bluuebunny/crossref_metadata_2025 huggingface dataset:
A Qualitative Study on Unmet Mental Health Needs of Indian Human Immunodeficiency Virus-positive Men Who Have Sex with Men
Authors: Sawant Neena , Das Nishant , Acharya Shrikala M. , Anvekar Aditya R. , Rathod Anuradha D. , Pawar Neil D.
Published: June 2024

Background:

The prevalence of human immunodeficiency virus (HIV) infection in the population of men who have sex with men (MSM) in India is higher than that of the general population, making them one of the high-risk population groups. This subgroup is also at a higher risk for mental disorders, substance use, and stigma due to their MSM status. There is a paucity of data about this in the Indian HIV-positive MSM subgroup.

Aim:

The study aimed to explore the understanding of “mental health” among MSM living with HIV and bring forth their unmet mental health needs.

Methods:

The study used a qualitative design with purposive sampling. Seven people living with HIV from a randomly selected antiretroviral therapy center in Mumbai, who identified as MSM, participated in the study. Data were collected through focus group discussion, audio recorded with consent, and then a thematic analysis of the transcript was done.

Results:

The responses were summarized into four broad categories – mental health problems, psychosocial and economic problems, philosophical conflicts, and coping strategies. The categories further generated multiple themes. Themes such as worries about the illness, fear of impending death, low self-esteem, stigma around HIV and homosexuality, and perceived and experienced discrimination were recurrent. Mental illness was perceived as an additional burden to their already existing health problem.

Conclusion:

This study provided a deeper understanding of the unmet mental health needs and psychosocial challenges faced by the HIV-infected Indian MSM. It may help the policymakers of the country to modify the existing health and social benefit schemes.
A Case Report on Unusual Manifestations of Acquired Cytomegalovirus Infection in Preterm Baby
Authors: Bhandare Prachi , Reddy Umamaheshwar , Kadakol Akshay , Shukla Pankaj , Ghodge Rakhi
Published: June 2024

Cytomegalovirus (CMV) infection in early infancy arises more commonly as congenital infection or less commonly is acquired postnatally, although exact differentiation between both categories could be difficult. We hereby describe the case of severe CMV infection in a 2-month-old infant who was born prematurely of a twin pregnancy at 29.4 weeks. The baby presented with an array of skin manifestations comprising target lesions, papulovesicles, ulcers, and crusting along with systemic involvement (bronchopneumonia). We report this case to highlight the various unusual cutaneous manifestations of CMV infection in infancy and to raise the awareness among clinicians for the early diagnosis and prompt treatment.
Cutaneous Kikuchi’s Disease in Pediatric Age Group
Authors: Sadhwani Monal , Kulkarni Vinay , Patki Anil , Deshpande Anand
Published: June 2024

Kikuchi’s disease is also known as histiocytic necrotizing lymphadenitis. It is a rare, idiopathic, self-limiting disease presenting with fever, malaise, and generalized lymphadenopathy, mostly in young females, although it has been occasionally reported in the pediatric population. Cutaneous manifestations are visible in around 16%–40% of cases, ranging from nonspecific papules, plaques, nodules, and ulcers favoring the face, upper extremities, and trunk. We report here a case of an 11-year-old child who presented with fever, leukopenia, lymphadenopathy, and cutaneous eruption. A final diagnosis of Kikuchi’s disease was established after a lymph node biopsy report.
A 5-year-old Girl with Asymmetric Giant Toes: A Case of Mixed Pattern Macrodystrophia Lipomatosa
Authors: Shahid Rashid , Kumar Piyush , Pradhan Swetalina , Sinha Upasna
Published: June 2024

Macrodystrophia lipomatosa (MDL) is a rare congenital nonhereditary anomaly, in which progressive overgrowth of mesenchymal tissue leads to disproportionate enlargement of the digits of the hands and feet. We discuss the case of a 5-year-old girl who presented with progressive disproportionate enlargement of the third and fourth toes of the right foot since birth. A diagnosis of MDL was made on the basis of clinical and radiological findings.
Quality-of-Life Assessment in Singaporean Children with Alopecia Areata
Authors: Chong Eleanor JX , Yep Joanne , Ho Valerie PY , Foong Alice YW , Koh Mark JA
Published: June 2024

Introduction:

Alopecia areata (AA) is an autoimmune dermatological disorder characterized by nonscarring hair loss. Its chronic and visible nature can negatively impact the quality of life (QoL) of patients with the condition. There has been a lack of studies on the QoL of pediatric patients with AA, especially from Asian countries.

Objectives:

This study aims to evaluate the impact of AA on the QoL of pediatric patients in Singapore.

Methods:

Between 2016 and 2017, 25 patients with AA were recruited to complete three questionnaires: Children’s Dermatology Life Quality Index (CDLQI), Family Dermatology Life Quality Index (FDLQI), and Pediatric Alopecia Areata Quality of Life Index. The results of these questionnaires were subsequently analyzed.

Results:

All three questionnaires had a broad range of responses, but scores were generally low, suggesting AA does not have a large impact on the QoL of our participants and their families. Two factors were identified to have resulted in better outcomes: the presence of comorbidity (atopic dermatitis, nail disease, food allergy, and allergic rhinitis) on the CDLQI and the presence of allergic rhinitis on the FDLQI. On the other hand, a later age of onset resulted in higher FDLQI scores.

