bluuebunny/crossref_metadata_2025 huggingface dataset:
Ab. No. 63 Immediate Effect of Intercostal Stretch Versus Anterior Stretch Basal Lift on Lung Compliance, Tidal Volume, Respiratory Rate, Heart Rate and SPO2 in Mechanically Ventilated Patients: An Experimental Study
Authors: Peter Zibeon , Tiwari Bharat
Published: June 2024

Introduction:

Mechanical ventilation is a useful modality for patients who are unable to sustain the level of ventilation necessary to maintain gas exchange function. Proprioceptive Neuromuscular Facilitation (PNF) of respiration is the use of selective external proprioceptive and tactile stimuli that alter depth and rate of breathing to assist respiration. Several PNF techniques are reported to increase the depth of breathing, decrease respiratory rate and increase arousal in patient with a decreased level of consciousness. Intercostal stretch and basal lift are commonly used techniques, having beneficial effects among ventilatory patients. The purpose is to compare the effect of the Intercostal stretch versus Anterior Stretch Basal Lift on Tidal Volume, Lung Compliance, SpO2, Heart Rate and Respiratory Rate

Methods:

After screening for inclusion and exclusion criteria, a total of 30 subjects were randomized into 2 groups of n=15 each: 1) Intercostal Stretch 2) Basal Lift. After randomization, along with chest physiotherapy, both groups received respective PNF techniques (3 sets of 10 repetition). Pre and post outcomes were analyzed.

Result:

Significant changes (p<0.05) seen in all the outcomes in Intercostal group. In Basal lift group, Tidal volume, compliance and SpO2 has shown significant improvement (p<0.05). Inter group analysis didn’t show significant improvement (p>0.05).

Conclusion:

Both these PNF techniques aids chest physiotherapy in enhancing the results for patients on mechanical ventilation. But Intercostal Stretch showed more significant results than Basal Lift, and is more feasible to perform in day to day practice.

Implications:

It is safe to apply these techniques in mechanically ventilated patients for better outcomes.
Ab. No. 13 Incorporating Sprinting in the Early Phase of Hamstring Injury Rehabilitation to Accelerate Return to Full Participation in Track and Field Athletes: A Comparative Study of Two Rehabilitation Strategies
Authors: Makwana Nilesh , Bane Jayesh , Ray Lipsa , Karkare Bhagyeshree , Hillier James
Published: June 2024

Introduction:

Hamstring injuries are common in track and field athletes, with a higher incidence in male than female sprinters. This causes a significant loss in training time and a decline in performance. This study evaluated rehabilitation strategies to accelerate the return to full participation following hamstring injuries.

Methods:

Thirty-three athletes (22 males and 11 females) were observed from 2021 to 2023 until their major competition. Seventeen hamstring injuries were documented and included in the study and were divided into two groups, A (n=8) and B (n=9), using stratified random sampling with single blinding. Group A received technical cues to minimize pain by utilizing mini-hurdle sprints as part of their training from the early stages of rehabilitation, while group B underwent relative rest and high-volume low-intensity rehabilitation exercises and gradually progressed to sprinting as the pain reduced. The progress in each group was monitored weekly. The average time loss was calculated using Microsoft Excel 365 and Google Forms with built-in validation checks to minimize errors. Descriptive statistics were analyzed.

Result:

The two groups demonstrated significant differences in recovery times. Group A took an average of 3.55 weeks (1.22 SD 95% CI 1.08), and Group B took an average of 4.53 weeks (1.98 SD, 95% CI 1.52) to resume full participation. Three athletes from Group A and six athletes from Group B experienced hamstring tightness during the competition, however, two athletes from Group B had to withdraw from the competition due to hamstring reinjury.

Conclusion:

Early sprinting which used pain as feedback to correct sprint mechanics following hamstring injury can lead to an early and confident return to full participation with reduced reinjury during competition. This study will guide effective and integrated rehabilitation approaches following hamstring injuries in track and field athletes. To our knowledge, this is the first study that used sprinting for hamstring injury rehabilitation.
Ab. No. 67 Comparative Analysis of Postural Stability in School-Aged Children With Hearing Loss Versus Typical Hearing: A Cross-Sectional Study
Authors: Aswani Janvi , Diwan Shraddha
Published: June 2024

Introduction:

To compare postural stability between children with hearing loss and age & gender matched children with typical hearing. Postural control is described as the ability of an individual to remain comfortably in a standing position, keeping his/her body stable and aligned against any external force. As the vestibular system is one of the sensory system responsible for regulating the postural control, these children may have reduced/poor postural control when compared to children with normal hearing.

Methods:

The study enrolled a convenient sample of 100 children (aged 7-18 years) into two groups: 50 with hearing loss and 50 with normal hearing. Children in the hearing-impaired group were included if they had sign language proficiency. Children with any musculoskeletal deformity of lower limb were excluded from both groups. A cross sectional observational study was conducted among two groups of children (a) hearing loss (b) normal hearing using Balance Error Scoring System. The subjects were instructed about all the six tasks (i) Double support (ii) One leg standing (iii)Tandem stance and each task was performed with closed eyes on ground and foam respectively. Statistical analysis was done using SPSS 20. For between group analysis Mann-Whitney U Test was applied.

