bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ab. No. 37 Exploring the Perceptions about Exercises Among Women With Infertility: A Qualitative Study
Authors: Preetha R , Shashwathi Gundimi , Rao Bhamini Krishna , Bailey Ajay , Kumar Pratap 
Published: June 2024

Introduction:
Although there is evidence to support the importance of exercise to improve the chances of conception, poor exercise adherence has been reported in this population. Understanding the perception of exercises will aid in designing exercise programs that may facilitate better adherence. Infertility is a rising global issue and women face greater stigma and consequences of infertility in developing countries. This qualitative study aimed to explore the perceptions about exercises among women with infertility.

Methods:
Face-to-face semi-structured in-depth interviews were conducted among twenty women with infertility aged between 18-45 years. Women with unstable physical or mental conditions were excluded. The primary investigator conducted in-depth face-to-face interviews using a validated interview guide. Data collection was continued until thematic saturation was attained. The data was managed using ATLAS ti software. Two steps were carried out for thematic data analysis. Relevant codes were grouped based on their similarity into code families.

Result:
Women often sought information about exercises from social media, doctors, and family members. Preferred types of exercises were brisk walking and yoga. Supportive family and facilities were the main facilitators and lack of awareness, lack of time, lack of motivation, and lack of family support were identified as barriers.

Conclusion:
Individual perception of health and fitness, the preferred mode of exercise, barriers, and facilitators to perform exercise should be considered before planning an exercise intervention for women with infertility. In our study, the perception of exercise practices among overweight/obese women with infertility remains understudied. Future research could focus on obese or overweight women with infertility (both in rural and urban settings) as it would provide unique perspectives about their perception of exercise

Implications:
This study warrants the necessity to implement health education and awareness programs regarding the benefits of exercise in this population.
Ab. No. 54 Effect of EMG Driven Robotic-Assisted Rehabilitation on Hand Motor Function in Individuals With Stroke – Systematic Review
Authors: Doshi Parshvi , Suthar Vaishali 
Published: June 2024

Introduction:
After a stroke, more than 80% of survivors experience common upper limb motor deficits, particularly in distal extremities. The recovery process often involves restoring motor functions in hand. An innovative approach to this involves EMG-driven robotic assistant rehabilitation. By integrating EMG technology with robotics, this method utilizes muscle signals from the patient to control a robotic device, facilitating targeted exercises and promoting neural plasticity for improved hand mobility post-stroke. Enhance motor skills, improve Functionality, and accelerate the rehabilitation process by tailoring the intervention to the individual needs and progression.

Methods:
A bibliographic exploration covered electronic databases like Google Scholar, PUBMED, and ResearchGate, adhering to PRISMA guidelines. From 236 articles, 45 studies were scrutinized, with 10 meeting the inclusion criteria. Among these, 5 were (RCTs) (4 EMG-driven robotics with NMES, 1 EMG-driven robotics). There was 1 case report and 4 single-group studies (2 EMG-driven robotics and NMES, 2 EMG-driven robotics). Fugl-Meyer Assessment (FMA) and EMG parameters were outcome measures for hand motor function assessment. The Cochrane risk of bias tool was used to evaluate article bias.

Result:
Significant improvements in FMA and EMG parameters were observed in EMG-driven robotic-assisted rehabilitation. Similar findings were noted in EMG-driven robotic-assisted NMES-assisted rehabilitation.

Conclusion:
EMG-driven robotics enhance hand function and reduce spasticity, aiding stroke rehabilitation.

Implications:
Incorporating these technologies improves stroke rehabilitation, enhancing recovery outcomes for individuals with stroke
Ab. No. 62 Spatiotemporal Parameters of Gait Symmetry and Asymmetry in Normal Healthy Individuals
Authors: Bhandarkar Aditi , Ravindra Savita , Debur Ramesh 
Published: June 2024

Introduction:
Human gait, or the way people walk, is a complicated motor activity involving coordinated movements of different parts of the body. It is crucial in everyday activities and is influenced by a variety of factors such as age, health status, and musculoskeletal and neurological disorders. Understanding the many characteristics of gait, especially symmetry and asymmetry, is critical for getting insights into normal locomotion patterns and recognizing potential deviations associated with certain conditions. The objective of the current study is to determine the of spatiotemporal parameters of gait symmetry and asymmetry in individuals aged 20 to 79.

