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AbstractBackgroundObjectiveMethodsResultsConclusionDiabetic peripheral neuropathy (DPN) impairs proprioception, increases fall risk, and affects balance in older adults, necessitating effective interventions to improve stability and quality of life.This study evaluated dynamic neuromuscular stabilization (DNS) exercises in balance and fall risk in older adults with DPN.Sixty participants with DPN were randomly assigned to DNS (group A) or conventional balance training (CBT) (group B) for a 4-week intervention. Balance and fall risk were assessed pre- and post-intervention using the Generalized Berg Balance Scale (BBS) and the Falls Efficacy Scale-International (FES-I).Group A’s median BBS score improved significantly from 30.000 to 47.000 (p < 0.001), with group B showing smaller improvements. Group A also demonstrated a significantly greater reduction in fall risk, with post-intervention FES-I scores lower than group B’s (p < 0.001).DNS is more effective than CBT for improving balance and reducing fall risk in DPN. [ABSTRACT FROM AUTHOR]

Objective: This pilot study aims to evaluate the combined impact of peripheral nerve mobilization (PNM) and virtual reality (VR) game-based gait training on gait parameters in chronic anterior cerebral artery (ACA) stroke patients. Methods: Eight chronic ACA stroke patients were randomized into experimental (PNM + VR) and control (conventional exercises) groups. Interventions were conducted for 45 min per session, five times a week, over 4 weeks. Gait parameters were measured using the OpenPose-based Markerless Gait Analysis System. Results: Both groups showed significant improvements in post-intervention measurements. The control group exhibited a mean increase in gait speed from 0.46 m/s to 0.62 m/s (p < 0.001), while the intervention group showed improvements from 0.41 m/s to 0.54 m/s (p < 0.001). Between-group analyses revealed significant differences in gait parameters post-intervention (p < 0.05). Conclusion: PNM and VR game-based gait training emerge as effective interventions for enhancing gait parameters in ACA stroke rehabilitation. [ABSTRACT FROM AUTHOR]

BACKGROUND: Excessive fear, worry and behavioral disturbances define anxiety, with particular significance attributed to vagal nerve, a crucial transmitter of information to the brain regions governing anxiety. Highlighting the importance of vagal nerve, transcutaneous auricular vagal nerve stimulation (TaVNS) emerges as a tolerable and safe technique. The success of non-invasive vagal nerve stimulation in alleviating anxiety underscores the pivotal role of the vagal nerve. OBJECTIVES: The purpose of this study was to assess the effectiveness of physiotherapy interventions in mitigating anxiety among retired teachers during the COVID-19 pandemic, emphasizing the relevance of targeting the vagal nerve for improved mental well-being. METHODS: 60 retired teachers diagnosed with anxiety were chosen through random allocation. Participants were divided into two groups: Group A (Experimental group) received transcutaneous auricular vagal nerve stimulation (TaVNS), and Group B (Control group) underwent the Jacobson relaxation technique. Intervention period spanned 4 weeks, with four sessions per week, lasting 30 minutes. The outcome measures included Generalized Anxiety Disorder-7 (GAD-7) questionnaire and salivary cortisol levels. RESULTS: Following the 4-week intervention, both groups exhibited a significant reduction in Generalized Anxiety Disorder-7 (GAD-7) scores and salivary cortisol levels (P < 0.001). Notably, Group A demonstrated a significantly higher effectiveness rate compared to Group B. CONCLUSION: The study concludes that transcutaneous auricular vagal nerve stimulation (TaVNS) is effective in reducing anxiety among retired teachers. Transcutaneous auricular vagal nerve stimulation (TaVNS) proves to be a powerful and effective intervention in alleviating anxiety among retired teachers, emphasizing its potential significance in enhancing mental well-being. [ABSTRACT FROM AUTHOR]

Background: Cognitive decline is a debilitating symptom in Parkinson's disease (PD). Cognitive impairment in PD has a significant impact on many aspects of an individual's life, social interactions, and overall quality of life (QOL). It is also associated with a faster disease progression and an increased risk of developing dementia. A biopsychosocial approach is likely to address not only the underlying biological mechanisms of cognitive impairment in PD but also the psychological and social factors that can contribute to cognitive decline and influence treatment outcomes. Method: This experimental study was conducted on 60 older adults with PD at Saveetha medical college and hospital. Participants who met the inclusion criteria were randomly allocated into two groups of Biopsychosocial (n = 30) and conventional (n = 30). Participants in the intervention group received the multiple interventions based on the biopsychosocial approach with a duration of 60 min per session. Pre and post‐test evaluation conducted using Scales for Outcomes in PD‐cognition (SCOPA‐cog) and Parkinson disease QOL Questionnaire (PDQ‐8). Result: The results of the study showed that there is a statistically significant difference in the median scores within the Groups for the outcome measures SCOPA‐cog and PDQ‐8 (p < 0.001). For SCOPA‐cog, the BPS group median score increased from 30 to 36, while the Conventional group median score increased from 31 to 33. For PDQ‐8, the BPS group median reduced from 27 to 14, compared to the Conventional group's reduced from 30 to 24. On comparison between the post‐test values, the biopsychosocial approach group showed more improvement in cognition and QOL with (p < 0.001). Conclusion: The findings of this study concluded that the biopsychosocial approach is effective in improving cognition and QOL among the Parkinson population. [ABSTRACT FROM AUTHOR]

