bluuebunny/crossref_metadata_2025 huggingface dataset:
Congenital Erythropoietic Porphyria: Mild and Severe Form in Two Brothers
Authors: Badabagni Purnachandra , Birudala Ramadevi
Published: June 2024

Congenital erythropoietic porphyria (CEP) is an autosomal recessive inherited metabolic disorder caused due to deficiency of the enzyme uroporphyrinogen III cosynthase, resulting in large amounts of type I isomers, which massively accumulate in erythroid cells and then leak into plasma. CEP clinically presents as lifelong mutilating photosensitivity, erythrodontia, and hemolytic anemia. We report two brothers born out of consanguineous marriage with a diversity of features, i.e., mild and severe variants of CEP with hemolytic anemia and supported by genetic analysis.
Infantile Systemic Hyalinosis
Authors: Jaiswal Sharwari , Madke Bhushan , Chandak Meenakshi , Jangid Shivani
Published: June 2024

Infantile systemic hyalinosis (ISH) is a rare autosomal recessive disorder characterized by widespread hyaline deposition in various tissues, resulting in multi-organ dysfunction. We present a case of a 6-month-old male child with minimal limb movements and skin lesions, emphasizing the diagnostic challenges and multidisciplinary approach involved in managing ISH. Medical history revealed intrauterine growth retardation and a neonatal intensive care unit admission, prompting referral to a tertiary care hospital. A comprehensive evaluation, including imaging, electrophysiological studies, and histology, confirmed the diagnosis of ISH-associated myopathy. Dermatological manifestations and genetic implications are discussed, highlighting the need for early recognition and genetic counseling. Our case contributes to the limited literature on ISH, emphasizing the importance of collaborative efforts in diagnosing and managing this complex disorder.
Sedation of Pediatric Patients during Dermatosurgery
Authors: Prakashey Arjun , Madke Bhushan , Kulkarni Sandeep , Taksande Amar , Ramani Aishwarya Ashokbhai
Published: June 2024

Executing dermatosurgical procedures can be a challenging task in the pediatric population due to their hyperreactive and hypermobile behavioral responses to discomfort posed by these procedures. Thus, most of the dermatological procedures are to be performed in minimal or moderate (conscious) sedation. The objective of this review is to compare the different sedative drugs used in pediatric patients to achieve cooperation during a standard dermatological procedure. Other traditional methods of ensuring compliance by feeding and distracting the patient will be discussed briefly to help or add on to current knowledge in sedation of children during dermatosurgery. While sedatives can be effective in managing anxiety and pain in pediatric dermatosurgery, their use should be carefully considered given the potential adverse effects and risks involved in indiscriminate use and the decision to use sedatives should be individually tailored, considering factors such as the child’s age, medical history, and the nature of procedure being performed.
Customized Ayurvedic management of Agnyashaya shotha (Subacute Pancreatitis): An experience
Authors: Belaguli Govardhan
Published: June 2024

Subacute Pancreatitis (SAP), a rapidly developing inflammatory condition, is surgically manageable. Based on the clinical presentation and symptomatology, the manifestation of SAP can be termed as Agnyashaya Shotha (AS). The present case report is on a year-old manifestation of untreated SAP with severe gastro-duodenitis (~Agnyashaya shotha pradhana Grahani roga) in a young male. The previous Ultrasonography (USG) impression of the abdomen revealed “SAP” and the Upper Gastrointestinal (UGI) endoscopy report stated “severe gastroduodenitis.” The serum amylase and lipase levels were 141 U/L and 108 U/L, respectively. He was clinically treated with a customized and simple Ayurveda intervention for five days. The intervention involved oral proprietary polyherbal formulations along with the internal therapy of Matrabasti (~a form of unctuous enema) and Pathya (~wholesome dietary regimen), based on the treatment principles of Grahani roga (~disorders of lower gastrointestinal tract). He became asymptomatic and was discharged after five days of intervention. Furthermore, the USG impression of the abdomen revealed “no evidence of abnormalities” and his serum amylase was reduced to 59 U/L. Although at the time of discharge, the UGI endoscopy and serum lipase level could not be investigated due to the patient’s unwillingness, the case seemed to be worthy of reporting. Thus, the adoption of current therapeutic intervention along with proper Pathya based on Ayurveda principles might have managed the present case of SAP. Although the present case had its limitations, it significantly helped in understanding SAP, its pathogenesis, and management in the view of rationalized fundamental theories of Ayurveda.
Mental Health Professionals’ Perspectives on Group Intervention for Women Survivors of Intimate Partner Violence: A Qualitative Study
Authors: Periyasamy Chinnadurai , Narayanan Gitanjali , Kandasamy Arun , Ezhumalai Sinu
Published: June 2024

Background:

To examine the perspectives of mental health professionals on providing group intervention for female spouses of men with alcohol dependence who experienced intimate partner violence (IPV).

Methods:

A qualitative research design was used, and a purposive sample technique was used to select the participants. Nine experts with more than five years of experience in handling partner violence cases provided insights through in-depth interviews. The transcripts were carefully examined several times, coded and re-coded. The codes were subsequently organized into thematic categories.

