Dr. Arbab Habib, DPT, MS, MSK Specialist

25/06/2025

28/05/2025

The Bony skeleton.

30/03/2025

Objective
The Patient- Specific Functional Scale was developed by Stratford et al 1995 as a self-report outcome measure of function that could be used in patients with varying levels ofindependence. .[1] The aim of PSFS is to provide clinicians with a valid, reliable, responsive and efficient outcome measure that would be easy to use and applicable to a large number of clinical presentations.[2]

Intended Population
The PSFS is a self-reported valid, reliable, and responsive outcome measure for patients with back, neck, knee and upper extremity problems[3][4]. It has also been shown to have a high test-retest reliability in both generic lower back pain and knee dysfunction issues.[5][1] It is also clinically responsive to changes over time with chronic pain patients[6]

Method of Use
Patients are asked to identify up to five important activities they are unable to perform or are having difficulty with as a result of their problem eg putting socks on, shopping.
Patients are asked to rate (on an 11-point scale) the current level of difficulty associated with each activity.
Following the intervention, patients are asked again to rate the activities previously identified (and are given the chance to nominate new problematic activities that might have arisen during that time).
"0" represents “unable to perform” and "10" represents “able to perform at prior level”
Patients select a value that best describes their current level of ability on each activity assessed.
Advantages
Gives the patient positive re-enforcement that the intervention is effective[7]
Keeps therapy goal orientated
Quick to complete
Relatively easy for patients to complete
Helpful to redirect subjective assessment to function as opposed to pain
Can be used on a wide variety of musculoskeletal and neurological conditions[8]
Disadvantages
Not obtaining a final PSFS score. For example if a patient cancels their final appointment it is not always possible to ask for the score completion.[7]
Some patients can find rating their activities on a numerical scale difficult
Not specific to condition
May require further outcome measures specific to condition to be completed[4]

30/03/2025

Objective
The Patient- Specific Functional Scale was developed by Stratford et al 1995 as a self-report outcome measure of function that could be used in patients with varying levels ofindependence. .[1] The aim of PSFS is to provide clinicians with a valid, reliable, responsive and efficient outcome measure that would be easy to use and applicable to a large number of clinical presentations.[2]

Intended Population
The PSFS is a self-reported valid, reliable, and responsive outcome measure for patients with back, neck, knee and upper extremity problems[3][4]. It has also been shown to have a high test-retest reliability in both generic lower back pain and knee dysfunction issues.[5][1] It is also clinically responsive to changes over time with chronic pain patients[6]

Method of Use
Patients are asked to identify up to five important activities they are unable to perform or are having difficulty with as a result of their problem eg putting socks on, shopping.
Patients are asked to rate (on an 11-point scale) the current level of difficulty associated with each activity.
Following the intervention, patients are asked again to rate the activities previously identified (and are given the chance to nominate new problematic activities that might have arisen during that time).
"0" represents “unable to perform” and "10" represents “able to perform at prior level”
Patients select a value that best describes their current level of ability on each activity assessed.
Advantages
Gives the patient positive re-enforcement that the intervention is effective[7]
Keeps therapy goal orientated
Quick to complete
Relatively easy for patients to complete
Helpful to redirect subjective assessment to function as opposed to pain
Can be used on a wide variety of musculoskeletal and neurological conditions[8]
Disadvantages
Not obtaining a final PSFS score. For example if a patient cancels their final appointment it is not always possible to ask for the score completion.[7]
Some patients can find rating their activities on a numerical scale difficult
Not specific to condition
May require further outcome measures specific to condition to be completed[4]
Evidence
The PSFS is a valid, reliable, and responsive outcome measure for patients with back, neck, knee and upper extremity problems[3][4]. It has also been shown to have a high test-retest reliability in both generic lower back pain and knee dysfunction issues.[5]

