bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ab. No. 68 Effect of Aerobic Exercise on Menopause Symptoms in Perimenopausal Housewives
Authors: Patel Jahanvi , Sheth Megha 
Published: June 2024

Introduction:
To find effect of four weeks of aerobic exercise on Menopausal Symptoms using Menopausal Rating Scale (MRS) in perimenopausal housewives.
Women during perimenopause suffer from hot flashes, fatigue, and mood swings due to hormonal changes. These symptoms can disrupt daily life, work, and well-being. Housewives may have limited access to health information leading to a lack of awareness of symptoms, resulting in increased suffering and a lack of understanding of how to manage. Aerobic exercise, like walking, has been shown to reduce these symptoms and improve overall well-being in perimenopausal women.

Method:
36 housewives aged between 40-55years with perimenopausal symptoms were randomized into an intervention group A or a control group B. Women with known conditions which affected walking, taking drugs to relieve perimenopausal symptoms, women with surgical menopause, and receiving any hormone therapy were excluded.
An experimental study was conducted in community of Ahmedabad. Women in the intervention group were asked to perform walking at 11-13 RPE for 150 minutes/week with warm up and cool down, five times a week. Those in control group continued their usual routine. Outcome used was menopausal rating scale.
Data analysis was performed using SPSSv.20. Wilcoxon signed rank test was used for within group analysis and Mann-Whitney U test for between group analyses. Level of Significance was 5%.

Results:
Study is ongoing. Within group analysis for group A(z=-3.187,p=0.001) and for group B(z=-1.890, p=0.059). Between group analysis U=13, p=0.0001.

Conclusion:
Aerobic exercise like walking reduces menopausal symptoms in perimenopausal housewives.

Implication:
Aerobic exercise has benefits on physical and mental health, including reduced hot flashes, improved sleep, and decreased depression, significantly contributing to improving quality of life and well-being during the perimenopausal phase in women undergoing the menopause transition. Housewives who may have reduced social peers to discuss these symptoms can benefit from structured walking programs.
Ab. No. 87 Comparative Efficacy of Modified Constraint-Induced Movement Therapy (M-CIMT) Technique With or Without Restraint Device on Gait and Balance of Hemiplegic Patients With Stroke: A Pilot Study
Authors: Bandopadhyay Suparna , Pradhan Anwesh , Saha Shilpasree 
Published: June 2024

Introduction:
The purpose was to compare the effect of Modified Constraint-induced movement therapy (m-CIMT) with or without the restraint device on static balance, dynamic balance and gait of patients with hemiplegia.
Using m-CIMT as a rehabilitative approach in Physiotherapy practice may improve the weight-bearing asymmetries, static balance, dynamic balance and gait. Patients with hemiplegia (n=16) of both genders aged 40-65 years with MMSE score≥ 24, Brunnstrom recovery stages≥ III were randomly divided into two groups.

Methodology:
Group 1(n=8) underwent m-CIMT therapy with a weight cuff on the unaffected ankle during exercises, while Group 2(n=8) performed the same exercises without any restraint device keeping their non-paretic hip and knee extended and feet flat. Gait quality and balance were assessed using the Dynamic Gait Index (DGI) and Berg Balance Scale (BBS) respectively. Doses were 5 days per week for 2 weeks.
Paired T-test was used for within groups and independent sample T-test was used to compare between groups. The probability of error was accepted at P<0.05. SPSS 26.0 was used for analysis.

Result:
Significant (P<0.05) improvement was observed in DGI in both groups and the BBS improved only in group 1. Between groups, the analysis showed significant (P<0.05) differences in DGI score and insignificant (P>0.05) differences with BBS.

Conclusion:
m-CIMT with restraint device improves gait and balance. m-CIMT without restraint device improves gait only and not balance. m-CIMT using a restraint device is more effective in improving gait. There was no difference between the two groups in terms of balance.

