bluuebunny/crossref_metadata_2025 huggingface dataset:
التمكين الإداري وعلاقته بالإبداع الإداري لدى موظفي كلية الآداب جامعة بنغازي
Authors: بحيح د. خديجة , الفايدي د. إيمان
Published: January 2024

هدفت هذه الدراسة إلى التعرف على مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي، بالإضافة إلى التعرف على ما إذا كانت هناك فروق ذات دلالة إحصائية في تحديد مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي تعزى لمتغيرات الدراسة (النوع، والمؤهل العلمي، والدورات التدريبية) أيضا ً هدفت إلى التعرف على مستوى الإبداع الإداري لدى موظفي كلية الآداب جامعة بنغازي، كما هدفت إلى الكشف عن دلالة العلاقة الارتباطية بين مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي ومستوى إبداعهم الإداري. وتكون مجتمع الدراسة من جميع موظفي كلية الآداب جامعة بنغازي خلال العام الجامعي 0202-0202، ولتحقيق أهداف الدراسة استخدمت الباحثتان الاستبانة، واعتمدتا على المنهج الوصفي التحليلي، ولتحليل بيانات الدراسة استخدمت بعض الوسائل الإحصائية المناسبة، حيث تمت الاستعانة بالحقيبة الإحصائية للعلوم الاجتماعية (spss)، وأظهرت الدراسة في نتائجها: ارتفاع مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي، كما بينت النتائج عدم وجود فروق ذات دلالة إحصائية في تحديد مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي من وجهة نظرهم يمكن أن تعزى لمتغيرات(النوع، والمؤهل العلمي،  والدورات التدريبية)، وكشفت النتائج عن ارتفاع مستوى الإبداع الإداري لدى موظفي كلية الآداب جامعة بنغازي، وأكدت النتائج وجود علاقة ارتباطية موجبة وذات دلالة إحصائية بين مستوى التمكين الإداري لدى موظفي كلية الآداب جامعة بنغازي, وإبداعهم الإداري.
استجابة الحزن في ضوء بعض المتغيرات لدى عينة من المراهقين بمدينة بنغازي
Authors: احمد د. سعدة , سليمان د. نزيهة
Published: January 2024

هدفت الدراسة الحالية التعرف على استجابة الحزن عند المراهقين الفاقدين لأقربائهم من الدرجة الأولي في ضوء بعض المتغيرات وهي النوع وحالة الوفاة ومدة الوفاة، ولقد تكونت العينة من (219) مراهقا من الذكور والإناث، وتتراوح أعمارهم من (14-20) سنة، وتم اختيارهم بشكل مقصود من الطلاب الذين فقدوا أقربائهم من الدرجة الأولي (الأب، ألأم، الأخ، الأخت) والمسجلين بالمدارس في مدينة بنغازي. ولقد تم استخدام أداتين لجمع البيانات وهما استمارة البيانات الأولية التي تتمثل في المتغيرات الديموغرافية ومتغيرات الدراسة، وقائمة استجابة الحزن المطول. ولقد أسفرت نتائج الدراسة على أن أفراد العينة تعاني من شدة الحزن ولا يوجد فرق في استجابة الحزن من حيث النوع، وحسب حالة الوفاة متوقعة أو غير متوقعة، أضف إلي ذلك هناك فرق في استجابة الحزن عند أفراد العينة حسب مدة الوفاة فلقد تبين من نتائج الدراسة إن المراهقين الذين فقدوا أقربائهم منذ سنة إلي سنتين هم أكثر حزنا مقارنة بأقرانهم الذين فقدوا أقربائهم لأكثر من سنتين.
التاريخ الكمي وكتابة التاريخ عند العرب
Authors: بيلات د.شارل
Published: January 2024

لما شرفتي الجامعة الليبية فدعتني إلى إلقاء عدة محاضرات في طرابلس وبنغازي حاولت أن أطرق مختلف الأبواب واتناول شي الموضوعات تنويعا للمواد وترويحا للنفوس فاخترت خاصة موضوعا عساه ألا يكون مملا ويبعث على السآمة والإعراض بدلا من الابتهاج والإقبال خصوصا أني لا أراه ساراً مطرفاً مع أنه لذو شأن في نظر من يريد أن يعرج عن الطرق المعبدة فيتوغل إلى مجاهل الماضي ملتمساً في المصادر العربية معطيات منسية مهملة ربما ترضي أشد المؤرخين تحقيقا أكمل خبراء العلوم الحديثة تدقيقاً ، فلقد عزمت على القول في التاريخ الكمي و عبرت أثناء المحاضرة التي ألقيتها في بنغازي عما خطر ببالي من خواطر وأفكار حول التاريخ بوجه عام وحول اتجاهات کتابته في عصرنا هذا مستهدفاً هدفاً أخر من شأنه أن يقر العيون ويثلج الصدور لأن الأبحاث التي قمت بها تدل على أن كتابة التاريخ لها عند العرب أصالة و طرافة ففازت بقصب السبق في هذا المضمار إذ تزودنا المؤلفات القديمة بتفاصيل لا توجد غالبا في كتب التاريخ المعاصرة لها في الأقطار الأخرى .فقلت توطئة لحديني أني لما شرعت في دراسة الجاحظ وآثاره اضطررت إلى الخوض في تاريخ العرب والمسلمين فدرست أخبار البصرة من زمان تأسيسها إلى القرن الثالث الهجري، ثم حملتني الظروف على تحرير عدد لا بأس به من المقالات التاريخية في دائرة المعارف الإسلامية، وقد دعتنى أخيرا لجنة الموسوعة البريطانية الصادرة في الولايات المتحدة إلى كتابة القسم الخاص بتاريخ العراق الإسلامي.
كتاب الأخبار الطوال للدينوري ومحققة في الميزان
Authors: علي د.سيد رضوان
Published: January 2024