Result:

Statistical significant difference was noted in all the components of BESS scale with the p<0.05 except double support (on ground) component with p>0.05.

Conclusion:

Children with hearing loss presented with more instability in postural control than children with normal hearing of same age and gender.

Implication:

The study suggests that children with hearing loss have postural instability but their daily activities are not hampered because of masking of vestibular deficits, thus training the other two sensory systems (visual & somatosensory) should be focused on to avoid any anticipatory falls.
Ab. No. 69 Comparative Study on Effect of Square Stepping Exercises With Conventional Balance Exercises on Balance in Community Dwelling Elderly Population: A Randomized Control Trial
Authors: Tadvi Anjum , Ravindran R
Published: June 2024

Introduction:

Determining & comparing the effects of Square Stepping Exercises (SSE) versus Conventional balance exercises after 4 weeks training in the older adults. To tackle age-related decline in balance performance in elderly, physical interventions are essential. SSE is a novel intervention that can enhance balance and reduce the risk of falls.

Methods:

40 healthy community dwelling older individuals of age 60 years & more with ability to walk backwards for 3 meters were included in the study. Participants were randomly allocated into two groups of 20 each using sealed envelope method. Limits of Stability (LOS) and Mini-BES Test were assessed as outcome measures prior to and after the 4 weeks of training. Non-Parametric test were used to analyze the data of Mini BESTest as the data was not normally distributed. Whereas the rest of the data (LOS) were normally distributed, hence parametric tests were used to analyze.

Results:

Both the groups showed statistically significant results when compared to their pre-intervention scores (p<0.0001) The between group comparison did not show any statistically significant difference on balance components (p>0.05).

Conclusions:

Both Conventional balance training exercises and Square stepping exercises were found to be equally effective in improving balance in elderly.

Implications:

SSE does not have an advantage over the conventional balance exercises, however it can be used as an adjunct to the conventional balance training to introduce variety in training of community dwelling elderly with adequate safety measures in place.
Ab. No. 73 Effect of Otago Exercise Program Via Tele Rehabilitation on Fall Risk and Balance in Older People
Authors: Jeevrajani Jeel , Sheth Megha
Published: June 2024

Introduction:

To find the effect of Otago exercise program via telerehabilitation on fall risk and balance in older people. Older people’s falls and fall-related injuries have grown to be major health issue. Otago Exercise Program (OEP) consists of 17 strength and balance exercises and walking program at home, outpatient or community setting that is effective in preventing falls. Telerehabilitation is newer technique of delivery of rehabilitation services over telecommunication networks.

Methods:

44 gender-matched participants aged 65-80 (71 + 4.3) years were divided into two groups using simple random sampling. People unwilling to participate were excluded. Ethics approval was obtained. A prospective follow-up study was carried out in community of Ahmedabad. Participants were explained the study. Fall risk was measured using Timed Up and Go(TUG) test and balance was measured using Berg Balance Scale(BBS). Group A (n=22) was given telerehabilitation-based OEP via zoom calls and Group B (n=22) was given unsupervised OEP at home. A total of 12 sessions (3 sessions/week) of OEP and (2 times/week) walking for 4 weeks was administered.

Within group analysis for TUG was done using Paired samples T-test and for BBS using Wilcoxon signed rank test. Between group analysis was carried out using Mann-Whitney U test. Level of significance was kept at 5%.

Results:

Within group analysis showed statistically significant difference in group A TUG (t=14.96, p<0.0001), BBS (Z=-4.135, p<0.0001), in group B TUG (t=3.375, p=0.003), BBS(Z=-3.71, p<0.0001). Between group analysis showed statistically significant difference in BBS (U=34.5, p<0.0001) but not in TUG (U=191.5, p=0.211).

Conclusion:

Otago Exercise program is effective via telerehabilitation and as home-based program to improve balance and reduce fall risk. Tele-rehabilitation group was more effective in improving balance.

Implications:

Tele-rehabilitation can be used for older people by providing convenient, one-to-one, accessible healthcare services at home reducing travel.
Ab. No. 78 Validation of a Retrospective Injury Questionnaire for Competitive Indian Athletes
Authors: Sharma Urvashi , Sinha AGK
Published: June 2024

Introduction:

The purpose of the current study is to develop and validate a new questionnaire for measuring Injuries (Present acute, Present overuse, Past acute, and Past overuse) among Competitive Indian Athletes.

Measuring injuries is a preliminary step of any epidemiological project. Though vast scientific literature on injury measurements and questionnaire development is available, work done among Indian athletes is negligible. Recording injury-related data in forms or questionnaires is a common data collection practice. Developing a new questionnaire becomes necessary when existing ones cannot cover the research area of interest.

Methods:

10 experts were recruited for the validation study and 50 subjects were recruited for questionnaire administration.

A Delphi panel consensus study was conducted to validate an initial 126-item questionnaire by recruiting 10 experts. After two rounds, a 125-item questionnaire was obtained that was administered to 50 track and road runners (ages 15-35 years) practicing at Dharamshala. Athletes preparing for army or forest services, para-athletes, and those who did not have working smartphones were excluded. The data obtained was cleaned and coded for further analysis.