BACKGROUND: Healthcare workers (HCWs) have been significantly impacted by the pandemic. Elderly health care workers carry out a variety of duties at work and have years of clinical expertise. Anxiety and insomnia are among the more commonly encountered problems in senior physicians and other geriatric medical professional populations. OBJECTIVE: The study aims to determine the effect of vagal nerve stimulation on anxiety and sleep disturbances among geriatric medical professionals. METHODS: 42 participants were enrolled in this study based on the inclusion and exclusion criteria. The participants were divided into two groups using the closed envelope approach, and they took part in therapy sessions lasting 30 minutes, three times per week for a period of four weeks. The Experimental group A received non-invasive transcutaneous auricular vagal nerve stimulation (taVNS) and Control group A received Jacobson's progressive muscle relaxation technique. RESULTS: With a p value of 0.001, taVNS stimulation significantly improved sleep quality and reduced anxiety after 4 weeks. The post-intervention assessment revealed a highly significant improvement in Group A, with a T value of 251 (p < 0.001). CONCLUSION: The findings suggest that taVNS may be an effective intervention for addressing anxiety and sleep issues in geriatric medical professionals. These results contribute to the exploration of non-invasive strategies to enhance the well-being of healthcare professionals working in demanding environments. [ABSTRACT FROM AUTHOR]

BACKGROUND: In the working population especially among older adults, anxiety problems have grown dramatically. This element has a significant impact on employee absenteeism and problems with physical and mental health. It was widely known that security personnel had several physical and mental difficulties during their various work hours. It is important to investigate the effects of anxiety on them. OBJECTIVE: The present study aims to provide insights into the prevalence of anxiety disorders and explore the correlations between anxiety symptoms, sleep, and memory during the COVID-19 pandemic. METHODS: To conduct a cross-sectional study, 42 older adult participants between the ages of sixty to seventy years were chosen and the procedure was explained.Data were gathered by giving instructions on how to complete the self-reported Generalized Anxiety Disorder Assessment -7 (GAD-7), the Epworth Sleepiness Scale, and the revised Everyday Memory Questionnaire. RESULTS: A total of 36 out of 42 participants (85.71%) experienced moderate to severe anxiety. Anxiety and sleep had a correlation of 0.8, while anxiety and memory had a correlation of 0.87 with a positive EMQ-R relationship. Moreover, there was a statistically significant association between sleep and memory, with a positive correlation of 0.73. CONCLUSION: The study concludes that, there is a substantial prevalence of anxiety accompanied by notable insomnia and memory problems in elderly security officers. Our findings indicate a clear relationship between sleep disturbances, memory issues, and most prevalent anxiety symptoms. These results emphasize the importance of incorporating mental health assessments and addressing an effective treatment for anxiety. [ABSTRACT FROM AUTHOR]

Introduction: Chemotherapy is the most utilised treatment in any solid cancer diagnosis, but 15--50% of the patients receiving chemotherapy develop cancer-related cognitive impairment (CRCI), which has a lasting impact on their ability to lead a purposeful life. Current evidence suggests aerobic exercise with resistance training as a beneficial intervention for CRCI, but being a multimodal regimen, neurocognitive exercises are designed to target specific cognitive domains, offering a comprehensive approach to address the multifaceted challenges posed by CRCI. The aim of the study was to determine whether neurocognitive exercises focused on cognition are effective in treating CRCI, and to ascertain its impact on quality of life (QoL) among post-chemotherapy cancer survivors. Material and methods: Seventy participants meeting the inclusion criteria were conveniently sampled and assessed for cognitive impairment and its impact on QoL using functional assessment of the cancer therapy-cognitive function (FACT-Cog) (version 3) and EORTC-QLQ (C-30) questionnaires. The experimental group received stimulus-specific aerobic and domain-specific cognitive exercises, while the control group received aerobic exercise and resistance training. Both groups underwent interventions 3 times a week for 6 weeks, followed by post-intervention evaluations. Results: Statistical evaluation using the Wilcoxon signed rank test and Mann-Whitney U test showed that the cognitive exercise group scored significantly higher on FACT-Cog scores (68.1 ±6.93, p = 0.00014) than the aerobic exercise group (63.74 ±5.49). For the EORTC-QLQ (C30), the cognitive exercise group had a significantly higher mean score (56.8 ±7.73, p < 0.0001) than the aerobic exercise group (44.82 ±8.48). Conclusions: Incorporating neurocognitive exercises into the care of post-chemotherapy cancer survivors can help alleviate the cognitive decline experienced after chemotherapy, addressing key domains like attention, memory, processing speed, and executive function, and it can significantly improve cognitive function and overall quality of life. [ABSTRACT FROM AUTHOR]

