bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypochondriasis: Psychiatric Sequelae of Coronavirus Disease 2019
Authors: Sreelatha P. , Reddy B. Puneeth Nath
Published: June 2024

Coronavirus disease 2019 (COVID-19) pandemic has caused devastation in multiple facets globally including psychological repercussions. There is increasing evidence of rise in reports of fears of contracting the virus. Just like in any other pandemic, fears associated with developing COVID infection spread over a spectrum from normal concerns to excessive preoccupations. Delineating fears that can be justified in the present scenario from disease entity such as hypochondriasis is challenging. We present a case with excessive fear of contracting coronavirus with repeated checking behaviors to confirm his COVID-positive status which was not amenable in reassurance. Detailed evaluation and identification of psychiatric illness ensure the implementation of appropriate interventions.
Semantic and Categorical Verbal Fluency: An Indicator of Progression of Cognitive Decline with Aging
Authors: Halder Susmita , Mahato Akash Kumar , Samajdar Shinjini
Published: June 2024

Background:

Changes in cognitive functioning with the progression of age have been suggested as indicator of potential degenerative disorders in older adults. With growing age, deterioration in executive functions happens and is noticeable from the difficulties in day-to-day planning, problem-solving, decision-making, and inhibition or fluency in the elderly. However, in the early stages, it might be tricky to clinically identify if the decline in the cognitive functions is clinically significant or not. Verbal fluency is a valuable executive function and posited as one of the indicators of cognitive impairment. Within this construct, categorical and semantic fluency are inclined to indicate the verbal stimulus recognition and association. It is suggested that the capability to distinguish and associate verbal stimulus could be at different levels of decline with aging with a possible pattern of decline from the early stage of old age and later and distinct among males and females. This progressive decline and changes in verbal fluency could indicate the probable occurrence of cognitive impairment in the aging population. The study aimed to explore the verbal and semantic fluency as an indicator of the progression of cognitive decline with aging and to explore the sex differences in verbal fluency of the studied sample if any.

Methodology:

Hundred individuals of both sexes in the age range of 50–70 years were selected for the study. The Controlled Oral Word Association Test (COWA) and animal naming test were administered to measure the semantic and categorical verbal fluency of the participants.

Results:

Results suggest significant changes in verbal fluency with aging in the participants. However, the sex difference in verbal fluency was marginal, as males performed slightly better on the naming task but not in the word association task.

Conclusions:

Changes in verbal fluency are evident and prominent among the aging population and could be a valuable tool for early identification and intervention, decreasing the risks of degeneration and improving the quality of life of the elderly.
A Study of Phenomenology and Treatment Adherence in Patients with Obsessive-compulsive Disorder during COVID-19 Pandemic
Authors: Teena Bansal , Gupta Bandna , Shweta Singh , Anil Nischal
Published: June 2024

Background and Objective:

The WHO declared COVID-19 to be a public health emergency which has affected every sphere of life including mental health and is expected to affect the patients of obsessive-compulsive disorder (OCD) adversely. This study aimed to study phenomenology and treatment adherence in patients with the OCD during COVID-19 pandemic.

Materials and Methods:

The sample consisted of 96 old and new patients of OCD between the age of 18 and 60 years, with the Yale–Brown Obsessive-Compulsive Scale (Y-BOCS) ≥16 and onset of illness prior to COVID-19 (March 2020). Diagnosis was made as per ICD-10-DCR, the likelihood of treatment adherence was assessed using the Medication Adherence Rating Scale, and the severity of OCD was assessed on Y-BOCS. The current and past phenomenologies as per D-YBOCS were compared. Among the patients adherent to treatment, subjective response on the current severity of symptoms as compared to before the onset of COVID-19 was recorded.

Results:

The likelihood of treatment adherence was high (according to the Medication Adherence Scale) in 59.2% of cases. Pandemic reasons were reported by 69% of patients with low likelihood of treatment adherence. Few patients developed new symptoms, but no statistically significant change was found when compared to the pre-COVID-19 phenomenology.

Conclusions:

Majority of the treatment adherent patients experienced a decrease or no change in their symptom severity as compared to the before COVID-19 severity, suggesting that no worsening of OCD symptoms during the pandemic was observed if the patients were adherent to medications. However, there is a need for long-term considerations and plan interventions accordingly to minimize this deleterious effect.
Overlap between Obsessive–compulsive Disorder, Psychosis, and Autism Spectrum Disorders
Authors: Lokhande Vrushali , Palsetia Delnaz , Subramanyam Alka , Shah Henal
Published: June 2024

ASD is a neurodevelopmental disorder characterized by impairments in social communication and social interaction, repetitive and stereotyped behaviours, and/or sensory aberrations. OCD is characterized by the presence of obsessions and/or compulsions. Schizophrenia consists of delusions, hallucinations, negative and cognitive symptoms. Children often present with overlapping symptoms and complex psychopathologies and adolescence is often the period where these symptoms get heightened or get noticed. Furthermore, some psychiatric disorders like OCD, ASD and psychosis often have overlaps with confusing presentations. We present a case of a 15year old male child who presented with overlapping symptoms.
Depression in a Case of Mauriac Syndrome
Authors: Gandhi Ishita , Roy Parijat , Karia Sagar , Shah Nilesh , De Sousa Avinash
Published: June 2024