Conclusions:

Similar to findings of other studies, the QoL of pediatric patients with AA is generally good, and clinical severity does not equate to worse QoL. Further studies are useful to provide more holistic care for the patient and their caregivers, involving both medical and psychosocial interventions.
Role of Rasoushadhies in the management of alcoholic acute on chronic pancreatitis: A case study
Authors: Bramhankar Rakesh , Munishwar Nisha Jagannath , Parveen Rehana , Baruah Himangshu
Published: June 2024

Pancreatitis is inflammation of the pancreas, which may be acute or chronic. Acute pancreatitis is an acute inflammatory condition that may extend to local and distant extrapancreatic tissues. Recurrent inflammations will eventually turn the disease into a chronic stage. The chronicity of the disease causes emaciation of the patient, craving for food, and worsening of the symptoms, which results in a bad prognosis due to necrosis of the pancreatic cells, depicting the Dhatupakavastha (~tissue suppuration) as per Ayurveda. The predominant symptom is persistent Udarashoola (~colicky abdominal pain). The management of pancreatitis through Rasoushadhi (~herbo-metallo-mineral-based formulations) is considered to be a choice of treatment due to its advantages, including an ability to cure even bad prognostic diseases. This is a case study of a 48-year-old male, a diagnosed case of alcoholic acute on chronic pancreatitis since 2009, where administration of a combination of few Rasoushadhi containing Lauha bhasma (~incinerated iron), Tamra bhasma (~incinerated Copper), Sudhavarga dravya (~calcium compounds), and Kshara (~alkaline substances) showed significant improvement in clinical, biochemical, and radiological parameters. The outcome of the treatment infers that Rasoushadhi can be useful in the management of such manifestations, further can reduce in number of hospitalizations and restore the health of the patient.
Management of primary open-angle glaucoma with Ayurvedic medicines: A case report
Authors: Bhat Pravin M.
Published: June 2024

Glaucoma is a neurodegenerative disease in ophthalmology, which has a characteristic optic neuropathy along with raised Intraocular Pressure (IOP). Glaucoma results in the irreversible loss of vision and field defects due to the death of retinal ganglion cells. Despite the considerable drug development activity in glaucoma, there is a high failure rate in researches that focused on developing neuroprotective treatment options. A 65-year-old male patient, a known case of open-angle glaucoma presented in the outpatient department with complaints of the progressive painful loss of vision in both eyes with a mild headache and redness along with reports of perimetry that showed visual field defects. He was diagnosed with primary open-angle glaucoma with gonioscopic confirmation and history. It is characterized by the presence of pain as a distinctive symptom in conjunction with visual impairment or loss. Considering the symptomatology and after examination, the Ayurveda treatment was planned. Triphala churna, Pravala panchamruta vati, Chandraprabha vati, Amalaki churna, and Saptamrita roupya churna with Pathyadi kwatha in the morning and evening and Triphala churna with Aragvadha fanta at night before sleep were started and continued for five months. Amalaki churna with Goghrita was prescribed for another 6 months. The perimetry showed improvement in the visual fields with improvement in vision from 6/24-6/18p in the left eye and 6/60-6/36 in the right eye. This case report will give a direction to serve the purpose of neuroprotection along with control of IOP in glaucoma.
Disability and Family Burden among Individuals with Schizophrenia and Obsessive–Compulsive Disorder
Authors: Singh Bhupendra , Sweta  , Chakraborty Satabdi , Singh Upendra
Published: June 2024

Background:

In recent years, the evaluation of disability in people with severe mental health disorders has grown in importance. Caregivers of individuals with chronic psychiatric diseases face a multitude of psychological challenges. The burden of care is the aggregate term for these challenges. The assessment of burden has become particularly important with the emergence of deinstitutionalization and the treating individuals in the community.

Objective:

The objective was to study the level of disability and family burden among family caregivers of individuals with schizophrenia and obsessive–compulsive disorder (OCD).

Materials and Methods:

A total of 120 patients (60 with schizophrenia and 60 with OCD) diagnosed as per the International Classification of Diseases-10 were selected purposively from a mental health institute in North India. The Indian Disability Evaluation and Assessment Scale was used for measuring disability, and the Family Burden Scale was administered to know the level of family burden.

Results:

Twenty-six percent of individuals with schizophrenia had a profound level of disability, and about 45% of individuals had a severe level of disability from both the groups; more than half (53%) of the OCD individuals reported moderate-level disability. The family burden was found high (53%) to moderate (46%) in both the groups.

Conclusion:

Although individuals with schizophrenia had more severe disability and family burden, individuals with OCD were not too far behind. A holistic management plan should address these parameters in addition to symptomatic recovery. Thus, the management planning should consider yielding better outcomes in both conditions.
Comparative Analysis of the Effects of Two Different Drill Designs on Insertion Torque and Primary Stability during Osteotomy – An In Vivo Animal Study
Authors: Arpudaswamy Sudhakar , Ali S. Syed Asaraf , Karthigeyan Suma , Ponnanna A , Nadhini Yamini , Eazhil R
Published: June 2024

ABSTRACT

Objective:

This study aims to evaluate the effects of two drill designs on insertion torque (IT) and implant stability quotient (ISQ) during osteotomy.