BACKGROUND: Smartphones are a technical marvel that rapidly evolved to play an important role in our lives. One downside to smartphone use is that it significantly worsens posture. It is believed that using a smartphone while walking increases the risk of cognitive decline and the loss of dynamic balance needed to perform functional tasks. OBJECTIVE: The objective of the study was to determine the impact of smartphone usage on dynamic postural control among South Indian college students. METHODS: The study was carried out in a private college with 400 invited students through online social media platforms. The four-square step test and SAS-SV were used to determine the impact of smartphone usage on dynamic postural control. The students were informed about the study process. A total of 250 participants were included based on the inclusion criteria. RESULTS: There was a high percentage of agreement on smartphone usage on dynamic postural control measured with SAS-SV, revealing statistical significance with a mean value of 41.532 and SD of 10.010886. The four-square step test with a mean value of 22.5 and SD of 1.8995878 also proved significant impact. A positive correlation was found between smartphone usage and dynamic postural control, which was analysed using Pearson's correlation coefficient of 0.90130. CONCLUSION: A significant correlation was noted between mobile usage and dynamic balance. Smartphones can have a negative impact on dynamic balance by distracting users from their surroundings and increase the risk of falls. [ABSTRACT FROM AUTHOR]

Background: The majority of the time that drivers are at work is spent seated this causes low back pain in motorbike riders, motor bike riders were more likely to have Low Back Pain. The workload of each workers different, according to the type of work. Workloads can be mental, physical and social. Purpose: To compare the effectiveness of soft tissue mobilization and TENS with stretching exercises and TENS for low back pain among online motorbike delivery workers. Materials and Methods: Total of 60 subjects were selected based on the inclusion and exclusion criteria. The detailed procedure of the study was explained to the subjects, and the informed consent form was collected. The subjects were chosen from A.K.B Physiotherapy and Rehabilitation centre. The pre and post test values were measured using the numerical pain rating scale and low back pain rating scale. The subject were allocated in to two groups soft tissue mobilization and TENS group and stretching exercises and TENS group. The study duration was 4 weeks. study period: october 2022-june 2023. Result: Statistical analysis of post test result revealed that both the group show similar results but soft tissue mobilization and TENS exceeds the Stretching exercises and TENS statistically with a p value of<0.0001 . Conclusion: Soft tissue mobilization and TENS is more effective than stretching exercises and TENS in reducing low back pain among online motorbike delivery workers. [ABSTRACT FROM AUTHOR]

Background: Low back pain (LBP) is characterized as "pain along the posterior portion of the body from the lower border of the twelfth rib to the lower gluteal folds. A technique called strain counterstrain method is used to treat musculoskeletal pain. Core strengthening exercises can also lead to significant improvements in pain reduction and functional status. The goal of this study is to find the effectiveness of strain counterstrain technique and core strengthening exercises in treating low back pain. Methods: Total of 100 participants were chosen from Capital hospital, Vijayawada by convenient sampling, During study period from September 2022 to July 2023. A written consent form was obtained from them. After obtaining pre-test of VAS and Oswestry disability questionnaire the patients were categorised randomly into two groups. GROUP A received Strain counterstrain technique alone and GROUP B received Strain counterstrain technique with core strengthening exercises. Result: A statistically significant difference was found between GROUP A and GROUP B as well as within the group, according to the statistical analysis performed on the quantitative data. Conclusion: The findings of the present study demonstrate improvements in both Strain counterstrain technique and core strengthening exercises among middle aged people with chronic low back pain. However, (GROUP B) shows an extremely significant improvement compared to (GROUP A). [ABSTRACT FROM AUTHOR]

Background: Desk job workers are spending 75% of work hours in high levels of sitting and improper posture causing pain over the low back region.1 Physical exercise is recommended for reducing low back pain and it promotes a healthy lifestyle and quality of life for the workers.2 Purpose: The aim of the study was to determine the effect of Interferential therapy with ergonomic changes versus core strengthening exercises on low back pain among desk job workers. Materials and Methods: This was an Experimental study and the subjects were chosen from the KH shoe company, Ranipet. A total of (N=166) subjects participated in this study based on inclusion and exclusion criteria. The level of disability was assessed by using the Oswestry low back disability questionnaire and range of motion by modified Schober test and finger to floor test. The strengthening exercise was received by group B for 30 minutes and rest for 30 seconds. The entire study period was from September 2022 to July2023. Result: This study showed clinically significant reduction of low back pain using interferential therapy. Hence, by the conventional criteria, this difference is considered to be statistically significant P<0.0001. Conclusion: This study concluded that comparatively the interferential therapy with core strengthening exercise was more effective than the Interferential therapy with ergonomic changes. [ABSTRACT FROM AUTHOR]