Mauriac syndrome is a rare complication of poorly controlled type 1 diabetes mellitus and is characterized by hepatomegaly with altered liver enzymes, delayed puberty, growth retardation, and cushingoid features, seen in children. Being a chronic condition, warranting frequent hospitalization, and invasive testing and management, one should always look out for the possibility of comorbid depression, enabling timely diagnosis and treatment. Here, we report the case of 14-year-old male with Mauriac Syndrome having comorbid major depressive disorder being well maintained on escitalopram.
Giant Cerebriform Nevus Sebaceous of Jadassohn in an Infant
Authors: Mendiratta Vibhu , Meena Amit Kumar , Parmar Vishal , Rao Anuja
Published: June 2024

Nevi are hamartomatous growth of skin or mucosa that usually present at the time of birth or soon after. Nevus sebaceous (NS) is an epidermal nevus comprised predominantly of sebaceous glands. It presents at the time of birth, as yellow-tan-colored plaque, which usually remains constant till puberty and thereafter it increases in size due to the hormonal influence on sebaceous glands. Here, we are reporting a case of giant cerebriform NS of Jadassohn in a 2-month-old male child. Such giant and cerebriform appearance of NS is rarely seen.
A Case of Childhood Non-Hodgkin's Lymphoma Presenting as Isolated Inguinal Lymphadenopathy
Authors: Samal Abhipsa , Panda Anil Kumar , Mishra Sasmita , Panda Maitreyee
Published: June 2024

Inguinal lymphadenopathy is a common condition encountered in routine clinical practice. It can be associated with various causes such as infections, inflammatory conditions, and neoplastic processes. We report the case of a young female presenting with an inguinal swelling with active discharge, which was initially suspected to have bacterial lymphadenitis, but subsequently diagnosed with non-Hodgkin’s lymphoma. Such an atypical presentation of a hidden malignancy is very rare and has never been reported as per our knowledge.
Atypical Presentation of Infantile Bullous Pemphigoid with Isolated C3 Deposits
Authors: Pidaparty Sri Vidya , Sambangi Jahnavi , Guruprasad P.
Published: June 2024

Bullous pemphigoid is an acquired autoimmune bullous disorder with autoantibodies targeting distinctive antigenic components of the skin and mucous membrane. It occurs mostly in the elderly, with the incidence of disease increasing with age and rare in children and infants. The clinical features are extremely polymorphous characterized by tense blisters and intense itching. The disease in pediatric population usually has a favorable outcome with appropriate treatment. Here, we present a case of infantile bullous pemphigoid with a rare presentation, triggered by vaccination and showing only linear C3 deposits.
Clinical Spectrum of Congenital Ichthyosis in Pediatric Age Group from a Tertiary Care Center in India
Authors: Mendiratta Vibhu , Verma Damini , Himadri  , Thekho Apaopa Jemima , Bindal Ayushman
Published: June 2024

Objective:

Ichthyosis is a disorder of cornification, which can be acquired or inherited, and encompasses various forms of generalized scaling and superficial roughness of the skin secondary to impaired skin barrier. It can be often associated with systemic manifestations. There is a paucity of Indian studies assessing the clinical and demographic profile of children with inherited ichthyosis. Hence, we conducted this study with the primary objective of assessing the clinical and epidemiological profile of children with congenital ichthyosis (CI).

Materials and Methods:

The study was conducted over 1 year. All children aged up to 18 years of age, with the clinical diagnosis of CI, were evaluated for epidemiological profile and clinical features.

Results:

A total of 32 children with CI presented with a mean age of 6 ± 4.81 years. The most common phenotype was ichthyosis vulgaris, seen in 13 (40.6%) children, while X-linked recessive ichthyosis was present in 6 (18.75%) children. Epidermolytic ichthyosis (EI) was also seen in 6 (18.75%) children, out of which 5 were diagnosed with generalized EI and 1 was diagnosed with superficial EI. Lamellar ichthyosis was seen in 4 (12.5%) children. Sjogren–Larsson syndrome (SLS), harlequin ichthyosis, and Netherton syndrome were present in 1 (3.1%) case each. Various extracutaneous abnormalities detected were ectropion (9.3%), lagophthalmos (3.1%), and refractive error with stye (3.1%) on ophthalmological evaluation, gross development delay (8.75%), and neurological involvement in the form of spastic quadriplegia (one patient with SLS).