The content validity ratio (CVR) score for each item was calculated to finalize the final items. To test the internal consistency, Cronbach’s alpha was calculated.

Results:

The final questionnaire had an overall alpha value of 0.812 indicating an adequate internal consistency.

Conclusion:

The newly generated retrospective injury questionnaire for Indian athletes is valid and reliable.

Implications:

The application of the questionnaire on a wider population can give an estimated injury incidence and prevalence data in the country.
Ab. No. 15 Efficacy of ADL-Based Dynamic Postural Stability Exercises After Canalith Repositioning Maneuver in Benign Paroxysmal Positional Vertigo Patients
Authors: Rajarajeswari A
Published: June 2024

Introduction:

CRP produces short-term effects, not sufficient to reactivate postural control in BPPV. Most studies prescribe balance training which is not well incorporated with ADL activities. Hence, this study aimed to find out the effectiveness of ADL-based dynamic postural stability exercises. Benign paroxysmal positional vertigo is a common peripheral vestibular disorder. Canalith repositioning manoeuvre is considered to be the gold standard method of treatment. Even after CRP 2/3rd of patients has postural instabilities, especially in dynamic conditions such as walking, sitting to standing, and in performing daily activities, which was not given attention in studies and treatment programs.

Methods:

100 BPPV patients (50 each in interventional and control group) aged between‹18–60 years, positive for Dix Hallpike test/supine roll test confirmed by an ENT specialist and treated with CRP by random sampling. All patients were evaluated by the Berg balance scale, POMA (gait scale), and Dizziness Handicap Inventory on the third day of CRP. The control group received CRP with conventional balance training whereas the interventional group received ADL-based dynamic postural stability exercises (with more challenging environments involving various sensory inputs with postural strategies) along with CRP for 2 weeks. Data was analyzed using SPSS version 23; the Mann-Whitney U test (between group analysis) and Wilcoxon Signed Rank test (within group analysis) were used.

Result:

In the interventional group, there was greater improvement in balance in dynamic conditions, functional ability, and reduction in dizziness (p value‹0.05) in ADL activities.

Conclusion:

ADL-based exercises are beneficial for the improvement of balance, reduction in dizziness, and improving functional activities after CRP in BPPV patients. As this postural instability/residual dizziness has an impact on ADL in BPPV patients even after CRP, if untreated may lead to compensatory strategies that delay functional recovery. Hence, this instability period should be managed with ADL-based dynamic postural stability exercises.
Ab. No. 86 Comparison of Shoulder Rotation Range, Strength and Proprioception in Racket Sports Players Versus Normal Individuals
Authors: Patel Dhyan , Mukkamala Neha
Published: June 2024

Introduction:

Racket sports; involve agility, power and coordination. Repetitive nature of swinging a racket can lead to muscle imbalance, affect joint flexibility and strength, thus impacting shoulder range, strength and proprioception in racket sports players (RSP). The study compared shoulder rotation range, strength and proprioception between RSP and normal Individuals (NI).

The results could help modify training protocols in light of unique demands placed on the shoulder in racket sports.

Method:

Players playing racket sports like lawn tennis and badminton, aged 18 and above, at least 1hr/day, minimum 3days/week, since at least a year were included. NI were also included for comparison. Players with acute shoulder pain, shoulder and neck surgeries were excluded. This was an Observational study. Ethical approval was taken. Shoulder ranges were measured with an inclinometer, strength with a hand held spring dynamometer and proprioception with an inclinometer.

Data was analyzed by SPSS 25. Data was normally distributed. The level of significance was kept at p<0.05. Unpaired t-test and paired t-test were used for inter & intra group comparison respectively.

Result:

Total 30 RSP and 30 NI, had mean age 28.53±6.45 years, average range of IR (dominant hand) (RSP-65.470±2.610, NI-67.200 ±4.410), range of ER (dominant hand) (RSP-92.870±2.220, NI-90.830 ±3.490), average strength IR (RSP-5.43±1.21kg, NI-5.56±1.33kg), ER (RSP-4.49±0.98kg, NI-4.98±1.35kg) mean proprioception IR(RSP-2.23±0.63, NI-2.33±0.66),ER (RSP-2.00±0.91, NI-2.50±0.68). ER range was significantly higher (p=0.0094) in RSP. No significant difference was seen in IR range, IR & ER strength and proprioception (p>0.05).

Conclusions:

The ER range was higher in RSP. There was no difference in IR range, strength and proprioception between RSP and NI.

Implication:

In RSP, shoulder rotator strength & proprioception should be increased to optimize shoulder function.
Ab. No. 94 Efficacy of Transcranial Direct Current Stimulation (TDCS) on the Quality of Sleep for Management of Sleep APNEA: A Review Study
Authors: Nandwani Gehna , Arumugam Narkeesh , Midha Divya
Published: June 2024

Introduction:

The purpose of the study was to evaluate the therapeutic efficacy of tDCS on quality of sleep for the conservative management of sleep apnea. Sleep Apnea is characterized by excessive diurnal sleepiness and neuropsychiatric changes (mood swings), affecting quality of life. Hence, this study explores the efficacy of tDCS on sleep quality to widen the spectrum of management for sleep apnea.