Methodology:

This in vivo animal study involved eight female New Zealand white rabbits divided into two groups: Group A underwent osteotomy using standard drills from the Zimmer surgical kit, and Group B used Densah drills. IT values and ISQ were taken during and after implant placement. Rabbits received premedication, and postoperative care was provided.

Results:

Significant differences in peak IT were observed between the two groups, with Group B demonstrating a statistically significant advantage. However, no significant differences were found in ISQ between the groups.

Conclusion:

This study highlights the potential benefits of osseodensification in enhancing primary stability during osteotomy.
Effect of handgrip isometric exercise training on reduction of resting blood pressure among individuals of different age groups
Authors: Aathira Thampuram Valappil , Sivakumar Mullimalai Raman
Published: June 2024

Abstract

Background:

Lifestyle choices, such as smoking, eating habits, alcohol consumption, and physical inactivity, have contributed to a global increase in hypertension throughout younger and older age groups. Isometric exercise is one of the nonpharmacological techniques for treating hypertension. It is less expensive, simpler, and takes less time.

Aim:

This study aimed to determine how handgrip isometric exercise training affects resting blood pressure (BP) in people of different ages and genders.

Materials and Methods:

For the study, 75 participants varying in age from 25 to 65 years were recruited. The study examined things including age, gender, maximum voluntary contraction, and BP. Patients who satisfied the study requirements were recruited and their BP variations (systolic BP [SBP] and diastolic BP [DBP]) were measured with a sphygmomanometer.

Statistical Analysis:

For normally distributed continuous variables, variables are described as mean and standard deviation. To compare SBP and DBP before and after exercise between weeks 1 and 4, the one-way analysis of variance and post hoc Tukey test were utilized. To investigate differences between males and females, an independent t test was used. A paired t test was performed to compare BP levels before and after activity training in the same group. P value of 0.05 was considered to be significant.

Result:

The study discovered that 4 weeks of isometric handgrip exercise training resulted in a significant decrease in resting BP. The data also show that the difference in resting BP reductions between different ages is not statistically significant (P > 0.05), and there is no statistical difference in BP reduction between males and females.

Conclusion:

After 4 weeks of isometric handgrip exercise training, resting BP (SBP and DBP) decreased substantially. Furthermore, there is no statistically significant difference in resting BP reduction across age groups or genders, according to this study
The impact of a raise, activate, mobilize, and potentiate (RAMP) warm-up protocol on speed, agility, and endurance in competitive male football players: a quasi-experimental study
Authors: Vadher Kamlesh P , Sanghvi Mansi , Tank Krupa
Published: June 2024

Abstract

Background:

Football demands mastery of diverse motor skills, emphasizing intricate micro-movements. Effective warm-up protocols, such as raise, activate, mobilize, and potentiate (RAMP), are crucial for injury prevention and performance enhancement. RAMP systematically elevates heart rate, activates muscles, mobilizes joints, and potentiates neuromuscular systems. Its structured approach optimally prepares athletes for intensive training and on-field activities.

Aim:

This study aims to evaluate the effect of RAMP warm-up on speed, agility, and endurance in male football players.

Materials and Methods:

Fifty football players meeting specific criteria were chosen, briefed on study procedures, and provided written consent. They were randomly assigned to either a 4-week RAMP warm-up or a traditional warm-up group. Speed, agility, and endurance were assessed before and after the intervention using diverse tests.

Result:

Statistical tests included paired t tests for intra-group and independent t tests for inter-group comparisons. Intra-group analysis showed notable improvements in the 30-m sprint, agility t test, and Yo-Yo endurance. Between-group analysis indicated significant enhancements in functional performance for the RAMP warm-up group. Specifically, RAMP warm-up was effective in improving speed (P = 0.001), agility (P = 0.001), and endurance (P = 0.002).

Conclusion:

The study demonstrated that the RAMP warm-up effectively improved the speed, agility, and endurance of football players, highlighting its potential as a valuable addition to training programs.
Ab. No. 2 Physiotherapy for Managing Tremors in Patients With Parkinson’s – A Systematic Review
Authors: Narayanasetti Nagarjuna , Bansal Kshitija , Thomas Annie
Published: June 2024

Introduction:

Primary parkinsonism is one of the most prevalent movement disorders characterized by hypokinesia, rigidity, and tremor. The number of PD cases is anticipated to rise on a global scale, making it crucial to find effective and affordable interventions. physiotherapy interventions have shown promise in managing tremors, but high-quality systematic reviews are limited. This systematic review aims to evaluate the benefits of physiotherapy treatments in managing tremors in Parkinson’s disease.

Methods:

The study followed the Centre for Reviews and Dissemination and PRISMA guidelines. A comprehensive search was conducted using multiple databases, including PubMed, EMBASE, AMED, and PsycINFO. Keywords related to PD, physiotherapy, and tremors were used. The eligibility of studies was assessed independently by two reviewers, and the quality of included studies was evaluated using the JBI risk of bias tool. Data extraction was performed, focusing on study characteristics, participant demographics, intervention details, and outcome measures.