صدر هذا الكتاب منذ مدة في سلسلة تراثنا من إدارة إحياء التراث بوزارة الثقافة والإرشاد القومي بمصر ، وكان محققه الأستاذ عبد المنعم عامر بعمل آنذاك في تلك الإدارة ، أما مراجع الكتاب فكان الأستاذ جمال الدين الشيال أستاذ التاريخ الإسلامي بجامعة الإسكندرية وقد انتقل إلى رحمة الله.وكتاب الأخبار الطوال أحد أمهات المصادر القديمة في التاريخ الإسلامي كما هو معروف ، وعاش مؤلفه أبو حنيفة الدينوري في القرن الثالث الهجري ، ونشر الكتاب لأول مرة بتحقيق المستشرق الروسي جرجاس في ۱۸۸۸ م ، ثم أعاد نشره المستشرق الروسي الكبير كراتشوفسكي يتحقیق جديد واف ، ومع فهارس فنية و تعليقات في ۱۹۱۲ م. بلیدن .وأعيد نشر مطبعة جرجاس في القاهرة من قبل مطبعة السعادة بدون تعليقات و فهارس.
بين السمع والبصر في القرآن الكريم
Authors: ناصف أ.علي
Published: January 2024

يلحظ الذين يتلون كتاب الله ، ويتدبرون آیاته ، أن السمع والبصر يلتقيان فيه مراداً بهما الحاستين ثلاث عشرة مرة ، جاء السمع فيها كلها مفردة في اللفظ ، وسابقا في الذكر ، وجاء البصر مجموعا في اللفظ ، ولاحقا في الذكر . فمن ذلك قوله تعالى : ( وجعل لكم السمع والأبصار والأفئدة لعلكم تشکرون ) (1) ، وقوله : ( وجعلنا لهم سمعاً وأبصاراً و أفئدةً فما أغنى عنهم سمعهم ولا أبصارهم ولا أفئدتهم من شيء)
وما كان القرآن ليجمع بينهما على هذا النحو من الفرقة والتمييز - مع توافق الكلمتين في الدلالة على المصدر ، وتقابلهما في الذكر - إلا لناشئة من حكمة ، أو داعية من سر ، ولم يفت المفسرين - على العهد بهم - أن يلحظوا هذا الخلاف ، وأن يتلبثوا به ، يعملون النظر فيه ، ويبتغون الوسيلة إلى سره و مأتاه.
Comparative Study on Hatha Yoga Vs Conventional Physiotherapy Management in Pain and Functional Outcome in Osteoarthritis Knee Subjects
Authors: Joyce Angel.S  , K.Kotteeswaran
Published: January 2024

Background: Osteoarthritis is a degenerative condition of the joints that frequently impacts the knee. OA can causediscomfort, stiffness, swelling, instability of joint and decreased muscle strength which limits the movement andlowers the quality of life. Hence the study is to determine the effects of Hatha Yoga VS Conventional PhysiotherapyManagement in pain and functional outcome in Osteoarthritis Knee Subjects.Purpose: The purpose of the study is to compare Hatha Yoga VS Conventional Physiotherapy Management inpain and functional outcome in osteoarthritis knee subjects.Materials and Methods: About 196 subjects were selected from Vijay Physiotherapy Clinic by using KOOS basedon inclusion and exclusion criteria. Experimental protocol and procedures were informed to all the subjects beforegiving their informed consent. Subjects were allocated into 2 groups. Hatha yoga group and Conventional group,each had 98 subjects. Hatha yoga group performed Hatha yoga and Conventional group performed ConventionalPhysiotherapy Management for a duration of 45 minutes, 4 days per week with IFT for 10 minutes. Theseinterventions were given for 4 weeks. Study period : October 2022 to July 2023.Result: The Pre-test and Post-test values were analyzed results suggest that Hatha Yoga group has significantimprovement when compared with Conventional group with P value<0.0001.Conclusion: According to this study, Hatha yoga group had better results than conventional group, Hatha yoga ismore effective in reducing pain and improving functional outcome among osteoarthritis knee subjects.
Comparing the Effectiveness of Scapula Stabilization Exercise Versus Scapula Stability Taping on Shoulder Impingement Pain
Authors: Sherin Janet Roseline.T  , Vinodhkumar Ramalingam
Published: January 2024

Background: Shoulder impingement pain is caused by the compression of the rotator cuff and the subacromialbursa. Reduced scapular stability was found to cause shoulder impingement. So, the purpose of the study was toidentify whether scapula stability taping vs. scapular stabilization exercise is more effective in the treatment ofshoulder impingement pain.Purpose: To compare the effectiveness of scapula stabilization exercise versus scapula stability taping on shoulderimpingement pain.Methods: This experimental study has been conducted from November 2022 to April 2023. 58 subjects weredivided into Group A (29 Subjects) and Group B (29 Subjects). Group A was treated with shoulder stabilizationexercises, and Group B was treated with shoulder stability taping. The treatments were given for 4 days per weekand continued for 4 weeks.Result: The results showed that the subject’s pain, shoulder ROM, and disability improved statistically stabilizationexercise Group than stability taping Group.Conclusion: Findings conclude that 4 weeks of scapular stabilization exercises were found to be more effective inincreasing scapular muscle strength in preventing shoulder impingement.
A Study to Analyse the Effectiveness of Capacitive Resistive Diathermy on Patellofemoral Pain Syndrome Among Adult Population
Authors: Keerthana Sri L B  , Anitha A  , Kamalakannan M  , Ramana K
Published: January 2024