Conclusions:

CI comprises various skin diseases and can range from mild to very severe presentation with systemic involvement. Identification of the phenotypic expression of ichthyosis is a prerequisite for making prognostic predictions, therapeutic decisions, and offering genetic counseling.
Dermoscopy of Congenital Hemidysplasia with Ichthyosiform Erythroderma and Limb Defects Nevus with Unilateral Limb Defects
Authors: Zachariah Linza P , Ambooken Betsy , Asokan Neelakandhan , Balakrishnan Sunitha
Published: June 2024

Here, we report the dermoscopic findings of congenital hemidysplasia with ichthyosiform erythroderma and limb defects (CHILD) nevus with left-sided ichthyosiform erythroderma and left upper-limb aplasia in a 4-month-old baby. The presence of ptychotropism and strict midline demarcation are unique features described in CHILD nevus. Dermoscopy of the CHILD nevus showed linear and dotted vessels with yellowish waxy scales on a pink background. These characteristic dermoscopic findings would also help us to differentiate it from inflammatory linear verrucous epidermal nevus.
Management of polycystic ovarian syndrome by Yoga basti and Mustadi ghanavati: An experience through Ayurvedic approaches
Authors: Padhi Sandhya Rani , Pandey Meenakshi , Kumar Akshay
Published: June 2024

Polycystic Ovarian Syndrome (PCOS) is a prevalent and rapidly growing metabolic and endocrinological condition among women of reproductive age. Lifestyle factors such as sedentary habits, pollution, and excessive junk food consumption contribute to the escalating incidences of PCOS. Globally, it is estimated to affect 6%–10% of women, with a higher prevalence of 3.7% to 22.5% among Indian women. It is characterized by delayed menstruation, oligomenorrhea, acne, hirsutism, thinning of hair, infertility, and obesity. In Ayurveda, PCOS is not a direct term coined, but the conditions like Vandhya yoni vyapad (~primary infertility), Artava sroto vidhha lakshana (~symptoms due to vitiation of channels carrying menstrual blood), Nashtartava (~amenorrhoea), and Artava kshaya (~oligomenorrhea) as well as Pushpaghni jataharini (~clinical resemblance to PCOS) and Vikuta jataharini (~irregular menstrual and ovulatory cycle) may be strongly related to PCOS in terms of their characteristics. The presented case involves a 26-year-old female with irregular and painful menstruation, acne, hirsutism, and weight gain visited the outpatient department with a diagnosis of bilateral PCOS, confirmed through ultrasonography, revealing enlarged ovaries with a right ovary of volume 15 cc and a left ovary of volume 16 cc. After having a thorough examination, the patient underwent customized Ayurvedic treatment protocol, including oral medications, Yoga basti (~course of eight therapeutic enemas), dietary modifications, and practice of Suryanamaskara (~sun salutation). After three months, the patient reported symptomatic relief, and improved Quality of Life (QoL), as measured by the QoL-Short-Form-36 scale, and an ultrasound report without any abnormality. The observations infer that the Ayurvedic approaches are safe and effective in managing the conditions with hormonal imbalances like that of PCOS.
Effect of Shunthi dhanyaka sadhita jala and lifestyle modifications in the management of Prameha purvarupa (prediabetes): An observation
Authors: Gupta Neelam , More Anand , Rai Shalini
Published: June 2024

In prediabetes, the blood glucose levels are higher than normal but not enough to qualify as diabetes. The prevalence of prediabetes in India is 14%. Prevention of prediabetes would prevent life-threatening consequences. Prameha purvarupa (~prodromal symptoms of diabetes mellitus) in Ayurveda correlates clinically to the features of prediabetes. Prameha purvarupa is a Santarpanottha (~sedentary lifestyle related) and Meda pradoshaja vikara (~disorder of adipose tissue) that typically manifests in individuals who are Chankramana dveshi (~aversion to walking) and is brought on by vitiated Doshas (~regulatory functional factors of the body) and Dushyas (~which gets vitiated by aggravated Doshas). Elevation of blood glucose level in prediabetes may be considered retention of Ama (~metabolic toxins) in the body. A 38-year-old prediabetic female, unable to lose weight after several attempts, was managed for three months with Shunthi dhanyaka sadhita jala (~water processed with dry ginger, and coriander). In addition, she was also suggested Chankramana (~brisk walking) during the early hours of the day and Swabhavika nidra (~regular and natural sleep). Improvement in glycosylated hemoglobin, and disappearance of Prameha purvarupa such as Karapada tala daha (~burning sensation of palms and soles), Madhura asyata (~sweet taste in mouth), and weight loss after three months of management. The case report depicts the effectiveness of a simple, practical, and affordable Ayurvedic treatment approach in the management of prediabetic conditions.
Role of Ayurveda intervention in the management of schizophrenia: An experience of three cases
Authors: Achuthan Anu K. , Vinod R. , Jithesh M.
Published: June 2024

Schizophrenia, affecting thoughts, perception, emotions, and social relationships, impacts approximately 20 million people globally. Schizophrenia can be effectively managed by understanding ayurvedic clinical concepts, including evaluation of Sharirika evam manasika dosha (~somatic and psychological defects) and the cause and severity of symptoms, as discussed in Unmada (~insanity). This paper presents three cases of schizophrenia efficiently managed using Ayurveda principles. The first case is a 46-year-old female with altered behavior, poor daily living, irritability, negative thoughts, disturbed sleep, and suspicion. The second case is of a 14-year-old boy with increased anger, reduced concentration, confidence, and irrelevant speech. The third case features involve a 42-year-old female displaying strange hand gestures, crowd fear, racing thoughts, and odd behavior. Therapeutic management such as Shodhananga snehapana (~therapeutic intake of unctuous substance), Vamana (~therapeutic emesis), Virechana (~therapeutic purgation), Basti (~medicated enema), Nasya (~medication through nasal route), and Shamana aushadha (~palliative treatment) were chosen based on the presence of vitiated Dosha (~regulatory functional factors of the body) and Lakshana (~symptoms). Panchakarma (~five internal bio-cleansing therapies) procedures, in combination with ayurvedic medications, yielded promising results and reduced the readings of positive and negative syndrome scale score. These cases demonstrate safe and effective management approaches of Ayurvedia in schizophrenia, warranting further research.
One Minute Intelligence Quotient Test for Point-of-care Grading of the Severity of Lower Intelligence in the Patient Populations
Authors: Manjunatha Narayana , Basavaraja Gangasamudra Veerappa , Madegowda Rajendra K. , Kumar Channaveerachari Naveen , Math Suresh Bada
Published: June 2024