Methods:
A Cross-sectional observational study was done on 72 healthy adults (20 to 79 years) using convenience sampling. Subjects were divided into six groups according to the decade having 12 subjects in each group. Gait analysis was done using a portable single layer pressure sensitive walkway (Gait Rite). Subjects were asked to walk three times on the walkway at their preferred speed and data was collected.

Result:
A total of 9 spatiotemporal parameters were studied for evaluating asymmetry of these 7 spatiotemporal parameters were consistently asymmetry across the age groups and two parameters were consistently symmetrical across the age groups.

Conclusion:
The study establishes spatiotemporal parameters of gait symmetry and asymmetry across the age groups in normal ambulatory individuals.

Implications:
The identification of consistent asymmetry and symmetry in spatiotemporal gait parameters across age groups provides valuable insights for understanding the nuances of normal locomotion, aiding in the characterization of age-related variations, and serving as a foundation for detecting potential deviations associated with various conditions.
Ab. No. 70 Efficacy of Perturbation Training on Balance and Function in Older Individuals- An Experimental Study
Authors: Shah Kinjal , Joshi Reema 
Published: June 2024

Introduction:
Aging involves decline in visual, vestibular and proprioceptive acuity associated with functional limitations and reduced motor function, disturbing balance and increasing risk of fall. The study evaluates the effect of perturbation training in older individuals with mild to moderate risk of fall and its effect on postural stability and balance.
Perturbation training has been advocated as an effective intervention for re-educating proprioception and restoring normal neuromuscular coordination. Older adults can quickly adapt to large postural perturbations, altering their biomechanics and preventing falls.

Methods:
An experimental trial recruited 30 older individuals (65-85 years) with mild to moderate fall risk through purposive sampling. Participants underwent Perturbation Training with tilt-board and conventional balance exercises thrice weekly for four weeks (12 sessions). Modified-CTSIB test on NeuroCom Balance Master® and Timed Up and Go (TUG) Test were taken at baseline and post-completion.
Homogeneity of samples was assessed using Shapiro-Wilk’s Test of Normality. Dependent sample t-tests were employed to analyze group data, with means and standard deviations indicating statistical differences in pre and post outcome measures at 95% confidence interval.

Results:
Pre and post measures on TUG test and M-CTSIB test on NeuroCom Balance Master® shows statistically significant improvement in TUG values(p<0.0001*) and COG sway velocity in all conditions except on Firm surface with eyes open, with FIEO(p<0.1208), FIEC(p<0.0011*), FOEO(P<0.0013*), FOEC(p<0.0001*) and Composite COG sway velocity(p<0.0001*).

Conclusion:
Perturbation training coupled with conventional balance exercises, showed to be effective intervention to improve balance and postural control in older individuals. The study lacked follow-up, leaving room for future studies into continuity of exercises and retention of its effects.

Implications:
Given the effectiveness, the study suggests integrating perturbation training in geriatric rehabilitation protocol to enhance physical function, diminish fear of falling, and boost fall-related self-efficacy.
Ab. No. 71 Evaluate the Neurobehavioral Status of Preterm Infants at Term Equivalent Age
Authors: Chaubey Vishakha , Chanpura Dhwani 
Published: June 2024

Introduction:
Neurobehavioral development of preterm infants differs from term born infants at term equivalent age and has been shown to be related to environmental and biological factors. Importantly, differences has been shown in neurobehavioral developmental at term in preterm children compared with term born children are associated with later motor, cognitive and behavioural difficulties and contribute to neurodevelopmental impairments in school-age children born preterm. The purpose of the study is to assess the neurobehavior development in infants born as preterm, for early intervention.
The study focuses on age-appropriate movement patterns, motor milestones and any delayed development in infants born as preterm.