Results:

Most of the experts were between the age of 35-45 years (66.7%), females (77.8%) and had more than five years of experience in mental health and IPV (55.6%). Most of the experts (66.7%) were working in teaching institutions related to mental health and IPV. The remaining one-third (33.3%) of the experts were legal and women empowerment practitioners. The thematic analysis generated six main themes and 19 subthemes, with 189 codes. The six mean themes were: psychosocial needs and concerns, psychosocial interventions, enhancing psychological well-being, enhancing the social support systems, challenges, and therapeutic strategies.

Conclusion:

Experts emphasized the importance of a holistic approach to IPV intervention. Group intervention addresses multiple issues that contribute to violence. Survivors need safe housing, counseling, legal help, and financial assistance.
The Effect of the Psycho-Oncology Program on Depression, Anxiety, and Stress among Breast Cancer Survivors: A Quasi-experimental Study in a Tertiary Care Hospital, South India
Authors: Bharathi T. , Chelladurai Srinivasan , Chellamuthu Vasanth
Published: June 2024

Background:

Breast cancer treatment can affect women both physically and psychologically. Women with breast cancer undergo various painful and debilitating therapies as well as emotional trauma. Health-care providers are facing the challenge of helping breast cancer survivors cope with their physical and psychological problems. In addition, treatment modalities can bring multiple changes.

Materials and Methods:

Purposive sampling was used to choose 60 breast cancer survivors, with 30 members of the intervention group and 30 members of the control group. While participants in the intervention group received routine therapy along with additional psycho-oncology programs, individuals in the control group received standard care according to hospital guidelines. All participants’ baseline and postintervention levels of stress, anxiety, and depression were assessed using the Depression, Anxiety, and Stress Scale (DASS)-21. For every DASS-21 indicator, the differences between the intervention and control groups were examined using two-sided t-tests.

Results:

Significant decreases in means were found for DASS-21 indicators from baseline mean scores for depression (15.9 ° 1.7), anxiety (13.3 ° 1.2), Stress (16.4 ° 1.4) to mean scores after the Psycho-oncology program, for depression (10.7 ° 2.0), anxiety (7.4 ° 1.1), stress (10.1 ° 1.1) with p < .001. After the intervention, participants from the intervention group were found to heal from a severely depressed/anxious/stressed state to moderately depressed/anxious and stressed than in the control group.

Conclusion:

The findings of this study show that depression, anxiety, and stress, which are quite treatable, are common psychiatric morbidities faced by breast cancer patients, which can be treated through psychological intervention (the Psycho-Oncology Program) along with physical measures.
Efficacy of Conventional versus Cordless Displacement System on Gingival Retraction for Use with Intra-Oral Scanner: A Clinical Study
Authors: Gupta Pratik R. , Kharat Swati S. , Gangde Pritesh , Khan Mehboob R. , Shaikh Ahzam , Raut Mrunal N.
Published: June 2024

ABSTRACT

Aim:

The present clinical study aimed to assess the efficacy of conventional versus cordless displacement systems on gingival retraction for use with an intra-oral scanner and changes in periodontal indices.

Materials and Methods:

A total of 20 participants were selected for a split-mouth study (20 sites – Group Sc, 20 sites – Group Es). The outcomes were measured at day 0, day 1, and day 7 of follow-up in terms of Immediate horizontal displacement, Plaque Index, and Bleeding Index. Unpaired and Paired t-test was used as the parametric tests and statistical analysis was performed.

Results:

A statistically significant change was observed in terms of BI on day 0, but no statistically significant change was observed for either group in terms of IHD and PI.

Conclusion:

The cordless material caused the least trauma to gingival tissue and was more compatible with intra-oral scanning devices.
Evaluation and Comparison of Fracture Strength and Fluoride Releasing Properties of New Alkasite Materials with Conventional Restorative Material, Bulk Fill Composite and Glass Ionomer Cement: An In-Vitro Study
Authors: Kashiyani Savan K. , Khanna Shreya A. , Jobanputra Leena , Patel Niharika , Patel Hirenkumar P. , Patel Apoorva D.
Published: June 2024

ABSTRACT

Aim:

This study aimed to evaluate and compare fluoride ion release by Cention-N (self-cure and light-cure) and conventional glass-ionomer cement (GIC) at different pH levels and time intervals.

Methodology:

For fluoride release assessment, 240 samples (10 mm diameter, 2 mm height) of Cention-N and conventional glass-ionomer cement were created using rubber rings. Samples were stored in deionized water, and the cumulative fluoride ion release and change in pH were assessed using a spectrophotometer and pH meter, respectively, at the end of 7 days, 14 days, and 21 days. The obtained data were subjected to statistical analysis.

Results:

All three samples exhibited very high fluoride release in an acidic medium compared to the neutral medium. Although GIC demonstrated superior fluoride release, Cention-N displayed adequate fluoride release over a longer duration.