In conventional psychiatric assessments, intelligence is commonly assessed during history taking and the mental status examination, yielding a binary outcome of average or below-average/lower intelligence. However, this approach lacks the necessary severity grading for lower intelligence, which is crucial for prompt clinical management within the same consultation without any delay of formal intelligence quotient (IQ) testing. The authors introduce a novel one minute intelligence quotient test (OMI-Q) to address this gap. The study aims to compare the clinical concurrence between OMI-Q scores and those from formally administered IQ tests in a case series. Notably, a higher level of clinical concurrence is observed between the two sets of tests in this small sample. The OMI-Q is a brief, rapid, and point-of-care IQ test, easily administered within one minute as part of routine psychiatric evaluations. The substantial clinical concurrence between OMI-Q and formal IQ test scores indicates its potential for seamless integration into busy clinical practices. This is particularly beneficial in primary and secondary health-care settings, where waiting for formal IQ test reports is impractical for timely clinical management.
Psychological and Social Correlates among Convicts of Intrafamily Homicide in a Tertiary Psychiatry Hospital – A Retrospective Chart Review
Authors: Bhat P. Aishwarya , Pandurangi Aditya , Mahadevaiah Mahesh , Pandurangi Swapna , Angadi Vinuta
Published: June 2024

Background:

Intrafamily homicide often described as “parricide” and “familicide” has multifactorial etiology with sociocultural issues and psychiatric disorders having a bearing.

Aim:

The aim was to study the psychosocial and family correlates in individuals convicted of intrafamily homicide.

Methods:

This was a retrospective observational study of persons convicted of intrafamily homicide referred by the Karnataka Judiciary between January 1, 2019, and December 31, 2021. The observations were recorded in five domains comprising axis I diagnoses, projective tests, personality evaluation, intelligence quotient, and assessment of family.

Results:

Of the 54 prison cases that were screened, 24 had a history of homicide, of which 10 belonged to intrafamily homicide. Majority were male, involved in physical labor, belonged to lower socioeconomic status, and hailed from rural domicile. 7/10 had axis 1 diagnosis, of which three had psychosis, one had Internet gaming disorder with emotionally unstable personality disorder, and one had alcohol dependence syndrome. The Rorschach inkblot test of three persons had average productivity with adequate touch with reality, had neurotic constriction with disturbed adjustment, with no diagnostic indicators of psychotic process, affective disorder, or anxiety. 5/10 had reported unhappy childhood and poor interpersonal relationship with spouse, and the majority reported financial difficulties.

Conclusion:

Psychosocial factors like psychotic disorders, interpersonal conflicts with spouse, unhappy childhood, financial difficulties, and difficulty in adaptability, either independently or together can act as risk factors for intrafamily homicides. Early identification and treatment of psychotic disorders and psychosocial interventions aimed at resolving interpersonal issues, helping adaptability and coping may reduce the risk of such acts.
Comparative Study of the Influence of Dental Implant Design on the Stress and Strain Distribution using the Finite Element Method
Authors: Sahai Neha Srivastava , Yadav Divya , Madhav Srishti , Kumar Naveen , Dubey Anuradha , Qadeer Nazia , Makkad Ramanpal Singh
Published: June 2024

ABSTRACT

Background:

One emerging and important research method for biomechanical assessments in biological investigations is the finite element analysis (FEA). It is the best technique for simulating intricate structures and examining their mechanical characteristics.

Aim:

This study was conducted to compare the V-shaped design and square thread design regarding their influence on the stress and strain distribution using the finite element method.

Methods and Materials:

Forty dental implants with two different designs were used. These designs were V-shaped design and square design. Utilizing Creo 2.0, cortical bone, cancellous bone, and implants were modeled. FEM analysis was performed on forty model assemblies.

Results:

It was observed that mean load 1 values for squared thread design were lesser as compared to V-shaped thread design at coronal one-third middle one-third and apical one-third in the cancellous bone as well as implant surface.

Conclusion:

The design of implant is an important factor influencing the stress and strain distribution using the finite element method with a square design showing reduced concentration.
AMSTAR-2 checklist-based quality assessment of systematic reviews on general physiotherapy treatments indexed in Medline: A cross-sectional study
Authors: Kumar I Naveen , Mathew Akhil
Published: June 2024

Abstract

Background:

Evidence-based practice combines the best available research evidence with clinical expertise and patient values. In this study, we aimed to assess the quality of published systematic reviews on general physiotherapy treatments for musculoskeletal pain. We used the AMSTAR-2 guidelines to rate the selected articles, with two independent raters working to achieve consensus. In addition, the study aimed to evaluate the percentage of systematic reviews that adhere to the methodological quality standards for systematic reviews.

