bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ab. No. 129 Current Practice of Fascial Distortion Model (FDM) on Chronic Pain in Individuals With Chronic Myofascial Neck Pain: A Review Study
Authors: Kaur Harmanpreet , Arumugam Narkeesh , Kaur Sharanjeet 
Published: June 2024

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

Methods:
The research of Randomized clinical trials and cross-over trials published between 2014 and 2023 was performed on various databases, including PubMed, and search engines, including Research Gate and Google Scholar. The data was limited to the last 10 years (2014–2023) and was in the English language. 10 articles were identified, out of which 7 articles that met the inclusion criteria were selected. PRISMA methodology guidelines were used for data extraction.
Qualitative analysis of the study was done using the PEDro scale (Physiotherapy Evidence Database). According to the PEDro analysis, the majority of the articles included were of good quality.

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

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

Implications:
FDM has been found to be a good and effective method for improving myofascial neck pain and increasing limited range of motion by working fascia.
Ab. No. 131 Physical Performance and Sarcopenia Among Children and Adolescents With Nephrotic Syndrome: A Cross Sectional Analysis
Authors: Alva Rajitha , Hamsa V , Joshi Kirti , Jain Aditi 
Published: June 2024

Introduction:
Literature suggests that renal disease & long term steroid therapy are likely to affect muscle function. There are no studies done on children & adolescents with nephrotic syndrome (NS). Hence, this study focuses on assessing sarcipenia & physical performance among children & adolescence with NS. This will help us in understanding structural impairment at muscle level & physical performance.

Methods:
Participants- Age 5- 18 years of children & adolescents with NS. Following ethical approval, parent consent & assent of participants were taken. Components included in Physical performance were 2minute walk test (2WMT), Hand grip strength (HGS),1 minute sit to stand(IMSTS). Sarcopenia was evaluated using diagnostic ultrasound to measure cross sectional area (CSA) of dominant side rectus femoris (RF) muscle. Descriptive statistics and comparison statistics were performed.

Results:
14 participants with mean age, gender & BMI (9.1±3.4 years; 64% boys; BMI: 17.5±3.1kgm-2) were recruited. 2MWT distance (139.8±32.7m), HGS (10.1±2.9kg), 1MSTS (29.2±4.3) & CSA – RF (2.43±0.87cm2). 2MWT distance, HGS & 1MSTS were reduced in compare to normative data (p<0.05, CI 95%). CSA – RF of pediatirc with other chronic condition presented (3.91±1.51cm2) which is aligning with our findings.

Conclusion:
Physical performance data shows significant reduction in comparison to established norms. CSA of muscle assessed in this study aligns closely with that observed in other chronic conditions within the pediatric population, suggesting presence of sarcopenia.

Implications:
Timely evaluation and rehabilitation of sarcopenia among children & adolescents with NS is very crucial. Conducting this study on a larger population is essential to establish relationship between physical performance & sarcopenia. This finding will help in developing clinical care pathway in management of children & adolescents with NS & advocating Nephrologists about the significance of muscle function evaluation.

Acknowledgement
This work was supported by Society of Indian Physiotherapists, Ref No: SIP_2021_SR03
Ab. No. 133 Effect of 12-Week Neuromuscular Exercise Program on Hip, Knee, Ankle Joint Proprioception and Risk of Falls in Patients With Total Knee Replacement With and Without Type II Diabetes Mellitus
Authors: Butala Rutuja , Mullarpatan Rajani , Shetty Mamta 
Published: June 2024

Introduction:
The purpose is to study the effect of 12-week neuromuscular exercise program (NEP) on hip, knee and ankle joint proprioception (JP) and risk of falls in patients with total knee replacement (TKR) with and without type II diabetes mellitus (DM).

Methods:
Forty patients with TKR with DM (n=20) and without DM (n=20) between 45-80 years of age at moderate protection phase were included using convenient sampling.
The study commenced after ethical approval from Institutional Ethics Committee. Outcome measures assessed at baseline and post 4-weeks of intervention were JP, muscle strength, range of motion and risk of falls. After the baseline assessment patients were taught the NEP.
SPSS (version 24) Shapiro–Wilk test was used to analyse normality. Paired t-test was used for data which was normally distributed and Mann Whitney-U test was used for data which did not follow normal distribution. Effect size was used to compare the effect of NEP in both the groups.

