joint dysfunction. The hamstring and glu...

Objective: Given the sophistication of ultrasonography, it is possible to explore and better comprehend the link between gestational age (GA), fetal weight (FW), and the diameter of the umbilical vein (UV). Therefore, the aim of this study was to determine whether a correlation exists between the Doppler indices, within the UV, compared with GA and...

Previous research suggested that physiological changes occurring during pregnancy, such as fluid retention and hormonal fluctuations, might influence the dimensions of peripheral nerves. Understanding these potential differences is important for accurately interpreting sonographic findings and diagnosing conditions related to median nerve compressi...

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...

Objective: To determine whether COVID-19 causes an increase in spleen dimensions in individuals with a recent history of COVID-19 infection. Methods: This case-control study was conducted at the Radiology Department of the University of Lahore Teaching Hospital and Sehat Medical Complex, both in Lahore. The study sample comprised 384 individuals, s...

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

Background: Low back pain is a common health problem globally. Based on the duration of pain, it is classified as acute, subacute, or chronic low back pain. Different treatment strategies are available to reduce chronic low back pain. Virtual reality (VR) is a novel approach in back pain rehabilitation.

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 wer...

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...