Materials and Methods:

We searched PubMed for systematic reviews published between January 1, 2018 and May 31, 2022, and only selected articles indexed in Medline because it is widely used by clinicians to find evidence. We screened a total of 181 systematic reviews and finally included 17 articles based on the inclusion criteria. We calculated the total score of each article by summing the individual item scores.

Results:

Of the 17 included articles, 4 (24%) had a score of more than 60%, 4 (24%) had a score of 50–60% (fair quality), and the remaing articles had a score below 50% (poor quality).

Conclusion:

The quality of systematic reviews in physiotherapy for musculoskeletal pain, as observed in this study, is poor to fair. Further research is necessary to identify factors that impact the quality of systematic reviews and to develop best practices for producing high-quality reviews. Readers should exercise caution when interpreting the findings of systematic reviews in this field.
The effect of single and dual task on spatiotemporal gait parameters in children with spastic cerebral palsy
Authors: Sharma Aastha , Saxena Akanksha , Thakur Kanika
Published: June 2024

Abstract

Aim:

Children can walk in clinical settings but have difficulty walking in schools, parks, and outdoor activity playgrounds. Most environmental distractors, namely noise from the background, and diverting visual and aural stimuli may be a source of this lack of carryover from indoor to outside settings, which is why they are unable to carry-out their activities of daily living successfully and precisely. This study was aimed to assess the impact of dual task activities on spatiotemporal aspects of gait in children with spastic cerebral palsy (CP).

Materials and Methods:

After screening and informed consent, participants were asked to walk on a 10-m walkway while performing a dual task (walking with visual, auditory recognition, and backward counting). Three trials of each task were obtained and spatiotemporal parameters, including speed, step length, step width, and stride length, cadence) were measured.

Result:

Spatiotemporal parameters, such as speed, step width, step length, right stride length, and cadence, showed significant difference with dual-task walking compared with normal walking.

Conclusion:

The results suggest that dual-task training should receive more attention in clinical evaluations, as well as therapy strategies for children with spastic CP.
Ab. No. 26 Prevalence of Musculoskeletal Pain in Field Hockey Players of Maharashtra – An Observational Study
Authors: Khatavkar Mayuri , Kedare Sayali
Published: June 2024

Introduction:

Field Hockey has a dynamic nature. A sudden change in directional movements may cause the player prone to musculoskeletal injury and pain. Thus, the primary objective of this study was to find the prevalence of pain among these players in Maharashtra state. Secondary objectives were to find the same concerning gender, type of players, and their playing positions. This would help to gain knowledge on the types of injuries caused, to take adequate and appropriate measures for the ultimate prevention, and help to prepare a guideline for injury prevention strategies.

Methods:

363 field hockey players, with experience of more than a year, were recruited from various hockey clubs in various zones of Maharashtra. A Cross-sectional observational study was done. After obtaining Ethical approval, participants were recruited as per inclusion criteria. Informed consent was taken and a Nordic musculoskeletal pain questionnaire was administered to establish the pain prevalence via electronic medium. Descriptive statistical analysis was done by using MS EXCEL, to calculate the percentage/average and proportions of pain prevalence amongst – Males and Females; Elite and recreational players; and among various playing positions acquired.

Result:

It was found highest injury prevalence was in the lower back (34%) among field hockey players. It also showed differences in pain prevalence depending on gender (22%), type of players (42% in elite), and various playing positions (47% in goalkeepers and defenders).

Conclusion:

It was concluded to have maximum pain prevalence in the lower back region. Owing to the type of players and playing positions, the prevalence also varied. Physiotherapists can help to educate hockey players regarding the targeted prevalent joint areas and guide them to attain appropriate preventive strategies while training these players.
Ab. No. 170 Impact of Dynamic Postural Exercises on Electromyographic Activity, Co-Contraction and Joint Position Sense in Upper Cross Syndrome: A Pilot Study
Authors: Das Jaganjyoti , Anand Pooja , Bhat Pooja
Published: June 2024

Introduction:

A greater prevalence with no strong rehabilitation program for Upper Crossed Syndrome (UCS) accompanied the purpose to find out the efficacy of dynamic postural exercise developed on the basis of identification of muscle activation pattern in UCS.This will help in effective management of patients suffering from UCS.

Methods:

14 subjects with diagnosed UCS were randomly allocated to experimental and control groups (N=14; n=7). Participants were asked to perform 4 exercises (YTWL) using elastic resistance band during which amplitude of muscle activation and cocontraction ratio with Surface electrodes using 4 channel electromyographic system were measured.12 muscles of both side (Upper, middle and lower trapezius, serratus anterior, pectoralis major, anterior scalene) were assessed. The intervention of experimental group consisted of seven exercises. Both groups were given hot pack, TENS and cervical AROM exercises. The intervention was prescribed for three days a week for 8 weeks. Cervical kinesthesia was measured using joint position sense error (JPSE) test. All the outcome variables were recorded at the baseline and after 8 weeks.

Result:

Statistically significant difference (p≤0.05) of mean amplitude in pre-post values of experimental group as well as between group were found. Between group analysis of UT:LT, SC:AS contraction ratio and joint position sense also found to be significant(p≤0.05).