Implication:
m-CIMT using a restraining device can improve dynamic gait and balance in patients with hemiplegia.
Ab. No. 107 Effects of Yogasana on Anthropometric Indices and Polycystic Ovary Syndrome Symptoms in Women Undergoing Infertility Treatment: An Interventional Study
Authors: Magia Fagun 
Published: June 2024

Introduction:
Prevalence of Polycystic Ovary Syndrome (PCOS) varies from 6.5 to 19.9% worldwide. Major symptoms include hormonal imbalances, irregular periods, excess androgen levels, and ovarian cysts leading to infertility. Yogasana is an important factor in improving physical and mental symptoms, as well as hormonal and metabolic parameters, thereby addressing various diseases. The purpose of the study was to examine the effects of Yogasana on BMI, FSH: LH ratio, and ultrasonography in patients with PCOS. Yogasana is a crucial component of physiotherapy treatment techniques that can target patients with PCOS.

Methods:
After screening for inclusion and exclusion criteria, a total of 31 subjects were included using sequential sampling techniques. At the end of 3 months, only 12 patients completed the treatment. All patients received a total of 60 minutes of treatment protocol, five days per week, including: 10 minutes of warm-up, 40 minutes of Yogasana (sitting, prone, and supine poses), 10 minutes of meditation, Baseline criteria for age, BMI, duration of suffering from the disease, FSH:LH ratio, and ultrasonography were recorded.

Results:
All the patients were women with a mean age of 31 ± 4 years, diagnosed with PCOS by ultrasonography, suffering for a mean of 14 ± 5 years. The Shapiro-Wilk test indicated that the data were not normally distributed. The Wilcoxon signed-rank test was applied to pre and post-treatment data of BMI, FSH:LH ratio, ultrasonography, showing significant improvement in all parameters (P < 0.05).

Conclusion:
PCOS is a chronic condition that cannot be cured; however, some symptoms can be improved through yogasana.

Implications:
Yogasana should be incorporated into the treatment of patients with PCOS to reinforce positive results.
Ab. No. 113 Effects of Mat Pilates Program on Inter-Recti Distance, Waist Circumference and Trunk Muscle Endurance in a Primiparous Woman With Post-Partum Diastasis Recti- A Case Report
Authors: Gahlot Payal , Singh Rajani , Shah Jinshi 
Published: June 2024

Introduction:
To investigate effects of Mat Pilates program on inter-recti distance, waist circumference and trunk muscle endurance in primiparous woman having post-partum diastasis recti. Diastasis rectus abdominis occurs when inter-recti distance (IRD) becomes more than 2 cm at umbilicus levels or an upper or lower point of umbilicus during pregnancy and after childbirth. Pilates is expected to positively affect women with weak abdominal muscles after childbirth.

Methods:
31-year-old primiparous woman having diastasis recti complaining of separation at navel level after 1st delivery was taken, having 156cm height and 48kgs weight. 8-weeks Mat Pilates exercise program including progression was given in physiotherapy department. Measuring tape was used to examine IRD at umbilicus, 2, 4 and 6 inches above umbilicus and 2 inches below. Pressure biofeedback was used to assess endurance of trunk muscles, manual muscle testing was done to access strength of trunk muscles and waist circumference was measured using measuring tape. Descriptive analysis of data was done and results were reported.

Result:
There was significant reduction in IRD of 2.5cm, 3.5cm, 3cm, 4cm above 6-inch, 4-inch, 2-inch and at level of umbilicus respectively and 2.5 cm at 2-inch below level of umbilicus. Core strength of transversus abdominis improved from 1set (10sec x1time) hold to 4 set (10sec x4 times) and multifidus improved from 1set (10secx1time) hold to 5 sets (10secx5 times). Trunk muscle grades increased from grade-4 to 5. Waist circumference reduced upto 1.5 inches with overall 3kgs of weight loss.

Conclusion:
Mat Pilates program improves IRD, trunk muscle endurance and reduces waist circumference in postpartum Diastasis recti.