Background: Many factors might lead to the development of patellofemoral pain syndrome (PFPS), a prevalentcause of anterior knee discomfort. Overuse from intense athletics or training, as well as issues with the alignmentof the kneecap, are frequently important contributors.Purpose: The purpose of this article is to analyse the effectiveness of capacitive resistive diathermy on patellofemoralpain syndrome among the adult population.Methodology: Fifty subjects were based on inclusion and exclusion standards. The study’s safety measures, riskconsiderations, and methodology were disclosed to the participants. The participants were all chosen using apractical sampling approach. The subjects were tested with Clarke’s grind test and Vastus medialis coordinationtest and the treatment given to the patient is TECAR therapy for the duration of 15 minutes each day regularlyfor a period of 10 days under RET mode with the intensity of temperature according to patients sensitivity andtolerance.Results: The subjects who received TECAR therapy were significantly improved, the pain was much more reducedwith the p value of <0.001Conclusion: This study concluded that TECAR therapy was effective in subjects with patellofemoral painsyndrome.
A Study to Compare the Kinematic Chain Exercise Versus Theraband Exercise on Pain for Subjects with Flat Foot
Authors: Precilla Priyadharshini. S  , Kamalakannan M  , Andrew Anbarason J.P  , Anitha A  , Ramana K
Published: January 2024

Background: Pes Planus (flatfoot) only becomes a medical issue when symptoms appear. This disease occurs inboth young children and adults. When the medial longitudinal arch (MLA) has raised to the point where it cannotbe maintained, the flatfoot changes form. This condition causes over pronation of the foot in contrast to normalfeet, resulting in heel eversion and moving the weight load inward to compress the MLA.1-2Purpose: To compare the effectiveness of kinematic chain exercise and TheraBand exercise session among theyoung adults with flat foot.Materials and Methods: 30 subjects participated and were taken from Saveetha college of physiotherapy basedon specific criteria and assigned to two groups. Pre and post assessment was taken using Numerical Pain RatingScale [NPRS] and Foot Functional Index Scale [FFI]. The interventions were given for 2 Weeks and the study wasconducted from November 2022 to April 2023. .Results: The study’s results revealed that both groups exhibited significant improvements in flat foot, with ap-value < 0.001. However, Group A showed more statistical significance than Group B.Conclusion: In conclusion, the commencement of two- week intervention plan, kinematic chain exercise showeda marked outcome on pain subjects with flat foot
A Study of Effectiveness of Calf Stretching in Managing Catastrophizing Pain in Plantar Fasciitis
Authors: Sarmila Fathima. J  , Saravan Kumar. J  , Rekha. K
Published: January 2024

Background: Calcaneus distress is a frequent moan in the trotter and talus , and plantar fasciosis , which accountsfor 11–15% of adult patients’ symptoms of the foot need medical attention. One in ten people are predicted to getPF at some point in their lives. It is further prevalent in mid-life fat women and adolescent athletes. The desire ofthis project is to evaluate the success of calf stretching by theraband among plantar fasciitis patients.Purpose: To determine the effects of calf stretching using theraband on managing pain among plantar fasciitispatientsMaterials and Methods: Fifty eight people were covered for addition and prohibition. They were splitted into twogroups: passive calf stretching group (29) and self-calf stretching group (29). The pre and post-test values weremeasured by pain catastrophizing scale. Group-A received passive calf stretching using theraband and group-Breceived self-calf stretching. Both programs were given for 2 weeks, weekly 5 days.Result: Using pain catastrophizing scale, Group A’s (Passive calf stretching group) post-test mean was 27.38and whereas group B’s (Self calf stretching) was 32.24. This demonstrates that group-A has decreased paincatastrophizing score less than group-B. And this suggests that group A showed considerably finer than group B.Conclusion: Passive calf stretching using theraband by group-A was found to be more effective than self-calfstretching of group-B.
Effectiveness of low-level Laser Therapy and Low Intensity Pulsed Ultrasound on Motor Recovery among Experimentally Induced Peripheral Nerve Injury in Wistar Rats
Authors: Illavenil J  , Prathap Suganthirababu  , Lavanya Prathap  , Mydhili Govindarasu  , Kumaresan A  , Vignesh Srinivasan  , Jagatheesan Alagesan
Published: January 2024

Background: Damage or disease can result in peripheral nerve injury, which is a frequent clinical issue. It frequentlyrenders a person disabled by causing severe sensory loss and motor deficiencies along with pain, tingling, burningand other nagging sensations. A form of ultrasound called Low-intensity pulsed ultrasound, which uses far lessenergy than normal ultrasound (3 W/cm2). A biological reaction is triggered by low-level laser light having awavelength of 808nm and a power range of 1-1000 mW.Purpose: The Study is to find out the effect of low-level laser therapy and low intensity pulsed ultrasound onmotor recovery among experimentally induced peripheral nerve injury in Wistar rats.Methods: Eighteen rats were chosen in total, skin hair was removed to expose the sciatic nerve area, and the crushinjury was done by hemostatic forceps for 30 seconds, the group 1 is ultrasound, group 2 is laser and group 3 iscontrol group. The Step Length Ratio (SLR) was used as an outcome measure to assess motor recovery.Result: All three groups are statistically significant (p<0.001) was analysed using one-way ANOVA duringintervention period (7th, 24th, 21st day) but LLLT & UST has shown better improvement in their functional indexthan the control group.Conclusion: According to the results, LLLT has more impact in motor recovery than LIPU also each treatment hassubstantial impact on accelerating nerve regeneration and shortening the recovery time.
Effects of Stacking Breathing Techniques on Respiratory Efficiency of Post COVID-19 Patients
Authors: Firdous Farhana Rahmathulla  , Vinodhkumar Ramalingam  , Jeslin Godwin Nirmala  , Isabel Masillamony Vylamary
Published: January 2024