Result:

A total of seven studies met the inclusion criteria. The sample sizes ranged from 10 to 79 participants, and the interventions varied from standard exercises to technological interventions. The findings from the included studies demonstrated the positive effects of physiotherapy interventions on tremor reduction and motor function improvement. However, due to the heterogeneity among the studies in terms of the classification of PD, outcomes measured, and intervention duration, it was challenging to draw definitive conclusions.

Conclusion:

In conclusion, while limited evidence exists, physiotherapy interventions have shown temporary benefits in reducing tremors and improving motor function in patients with PD.
Ab. No. 179 Feasibility of Cardiac Rehabilitation in Patients With Heart Failure at Tertiary Hospital
Authors: Tejaswini S N
Published: June 2024

Introduction:

Cardiovascular disease is a major contributor to disease burden globally. Heart failure (HF) emerged as a major global health issue with an estimated worldwide prevalence of >37.7 million. Cardiac rehabilitation (CR) has been demonstrated to improve functional status, and quality of life, reduction in hospital lengths of stay, treatment costs and reduce depression in patients with heart failure. Despite the growing evidence of the benefits of CR, uptake remains low with only 30% taking part in CR. The aim of this study was therefore to incorporate a standard and hybrid model of training and to assess outcomes in terms of reduce hospital admissions, improvements in quality of living, depression, and exercise tolerance. We sought to establish the feasibility of two different models of CR and to identify potential barriers to participate in CR.

Methods:

This feasibility study used mixed methods to describe characteristics and changes in a cohort of patients with heart failure. Study participants were prospectively recruited and allocated into institution-based cardiac rehabilitation (IBCR) arm, a hybrid cardiac rehabilitation (HCR) arm. After 6-month follow-up, participants were invited to participate in focus group discussions. The primary measure of feasibility was the ability of study participants to attain a mean adherence rate of at least 25%.

Result:

This study found that CR is feasible for patients with an adherence rate of 48% for IBCR and an adherence rate of 40% for HCR. Both study arms showed significant changes in scores. Participants in focus group discussions identified barriers to cardiac rehabilitation.

Conclusion:

CR is a feasible treatment intervention for heart failure. There is a need for further research to evaluate the efficacy of cardiac rehabilitation and development of innovative ways to improve treatment adherence.
Ab. No. 46 Impact of Sports Injury on Mental Wellbeing of University Level Athletes
Authors: Thakur Shaivi , Multani Narinder Kaur
Published: June 2024

Introduction:

Sports injury is an injury that occurs during athletic activities or physical exertion. Exceptional level of effort and striving for perfection close to psychological limits increases the possibility of sports injury. A sports injury can take a toll on an athlete’s emotional wellbeing. Athletes respond to injuries in very different ways, exhibiting a wide range of cognitive, emotional, and behavioral responses. Therefore, it is crucial to understand those responses to examine the symptoms of common mental disorders and general psychological stress depending upon the severity of injury among athletes. The study aims to investigate symptoms of common mental disorders and psychological stress about the severity of injury among athletes.

Methods:

A total of 100 male and female athletes were selected from Punjabi University, Patiala. The study population included athletes from 18-28 years of age. All subjects were evaluated through Likert scale, Depression anxiety stress scale (DASS-21) and Perceived stress scale (PSS).

Result:

Overall, majority of athletes were experiencing symptoms of at least one of the mental-health problem assessed. Injured athletes had higher level of symptoms of anxiety, depression (r = 0.823, p = 0.00) and perceived stress (r = 0.776, p = 0.001) compared with Likert scale as analyzed via Pearson’s Correlation.

Conclusion:

The results indicated that athletic injury negatively impacts the mental wellbeing of athletes.
Ab. No. 72 Relationship Between Duration of Diabetes and Functional Balance in Adults – A Cross Sectional Study
Authors: Shah Nidhi , Joshi Rushikesh
Published: June 2024

Introduction:

Diabetes is a major problem and Type-2 Diabetes(T2DM) is becoming more common in adults. Particularly in those with Diabetes and poorer glucose management, there was a higher prevalence of risk of falls. Hence this study has been designed to evaluate balance performance in adults and its correlation with Duration of Diabetes in T2DM.

The purpose is to correlate duration of diabetes on functional balance in adults with T2DM.Very few research was done on determining balance with duration of diabetes. Literature shows balance is one of the impairment among diabetic individuals. Treating balance is a crucial role for a physiotherapist and thereby preventing falls and promoting functional independence to patients.

Methods:

A total 30 diabetic patients were recruited from Dhiraj General hospital, based on the inclusion criteria. Based on the duration of diabetes, Group 1(<5-Year) and Group 2 (>5-Year) were formed. Functional balance of both the groups was assessed though berg balance scale (BBS). Descriptive demographic and clinical data statistics were analysed by SPSS-26 software and quantitative comparison of Balance with Duration of Diabetes was made using two sample t-tests.

Results:

We evaluated 30 adults. After adjustment for age, sex, and HBA1C. longer duration (>5 years) of T2DM was associated with a higher risk of fall shows lower scores on BBS (Mean 45.00 ± 4.93; P = 0.0663) compared with those with duration <5 year (48.63 ± 5.40).

Conclusion:

In adults with T2DM, duration of diabetes impacts clinical, Balance, and functional status should be considered in development of management strategies for safety and quality of life.