Implication:
Mat Pilates can be an important method of rehabilitation for improving IRD and trunk muscle endurance in postpartum women having diastasis recti.
Ab. No. 121 Digital Therapy During Anterior Cruciate Ligament (ACL) Rehabilitation Through Evidence-Based Feedback Using Wearable Device Pheezee®, A Case Study
Authors: Harshavardni K P , Bandyopadhyaya Irin , Kondapi Mythreyi , Susurla Suresh 
Published: June 2024

Introduction:
The outcome following Anterior Cruciate Ligament (ACL) repair depends largely on post-surgical rehabilitation protocol. Recovery map is generally quantified using ROM of knee, outcome score, and seldom muscle activity is considered. The aim is to bring about objective outcome measures during ACL rehabilitation programs where evidence-based feedback assists clinicians to develop dynamic treatment protocols and encourages remote personalized patient care.
This study advocates physiotherapists to integrate ROM, sEMG in ACL rehabilitation, establishing a comprehensive technologically advanced approach.

Methods:
This study includes a single participant who experienced ACL injury, underwent reconstruction surgery followed by post rehabilitation regime, and was remotely monitored using the wearable device. In this case study, ROM and sEMG data were acquired using a novel app-based wearable device Pheezee®.
The study employed quantitative analysis of prehab to post-surgical rehabilitation for one year. The objective data was interpreted and compared from the pre-operative to post-operative stages.

Results:
A satisfactory flexion of 139º and extension of 4º was achieved during post-op, which was comparable to the pre-op range. This is also reflected in the weekly muscle strength trend, where the quadriceps muscles have drastically improved (especially Vastus Lateralis), responsible for knee extension.

Conclusion:
Knee joint movement is improved from pre- to post-surgical states by adhering to Pheezee® based weekly assessments and exercise protocols. We observed that the acquired data is beneficial for both the physiotherapist and the participant in achieving their goals and making informed clinical decisions leading to modifications in the exercise protocols, use of brace, and walking aids. Further studies are required to determine correlation of subjective perceptions with objective outcomes.

Implications:
Real-time data helps in making informed clinical decisions, and tailor-made interventions insisting on an evidence-based approach and technology-enabled rehabilitation for effective, comprehensive, and personalized patient care.
Ab. No. 122 Functional Restoration Approach in the Management of Complex Regional Pain Syndrome (Crps) Caused By Onychomycosis: A Case Report
Authors: Kamat Vidya , Srikantaiah Soni , Kulkarni Anagha 
Published: June 2024

Introduction:
The objective of this case report is to highlight the importance of incorporating functional restoration approach in the physiotherapy management of CRPS.
The significant pain and disability associated with CRPS is not only biomedically faceted but frequently encompasses psychosocial aspects too. Physiotherapy management should address both these aspects. The functional restoration approach emphasizes gradual progression, starting with pre-sensorimotor cortices activation, then advancing to functional tasks.

Methods:
This is a case review of a 61 year old man with history of Onychomycosis presenting with left shoulder, wrist and hand stiffness and pain 6 months post the infection. Patient also presented with fear of movement and was reported to have had not used the arm functionally for daily activities since the onset of the infection. Patient is a k/c/o intentional tremors since 25 years.
The functional restoration approach included patient education, desensitization using kinetic sand, followed by movement with Mulligan’s technique and graded functional activity by perpetual training over subsequent sessions. Pre and post assessments after a 3-week intervention included Kinesiophobia, Function, Pain, ROM, and grip strength. Additionally, the Archimedes spiral test was used to gauge tremor severity as a secondary outcome.

Results:
Post-intervention, positive changes were observed in outcome measures: a 16% decrease in Tampa Scale of Kinesiophobia, 10% improvement in Michigan Hand Outcome, 7% in grip strength, and 7% and 8% in wrist and shoulder ROM, respectively. The Archimedes spiral test also showed a notable improvement.

Conclusion:
The approach demonstrated improvement in Function, pain, and Kinesiophobia, with notable changes in range of motion, grip strength, and tremors as well.