Methods:
Total 25 patients, Very Preterm Infants - 13, Late Preterm Infants- 12, From Dhiraj general hospital. Group 1 (VPI), Group 2 (LPI) were assessed at the time of discharge using HNNE at term corrected age. Each of the 34 items on the HNNE was assigned an optimality score of 0, 0.5, 1 totaling up to 34.
Descriptive demographics and clinical data statistics were analysed by SPPS 26 software and quantitative comparison of neurobehavior was made using two sample t-tests.

Result:
Total 25 infants (13 VPI and 12 LPI),the mean of VPI was (20.077 ± 1.2221/ 34), LPI was (25.250 ± 1.3899/34) with a mean difference of 5.173 (0.0001).

Conclusion:
VPI are more immature than their term counterparts even on reaching TCA. The pattern of abnormality varied to various perinatal exposures neurobehavior examination at term equivalent age is useful in evaluating the impact of neonatal intensive care.

Implication:
Assessment of neurobehavior from birth helps determining, the term newborn is developing normally or not, impact of various exposures to perinatal variables whether the infant may have any long term developmental problems so, that appropriate interventions can be commenced immediately.
Ab. No. 92 A Study to Understand the Issues in Physical Health and Coping Strategies of Parents With Disabled Child
Authors: Praveen Kumar C R , Monica E , Rajarajeswari A 
Published: June 2024

Introduction:
Observational study to find out the major physical health problems faced by parents with disabled child and to determine how parents with disabled child cope, and what kind of coping strategies they use to tackle their physical health problems.

Methods:
This study was conducted on 30 parents having children with neurological or neurodevelopmental disorders. Nordic musculoskeletal questionnaire and WHOQOL-BREF were administered to measure physical health and their Quality of life respectively. Parents were asked to attend one scheduled face to face interview designed to gather information regarding their coping strategies that are used to tackle their physical health problems.

Results:
According to Nordic musculoskeletal questionnaire, Low back pain and shoulder pain was the commonest sites of pain (76.66%). On WHOQOL-BREF, Social relationship domain was observed to be the best while physical domain had the lowest score. The main coping strategy used by the parents is taking a break [73.33%] followed by undertaking medications like pain killers [43.33%], but least dependency on doing exercises and massage [23.33%].

Conclusion:
Majority of the subjects were having low back pain and shoulder pain. And the main coping strategies used by parents is taking a break followed by undertaking medications like pain killers but least aware on doing exercises.

Implications:
Physiotherapy education can be planned to provide physical support to the caregivers to ease the burden if any through collaborative efforts. Based on our findings most of the parents suffered from back pain and shoulder pain, Mothers should avoid positions bringing load onto the low back during exercises with rehabilitation purposes, training for transport of the child should be given to mothers, and rendering the child as independent as possible in their daily activities must be supported.
Ab. No. 118 Test-Retest Reliability of Commercially Available Bio-Electrical Impedance-Based Body Composition Analyzer in India
Authors: Chandru Sujeeth , Bhupal Divya Priya , Veluswamy Sundar Kumar 
Published: June 2024

Introduction:
The purpose of the study is to determine the consistency of body composition measures using a commercially available bioelectrical impedance-based body composition analyzer in India. Body composition assessment has application in several clinical populations including but not limited to those with obesity, cancer, renal failure, endocrine disorders. DEXA is considered gold standard but impractical to use in regular clinical practice. Bioelectrical impedance analysis (BIA) is emerging as a simpler alternative, especially in field settings and routine clinical practice. Its use is also recommended in current sarcopenia diagnostic guidelines. Many low-cost BIA devices are available but their reliability and validity information are seldom available. Such information can improve their relevance and utility in clinical settings.

Methods:
Forty apparently healthy adults (Age: 28±7.5 years; 78% women, BMI: 26.1±4.4). Following necessary approvals, body composition was assessed using four-point full body impedance analysis with Omron HBF-702T device on two occasions (1-4 days apart). The timing of measurement, food and fluid intake were not standardized to mimic clinical scenarios.
Paired T-test determined significant difference between two assessments. Test-retest reliability was determined by ICC using two-way mixed methods model for consistency between measurements.