Implications:

Altered balance can also lead to impaired function, which has a detrimental impact on patient’s quality of life. Physical exercise improves physical fitness, quality of life in patients with type T2DM.
Ab. No. 74 Women-Focused Cardiac Rehabilitation in India - An Urgent Need
Authors: Jha Shivani , Nambiar Veena Kiran , Kadam Chaitali
Published: June 2024

Introduction:

To review and highlight the current scenario of Cardiovascular disease (CVD) and Cardiac Rehabilitation (CR) offered to women in India and globally. CVD in women resulted in a 35% mortality rate among the total deaths worldwide in 2019. Women’s cardiovascular health needs additional attention because of increased CVD risk factors like diabetes, use of oral contraceptives, menopausal and postpartum issues, and low socioeconomic position. Globally, the rate of women screened, diagnosed, treated for CVD, and enrolled in rehabilitation is way more than in India.

Method:

Comprehensive literature search was done on search engines, PubMed and Google Scholar. Articles were selected based on the inclusion/exclusion criteria. 25 articles were screened and 16 were included and reviewed. A descriptive analysis was done.

Result:

The paper summarizes the increasing need and existing shortage of women-focused cardiac care in India. The male-female ratio of cardiac care utilization under Indian government policy was 70:30. Indian women’s low participation is due to financial dependency, lack of knowledge, and poor accessibility. There exists a lack of skilled professionals, dedicated CR centres pan India, and policies to advocate Women-focused CR (WFCR). Globally, 40.9% of countries have CR with 32.1% centres offering WFCR. These programs encompass community classes, home-based/online delivery models, women support groups, buddy programs, flexible scheduling, and comprehensive delivery of educational programs.

Conclusion:

The way forward for CR in India is to explore possibilities to reduce the barriers faced by women to avail of CR services. Policies need to be formulated to draw women’s attention to healthcare. Training programs should be introduced to upskill our nation’s young physiotherapy professionals.

Implication:

A bridge between CVD and CR must be formed and more women-centric CR programs should be designed for holistic cardiac health.
Ab. No. 85 Effectiveness of Practice of Stroop Test on Selective Attention and Processing Speed in Individuals With Stroke
Authors: Grover Disha , Walia Shefali , Khanna Stuti , Wadhwa Garima , Arumugam Narkeesh
Published: June 2024

Introduction:

To identify the effectiveness of practice of Stroop test on selective attention and processing speed in the individuals diagnosed with stroke. To determine the significance of the Stroop test in cognitive rehabilitation for stroke survivors.

Methods:

Survivors of unilateral stroke with their first stroke episode between time frame of 3-18 months and age ranged between 30- 65 years were included in the study.

Methods:

Twenty-five participants were randomly assigned into two groups using computerized randomization list. Experimental group participants intervened with 30 minutes session of practicing of the Stroop test along with conventional physiotherapy for consecutive 10 days and control group participants received conventional physiotherapy for consecutive 10 days.

Mann Whitney U test and independent sample t test were used for inter-group analysis. Wilcoxon test and dependent sample t test were used for pre-test and post-test group analysis.

Results:

Experimental group showed significant improvement in Stroop Test Card A (p= 0.03), Stroop Test Card B (p= 0.00), Stroop Test Card C (p= 0.00), Trail Making Test A (p= 0.00) and Trail Making Test B (p= 0.00) when compared pre and post intervention and significant difference was observed in Stroop Test Card A (p= 0.05), Stroop Test Card B (p= 0.00), Stroop Test Card C (p= 0.00), Trail Making Test A (p= 0.00) and Trail Making Test B (p= 0.00) when compared to the control group.

Conclusion:

Stroop test practicing was found to be efficient in improving selective attention and processing speed in individuals with stroke.

Implications:

Stroop test practicing can be a simple, convenient way of improving the parameters of the cognitive functions and thus could be added with regular treatment protocols of stroke survivors.
Ab. No. 88 Efficacy of a Clinic-Based Exercise Program Plus Home-Based Exercise Relative to a Home Exercise Program on Neuro-Autonomic and Neuro-Motor Development in High Risk Infants: Case Study Design
Authors: Bhatt Kaushal , Shah Chinmay , Parasher Raju K
Published: June 2024

Introduction:

High risk (HR) infants are predisposed to develop a broad spectrum of developmental problems, which need to be managed early, in order to avoid complications of disability. The purpose was to evaluate the efficacy of clinic-based exercises (CL ex) compared to Home exercises (H ex) in improving neuro motor (NM) and neuro autonomic (NA) development in High-risk infants. The early management of high risk infants, using exercises can reduce the impact of disability as a result of developmental deficits as the child matures.

Methods:

12 HR infants of both genders 3 -12 months. Infants were randomly assigned to the two groups, and were tested prior to and post 45 days of intervention. NM development was assessed using the HINE and DASII scale, and NA integrity was assessed using Heart Rate Variability (HRV).

Case-study analysis comparing pre-post difference scores.

Results:

Following differences were seen, Pre to post, with CL ex vs H ex: HRV: Total power – 2650 vs 428, Very low frequency - 400 Hz vs 0, Low Frequency - 880.8 Hz vs 10 Hz, High frequency - 958.7 vs 351 Hz. DASII: Dev Motor quotient – 199.04 vs 5.13 points, Dev Mental quotient – 9.8 vs 6.44 points.