Methods:

Randomized clinical trials and cross over trials published within 2016 to 2023.

The research was performed on various databases including PubMed, SCOPUS, and search engines including Research Gate and Google scholar. The data was limited to last 8 years (2016 to 2023). 20 Articles were identified out of which 7 articles full filled the inclusion criteria were selected. PRISMA methodology guidelines were used for data extraction.

Qualitative analysis of study was done using PEDro scale. According to PEDro analysis, majority of articles included were good quality (score 4 to 6).

Result:

Total of 7 studies on efficacy of tDCS on sleep were reviewed, the data showed significant results on improving sleep quality. It was identified that tDCS uses cortico-thalamo-cortical feedback loop initiating slow wave activity which increases stage 3 and 4 (deep sleep) in Non Rapid eye Movement (NREM) sleep. Hence, improving the sleep quality and thereby quality of life.

Conclusion:

The use of tDCS in the treatment of sleep disorders such as sleep apnea is effective as an auxiliary source in the treatment, ensuring the resumption of patients’ quality of life by improving the quality and time of sleep. Thus, tDCS can be implemented as a choice of modality for management of individuals with sleep apnea.

Implications:

tDCS has found to be portable, feasible and relatively safe, thus can be used in management of sleep apnea patients.
Ab. No. 96 Factors Associated With Lumbopelvic Pain Among Pregnant Women in Their Third Trimester
Authors: Khezhie Dziesebeinuo , Preetha R , Poojary Deepalaxmi , Adhia Divya , Shetty Jyothi , Hebbar Shripad
Published: June 2024

Introduction:

With the increasing prevalence of lumbopelvic pain (LPP) among pregnant women, it is important to identify the factors associated with it. Previous studies have focused on the Western population. Hence, it is important to identify potential risk factors among the Indian population to find if the culture, or level of physical activity may influence the factors associated with pelvic girdle pain.

Identification of risk factors will help in early screening and development of exercise intervention for the prevention of LPP.

Methods:

Primigravidae in third trimester aged between 18 to 40 years were included. Those with medical or obstetric complications were excluded. A cross-sectional study was conducted in which subjective measures were administered through questionnaires and objective measures by physical examinations were carried out to confirm LPP.

Chi-square test was used to find the association between the variables. Univariate and multivariate logistic regression was performed to calculate the odds ratio.

Results:

Of the total 253 participants, 60.47% (n=153) were tested positive for LPP. Multivariate regression analysis (p < 0.05) demonstrated that factors associated with a greater risk of developing LPP were increase in period of gestation and pain intensity.

Conclusion:

Factors associated with lumbopelvic pain were period of gestation and pain intensity. The strength of the study is that special tests were conducted to confirm the LPP rather than subjective measures. Limitations of the study were previous history of low back pain was not noted and usage of analgesics or other remedial measures were not considered.

Future research may focus on Randomized controlled trials to find the effectiveness of structural intervention program to prevent or treat lumbo-pelvic pain.

Implications:

Antenatal exercise program must be included as an integral part of Physiotherapy program from first trimester which may prevent Lumbo-pelvic pain
Ab. No. 105 A Scoping Review of the Effectiveness of Various Exercise Regimens on the Severity of Uremic Restless Leg Syndrome and Other Outcome Metric in Hemodialysis Subjects
Authors: Parikh Yesha , Shah Harda
Published: June 2024

Introduction:

Uremic restless leg syndrome (URLS) is a condition that occurs in individuals with kidney failure or severe kidney disease;characterized by an uncontrollable urge to move the legs, often accompanied by discomfort or a crawling sensation.URLS can be prevalent in hemodialysis patients, as kidney dysfunction contributes to its development. Hemodialysis helps in removing waste products from the blood, but it may not completely alleviate URLS symptoms. The purpose of this scoping review is to outline the literature on physiotherapy in URLS, the types of physiotherapy interventions used and the outcome measures used.

Methods:

Scoping review in accordance with Joanna Briggs Institute guidelines. From 2005 to December 2023, databases searched included PubMed, PEDro, Research Gate and Google Scholar following MESH terminology and boolean operators in accordance to the study requirement.A narrative data summary was created to explain the current evidence on physiotherapy for URLS. Articles were considered if they were about physiotherapy interventions given to URLS subjects. A narrative synthesis was conducted.

Results:

Ten studies were included (eight randomised control trials, one pilot RCTs, one quasi experimental study). PEDro scale for 4 studies were ≥5 and 6 studies were ≥5.Interventions reported were aerobic,resistance and stretching exercise. A variety of outcome measures was utilised such as severity of URLS, physical performance, balance, sleep quality, depression score and quality of life domains.