Background: This study was developed to determine the effectiveness of climbing up and down exercise on frailty among geriatric population. Purpose: To find the effectiveness of climbing up and down stairs exercise on frailty among geriatric population. Materials and Methods: This research is the Quasi experimental study. The subjects were collected from Jeevan Jothi Home for Aged and Destitute, Kanyakumari. There are 54 subjects were selected based on inclusion and exclusion criteria. All the subjects were assessed with Edmonton frail scale as pre test and the same test was performed for post test at the end of 4 weeks from May 2023 to July 2023. 5 days per week 11 steps* 3 repetition* 3 sets. Each set 5 min rest is given. Pre test and post test values were calculated and tabulated. Results: The collected data was statistically analyzed using the paired t-test. Statistical analysis of Edmonton frail scale examination post value revealed the constantly significant differences, with the p value of <0.0001. Conclusion: According to the study, climbing up and down exercise is effective for reducing frailty among geriatric population. [ABSTRACT FROM AUTHOR]

Background: A general definition of Postural syndrome is a lack of muscle strength or the quality or quantity of movements. This is typically accompanied by one or more of the following all of the joints in the body have an effect on body posture, which is the alignment of a person's body parts with respect to one another and their surroundings at a specific moment in time. Purpose: To compare the effectiveness of Awareness through movements and swiss ball exercise on postural syndrome patients. Materials and Methods: A total of 28 individuals were chosen based on the inclusion and exclusion criteria from Sai Charan physiotherapy clinic, Arakkonam, Ranipet, Tamil Nadu,India. After explaining the treatment's safety and ease of use to the participants, a signed agreement was acquired. Group A [14N] Awareness through movements are given GroupB[14N] Swiss ball movements are given. The pre test and post test results were obtained through Patient specific functional scale. Study duration : 4 Weeks . The entire process was performed from November 2022 to March 2023. Results: As a result, swiss ball exercise is more effective than awareness through movement by analyzing the statistical values of pre test and post test. Conclusion: The study's goal is to evaluate its effects. of swiss ball movement exercise and awareness through movements postural syndrome individuals in the society. [ABSTRACT FROM AUTHOR]

Background: This study was developed to determine the effectiveness of task oriented training and swiss ball exercise on balance among middle cerebral artery stroke patients. Purpose: To compare the effectiveness of task oriented training and swiss ball exercise on balance among middle cerebral artery stroke patients. Materials and Methods: This research is an experimental study. The 30 subjects obtained from SaiCharan Physio Centre were split into two distinct groups as Group A (15 Subjects) and Group B (15 subjects). All the 30 subjects were assessed with Trunk Impairment Scale as a pre test and the same test was performed for post test at the end of 4 weeks following the intervention protocol. Group A received task oriented training and Group B received Swiss ball exercise along with convention therapy given for both the groups. Exercise were given for 4 weeks, 5 days per week, 10 repetition * 3 sets. Pre test and post test values were calculated and tabulated. The entire period was performed from November 2022 to March 2023. Result: Statistical analysis of Trunk Impairment Scale Examination post values revealed the constantly significant differences, With the P value of <0.0001. Conclusion: Task oriented training with conventional therapy is more effective on enhancing the trunk balance among MCA Stroke patients than either using Swiss ball exercise with conventional therapy. [ABSTRACT FROM AUTHOR]

Background: A general definition of insomnia is a lack of satisfaction with either the quality or quantity of sleep. This is typically accompanied by one or more of the following: difficulty falling asleep, difficulty staying asleep, difficulties awakening frequently or having trouble going back to sleep after awakening, and difficulty awakening in the early morning and having trouble going back to sleep. Purpose: To compare the effect of aerobic and progressive resistance exercise in Pittsburgh sleep quality index among patients with insomnia Materials and Methods: This was an experimental study. The 30 subjects were taken from the srisaithajam old age home. The subjects were split into two distinct groups as Group A (15 Subjects) and Group B (15 subjects). All the 30 subjects were assessed with Trunk Impairment Scale. Group A received task oriented training and Group B received Swiss ball exercise along with convention therapy given for both the groups. Exercise were given for 4 weeks, 5 days per week, 10 repetition * 3 sets. Pre test and post test values were calculated and tabulated. The intervention was given four weeks. The study period was from September 2022 to July 2023. Results: The collected data was statistically analyzed using an unpaired t-test. When comparing the Aerobic group(Group A) to the progressive resistance group(Group B), the aerobic group indicates significant effects (p 0.01) in Insomnia and improving the quality of life as assessed by the Pittsburgh Scale Quality Index among Insomnia Conclusion: According to the research Resistance exercise training is less effective than aerobic exercise training at reducing inflammation and improving sleep quality in subjects with insomnia. [ABSTRACT FROM AUTHOR]

Background: Insomnia continues to be one of the most prevalent sleep disorders seen in geriatric clinic population. It is typically characterized by the subjective complaints of trouble falling asleep, or experiencing nonrestorative sleep. This study was developed to determine the effectiveness of Jacobson relaxation techniques and Bhastrika pranayama on sleep quality in elderly subjects. Purpose: To compare the effectiveness of jacobson relaxation techniques and Bhastrika pranayama on sleep quality in elderly subjects. Materials and Methods: This study is an experimental study . A total of 86 people participated in the study based on inclusion and exclusion criteria, the participants were chosen from the old age home . The subjects who were willing to participate were divided into two separate groups as Group A (43 subjects) received jacobson relaxation techniques and Group B (43 subjects) received Bhastrika pranayama. All the 86 subjects were assessed with insomnia severity index scale. This techniques was given for 2 weeks, 5 days per week. Pre and post test values were calculated and tabulated. Study period: November 2022 to June 2023. Results: According to statistical analysis Jacobson relaxation techniques are effective in improving the sleep quality in elderly subjects with p value of <0.0001. Conclusion: This study finally concluded that Jacobson relaxation techniques have a higher impact "compared to Bhastrika Pranayama " in improving sleep quality in elderly subjects and also the quality of life in elderly subjects. [ABSTRACT FROM AUTHOR]