Results:
Significant improvement was observed in JP angles of hip flexion, hip abduction and knee flexion after 4-weeks of NEP in patients with TKR without DM(p=0.00) and with DM (p< 0.05). Significant difference was found in risk of falls in patients with TKR with DM(p=0.00) and without DM(p=0.00).

Conclusions:
Significant improvement was reported in JP angles of hip flexion, hip abduction and knee flexion in both the groups, post intervention. Risk of falls reduced in both the groups, post intervention. There was no significant change in JP of hip, knee and ankle joint of the operated side when compared to non-operated side in patients with TKR with and without DM.

Implications:
NEP can be used in TKR patients with and without DM, and it can be used as a part of post-operative rehabilitation after TKR.
Ab. No. 137 Comparison of Effects of High Intensity Laser Therapy, Extracorporeal Shockwave Therapy and Ultrasound Therapy in Patients With Plantar Fasciitis: A Randomized Controlled Trial
Authors: Jadhav Mansi , Ravindran R , Kasture Pallavi 
Published: June 2024

Introduction:
Ultrasound therapy (UST) is one of the common modality available for treatment of Plantar fasciitis (PF). Recent technological advancements have let to development of new modalities like High Intensity LASER therapy (HILT) & Extracorporeal Shockwave therapy (ESWT) for treatment of PF. There is a lack of evidence as to suggest which modality is superior in the treatment of PF. Hence the purpose of the study was to observe the effect of HILT, ESWT & UST on pain and function in patients with PF.

Methods:
Total of 120 participants fulfilling the inclusion/exclusion criteria were recruited after obtaining the informed consent & were randomly assigned to 3 study-groups of 40 each and allocation was done using sealed envelope. Assigned treatment modality as per the prescribed dosage along with the exercise programme was given for period of 2 weeks. Outcome measures - Visual Analogue Scale (VAS), Pain perception threshold (PPT) & Foot function index (FFI) were taken prior to & after completion of treatment.

Results:
While comparing VAS, PPT & FFI values of all 3 groups using one-way ANOVA, between group analysis showed statistically significant difference among the groups for VAS (F (2:105)4.444, p:0.0140) & PPT (F (2:105)5.651, p:0.0047) & not for FFI.
Post -hoc analysis data revealed statistically significant difference for UST in PPT (p<0.005) than HILT & ESWT. & for UST in VAS than HILT. Within the group analysis showed, statistically significant improvement in all 3 groups.

Conclusion:
All three modalities are effective in reducing pain & improving function in patients with PF. UST seems to be better in reducing pain but in improving function none of the modality was found to be superior than other.

Implication:
UST can be preferred modality in alleviating the pain in patients with PF as its easily available and cost effective over the new expensive modalities.
Ab. No. 147 Pelvic Floor Health Literacy in Ahmedabad- A Pilot Study
Authors: Purohit Manthan , Jeevrajani Jeel , Pandya Rachna , Sheth Megha 
Published: June 2024

Introduction:
The purpose of the study is to investigate, beliefs and mentalities prevalent in community related to pelvic floor problems. Pelvic floor problems are not discussed because of certain barriers and healthcare personnel remain uninformed about the condition. Literature also mentions that, there are barriers in community. A Physiotherapist, working with diverse population needs knowledge about health literacy levels in community so as to educate, prevent and approach community with acceptable solutions.

Methods:
Both genders, 18-65 years were included from the community of Ahmedabad using convenience sampling was used. Participants from different socio-cultural, economic, educational backgrounds with/without history of pelvic floor issues were included. Participants belonging to medical background, and not willing to participate were excluded.
Close-ended in English language questionnaire, validated by expert panel was prepared to investigate health literacy. A google form was filled by investigator in front of the participant after obtaining verbal consent.
Descriptive analysis of 37(25 females,12 males) participants was done using Microsoft excel 2019 and Google spreadsheet.