Conclusion:

The results of this review suggest that there is insufficient information to assist physiotherapists in the treatment of subjects with URLS. Aerobic, resistance and stretching exercise were the widely studied physiotherapy therapies. A variety of outcome metrics are used. High-quality clinical trials with representative populations are needed, as are investigations on physiotherapy practice and the experiences of subjects with URLS.
Ab. No. 115 Exploring Global Perspectives: A Comprehensive Review of Healthcare Professionals Understanding and Practices in the Diagnosis and Management of Sarcopenia
Authors: Joseph Anju , Rodrigues Daina , Priya Divya
Published: June 2024

Introduction:

To describe the knowledge and awareness of Sarcopenia among Health Care Professionals. As life expectancy rises worldwide, sarcopenia emerges as a significant public health concern. Unlike many other health conditions, sarcopenia remains asymptomatic in its early stages. Timely diagnosis and intervention are crucial to mitigate its impact on individual health and well-being. The study underscores the pivotal role of healthcare professionals in fostering awareness and knowledge about sarcopenia. This awareness facilitates timely diagnosis, effective management, and improved referrals to physiotherapy services, particularly addressing the functional aspects of the ageing population.

Methods:

A comprehensive literature search across PubMed, Google Scholar, and Science Direct based on predefined inclusion criteria was conducted. Studies within the last five years, written in English, excluding those focusing on sarcopenia prevalence in community-dwelling adults above fifty years. Data extracted from eligible studies were summarized.5 cross-sectional, 1 longitudinal, and 1 scoping review, were included. The reviewed studies employed questionnaire-based surveys to assess awareness, knowledge, attitude, and practice of sarcopenia among healthcare professionals.

Results:

Healthcare professionals lack awareness and knowledge about sarcopenia, hindering screening and treatment due to resource limitations. Barriers to screening and treatment were attributed to inadequate knowledge and resource access, while facilitators were protocol implementation and training opportunities.

Conclusion:

The literature suggests a significant lack of understanding among healthcare professionals regarding sarcopenia and its diagnostic methods. Certain professions, notably geriatric rehabilitation specialists, dieticians, physiotherapists, and nurses, demonstrated better comprehension.

Implication:

Addressing these knowledge gaps through educational initiatives is imperative to enhance the identification and treatment of sarcopenia. Hence, leading to timely diagnosis and interventions, minimizing adverse health outcomes in the elderly. This, in turn, can contribute to cost reduction in health services, promote healthy ageing, and optimize healthcare systems.
Ab. No. 132 Phenomenological Exploration of Ethical Challenges Faced by Physiotherapy Professionals During Research Supervision: A Qualitative Study
Authors: Samuel Asir John , Vaswani Ravi
Published: June 2024

Introduction:

Although ethical guidelines are available, they are not always followed during physiotherapy research. Therefore, we aimed to evaluate the experiences of academic professionals in physiotherapy regarding ethical issues while supervising research conducted by physiotherapy students and scholars.

Physiotherapy professionals working in academia often face ethical challenges when guiding their postgraduate students in their research responsibilities. However, there is a lack of published literature on these issues in India and our region.

Methods:

Ten faculty members from recognized physiotherapy teaching institutions with minimum 10 years in permanent teaching position and at least 5 years as recognized postgraduate supervisors.

The phenomenological qualitative study design was implemented to conduct in-depth semi-structured interviews with 10 physiotherapy faculty members using both face-to-face (n=1) and telephone interview methods (n=9) till data saturation. Word-to-word verbatim of transcribed audio recordings were used in inductive thematic analysis.

Trustworthiness/ Research rigor was determined according to Lincoln and Guba, which includes credibility, transferability, dependability, and confirmability are the elements of trustworthiness used to enhance rigor in the study. Word cloud and frequency chart were used to highlight the study findings.

Results:

Five themes with 50 sub-themes/categories were identified. Identified five themes (1) Ethical concerns, (2) Informed consent form, (3) Data collection, management, and analysis, (4) Scientific misconduct, and (5) Publication ethics.

Conclusion:

Physiotherapy professionals are facing ethical issues due to fabrication, confidentiality, pay and publish for promotion/degree, signature forgery in ICF, not adhering to authorship criteria, and other issues. To improve research quality, faculty must minimize these issues during supervision.

Implications:

Physiotherapy professionals should prioritize ethical adherence and be vigilant in identifying malpractices during their research supervision.
Ab. No. 138 Knowledge, Attitude and Practice of Physical Activity in Subjects With Hypertension
Authors: Sridevi S , Sheeba P , Venkatesh N , Senthil Kumar T
Published: June 2024

Introduction:

Hypertension a commonly prevalent non-communicable disease with a national incidence of more than 2.5 million can be managed with proper medical management, sufficient physical activity (PA) and lifestyle changes. Less knowledge about Physical activity as a management for hypertension among hypertensive subjects warrants this study.

Aim of the study is to identify and analyze the Knowledge, Attitude and Practice of Physical activity in hypertensive subjects.

Methods:

256 consented hypertensive subjects of both Genders, age 18 to 70, with a clinical history of > 10 months were included; Patients with recent cardiac events, hospitalization in the past 2 weeks, severe comorbidities, patients contraindicated to physical activity and pregnant women were excluded. Demographic and basic clinical data were obtained. A self-developed experts validated survey questionnaire with 22 questions has been filled by the participants Based on the responses participant’s knowledge, attitude and practice of Physical Activity were identified.