Results:
There was no clinically and statistically significant difference between two consecutive measurements (Mean difference of - Skeletal Muscle Percentage: 0.06%; Body Fat Percentage: 0.12%; RMR: 8.5 Kcal/day). All parameters exhibited excellent test-retest reliability (ICC & Cronbach’s Alpha: Skeletal Muscle Percentage – 0.97 & 0.98; Body Fat Percentage – 0.93 & 0.96; RMR – 0.94 & 0.97.

Conclusion:
The tested device exhibited excellent test-retest reliability for skeletal muscle, body fat percentage, and resting metabolic rate despite testing in non-standardized routine clinical setting.

Implications:
Bio-electrical impedance-based body composition analyzers could be a reliable way to measure body composition in clinical practice. However, each equipment’s reliability and validity needs to be established prior to clinical use.
Ab. No. 123 Focus On Mental Health in Cardiac Rehabilitation
Authors: Kakkad Zeel , Nambiar Veena Kiran , Kadam Chaitali 
Published: June 2024

Introduction:
To review and highlight the importance of multidisciplinary interventions to enhance mental wellbeing and quality of life (QOL) in cardiovascular diseases (CVD). Mental health problems are three times more relevant in CVD. Globally, 20% of patients have depression after myocardial infarction.
In India the burden of CVD is substantial, people often have stress, anxiety and depression, impacting their overall QOL and increasing the risk of recurrent CVD. Addressing mental health in cardiac rehabilitation (CR) improves patient outcomes, reduces risk factors, and enhances QOL. Globally, CR has a specific approach to mental health as compared to India.

Methods:
Comprehensive literature search was performed using the search engines PubMed and Google Scholar. Articles were selected based on the inclusion/exclusion criteria. 25 articles were screened and 12 were included and reviewed. A descriptive analysis was done.

Result:
In India mental health is neglected in CR due to a lack of awareness, cultural barriers, stigma, proper training and education for healthcare professionals. Globally, 38.8% of countries have CR programs; 70% offer psychosocial services and 94% offer stress management services. Screening for depression starts with 2 item patient health questionnaires (PHQ-2) followed by screening with the 9 item PHQ-9 and intervention strategies like cognitive behavioral therapy, metacognitive therapy and Mindfulness-Based stress reduction for mental health. These tools play a vital role in early identification and intervention, ultimately improving the overall well-being of individuals with CVD.

Conclusion:
Globally, significant improvement was reported in CR programs focusing on mental health. In India, screening for mental health is still lacking. It is crucial to incorporate standardized screening tools to bridge this gap.

Implication:
By implementing standardized screening tools and a more comprehensive approach, India can improve the effectiveness of CR and promote the well-being of individuals with CVD.
Ab. No. 125 Effect of Repetitive Transcranial Magnetic Stimulation Along With Conventional Physiotherapy Treatment on Sleep Parameters Using Polysomnography: A Sleep Study in Individuals With Sleep Apnea: A Single Case Study
Authors: Mittal Rajni , Dangi Priyanka , Kaur Sharanjeet , Arumugam Narkeesh 
Published: June 2024

Introduction:
The purpose is to find the effectiveness of rTMS along with conventional physiotherapy on polysomnography (PSG)-sleep analysis in individuals with sleep apnea.
The study attempts to widen the horizons of the physiotherapy profession in the field of sleep apnea. The improved quality of sleep may improve various domains of the quality of life of affected individuals.

Methods:
Study design is a case report of an individual with sleep apnea.
A 45-year-old male has been diagnosed with sleep apnea for 4 years and has been using a CPAP device for the last 5 months. The patient had excessive daytime sleepiness, loud snoring, and difficulty wearing a CPAP mask at night. The physical examination showed obesity (BMI – 25.5 kg/m2), an inappropriate breathing pattern (more mouth breathing instead of nasal breathing), and tightness of accessory respiratory muscles (scalene, trapezius, pectoral, and sternocleidomastoid) on palpation. Then the patient was intervened with rTMS along with conventional physiotherapy for 5 sessions a week for the duration of 3 weeks.
Pre- and post-objective assessment were done using polysomnography and subjective assessment were done using Pittsburgh Sleep Quality Index (PSQI).

Results:
Significant reduction in apnea-hypopnea index (AHI) was observed after the intervention. Sleep disturbance also decreased during the night and PSQI score also decreased from 8 to 6.