Implication:
Functional restoration approach is a comprehensive method of managing CRPS since it addresses the syndrome’s multifaceted nature. Simultaneous assessment of biopsychosocial components aids in tracking progress and predicting better outcomes.
Ab. No. 22 Effectiveness of Combined Core Exercises and Routine Rehabilitation in Improving Muscle Strength and Functionality in Knee Osteoarthritis: A 4-Week Intervention Study
Authors: Thomas Tina Dias , Eapen Charu , Hegde Atmananda S , Mane Prajwal Prabhudev , Mehta Saurabh 
Published: June 2024

Introduction:
KOA is progressively disabling in nature, and developing effective treatment strategies is crucial to impede disease progression. Recent research has explored the role of core muscle exercises in mitigating KOA progression. This study evaluates the effectiveness of integrating core strengthening exercises into standard KOA rehabilitation. The study aims to assess the efficacy of incorporating core strengthening exercises and a routine rehabilitation program for knee osteoarthritis (KOA) over 4 weeks and evaluate its impact on physical function tests, knee muscle strength, and core endurance.

Methods:
Fifteen participants meeting specific KOA criteria completed a four-week intervention combining conventional rehabilitation and core exercises. Selection criteria included orthopedic diagnosis, incorporating medical history, radiographic imaging, and clinical indicators of KOA.
A pre-post analysis was done, wherein a portable dynamometer was used to assess for knee muscle strength and physical function tests (stair climb, 30-second sit-to-stand, 40-meter fast-paced walking, and timed up-and-go), and core endurance was evaluated. Statistical analysis using JAMOVI was done, with a significance level of P < 0.05.

Result:
Knee muscle strength in the affected knee’s flexors and unaffected knee’s extensors and 30-second sit-to-stand showed no significant difference. In contrast, the timed up-and-go test, stair climb test, 40-second fast-paced walking test, and endurance test showed statistically significant differences.

Conclusion:
After a four-week supervised exercise program, participants exhibited enhanced core endurance and physical function, showcasing the positive effects of exercise in these domains. However, knee muscle strength did not significantly differ, resulting in the need for longer follow-up studies. The study implies that integrating core exercises into routine KOA rehabilitation can enhance physical function and endurance, emphasizing the need for their inclusion in long-term treatment plans for KOA patients.
Ab. No. 134 Exploring Shared Decision-Making in Pediatric Multidisciplinary Team: A Mixed-Methods Investigation Into the Roles of Children, Caregivers, And Health Care Professionals
Authors: Hariharan S , Vadivelan K 
Published: June 2024

Introduction:
Pediatric physiotherapy relies on collaborative decision-making among children, caregivers, and healthcare professionals for optimal outcomes. This study addresses the current gap in understanding the dynamics of shared decision-making in this context.
Our research focuses on quantitatively assessing the involvement of children, caregivers, and healthcare professionals during pediatric physiotherapy sessions. Through the Shared Decision-Making Questionnaire (SDM-Q-9 and SDM-Q-Doc), we aim to measure the extent of participation and identify factors influencing decision-making roles.

Methods:
In parallel, semi-structured interviews with 26 participants, including six children, five parents, and 15 healthcare professionals, provide qualitative insights. Results underscore a complex interplay of perspectives, emphasizing the need for inclusivity and effective communication. Children’s limited participation highlights gaps in their care programs, emphasizing the crucial role of caregivers in advocating for the child’s best interests.
Semi-structured interviews were conducted with 26 participants (six children, five parents and 15 healthcare professionals), and data analyzed using thematic analysis.

Results:
Healthcare professionals grapple with the delicate balance between their medical expertise and consensus-building. The study advocates for a collaborative atmosphere, emphasizing that the combined knowledge of children, parents, and medical professionals should inform pediatric healthcare choices, thereby enhancing overall care quality.
Educationally, our findings have implications for healthcare training. By identifying key factors influencing decision-making, the study contributes to the development of educational programs that prepare healthcare professionals to navigate shared decision-making effectively.

Conclusion:
In summary, this study sheds light on the intricate dynamics of shared decision-making in pediatric physiotherapy, emphasizing the importance of a collaborative approach for enhanced patient-centered care.

