bluuebunny/crossref_metadata_2025_split huggingface dataset:
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.