Background: This study was designed to inspect the effectiveness of Mindfulness Yoga and Progressive resistance exercise on anxiety and depression among Parkinson's disease. Purpose: To compare the effectiveness of Mindfulness Yoga and Progressive resistance exercise on anxiety and depression among Parkinson's disease Materials and Methods: The study was conducted with a sample size of 28 participants. The subjects were selected from Sri Saga Physiotherapy Centre, according to inclusion and exclusion criteria. Patients were completely explained about the safety and simplicity of the procedure and informed consent were obtained from the patient. For all the subjects Pre-test outcome measure were assessed using Hamilton anxiety and Hamilton depression scale. The subjects was divided into two groups based on concealed envelope method. Group A were given mindfulness yoga for 4 weeks of duration of 30 mins and Group-B were given Progressive resistance exercise for 4 weeks (10 reps*3 sets where 10RM=1kg). At the end of 4th week post outcome measures were analyzed using Hamilton anxiety and Hamilton depression scale and statistically tabulated. Result: Statistical analysis of Hamilton anxiety and Hamilton depression scale examination post-test values revealed the constantly significant differences, with P value of < 0.0001. Conclusion: Mindfulness yoga was found to be more effective than progressive resistance exercise in reducing anxiety and depression symptoms among Parkinson's patients. [ABSTRACT FROM AUTHOR]

Background: Digital Eye Strain (DES) has enhanced one of the crucial well-being matters with the expanded utilization of digitalized gadgets with optical revealing. Common digital eye strain manifestations include eye strain, headaches, blurred vision, and neck or shoulder pain, which typically get worse the more video display terminals (VDT)users use them. Very little investigation has been done to show how digital use affects Indian users' physical health, particularly among college undergraduate. Purpose: To find the effect of specific eye care exercise combined with 20-20-20 vision rule in managing computer vision syndrome among computer users. Methods: Seventy-four participants were selected for inclusion and exclusion criteria. They were divided into two groups: 20-20-20 Vision Rule Group (37) and conventional group (37). The pre and post-test values will be measured by computer vision syndrome - questionnaire. Group-A received 20-20-20-vision rule along with eye exercise and group-B received specific eye exercise. Both programs were given for 2 weeks, weekly 6 days. Results: Using Computer vision syndrome-questionnaire, 20-20-20 vision rule group's post-test mean was 25.51 and whereas conventional group's was 29.35. This demonstrates that the conventional group received a higher score of digital eye strain symptom positive than the 20-20-20 vision rule group. Conclusion: Specific eye care exercise combined with 20-20-20 vision rule in managing Digital Eye Strain among digital users was found to be more successful than specific eye exercise in reducing manifestation of Digital Eye Strain. [ABSTRACT FROM AUTHOR]

Background: The most prevalent condition that affects the articular cartilage and subchondral bone is osteoarthritis of the knee. Most cases of knee osteoarthritis are seen in the medial tibiofemoral compartment. There is currently no complete recovery for knee osteoarthritis. Purpose: The purpose of this study is to evaluate the effect of eccentric strengthening exercise and concentric strengthening exercise with IFT in alleviating symptoms associated with OA knee patients. Materials and Methods:36 patients with osteoarthritis of the knee are included in the trial. Before beginning the study, an informed permission form was obtained from the subjects. Using the WOMAC scale, the pre- and posttest values were calculated. The Concentric group with IFT and the Eccentric group with IFT were created. The subjects received concentric exercises and eccentric exercises for 3 days a week and it was continued for 4 weeks. For each session,3 sets and 10 repetition was given. Result: The collected data was statistically analysed using a paired and unpaired t-test. When comparing the eccentric group with the concentric group, the eccentric group indicates significant (p<0.0001) effect in lowering the pain and improving the function of the knee as assessed by WOMAC scale. Conclusion: According to the research, eccentric strengthening exercises combined with IFT are superior than concentric strengthening exercises for lowering pain and enhancing patients' functional activity. [ABSTRACT FROM AUTHOR]