Conclusion:

Greater improvements in mean HRV scores & DASII scores were observed following a CL ex program compared to only H ex program.

Implication:

Clinic based exercises program can be used to improve neuro motor and neuro cardiac health in High risk infants.
Ab. No. 98 Development and Validation of a Questionnaire for Assessment of Awareness and Knowledge About Parasports Among Parents of Children With Disabilities
Authors: Narayanan Dhanashree , Joshi Kirti
Published: June 2024

Introduction:

Physiotherapists play a significant role in improving the overall well-being of children with disability by engaging them in exercise programs, sports, or recreational activities. To promote their participation in physical activity, para-sports is one of the avenues. Since parents are the primary caregivers, it is important to assess their level of awareness and knowledge about para-sports. As an initiative, it is crucial to develop and construct a standard tool that can measure the level of awareness and knowledge about parasports among the parents of children with disabilities.

Methods:

The panel members for questionnaire validation were Sports Medicine Physicians, Physiotherapists (Academicians and clinicians), Para-Athletes and Parents. The process of developing and constructing the questionnaire involved an extensive literature search, development of questionnaire structure and item generation. The questionnaire format, items format and questionnaire length were determined. The initial items were reviewed and revised later. After a preliminary pilot study, face validity and content validity were done. The face validation was done by three members and content validation was done by five members of the panel.

Results:

The identified domains under Awareness were sources, opportunity, eligibility, facility and under Knowledge were benefits, challenges, programs and events. After the validation process, the final questionnaire contained 16 questions under 8 domains with 2 closed-ended questions each.

Conclusion:

Based on the validators’ consensus, the questionnaire was considered understandable and relevant to measure the important aspects of awareness and knowledge about parasports in the targeted population.

Implications:

Subsequent validation can be processed and the questionnaire can be administered to assess the level of awareness and knowledge among the parents of children with disability.
Ab. No. 104 Navigating Pediatric Rehabilitation in Tertiary Care: Understanding Parental Challenges and Enhancing Multidisciplinary Approaches
Authors: Vadivelan K , Abishek JR
Published: June 2024

Introduction:

This study investigates the intricate landscape of pediatric rehabilitation within an international tertiary healthcare context, shedding light on experiences of parents with children engaged in rehabilitation services.

Most existing research on pediatric rehabilitation primarily focuses on barriers parents of specially-abled children face within home-to-hospital contexts. However, this study fills a crucial gap by exploring the challenges within tertiary care setups, specifically addressing communication barriers, bureaucratic hurdles, and service fragmentation.

Methods:

Participants were parents of disabled children who have used rehabilitation services in an international tertiary care facility for at least one year. The inclusion criteria pertain to individuals using services from three or more disciplines.

Face-to-face semi-structured interviews with selected mothers were used in the study. Transcription in English ensured a complete understanding of the experiences.

Following hermeneutic-phenomenological principles of naive reading, structural analysis, comprehensive reading, and critical reflection, responses were coded.

Result:

Hermeneutic-phenomenological analysis identified pervasive communication challenges, bureaucratic complexities, and service fragmentation as major themes. Empowered parents engaged in advocacy reported more positive experiences, emphasizing the pivotal role of parental empowerment. The discussion delves into the implications of the results, emphasizing the need for interventions to address communication barriers, streamline administrative processes, and foster multidisciplinary collaboration. It also highlights the significance of parental empowerment and advocates for a patient-centric approach to optimize pediatric rehabilitation.

Conclusion:

This study provides essential insights into the challenges parents face navigating pediatric rehabilitation in an international tertiary care setting. Addressing communication barriers, and bureaucratic complexities, and promoting parental empowerment are identified as pivotal for enhancing rehabilitation experiences.

Implication:

The study suggests ways to improve service integration and create a more patient-centric framework for paediatric rehabilitation in tertiary care settings for international healthcare systems. These implications are important for policymakers, healthcare providers, and researchers.
Ab. No. 114 Effects of Russian Current Stimulation on Blood Glucose in Non-Type-2 Diabetes Mellitus Individuals: A Single Group Experimental Study
Authors: Atwal Isha , Sinha AGK
Published: June 2024

Introduction:

The purpose of the study was to investigate the effects of Russian Current Stimulation (RCS) in pre and post Blood glucose level along with some other parameters in non-diabetic individuals.

Several studies were conducted in the management of type 2 Diabetes mellitus (DM) which shows exercise as the main part of treatment but there was urgent need to conduct study on that group of people who do not perform exercise because of old age and certain physical problems. The current work is designed to establish a safety protocol and to explore the use of RCS as an alternate to exercise.

Methods:

Two equal group of 30 non-diabetic individual with the age range 45-75 years were selected for phase first and phase second of study to investigate.

Pre and Post single-group, experimental study was conducted in two phases. In phase first, RCS for 10-minutes on the quadriceps muscle and in phase second RCS for 20-minutes on quadriceps and gluteus maximus muscles were given. Fingertip samples for Blood glucose pre and post stimulation were measured. Heart rate, Respiratory rate, Blood pressure, and Body temperature were measured by using standard clinical methods.

The results was analysed using SPSS 19 version. The significant differences (p ≤ 0.05) was considered for the study.