Conclusion:

There was a significant improvement in mean amplitude and cocontraction of cervicothoracic muscles in Dynamic Postural Exercise group. Kinesthesia also improved in experimental group.

Implications:

A focused rehabilitation program for UCS will help in improving the quality of life and functional efficacy.
Ab. No. 171 Correlation between Gait Speed and Movement Time of Upper Limb Tasks in Younger Adults: A Cross-Sectional Study
Authors: Gurung Naveen , Debur Ramesh , Kulkarni Anagha
Published: June 2024

Introduction:

Movement Time is an important variable as it influences the way we control our movement. An estimation of movement time in normal individuals helps physiotherapists constitute normative values. The gait speed of a person is used as a guide to implement intervention strategies and is a measure of functional independence. A correlation between gait speed and movement time would allow us to recognize various changes in the early stages of movement disorders.The study aims to find a correlation between the gait speed and movement time of upper limb tasks in younger adults.

Methods:

30 subjects between the age of 18-25 were selected based on convenience sampling. A cross-sectional study was conducted. Gait Speed was analyzed by GAITRite and Movement Time of Upper Limb tasks by Video recording and time analysis.

Result:

The Shapiro-Wilk test affirmed the normal distribution of the data. Utilizing Pearson’s correlation coefficient, we observed a moderate correlation (r = -0.533) with a statistically significant p-value of 0.001 between the Average Gait Speed and Average Movement Time of upper limb tasks in the younger adult population.

Conclusion:

The average gait speed of an individual exhibits a moderate correlation with the movement time required for upper limb tasks. Subsequent research within this realm could explore the inclusion of older adults as subjects, considering that interventions targeting either outcome could prove particularly advantageous for this demographic

Implications:

Exploring the interplay between gait speed and movement time in the upper limbs among individuals without movement disorders is essential for gaining insights into how these factors may vary in people affected by such conditions.
Ab. No. 172 Effect of Neural Mobilization on the Cervicocephalic Kinesthetic Sense in Cervical Radiculopathy Patients With or Without Diabetes Mellitus
Authors: Aggarwal Divya , Sethi Priyanka , Sharma Pooja
Published: June 2024

Introduction:

The study evaluates the effect of neural mobilization on the cervical sensorimotor functions in cervical radiculopathy patients with or without diabetes mellitus.

Methods:

A Pre - post analysis method based on random sampling was used to assess the combined impact of neural mobilization with cervical traction in cervical radiculopathy patients with or without diabetes mellitus. 87 subjects (n= 87) aged 18-60 years with cervicobrachial pain of recent onset of Diabetes Mellitus less than 5 years. with normal BMI were recruited for this comparative study. Subjects of both the groups will be given 12-15-min treatment sessions (3 times per week for 6 weeks). Cervicocephalic kinaesthetic sensation was assessed - using Laser pointer method (HRT) and were noted along with secondary outcome measures including NDI and NPRS for pain and disability.

Result:

Cervocephalic kinesthetic sense for both flexion & extension (P=0.006) and right-side flexion (p= 0.0017) and left-side flexion (p=0.001). showed statistically significant difference within both the groups. No other considerable differences were seen between the groups. Similarly, a significant difference (P< 0.05) was seen with increased scores of NDI and NPRS and in the pre-posttest sessions of both the groups.

Conclusion:

Neural mobilization is an effective technique to improves the cervical kinesthetic sensation in radiculopathy patients with diabetes not directly affecting the course of recovery in early stage of onset.

Implications:

Exploring the interplay between gait speed and movement time in the upper limbs among individuals without movement disorders is essential for gaining insights into how these factors may vary in people affected by such conditions.
Ab. No. 174 Physiotherapists-Led Workplace Health Promotion Program: A Cross-Sectional Need Analysis
Authors: Tejaswini S , Thomas Betty , Veluswamy Sundar Kumar
Published: June 2024

Introduction:

Workplace health promotion programs are an effective strategy for improving health status of large number of participants. They have several advantages and recently, INDIA-WORKS Trial demonstrated that standardized programs can be scaled to different worksites. Many chronic-health conditions benefit from physiotherapy interventions but physiotherapists roles in workplace health programs have not been established. Developing physiotherapists-led workplace programs have the potential to scale-up access to physiotherapy interventions. The aim is to determine the burden of chronic-health conditions and need for physiotherapy interventions among selected health professionals in a workplace setting.

Methods:

39 nurses (Age: 48±4 years; 90% women) with leadership roles (Assistant Nursing Superintendents-3, Floor Supervisors–4, Patient Care Coordinators-5 & Ward In-charges–27) participated in the study. In the previous year, physiotherapy screening was included as part of annual health check-up of employees in tertiary-care teaching hospital wherein 1135 employees were screened using standardized proforma. This identified several opportunities for developing workplace health promotion programs. The current study represents phase 1 of program development, wherein nurses in leadership roles were shortlisted for determining the burden of chronic health conditions amenable to physiotherapy interventions and their willingness to participate in workplace health promotion program using a standardized questionnaire.