Background: Long COVID is a term used to describe persistent symptoms and complications experienced byindividuals after recovering from acute COVID-19 infection. Respiratory impairment, defined by diminishedlung function, exercise intolerance, and diminished respiratory muscle strength, is one of the frequent longtermconsequences of COVID-19 which can significantly impact the quality of life. Hence, exploring effectiveinterventions to improve respiratory efficiency in this population is crucial.Purpose: The purpose is to evaluate the effectiveness of stacking breathing techniques on respiratory efficiency inpost COVID-19 patients.Material and Method: This is an experimental study done using convenient sampling technique with inclusioncriteria of age between 18 to 60 taken from siva physiotherapy clinic. Patients having SPO2 level of 95. History ofPost Covid Patients with secondary disease and irregular heartbeat were excluded. The sampling size of the studyis (n=60) subjects for a period of 4 weeks. The entire process was conducted from November 2022 to March 2023.Results: According to the statistical analysis, Deep Breathing Techniques are successful in improving respiratoryrate among Post Covid-19 Patients. The statistical analysis of both the groups with respect to the post-test values(mean ± SD) for respiratory rate 17.1700 ± 1.2600 and 15.47± 1.07 and showed that the p value is statisticallysignificant <0.0001. Post intervention (mean ± SD) for post Covid -19 functional status scale(PCFS) 0.83 ± 0.75 and1.40± 0.77and showed that the p value is statistically significant <0.0001.Conclusion: This study finally concluded that deep breathing techniques have a high impact in improvingRespiratory rate and Post Covid 19 functional status scale (PCFS) among Post Covid-19 Patients
Comparative Study on Tibialis Posterior Muscle Strengthening Exercise Vs Quadriceps Muscle Strengthening Exercise in Reducing Pain and Improving the Functional Status for Peoples with Anterior Knee Pain
Authors: Kavi priya K  , Ramana K  , Anitha A  , Kamalakannan M
Published: January 2024

Background: Flat foot is a condition in which the Medial longitudinal arch (MLA) has a more flattened curve whenfoot makes full contact with the ground. In medical terms, flat foot is associated with the pronated foot. For peopleages 20 to 60, flat foot prevalence is 13.6%. People who have weak posterior tibial tendons are more likely to haveflat feet and Flat foot is one of the contributing factors to development of anterior knee pain.Purpose: To compare the effectiveness of Tibialis posterior strengthening exercise and Quadriceps strengtheningexercise among people with anterior knee pain.Materials and Method: The experimental study included 170 volunteers, both male and female, aged 20-60years, who were drawn from Martin Physiotherapy Clinic by convenience sample method. informed consentwas obtained before beginning the study. The participants were divided into two groups, the Tibialis posterior(n=85) group received Tibialis posterior strengthening exercise, whereas the Quadriceps (n=85) group receivedQuadriceps strengthening exercise. The intervention was administered five times over the course of six weeks.Study Period: March 2023 to July 2023.Results: The collected data was statistically analysed using paired and unpaired t-test, showed significantimprovement in Tibialis posterior group than quadriceps group with p<0.0001.Conclusion: The study concludes that Tibialis posterior strengthening was more effective in reducing pain andimproving functional status among peoples with anterior knee pain.
Comparison of Physiological Profiles among Collegiate Volleyball Players- With and Without Musculoskeletal Pain: A Case Controlled Study
Authors: Bringesh R  , Vinodhkumar Ramalingam  , Viswanath Sundar
Published: January 2024

Background: The success of athletes is greatly influenced by their morphological and anthropometric traits.Numerous studies have examined how often volleyball players experience musculoskeletal pain, which is typicallylocated in the upper and lower back. The present study was to compare the physiological profiles with or withoutmusculoskeletal pain in volleyball players.Purpose: To compare the difference in the physiological profiles of volleyball players with or withoutmusculoskeletal pain.Materials and methods: The subjects were collegiate volleyball players selected based on inclusion criteria. Theyexplained about the study. Volleyball players were allocated into two groups of total 83 containing group A(n=23) with musculoskeletal pain and group B without musculoskeletal pain. The pro agility shuttle, verticaljump, standing broad jump, 40-yard test, three cone drill were assessed and the body composition was assessedusing skinfold caliper. The entire process was performed from February 2023 to June 2023.Result: From the statistical analysis made with quantitative data revealed no statistical difference between groupA and group BConclusion: The present study shows there was no significant difference in the physiological profiles of volleyballplayers with or without musculoskeletal pain.
Effect of Dry Needling in Patients with Plantar Fasciitis in Reducing Pain Compared to Ultrasound Therapy
Authors: Astha Jain  , Muthukumaran Jothilingam
Published: January 2024

Background: Pain and discomfort below the medial calcaneal tubercle especially in the weight-bearing areas arethe hallmarks of plantar fasciitis heel pain. It affects about 10% of people in the general population and affectsabout 83% of active working individuals between the ages of 25 and 65.Purpose: To determine the effect of dry needling therapy on subjects with Plantar fasciitis in reducing pain andincreasing Ankle Range Of Motion (ROM) when compared to Ultrasound therapy with ankle exercises.Materials and Methods: The subjects were selected according to selection criteria. All the subjects were assessedusing Numeric Pain Rating Scale (NPRS) and Ankle ROM. A sample of 50 (45 females and 5 males) was taken forthe study which was further divided into two groups where the experimental group received Dry needling therapywith ankle exercises (n=25) and the control group received Ultrasound therapy with ankle exercises (n=25). Theintervention was given for two weeks. The entire process was performed from November 2022 to April 2023.Result: Statistical analysis showed that there was a significant difference obtained within the groups of pre andpost-test for NPRS and ROM (p<0.0001). A significant difference was obtained between the experimental andcontrol groups for NPRS and ROM (p<0.0001).Conclusion: Dry needling therapy with ankle exercises was more beneficial in reducing pain than ultrasoundtherapy with ankle exercises in Plantar fasciitis subjects.
Effect of Vagal Nerve Stimulation and Jacobson Relaxation Technique on Agoraphobia among Post Neurological Ill-Patients: A Pilot Study
Authors: Saraswathi. V  , Vignesh Srinivasan  , Prathap Suganthirababu  , Priyadharshini Kumar  , Dhanusia S  , Kumaresan A  , Surya Vishnuram
Published: January 2024