Conclusions:

Within the limitations of this study, it can be concluded that both Glass ionomer cement and Cention-N showed an initial fluoride burst.
Dental Erosion Prevalence and Risk Factor in Hypersensitive Patients
Authors: Ali Abdul S. T. , Alhamdan Farah Z. , Thabet Farah T. , Alsuwaidan Norah K. , Almontashri Rahaf M. , Alanazi Reem M.
Published: June 2024

ABSTRACT

Introduction:

Dental erosion is common, and patient ignorance is a major issue. Extrinsic and intrinsic factors affect erosion. Some recommend evaluating and treating erosion patients following a brief review of the causes. These involve a comprehensive evaluation of the condition and medical history to identify risk factors for further tooth deterioration. To prevent further degeneration, immediate restorative therapy is needed.

Materials and Methods:

A cross-sectional questionnaire was given to Kerala Dental Clinic patients with dentinal hypersensitivity (DH). A total of 5 random clinics from 14 Kerala districts were chosen. At least a total of 1848 of 3500 patients responded. During the COVID-19 epidemic, an online semistructured survey was created using Google Forms to collect data. The current isolation approach discourages large gatherings and face-to-face contact. Google Forms were used to seek informed consent before filling out the questionnaire. Self-administered 20 questions were used to gather information regarding oral hygiene, bad habits, food, and eating disorders, and we inquired whether subjects ate acidic meals and drinks.

Results:

Most persons with dentine hypersensitivity eat packaged food (70%), pickles (62%), soft drinks (58%), and sweets (56%). Dental erosion is also linked to alcohol consumption (40.4%), teeth clenching (37.4%), mouth breathing (16.4%), and gum chewing (27.5%). Mouthwash-using DH patients (55%) had tooth disintegration.
Effectiveness of a physiotherapy protocol in a patient with dysphagia following radiotherapy for squamous cell carcinoma in retromolar trigone: A case report
Authors: Mandal Subhajit , Mandal Soumyajit , Malik Deepika , Thakur Kanika , Chahal Aksh
Published: June 2024

Abstract

Background:

Squamous cell carcinoma (SCC) in the retromolar trigone of the oral cavity is an aggressive form of cancer, often leading to dysphagia as a result of radiotherapy (RT). This case report examines the efficacy of a combined physiotherapy protocol in treating RT-associated dysphagia.

Case Presentation:

A 43-year-old male diagnosed with SCC, displaying significant difficulty swallowing post-RT, was subjected to a 4-week physiotherapy treatment. The protocol incorporated swallowing exercises, such as lip protrusion/retraction, tongue retraction, and maneuvers including the Mendelsohn maneuver and effortful swallow, complemented by neuromuscular electrical stimulation (NMES) at the submandibular area.

Outcomes:

Posttreatment assessment revealed notable improvement in the patient’s swallowing capability, with increased scores on the Functional Oral Intake Scale (FOIS) and MD Anderson Dysphagia Inventory.

Conclusion:

The application of swallowing exercises combined with NMES may offer a promising approach to ameliorate dysphagia symptoms in patients post-RT for SCC. Further research is warranted to validate these findings and optimize treatment protocols.
Ab. No. 180 Association between Balance Confidence and Activities of Daily Living in Community Dwelling Elderly
Authors: Modi Megha , Shah Zeel , Patel Dhara , Patel Yukta , Sharma Anjali , Mahato Ranveer
Published: June 2024

Introduction:

Balance confidence and FOF are essential psychological factors to consider when developing fall intervention strategies to enhance ability of elderly to remain active at home and within the community, and avoid injurious falls. Psychological factors like balance confidence and fear of falling (FOF) are related to balance impairment and falling. Ability to perform activities without falling may have positive effect on confidence in balancing. Study was aimed at obtaining better understanding of association of level activity of daily living (ADL) with individual’s estimation ability to avoid fall or maintain their balance.

Methods:

315 ambulatory community dwelling elderly ageing 60 to 85 years were recruited by personal interview from parks, and housings of various areas of city. Elderly with MMSE score < 18, neurological disorders (e.g. Stroke, Parkinson’s disease), any acute injury, hearing/communication problems, nonstable medical conditions, painful osteoarthritis with weight bearing, vestibulopathy were excluded. In this cross-sectional study, all individuals were screened for cognition using MMSE along with demographic details. The participants were assessed using Activities-specific balance confidence (ABC) scale, Katz Index of Independence in ADL and Lawton IADL Scale.

Result:

Mean sample age was 69.2±6.33 with 46.2% females. ABC score showed significant correlation with the criterion (p<0.000). The multiple regression model with all four predictors produced R²=0.454, F=64.316, p<0.000. MMSE, Lawton and Katz scale had significant positive regression (B=1.232,0.329,3.402 respectively). Age had significant negative weight (B=-0.786).

Conclusion:

Katz Index was the best predictor of balance confidence followed by MMSE, age and Lawton IADL Scale.

Implications:

Result provides better understanding of factors predicting balance confidence.
Ab. No. 30 The Accuracy of 10 G Monofilament Use for Clinical Screening of Diabetes Peripheral Neuropathy Among Indian Population
Authors: Hazari Animesh , Mishra Vinaytosh , Kandakurti Praveen Kumar , Maiya Arun
Published: June 2024

Introduction:

The purpose of this study was to test the diagnostic accuracy of the 10g monofilament to screen for diabetic peripheral neuropathy (DPN) in India. The study further assessed the effect of physical activity, footwear use, and occupation on the outcome.