Results:

In the study population, 62.1% had low PA, 36.7% had Moderate PA and only 1.2% had high PA levels.37.1% of population had Positive attitude about physical activity and 62.9% had negative attitude.Only 39.5% of population were practicing a structured physical activity. Using the Pearson’s correlation, the correlation between Physical activity levels and KAP individually were analysed and found to have statistically significant positive correlation between physical activity (IPAQ) and Practice (p value.0005) and between Knowledge and Physical activity (p value.0001).

Conclusion:

Subjects with hypertension have poor knowledge and have a negative attitude towards PA. With this KAP survey results, physiotherapists should start spreading awareness about importance of PA and the lurking danger of Physical inactivity for hypertensive subjects in general population. Proper patient education needs to be provided to emphasize the practice of tailor-made structured PA for hypertensive subjects and future multicentric studies are warranted.
Ab. No. 24 Role of Physical Rehabilitation Strategies Used in Dysphagia Management in Head and Neck Cancer Survivors- A Systematic Review
Authors: Ghatkar Shreyasi , Pattanshetty Renu
Published: June 2024

Introduction:

Dysphagia is a common complication in head and neck cancer (HNC) patients who have undergone cancer treatment. Such patients have disrupted swallowing problems with decreased swallowing function even after 5 years post treatment. Rehabilitation strategies have been designed to enhance the mechanics of swallowing to achieve long lasting improvements. To quantitatively assess the previous research studies and to derive conclusion about various physical rehabilitation strategies focusing in decreasing dysphagia problems and improving Quality of Life (QOL) in Cancer survivors.

Relevance:

Systematic review shall help summarize existing research and contribute to informed, efficient, and reliable knowledge synthesis which will guide evidence-based decision-making in clinical practice, and research prioritization.

Materials and Methods:

Electronic search was conducted in Scopus, PubMed, PEDro, and COCHRANE databases. Studies that met the inclusion criteria were evaluated using PEDro scale and Modified McMaster Critical review form for quality appraisal. A descriptive synthesis was undertaken due to heterogeneity of the included studies.

Analysis and Results:

Total of 17 studies were assessed for Risk of Bias which comprised of 15 clinical trials, 1 Case Series, 1 Case Report that applied swallowing exercises, manoeuvres, Neuromuscular Electrical stimulation (NMES), to the HNC survivors. The outcomes highlighted improvement in swallowing, the oral intake status and QOL as assessed by various swallow/oral intake scales, radiographic examination and QOL scales.

Conclusion:

The review recommends application of swallowing exercises, manoeuvres, to HNC survivors however, authors speculate diminished use of NMES in such cases. It’s recommended that a well-designed larger sample size with randomization and double blinding would generate better evidence for combined utilization of NMES along with swallowing exercise for HNC survivors.

Implications:

This systematic review helps to know the lacunae in treatment and how we could strengthen the evidence.
Ab. No. 148 Global Research Trends on Gait Rehabilitation in Individuals With Spinal Cord Injury- A Bibliometric Analysis
Authors: Phadke Vandana , Sharma Ridhi , Sharma Navita , Mitra Shambhovi
Published: June 2024

Introduction:

This bibliometric analysis aims to comprehensively assess the literature related to gait rehabilitation for individuals with spinal cord injury (SCI) to identify significant contributors, and to explore the collaborations and emerging themes in the field.

This study helps to assess the scientific evolution of the field that occurs with technological advancements. Gait rehabilitation following SCI requires a multi-disciplinary approach and the current analysis will assess the global collaborations and provide insights for policymakers, funders, publishers, and future researchers.

Methods:

The Clarivate Web of Science Citation Index Expanded database was searched using the keywords (“gait” OR “walking” OR “locomot* OR “Ambulat*”) AND (Spinal cord injur*)” for all original and review English articles that were published from the inception of the database till date.

The data from the selected articles were imported into R software, and bibliometric indicators were assessed to determine author contributions, country affiliations, journal sources, and thematic trends.

Results:

A total of 1313 pertinent articles were found, with the USA leading in contributions to SCI gait rehabilitation research. Other notable contributors include Canada and Switzerland. Key journals include Spinal Cord, Archives of Physical Medicine and Rehabilitation, Journal of Spinal Cord Medicine, Journal of NeuroEngineering, and Journal of Neurotrauma. Leading contributors are Northwestern University, the University of Miami, and the University of Alberta. The analysis indicates a growing interest in gait rehabilitation research post-2000, emphasizing interdisciplinary approaches and emerging technologies such as robotics, exoskeletons, and neuromodulation.

Conclusion:

The analysis underscores the significance of collaborative and interdisciplinary research in gait rehabilitation, revealing a shift from traditional methods to technology integration. Notably, publications from the USA and Europe have a substantial impact, emphasizing the increasing focus on technology-driven approaches and understanding neuroplasticity in gait rehabilitation.
Ab. No. 155 Effect of Brain Gym Exercises on Executive Functions and Dual –Task Performance in Person’s With Parkinson’s Disease
Authors: Bhattad Radha , Gandhi Bhavana
Published: June 2024

Introduction:

Cognitive impairments are common in Parkinson’s disease, and one of the most noticeable features is dysfunction in the executive function. Because of these changes, performing dual tasks that require the person’s attention and concentration, tend to be more difficult to accomplish. Brain Gym exercise is an academic kinesiological program that stimulates various brain regions, with a particular emphasis on the corpus callosum, facilitating inter-hemisphere communication. In brain gym exercise participants engage in a wide variety of tasks that engage different aspects of cognitive and physical functioning. These exercises had shown to improve cognitive performance and fitness levels in active older adults. Considering this the study is conducted with an intent to find if there is any effect of brain gym exercises on executive function and dual task performance in the persons with Parkinson’s disease.