Background: This study was developed to determine the effectiveness of transcutaneous auricular vagus nervestimulation and Jacobson relaxation technique on agoraphobia among subjects with post neurological ill-patients.Purpose: The purpose of the study is to compare and evaluate the effectiveness of two non-pharmacologicalmethods of treatment for Agoraphobia patients with Post neurological ill-patients.Methods: The research project was conducted as a pilot study in a private hospital in Chennai. The experimentalgroup (group A) received transcutaneous auricular vagus nerve stimulation for approximately 20 minutes (30seconds ON and 5 minutes OFF) and a conventional Jacobson relaxation technique for 10 minutes. Group B gotconventional cognitive behavioral therapy (20 minutes) and the Jacobson relaxation technique (10 minutes).Following the four-week treatment period, a post-test analysis was performed using the Severity measure ofagoraphobia.Results: The study found that there is a positive impact of transcutaneous auricular vagus nerve stimulation andJacobson relaxation technique on agoraphobia in post neurological ill patients. The analysis obtained a mean valueof about 18 and an SD of 26 for group A, whereas group B revealed 24.8 ± 4.40, mean ± SD, and a significant Pvalue of <0.001.Conclusion: When compared to group B, those in group A who received transcutaneous auricular vagus nervestimulation improved more significantly when dealing with agoraphobia of post neurological ill patients. As aresult, non-invasive transcutaneous auricular vagus nerve stimulation and Jacobson relaxation technique havebeen proven to be effective approaches for preventing agoraphobia.
Effect of Strain Counterstrain Technique and Core Strengthening Exercises on Pain and Functional Status among Middle Aged People with Chronic Low Back Pain
Authors: P. Yamini  , Surya Vishnuram  , Kamalakannan M  , Ramana K
Published: January 2024

Background: Low back pain (LBP) is characterized as “pain along the posterior portion of the body from the lowerborder of the twelfth rib to the lower gluteal folds. A technique called strain counterstrain method is used to treatmusculoskeletal pain. Core strengthening exercises can also lead to significant improvements in pain reductionand functional status. The goal of this study is to find the effectiveness of strain counterstrain technique and corestrengthening exercises in treating low back pain.Methods: Total of 100 participants were chosen from Capital hospital, Vijayawada by convenient sampling,During study period from September 2022 to July 2023. A written consent form was obtained from them. Afterobtaining pre-test of VAS and Oswestry disability questionnaire the patients were categorised randomly into twogroups. GROUP A received Strain counterstrain technique alone and GROUP B received Strain counterstraintechnique with core strengthening exercises.Result: A statistically significant difference was found between GROUP A and GROUP B as well as within thegroup, according to the statistical analysis performed on the quantitative data.Conclusion: The findings of the present study demonstrate improvements in both Strain counterstrain techniqueand core strengthening exercises among middle aged people with chronic low back pain. However, (GROUP B)shows an extremely significant improvement compared to (GROUP A).
Efficacy of Soft Tissue Manipulation for Primary Dysmenorrhea among Late Adolescent Girls
Authors: Showmya SK  , Jagatheesan Alagesan  , Kabilan R
Published: January 2024

Background: The most prevalent gynecological condition in young girls, dysmenorrhea, is experienced by over50% of girls. The Myometrium’s hyperactivity and the co-occurrence of uterine ischemia are believed to be theprimary causes of pain. Prostaglandins seem to play a major role in the development of myometrial hyperactivity.Soft tissue manipulation, a form of therapeutic tissue massage, may be beneficial for the treatment of dysmenorrhea,according to the scant research on the subject and the personal clinical experience of one of the authors. This hasbeen suggested that therapeutic tissue massage, which involves applying pressure to soft tissues, is effective inrelieving menstrual discomfort. The entire process was performed from November 2022 to April 2023.Purpose: The study aims to determine the efficacy of soft tissue manipulation for primary dysmenorrhea amonglate-adolescent girls.Materials and Methods: 62 subjects in total were chosen based on the inclusion and exclusion criteria. The Softtissue manipulation group (n=31) received treatment over the course of two sessions. The stretching group (n=31)received treatment with 5 stretches in 2 sessions, each stretch lasting for 10 seconds of hold with a 3 seconds rest inbetween. The material used were Couch, Pillow, Bedsheet, Petroleum Gel, Gloves, Yoga Mat, Sanitizer.Result: The result showed significant improvement in minimizing symptoms of menstrual cramps among lateadolescent girls using soft tissue manipulation.Conclusion: This study concluded that the effect of soft tissue manipulation was found to be more significant thanstretching in reducing primary dysmenorrhea.
Effectiveness of Constraint Induced Movement Therapy and Proprioceptive Neuromuscular Facilitation on Upper Extremity Functions in Stroke
Authors: Dhanalakshmi L  , Jagatheesan Alagesan  , Buvanesh A
Published: January 2024

Background: Stroke is the quickly developing clinical indication of a focal disruption of brain function that lastsmore than 24 hours or results in death, with no discernible cause other than vascular origin. Despite the fact thatthe majority of patients are able to walk again, 30% to 60% of survivors are no longer able to use the arm that wasinjured. CIMT aims at improves both the motor and functional capacities of a paretic arm. PNF exercises alter theorder in which muscles are stimulated, increases the efficiency of joint movement.Purpose: To compare the effectiveness of Constraint Induced Movement Therapy and ProprioceptiveNeuromuscular Facilitation for treating upper extremity functions in stroke.Materials and Methods: A total of 30 participants were selected from Sree Annai Physiotherapy Clinic Chennai.According to the inclusion and exclusion criteria. Subjects willing to participate were allocated into two groupsConstraint Induced Movement Therapy group and Proprioceptive Neuromuscular Facilitation group. Theparticipants underwent Pre-test measurement with Fugl-Meyer Assessment Upper Extremity FMA-UE and wererepeated for Post-test measurement. Study period : November 2022 to April 2023.Results: When comparing the mean differences of the two groups, Constraint Induced Movement Therapygroup displays a greater difference than Proprioceptive Neuromuscular Facilitation group. Therefore, it can besaid that Constraint Induced Movement Therapy is more advantageous for the upper extremity functions thanProprioceptive Neuromuscular Facilitation.Conclusion: The study concluded that Constraint Induced Movement Therapy is found to be more effective thanProprioceptive neuromuscular facilitation technique for upper extremity function recovery.
Efficacy of Low Impact Aerobic Training Versus Upper Limb Strengthening Exercise in Fatigue Level among Individuals with Chronic Obstructive Pulmonary Disease
Authors: Nijidha Manshi W  , Rekha K  , Saravan Kumar J  , Pavithra A
Published: January 2024