Results:

Statistically significant difference (p ≤ 0.05) were observed in the parameters of blood glucose, respiratory rate, heart rate and non-significant differences (p ≥ 0.05) was observed in the parameters of oral temperature, systolic and diastolic blood pressure.

Conclusion:

The result shows that RCS would have beneficial effects on the reduction of blood glucose.

Implication:

RCS could be suggested as the contributory treatment in management of type-2 diabetes as an alternate to exercise.
Ab. No. 117 Effect of Aquatic Therapy in Secondary Lymphedema Post Major Breast Cancer Surgery: A Review
Authors: Solanki Jinal , Gahlot Payal
Published: June 2024

Introduction:

The purpose is to describe effect of aquatic therapy adjunct to conventional physical therapy technique to enhance the clinical practice of physical therapy to manage patients with lymphedema post major breast cancer surgery. Breast cancer-related lymphedema (BCRL) is a pathological condition in which the protein-rich lymphatic fluid accumulates in the soft tissues due to lymphatic flow obstruction, leading to an increase in the arm circumference by 2 cm or more. BCRL leads to pain, severe heaviness in the affected limb & also reduces its function, strength and mobility and deteriorates quality of life.

Method:

As this is a review, Participant characteristics are derived from published data. Inclusion criteria: 1) Studies which have full text available 2) Type of Studies - RCTs, interventional studies. Exclusion Criteria:1) Articles published before 2010, 2) Article language other than English.

Databases Google scholar, PubMed, Research gate was searched with keywords - aquatic therapy, lymphedema, breast cancer, hydrotherapy. role of physiotherapy after eliminating duplicates, 251 records got screened out of which 5 RCTS and 1 interventional study met inclusion criteria.

Descriptive analysis was done.

Result:

Reviewed studies suggest aquatic therapy was found to be effective on outcome measures like Arm volume, QOL, VAS, Range of motion, disability of arm, shoulder and hand (DASH) in lymphedema participants post major cancer surgery.

Conclusion:

Analysis of the 5 RCT and 1 interventional study showed that there are various benefits of aquatic therapy however, it is not possible to state definite conclusions on effectiveness of aquatic therapy treatment in patients with lymphedema for arm volume since there is paucity of literature.

Implication:

Further studies can be done as this treatment is less explored in post major breast cancer surgery which can help to improve management of lymphedema.
Ab. No. 119 Development of a Comprehensive Scale to Evaluate the Severity of Chronic Stroke: An Exploratory Study
Authors: Parikh Riya , Chitra Jeba
Published: June 2024

Introduction:

Stroke is the second leading cause of death and disability. To quantify the impairments caused by stroke there are various tools to evaluate the severity of signs and symptoms discretely and these tools are sensitive to assess acute and subacute stroke. But regardless of using different other tools to evaluate individual sign and symptom of stroke we can use a comprehensive tool. So to our knowledge there has been no study done where there is a comprehensive tool to evaluate the severity of chronic stroke. Therefore, development of an assessment tool which incorporates all the domains proportionately and collectively measure signs and symptoms of chronic stroke. This will be intriguing and helpful in planning treatment protocols based on the results obtained.

Methods:

The Severity Assessment Scale of Chronic Stroke (SASCS) was developed in 2 stages. Stage 1- Development of the scale included conceptualization and item generation. Stage 2- Expert review, Item modification and Identifying Content Validity Index.

Results:

The Content Validity Index of the domains was found to be 0.92 which indicates Strong Content Validity.

Conclusion:

The Severity Assessment Scale of Chronic Stroke (SASCS) is a comprehensive scale which may be suitable to evaluate all the domains proportionately and include the signs and symptoms with simple and feasible scoring within a given timeframe.
Ab. No. 120 Comparison of Brain Gym and Stretching in Type 2 Diabetes Mellitus Having Short Sleep Duration: A Randomized Clinical Trial
Authors: Chhajed Pragati
Published: June 2024

Introduction:

Sleep disorders and poor sleep habits are extremely common in adults with Type 2 Diabetes Mellitus. Stretching exercises have shown to improve sleep quality and duration. Brain Gym exercises is a set of exercises which aids in managing sleep by providing mind and body relaxation. The present study aims to compare the effect of Brain Gym exercises and Stretching Exercises in Individuals with Type 2 Diabetes Mellitus having Short Sleep Duration using Pittsburg Sleep Quality Index.

Methods:

36 participants were randomly allocated to either Group A or Group B. Group A received Stretching exercises and Group B received Brain Gym exercises. Pittsburg Sleep Quality Index and SF-12 scores were obtained pre and post intervention.

Result:

In the conducted study, the results indicated noteworthy improvements within both, the Brain Gym group and the stretching group, but there was no significant difference in the level of improvement achieved between the groups.

Conclusion:

The outcome of this study proposes that both the exercises exhibit notable improvement in sleep duration of the individuals.
Ab. No. 127 Rapid Resolution of Knee Pain and Recovery of Function, in Patients Diagnosed With Mucoid Degeneration of the ACL (MDACL), Using the Mckenzie Method (MDT): A Case Study
Authors: Keswani Shweta Dhamani
Published: June 2024

Introduction:

To present the symptomatic and functional outcome of patients diagnosed with MDACL using MDT principles. Currently, the role of physiotherapy in management of MDACL is not very well documented. This case study provides insight on use of MDT in assessing and managing these patients.