Background: When compared to children without Down syndrome (DS), children with DS exhibit qualitatively different movement patterns and a considerable delay in the development of motor abilities. Due to their difficulty maintaining proper body alignment and aberrant walking patterns, children with DS are more likely to fall. Strengthening and aerobic exercise are part of the Down syndrome therapy programme. Purpose: To evaluate the effectiveness of aerobic exercises and strengthening exercises in Down Syndrome Population. Methodology: Twenty down syndrome patients were randomly divided into groups A and B. Aerobic exercise was given to ten subjects in group A, and strengthening exercise was given to ten subjects in group B. The Dynamic Gait Index Scale was employed as an outcome measure and was pre-assessed on Day 1. For four weeks of treatment, each group had two sessions per day, followed by a post-assessment of the outcome measures. Results: Group A experienced an increase in the dynamic gait index scale. The Group A showed improvement in the Dynamic gait index scale after training, which was statistically significant (p<.01) Conclusion: The results obtained from this research were statistically classified and can be concluded that there was a definite and positive effect of strengthening exercise in improving functional mobility in Down syndrome population. [ABSTRACT FROM AUTHOR]

Background: Dysmenorrhea is a menstrual abnormality which results in severe cramps in the lower back, abdomen, and the legs even in the presence of no pathology of the pelvis. Thus, an early diagnosis and management is necessary to prevent discomfort. Purpose: To study the effectiveness of structured aerobic exercises and core strengthening exercises in women with primary dysmenorrhea. Materials and Methods: A total of 74 volunteers who gave their consent were divided into two groups, and all were given a thorough explanation of the procedures. One group was given structured aerobic exercises that included stretching, warmup, cool down and aerobics for 45 mins/Day for 4 days a week and the other group was given core strengthening exercises for the same duration. Pre and post intervention assessment was done using WaLIDD. Study period : September 2022-May 2023. Result: The data was statistically examined using paired and unpaired t test. The calculated "t" values for the groups were 15.5710 and 18.8766 respectively and p value was <0.0001 for both the groups indicating the result is significant Group A showed a better result compared to Group B. Conclusion: The study concludes that structured aerobic exercise proves to be more effective for better and quicker recovery from primary dysmenorrhea. [ABSTRACT FROM AUTHOR]

Background: The COPD, a prevalent and manageable condition, leads to diminished airflow and tissue damage. It is associated with structural lung problems caused by prolonged inflammation due to continuous exposure to harmful particles or gases, particularly from cigarette smoke. Purpose: To compare the effectiveness of thoracic squeeze technique and manual diaphragm release technique on sputum clearance among patient with COPD. Materials and Methods: A total of 30 participants were selected according to inclusion and exclusion criteria were deliberately sampled. Group A (n=15) received thoracic squeeze technique and the Group B (n=15) received manual diaphragm release technique. All individuals were assessed for COPD assessment test as a pre-test prior to the intervention and again after 6 weeks of intervention. The entire process was performed from November 2022 to April 2023. Result: Statistical analysis was done for all the collected data using paired t- tests. The test shows significant effects (p<0.0001) in both groups. The test shows that the subjects receiving thoracic squeeze technique have improved sputum clearance among patients with COPD. Conclusion: The results and the data obtained from this research was statistically significant and concluded that there was a definite and positive effect of thoracic squeeze technique on sputum clearance. This can be recommended in Pulmonary Physiotherapy Practise. [ABSTRACT FROM AUTHOR]

Background: The main cause of injury-related death among the elderly is falling. The smart cane is a type of assistive tool. A smart cane's electronic sensors provide feedback and alert users to potential hazards, assisting users in keeping their balance while moving around. Purpose: To evaluate the effectiveness of a smart cane system for the elderly population that integrates feedback alerts and sensors to reduce falls. Materials and Methods: A Randomized Controlled Trial was done in elderly resort with 30 sample allocated into two group using lottery method .group-A receives conventional training using cane with quadripod base, while the group-B receives smart cane training using quadripod base .modified two-point gait pattern is employed for 2 months of training. The outcome measure used for physical measure is Elderly Mobility Scale (EMS) and for psychological is Activities-Specific Balance Confidence Scale (ABC,s). Results: According to the statistical analysis of the elderly mobility scale outcome measure, there were substantial changes in mobility and a decreased risk of falling .Based on the ABCs scale, when comparing the pre-test and post-test values, the experimental group's confidence in daily living is superior to the control group. Conclusion: According to the study's findings, a smart assistive cane can help the elderly population both physically and psychologically. During the gait training, the user of the smart assistive gadget did not encounter any unfavorable therapy-related consequences. [ABSTRACT FROM AUTHOR]

Background: This study was developed to determine the effectiveness of obstacle training in frailty among geriatric population. Purpose: The purpose of the study is to evaluate the effectiveness of obstacle training in frailty among geriatric population and to analyze the balance and gait analysis and number of falls. Method: A quasi experimental study was done in geriatric old age home with 30 samples by convenient sampling technique, allotted in a single group. In phase 1 the prevalence of frailty among Geriatric population will be examined using the Edmonton frail scale. In phase 2 the Tinetti scale and morse fall scale were used as outcome measures. Results: According to the statistical analysis there is a clinically significant in groups, p value >o.oo1. Conclusion: We concluded that obstacle training has an improvement in reducing risk of frailty among geriatric age group population. [ABSTRACT FROM AUTHOR]