Implications:
The findings offer valuable insights for researchers, practitioners, and policymakers, contributing to a more comprehensive understanding of shared decision-making in pediatric healthcare.
Ab. No. 140 Non-Surgical Interventions for the Prevention and Treatment of Radiation-Induced Fibrosis and Its Associated Disability in Patients With Head and Neck Cancer: An ICF Framework-Based Systematic Review
Authors: Gururaj Rachita , Verma Ridhi , Bhupal Divya Priya , Veluswamy Sundar Kumar 
Published: June 2024

Introduction:
To outline non-surgical interventions effective in preventing or treating the effects of Radiation-induced fibrosis (RIF) in Head and Neck Cancer (HNC) Survivors across domains of International Classification of Functioning, Disability and Health (ICF).
RIF is a debilitating, long term sequalae of radiotherapy in HNC survivors. ICF provides an opportunity to map limitation in body functions, activity and participation with interventions but has not been used in understanding the impact of RIF in HNC survivors.

Methods:
Studies reporting non-surgical interventions for prevention/treatment of RIF. The review was registered in PROSPERO. Using a systematic review framework, a comprehensive search was run in six databases, independently screened, and verified by authors. Risk-of-Bias was determined using NIH quality assessment tool.
Qualitative descriptive analysis was performed for the included studies. Intervention targets and outcomes were mapped to ICF domains.

Results:
Fifteen of 7966 retrieved studies representing data of 603 participants were included for the review. Fourteen studies were of fair and one of good quality. Seven studies representing 294 participants aimed at prevention while eight representing 309 participants aimed at treatment of RIF. Interventions studied included- exercise, electrotherapy, orthotics, swallow therapy and pharmacotherapy. Studies weren’t mutually exclusive for ICF domains. Among prevention studies, four focused on body structure, six on body function, and one on activity and participation. Among treatment studies, five addressed body structure, seven on body function, and five on activity and participation.

Conclusion:
Non-surgical interventions for prevention or treatment of RIF are available across ICF domains. However, the studies are limited in numbers and are of fair quality.

Implications:
This review provides a summary of the current state of research evidence and could be useful in providing direction to future research for prevention/treatment of RIF in HNC survivors.
Ab. No. 142 Intervention Strategies to Enhance Exercise Adherence in Individuals With Low Back Pain
Authors: Usha H N , Shobhalakshmi S 
Published: June 2024

Introduction:
Adherence to exercise is the cornerstone of a successful rehabilitation program and serves as a vital connection between the intervention and outcome. A lack of adherence to exercise regime was seen in approximately 50-70% individuals with low back pain (LBP). Therefore, the objective was to review the intervention strategies to enhance exercise adherence in individuals with LBP.
Understanding intervention strategies aimed at enhancing exercise adherence could assist practitioners in improving patient outcomes.

Method:
Articles reporting physiotherapy interventions in enhancing exercise adherence in low back pain and musculoskeletal conditions were included. Comprehensive literature search was performed using the search engines PubMed, Cochrane library and Google Scholar. Search strategy was formulated and articles selected based on the inclusion/exclusion criteria.
18 articles were screened and 9 were included in the review, 4 were Randomized Control Trials, 2 Scoping Review, 1 Pilot study, 2 systematic reviews.

Result:
Behavioral change techniques, web-based exercise programming system, improving self-efficacy, telemonitoring support and smartphone applications were some of the strategies that were found to be effective in enhancing exercise adherence in individuals with LBP.

Conclusion:
The findings of this review suggest that the implementation of behavioral change techniques and digital interventions have been reported to enhance exercise adherence. The effectiveness of these techniques can be assessed using more quantitative methods, as most of the trials relied on self-reported questionnaires and daily logbooks. In the future, guidelines need to be established for the evaluation and management for adherence to exercise.

Implication:
Understanding intervention strategies for exercise adherence help physical therapists to plan effective treatment, thereby improving patient outcome.