Reliability
A study into cervical radiculopathy found the test-retest reliability of the PSFS to be high (Intraclass correlation coefficient = 0.82; 95% Confidence interval= 0.54–0.93) in comparison with the Neck Disability Index.[9]

Moderate to good reliability for patient with upper extremity musculoskeletal problems ICC = 0,713.[10]

Poor reliability exhibited in patient with cervical radiculopathy.[11]

Validity
PSFS is a valid tool (p

22/02/2025

The story A Decade of Remembrance: Rising from the Ashes of 16 December 2014 is a deeply personal reflection on the aftermath of the 2014 terrorist attack on the Army Public School in Peshawar. The author recounts the immense loss of friends, teachers, and the sense of security that was shattered that day. Haunted by survivor’s guilt and painful memories, they struggled to find meaning in their survival.
Over time, they transformed their grief into motivation, choosing to honor the fallen by becoming the person their mentors believed they could be. Through resilience and determination, they pursued a career in physical therapy, turning pain into purpose. Now, as a doctor, they carry the dreams of their lost friends and inspire others to overcome adversity. The story ends with a powerful message of hope, urging those who feel lost to keep moving forward, as their struggles are shaping them for something greater.

16/02/2025

Life is easy when you think it's easy, and it's hard when you think it's hard.
DrArbabDairies

15/02/2025

A Memorable Evening with My Teachers

Success is never an individual journey—it is shaped by the mentors who guide us along the way. As a doctor today, I owe much of my success to the teachers who molded me, inspired me, and set me on the right path. To express my gratitude, I recently planned a special evening with one of my teachers, Chemist Yusuf, who had played a significant role in my academic journey.

It was a beautiful moment as we gathered at a restaurant for an iftar dinner. My teacher was fasting, and I felt honored to share the experience of breaking the fast with him. As we sat there reminiscing about the past, our conversations were filled with warmth, respect, and gratitude.

Just as we were capturing some memories with pictures, something unexpected happened—I caught sight of another teacher from my childhood, my English teacher, Sir Nasiruddin. He had been one of the most influential figures in my early education, guiding me through the intricacies of language and communication. Seeing him after so many years was both surprising and heartwarming.

It was a surreal experience—celebrating one teacher while unexpectedly meeting another who had also played a crucial role in shaping my life. At that moment, I felt an overwhelming sense of pride and gratitude. Whatever I am today, it is because of their tireless efforts, their wisdom, and their unwavering guidance.

I am truly blessed to have had such remarkable teachers in my life. They have supported me at every stage, helping me grow both academically and personally. I will always be grateful for their teachings, their encouragement, and their belief in me. Teachers are the true architects of our future, and I am forever indebted to mine.

08/02/2025

Blood Donation Siminar.
1. Health Benefits for Donors
Regular blood donation can help reduce excess iron levels in the body, lowering the risk of conditions like hemochromatosis (iron overload disorder).
Studies suggest that frequent donors may have a lower risk of heart disease and stroke due to improved blood flow.
2. Lifesaving Impact
A single blood donation can save up to three lives by providing red blood cells, plasma, and platelets to patients in need.
It is essential for trauma patients, cancer treatments, surgeries, and individuals with blood disorders (e.g., thalassemia, hemophilia).
3. Boosts Red Blood Cell Production
After donation, the body compensates by producing new red blood cells within weeks, which helps maintain healthy blood circulation.
This renewal process can be beneficial for maintaining overall blood health.
4. Prevention of Certain Diseases
Some research indicates that regular blood donation is linked to a lower risk of certain cancers, including liver, lung, colon, and throat cancers, possibly due to reduced oxidative stress and iron levels.
It can also help in detecting underlying health conditions through pre-donation health screenings (blood pressure, hemoglobin levels, and infection markers).
5. Community and Social Responsibility
Blood cannot be artificially manufactured, making voluntary blood donation crucial for maintaining hospital blood banks.
Regular donors contribute to emergency preparedness in cases of natural disasters, accidents, and medical crises.

16/02/2024