Result:
Data collection is on-going. Mean age of participants was (38.41 + 12.06) years. More than 50% participants do not know the term “Pelvic Floor”. 60% participants do not know whom to consult, around 60% participants rely on family and/or friends’ advices. 56% of participants do not want to share these problems. Large number of participants feel cultural/societal barriers in sharing these problems, do not find information in news or social media and do not have an access to sources providing reliable information.

Conclusion:
Pelvic floor health literacy is low in community. Unawareness about “Pelvic Floor,” not having reliable sources, cultural and societal barriers about these problems keeps health care providers uninformed about the problem.

Implication:
Findings may help Physiotherapist build a culturally sensitive protocol, develop educational material, improve public awareness, plan early intervention and prevention.
Ab. No. 153 Comparison of 3d Scapular Kinematics of the Affected and Unaffected Shoulder in Subjects With Unilateral Adhesive Capsulitis
Authors: Sharma Ridhi , Phadke Vandana , Makhija Meena 
Published: June 2024

Introduction:
The purpose of the study is to compare 3D scapular kinematics and scapulohumeral rhythm of affected and unaffected side in subjects with unilateral adhesive capsulitis at various degrees of elevation and lowering during flexion. Improving precise measurement of all scapular rotations will enhance comprehension of shoulder dysfunction and may aid in the development of targeted rehabilitation strategies.

Methods:
20 subjects with unilateral adhesive capsulitis, average age (51.7±7.6 years) with symptoms since 4.3±2.5 months using purposive sampling were included.
3-dimensional Euler angles using the International Society of Biomechanics standards were estimated during flexion via Ascension trakSTAR sensors integrated with Motion Monitor Software. The scapular movements (upward/downward rotation, internal/external rotation and anterior/posterior tilt) were measured at rest(0°), 30°, 60°, 90° and 120° of arm elevation and the scapulohumeral rhythm was calculated between these motion increments.
The kinematic variables at rest were compared using paired t-tests and scapular kinematic variables were compared across angles of elevation and sides for each phase separately using 2-way repeated measures ANOVA. In case of significant interactions, post hoc testing was done using Tukey Kramer test for pairwise comparisons.

Results:
The affected side was 6.81° more upwardly rotated than unaffected at 90°. There was statistical difference between phases of elevation and lowering for upward rotation at 60° and 90°, anterior tilt at 30°, 60° and 90° and scapular internal rotation at 90° and 120°. The differences at 120 degrees could not be measured in all subjects. The scapulohumeral rhythm was different between sides only for 60°-90° during flexion.

Conclusion:
There was a more substantial scapular substitution beyond the middle region of arm elevation during shoulder flexion. Beyond correcting the scapular shrug that would have increased scapular tilt, therapists may focus on reducing scapular upward rotation.
Ab. No. 154 Effect of High Intensity Circuit Training on Central Fatigue and Cognitive Function Among Recreational Athletes: An Annotated Bibliographic Review
Authors: Sharma Pooja , Ahmad Irshad , Aggarwal Divya , Sethi Priyanka , Kumari Sunita 
Published: June 2024

Introduction:
Circuit training is a type of training evolved by Morgan and Anderson in 1953. This training involves “a circuit” including 6-9 exercises (aerobic exercises, resistance exercise etc). Averting fatigue is an area of discussion nowadays for recreational athletes too along with professional athletes. This concern needs comprehension about the fatigue’s understanding, its aetiology and mechanisms. Central fatigue stipulates decrease in voluntary activation during exercise. The type, duration and intensity of exercise are several factors which are responsible for the magnitude of fatigue as well as cognitive function.
The aim of the present study is to find out the effect of circuit training on fatigue and cognitive function among recreational athlete.

Methods:
A literature search was performed using Google Scholar, PubMed and Cochrane databases. A total of more than 50 articles showed up on PubMed and 15 on Cochrane with the term “recreational athletes”. The search terms used were ‘circuit training’, ‘central fatigue’, ‘recreational athletes’, ‘cognition’, ‘beep test’, ‘GPAQ’. In order to decrease the risk of neglecting relevant articles, a detailed research plan was created. Articles were evaluated with central fatigue & Stroop test and the effect of high resistance circuit provided to recreational athletes were included. Exercise interventions other than high resistance circuit training were excluded. The articles were checked thoroughly and only full text articles were included for this review. These studies were reviewed in a narrative way.