Conclusion:
The study concluded that rTMS, along with conventional physiotherapy, was found to be an effective treatment and can be used for management of sleep apnea.
Ab. No. 135 Importance of Early Ambulation in Patients With Intra-Aortic Balloon Pump (IABP)
Authors: Sahana S , Verma Shaswat 
Published: June 2024

Introduction:
The purpose is to review and highlight the importance of early ambulation in patients with femoral Intra-aortic balloon pump (IABP). The IABP is employed in diverse cardiovascular conditions and procedures. Research indicates its association with reduced mobility, resulting in vascular complications, and deep vein thrombosis, leading to prolonged hospitalization and poor functional outcomes. Consequently, physical therapists need to advocate and facilitate early mobilization.

Methods:
Articles reporting strategies for early ambulation in adult patients with femoral IABP. A comprehensive literature search was performed using PubMed, Google Scholar, and Pedro scale. Search Strategy was devised and articles were selected based on inclusion/exclusion criteria. 16 articles were screened. 9 were included in the review. 6 were case series, 1 case-cohort study, 1 literature review, and 1 randomized control trial. 7 articles of axillary artery IABP were excluded.

Results:
All the articles followed Ramsey protocol for ambulation. The protocol involved a systematic assessment of leg circulation and positioning of the IABP, following which patients were gradually transitioned to a tilt table while vital signs were closely monitored in each phase. They were assisted by a walker and instructed to follow a specific walking pattern, to prevent stress on the IABP leg. The findings suggest that employing this standardized protocol, in collaboration with a multidisciplinary team, presents a secure method for ambulating patients with a femoral IABP.

Conclusion:
This review concluded that early ambulation of patients with IABP following a structured protocol is important in preventing complications and alleviate functional outcomes.

Implications:
As physical therapists, incorporating safe and structured early mobilization in patients with IABP into clinical practice can benefit in improving their quality of life by preventing complications.
Ab. No. 149 Therapeutic Effects of Yoga On Gait Variables, Walking Capacity, Balance, Lower Extremity Strength, and Flexibility in Ambulatory Children With Cerebral Palsy
Authors: Shah Labddhi , Ghosh Amrita , Shetty Triveni 
Published: June 2024

Introduction:
The purpose is to explore the effects of Yoga on gait variables, walking capacity, balance, and lower extremity strength and flexibility in ambulatory children with cerebral palsy. Children with cerebral palsy have limited access to skill-based movement programs that combine therapeutic principles of movement rehabilitation with community involvement, the need for activity-grounded therapeutics in cerebral palsy is the need of the hour. Rehabilitation typically focuses on range of motion exercises to prevent and delay contractures, flexibility exercises to increase range of motion, progressive resistance exercises to enhance strength, and varied interventions to improve posture, balance, and the acquisition of functional skills. Thus, the therapeutic movement that improves motor control and imitates social interaction.

Methods:
Twenty-one children with the potential to participate and corresponding to the inclusion criteria were recruited in the study. The mean average age group of the participants was 8.97 years with 5 girls and 16 boys.
Children with cerebral palsy with Gross Motor Function Classification I–III were divided into a control group and an experimental group. Throughout 12 weeks, the control group received conventional physiotherapy treatment while the experimental group an additional one-hour yoga sessions three times each week. The Walking capacity (6 Minute Walk Test), Balance (Pediatric Balance Scale), Muscle strength (Manual Muscle Test Score), and Flexibility (rotational profile using goniometric measurements) were administered before, and after the interventions in each group.
Wilcoxon signed-rank test was used to evaluate thedata.

Results:
Statistically significant differences were found in the walking capacity (p < 0.004), dynamic balance (p 0.002), Strength (p 0.007), and flexibility (p 0.007).

Conclusion:
Yoga can be used as an adjunct to conventional physiotherapy interventions.

Implications:
An improvement in walking capacity, and balance leads to increased mobility and improved functional activities of the children with cerebral palsy. As yoga was an additional therapy, this showed better engagement in therapy as it improved the zeal to attend the therapy. These further improved the quality of life as children could engage amongsttheir typically developing peers.