Background: A disorder characterized by airway obstruction and breathing difficulty is known as chronicobstructive pulmonary disease. Fatigue is one of the typical signs and symptoms of COPD. Fatigue is the termused to describe a persistent feeling of exhaustion, and it can have a significant negative influence on person’scapacity to carry out everyday tasks.Purpose: The purpose of this study is to analyze how low impact aerobic training and upper limb strengtheningexercise is effective in dyspnea and fatigue level among individuals with COPD.Materials and Methods: The 106 subjects were selected based on inclusion and exclusion criteria from HepzibaChest Clinic and Spirometry centre, Nagercoil. The pre and post-test values were measured using the BORG scaleand Fatigue Severity Scale. The subjects were allocated into two groups. Low impact Aerobic training group:(n=53)received aerobic training with conventional exercise and Upper limb strengthening group:(n=53) received upperlimb strengthening exercise with conventional exercise. The study was done for four weeks. The entire procedurewas performed from October 2022 to july 2023Results: When comparing the low impact Aerobic training group with upper limb strengthening group, the lowimpact Aerobic training group indicates significant (p<0.0001) effect in lowering the fatigue level as assessed byBorg scale and Fatigue Severity Scale.Conclusion: The study concluded that Low impact Aerobic training had a significant effect compared to upperlimb strengthening exercise on Dyspnea and Fatigue Severity Scale among individuals with COPD.
Efficacy of Cervical Spinal Stabilization Exercise on Reducing Pain for People with Cervical Spondylosis
Authors: Vijay V  , N Senthil kumar  , Kumerasan A  , Anitha  , Pavithra  , Muthukumaran  , Jagathesan Alagesan
Published: January 2024

Background: The synovial joint capsule, subchondral bone, and joint cartilage are all impacted by the gradualdegenerative condition known as OA. This research work is designed to check the efficacy of modified progressiveresistance training for OA knee patients.Purpose: To compare the effectiveness of cervical stabilization exercises and conventional physiotherapy exercisein reducing pain for patients with cervical spondylosis.Materials and Methods: The study took place in Eyan Physiotherapy Centre, Sriperumbudur, A total no of 40subjects were recruited for this study through the purposeful sampling method. All subjects were recruited basedon the inclusion and exclusion criteria. The recruited subjects were assigned to two groups (Group A: 20 Subjects)underwent Cervical Stabilization Exercise and (Group B: 20 Subjects) underwent Conventional Exercise. Allindividuals are assessed for pain using Algometer as a pre-test prior to the intervention and again after 6 weeks ofintervention. The entire study process was performed from November 2022 to April 2023.Results: This study states that cervical stabilization exercises are found to be more significant and more effectivein reducing pain compared to conventional therapy. The comparison of post mean value of Algometer of both thegroups. Group-A(Cervical Stabilization Exercise) was 4.30 and Group B(Conventional Exercise) was 3.65 whichshows gradual increase with p value <0.0001 statistically significant.Conclusion: This study recommended that clinicians consider incorporating cervical stabilization exercises intothe treatment plan for individuals with cervical spondylosis. The evidence supporting the efficacy of cervicalstabilization exercise in reducing pain in individuals with cervical spondylosis.
A Study to Compare the Effectiveness of Serratus Anterior Training Versus Subscapularis Training in Improving Performance in Swimmer’s Shoulder
Authors: Saravanan. V.S  , Jeyakumar.S  , Senthilkumar.S  , Shabiethaa.D  , Vicent Prabhakaran Sekar
Published: January 2024

Background: The purpose of this study was to investigate the effectiveness of 6-week Serratus Anterior trainingVersus Subscapularis training in improving the performance in a Swimmer’s Shoulder.Purpose: To compare the effect of Serratus Anterior strength training versus Subscapularis strength training onshoulder pain in terms of performance in Swimmer’s.Materials and Methods: Subjects were randomly assigned into two groups i.e. Group A and B. The subjects wereassessed using an assessment form, UQYBT, DASH score, and 50 meters (m) freestyle sprint for disability andevaluate performance before the commencement of treatment and also reassessed after 6 weeks of treatment.The sample of 40 subjects has been randomized into either Group A (Serratus Training) or Group B (SubscapulisTraining) in a 1:1 ratio.Results: The study results suggest that Group B has an effect on performance improvement in Swimmers withshoulder pain after a 6-week intervention. The mean 50m sprint scores in Group A before treatment is 29.9960 andit is decreased to 29.0425.Conclusion: Hence, this study concludes that the mean difference of Group B is slightly more effective than GroupA in terms of performance in swimmers’ shoulders in all standard measures.
Effectiveness of Task Oriented Training and Swiss Ball Exercise on Balance among Middle Cerebral Artery Stroke Patients: A Comparative Study
Authors: Hema Priya  , Kumaresan  , Prathap Suganthirababu  , Vignesh Srinivasan  , Surya Vishnuram  , Priyadharshini  , Jagatheesan Alagesan
Published: January 2024