Methods:

Non-probabilistic purposive sampling was used to recruit patients with T2DM to assess the diagnostic utility of the 10 g monofilament. A total of 160 participants were recruited and divided into 4 groups. Each group consisted of 40 participants with 20 under each category described as “Physical Worker Vs Non- physical worker” (n= 40), “Barefoot vs. footwear” (n=40), “Use of Slipper at Home Vs No-slippers use at home” (n=40), “Agriculture Vs Non- agriculture” (n=40). 10 g monofilament was used to detect the presence of protective sensation towards screening of DPN against biothesiometer (Vibration Pressure Threshold).

Result:

The area under the ROC (receiver operating characteristic) curve was 0.6 for identifying DPN using the 10 g monofilament. Physical work (p=0.04), footwear (p=0.04), slipper use at home (p=0.02), and occupation (p=0.02) impacted the diagnostic utility of the 10g monofilament.

Conclusion:

This study shows that the 10 g monofilament has limited accuracy for detecting DPN in the Indian population and this is further affected by occupation, socioeconomic and religious practice.
Ab. No. 32 Effect of 4-Week Pulmonary Rehabilitation on Dyspnoea, Fatigue, Quality of Life and Radiological Findings in a Patient of Pulmonary Renal Syndrome Suffering from Pneumonia- A Case Study
Authors: Tripathi Shreya , Tiwari Bharat
Published: June 2024

Introduction:

Pulmonary renal syndrome (PRS) is a rare, autoimmune disease, defined as combination of pulmonary symptoms (cough, chest pain and dyspnoea- at acute stage) and rapidly progressive glomerulonephritis. Pneumonia is an inflammatory condition caused by infectious agents leading to fever, cough and shortness of breath. We report a case of 42 years old female suffering from PRS and recently diagnosed with bacterial pneumonia. Medically she was managed through antibacterial and oral corticosteroids. At initial encounter of pneumonia, she was in intensive care unit and had cough, dyspnoea, pyrexia and fatigue with oxygen saturation (SpO2) of 94% on 15 litres of oxygen via non-re-breathable mask. Her chest x-ray demonstrated lobar pneumonia involving right upper lobe. Even after the resolution of pneumonia, she had fatigue, dyspnoea and baseline SpO2 of 90-92% on room air. Thus, all the above traits were treated by pulmonary rehabilitation. The study aims to find the effect of tailor-made pulmonary rehabilitation in pneumonia along with PRS.

Methods:

Physiotherapy was divided into 2 phases: (1) To treat pneumonia- chest physiotherapy (breathing exercises, nebulization, bronchial hygiene, percussion, and vibration) (2) After resolution of pneumonia: dyspnoea management, energy conservation techniques, early mobilization, exercise training (aerobic and strength)

Result:

4 weeks of pulmonary rehabilitation resulted in significant improvement in radiological findings, St. George’s respiratory questionnaire (85.39 to 15.53), SpO2 at room air (90% to 99%), Modified Medical Research council score (4 to 1), fatigue severity scale (43 to 21) with an improved inspiratory capacity measured by incentive spirometer.

Conclusion:

Our results underline pulmonary rehabilitation as an important pillar in the treatment of pneumonia with PRS.
Ab. No. 47 Physiotherapy Management in Challenging Case of Posterior Reversible Encephalopathy Syndrome (PRES) Developed After Liver Transplantation: A Case Report
Authors: Kodiyatar Aruna , Shah Harda
Published: June 2024

Introduction:

Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder in which a person presents with visual disturbance, seizure, headaches, and altered sensorium. Use of Immunosuppressant and blood pressure fluctuation are most common etiology after transplant. However it’s reversible but neurological problems takes a time to recover. The study aims to explore neuro-rehabilitation in PRES after liver transplantation.

Methods:

This is a single case study of 53-year-old male patient underwent liver transplantation due to non-alcoholic steatohepatitis on 10/08/2023. He had episode of seizure on POD 7th, which lasted for l.5 minute with loss of consciousness and muscle tone. MRI Brain was suggestive of PRES. Patient was made medically and vitally stable with normal liver functions. However, patient developed cross paraplegia, aphasia with Glasgow coma scale 8/15, hypotonia, MRC score 0/5 and absent deep tendon reflex at left upper as well as right lower limb, sensory loss at right L2, L3, L4, L5 and S1dermatome. Barthel index score was 10/100 which suggestive of total dependency. A tailor-made progressive neuro-rehabilitation was implicated twice a day with positioning, bronchial hygiene technique, respiratory muscle strengthening, sensory re-education with robotic early mobilization (MOTO med) in supine at the liver intensive care unit as well as in transit to the ward. To facilitate re-education neuromuscular electrical stimulation was given at the foot and wrist. Static-dynamic sitting balance training supported standing, and assisted gait training were started.

Result:

Barthel index score improved up to 60/100 (moderate dependency), muscle power improved to MRC 3/5 with sensory component intact. The patient can walk with a walker up to 4 meters.

Conclusion:

Progressive neuro-rehabilitation plays a key role in reverting the PRES complication in liver transplant recipients.