Result:

Among the participants, 18(46%) had diabetes or hypertension or both, 19(49%) were stratified as low-moderated risk using STarT Back Screening Tool (NPRS=5.2±1.4) and 14(36%) had mild disability due to back pain. Musculoskeletal pain at other sites were also common. All participants expressed willingness to participate in workplace health promotion program.

Conclusion:

There is significant burden of chronic health conditions in select group of healthcare professionals and all identified problems are amenable to workplace health promotion programs.

Implications:

There is significant potential for developing physiotherapists-led workplace health promotion program.
Ab. No. 175 Understanding Exercise Self-Efficacy and Physical Activity Patterns in Individuals Coping With Chronic Kidney Disease: A Literature Review
Authors: Khan Misbah , Rodriques Daina , Thomas Betty
Published: June 2024

Introduction:

This study is relevant in physiotherapy as it explores the intricate relationship between ESE, PA, and the challenges faced by individuals managing CKD. Insights gained can help tailor physiotherapeutic interventions to enhance the well-being of CKD patients. The purpose of this research is to investigate and comprehend the current body of research pertaining to the exercise self-efficacy (ESE) and physical activity(PA) levels within the population of individuals affected by Chronic Kidney Disease (CKD).

Methods:

This literature review studies involving individuals diagnosed with CKD, regardless of the stage or severity, focusing on ESE and PA levels. A comprehensive review of existing literature was conducted, utilizing databases such as PubMed, Google Scholar. Inclusion criteria involving studies published in last decade, written in English, and featuring relevant data on ESE and PA levels in individuals with CKD.

Result:

Review suggests despite recognized benefits, many individuals with CKD remain inactive, with barriers affecting their exercise engagement and contributing to a decline in quality of life (QOL). ESE is highlighted as a critical determinant affecting physical activity behavior in individuals with chronic conditions, yet the relationship between ESE and physical activity levels in CKD remains underexplored.

Conclusion:

Review concluded that ESE has been significantly associated with poor health-related QOL. However, there is paucity of literature on the relationship between ESE and physical activity across different stages of CKD.

Implications:

Identified research gap emphasizes the need for further exploration of the relationship between ESE and PA levels as a foundation for development of targeted interventions that can promote PA and improve health outcomes and overall QOL in individuals with CKD.
Ab. No. 182 A Case Series on Post Hysterectomy Quality of Life Check in Females of Select Rural Southern Haryana Villages
Authors: Kumar Shweta , Bhattacharya Barnali , Jain Shilpa , Samuel Ankita , Shankar Mamta
Published: June 2024

Introduction:

Clinicians we will create the requisite awareness among the females and our clinical gentry on the importance of lading guidelines before such surgeries especially in cases with long-term recovery phase such as hysterectomy. The major reason of doing the study is the absolute lack of awareness in women of rural Haryana in the selected villages that led to the belief that women suffered the post hysterectomy bodily changes far more than before it.

Methods:

Selection criteria was purposive with our team visiting the villages of Bandhwari, Berka and Hajipur along with NSS team of K.R. Mangalam University, Sohna Road, Gurugram. Par-q and SF36 scale were used to qualitatively assess females’ quality of life index and their readiness to physical activity.

Result:

The result specifies that the PARQ and the SF36 are likely to positively correlate with age and region of women with hysterectomy.

Conclusion:

Females who had hysterectomy (type not specified) have had a moderate to severe impact on their physical health.

Implications:

This leads us to believe that the women who had undergone hysterectomy had in general been poorly informed of future implications. This led us to a revelation that females were poorly educated on the post-surgical changes in their body.
Ab. No. 33 Bio feedback Integrated Thoracic Expansion Measuring Device – A Technical Note
Authors: Ved Nidhi , Sharma Amit
Published: June 2024

Introduction:

Thoracic expansion is defined as the difference in chest circumference between Maximal Inhalation and Maximal Exhalation. As per WHO guidelines the ability to accurately evaluate Thoracic Expansion in disorders like COPD, Asthma, Bronchiectasis, etc. is very important. Till the date chest expansion is measured clinically by measuring tape, so the chances of human error persist, also Constant and continuous data is not possible until it is performed manually and it is also difficult for the subject to interpret it.

Methods:

Few researchers have developed chest expansion measuring devices but reliability and validity of a few devices were very low while a few devices like Optic Electronic Plethysmography require a huge setup with various sensors, cameras, and computer units which are not easy to handle and not widely available. Suggesting Further Research on Developing Accurate, Cost Effective, Easy to Use and Easily Available Chest Expansion measuring Device. Along with this, the availability of biofeedback is very limited in pulmonary rehabilitation.