Background: This study was developed to determine the effectiveness of task oriented training and swiss ballexercise on balance among middle cerebral artery stroke patients.Purpose: To compare the effectiveness of task oriented training and swiss ball exercise on balance among middlecerebral artery stroke patients.Materials and Methods: This research is an experimental study. The 30 subjects obtained from SaiCharan PhysioCentre were split into two distinct groups as Group A (15 Subjects) and Group B (15 subjects). All the 30 subjectswere assessed with Trunk Impairment Scale as a pre test and the same test was performed for post test at the endof 4 weeks following the intervention protocol. Group A received task oriented training and Group B receivedSwiss ball exercise along with convention therapy given for both the groups. Exercise were given for 4 weeks, 5days per week, 10 repetition * 3 sets. Pre test and post test values were calculated and tabulated. The entire periodwas performed from November 2022 to March 2023.Result: Statistical analysis of Trunk Impairment Scale Examination post values revealed the constantly significantdifferences, With the P value of <0.0001.Conclusion: Task oriented training with conventional therapy is more effective on enhancing the trunk balanceamong MCA Stroke patients than either using Swiss ball exercise with conventional therapy.
Comparing the Effects of Maitland Mobilization Technique Versus Exercise with Therapeutic Ultrasound in Adhesive Capsulitis
Authors: Sharon Jecintha.S  , Vinodhkumar Ramalingam  , Prathap Suganthirababu  , Kumaresan Abathsagayam  , Vignesh Srinivasan  , Jagathesan Alagesan
Published: January 2024

Background: Adhesive capsulitis is an inflammatory condition that causes discomfort and stiffness in the shoulderwhich has a prevalence of 2% to 5%. Hence this research work is done to check the efficacy of Maitland mobilizationtechnique versus Exercise with therapeutic ultrasound in adhesive capsulitis.Purpose: To find out the effects of Maitland mobilization technique & exercise with therapeutic ultrasound inadhesive capsulitis.Materials and Methods: Total of 28 participants were selected from Vijay physiotherapy clinic and divided intotwo groups. Group A was allocated with 14 participants and managed with Maitland mobilization technique andultrasound. Group B 14 participants were managed with exercises and ultrasound for 4 weeks. The participant’sintervention effects were assessed using VAS, SPADI Scale and Range of motion Study Period: November 2022 toJuly 2023.Result: This study results showed a significant (p value 0.0001) reduction in pain and improvement in shoulderdisability values and ROM of adhesive capsulitis participants in group A (Maitland mobilization technique andUltrasound) compared with group B (Exercise and Ultrasound).Conclusion: This study found that the Maitland Mobilization technique as well as Exercise both seems to beeffective in treating adhesive capsulitis. But the patients in Maitland Group show greater improvement than theexercise group.
Analysing the Relationship between Gluteus Maximus Muscle Activity and Hamstring Muscle Length and its Influence on Sit to Stand Activity in Persons with Sacroiliac Joint Dysfunction
Authors: Sangavi Velusamy  , Anitha A  , Ramana K  , Kamalakannan M
Published: January 2024

Background: The sacroiliac (SI) joint has been found to be a source of discomfort for 25 to 35% of people sufferingfrom persistent low back pain. Though the Gluteus Maximus and Hamstring muscles play a vital role in sit-tostandactivity in normal people, its role in individuals with sacroiliac joint dysfunction is yet to be studied.Purpose: To assess the association between Gluteus Maximus activity and Hamstring muscle length and determinethe efficacy of Gluteus Maximus activation exercise and Hamstring muscle eccentric training on improving sit-tostandactivity in people with SI Joint dysfunction.Materials and Methods: In the first phase of the study, Hamstring muscle length, Gluteus maximus muscleactivity, Pain during sit-to-stand activity was recorded. All thirty participants in the second phase of the studyunderwent six weeks of Hamstring muscle eccentric exercise and Gluteus Maximus muscle activation exercise.Results: A Pearson correlation test shows a positive correlation (r = 0.208) but the weaker relationship between thevariables. Paired t test analysis shows a significant improvement after the treatment in terms of Gluteus Maximusmuscle activity, Hamstring muscle length and pain reduction with a P value < 0.001.Conclusion: This study concluded that Gluteus Maximus activation exercise and Hamstring muscle eccentrictraining will significantly improve sit to stand activity and reduce pain.
Effect of Task Specific Circuit Training on Gait and Functional Mobility among Spastic Diplegic Cerebral Palsy
Authors: Shruthi J  , Jagatheesan Alagesan  , Senthil Kumar N  , Iswarya S
Published: January 2024

Background and Need for the Study: Spastic diplegic cerebral palsy is the most prevalent and common formof the cerebral palsy. Gait, balance, and coordination are all negatively impacted because it mostly affects thebilateral lower extremities.Purpose of the Study: The purpose of the research was to find out the effectiveness of task specific circuit trainingon gait and functional mobility in children with spastic diplegic cerebral palsy.Methods: In this research, selected 30 children according to inclusion and exclusion criteria. All the Childrenparticipating in the study were separated into two groups, Task specific circuit training group and Conventionalgroup, children’s parents were explained about the safety and procedure. Inform assent was provided to thechildren’s parents after explaining about the intervention and study procedure.Results: Pre-test measurements and Post-test measurements of the gait and functional independence, assessedusing the Edinburgh visual gait scale (EVGS) and GMFM-88. Paired t-test and unpaired t-tests were used forcalculating the mean and standard deviation.Conclusion: The research eventually reached the conclusion that task-specific circuit training is an efficient methodfor improving gait and functional mobility when used in conjunction with regular physiotherapy.
Clinical Guidelines for Perioperative Care of Older and Oldest-Old Patients Living with Frailty Undergoing Elective Surgery
Authors: Tkacheva O. N. , Runikhina N. K. , Kotovskaya Yu. V. , Gilyarevsky S. R. , Aleksanyan L. A. , Rozanov A. V. , Pronchenko A. A. , Molchanova A. Yu. , Eruslanova K. A. , Naumov A. V. , Vorobyova N. M. , Mkhitaryan E. A. , Cherdak M. A. , Galaeva A. A. , Sharashkina N. V. , Ostapenko V. S. , Khokonov M. R. , Sirotin I. V. , Krivoborodov G. G. , Khashukoeva A. Z. , Andreasyan G. O. , Chulovskaya I. G. , Magdiev A. Kh. , Kolesnikov D. V. , Vlasov V. Yu. , Prusov E. V. , Farzutdinov A. F. , Khovasova N. O. , Dudinskaya E. N. , Balaeva M. M.-M.B. , Shchedrina A. Yu. , Merkusheva L. I. , Ivannikova E. V. , Isaev R. I.
Published: January 2024