Methods:

19 persons with Parkinson’s disease age between 50-75 years with stages I-III on Modified Hoehn and Yahr classification, who can identify the sequencing from 1-25 and A-Z and can walk for at least 9 m (30ft) with or without assistive device participated in the study.

Institutional ethical committee approval and participants consent was obtained. Intervention comprising of 23 brain gym exercise, each exercise 3 times per session for 4 days a week for 2 weeks was given. Pre and post intervention Executive Function was assed using Delta Trail Making test and Dual Task Performance was assessed using Timed up and GO test – Cognition.

Wilcoxon Signed Rank test was used to compare pre and post values of outcome measures and statistically significant difference was seen in both the outcome measures (with p value of 0.000)

Conclusion:

The study concluded that Brain gym exercises are effective in improving executive function, dual task performance and can be incorporated with conventional exercises in treatment of persons with Parkinson’s disease.
Ab. No. 156 Exercise Intolerance in Individuals With Long Covid: A Cross-Sectional Analysis
Authors: Gururaj Rachita , Veluswamy Sundar Kumar , Rao Akshay , Thyagaraj Vijayashree , Thomas Betty , Thomas Callum , Owen Rebecca , Bewick Thomas , Ashton Ruth EM , Faghy Mark A
Published: June 2024

Introduction:

Long-COVID has emerged as a significant public health burden, affecting millions around the world. Exercise intolerance is a prominent symptom of Long-COVID and understanding its underlying mechanisms can help health professionals determine appropriate rehabilitation strategies. The aim is to determine potential causes of exercise intolerance in individuals with Long-COVID.

Methods:

Fifteen individuals (age=31±11years;87% female) with a confirmed COVID-19 diagnosis in the past and Post-Covid Functional Status ≥2 were included. Following ethical approval and informed consent, participants underwent a series of assessments including 6-min walk test, PFT, Echocardiography, Cardiopulmonary exercise testing (CPET) and Isometric peak torque (IPT). A symptom limited graded CPET was conducted on two consecutive days(Vyntus CPX System) on cycle ergometer using a standardized ramp protocol. IPT was determined using Humac Norm Isokinetic Device at 90º of knee flexion, with 10seconds hold for 3sets between 2-7days post CPET.

Result:

VO2peak was 20.6±4.8ml/kg/min (RER:1.2±0.1; peakHR:166±22; MVV%:62±10) and significantly lower than predicted values. IPT of dominant quadriceps was 113.4±44.6Nm. All participants terminated exercise due to lower extremity fatigue and inability to maintain peddling rate. Only seven (47%) participants exceeded 90%of their age-predicted MHR and only two crossed 70% of their predicted MVV; indicating possibility of peripheral contribution to exercise intolerance. This could be corroborated by significant moderate correlation between VO2peak and IPT (r=0.66, p=0.008).

Conclusion:

This sample of participants with Long-COVID had significantly lower VO2peak than predicted with a possible contribution from peripheral skeletal/neural processes that present as exercise intolerance.

Implications:

Peripheral causes of exercise intolerance also need to be considered while developing appropriate rehabilitation strategies.
Ab. No. 160 Design and Develop a Low-Cost Biofeedback Respiratory Device to Improve Lung Function in Pulmonary Patients
Authors: Sridevi S , Venkatesh N , Senthil Kumar T
Published: June 2024

Introduction:

Over the past years in medical field, biofeedback (BF) therapy programs have gained lot of importance in patient education. Using BF promises to overcome challenges that is faced in routine teaching methods such as, low focus during therapy and the difficulty of transferring it into everyday practice. The innovation of this proposal is biofeedback with good visual feedback in the form of a game. By this method, the patient would be made aware of his or her reactions through the modification of features in the game and may learn to control the physiological parameters using the feedback provided by the visual input and succeed in learning.

Methods:

The therapeutic instrument with a biofeedback intended device which contains a mouthpiece (disposable), filter (mesh), and a steel tube which would be created using hardware and coding. The device will have games that focuses on inspiratory and expiratory training activities and this would help to improve adherence.

Result and Conclusion:

Major application in pulmonary rehabilitation to train the patient effectively to improve lung function thereby reduce symptoms and to improve the quality of life of patient, for home-based exercise program, for research and clinical need. Pulmonary dysfunction causes many symptoms that affects the day today life of the patients, improving the respiratory muscle function reduces such symptoms and improves quality of life of the pulmonary patients. Exercise compliance of the patients is a challenging factor often faced by therapists and proposed device would help in improving the exercise adherence as its interesting and innovative.
Ab. No. 168 NDT & SI Integrated Rehabilitation in Rere Gene Disorder With Developmental Delay, ASD and Cochlear Implant: - A Case Report
Authors: Ghadge Tejal , Deshpande Snehal
Published: June 2024

Introduction:

Children with hearing loss and additional disabilities benefit from cochlear implantation. However, 30%–40% of children currently receiving CIs have other neurodevelopmental, genetic, ASD, or congenital disorders, with mixed evidence of their potential benefits. The purpose is to evaluate NDT & SI integrated practices in neurorehabilitation.