Methods:

Participants:

VG, 48-year-old female, diagnosed with MDACL, presents with insidious onset Right Knee pain, 8-9/10 on NPRS, major loss of knee flexion, minimum loss of knee extension ROM and painful limitation in sitting and standing from chair/car, climbing stairs and sitting cross-legged from last 4-6 weeks.

CR, 52-year-old female, diagnosed with MDACL, presents with insidious onset Left Knee pain, 7-8/10 on NPRS, major loss of knee flexion, minimum loss of knee extension ROM and painful limitation in climbing stairs, bringing the left leg inside the car on navigation seat and sitting cross-legged from last 6 months, worse in last 3 weeks.

Each patient was assessed and treated with MDT principles of repeated movements of directional preference exercises, (identified as flexion) and force progression. Outcome was measured as change in NPRS score, Knee ROM and functional improvement as reported by the patient.

Results:

Both patients showed rapid reduction in pain, improvement in ROM and function with the DP exercises, in a single session. VG, after 6 sessions in 3 weeks, demonstrated full recovery of function and no pain and maintains the same at 3-year follow-up. CR, on 4th day as of today post 1st session, has been able to maintain the effects of DP exercises through home exercise program.

Conclusion:

Although positive outcome is seen in this case study, a cause-effect relationship cannot be determined.

Implications:

It opens up avenues to study the effectiveness of MDT and developing treatment guidelines in patients with MDACL.
Ab. No. 139 Exploration of Physical Fitness Attributes and Kinanthropometric Measurements in Mallakhamb Players
Authors: Pilli Devi Nagini , Shetty Triveni
Published: June 2024

Introduction:

Mallakhamb, an ancient sport against gravity combines yoga, gymnastics and martial arts. In a competitive set-up, Mallakhamb players showcase their skills in dynamic 90-second routines which demands various physical fitness attributes and kinanthropometric measurements.

The purpose is to explore the physical fitness and kinanthropometric measurements of the Pole Mallakhamb players, the association between (1) The physical fitness and kinanthropometric measurements. (2) physical fitness and injury profile of players, as the literature related to this is scare.

Physiotherapists can design effective exercise regimens and injury prevention program addressing biomechanical imbalances and performance enhancement of Mallakhamb players through evidence-based interventions.

Methods:

41 elite and sub-elite mallakhamb players (male and female, age- 18-40 years) were randomly selected for the study.

Descriptive data was employed to analyse the kinanthropometric measurements and physical fitness. Pearson’s correlation for Associations between kinanthropometric measurements, physical fitness, and injury profiles.

Result:

Agility was poor, UE and LE strength was good in male players. Whereas in female players, endurance, flexibility and balance was good, agility was poor, UE and LE strength was fair. Arm and Thigh circumstance was greater as compared to normal individuals whereas waist circumference was less. The BMI of both male and female players was normal (acc WHO).

Conclusion:

Understanding physical fitness and kinanthropometric aspects in Pole Mallakhamb players helps to form the basis for tailored training, improving overall performance and guiding coaches to focus more on domains like agility.

Implications:

Research findings can guide the development of skill-specific training protocols.
Ab. No. 158 Lack of Rural Rehab: A Case Report of Chronic Stiffness Post Tibia Fracture
Authors: Lakhani Nirati , Shah Dhairav
Published: June 2024

Introduction:

Even after 7 decades, referral depends on acceptance of physiotherapy as an independent profession. Even if prescribed, rural rehabilitation is not always executed with regular follow up.Neither documentation of rural physiotherapist-population ratio requirements, nor regulatory body to standardize rehabilitation level is available. Only 3% Anganwadi workers were informed about physiotherapy, though Maharashtra has 214 PHCs with wellness room for physiotherapy/yoga. Regain quality of life, return to employment, which was lacking a year after proximal tibial fracture, due to lack of referral to post-operative physiotherapy in Maharashtra’s Mangaon taluka.

Methods:

A 41-year-old patient with right undisplaced lateral tibial condyle fracture complained of limited knee range, stiffness, pain on standing, prolonged sitting, stairclimbing, reduced walking speed, loss of job as a coal miner. He was explained that restricted flexion was due to internal bony fragments, which caused fear of end range flexion, and was advised to undergo a revision surgery inspite of poor expected outcome. 4-week protocol included strengthening for quadriceps, hamstrings, hip abductors, flexors, calf, stretching, weight bearing exercises. Home exercises were regularly progressed. Adjuncts used were dry cupping, IASTM, dry needling.

Result:

Range increased from 10°-86° to 0°-112°, extensor lag, antalgic gait was corrected, thigh girth increased by 1.5 cm. Pain reduced while climbing stairs (4/10 to 0/10), standing after prolonged sitting (6/10 to 4/10), and walking (1/10 to 0/10). Squatting, cross leg sitting with minimal pain, return to work as a full-time coal miner was achieved. Revision surgery and disability were prevented.

Conclusion:

Rural early rehabilitative protocol could have prevented 1 year of unemployment, pain, stiffness.

Implications:

Highlights need for streamlined referral system to match evidence that recommends early ROM and weight bearing. Stimulate public –private partnerships for creating the role of physiotherapy assistant/technician at the existent PHCs. Facilitate followed-up tele-rehabilitation for rural physiotherapy.