The population of older and oldest-old individuals is increasing at a rapid pace, leading to a notable proportion of this age group requiring surgical procedures due to multimorbidity. It is known that, compared with young people, patients over 60 have a whole set of factors, such as decreased physiological functions, the presence of several concomitant diseases, polypharmacy, cognitive dysfunction and specific geriatric syndromes, which may lead to  a higher risk of  postoperative complications and prolonged recovery. Therefore, an integrated multidisciplinary approach on management is necessary for this group of patients, but the use of such an approach is currently rare. The purpose of this document is to review the literature, summarize current recommendations, and provide a  set of  expert recommendations to  assist practicing geriatricians, surgeons, anesthetists, and allied health professionals.
RUSS-AGE: developed research protocol for the creation of Russian biological age calculators
Authors: Melnitskaia A. A. , Matchekhina L. V. , Tkacheva O. N. , Ilyushchenko A. K. , Tyazhelnikov A. A. , Polunin V. S. , Yumukyan A. V. , Strazhesko I. D.
Published: January 2024

Background. Life expectancy is  increasing around the globe. However, chronological age is  not the best indicator of  health. For a  more accurate assessment of  body condition throughout life, in  general, and aging, in  particular, and identify potential points of geroprotective intervention, a specialized tool is needed. A tool that could prove beneficial is a biological age calculator, utilizing a range of biomarkers to analyze the degree of functional preservation of the body. Many existing biological age calculators are limited by a small number of parameters to analyze and sensitivity to use in a specific population.

Aim. Large-scale studies to create a mathematical model for calculating biological age based on the Russian population have not previously been carried out. In 2022, the RUSS-AGE study was launched to create biochemical, cognitive and microbiotic calculators of biological age and determine possible points of geroprotective interventions.

Materials and methods. The study intends to  enroll at  least 3,500 participants and analyze more than a  hundred biomarkers using laboratory tests, questionnaires, neurocognitive and functional testing, and collection of anthropometric and physical indicators.

Results. Currently, the recruitment of participants is supported by a government grant under the Priority 2030 program. By November 2023, 510 participants had been enrolled in the study.

Conclusion. Further statistical processing of the information received and the development of prototypes of biological age calculators are planned.
Depression and Other Geriatric Syndromes in Institutionalized Oldest Old
Authors: Isaev R. I. , Mkhitaryan E. A. , Tkacheva O. N.
Published: January 2024

Background. Oldest old are the fastest growing age group in Russia. The prevalence of depression increases with age and occurs more commonly among oldest old compared to lower age groups. At the same time, the frequency of depression and its association with geriatric syndromes in institutionalized oldest old is poorly studied.

Aim. To  assess the frequency of  depression, the presence and nature of  its associations with other geriatric syndromes in persons aged ≥90 years, who live in long term care facilities (LTCF).

Materials and methods. The study involved 351 men and women aged 90 years and older permanently residing in the LTCF of Moscow. Depression was ascertained with the Geriatric Depression Scale. (GDS-15). All the subjects underwent a  comprehensive geriatric assessment. To  diagnose the frailty, we  used the Short Physical Performance Battery (SPPB). The Bartel index was used to  assess performance of  activities of  daily living. Instrumental activities of  daily living were assessed using the Lawton scale. Nutritional status was assessed based on the Mini-Nutritional Assessment (MNA). To detect urinary and fecal incontinence, a scale of activities of daily living (Bartel index) was used, which contains relevant questions. Constipation syndrome was diagnosed in the presence of less than 3 bowel movements per week. An orthostatic test was performed to detect orthostatic hypotension. The presence of falls, sensory deficits, chronic pain and drug therapy were also assessed.

Results. Depression was diagnosed in 67.2% of oldest old. A higher incidence of depression was found in women (77.5% vs. 68.7%; p=0.074). Only 2.73% of oldest old with depression received antidepressants. The presence of chronic pain (OR 1.89; 95% CI 1.16–3.08; p=0.010), hearing deficiency (OR 2.20; 95% CI 1.29–3.74; p=0.004) and frailty (OR 5.33; 95% CI 2.56–11.12; pp<0.001) is independently associated with the presence of depression.

Conclusion. The study showed a  high incidence of  depression with insufficient therapy in  institutionalized oldest old. Independent risk factors of depression that are of practical importance for clinicians have been identified: frailty, hearing impairment and chronic pain syndrome.
Rehabilitation Programs for Older Surgical Patients in the Postoperative Period
Authors: Arefieva M. S. , Eruslanova K. A. , Runikhina N. K. , Kotovskaya Yu. V. , Luzina A. V.
Published: January 2024

In  recent years, Russia has seen an  increase in  the proportion of  older patients receiving surgical care. In  the majority of cases, an older patient is burdened with multiple long-term conditions (MLTC) and geriatric syndromes. To improve the consensus clinical and / or functional outcomes after surgery, rehabilitation measures are required in the postoperative period. In this review, spanning the last 10 years, the value of rehabilitation programs for older and oldest-old patients was assessed. The clinical effectiveness of multidisciplinary rehabilitation measures in the postoperative period is analyzed.