Background: Patient treatment after surgical excision of buccal mucosal carcinoma should prioritise symptom relief and cancer prevention. Mouth exercise physiotherapy is widely regarded as a staple for expanding the mouth, either on its own or in conjunction with other modalities. In order to better understand the manufacture and clinical effectiveness of Triscare mouth exercising devices in subjects with CA buccal mucosa, the current study was conducted. Purpose: This study aims to evaluate the effectiveness of Myofascial release for postoperative buccal cancer patients. Materials and Methods: Subjects with buccal mucosa carcinoma were recruited from Saveetha Dental College and Hospital for an experimental research using inclusion and exclusion criteria. Two week postoperative Buccal Mucosa Carcinoma subject volunteer. The participants were secretly separated into two groups using envelopes. Before and after treatment, jaw exercise and Myofascial release groups had their mouth opening and quality of life evaluated. Statistical analysis was performed on the collected data, and conclusions were drawn. Results: At the 4-week follow-up, the intervention group's mean MO (48.06mm) was significantly higher than the control group's (44.66 mm) (p 0.002), and the intervention group also reported significantly higher GTQ scores and higher health-related quality of life scores across all domains and items. Conclusion: We concluded that Participants in the intervention group improved more than those in the control group, and they also reported higher levels of engagement with and satisfaction with their therapy. [ABSTRACT FROM AUTHOR]

Background: Cancer is the second leading cause of mortality worldwide.19.3 million new cases and 10.3 million deaths from cancer were reported worldwide. Cancer-related fatigue (CFR) has a complicated aetiology. Fatigue has a more detrimental influence on daily tasks and quality of life (QoL) than other ailments like pain or grief. This study aimed to determine the effect of task oriented approach on cancer related fatigue and functional capacity among subjects with blood leukaemia. Methods: A randomised, clinical trial was conducted with a total of 30 blood cancer survivors. Subjects were randomised into a radiation therapy group (RT group) (n=15) and non-radiation therapy group (NRT group) (n=15). Both groups included a task oriented approach for 1section/day, 5 days /week for 4 weeks. The main outcome was fatigue as assessed by the Brief fatigue inventory, Other evaluated outcomes were functional capacity and Quality of life measured using 6 minute walk test and EORTC QLQ C30 (Version 3) . Data were collected at baseline and post-intervention. Result: There is a significant improvement in both group in cancer related fatigue after the intervention, two groups, non-radiation group show much better improvement comparing to participants under radiation with a mean difference of 3.4 in Brief Fatigue Inventory, 5.93 in 6 minute walk test, 16.46 in EORTC QLQ C30 (Version 3). Conclusion: It has been concluded that Task oriented approach has better effect on reducing the fatigue caused by cancer and enhancing the functional capacity, quality of life among blood leukaemia individuals. Participants who are not under radiation therapy have better prognosis than participants under radiation therapy. [ABSTRACT FROM AUTHOR]

Background: Stroke has such a significant socioeconomic impact worldwide. Stroke is gaining ground in terms of public awareness, patient and carer knowledge, service improvements, and research. Purpose: The aim of the study is to determine the effectiveness of task-oriented exercise on lower limb in post stroke patients with lateral medullary syndrome. Result: Comparing the outcomes of the FIM and BBS pre- and post-tests, there is a positive change seen in all the 10 participants after giving a task-oriented approach as a treatment. The post-scores (P<0.05) of FIM have shown a significant difference in all the participants. The post-scores (p>0.05) of BBS also have shown betterment in the balance and reduction of fall risk. [ABSTRACT FROM AUTHOR]

Background: This study was developed to compare the effect of soft tissue technique with neural mobilization and postural correction with neural mobilization on pain and disability among patients with cervicogenic headache. Purpose: The purpose of the study was to control the pain and impairment related to cervicogenic headache (CGH), this study compares the effectiveness of two interventions: postural correction and soft tissue techniques combined with neural mobilization. Materials and Methods: A sum of 30 participants were recruited, based on the selection criteria from the abovementioned study setting. The procedure was explained, and a written grant was collected from all patients before the initiation of the procedure. The subjects were allocated randomly into 2 groups. The intervention group was given the postural correction exercise along with the neural mobilization and another group was given soft tissue technique along with neural mobilization. Results: The study found that there is a positive impact of postural correction along with neural mobilization on pain reduction and absence of ability that has been connected with cervicogenic headache with a significant value of < 0.0001. Conclusion: The study concluded that Postural correction exercises along with neural mobilization were effective in reducing the individual's discomfort, enhancing the cervical range of motion, and reducing the level of impairment. However, the Headache Impact Test-6 (HIT-6) and Northwick Park Neck Pain Questionnaire (NPAQ) outcome measures for both groups indicated a substantial change in the post-treatment analyses; GROUP A, which received postural correction along with neural mobilization, had more significant changes than the soft tissue technique along with neural mobilization (GROUP B). [ABSTRACT FROM AUTHOR]