Implication:

A tailor-made physical therapy protocol is a key pillar for the management of PRES after liver transplantation.
Ab. No. 49 Guidelines Used in Cross Cultural Adaptation of the Disabilities of the Arm, Shoulder And Hand (Dash) Questionnaire: A Narrative Review
Authors: Budhbhatti Mamta Kansara , Shukla Yagna
Published: June 2024

Introduction:

The disabilities of the arm, shoulder and hand (DASH) outcome measure is a widely used patient reported outcome measure. DASH was originally developed in English in 1996 by the institute for Work and Health (IWH).1,2Since then, clinicians and researchers have been using it in the field of hand therapy. The DASH has proved to be a reliable and valid questionnaire for various upper extremity disorders and been translated into many different languages. Narrative review is comprehensive, critical and objective analysis of research. This study is done to establish a theoretical framework and focus on procedures used in cross cultural adaptation of the disabilities of the arm, shoulder and hand (DASH) outcome measure in different languages and describe it.

Methods:

All Articles are searched from different databases using key words and reviewed critically for cross cultural translation process of disabilities of the arm, shoulder and hand (DASH) outcome measure. All articles are reviewed as per PRISMA checklist is used for analyzing and reporting articles for cross cultural adaptation process.

Result:

17 studies met the criteria for inclusion in the review. The overall rating for the process of cross-cultural adaptation process is good. The reviewed studies used the guidelines given by Beaton et al, Guillemin and criteria suggested by the institute for Work and Health (IWH).

Conclusion:

Translation and cross-cultural adaptation process requires careful selection of the members according to suggested guidelines and should be done with great care to provide best properties. In this review, all include studies follow the guidelines as per Beaton et al, Guillemin and criteria suggested by the institute for Work and Health (IWH).
Ab. No. 59 Reliability of Dual Weighing Scale Biofeedback System (DWSBS), a New Apparatus for Assessment and Training of Weight Bearing Asymmetry (WBA)
Authors: Shah Ravi , Murugan Saravanan
Published: June 2024

Introduction:

Weight bearing asymmetry leads to major impact on gait execution strategies post neurological conditions. A cheap and cost-effective apparatus which can be incorporated in routine use with less costs per session, will help treat asymmetry and enhance a near normal gait pattern with reduction in compensatory strategies. Introduction of new, cost effective and reliable apparatus against costly and cumbersome apparatus which is portable and needs less clinical expertise to use. Secondary objective is to target, population with neurological issues where weight bearing asymmetry leads to major gait disturbances.

Methods:

56 Normal Healthy individuals (45-65 years) Instrumentation of DWSBS, by using 2 platforms for standing, measuring 12 x 12 inches each, embedded on a single platform, placed at a distance of 2 centimetres between them. A common display with digital output for both weighing scale was used. Reliability testing - 56 healthy individuals without any balance issues recruited and asked to stand bipedally, with eyes open on each of 2 weighing scales separately;post 3 trials, average of reading were documented. Data collected by 2 raters (Rater 1- reading on day 1 and 3; Rater 2 - reading on day 2) were analyzed using Cronbach’s alfa test in SPSS version 23 software.

Result:

Excellent reliability for Intrarater and interrater testing as per ICC values 0.9. neck ROM.

Conclusion:

The new apparatus has proven to be reliable and is fit to be tested for validity.

Implications:

DWSBS will help reduce to cost and execution-based burden for weight bearing asymmetry training.
Ab. No. 60 Translation and Cross-Cultural Adaptation of Health Literacy Instrument for Adults in Hindi
Authors: Jain Anjali , Megha Sheth T
Published: June 2024

Introduction:

Physiotherapists play a significant role in health promotion and wellness. Health literacy can help people prevent health problems, protect health and better manage diseases when they arise. To Translate and Cross Culturally Adapt Health Literacy Instrument for Adults (HELIA) and Determine the Reliability and Validity.

Methods:

Adults aged 18-65 years were included. Methodological study was done where permission to translate the scale was taken from the author. The health literacy instrument for adults was translated into Hindi using forward-backward translation method given by WHO. Forward translation of the scale was done by a Hindi professor such as to preserve meaning of the questions in original questionnaire. There was expert panel of five experts (2 physiotherapists, 2 doctors, 1 engineer). Following their suggestions, validated Hindi version 1 was made. Backward translation was done by an independent translator. Version 1 of Hindi version was pilot tested with 10 adults whose mean age was (42.3 ± 9.75) years. Few suggestions given by them were done and final version 2 was given to 20 participants for reliability. One therapist performed scale twice on the same participants for intra-rater reliability and two therapists performed it on same participants for inter-rater reliability, both with two days of gap.

Result:

There is strong positive correlation between English and Hindi version of HELIA with intraclass correlation (ICC=0.89) and interclass correlation (ICC=0.84). Scale content validity index (SCVI) is 0.91.

Conclusion:

The Hindi version of HELIA is reliable and valid for assessing health literacy in adults.