Conclusion:
This bibliographic study conclude that the circuit and high intensity resistance training has improved various parameters such as resistance to fatigue, cognitive function in recreational athletes.
Ab. No. 161 An Immediate Effect of Active Release Technique [ART] Versus Graston Technique [GT] on Neck Pain in Individuals Having Myofascial Trigger Point of Upper Trapezius
Authors: Prajapati Jency , Purohit Alpa 
Published: June 2024

Introduction:
Myofascial trigger points (MTrPs) are hyperirritable, palpable nodules found along taut bands of muscle fibers. It has been estimated that 85% of people who come to pain in clinics have trigger points in the neck, and they occur more often in women than in men. MTrPs are classified clinically into active and latent. latent trigger points produce pain when palpated and cause restriction of movement. ART can identify and reduce fibrous adhesions, microscopic tissue injury and inflammation. Graston technique is an Instrument assisted soft Tissue Mobilization method. It helps the healing process by intentional micro-trauma, breaking down collagen cross-linkage, increasing blood flow and cellular regeneration. The purpose is to compare the immediate Effect of Active Release Technique

Methods:
30 participants age (18-34) years were included, 15 per group. Ethical approval was taken. Groups A received ART & Group B - Graston technique. Pre and post evaluation was done using pain pressure threshold (PPT) and Visual Analogue Scale (VAS) for pain.

Result:
Within group analysis showed Group A PPT (p>0.05), VAS (p<0.05) and Group B PPT p>0.05), VAS (< 0.05). Between group showed statistical significance in PPT (p<0.05) but did not in VAS (p>0.05).

Conclusion:
Graston technique is more effective in increasing PPT.

Implications:
Graston technique can be used to get faster results.
Prevalence of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Nigeria: A Systematic Review and Meta Analysis of Seroprevalence Studies
Authors: Ramalan Mansur Aliyu , Musa Baba Maiyaki , Abdullahi Rabiu Abubakar , Abdullahi Amina , Damagum Fatima 
Published: June 2024

Abstract

Background:
In early 2020, Nigeria recorded its first case of COVID-19. The disease later became a pandemic with devastating consequences on the health and population globally. The exact incidence of the disease in Nigeria has not been reported.

Aim:
We determined pooled estimates, clinical characteristics, outcomes, and disease severity for COVID-19 patients in Nigeria.

Materials and Methods:
The search for relevant literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across multiple databases, including PUBMED, Web of Science, AJOL, BIOLINE, Hinari, and Cochrane Library. The search was done from November 1, 2021, to February 2, 2022. Studies of laboratory-confirmed COVID-19 cases with relevant data were included. Two reviewers independently performed study selection, article screening, and data extraction. Studies that did not differentiate between confirmed pathogenic isolates and specimen contamination or colonization were excluded. Of 58 articles, 14 studies were included in qualitative analysis, 77,419 total tested population.

Results:
The study found the prevalence of COVID 19 to be 20.2%; 95% confidence interval (CI): 13.2–27.4. Of these 16.2% 95% CI: (5.1–26.2) were symptomatic, while 21.3% 95% CI: (12.4–30.2) were asymptomatic. The prevalence based on diagnostic modality was 39.3%; 95% CI (30.2–48.1) using enzyme linked immunosorbent assay based rapid diagnostic test, 25.1% 95% CI (19.3–31.1) using polymerase chain reaction based test. Based on study design, the Prevalence was 10.3% 95% CI (4.1–24.2) in cross sectional studies; with 25.1% 95% CI (19.2–31.1) in retrospective study. The regional difference ranges from 11.1%; 95% CI (6.3–28.2) in North Central Nigeria to 42.4%; 95% CI (41.2–44.3) in North Western Nigeria.