Conclusion:

it is needed to develop a biofeedback integrated thoracic expansion device, to accurately measure and improve chest expansion among people having reduced lung volume and Capacity. As it can be used as an adjunct in pulmonary rehabilitation for better Physical and Function Outcomes.
Ab. No. 36 Integrated Effect of 3d Schroth Method and Cellular Rhythm Therapy on 4-D Postural Analysis in an Individual With Idiopathic Structural Scoliosis- Single Case Study
Authors: Shinde Akshata , Passey Nandit , Kaur Sharanjeet , Arumugam Narkeesh
Published: June 2024

Introduction:

The study attempts to widen the horizons of physiotherapy profession by promoting insights towards the advanced non-invasive treatment approaches for the management of Idiopathic Structural Scoliosis and aims to investigate the combined effect of 3D Schroth Method (spinal corrective exercise program) and Cellular Rhythm Therapy on 4D Postural Analysis in an individual with Idiopathic Structural Scoliosis

Methods:

An 18-year-old male diagnosed with idiopathic scoliosis for 4 years. He had thoracic levoscoliosis and lumbar dextroscoliosis with a baseline Cobb’s angle of 35º. Physical findings were uneven shoulder heights, slight right scapular winging, prominent left hip, and increased space between left elbow and trunk due to trunk deviation towards the right side. The patient intervened with Cellular Rhythm Therapy for 20 minutes followed by 3D Schroth Method exercises for 20 minutes. The treatment was given for a total of 30 days (5 sessions per week). Pre and Post interventional objective assessment was done using 4D postural analysis and subjective assessment was done using the Italian Spine-Related Quality of Life (ISYQOL) questionnaire at day 0 and day 30.

Result:

Significant change was found in lumbar lordosis angle (46º -31º), sagittal imbalance (6º - 2º), pelvic torsion (4º- 2º), vertebral rotation (17º -13º), apical deviation (49º - 21º), lumbar lordosis depth (32º- 30º) and in Cobb’s angle from 35º to 29º, along with difference in Italian Spine-Related Quality of Life (ISYQOL) questionnaire from 37% to 39%.

Conclusion:

According to the study’s findings, 3D Schroth Method and Cellular Rhythm Therapy can be an effective treatment for patients with Scoliosis.

Implications:

This combinational approach anticipates a useful reference guide for future management of Idiopathic Structural scoliosis.
Ab. No. 42 Effect of Visual Perceptual Skills Training on Manual Dexterity and Functional Abilities in Children With Autism Spectrum Disorder: A Case Series
Authors: Goyal Chanan
Published: June 2024

Introduction:

Globally, prevalence of ASD is rising alarmingly. Evidence synthesis on effective intervention strategies is crucial to bridge the knowledge gap. In addition to disruption in communication and social interaction, motor signs like impaired manual dexterity are frequently associated in children with autism spectrum disorder (ASD). This study aims to investigate the positive impact of visual perceptual skills training along with functional training as these skills are closely related to daily activities and academic skills.

Methods:

Three school-aged children (between 8-12 years of age) diagnosed with ASD were included. Motor clumsiness was the primary concern of parents. Intervention was based on principles of sensory integration. It comprised functional training along with visual perceptual skills training including figure-ground discrimination, design copying, visual scanning, visual closure, and visual-motor integration. Manual dexterity was assessed by the Nine-Hole Peg Test (9HPT) and Box and Block Test (BBT) before intervention and after 12 weeks of intervention. Besides, functional changes in activities like feeding, buttoning, writing, and copying from the board at inclusive schools were gauged.

Result:

All children showed improvement in manual dexterity as assessed by the 9HPT scores that changed from 49 to 40 seconds, 42 to 35 seconds, 45 to 37 seconds, respectively. In addition, BBT scores improved from 38 to 44 blocks, 41 to 49 blocks and 39 to 46 blocks, respectively. Independence in feeding and buttoning increased, apart from better efficiency in copying from board and writing.

Conclusion:

Visual perceptual skills training helped in improving manual dexterity in children with ASD. Moreover, independence in daily activities and academic skills were enhanced.

Implications:

This case series reveals that the effect of this approach is clinically significant in real life settings. However, it must be investigated on a larger population.
Ab. No. 8 Neonatal Procedural Pain and Neuromotor Changes on Multisensory Stimulation and Soft Tissue Therapy Among Hospitalized Preterm Neonates: One-Group Pretest-Post-Test Trial
Authors: Sharma Neha , Mahajan Kusum , Sameul Asir John
Published: June 2024

Introduction:

Neonatal physiotherapy procedures including MSS and STT might be beneficial for reducing pain and improving neuromotor outcomes among hospitalized neonates. To determine the effects of MSS and STT on reducing procedural pain and improving neuromotor outcomes among hospitalized preterm neonates.

Methods:

MSS and STT were provided for 5 days of NICU stay. The Premature Infant Pain Profile-Revised (PIPP-R) and Neonatal Pain and Sedation Scale (N-PASS) were used for assessing procedural pain. For assessing neuromotor outcomes among preterm neonates, Infant Neurological International Battery (INFANIB) and Premie neuro scale were used. Wilcoxon signed-rank test was used for estimating the statistically significant difference. Effect Size (ES) within the group was calculated by using the formulae “Wilcoxon Signed-ranks test” for ES.

Result:

Both statistically significant differences (p<0.05), and clinically important differences were noted in procedural pain (PIPP-R; 3.0, N-PASS; 3.0) and neuromotor outcomes (INFANIB; 3.0, Premie Neuro; 8.0) among hospitalized preterm neonates.

Conclusion:

MSS and STT given for 5 days of NICU stay reduces procedural pain, and improves neuromotor development among hospitalized preterm neonates. MSS and STT might be given as early intervention care regularly for reducing pain and promoting neuromotor development among hospitalized preterm neonates. However, further randomized controlled trial is needed to substantiate these findings.