Implications:

Hindi version of HELIA can be used for assessing health literacy in Hindi speaking community dwelling Indian adults. Clinical management and research may benefit from the availability of a self-administered scale in native language.
Ab. No. 65 The Effect of Motor Imagery and Virtual Reality on Motor Functions in Individuals With Parkinson’s Disease – A Systematic Review
Authors: Mandaliya Ekta , Suthar Vaishali
Published: June 2024

Introduction:

Parkinson’s disease is a neuro-degenerative disorder, characterized by degeneration of dopaminergic neurons. Motor imagery practice uses the imagery of a motor act to learn and Improve outcome. Virtual reality can provide patients with sensory stimulation, immersive environment, feedback during motor task, reflecting motor learning and neuroplasticity. The purpose is to investigate effectiveness of motor imagery and virtual reality on motor functions in individuals with Parkinson’s disease.

Methods:

10 articles were included with 287 participants. 9 were RCT and one was case study. A search of literature was conducted by using following keywords: Parkinson’s disease, Virtual reality, motor imagery. A search was undertaken via google scholar, PubMed and research gate. Out of 287 articles, 28 studies were reviewed. 10 studies met the inclusion criteria. UPDRS was the outcome measure used to assess motor functions. These articles were analyzed using PRISMA 2020 checklist and PEDro. Cochrane risk of bias tool was used to check the bias. Three articles studied the combined effect of virtual reality and motor imagery, two motor imagery alone and five virtual realities alone.

Result:

Combining VR with MI showed statistically significant difference. Motor imagery alone showed significant difference in one article and no difference in the other. Articles about VR alone showed statistically significant difference.

Conclusion:

Virtual reality and motor imagery are effective rehabilitation tool for improving motor function in individuals with Parkinson’s disease.

Implications:

Virtual reality and motor imagery can be used in designing more effective and engaging rehabilitation program leading to improved outcomes and quality of life.
Ab. No. 66 A Novel Medical Device Prototype, One Stop Solution For Shoulder Dysfunction: A Scientific Note
Authors: Sojitra Namrata , Sharma Amit
Published: June 2024

Introduction:

The Shoulder is an unique anatomical structure with an extraordinary Range of Motion (ROM) that allows us to interact with our environment. Shoulder pain is the third most common musculoskeletal disorder, with incidents rate up to 2.5% and prevalence range from 6.9% to 26%, which rise up to 66.7% for lifetime prevalence in general population. Shoulder Rehabilitation includes Continuous passive movement, active assisted exercises and resisted exercises. There is no such device which includes all these type of exercise in a single unit. All the available devices are separate so requires more space in clinics and also the cost increases because one may need to purchase all these type of devices.

Methods:

The present prototype is designed to include continuous passive movement, active assisted and resisted exercises in a single unit. So it is a one stop solution for the shoulder rehabilitation. The newly designed device will be helpful to the physiotherapists working in the clinical setups, because it occupies less space in physiotherapy clinics and also cost effective.

Conclusion:

This novel device is one stop solution for shoulder rehabilitation which provides active assisted and resisted exercises and continuous passive movements in a single unit.
Ab. No. 84 Athlete Mindful Skills Associated With Reaction Time Among Recreational Football Players: An Analytical Study
Authors: Christie Arpit William , Patel Neha
Published: June 2024

Introduction:

To examined the association between mindful skills and reaction time on sports performance among recreational football players. There has been less attention, to mindful skills and sports performance within an adolescent population. Mindful skills have been important factors in the area of sports with a focus on improved performance across recreational populations.

Methods:

69 football players age between 10-16years old, minimum playing football as last 2 years and 8-10 hours per week were included. History of fall in last month, any surgery performed by last 3 months, diagnosis with psychometric disorders, upper limb injury due to which reaction drop test cannot be performed were excluded.

An observational analytical study was conducted at different sports academy in Ahmedabad using purposive sampling. Written consent was taken from parents of players. Each individual performed reaction drop test to assess the reaction time and mindfulness sport inventory was taken to assess the athlete mindful skills.

Data analysis was done using SPSS version 20 and Microsoft excel 2007. Prior to statistical tests, the data was screened for normality. Sample size was >50 in Kolmogorov–Smirnov test was used to check normality. Spearman correlation was used between reaction drop test and mindfulness sport inventory.

Results:

Total 69 participants, completed the study. Mean age of participants was 13.58±2.58 years. Moderate negative association between mindful skill and reaction time in recreational football players (r=-0.596, p<0.05).

Conclusion:

Present study concluded that fast reaction time; brain reacts more quickly in players. That is helpful for the adolescents while playing football as well as increased playing capacity and also can be prevent injury and become more resilient against potential damage in the players.

Implication:

Mindful skills intervention programmed in the curriculum may be a feasible approach to improve reaction time and performance level in recreational football players.
Ab. No. 89 Reproducibility of a Smartphone-Based Application for Assessing Knee Range of Motion
Authors: Shrivastava Purnima , Maheswari Vansh , Pritwani Sabhya , Kumar Ajit , Swamy Arun , Batra Sahil , John Renu , Praveen D , Gara Sridevi , Malhotra Rajesh , Devasenapathy Niveditha
Published: June 2024

Introduction:

Smartphone applications using in-built gyroscope chips are attractive options that can facilitate self-assessment of knee range of motion without having to wear a sensor-based device.