Conclusion:
In conclusion, this meta-analysis reported an estimated prevalence of COVID-19 in Nigeria, indicating a moderate community transmission. It also demonstrates a tendency to decline in severe acute respiratory syndrome coronavirus 2 positivity. This finding provides a window of opportunity for strengthening existing preventive intervention measures, enhancing serologic and genomic surveillance, improving clinical management, and improving mobilization towards vaccination, particularly among susceptible populations.
Use of Antiplatelets for Primary and Secondary Prevention of Cardiovascular Events in the Medical Outpatient Setting of a Tertiary Centre in Nigeria: A Six-Month Review
Authors: Okechukwu Uzoma Chukwunonso , Abonyi Chinweuba Michael , Eze Christian Chukwuemeka 
Published: June 2024

Abstract

Background:
Cardiovascular disease (CVD) is the leading cause of death globally. The use of antiplatelets in the secondary prevention of CVD is well established. Their role in primary prevention of CVD is uncertain.

Aim:
The aim of the study was to determine the prevalence and pattern of antiplatelet prescription as well as the clinical determinants for their use at a medical outpatient setting in a tertiary hospital in Nigeria.

Materials and Methods:
The study was a retrospective, cross-sectional study of antiplatelet prescription at the medical outpatient clinic of a Nigerian tertiary hospital over a six-month period. Medical records of 200 adults were selected by the simple random sampling after excluding atrial fibrillation, acute pericarditis, chronic stable angina, acute rheumatic fever, and preeclampsia.

Results:
We studied the records of 200 patients. Antiplatelets were prescribed for the majority of participants (65.5%), out of which 85.5% were for the primary prevention of CVD. Of those receiving antiplatelets for secondary prevention, about eight out of every ten had a prior stroke and/or transient ischemic attack. There was a significant difference in the use of antiplatelets across age groups (χ2 = 45.275 and P < 0.001). Subjects <50 years of age were significantly less likely to use antiplatelet than those 50 years and above (P < 0.001, odds ratio = 0.112, and 95% confidence interval = 0.052–0.245). The odds of hypertensive and diabetic patients receiving antiplatelets were about 12 and 3 times those of patients without hypertension and diabetes, respectively. The use of antiplatelets did not show any significant relationship with sex, duration of hypertension, duration of diabetes, smoking status, congestive heart failure, and chest pain. Of the patients on antiplatelets, 44% were receiving drugs that cause additional bleeding risk. Three percent of patients reported side effects.

Conclusion:
Our study has found a high degree of antiplatelet utilisation for the primary prevention of CVD in spite of the current lack of evidence in recent trials. We encourage formal CVD risk assessment for all patients in whom antiplatelets are considered for primary CVD prevention.
Toothache as the Leading Clinical Symptom of Metastatic Prostate Adenocarcinoma
Authors: Anyimba Solomon Kenechukwu , Okechi Uchenna Chukwuemeka , Chinwike Chike , Nwokoro Onyekachi Chibueze , Uzoigwe Joseph Chukwuma , Amu Okwudili Calistus , Ayogu Benjamin Okafor , Mbadiwe Okezie Michael 
Published: June 2024

Abstract
Metastatic tumours in the oral region are rare and account for approximately 1% of all malignant oral tumours. Metastatic spread to the oral cavity has mostly been found in the jaws compared to the soft tissues but mandibular metastasis as the first manifestation of undiscovered prostate adenocarcinoma is very rare. We present the case of a 56-year-old man that had teeth extraction in a peripheral hospital following a complaint of toothache. Five months after the teeth extraction, he presented at University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu, with complaints of lower urinary tract symptoms, left jaw pain, left jaw mass, difficulty in opening the mouth, low back pain, lower limb edema, and abdominal distension. After review by the gastroenterology, urology, and maxillofacial teams, the working diagnoses were metastatic prostate cancer, primary jaw tumor, and primary liver cell carcinoma. Abdominal computed tomography (CT) scan was suggestive of metastatic liver disease from an occult site. It also showed metastatic deposits on the right lung and an enlarged prostate with a suspicious focus. Craniofacial CT scan done was suggestive of an aggressive tumour of the left mandible while prostate-specific antigen was 116.5 ng/mL. He had a digitally guided prostate biopsy and an incisional biopsy of the left jaw mass. Histopathologic examination of both specimens was consistent with adenocarcinoma, hence establishing a diagnosis of prostate adenocarcinoma with metastasis to the left jaw, the liver, and the right lung.