Methods:

She was assessed throughout using NDT assessment, Sensory Profile, ASQ, Denver’s Score, and Developmental Checklist. Reassessment before the cochlear implant, she showed good improvement except for independent walking with adjunct.

Result:

Significant Improvement in Gross and fine motor functions, Personal & social relations & problem solving.

Conclusion:

Neuro-developmental therapy along with Sensory Integration Pre- and post-cochlear Implant showed considerable improvement in her functional abilities and participation. Further studies can be done using & SI approaches for unique Genetic syndromic cases.

Implications:

Role of NDT & SI approaches in a RERE Gene disorder.
Ab. No. 169 ‘Pro-Chest’ a Novel Device to Measure Chest Symmetry
Authors: Devmurari Parth Kumar , Dhoriya Satish , Parmar Kishan , Sabhya Mansi , Bhalodiya Megha , Bhatt Khushbu , Sonagara Divya
Published: June 2024

Introduction:

Accurate assessment of chest expansion and symmetry is crucial in diagnosing and monitoring various respiratory conditions. Conventional methods like manual measurements, X-ray, and CT-scans, although widely used, have limitations in terms of radiation exposure, cost, and variability in assessor skills. This study introduces a novel device designed to measure chest symmetry more accurately and reliably. The aim of this study was to design, develop, and test a device for measuring chest symmetry, ensuring its reliability and validity against the gold standard manual method.

Methods:

This cross-sectional study involved 200 healthy individuals, aged 18-65, evenly distributed across genders. The device, developed using AutoCAD software and incorporating laser sensors, measures chest expansion in centimeters or millimeters. Its design is based on thoracic function and expert consultations. Testing involved seated participants performing deep breathing exercises, with the device placed on their back and sensors aligned laterally on the thorax. Measurements were repeated three times for accuracy. Data comparison with manual methods was performed using Pearson’s correlation coefficient and Bland-Altman plots. Reliability was assessed through intra-rater, inter-rater, and test-retest reliability using the Intraclass Correlation Coefficient (ICC).

Result:

The device demonstrated high consistency in chest expansion measurements (left side: 5.2 ± 0.8 cm; right side: 5.1 ± 0.9 cm). It strongly correlated with manual measurements (Pearson’s r = 0.89) and exhibited excellent intra- (ICC = 0.92) and inter-rater reliability (ICC = 0.88). Test-retest reliability over one week also indicated high consistency (ICC = 0.90). Participant feedback highlighted the device’s comfort and ease of use.

Conclusion:

The study introduces a reliable, non-invasive, and user-friendly device for measuring chest symmetry. It shows significant potential in clinical and research settings, providing accurate and consistent measurements. Its advantages over traditional methods position it as a valuable tool in respiratory assessment.
Effect of Wearing Noise-Canceling Headphones on Delivery Process in Natural Childbirth Puerperae: A Single-Center Study
Authors: Zhang Beibei , Qu Qinfang , Shu Yan , Zhang Yun , Zhang Jie , Sun Jia , Zhang Caixia
Published: June 2024

Objective: To investigate the effect of incorporating noise-canceling headphones into the delivery process for natural childbirth puerperae. Methods: We conducted a retrospective analysis of clinical data encompassing natural childbirth puerperae in the People’s Hospital of Suzhou New District from January 2021 to February 2023. The implementation of routine noise reduction management was done from January 2021 to January 2022. During this interval, 69 natural childbirth puerperae were selected as subjects, with 7 excluded, resulting in 62 participants constituting the reference group. Subsequently, noise-canceling headphones were distributed to natural childbirth puerperae from February 2022 to February 2023. In this phase, 66 subjects were selected, and 6 were excluded, resulting in 60 participants forming the observation group. Following admission, both groups underwent corresponding nursing management. Emotional states, pain levels, and various indicators were systematically collected and meticulously compared. Results: The observation group exhibited significantly lower Hamilton Anxiety Rating Scale scores than the reference group before delivery and during the first stage of labor (P < 0.05). The observation group demonstrated significantly lower visual analog scale scores and substance P, nitric oxide, and prostaglandin E2 levels than the reference group during the first stage of labor (P < 0.001). During the second stage of labor, the visual analog) scale scores were significantly lower in the observation group than in the reference group (P < 0.05). The durations of first and second labor stages were significantly shorter in the observation group than in the reference group (P < 0.05). No significant difference existed in Apgar scores between the two groups (P > 0.05). Conclusion: The utilization of noise-canceling headphones emerges as an effective intervention, alleviating anxiety, reducing pain during T1, and abbreviating total labor time in natural childbirth puerperae, suggesting its substantial clinical application value and potential as a beneficial addition to maternity care practices.