Methods:

A cross-sectional study was conducted to compare this smartphone-based app with universal goniometer (UG) in assessing active knee range of motion in sitting and lying position. Consecutive patients with knee osteoarthritis or those who had knee replacement or the healthy accompanier and hospital staff above 18 years of age and consenting to volunteer were approached for the study at a tertiary care academic hospital in India. The comparisons were repeated measurements with UG and test-app under same conditions, UG versus test-app, physiotherapist versus patient’s accompanier with test-app in the same phone, in different phones, and a physiotherapist measuring on different stool heights using test-app. We report mean difference between two measurements with 95% limits of agreement and intraclass correlation coefficient (ICC) calculated using one-way random effects.

Result:

The 95% LoA between the UG and test-app in supine flexion was -7.5° to +4.5° and extension was ±4°. The test retest 95% LoA of the test-app in supine flexion and sitting flexion across all scenarios was within ± 8.5°. The test-retest 95% limits of agreement of extension in sitting and supine position across all scenarios was within ±6.5°. Test-retest reliability (ICC) of knee flexion ranged between 0.70 to 0.99 and extension between 0.16 to 0.97 across all scenarios.

Conclusion:

The smartphone-based app is reliable to differentiate between various ranges of motion of knee with measurement errors no greater than universal goniometer. This app has the potential to measure changes in ROM that are above 8° of flexion and above 7° in extension.This app can enhance the ability to remotely measure and monitor knee ROM of pathologic knee.
Ab. No. 90 Design and Validation of Tool to Assess Application of Good Clinical Practice (GCP) in Physiotherapy Academicians Using Modified E-Delphi Method: A Pilot Study
Authors: Sawant Nikita , Shaikh Summaiya , Karajgi Asmita
Published: June 2024

Introduction:

Student’s involvement in research activity is mandatory for physiotherapy undergraduate, postgraduate and PhD courses. Due to current advancement in science and technology, research has increased manifold in physiotherapy profession which strongly manifests the need of adapting GCP guidelines to develop and publish good quality research which can significantly contribute towards social needs. Various tools are available in research community to assess application of GCP guidelines in clinical and drug trials but there is no specific tool available to assess use of GCP guidelines in physiotherapy field.

In physiotherapy institutes, academicians are pillars of research that will identify thrust areas of research. One of the major roles of academicians is to sensitize their students, the future researcher community about predatory journals, unethical research and publishing practices. As a physiotherapist, all of us have knowledge of research ethics and practices but sometimes we fail to apply it in real research scenario. Thus there is a need to design and develop a tool to assess application of GCP guidelines in practical situation and not merely testing theoretical knowledge.

Methods:

Cross sectional study carried out on physiotherapy academicians all over India included through snow ball sampling method.

A questionnaire based on 4 basic ethical principles of research on human participants (ICMR 2017) was formulated. Validation was carried out by Delphi panel members like content experts, journal editor, researcher, epidemiologist, physiotherapist and experts from various fields. Controlled feedback provided to all panel members till consensus is achieved. The validated questionnaire was distributed to physiotherapy academicians via Google form.

Each item will be analyzed using factor analysis to reach an agreement level.

Results:

Awaited.

Conclusion:

Awaited.

Implications:

This assessment tool will help to create awareness about practical ethics over theoretical knowledge in physiotherapy research and practice.
Ab. No. 93 Prevalence of Learning Disability in School-Going Kids of Government School in District Patiala, Punjab
Authors: Kaur Sandeep , Arumugam Narkeesh , Midha Divya
Published: June 2024

Introduction:

The purpose of the study is to determine the prevalence of learning disability in school-going children from the IIIrd –Vth class of government schools by using the Learning Disability Diagnostic Inventory (LDDI).

The study contributes to expanding the role of physiotherapy in multidisciplinary teams by fostering effective therapeutic approaches to promote balanced development of children with learning disability.

Methods:

A total of 80 students belonging to the class III-V between the 8-11 years of age group from different government schools were selected as participants in the present study.

Methods:

The study was conducted using convenience sampling method. A detailed questionnaire was used to document each student’s academic performance. The students were then subjected to a series of assessments, including visual auditory perception tests and an IQ based (Colored Progressive Matrices) CPM test followed by LDDI filled by the teacher of each student.

The data was analysed through descriptive statistics and inferences.

Results:

The findings of the study were that out of total 80 students the prevalence of Learning Disability in Writing domain constitutes (10%), Reading (7.5%), Speaking (21.25%),Reasoning (6.25%),Listening (25%), Arithmetic disability (8.75%). Students of primary class IIIrd-Vth were at higher risk of learning disability in government schools.

Conclusion:

The study concluded that the learning disability is more prevalent in early aged students between age of 8-11. Institutional based educational strategies are required for appropriate modifications in education and teaching techniques.

Implications:

The present study helps in making early diagnosis of learning disability at school level and further widens the spectrum for planned effective therapeutic interventions to enhance the academic performance of students with learning disability and enhance the overall quality of life.
Ab. No. 16 Exercises and Pain Education Improves Clinical Outcomes in a Subgroup of Patients With Chronic Low Back Pain Positive for Central Sensitization
Authors: Ganesh Shankar , Khan Abdur , Das Sakti , Khan Ashfaque
Published: June 2024

Introduction:

Exercises have been found to decrease pain and the overall sensitivity of the central nervous system through the activation of exercise-induced endogenous analgesia and spinal inhibitory mechanisms. Despite the recommendations of many reviews that exercise programs reduce pain and disability in persons with chronic pain, the overall confidence is considered ‘critically low’. This study aimed to evaluate the effect of different exercises (aerobic, motor control, and superficial strengthening) relative to patient education on pain sensitivity and clinical outcomes in patients with chronic non-specific low back pain (NSCLBP) positive for central sensitization.