Background: The background of the study is the incidence of vestibular dysfunction among stroke subjects which indirectly affects the balance function and early recovery of daily activities like sitting, standing and walking. Purpose: The main objective of this study is to investigate the vestibular dysfunction using Vestibular evoked myogenic potential (VEMP) and efficiency of Transcutaneous auricular vagal nerve (TaVNS) stimulation among Middle cerebral artery (MCA) stroke survivors. Method: Thirty subjects were randomly assigned into one of two groups: Group A (Transcutaneous auricular vagal nerve stimulation with conventional stroke rehabilitation) and Group B (conventional stroke rehabilitation and epley's maneuver). The pre-test measures of vestibular function were assessed by VEMP (an electrophysiological diagnostic tool). The intervention group received Transcutaneous auricular vagal nerve stimulation for 30 minutes, and a single session per day for 4 weeks along with conventional stroke rehabilitation whereas the control group received Epley's maneuver exercises along with conventional stroke rehabilitative exercises for 60 minutes, 6 days/week, and a single session per day for 4 weeks. The same VEMP test was measured after 4 weeks of treatment as post-test values. Result: The pre and post-test values were significantly different between group A and group B (p ≥ 0.001) indicating that TaVNS has a major impact on recovery of vestibular dysfunction among stroke participants. Conclusion: The transcutaneous auricular vagal nerve stimulation is found effective for improving the vestibular function and balance. [ABSTRACT FROM AUTHOR]

Background: Cognitive dysfunction, including impairments in attention, memory, executive function, and processing speed. This study was developed to determine the effectiveness of transcutaneous auricular vagal nerve stimulation on cognitive impairment among subjects with anterior cerebral artery syndrome. Purpose: The purpose of the study is to compare and evaluate the effectiveness of two non-pharmacological methods of treatment for cognitive impairment patients with ACA syndrome. Material and Methods: The project was conducted as a pilot study in a private hospital in Chennai. The experimental group (group A) received transcutaneous auricular vagal nerve stimulation for 20 minutes and conventional strengthening exercises for the affected limb for 10 minutes. Group B got conventional cognitive training (20 minutes) and strengthening exercises (10 minutes). Following the four-week treatment, a post-test analysis was performed using the Montreal cognitive assessment scale. Results: The post-test analysis obtained a mean value of about 27.25 and SD 1.5 for group A, whereas group B revealed 22.75 ± 1.25, mean ± SD, and a significant P value of 0.004. Conclusion: Non-invasive transcutaneous auricular vagal nerve stimulation has been proven to be an effective approach for preventing vascular dementia. [ABSTRACT FROM AUTHOR]

Background: This study was developed to determine the effectiveness of transcutaneous auricular vagus nerve stimulation and Jacobson relaxation technique on agoraphobia among subjects with post neurological ill-patients. Purpose: The purpose of the study is to compare and evaluate the effectiveness of two non-pharmacological methods of treatment for Agoraphobia patients with Post neurological ill-patients. Methods: The research project was conducted as a pilot study in a private hospital in Chennai. The experimental group (group A) received transcutaneous auricular vagus nerve stimulation for approximately 20 minutes (30 seconds ON and 5 minutes OFF) and a conventional Jacobson relaxation technique for 10 minutes. Group B got conventional cognitive behavioral therapy (20 minutes) and the Jacobson relaxation technique (10 minutes). Following the four-week treatment period, a post-test analysis was performed using the Severity measure of agoraphobia. Results: The study found that there is a positive impact of transcutaneous auricular vagus nerve stimulation and Jacobson relaxation technique on agoraphobia in post neurological ill patients. The analysis obtained a mean value of about 18 and an SD of 26 for group A, whereas group B revealed 24.8 ± 4.40, mean ± SD, and a significant P value of <0.001. Conclusion: When compared to group B, those in group A who received transcutaneous auricular vagus nerve stimulation improved more significantly when dealing with agoraphobia of post neurological ill patients. As a result, non-invasive transcutaneous auricular vagus nerve stimulation and Jacobson relaxation technique have been proven to be effective approaches for preventing agoraphobia. [ABSTRACT FROM AUTHOR]

Background: Anxiety during the COVID-19 pandemic has been a significant concern for people of all age groups, including geriatric individuals. The elderly population has faced unique challenges during this time, which can contribute to increased anxiety levels. The uncertainty and fear surrounding the pandemic can lead to increased anxiety and stress, which can negatively impact sleep quality and duration. Purpose: The aim of this study is to find out the effect of vagal nerve stimulation on anxiety and sleep disturbances among geriatric population. Methodology: Using the Purposive Sampling method, a total of 20 individuals were chosen based on the inclusion and exclusion criteria. The participants were divided into two groups using the closed envelope method, and they took part in therapy sessions lasting 30 minutes, three times per week for a period of four weeks. The control group received Jacobson's progressive relaxation technique, whereas the experimental group received non-invasive Transcutaneous auricular vagal nerve stimulation. Result: With a p value of 0.001, transcutaneous auricular vagal nerve activation significantly improved sleep quality and reduced anxiety after 4 weeks. Conclusion: Study showed that transcutaneous vagal nerve stimulation was effective in reducing Anxiety and improving sleep quality in geriatric population. [ABSTRACT FROM AUTHOR]