Methods:

The trial is a randomized controlled study with concealed allocation and blinding of assessors with four experimental groups (n=172) and one healthy control group (n=43). Participants were engaged in moderately intense treadmill walking sessions, activities for trunk stabilization, and strengthening exercises for the trunk and abdominal muscles along with patient education as per their group allocation. The control group received only patient education. The primary outcome was the cold pressor test. The secondary outcomes were pain intensity, disability, letter-number sequencing subtest, Stroop neurophysiological test, quality of life, and isometric muscle strength of the spine and hip muscles. Measures were taken at baseline and 12 and 24 weeks.

Result:

The results showed that patients with CLBP exhibit impaired CPM relative to healthy volunteers even after the intervention period. The overall results of the study showed improvement with time, and there was no difference between the groups in improving outcomes (p > 0.05). There was a small effect size in favor of groups that received exercise and patient education (<0.15) over the control group.

Conclusion:

Considering the comparable effects on clinical outcomes in patients with NSCLBP, this population may be encouraged to undertake exercises of moderate intensity of their preference.
Ab. No. 95 Integrated Effect of Photobiomodulation Therapy Along With Surface Spinal Stimulation and Activity-Based Therapy on Locomotion in an Individual With Traumatic Incomplete Spinal Cord Injury - Single Case Study
Authors: Aggarwal Anshita , Arumugam Narkeesh , Dangi Priyanka
Published: June 2024

Introduction:

The purpose of the study was to examine the integrated effect of photobiomodulation therapy (PBMT) along with surface spinal stimulation (SSS) and activity-based therapy (ABT) on the locomotion in an individual with traumatic incomplete spinal cord injury (SCI).

The study aims to provide an insight for advanced non-invasive treatment approach useful in activating central pattern generator by bio-modulating the state of spinal cord.

Methods:

Individual diagnosed with traumatic spinal cord injury, Motor incomplete ASIA grade B.

A 36-year-old male pre-diagnosed with D12-L1 vertebrae fracture and anterolisthesis of D11 over D12 vertebra had undergone surgical management in august 2023. Physiotherapy management was given with PBMT using Class IV LASER (2000 joules at 7 watts) on lesion site, SSS (2500 Hz carrier frequency, 80 Hz beat frequency for 20 minutes) on paravertebral area and activity-based therapy (trunk control exercises, body weight supported treadmill training, overground walking for 45 minutes) for 6 sessions per week for duration of 5 weeks.

Pre and Post intervention assessment was done using International Standards for Neurological Classification of Spinal cord injury- ASIA Impairment Scale, Walking Index for spinal cord injury-II (WISCII-II) and Spinal cord independence measure-III (SCIM-III) at day 0, 15 and 30.

Results:

ASIA motor score of right lower limb, SCIM-III and WISCI-II had shown significant improvement. ASIA motor score of right lower limb improved from 0 to 1, SCIM-III from 42 to 54 and WISCI-II from 0 to 6 between day 0 and day 30.

Conclusion:

The study concluded that combined photobiomodulation therapy using class IV LASER along with surface spinal stimulation and activity-based therapy has positive effect in enhancing the locomotion in an individual with traumatic incomplete SCI.

Implications:

This integrated non-invasive treatment approach can be used as management guideline for enhancing locomotion in individuals with incomplete SCI.
Ab. No. 129 Current Practice of Fascial Distortion Model (FDM) on Chronic Pain in Individuals With Chronic Myofascial Neck Pain: A Review Study
Authors: Kaur Harmanpreet , Arumugam Narkeesh , Kaur Sharanjeet
Published: June 2024

Introduction:

The purpose of the study is to determine the effect of FDM on chronic pain in individuals with Chronic Myofascial Neck Pain Syndrome. The study provides insights regarding the current practice of FDM on chronic pain among physiotherapists and health professionals in individuals with chronic myofascial neck pain.

Methods:

The research of Randomized clinical trials and cross-over trials published between 2014 and 2023 was performed on various databases, including PubMed, and search engines, including Research Gate and Google Scholar. The data was limited to the last 10 years (2014–2023) and was in the English language. 10 articles were identified, out of which 7 articles that met the inclusion criteria were selected. PRISMA methodology guidelines were used for data extraction.

Qualitative analysis of the study was done using the PEDro scale (Physiotherapy Evidence Database). According to the PEDro analysis, the majority of the articles included were of good quality.

Results:

In this study, a total of 7 studies on FDM for the treatment of chronic myofascial neck pain syndrome were reviewed. Most of them showed significant results in improving pain and range of motion. Data showed that FDM is a fascial manipulation technique that works on the deep fascia and leads to myofascial pain reduction.

Conclusion:

FDM can aid in reducing pain and improving the function and extensibility of the upper region.

Implications:

FDM has been found to be a good and effective method for improving myofascial neck pain and increasing limited range of motion by working fascia.